How should I do a site visit with my client when working remotely?
Site visits are a core procedure in cognitive therapy for PTSD (CT-PTSD) but they are under-used by therapists for a variety of reasons....
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murrayptsd
- May 12
- 5 min
How can I do physical updates if the trauma involved sexual violence?
As ever, when we update hotspots in a trauma memory, our focus is on what they mean to the client, and our updates follow that. Meanings...
414 views
murrayptsd
- Apr 27
- 5 min
How do I do reliving or written narratives via an interpreter?
Imaginal reliving is often a bit simpler than written narratives when we are working via an interpreter. Here, we set up reliving in the...
131 views
murrayptsd
- Mar 29
- 7 min
My client shows no emotion during reliving – what should I do?
We all differ in how we express emotion, often influenced by our upbringing and culture. In therapy, the way in which our client...
1,024 views
murrayptsd
- Jan 25
- 6 min
What is ‘moral injury’ and how do I work with it?
Usually, moral injury is defined as the profound psychological distress that can arise after perpetrating, failing to prevent, or...
254 views
murrayptsd
- Jan 18
- 5 min
Should I do imaginal reliving or narrative writing when working on my client’s trauma memories?
Our thinking on this topic, and that of the OxCADAT team run by Anke Ehlers and David Clark, has evolved over the years. Imaginal...
543 views
murrayptsd
- Dec 13, 2022
- 5 min
Should we teach our clients grounding techniques for them to use during reliving?
In short – sometimes! It really depends on whether an individual client is dissociating when they access the trauma memory. If they have...
452 views
sharifelleithy
- Oct 25, 2022
- 4 min
My client became sexually aroused when reliving abuse memories in session – how should I respond?
When reliving distressing and aversive traumatic memories in therapy, it is entirely normal for people to experience strong physiological...
8,004 views
murrayptsd
- Sep 27, 2022
- 4 min
My client’s trauma memories are from early childhood and are unclear. How do I use reliving?
Memories formed very early in life are often unclear or fragmentary, not least because our autobiographical memory system is still...
648 views
murrayptsd
- Sep 7, 2022
- 4 min
When doing an imagery conversation with someone who has died, what if they say something unhelpful?
Having a conversation in imagery with a person who has died is a useful technique for addressing some loss-related appraisals and dealing...
275 views
murrayptsd
- Aug 26, 2022
- 5 min
My client is too ashamed to talk about their trauma – how can I help?
Strongly associated with the emotion of shame is the belief that others will judge us negatively, leading to a natural desire to hide...
1,257 views
murrayptsd
- Jul 29, 2022
- 3 min
How do I use trigger discrimination techniques following a sexual assault trauma?
Usually with trigger discrimination, we are helping our clients to focus on the differences between ‘then’ (the trauma) and ‘now’ (the...
544 views
murrayptsd
- Jul 22, 2022
- 4 min
Are trauma-focused psychological therapies safe for pregnant women?
During a pregnancy, the health and wellbeing of the mother and unborn child are of paramount importance, so it makes sense that...
1,750 views
murrayptsd
- Jul 15, 2022
- 5 min
My client has gaps in their memory of the trauma – what do I do?
Gaps in trauma memories are quite common and can occur for several reasons. There may be an obvious reason, for example if your client...
769 views
murrayptsd
- Nov 5, 2021
- 3 min
My client wants to do something violent in an imagery rescript - should I let them?
Part of what can make imagery rescripting useful is allowing the client to have an emotional experience that they were unable to have at...
351 views
murrayptsd
- Nov 5, 2021
- 2 min
My client keeps talking in the past tense during imaginal reliving - should I correct them?
Doing imaginal reliving in the present tense is usually recommended to facilitate emotional engagement with the memory. Reliving should...
250 views
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