DL43Forgash

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“The Negative Impact of Complex PTSD on Health: An EMDR/Ego State Treatment Plan”

Session 221 Presented at the EMDR International Association Annual Conference
September 28, 2007
by
Carol Forgash, LCSW

EMDRIA CE Credit Examination

1. Complex Trauma clients often:

[ ] a. A. Have longstanding health problems with no connection to the health care system.

[ ] b. B. Have health problems primarily due to secondary gain issues.

[ ] c. C. Exaggerate the severity of the health problems to gain attention.

2. As a result of dissociated neural networks and dissociative disorders these clients:

[ ] a. A. Are generally aware of their degree of fragmentation.

[ ] b. B. May ignore or neglect real life issues.

[ ] c. C. Easily reprocess traumatic memories.

3. For complex trauma clients early attachment issues tend to be:

[ ] a. A. Unrelated to any later occurring adult traumas.

[ ] b. B. Readily identified and disclosed in therapy.

[ ] c. C. Factors in limited capacities for emotional regulation and self-care.

4. Adult survivors of chronic childhood abuse may:

[ ] a. A. Have been given consistent appropriate health care in childhood.

[ ] b. B. Have been taken repeatedly to health professional for symptoms caused by abuse without linking symptoms with their cause.

[ ] c. C. Be consistently able to identify which of their health issues are influenced by adverse childhood experiences.

5. Of the following, the one NOT a typical complex trauma negative client behavior:

[ ] a. A. Non-compliance or lack of follow through with medical procedures.

[ ] b. B. Self-medicating or under or over medicating with prescription or non- prescription drugs.

[ ] c. C. Seldom requesting medically unnecessary procedures.

6. An initial goal of treatment is to:

[ ] a. A. Help clients develop internal and external resources to enhance stability and reconnection.

[ ] b. B. Identify and reprocess earliest abandonment experiences to begin repair of attachment trauma.

[ ] c. C. Build a treatment plan by identifying their most significant traumatic experiences.

7. When taking a trauma history with a complex trauma client it is important to:

[ ] a. A. Make a complete chronological listing of traumatic events early in the treatment planning process.

[ ] b. B. Identify the details of adverse events to help the client understand their full significance.

[ ] c. C. Pace the gathering of information so that the client can stay present and avoid being overwhelmed.

8. Stabilization phase work can include all of the following except:

[ ] a. A. Full assessment of each target incident to be reprocessed.

[ ] b. B. Body resource exercises.

[ ] c. C. Heart coherence exercises.

9. Constructive avoidance can be used to address:

[ ] a. A. The importance of child parts being involved in current day to day health needs.

[ ] b. B. Strategies to help fragile parts to stay in a “home base” while adult parts cope with current health care needs.

[ ] c. C. Recurrent nightmares of traumatic events.

10. In “Phase Two” trauma treatment all of the follow may be helpful except:

[ ] a. A. Allow more than one Positive Cognition, VoC, and SUD rating when more than one part is participating.

[ ] b. B. Return to soothing, centering and positive body resources as needed to maintain stability.

[ ] c. C. Access as much as possible of the most disturbing parts of the traumatic memories in each session to shorten total treatment time.

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