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Transference, Countertransference, and Vicarious Traumatization in ...

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Treatment: Chronic/Complex PTSD<br />

n Ongo<strong>in</strong>g assessment<br />

n Longer term treatment (ongo<strong>in</strong>g or episodic)<br />

u co-morbidity/dual diagnosis/co-occurr<strong>in</strong>g diagnoses<br />

n Sequenced treatment<br />

u more <strong>in</strong>itial emphasis on stabilization, selfmanagement,<br />

affect regulation, safety, relapse plann<strong>in</strong>g<br />

n Psychopharmacology<br />

n Specialized techniques, applied later<br />

u EMDR start<strong>in</strong>g w/ resource <strong>in</strong>stallation/affect mgt,<br />

CBT (graduated <strong>and</strong>/or direct exposure), CPT, stress<br />

<strong>in</strong>oculation, relaxation, hypnosis, group, education,<br />

wellness, couple’s or family work

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