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Mindfulness Treatment with Torture and Trauma Clients at STARTTS (Case study)
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Gordana Hol-Radicic
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The focus of the lecture was to present a case study on ?Mindfulness Treatment with Torture and Trauma Survivors at the NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS)?.
A female, 45 year old client presented with strong emotions and symptoms associated with Complex Post Traumatic Stress Disorder (C-PTSD). Her emotional responses were on a continuum between anxiety/panic attacks to symptoms related to Major Depressive Disorder, while she was crying, being fearful and experiencing agitation and anger outbursts.
In order for the client to become able to control her feelings, which was presented to be a major difficulty, the contract based on Mindfulness Therapy was made. The aim of mindfulness therapy was based on the fact that the client expressed willingness learning to be aware of her thoughts and bodily sensations and in doing so being able to better cope with day to day emotions and problems. In other words, Mindfulness is paying attention in a particular way: on purpose in the present moment and non- judgmentally." (Kabat-Zinn, 2003, p. 145). Mindfulness therapy was based on a) Meta-cognitive awareness of one?s thoughts as a central to mindfulness training (Cayoun, 2005); perceiving thought (Teasdale, 1999) with no evaluation or judgement; and b) Interoception related to ?Being mindful? and ?Aware ? of bodily sensations.
The therapy comprised of : One minute exercise, Mindful Eating and Walking, Body Scan, Diaphragm breathing, Various breathing exercise and Desensitisation based on two models: a) ?Being Model? focusing on: Noticing, Allowing, Accepting, Experimental, Understanding and paying Wide Awareness) and b) ?Doing Model? focusing on: Achieving, Solving, Efficiency and concentrating on focus of awareness.
The evaluation of the client?s psychological state revealed benefits of Mindfulness related to a) Stability of Mind, b) Flexibility of Mind, c) Self awareness and d) Acting rather than reacting, while some of client?s symptoms disappeared and others were significantly reduced.
Conflit of interest: none disclosed
Recorded at the NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS)
August 2008, New South Wales, Australia.
Visit STARTTS at : www.STARTTS.org.au
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Gordana Hol-Radicic
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other talks by the speaker
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Gordana Hol-Radicic
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Gordana Hol-Radicic is a Clinical Psychologist with over 30 years experience as a clinican, including more than 20 years working clinically with the complex presentations of torture and trauma survivors. Gordana is able to utilise various therapeutic approaches in the group and individual treatment of STARTTS? clients from diverse age groups: children, adolescents, adults and the elderly.
Currently Gordana is the Direct Services Coordinator at STARTTS. She is responsible for ensuring the delivery of counselling services to refugee and asylum seeker clients, and manages five direct services teams of approximately 50 counsellors and the intake sub-team. She also provides clinical trainings, support and consultation to STARTTS? counsellors and other service providers. Gordana has presented at international conferences and for the online psychological journal, ?Psychevisual?, addressing topics on the psychological assessment of torture and trauma survivors, the psychological and physiological base of traumatic memories, and the utilisation of Neurofeedback with clients suffering from complex PTSD.
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