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There are a number of circumstances in which trauma-centered psychotherapy may not be recommended. First, the required conditions may not exist: other less complex treatments may be effective, the therapist may not feel comfortable or confident with the approach, or the institution within which the treatment is taking place may not support direct trauma work. Second, objective assessment is required, as in independent forensic examinations. Here the interactive, supportive, and exploratory nature of trauma-centered psychotherapy will interfere with the need for objectivity. Third, certain clients, such as young children, may not have the verbal skills and cognitive development or capacity to engage in discussions about their traumatic events. Although there are ways to accommodate the method to these populations, generally, other methods are recommended.
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