Five Dialectical Dilemmas of Trauma Survivors: Brief Guide and Treatment

Kirby-Reutter

United States Department of Homeland Security

Key Points

  1. Trauma survivors are stuck at the extremes of both “too much” and “too little”
  2. Trauma survivors demonstrate hypervigilance vs dissociation, obsessive rumination vs impulsive decision making, emotional overwhelm vs emotional numbness, maladaptive coping vs paralysis, aggression vs passivity.
  3. The five skills include mindfulness, distress tolerance, dialectical thinking, emotion regulation, and interpersonal effectiveness

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Five Dialectical Dilemmas of Trauma Survivors: Brief Guide and Treatment

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