A San Antonio Therapist’s Guide on Types of Trauma Therapy Approaches

This photo shows different angles of a lady who looks to be in distress. In one angle of the shot, she has her hand in her mouth like she is thinking hard. The other angle shows her covering her face like she is thinking about something traumatic.

There are different types of trauma therapy approaches, but some commonly used and evidence-based approaches differ in their application and can focus on different intervention styles. The following therapy approaches are evidence-based and have been extensively researched and shown to be effective in treating trauma-related symptoms.

Cognitive Behavioral Therapy (CBT): CBT is a widely used approach that focuses on identifying and modifying negative thoughts and beliefs related to trauma. It helps individuals develop healthier coping skills, challenge distorted thinking patterns, and address behavioral patterns that may contribute to distressing symptoms.

Eye Movement Desensitization and Reprocessing (EMDR): EMDR is a specialized therapy approach that incorporates elements of cognitive therapy, exposure therapy, and bilateral stimulation (such as eye movements or tactile sensations). It aims to help individuals process traumatic memories and alleviate associated distressing symptoms.

The photo shows angles of a head with puzzles pieces scattered throughout as a representation that trauma therapy helps to reorganize the pieces of the puzzle that traumatic events displace.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT): TF-CBT is specifically designed to address trauma in children and adolescents. It combines cognitive-behavioral techniques with trauma-focused interventions, such as psychoeducation, relaxation skills, and trauma narrative processing.

Prolonged Exposure Therapy (PE): PE involves gradual and controlled exposure to trauma-related memories, reminders, and situations. It helps individuals confront and process traumatic experiences to reduce avoidance behaviors and distressing symptoms.

Narrative Exposure Therapy (NET): NET is often used with individuals who have experienced prolonged or repeated trauma. It involves constructing a detailed narrative of the traumatic experiences to promote integration and meaning-making.

Acceptance and Commitment Therapy (ACT): ACT focuses on helping individuals accept distressing thoughts and feelings while committing to actions that align with personal values. It emphasizes mindfulness, self-compassion, and taking steps toward a meaningful life despite trauma-related challenges.

Dialectical Behavior Therapy (DBT): DBT is a comprehensive therapy approach that combines individual therapy, skills training, group therapy, and coaching. It integrates emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness techniques to address trauma-related symptoms and associated difficulties.

These approaches are supported by empirical evidence and have demonstrated effectiveness in reducing trauma-related symptoms and improving overall well-being. However, it's important to note that therapy should always be tailored to individual needs, and different approaches may be more suitable for specific individuals or types of trauma. Consulting with a mental health professional can help determine the most appropriate treatment approach for an individual's unique circumstances.

Our dedicated team of San Antonio counselors are equipped to help you identify the type of trauma therapy that is right for you. Contact us today.

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