Internship 2: Compton & Schoeneberg: Chapters 10 & 11

If a client becomes retraumatized, the appropriate plan of action is to: Return to safety and stabilization until the client is ready to move back into trauma memory work. Teach the client a containment technique. Teach the client how to do cognitive restructuring to avoid future retraumatization. Walk the client through a grounding technique and continue through the trauma memory work.

Return to safety and stabilization until the client is ready to move back into trauma memory work.

Client Ella and counselor Jim are in session and counselor Jim recognizes that he unintentionally triggered Ella's trauma. She begins shaking and appears to be moderately disassociated. What should Jim's first step be? Apologize for triggering Ella's trauma. Educate on emotional dysregulation. Use a grounding technique with Ella such as naming things around the room. Use a relaxation technique to help Ella calm down.

Use a grounding technique with Ella such as naming things around the room.

Safety is developed by: Predictability Client empowerment Having a comfortable and calm therapeutic environment Developing trust with the counselor A, B, and D All the above

All the above

The second phase of trauma work includes mourning. In session this looks like: Allowing the client as much time as they need to process their losses from their trauma. Encouraging the client to look ahead to future so they don't get stuck in their grief. Processing the emotions of grief, potentially including many tearful sessions. Clients who threaten suicide won't do it A & C All the above

A & C

Client Fiona and counselor Lila are in the second phase of trauma treatment. Fiona has worked through mourning the losses associated with her trauma. Lila notices a pattern of Fiona blaming herself for parts of her trauma. Fiona's needs which part of the therapeutic process: Cognitive distortions Cognitive restructuring Exposure work Habituation

Cognitive restructuring

If a client does not establish emotional regulation, what should the counselor do? Continue in stabilization phase of treatment, even if it takes months, until the client can emotionally regulate themselves. Use exposure techniques to test the client's emotional regulation. Move forward into the second phase of treatment because the emotional regulation will come later. None of the above.

Continue in stabilization phase of treatment, even if it takes months, until the client can emotionally regulate themselves.

Counselor Raquel is working through phase two of trauma treatment with client Layla. Raquel systematically has Layla retell her trauma story, specifically focusing on the parts of the story that are the most distressing to Layla. Raquel then helps Layla use a grounding technique and then has her lead them back into the distressing memory again. The technique that Raquel is using is called: Trauma narrative Exposure Cognitive restructuring Habituation

Exposure

Client Carla is in her second session with counselor Jenna. They have identified that they will be working through Carla's past trauma and Jenna has educated on the process of trauma counseling. Carla reports feeling safe, stable, and confident to start working through her memories of her trauma and reports that she needs counseling to be as quick as possible because she is paying out of pocket for her sessions. Since Carla reports feeling safe and stable, Jenna should: Quickly assess Carla's safety and stability and move on to the second stage of the trauma treatment. Go where the client wants/needs to go in working through her memories. She is the expert of her story and this is her counseling session. Remind the client that safety and stability still need to be established as a part of the trauma process and check on the client's readiness to move forward in the process. Rush through the safety and stabilization

Remind the client that safety and stability still need to be established as a part of the trauma process and check on the client's readiness to move forward in the process.

Which statement is most true? Trauma memory work includes the client telling all the details of their trauma. Trauma memory work is a part of all trauma treatment models. Trauma memory work should be done by those who use EMDR. Trauma memory work is a balancing act of distressing memories and stabilization.

Trauma memory work is a balancing act of distressing memories and stabilization.