With the attacks of September 11, 2001, and other acts of terror, the wars in Iraq and Afghanistan, disastrous weather events, and sexual abuse scandals, it is safe to say that trauma has moved to the forefront of national consciousness. Trauma was once considered an abnormal experience. However, the National Comorbidity Study established how prevalent traumas were in the lives of the general population of the US (2012). The Adverse Childhood Experiences Study (Centers for Disease Control and Prevention, 2013) was a large epidemiological study involving more than 17,000 individuals from the United States. It analyzed the long-term effects of childhood and adolescent traumatic experiences on adult health risks, mental health, healthcare costs, and life expectancy. It was found that early childhood trauma was strongly correlated with later physical and psychological problems. Additionally, 61 percent of men and 51 percent of women reported experiencing at least one trauma in their lifetime, with witnessing a trauma, being involved in a natural disaster, and/or experiencing a life-threatening accident ranking as the most common events.
Various biopsychosocial and cultural factors influence an individual’s immediate response and long-term reactions to trauma. For most, regardless of the severity of the trauma, the immediate or enduring effects of trauma are met with resilience—the ability to rise above the circumstances or to meet the challenges with fortitude. For some people, reactions to a traumatic event are temporary, whereas others have prolonged reactions that move from acute symptoms to more severe, prolonged, or enduring mental health consequences (e.g., PTSD, anxiety disorders, substance use and mood disorders) and medical problems (e.g., arthritis, headaches, chronic pain). Others do not meet established criteria for PTSD or other mental disorders but encounter significant trauma-related symptoms or have culturally expressed symptoms of trauma (e.g., somatization). For that reason, even if an individual does not meet diagnostic criteria for trauma-related disorders, it is important to recognize that trauma may still affect his or her life in significant ways.
Trauma-specific treatment services are evidence-based practices that facilitate recovery from the psychological effects of trauma. There are several therapy approaches that peer-reviewed, randomized controlled trials have shown to be effective. Engaging in these treatment approaches will improve the chances of positive outcomes for patients.
Dr. McBride and Holly lead our Trauma Focused Treatment Program. Dr. McBride is a military veteran, trained and experienced in evidence-based trauma treatment, including Eye Movement Desensitization and Reprocessing (EMDR also known as Adaptive Information Processing) as well as Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT).
Dr. McBride and Holly are trained in a promising new therapy for trauma, Accelerated Resolution Therapy (ART), which is now considered evidence-based by SAMHSA. Our focused trauma treatment is tailored to the unique needs of each individual patient. Individuals are often surprised at how quickly they make progress when engaging in evidence-based treatments. Referrals from medical and mental health providers are welcome.
According to the World Health Organization’s Guidelines for the Management of Conditions Specifically Related to Stress (2013), trauma-focused Cognitive Behavioral Therapy (PE and CPT) and EMDR are the only psychotherapies recommended for children, adolescents and adults with PTSD.
Regarding EMDR:
“EMDR is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences. Repeated studies show that by using EMDR therapy people can experience the benefits of psychotherapy that once took years to make a difference. EMDR therapy shows that the mind can in fact heal from psychological trauma much as the body recovers from physical trauma.” - THE EMDR INSTITUTE
History of exposure to trauma (ideally a few months have passed since your last traumatic experience)
Experiencing distressing memories, nightmares, or flashbacks
Avoiding things that remind you of the trauma
Experiencing trouble functioning optimally at home, work, or other important areas of your life
Suffering from fear, anxiety, or depression
Difficulty forming or maintaining close, satisfying relationships
Feeling emotionally numb and disconnected from others
Ability to reach out and ask for help from others if needed
Life threatening substance abuse
Recent suicide attempt(s)
Recent self-mutilation
History of serious assaultive or impulsive behavior
Recent psychotic episode(s)