Therapist checklist. Survivors of Narcissistic Abuse recovery therapist. Mark Zauss - MARK ZAUSS - THERAPY

MARK ZAUSS - THERAPY

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Therapist checklist - Trauma

The Institute’s Dysregulated Narrative Checklist ©2012 Brown, S.
Therapist check list
The Institute for Relational Harm Reduction

Trauma Check List - For Provider - Therapist only

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1. Frequency and intensity of the re-telling is elevated more than mere trauma-only frequency and intensity. 2. Stalling—showing limited movement around the storyline for instance--insight, frequency or intensity isn’t lessening, they are unable to apply recovery behaviors, or not able to ask for management skills for the pressure of re-telling. 3. They have alienated other supporters through the chronicity and compulsivity of the retelling. 4. Even recognizing that it does feel compulsive, and it has produced alienation, a survivor is unable to alter the re-telling. 5. The compulsivity of the re-telling is ego-dystonic to the survivor—they are uncomfortable with it, feel it is so unlike them, feels guilt or shame, wants mastery over it but doesn’t know ‘how’ to do it. 6. They isolate because they are unsure if they will be able to control it. They ride cycles of being around others and re-telling, then isolating because the delivery of the re-telling was so unmanageable. 7. They utilize groups online where no one knows them personally so if the re-telling is unmanageable, they feel less guilt and shame. 8. They prefer groups who support (or even encourage) re-telling no matter whether the content is appropriate for the readership in terms of too much detail about the victimization, or the frequency or intensity of it. 9. The survivor eventually finds multiple audiences so as not to wear out one individual audience and rotates the audiences to try to avoid alienation. 10. The compulsive re-telling increases their own trauma by re-activating hyper-vigilance seen in agitation, nightmares, anxiety, dissociation, or intrusive thoughts. Over time, their retelling is trauma enhancing. Their CD via compulsive re-telling makes their trauma worse, and trauma makes their CD worse.

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Home
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ADHD
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