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Treating complex trauma among veterans: three stage-based treatment models.

Sara J Landes1, Natara D Garovoy, Kristine M Burkman

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This article reviews stage-based treatments for complex trauma in veterans, including Dialectical Behavior Therapy, Seeking Safety, and STAIR Narrative Therapy, to manage trauma symptoms effectively.

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Area of Science:

  • Psychology
  • Military Mental Health
  • Trauma Studies

Background:

  • Veterans face unique risks for complex trauma due to cumulative exposures like combat and military sexual trauma.
  • Complex trauma presents distinct clinical challenges requiring specialized therapeutic approaches.
  • Existing definitions of complex trauma highlight the need for targeted interventions in veteran populations.

Purpose of the Study:

  • To review and discuss stage-based treatment modalities for complex trauma in veterans.
  • To examine the application of Dialectical Behavior Therapy, Seeking Safety, and STAIR Narrative Therapy for veteran trauma.
  • To explore current care strategies, challenges, and solutions for addressing complex trauma symptoms in veterans.

Main Methods:

  • Literature review of established stage-based therapeutic approaches for complex trauma.
  • Discussion of three specific treatments: Dialectical Behavior Therapy, Seeking Safety, and STAIR Narrative Therapy.
  • Analysis of current practices, implementation challenges, and potential solutions for veteran care.

Main Results:

  • Three stage-based treatments (DBT, Seeking Safety, STAIR Narrative Therapy) are presented as effective for complex trauma.
  • These treatments utilize a phased approach, initially focusing on present-moment skills and then progressing to past-focused trauma processing if necessary.
  • The article identifies ongoing efforts and obstacles in delivering care for complex trauma symptoms in veterans.

Conclusions:

  • Stage-based therapies offer a structured framework for addressing complex trauma in veterans.
  • Effective implementation requires addressing current challenges and exploring innovative solutions.
  • Continued research and clinical focus are essential for improving veteran mental health outcomes related to complex trauma.