Severe dissociative disorders (DD) are associated with high levels of impairment, treatment utilization, and costs, yet relatively little systematic research has focused on for these challenging patients. The goal this naturalistic observational 30-month follow-up study an international sample patients was to determine if provided by community providers improvements in symptoms adaptive functioning. were diagnosed identity disorder (DID) not otherwise specified (DDNOS). their therapists...

Abstract Individuals with dissociative disorders (DDs) are underrecognized, underserved, and often severely psychiatrically ill, characterized by marked posttraumatic stress disorder (PTSD) symptoms significant disability. Patients DD have high rates of nonsuicidal self‐injury (NSSI) suicide attempts. Despite this, there is a dearth training about DDs. We report the outcome web‐based psychoeducational intervention for an international sample 111 patients diagnosed identity (DID) or other...

The present study investigates whether symptom severity can distinguish patients diagnosed with dissociative identity disorder and not otherwise specified a recent history of nonsuicidal self-injury (NSSI) suicide attempts from those without self-harm. A total 241 clinicians reported on patient NSSI attempts. Of these clinicians' patients, 221 completed dissociative, depressive, posttraumatic stress symptomatology measures. Baseline cross-sectional data naturalistic prospective receiving...

Objective: Literature on the treatment of dissociative disorders (DDs) suggests that these individuals require long-term and specialized to achieve stabilization functionality. There is considerable empirical support for phasic, dissociation-focused in reducing a myriad psychological symptoms self-harm this population. However, until recently, there has been paucity longitudinal research DD patients. Method: In present six-year follow-up study, 61 therapists who participated initial phase...

Evidence-based treatments are urgently needed for individuals with trauma-related dissociation (TRD), including severe dissociative disorders, the posttraumatic stress disorder (PTSD) subtype, and complex PTSD (International Classification of Diseases-10). TRD is strongly associated trauma, a more refractory treatment course, high suicidality nonsuicidal self-injury. We evaluated changes in symptoms adaptive capacities through participation an adjunctive online program based on Finding Solid...

Background: Interpersonal trauma and trauma-related disorders cost society billions of dollars each year. Because chronic severe histories, dissociative disorder (DD) patients spend many years in the mental health system, yet there is limited knowledge about economic burden associated with DDs.Objective: The current study sought to determine how receiving specialized treatment would relate estimated costs inpatient outpatient services.Method: Patients' individual therapists' reports...

There is a paucity of empirical data to assist clinicians in choosing interventions use with patients complex dissociative disorder (DD; i.e., identity and not otherwise specified) at different stages treatment. This study compared used by sample international outpatient therapists treating DD clients the 1st 2 treatment those recommended expert therapists. were many similarities between therapists' experts' interventions, including several emotion regulation dissociation-focused...

Revictimization and life stressors are common among dissociative disorder (DD) patients, yet no studies have examined the prevalence rates for these experiences or their relationships with treatment outcome. This study aimed to examine of revictimization victimization others using therapist-DD patient pairs from naturalistic Treatment Patients Dissociative Disorders (TOP DD) while also considering role 49 patients who greatly improved worsened during 30 months treatment. Therapists reported...

Although treatment outcome research on dissociative disorders (DD) is increasing, an examination of progress in young adults with these remains noticeably absent from the literature. Many studies DD patients report mean ages over 35. The present study examined response to a subsample 18-30 identity disorder and not otherwise specified who participated naturalistic, longitudinal outcome. Over 30 months, demonstrated decreases destructive behaviors symptomatology as well improved adaptive...

Understanding the unique effects of complex trauma on adolescents, as well identifying effective mental health treatment protocols, are critical for trauma-informed play therapists to practice competently. Recently in literature, phase-based has been one such protocol applied successfully adolescents who experienced (Cohen, Mannarino, & Deblinger, 2006). Furthermore, play-based approaches (integrating complex-trauma concepts, play, and empirically designed protocols) have asserted a...

Despite the growing clinical literature aimed at assisting children affected by potentially traumatizing events, little exists about individual treatment for nonoffending parents. Nonoffending parents’ reactions to their children’s traumatic events can be extensive and long-lasting frequently include complex feelings themselves, children, offender, judicial system. Furthermore, these impact own healing. This article aims provide an play therapy paradigm designed Additionally, this will...

The literature on parent–adolescent attachment relationships has proliferated in recent years and found associations between secure, positive lower mental health difficulties, more meaningful relationships, increased career educational success. In contrast, those adolescents who have failed to form attachments with caregivers appear struggle these areas. It is important for family counselors understand the role that plays across life span, but particularly adolescence, as new develop change....

This article outlines the etiology, symptoms, and two of most current evidence-based psychotherapeutic interventions associated with children diagnosed ob-sessive compulsive disorder (OCD). Research demonstrates that a combination ofcognitive–behavioral therapy exposure treatment, along psychopharmaco-logical is “gold standard” when providing mental health care tochildren OCD (Pediatric Treatment Study, 2004, Journal AmericanMedical Association, 292 , 1969–1976.). While play has not been...

The relevance of a phase-based treatment approach has recently been discussed in the youth complex trauma literature. In this approach, first phase emphasizes safety and stabilization, which is often revisited throughout treatment. Clients can present with any number concerns, including poor self-care, high-risk behaviors, revictimization, dissociation. These issues impede if play therapists fail to understand them. authors article aim highlight stabilization stage treatment, discuss...

The Martinsburg Initiative (TMI) is a community-based model developed in Martinsburg, West Virginia, that implements comprehensive approach to adverse childhood experiences and substance use prevention mitigation by leveraging partnerships public health care, safety, education. TMI receives coordinated federal funding technical assistance from the Centers for Disease Control Prevention, Washington-Baltimore High Intensity Drug Trafficking Agency, National Association of County City Health...

Context: Adverse childhood experiences (ACEs), substance use disorders (SUDs), and overdose are interconnected issues impacting individuals communities at multiple levels of the social ecology across generations. Few studies describe approaches that intentionally simultaneously address these issues. Program: This paper examines activities 15 sites country were designed to prevent ACEs, SUD, overdose. describes work intersection as well gaps opportunities. Describing ways implement...

The psychological construct of the Inner Critic (IC) describes internal, negative valuations made by individuals within relationships based upon previous faulty thinking (Earley, 2012; Green, 2008; Kugel, 2010). Marriage and family counselors working with couples may benefit from understanding IC utilizing anthetic relationship therapy (ART) paradigm (Elliott & Elliott, 2000) to assist neutralizing deleterious effects IC’s messages. purpose this article, therefore, is (a) describe...