Overview

The International Society for Traumatic Stress Studies is dedicated to sharing information about the effects of trauma and the discovery and dissemination of knowledge about policy, program and service initiatives that seek to reduce traumatic stressors and their immediate and long-term consequences.
We are Engaged
ISTSS provides a forum for the sharing of research, clinical strategies, public policy concerns and theoretical formulations on trauma around the world. We are the premier society for the exchange of professional knowledge and expertise in the field.
We are Diverse
Members of ISTSS include psychiatrists, psychologists, social workers, nurses, counselors, researchers, administrators, advocates, journalists, clergy, and others with an interest in the study and treatment of traumatic stress.

We are Worldwide
ISTSS members come from a variety of clinical and non-clinical settings around the world, including public and private health facilities, private practice, universities, non-university research foundations and from many different cultural backgrounds.


A Brief Intervention to Mitigate Suicide Risk: The Safety Planning Intervention (SPI)

About This Webinar The Safety Planning Intervention (SPI), developed by Barbara Stanley and Gregory Brown, is an brief intervention which takes approximately 20-45 minutes to complete, provides patients with a prioritized and specific set of coping strategies and sources of support that can be used should a suicidal crisis occur. SPI is designed to help individuals lower their imminent ris...
International Society for Traumatic Stress Studies

Acceptance and Commitment Therapy (ACT) and the Treatment of Trauma: Regaining Self and Values

Many individuals who have experienced a trauma or who have been diagnosed with PTSD are struggling with traumatic memories, painful feelings and unwanted thoughts; and avoidance or control of theses private internal experiences is a common goal. Often, however, the avoidance itself can lead to further struggle and difficulty returning to valued activities in life. One therapeutic alternative to ...
International Society for Traumatic Stress Studies

Acceptance and Commitment Therapy for Trauma: Finding Life Beyond the Pain

Acceptance and Commitment Therapy (ACT) is a principle-based behavioral intervention designed to address human suffering in a mindful and compassionate way. Many individuals who have experienced a trauma suffer due to painful memories, feelings and thoughts related to their traumatic experience. Avoidance or control of these private experiences is often seen as a solution to suffering. This kin...
International Society for Traumatic Stress Studies

Acceptance and Commitment Therapy in the Treatment of Comorbid PTSD and Substance Use Disorders: An Overview

Although posttraumatic stress disorder (PTSD) and substance use disorders (SUDs) are commonly co-occuring conditions (Brady, 2001; Helzer et al., 1987; Stewart, 1996; Tarrier & Sommerfield, 2003), traditionally, it has been recommended that an individual must first receive successful substance abuse treatment before posttraumatic symptoms can be addressed. Given the high comorbidity of these con...
International Society for Traumatic Stress Studies

Advanced Workshop on Cognitive Processing Therapy

The purpose of this workshop is to provide advanced training in the implementation of cognitive processing therapy (CPT) for PTSD and related comorbid disorders. Please attend this workshop only if you have implemented CPT with trauma victims prior to attendance. The CPT protocol will be reviewed in only the most cursory manner, so participants are asked to review the protocol and generate their...
International Society for Traumatic Stress Studies

Aiding Survivors of Torture: Evaluation of Asylum Seekers for Prevention of Re-Traumatization

Establishing safety is one of the fundamental principles of trauma treatment, yet trauma therapists seldom have the opportunity to contribute directly to this vital step. Testimony from medical and mental health evaluations may play an important role in asylum hearings in supporting the credibility of victims’ accounts and documenting the sequelae of the experience of torture or other trauma. ...
International Society for Traumatic Stress Studies

An Introduction to the Neurobiology of Traumatic Stress

Recent advances in neuroimaging, biochemistry, and genetics research have paved the way toward a greater understanding of the neurobiology of trauma and stress. As new technologies and methods are discovered and applied to neurobiological work, it becomes increasingly important for individuals interested in treating and studying post-traumatic stress disorder (PTSD) to learn the tools necessary ...
International Society for Traumatic Stress Studies

Applications of Dialectical Behavior Therapy to the Treatment of Dissociative Behavior and Other Complex Trauma Related Problems

Individuals who have experienced multiple and/or severe traumatic experiences during development often present with a wide range of problems related to severe emotion dysregulation. The complexity and heterogeneity of this population pose unique challenges for clinicians, as existing protocol treatments for post-traumatic stress disorder (PTSD) are often insufficient or existing problems may int...
International Society for Traumatic Stress Studies

Ask the Experts: Trauma and Stress or Related Disorders in the DSM-5

This expert panel webinar focuses on the implications of the DSM-5 criteria for assessment within the context of treatment—with an emphasis on the changes as well as new items and criteria—and how they might affect treatment or assessment before or after treatment. Panelists will also discuss the recognition of a dissociative subtype of PTSD within the DSM-5. Following brief presentations...
International Society for Traumatic Stress Studies

Assessing Trauma Survivors Risk Profiles and Using them to Foster Resilience

A large number of factors affect responses to trauma, including characteristics of individuals (genetic or biological tendencies, developmental level and experiences, past trauma exposure, life stress at the time of trauma), aspects of traumatic stressors (e.g., severity), early posttrauma emotional responses, and posttrauma life experiences and resources (such as social support, financial resou...
International Society for Traumatic Stress Studies

Beyond Resilience and PTSD: Flexibility and Heterogeneity Following Potential Trauma

About This Webinar Highly aversive or potentially traumatic events (PTEs) are more common than is usually assumed. Indeed, most people are exposed to multiple PTEs during the course of their lives. Until recently, however, responses to such events have been understood using either psychopathological categories, such as PTSD, or measures of central tendency (e.g., average differences). I demon...
International Society for Traumatic Stress Studies

Beyond Significance: Understanding the Old and New Generation of Effect Size Statistics

Growing numbers of journals are now either strongly advising or even requiring the use of effect size statistics in the presentation of results. This workshop is constructed around a brief description and history of the major families of effect size statistics (zero order and adjusted), including rules of computation, transformation (how to you turn chi square into r or g into d), and appropriat...
International Society for Traumatic Stress Studies

Brief Eclectic Psychotherapy for PTSD: Making Meaning Out of Traumatic Experiences

Brief eclectic psychotherapy for PTSD (BEPP) is evidence based protocolized treatment for PTSD in which much attention is given to making meaning out of the traumatic experience after facing the memories via imaginary exposure (www.traumatreatment.eu). Traumatic experiences not only cause persistent and heightened fear responses but also disrupt the survivor’s beliefs about trust in others and...
International Society for Traumatic Stress Studies

Cannabis and PTSD: Existing Evidence and Clinical Considerations

Description Dr. Bonn-Miller will provide an overview of cannabis, including associated consequences and benefits stemming from its use. He will then summarize epidemiological data, particularly from the Department of Veterans Affairs (VA), related to recent and emerging trends in cannabis use/disorders, including among veterans with PTSD. Limitations of epidemiological tracking will be discusse...
International Society for Traumatic Stress Studies

Clinical Ethics

Most licensed professionals working with trauma have had the opportunity to take courses on ethics and legal issues. As such, there is both a need and an opportunity to combine updated material with more focused and in-depth discussion of complexities inherent in these topics. The purpose of this workshop is to explore core issues related to ethical problem solving, boundaries and underlying eth...
International Society for Traumatic Stress Studies

Clinical Implications of Neuroscience Research for the Treatment of PTSD

The majority of people who seek psychiatric care have histories of trauma, chaos, or neglect. PTSD is only one possible adaptation to trauma ? it rarely exists by itself, and it does not take account of the differential effects of trauma at different stages of mental and brain development. In the past two decades there has been not only an explosion of knowledge about how experience shapes the c...
International Society for Traumatic Stress Studies

Delivery of Prolonged Exposure for PTSD: An Introduction

Posttraumatic stress disorder (PTSD) is a debilitating and chronic mental illness with lifetime rates ranging from 8%-14% of the U.S. population and12-month prevalence rates of approximately 4%. Several psychotherapies have been shown to be effective in reducing symptoms of PTSD. Of these therapies, the efficacy of prolonged exposure therapy (PE), a cognitive behavioral therapy using both in-viv...
International Society for Traumatic Stress Studies

Dialectical Behavior Therapy (DBT) and the Treatment of Trauma-Related Problems

Description Dialectical Behavior Therapy (DBT; Linehan, 1993) is a comprehensive, cognitive-behavioral treatment with strong empirical support for the treatment of suicidal and self-injurious behaviors, particularly among individuals meeting criteria for borderline personality disorder (BPD). Posttraumatic stress disorder (PTSD) is a common co-occurring diagnosis in this client population and o...
International Society for Traumatic Stress Studies

Doing It Well and Doing It Right: An Ethics Workshop for Trauma Specialists (ETHICS CREDITS)

This workshop is designed to meet the guidelines for mandated ethics training for psychologists, social workers and counselors in their work with traumatized populations. The workshop will be highly interactive, but participants' level of disclosure will be at their discretion. Each subsection of the workshop will be discussed as it applies to the treater of the child and the adult victim. The f...
International Society for Traumatic Stress Studies

Early Intervention Following Trauma: Exploring Cognitive Behavioral Treatments for PTSD - Prolonged Exposure Therapy

About This Webinar PTSD can be viewed as a failure of recovery caused in part by a failure of fear extinction. This webinar will describe cognitive behavioral treatments for PTSD, including prolonged imaginal exposure (PE) and the course of PTSD following trauma. A randomized controlled study, based on translational models of the consolidation of fear memories, examining the effects of early ...
International Society for Traumatic Stress Studies

Early Intervention: Expert Consensus Principals and Review of Research

Five Principles of Psychosocial Intervention in the Immediate and Midterm Aftermath of Mass Casualty – Stevan Hobfall, PhD Five basic principles of psychosocial intervention in the immediate and midterm aftermath of mass casualty have been determined by an international group of experts on disaster and terrorism as a blueprint for intervention following mass casualty, based on review of th...
International Society for Traumatic Stress Studies

Earn Continuing Education Credit For Reading Articles in the Journal of Traumatic Stress

The International Society of Traumatic Stress Studies offers a continuing education credit program through the Journal of Traumatic Stress (JTS). Three articles per JTS issue provide the opportunity for continuing education credits. We offer 1 year subscriptions to the Journal CE program as well as flexible ways to purchase exams for credit. Participation in this program is simple and convenien...
International Society for Traumatic Stress Studies

Effective Treatment for Complex PTSD Related to Childhood Abuse and Multiple Traumatization

This workshop will present a flexibly-applied, evidence-based 16 session treatment for adults who have complex forms of PTSD related to childhood abuse and multiple life traumas. This sequential, two-phase treatment is based in a developmental model which is sensitive to the disturbances in attachment, emotion regulation and interpersonal functioning that survivors of childhood or chronic interp...
International Society for Traumatic Stress Studies

Ethics in the Treatment of Chronically Traumatized Individuals

Therapists need to develop congruent personal and professional ethics to supplement formal ethics codes in order to prevent and manage the numerous complex issues that emerge in the treatment of chronically traumatized individuals. Such ethics need to be clearyet flexible in order to navigate successfully the shifting challengesin trauma therapies. This workshop explores ways to develop ethics t...
International Society for Traumatic Stress Studies

Finding Feeling: Treating Traumatic Dissociation

Trauma is a both a physical and psychological disruption, a discontinuity in experience. The helplessness associated with it challenges a person’s sense of agency and therefore their customary control over mind and body. Dissociative disorders constitute a failure of integration of identity, memory, or consciousness, andmost often occur in the aftermath of trauma. A Dissociative Subtype has be...
International Society for Traumatic Stress Studies

From the Battle Front to the Home Front: The Need for a Public Health Approach to Deployment Mental Health

While it is natural to assume that each nation that wages war would have a national system that meets the mental health needs of the war fighter/veteran and his/her family, there is often a significant disconnect in care once focus shifts from the battlefront to the home front. This tends to be true whether or not that nation has a specialized veterans’ health system or a national health syst...
International Society for Traumatic Stress Studies

Functional Neuroimaging of Neural Circuits in PTSD: From Hyperactive Amygdala to Altered Contextual Processing

The brain mechanisms that lie at the core of PTSD are not yet understood, and may perpetuate or sustain this disorder. Over the past decades, functional neuroimaging studies uncovered a complex network of brain regions involved in PTSD, progressively improving our understanding of the PTSD pathophysiology. The evolution of functional neuroimaging studies from early studies of responses to emotio...
International Society for Traumatic Stress Studies

Genomic Regulation by Early Life Experience: Epigenetics and Psychopathology

The early-life environment has important consequences on behavioral development, and specifically, adversity experienced during early life is associated with increased risk for psychopathology in adulthood. Only until recently have we started to uncover some of the mechanisms accounting for the behavioral changes induced by early-life adversity. The epigenome is responsive to the environment and...
International Society for Traumatic Stress Studies

Group Applications of Cogntive Behavioral Therapy (CBT)

Cognitive Processing Therapy (CPT) has been shown to be an effective treatment of PTSD for civilian and veteran males and females with various trauma histories. Although often used as an individual therapy, CPT has been found to be an effective group or combined group and individual therapy modality. This workshop will provide training in the use of Cognitive Processing Therapy in various group ...
International Society for Traumatic Stress Studies

Harnessing the Healing Power of Relationships: Reconceptualizing PTSD and Enhancing Treatment

Harnessing the Healing Power of Relationships: Reconceptualizing PTSD and Enhancing Treatment with Candice Monson, PhD To date, post-traumatic stress disorder (PTSD) has largely been conceptualized from an intrapersonal perspective, focusing on biological and intrapsychic factors that serve as risk and resilience factors. This presentation reviews evidence supporting the integral role of int...
International Society for Traumatic Stress Studies

Healing People with PTSD

This webinar will outline post-traumatic stress disorder (PTSD) diagnosis and present emotional processing theory to explain why some trauma survivors develop chronic PTSD and others do not. We will also discuss the efficacy of cognitive behavior therapy (CBT) programs for PTSD, with an emphasis on prolonged exposure (PE) with examples from a PE Therapy program including the mechanisms that medi...
International Society for Traumatic Stress Studies

How to Treat Concurrent PTSD in Patients with Borderline Personality Disorder: Principles and Evaluation of DBT-PTSD

Approximately 60% of treated patients with borderline personality (BPD) disorders suffer from severe co-occurring posttraumatic stress disorder (PTSD), mostly related to sexual abuse during childhood. Even successful standard dialectical behavior therapy (DBT) requires additional treatment with these clients. In cooperation with M. Linehan at the Central Institute of Mental Health, Mannheim, a t...
International Society for Traumatic Stress Studies

Implementing CBT for PTSD in Clinical Practice: The Case Formulation Approach

Cognitive-Behavioral Therapy (CBT) is widely recognized as an effective treatment for posttraumatic stress disorder (PTSD). Yet clinicians often encounter challenges when implementing CBT for PTSD patients with multiple problems. As a result, sometherapists question the clinical utility of CBT and are reluctant to use it for many of their PTSD patients. The goal of this institute is to enhance c...
International Society for Traumatic Stress Studies

Integrating Expert Knowledge About Traumatic Stress Into Statistical Models Assessing Individual Change Over Time by Using Bayesian Statistics

In statistics, tools have been developed to estimate the existence of latent trajectories, where individuals belong to trajectories that are unobserved, can be evaluated: Latent Growth Mixture Modeling (LGMM). Researchers typically have specific expectations about the outcomes of their study, in case of LGMM, these expectations might be concerned with the number and shape of latent trajectories....
International Society for Traumatic Stress Studies

Integrating Mediation and Moderation Analysis

As research in any particular area develops and evolves, attention naturally shifts away from establishing the existence of some kind of causal effect between two variables to understanding how the effect operates (mediation) and when the effect exists or is strong versus when it is absent or weak (moderation). Few would dispute that all effects exist through some kind of mechanism, and all effe...
International Society for Traumatic Stress Studies

Integrative Treatment of Complex Trauma for Adolescents (ITCT-A)

This presentation will provide an overview of "Integrative Treatment of Complex Trauma for Adolescents" (ITCT-A). ITCT-A is an evidence-based treatment that was developed to assist clinicians in the evaluation and treatment of adolescents who have experienced multiple forms of psychological trauma, often in the context of negative living conditions such as poverty, deprivation and social discrim...
International Society for Traumatic Stress Studies

Intervening with Special Populations: Refugees and Mass Trauma Survivors

Working with Refugees in the United Kingdom – Stuart Turner, MD, MA, FRCP, FRCPsych This session addresses the cultural, therapeutic and legal issues arising in work with refugees in the United Kingdom. Early Lessons from the London July 7th Bombings Service Evaluation – Chris Brewin, AcSS This session presents and contrasts screen and treat model used to guide the mental health respons...
International Society for Traumatic Stress Studies

Interventions with Disaster Survivors

The session will provide an overview of interventions following large-scale disasters. It will commence with a description of expected mental health needs of disasters, and the usual trajectory of disaster responses. It will then describe recent developments in conceptualizing mental health response in a staged care framework. Commencing with Psychological First Aid in the immediate phase, fo...
International Society for Traumatic Stress Studies

Introduction to Complicated Grief Treatment

This webinar will provide an introduction to assumptions, principles and procedures used in a treatment for complicated grief (CG) that has been shown to be efficacious in a randomized controlled trial. The treatment is being used in centers around the world and by clinicians across the country. The presentation includes criteria that can be used by clinicians interested in identifying and treat...
International Society for Traumatic Stress Studies

Introduction to EMDR Therapy

This presentation will introduce the basics of EMDR therapy and provide an overview of treatment. Both the theoretical foundation and recent research findings will be explored. EMDR is an evidence-based psychotherapy supported by more than 20 randomized controlled studies. Meta-analyses have indicated that the effects of EMDR on PTSD symptoms are comparable to those of trauma-focused CBT. How...
International Society for Traumatic Stress Studies

Life After Trauma: Using Acceptance and Commitment Therapy to Revitalize Interrupted Lives

Description The concept of emotional avoidance offers organization to the functional analysis of trauma-related problems and lends coherence to understanding the sequalae of trauma (Walser & Hayes, 2006). Many individuals who have been diagnosed with PTSD are struggling with traumatic memories, painful feelings and unwanted thoughts and they take great efforts to avoid these private experiences...
International Society for Traumatic Stress Studies

Making Sense of ACEs: The Adverse Childhood Experiences Study & Beyond

Description The course will provide an overview of the Adverse Childhood Experience Study including its origins, the method used and the key epidemiologic findings. In addition, it will present some of the criticisms of the methods used. Additional studies supporting the original findings including State Data that used the CDC’s Behavioral Risk Factor Surveillance System (BRFSS) from the CDC ...
International Society for Traumatic Stress Studies

Master Clinician Session - A United Transdiagnostic Treatment for Emotional Disorders Applied to Combat Related PTSD

Deepening understanding of the nature of emotional disorders including PTSD reveals that commonalities in etiology and latent structure among these disorders supersedes differences. This suggests new approaches to classification and the possibility of distilling a set of psychological procedures that would comprise a unified intervention for emotional disorders. Based on theory and data emerging...
International Society for Traumatic Stress Studies

Master Clinician Session - Acceptance and Commitment Therapy (ACT) for Post Traumatic Problems in Living

Many individuals who suffer with post traumatic stress following acts of terror, war, disaster and violence struggle to regain their pre-trauma lives. Once held personal values are often lost to disbelief and pain. They are also lost to the efforts and desire to avoid traumatic memories, painful feelings and unwanted thoughts. This loss, plus the avoidance strategies themselves, can have a power...
International Society for Traumatic Stress Studies

Master Clinician Session - Cognitive Processing Therapy for the Treatment of PTSD

Studies suggest that approximately 18% of returning Veterans and 7% of civilians will experience PTSD in their life time. Individuals diagnosed with PTSD often report difficulty experiencing emotions such as love and happiness, instead they may describe feeling numb or angry. Due to the traumatic event circumstances many individuals do not have the opportunity to feel the natural emotions (e.g. ...
International Society for Traumatic Stress Studies

Master Clinician Session - Using Prolonged Exposure Therapy to Emotionally Process Traumatic Memories

Though many individuals who experience trauma such as war, terror attacks, violence and disaster will recover, those who suffer with post traumatic stress disorder may struggle for years and still be unable to regain a sense of normalcy in their lives. Prolonged Exposure therapy (PE) is one of the most effective and extensively researched approaches to treating PTSD and other trauma-related diso...
International Society for Traumatic Stress Studies

Master Clinician Session - Virtual Reality Exposure Therapy for the Treatment of PTSD

PTSD has been estimated to affect up to 18% of returning OIF veterans. Most trauma victims show fear and other reactions immediately following the traumatic event but in general these symptoms decline over time. We believe this reflects the process of extinction and that the development of chronic PTSD in those who do not recover represents a failure of extinction. Extinction training in humans ...
International Society for Traumatic Stress Studies

Maximizing PTSD Treatment by Incorporating Significant Others

PTSD is one of the mental health disorders most strongly associated with relationship problems. These problems can maintain or aggravate its course and interfere with successful treatment delivery. Conversely, they can be a key ingredient to improving therapy adherence, efficacy, and long-term maintenance of gains. In this workshop, we will present a model for incorporating significant others in...
International Society for Traumatic Stress Studies

Mild Traumatic Brain Injury and PTSD

About This Webinar Since the wars in the Middle East, there has been unprecedented interest in the role of mild traumatic brain injury (MTBI) in posttrauma adjustment, with many claiming it is the ‘signature’ injury of the war and responsible for massive impairment. This webinar will provide an overview of the controversy surrounding MTBI. It will commence with an outline of evidence of h...
International Society for Traumatic Stress Studies

Mindfulness: Creating Awareness, Flexibility and Freedom in the Treatment of Trauma

The painful emotional experiences found in the aftermath of trauma often lead to symptoms of PTSD, depression and anxiety, and other issues related to life functioning, including a variety of behavioral problems ranging from substance abuse to relationship problems. Many of the post-trauma attempts to recover involve regaining control over distressing responses to trauma such as intrusive though...
International Society for Traumatic Stress Studies

Multiple Identities in Context of Trauma: Increasing Cultural Competence

Development of cultural competence in psychotherapy requires more than simply a set of rules about how to work with members of specific groups. Instead, current and evolving models of culturally competent practice note that all individuals have multiple and intersecting identities, each of which can contribute factors of risk and resilience to the individual experiencing trauma exposure. In this...
International Society for Traumatic Stress Studies

Parent-Child Interaction Therapy: An Evidenced Based Intervention for Children with a Trauma History

Parent-Child Interaction Therapy (PCIT) is an evidenced based treatment for young children with significant behavior problems. Recently, the Kauffman Best Practices Report cited PCIT as one of the three best treatments in the field of child abuse and neglect. Although originally developed to address externalizing problems in young children, PCIT is now being successfully used with children in fo...
International Society for Traumatic Stress Studies

Pharmacological Management of PTSD

This webinar will introduce participants to the pharmacological treatment of PTSD and review the evidence for its use before describing evidence-based recommendations. Learning Objectives: 1. Provide an understanding of the range of pharmacological approaches to the treatment of PTSD. 2. Provide an understanding of the postulated neurobiological basis for their actions. 3. Provide ...
International Society for Traumatic Stress Studies

Pharmacological Strategies for Trauma-Related Mental Health Complaints

Accumulation of findings implicating neurobiological dysregulations as well as overlapping features and frequent comorbidity with disorders that respond to pharmacotherapy have spurred interest in medication treatment for post-traumatic stress disorder (PTSD). While two medications from the selective serotonin reuptake inhibitor class have U.S. Food & Drug Administration approval for PTSD, there...
International Society for Traumatic Stress Studies

Preventing Psychological & Moral Injury in Military Service

This session will be an informal, unofficial international exchange among military and mental health professionals on prevention and early treatment of psychological and moral injury in military service. No one will speak officially for their services or for their governments. Their remarks are their own. Attendees agree not to publish or circulate attributed quotations, without permission of th...
International Society for Traumatic Stress Studies

Preventing Psychological Distress by Advising People in a Situation of Ongoing Life Threat

This PMI will focus on ways to prevent psychological distress in people who are confronted with an ongoing life-threatening situation. Our guideline for discussing this topic will be recent research on terrorist threats and close protection in politicians in the Netherlands. Following two political murders in the Netherlands, politicians under terrorist threat have been confronted with increasin...
International Society for Traumatic Stress Studies

Prevention and Treatment Interventions for Traumatized Children: Restoring Capacities for Self-Regulation

In this webinar, a developmental trauma perspective will be presented to describe the adverse impacts that exposure to traumatic stressors, particularly interpersonal traumas, have on children’s capacities in several domains of self-regulation. The revised DSM-V criteria for childhood PTSD and the Developmental Trauma Disorder criteria will be discussed in order to assist clinicians and clinic...
International Society for Traumatic Stress Studies

Psychotherapy for the Interrupted Life: Treating Adult Survivors of Childhood Abuse

Adult treatments for childhood trauma rarely take into account the disturbing impact of abuse on the development of emotional and social competencies so critical for effective living in later years. This webinar will present a flexibly-applied, evidence-based treatment that systematically addresses the compromised capacities in emotional awareness, emotion regulation and relational capacities in...
International Society for Traumatic Stress Studies

PTSD as a Shame Disorder

About This Webinar Posttraumatic stress disorder was initially classified as an anxiety disorder in the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association (DSM-III, 1980; DSM-IV, 1994). This formulation led to a fruitful investigation of the neurobiology of fear. Pathological derangements of the normal, innate fear-signaling system have been demonstr...
International Society for Traumatic Stress Studies

PTSD for Combat Trauma: The Frequent Issues that Emerge in Cognitive Therapy

Combat trauma occurs within the context of military culture and training that may play a role in how people with military trauma may respond to and cope with these events. While military personnel and veterans may experience any type of trauma before, during, and after their service, there are specific issues that may arise in therapy that are specific to combat. Some of these issues include: ...
International Society for Traumatic Stress Studies

Public Mental Health in Crises and (Post-) Conflict in Low- and Middle Income Countries

This meeting addresses crucial topics in providing community based mental health and psychosocial services in crises in low and middle income (LIMA) countries. The meeting consists of a series of evidence driven participatory lectures and exercises. The goal is to be able to develop a culturally appropriate public mental health system integrating expertise from the disciplines of psychology, psy...
International Society for Traumatic Stress Studies

Research Ethics

Must trauma researchers meet higher standards than researchers focusing on less vulnerable populations? Do the development of knowledge and respect for autonomy outweigh participant vulnerability when investigating the immediate experience of trauma survivors? Does empirical research on research ethics shed light or obfuscate the fundamentally value-based decision making process in which researc...
International Society for Traumatic Stress Studies

Responding to Trauma: Intervening Early with Children and Families

About This Webinar This webinar will describe the Child and Family Traumatic Stress Intervention (CFTSI), an evidence-based early intervention for children ages 7-18 years of age that was developed at the Yale Child Study Center for implementation in the days/weeks following a potentially traumatic event. A family strengthening model, CFTSI has been proven to be effective in reducing early po...
International Society for Traumatic Stress Studies

Restoring the Protective Shield: Core Concepts from Child-Parent Psychotherapy

Children aged birth to five are highly vulnerable to exposure to interpersonal traumas, and trauma exposure at an earlyage can have long term consequences for development and functioning. Both research and clinical theory highlight the importance of developing and empirically validating trauma-informed relationship-based practices, particularly for young children. Moreover, there is an urgent ne...
International Society for Traumatic Stress Studies

Reviews of Longitudinal and Treatment Outcome Research

Longitudinal Studies in PTSD. How do they inform practice? – Alexander C. McFarlane, MD This session presents long-term naturalistic follow-up data to challenge some of the prevailing assumptions about PTSD. Treatment Outcome Research – Patricia A. Resick, PhD This session focuses the components of state-of-the-art treatment research will be described within a framework of modern u...
International Society for Traumatic Stress Studies

Skills for Psychological Recovery

Skills for Psychological Recovery (SPR) is an evidence-informed modular approach to helping children, adolescents, adults, and families in the weeks and months following disaster and trauma, after the period where Psychological First Aid (PFA) has been utilized, or when more intensive intervention than PFA is needed. SPR is designed to help survivors gain skills to reduce ongoing distress and ef...
International Society for Traumatic Stress Studies

The Clinician's Guide to Survival as an Expert Witness: One Unwelcomed Challenge of Working in the Field of Traumatic Stress

The role as an expert witness is one of the most challenging and potentially anxiety-provoking experiences in the life of a clinician. Clinicians working in the field of trauma are dealing with patients who are often victims of crime or accidents. This fact may draw clinicians into the role of an expert witness against their choice. Not only are one’s clinical diagnostic skills under scrutiny...
International Society for Traumatic Stress Studies

The Importance of Organizational-Level Factors in the Delivery of Trauma-Informed Interventions

The success of organizations that provide community-based mental health services is partly dictated by such higher order factors as federal and state regulations, funding, and collaborations among service systems. A lower-order (but just as important) factor associated with success is the organization’s establishment of a social context of shared clinicians’ expectations, perceptions, and at...
International Society for Traumatic Stress Studies

The Neurobiology of Traumatic Stress: Key Findings and Methodologies

Recent advances in neuroimaging, biochemistry, and genetics research have paved the way toward a greater understanding of the neurobiology of trauma and stress. As new technologies and methods are discovered and applied to neurobiological work, it becomes increasingly important for individuals interested in treating and studying PTSD to learn the tools necessary to evaluate the latest research ...
International Society for Traumatic Stress Studies

The Psychopathology and Treatment of PTSD

In this lecture I will discuss PTSD diagnosis and present emotional processing theory to explain why some trauma survivors development chronic PTSD and other do not. I will then discuss the efficacy of CBT programs for PTSD, with an emphasis on PE where I will briefly describe Prolonged Exposure Therapy program and the mechanisms that mediate the benefit from the treatment. Finally, I will discu...
International Society for Traumatic Stress Studies

The Role of Oxytocin in Traumatic Stress

Early adverse experience dramatically increases the risk for psychiatric disorders in adulthood. The neuropeptide oxytocin (OT) plays a seminal role in mediating social affiliation, attachment, social support, maternal behavior, and trust, as well as protection against stress and anxiety. In this study of an urban community sample, 906 participants were assessed for history of childhood abuse, o...
International Society for Traumatic Stress Studies

The Sanctuary Model: Creating and Sustaining Trauma-Responsive Organizational Cultures

What is the Sanctuary Model? The Sanctuary Model® represents a theory-based, trauma-informed, trauma-responsive, evidence-supported, whole culture approach that has a clear and structured methodology for creating or changing an organizational culture. The Sanctuary Model is the “toolbox” that holds together all of the evidence-based and practice-based approaches that help individuals, famil...
International Society for Traumatic Stress Studies

The Sanctuary Model: Creating and Sustaining Trauma-Responsive Organizational Cultures

What is the Sanctuary Model? The Sanctuary Model® represents a theory-based, trauma-informed, trauma-responsive, evidence-supported, whole culture approach that has a clear and structured methodology for creating or changing an organizational culture. The Sanctuary Model is the “toolbox” that holds together all of the evidence-based and practice-based approaches that help individuals, famil...
International Society for Traumatic Stress Studies

The Trauma Recovery Group: A Guide for Practitioners

This workshop presents a unique approach to group treatment for survivors of interpersonal trauma. Based on a stage model of recovery, the Trauma Recovery Group (TRG) is explicitly designed to enlist the healing power of relational connection. Members are helped to develop skills in safe self-disclosure and empathic feedback, so that the processing of trauma memories can take place in a context ...
International Society for Traumatic Stress Studies

The Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach

Complex posttraumatic conditions often develop in the aftermath of chronic cumulative trauma, particularly severe child abuse and neglect. It can also develop during adulthood in response to other types of trauma. The objective of this webinar is to provide registrants with an increased understanding of the nature, diagnosis and treatment of these conditions, drawing upon clinical writings and e...
International Society for Traumatic Stress Studies

The Viability and Usefulness of the Construction of Moral Injury in War Veterans

The webinar initiates a discourse about moral injury and increases awareness among clinicians and researchers about the potential social, behavioral, psychological, and spiritual impact of moral and ethical transgressions in the context of war. A working definition of moral injury will be provided as well as its conceptual underpinnings. To contextualize moral injury, the multidimensional nature...
International Society for Traumatic Stress Studies

Therapeutic Applications of Meditation and Mindfulness

Meditation and mindfulness interventions have become increasingly popular in clinical settings because they are safe, feasible, and effective and may avoid the stigma associated with mental health treatment. There are indications that meditation may be beneficial for PTSD because meditation practice may directly address hyperarousal and avoidance (Waelde, 2004, 2008).This workshop will introduce...
International Society for Traumatic Stress Studies

Trauma and the Body: Implications for Treatment

Until the formulation of PTSD in the DSM III the human response to trauma always was defined as a “physioneurosis”- a reaction of the entire organism. Contemporary research amply supports that notion- trauma affects movement, perception, sensory integration, immune function, somatic functioning, heart rate variability and numerous other measures of physical regulation. Sadly, these dimension...
International Society for Traumatic Stress Studies

Trauma and the Mental Health of Global Populations

Traumatic event experiences are a common feature of the human lifecourse; the vast majority of people will experience at least one serious traumatic event during their life. The consequences of these traumatic events range from physical to mental health consequences. The science is increasingly highlighting that the causes of these consequences extend well beyond the traumatic event itself, to i...
International Society for Traumatic Stress Studies

Trauma Focused CBT for Children and Adolescents

This webinar provides an introduction and overview to Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), an evidence-based treatment model that addresses the multiple impacts of trauma for children and adolescents and their parents or primary caregivers. The webinar describes three TF-CBT treatment principles (proportionality of phase-based treatment; use of gradual exposure to trauma remi...
International Society for Traumatic Stress Studies

Trauma Prevention as Social Change: From Trauma Theory to Real Life Practice

In this institute, we present three theory-based initiatives in trauma prevention and treatment. We describe two central theories and three initiatives based on them, highlighting the process, challenges, and benefits of attempts to put theory into actual practice. The theories are constructivist self development theory (McCann, Pearlman, 1990; Pearlman, Saakvitne, 1995), a relational trauma the...
International Society for Traumatic Stress Studies

Treating Posttraumatic Sleep Problems: Applying CBT for Insomnia to Traumatized Populations

Difficulty falling and staying asleep is one of the most common clinical complaints after trauma. Insomnia is associated with impaired concentration and memory, elevated levels of anxiety and depression, decreased pain threshold, and worsening of overall health functioning, all of which are also effects of trauma. In this institute, clinicians will learn how they can improve trauma survivors’ ...
International Society for Traumatic Stress Studies

Treating PTSD in Suicidal and Self-Injuring Clients with Borderline Personality Disorder

Borderline personality disorder (BPD) and PTSD are commonly co-occurring disorders, with comorbidity rates as high as 50 percent. However, few approaches exist for treating PTSD among individuals with BPD, particularly those with recent suicidal and self-injurious behavior. PTSD treatments typically exclude acutely suicidal and self-injuring clients, whereas BPD treatments do not typically targe...
International Society for Traumatic Stress Studies

Treating Trauma: Helping the Entire Human Organism Feel Safe and Live in the Present

Trauma affects the entire human organism, which gets stuck in neurobiological, immunological and relational survival modes. Neuroscience research shows that the brain regions most affected by trauma are involved in attention and perception, biasing the organism into perceiving threat and annihilation. These subcortical processes are independent from conscious appraisal or conscious control. Thi...
International Society for Traumatic Stress Studies

Two Empirically Based Models for the Treatment of Complex Trauma in Adolescents: Central Components and Cultural Adaptations

This pre-meeting institute will describe two empirically based treatments (EBTs) developed to treat the immediate and long-term impacts of complex trauma, and will describe cultural adaptations that optimize their effectiveness with socio-culturally marginalized youth. Complex trauma, often involving repeated exposure to multiple forms of childhood abuse, neighborhood violence, and peer assaults...
International Society for Traumatic Stress Studies

Understanding and Treating the Effects of Chronic Trauma in Children and Adult Complex Trauma Survivors

Developmental Trauma Disorder: A proposed diagnosis for DSM V – Bessel A. van der Kolk, MD Many traumatized children and chronically traumatized adults do not have a diagnostic category that begins to cover what they suffer from and hence no research or treatment protocols that really address their problems. This talk will outline a proposal to address this deficiency. Psychosocial Ther...
International Society for Traumatic Stress Studies

Using Cognitive Processing Therapy in a Group Setting

With the increased demand for services in many agencies, group modalities can provide a cost-efficient way to deliver evidenced-based treatment to many individuals at the same time. Cognitive Processing Therapy (CPT) has been shown to be an effective treatment of PTSD for civilian and veteran males and females with various trauma histories. Although often used as an individual therapy, CPT has b...
International Society for Traumatic Stress Studies

Using Compassion-Focused Therapy to Work with Shame-Based Flashbacks in PTSD

Shame-based flashbacks are common in PTSD and are highly distressing and disturbing for most people who experience them. The personal meaning conveyed in the fragmented images and flashbacks is often painful, condemning and shaming. High levels of self-criticism appear to maintain the sense of current psychological threat experienced by individuals with PTSD. Evidence suggests that those who suf...
International Society for Traumatic Stress Studies

Using M.I. Principles to Enhance OEF/OIF Veterans' Engagement in PTSD Treatment

Large numbers of soldiers are returning from Operation Enduring Freedom (OEF: Afghanistan) and Operation Iraqi Freedom (OIF) with post-deployment adjustment problems, and unfortunately the majority of them don´t seek help or drop out of treatment. It is critical, then, that healthcare providers: a) understand the treatment barriers experienced by these and other veterans, and b) enhance veteran...
International Society for Traumatic Stress Studies

Yoga, Neurobiology and Trauma

About This Webinar The body is one of the theatres where the memory of trauma is re-enacted. Traditional western psychotherapy has approached the resolution of trauma as something that needs to be understood, worked through and put into the larger perspective of one’s life. In the wake of the emerging knowledge of the neurobiology of trauma, this workshop will present the theoretical underp...
International Society for Traumatic Stress Studies

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