Trauma victims often have a hard time of trusting people, and usually have an even harder time discussing the event itself. Therefore, during the intake assessment I would ask her questions about her trauma exposures in a way that frames the assessment in a supportive and nonjudgmental context. My opening statement with the client would be, “Sometimes people have experienced things in their pasts that affect how they are feeling now. If it is okay, I’d like to ask you some questions about things that may have happened to you” (Briere & Scott, 2015, p. 68). I would follow that up with interpersonal, medical and historical questions (e.g. Do you have any medical problems? Are you taking any medications right now? Has anyone ever forced you to do something
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Additionally, her triggers result in panic attack like symptoms (e.g. racing heart, and shortness of breath), and persist even when returning home. I would suggest the following strategies to deal with both her acute and chronic affect dysregulation. Dealing with the acute affect dysregulation (e.g. panic attacks) I would suggest she grounds herself, being mindful of the here and now, by simply asking a question, “What is today’s date”. I would have her focus on her breathing and give her therapeutic breathing exercise she can do anytime. Reflecting on the experience she is having would also help her confront the intrusive thoughts, however, it is a good ideal to do this within the therapy session the first couple of times, for support and encouragement. Chronic affect dysregulation is often harder to deal with but is treatable. I would suggest to her the following strategies for dealing with them; mindfulness based on breathing training, medication, yoga, meditation (nonjudgmental thoughts), and progressive muscle
Additionally, her triggers result in panic attack like symptoms (e.g. racing heart, and shortness of breath), and persist even when returning home. I would suggest the following strategies to deal with both her acute and chronic affect dysregulation. Dealing with the acute affect dysregulation (e.g. panic attacks) I would suggest she grounds herself, being mindful of the here and now, by simply asking a question, “What is today’s date”. I would have her focus on her breathing and give her therapeutic breathing exercise she can do anytime. Reflecting on the experience she is having would also help her confront the intrusive thoughts, however, it is a good ideal to do this within the therapy session the first couple of times, for support and encouragement. Chronic affect dysregulation is often harder to deal with but is treatable. I would suggest to her the following strategies for dealing with them; mindfulness based on breathing training, medication, yoga, meditation (nonjudgmental thoughts), and progressive muscle