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In the trainings I deliver I have frequently been asked “what is the link between rage and shame?” Participants and myself have intuitively known that there is a strong relationship between them both. As a consequence I have been inspired to research the issue and have developed a model that articulates the connection between the two, and also a deeper understanding of how the therapeutic relationship can address these commonly presented, often perplexing, issues.

In this online interview I discuss a practice example of how a client may oscillate between rage and shame, the impact that this had on me as a therapist and how I worked with it.

In this discussion, Andy considered the changes that have taken place between the definitions of Post Traumatic Stress Disorder in DSM-IV and DSM-V, and the ways in which this may inform our thinking about treatment of trauma as practitioners.

We discussed a triage approach to trauma, and looking at the importance of stabilisation as the initial treatment intervention, prior to further integrative work. We then discussed differing treatment modalities and what they may have to offer the practitioner and client in the treatment of trauma.

Noel will share his experience over the past 20 years of working with families moving from survival to recovery.

This is a fascinating area of work often asking the therapist to move beyond the therapeutic frame into the social, political, child welfare (safeguarding), legal, ethical, economic cultural areas of human experience.

Exploring indirect and creative ways of approaching traumatic material in clients where direct talking approaches may be inappropriate or not possible.

Making meaning from a traumatic history or event is crucial in moving on and integrating the experience. As is reprocessing the emotional content to alleviate the stress of flashbacks, depression, anxiety, sleep problems and so on often associated with sever or multiple trauma.

Dealing with the trauma directly can often be contra-indicated if there are issues of age (working with young children), comorbidity with substance misuse relapse, shame, cultural and ethnic barriers to western approaches to talking therapy.

In this workshop we will explore the emotional and relational impact of trauma on children. This will include a brief overview of the impact of trauma on brain development and attachment patterns. Through the use of clinical examples we will demonstrate how to work effectively and safely with trauma.