A formulation based on Ehlers and Clark's cognitive model of PTSD — mapping the nature of the trauma memory, negative appraisals, sense of current threat, and the maintaining strategies.
PTSD Formulation (Ehlers & Clark)
PreviewNature of Trauma Memory
How the memory is stored — not the content
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Negative Appraisals
Of the trauma and/or its aftermath
About the trauma:
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About symptoms / aftermath:
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Sense of Current Threat
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Intrusions & Re-experiencing
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Cognitive & Behavioural Strategies
Well-intentioned but maintain the problem
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Prevents Processing
Strategies block memory elaboration and appraisal updating
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What resources, strengths, and supports might help in recovery?
Protective factors
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Strengths & resources
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What stands out about how the coping strategies are maintaining the problem?
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Explore how the traumatic event has affected your beliefs about yourself, others, and the world.
Practise and record the use of grounding techniques when experiencing flashbacks, dissociation, or overwhelming emotions.
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