🔑 Key Definitions
EMDR 👁️: Eye Movement Desensitization and Reprocessing - bilateral stimulation while processing trauma, evidence-based for PTSD
Trauma-Focused CBT 😢: Psychoeducation, trauma narrative, cognitive processing, relaxation, exposure
🧠 6 Common Mental Disorders in Offenders
- 1. Psychotic disorders - Schizophrenia, schizoaffective
- 2. Mood disorders - Depression, bipolar
- 3. Anxiety disorders - PTSD, GAD
- 4. Personality disorders - ASPD, BPD
- 5. Substance use disorders - Addiction
- 6. Intellectual disabilities - Cognitive impairments
💊 Psychosis Treatment Components
- Antipsychotic medication (essential)
- Cognitive remediation
- Social skills training
- Family intervention
- Vocational/housing rehabilitation
- Medication compliance
😢 Trauma Types in Offenders
- HIGH prevalence - most offenders have trauma
- Childhood abuse (physical, sexual, emotional)
- Neglect
- Community violence exposure
- Link to offending (contributes to crime)
⚠️ 5 Trauma Work Cautions
- Timing - Client needs stability FIRST
- Re-traumatization risk - Can worsen symptoms if done poorly
- Specialist training - Therapists need proper training
- Safety first - Secure therapeutic relationship needed
- Not an excuse - Trauma doesn't justify crime!
🎨 3 Creative Therapies
- Art Therapy - Non-verbal expression, accessing unconscious
- Music Therapy - Emotional regulation, group cohesion
- Drama Therapy - Role-playing, different perspectives
💡 Exam Tips
- EMDR = Eye movements + trauma processing = evidence-based for PTSD
- Trauma in offenders = HIGH prevalence, contributes to crime but NOT an excuse
- Always stabilize client BEFORE trauma work
- Creative therapies = alternative when verbal expression is difficult