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Tools for trauma processing, narrative construction, trigger management, and safety planning.
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.
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.
Identify triggers that activate trauma memories and systematically compare the original trauma context with the present reality to reduce flashback intensity.
Prepare for trauma reliving sessions and process the experience afterwards — tracking hotspots, emotions, and updated meanings.
Identify the "hotspot" moments in a trauma memory — the moments of peak emotion — and work on updating their personal meaning.
Identify and challenge stuck points — the unhelpful beliefs about the trauma and its aftermath that maintain PTSD symptoms.
Track PTSD symptoms across the four DSM-5 clusters — intrusion, avoidance, negative cognitions and mood, and arousal and reactivity — to monitor progress through treatment.
Prepare for a visit to the trauma site, record predictions, and process the experience afterwards to update the trauma memory.
Identify valued activities lost to PTSD and plan a graded return to engagement with life.
Write a structured impact statement exploring how the trauma has affected your beliefs about safety, trust, power, esteem, and intimacy.