Problem:
The therapist has spent 12 sessions on coping skills and is about to introduce the trauma narrative during the upcoming session. During the team meeting that week, the therapist learns that Mary has had some angry outbursts, particularly when the parents of other residents visited but otherwise, her mood has been reasonably stable. Mary's foster parents terminated her foster placement two weeks prior. The therapist decides that: Need Assignment Help?
a) The trauma narrative can be started as planned but work backwards in time from feelings about recent events, including the termination of the foster placement. b) Mary is not ready to begin the trauma narrative since she has not fully mastered the affective and behavioral regulation skills taught in the PRAC components. The trauma narrative should not be initiated until Mary has achieved outstanding emotional regulation. c) Mary needs more time to process her feelings related to the placement termination so the trauma narrative is delayed for at least 4-6 months. d) Mary needs a medication evaluation and consults the psychiatrist.