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picture1_Cbt For Grief Pdf 110046 | Tf Cbt For Grieving Youth Ou Adv Handouts


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File: Cbt For Grief Pdf 110046 | Tf Cbt For Grieving Youth Ou Adv Handouts
5 9 2018 enhancing tf cbt for grieving youth and families dee bigfoot roy van tassell the many dimensions of grief loss causes 1 5 9 2018 the many dimensions ...

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                                              5/9/2018
               Enhancing 
               TF-CBT for 
                 Grieving 
               Youth and 
                 Families
                          Dee Bigfoot
                         Roy Van Tassell
       The Many Dimensions of Grief / Loss
      Causes
                                                 1
                                                      5/9/2018
       The Many Dimensions of Grief / Loss
      Expressions / responses
          Traumatic Grief: When Trauma and loss Intertwine 
        Situation where a child or adult has lost someone they 
           cared about to a death/loss that is perceived as 
        traumatic such as: homicide, fatal car accident, illness, 
             suicide, separation, terminated rights, etc.
                            AND
            The trauma symptoms experienced interfere with 
         the ability to move thru the normal grieving process.
                                                          2
                                                                                                     5/9/2018
              Traumatic Separation in Children
             • Loss of a parent / caregiver (or close family member) for varying or 
              indefinite time, numerous reasons
                • Illness, incarceration, immigration, abduction, deportation, deployment, 
                  removal or termination of rights, other
             • May develop PTS symptoms and be similar in reaction to CTG
             • Impact by trauma that caused removal, trauma as part of removal(s), 
              hope for or even fear of reunification 
             • Broad reactions: anger at others, self blame, blame of parent, feeling 
              abandoned, minimizing parent responsibility, emotional numbing or 
              distancing, hopeless, emptiness, loss of meaning
             • https://www.nctsn.org/what-is-child-trauma/trauma-types/traumatic-
              grief
                                 Current Understanding of TG
              • DSM-5 doesn’t recognize a mental health diagnosis 
                 for traumatic grief adults or kids. 
              • The field has recognize the condition through practice 
                 and clinical presentation
              • Presentation of complicated grief symptoms and
                 concurrent trauma symptoms observed to interfere 
                 with healthy grief 
              • Evidence for: Prolonged Grief Disorder or Persistent 
                 Complex Bereavement Disorder (10-20% of bereaved)
                                                        6
                                                                                                              3
                                                                                                          5/9/2018
                             Recognizing Traumatic Grief
                1 in 20 children in U.S. have a parent die before age 15, (second most frequent 
                type of trauma) many under age three are present at time of a traumatic death*
                                             (does not include separations)
              Children Who Suffer Death Of A Parent Have Higher Mortality Rates Than Others*
              Intrusive Memories: (e.g. unwanted thoughts, nightmares)
              Increased Arousal: (e.g. could be irritability, sleep disruption) 
              Avoidance and Numbing(to try to manage distress)
              Altered Mood and Thoughts (detachment, negative beliefs, 
               distorted thoughts about causes/future,) 
                        Not all those w/ CTG will meet full PTSD criteria can still be CTG
                                                             *NCTSN and PLOS Medicine. 2014
                                 Cultural, Individual Aspects
               • Grief and loss must be seen via family /cultural view
               • Talk, emotional expression and behavior after 
                 trauma and death varies by family, culture, race, 
                 ethnicity and religion 
               • Explored early in treatment (engagement/ Psycho-
                 ed.) helps see reactions outside the expected norms
               • What might be blocking them from being able to 
                 move forward?
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...Enhancing tf cbt for grieving youth and families dee bigfoot roy van tassell the many dimensions of grief loss causes expressions responses traumatic when trauma intertwine situation where a child or adult has lost someone they cared about to death that is perceived as such homicide fatal car accident illness suicide separation terminated rights etc symptoms experienced interfere with ability move thru normal process in children parent caregiver close family member varying indefinite time numerous reasons incarceration immigration abduction deportation deployment removal termination other may develop pts be similar reaction ctg impact by caused part s hope even fear reunification broad reactions anger at others self blame feeling abandoned minimizing responsibility emotional numbing distancing hopeless emptiness meaning https www nctsn org what types current understanding tg dsm doesn t recognize mental health diagnosis adults kids field condition through practice clinical presentation...

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