
Elizabeth Hance Floryanzia, LCSW, LISW-CP
Owner/Individual & Family Psychotherapist
Licensed in North Carolina & South Carolina
What is psychological trauma? According to the Sidran Institute, psychological trauma occurs when an individual is faced with highly distressing events that overwhelm their ability to integrate their emotional experience, or threatens life, limb, or sanity. The traumatic event often involves “abuse of power, betrayal of trust, entrapment, helplessness, pain, confusion, and/or loss.” severe psychological trauma is most likely to occur with human-caused stressors that are repeated, unpredictable, sadistic, occurring in childhood, and carried out by a caregiver.
PTSD
PTSD develops when the mind is left in a state of psychological shock and unable to process the trauma, and the person’s overall functioning is impacted. Trauma symptoms may be forms of adaptation that were helpful while the trauma was occurring (such as dissociation). However, they become problematic when they instinctively continue after the stressor is removed.
The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th ed.) diagnostic criteria for PTSD are clustered around 4 different areas:
•Intrusion symptoms: recurrent memories, traumatic nightmares, flashbacks, psychological distress and physiological reactivity to trauma reminders
•Persistent avoidance: avoidance of both thoughts/feelings and external reminders
•Negative alterations in cognition and mood: dissociative amnesia, persistent negative beliefs, distorted blame of self/others, negative trauma-related emotions, diminished interest in activities, detachment from others, inability to experience positive emotions
•Alterations in arousal and reactivity: irritable/aggressive behaviour, self-destructive/reckless behaviour, hypervigilance, exaggerated startle response, problems concentrating, sleep disturbance
Cognitive Behavioral Therapy
Solution Focused Therapy
Gottman Method
Counseling for children 7 and up, adolescents, and adults
Marriage counseling utilizing Gottman Method
Group therapy for teens (coming soon)
