ABSTRACT
This longer chapter summarizes what I mean by trauma-informed treatment. To be “trauma-informed,” a therapist is compassionate, aims to “do no harm,” is a good listener and process observer, is aware of the many types of life circumstances that can result in trauma-related symptoms, and is knowledgeable of and watchful for the many types of symptoms that can emerge following trauma (immediate or delayed). If and when traumatic or potentially traumatic life events are reported during therapy, the therapist asks appropriate questions to evaluate the client’s response, spoken and unspoken. A trauma-informed therapist is flexible and well-paced, able to adjust intervention to minimize re-traumatization and to reduce emotional/physiological dysregulation. A trauma-informed therapist develops a relationship or alliance with the client (and family members as appropriate), and in the context of that relationship becomes more aware of triggers and opportunities for change. Generally, a trauma-informed therapist uses a systemic approach and ensures that the treatment is a good fit to client variables. Trauma-informed treatment also includes a body of knowledge and the work is grounded in neurobiology. The therapist must be capable of identifying blind spots and risk factors while working within a developmental context.
