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Dissociative Reactions | Violence and Property Damage | Behaviors Outside of the Session: Arrests, Self-Harm, and Hospitalizations | Substance Abuse Treatment | No Memories of Abuse | Study Questions

Excerpt

Engaging in trauma-centered psychotherapy brings the therapist into close proximity to extreme states of terror, helplessness, and isolation. Although most clients will experience the therapeutic hour and space as a safe haven from the bustle of the world about them, occasionally clients’ abilities to maintain their composure will be overcome by the confrontation with their past experiences, giving rise to very challenging situations for the therapist. The trauma-centered therapist should be trained to expect such moments and be able to handle them. The most common challenging experiences include dissociative reactions, violent reactions, disruptive behaviors outside of the session, substance abuse, and having no memories of the abuse, which are discussed in this chapter.

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