When a client experiences a moral injury, the guilt, sadness, and shame that come with it can be debilitating. It can create a deep wound at the center of a person’s identity. So how can you help a client who’s suffering from a moral injury begin to heal? In the video below, Ruth Lanius, MD, […]
[Infographic] How to Differentiate Between the Freeze and Shutdown Trauma Responses
The freeze and shutdown responses to trauma can resemble each other . . . . . . but they are very different in terms of what’s happening in your client’s brain, body, and nervous system. And that means they require different grounding strategies as well. In this infographic, we lay out some key cues to […]
A Mistake Practitioners Might Make When Their Patient Is Stuck in the “Attach/Cry-for-Help” Response
We know fight, flight, and freeze . . . . . . but recently the experts have identified several more defense responses to trauma, including “attach/cry-for-help.” This response is potentially the least understood, and it can be challenging to work with. And according to Kathy Steele, MN, CS, there’s a common mistake that practitioners make […]
A Simple Strategy for Dissociative Clients Who Lose Time
When a client dissociates in session, there are many grounding techniques we can use to bring them back to the present. But what can help clients when they dissociate outside of your office – particularly when they report losing chunks of time? Below, Ruth Lanius, MD, PhD shares a simple yet effective strategy that helps […]
[Infographic] Working with Structural Dissociation
One challenge of working with trauma is when a patient’s dissociated “parts” are operating independently . . . . . . or worse, they’re at odds with each other. This can be very distressing for the patient (and lead to a dysregulated nervous system). But the Structural Dissociation Model developed by Kathy Steele, MN, CS, […]