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Index
Contents Introduction 1: A Look at Trauma
Trauma Stories Defining Trauma Reacting to Trauma
Pre-event Factors Event Factors Post-event Factors
Acute Stress Disorder Post-traumatic Stress Disorder
Symptoms of PTSD Are There Different Types of PTSD?
Remembering Trauma
Psychoeducation Why Remember?
Who Are You? Feeling Safe
2: Before Doing the Work: Safety, Security, and Intention
Safety
Staying Grounded Types of Safety Creating a Safe Place Keeping Your Safe Space Safe Getting to Your Safe Place Through Visualization
Checking In with Yourself Relaxation and Breathing Techniques
Progressive Relaxation Another Relaxation Technique Trying Meditation for Relaxation Using Mindfulness to Help You Relax and Feel Safe
When to Take a Break from Doing Work in This Workbook
3: Identifying and Writing About What Has Happened to You
Creating Your Own SUDS More About Memory and Remembering Constructing a Trauma Inventory Creating a Trauma Time Line Healing by Writing: Creating Your Own Trauma Story Time to Heal
4: Helping Yourself When You Reexperience a Trauma
Building Dual Awareness The Rewind Technique Containment and Traumatic Memories Dealing with Traumatic Dreams Dealing with Your Flashbacks as Dissociation
What Is Dissociation? What Does It Mean to Have a Flashback? The DVD Technique Getting Outside Your Head Other Ways to Deal with Flashbacks Using Dual Awareness to Treat Flashbacks Changing Negative Thoughts to Positive
Triggers: Reminders of Trauma Across the Senses
Managing Trigger Events The Trigger Mapping Ladder
Using Activities and Anchors to Reduce Triggers
Exposing Yourself Safely to Your Past Traumas The Flower Diagram Avoiding Avoidance
5: Coping with Trauma with Less Avoidance
Using Avoidance to Cope The Practical Function of Avoidance Dissociation as an Avoidance Mechanism
What Can You Do About Dissociating?
Consequences of Dissociation
Reducing Dissociation as Avoidance
Working to Reduce Other Types of Avoidance
Keeping Safe as You Try to Lessen Avoidance Tolerating Your Fears Other Ways to Reduce Avoidance
6: Dealing with Category D Symptoms: Part I
Dissociative Amnesia Negative Beliefs About Self, Others, and the World Where Beliefs About the Self Come From Challenging Core Beliefs
Challenging Beliefs About Trust and Betrayal Challenging Beliefs About Self-Esteem Ways to Raise Your Self-Esteem Challenging Beliefs About Intimacy
Blaming Yourself or Others for the Trauma
Looking at Blame Self-Compassion
Self-Kindness Common Humanity Mindfulness
What About Forgiveness? Self-Forgiveness
Challenging and Modifying Your Beliefs Through Affirmations
7: Dealing with Category D Symptoms: Part 2
Long-Lasting Negative Emotions Emotions as Messengers of Information Looking at Emotions That May Persist Negatively
Fear Anger and Rage
Expressing Anger
Anger as a Warning Depression Guilt Survivor Guilt
Healing from Survivor Guilt Making Amends
Shame Helplessness Sadness Grief and Loss
Using Feelings Appropriately
Expressing Emotion Being Afraid to Have Feelings
Finding Joy and Happiness
What Is Your Worldview? Dealing with Worry Substituting Happiness for Sadness
Loss of Interest in Doing Things Feelings of Detachment or Estrangement from Others
Setting Good Boundaries Communication Techniques
Active Listening Asking Questions Describing Feelings Describing Behavior Using Humor Using I-Messages
Communication Styles
Small Talk Control Talk Search Talk Straight Talk
Final Thoughts on Communication
8: Lessening Arousal: What to Do If You Can’t Sleep, Can’t Relax, or Are Angry and Irritable
Techniques to Improve Sleep
Another Sleep Routine Good Sleep Hygiene
Anger: A Signal Emotion
Resolving Anger
Coping with Irritability
Relaxing to Control Anger and Irritability Anger and Self-Care Using Mindfulness to Lessen Anger and Irritability Reducing Anger by Setting Boundaries
Physical Boundaries Emotional Boundaries
Distractibility and Trouble Paying Attention Hypervigilance, Heightened Awareness of Danger, and Startling Easily Reckless, Risk-Taking, or Self-Destructive Behaviors
Self-Harm Self-Injury as a Type of Self-Harm Beliefs Leading to Self-Injury Unmodulated Sexual Involvement
Boundaries and Healthy Sexuality
An Aside About Suicide
9: Stress, Trauma, and the Body
The Impacts of Stress on the Body
The Physiology of Stress Other Basic Facts About Stress Stress and the Head, Gut, and Heart Brains
Trauma and Chronic Illness
Phase 1: Developing Chronic Health Problems Phase 2: Experiencing Some Degree of Stabilization Phase 3: Reaching Resolution Phase 4: Integrating Any Ongoing Symptoms or Limitations
How the Body Stores Trauma
Chronic Pain Eye Movement Desensitization and Reprocessing
Coping with Trauma-Related Chronic Illness
Dealing with Medical Professionals Dealing with Your Body Using Integrative Therapies Mind-Body Therapies Lifestyle Improvements
Nutrition Exercise Sleep Vitamins and Minerals Nutraceuticals Botanicals/Herbs
Body Sensations and Body Awareness
Trauma and Hyperarousal The Importance of Body Awareness
10: For Veterans Returning from War: Tools for Personal Survival
What We’ve Learned About PTSD from Veterans of OIF, OEF, and Desert Storm A Look at the Facts You Have Survived!
What Was It Like for You to Go to War? How Are You Adjusting As You Move from Battlefield to Home Front?
Five Techniques to Help You Help Yourself
Challenging and Correcting Beliefs Narrative and Storytelling Using Metaphors
The Bog of War
Using Sound and Music to Heal Working with Service, Therapy, and Emotional Support Animals
Equine Therapy
Moving Ahead
11: Finding Meaning
Working Through a Traumatic Event Continuing to Heal Speeding Up Healing Thoughts About Finding Meaning Spiritual Development Healing Rituals
The Ritual of the Phoenix Rising Regular Rituals
Connecting with Nature
12: Final Thoughts and Exercises
Your Real Self Blessings Health Coping with and Solving a Problem
Facing a Difficult Situation Formulating a Decision-Making Plan
Resilience
Developing a Sense of Humor and Finding the Positive
Know What Makes You Laugh Know People Who Can Make You Laugh Use Jokes and Collect Them in a Humor Log Laugh at Life Laugh at Yourself Never Miss an Opportunity to Play Schedule Fun Time Celebrate Successes Big and Small Treat Yourself Don’t Wait to Be Happy; Do It Now! Smile, Smile, Smile
More About Being Resilient Looking at the Purpose of Your Life Psychological Wellness Resourcefulness
References
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