什么是创伤性悲伤治疗？

当一个被爱的人突然消失时，人们留下后面经常经历创伤悲伤。In order to deal with this intense kind of grief, therapy can be a helpful and healthy way to process painful emotions.

什么是创伤性悲伤治疗？

詹妮弗R. Levin.，博士，作为专家的治疗师同等学（研究死亡，死亡和丧亲丧失），将创伤性蠕动治疗定义为“治疗，同时处理创伤死亡相关的创伤和悲伤”。

The goals of this form of therapy include emotional regulation, reduction of trauma symptoms, learning skills to cope and manage trauma, and processing losses associated with grief.

创伤性悲伤与其他类型的悲伤

Traumatic grief specifically takes place after a loved one passes away in a traumatic manner, and, as Levin says, “usually, but not always, in a sudden, unexpected manner.”

Examples of death that might lead to traumatic grief include:

• 自杀
• Homicide
• Accidents
• 医疗危机
• 过量

“Traumatic grief can also occur when an individual, who is a survivor, is involved in the incident that took a loved one’s life, witnessed what happened, or found a deceased loved one,” Levin says.

此外，如果有人需要对亲人的护理作出困难的医学决策，例如复苏或终止生命支持，则可以遵循创伤响应。

迹象

There are two key signs that you may be specifically dealing with traumatic grief:

• 与悲伤互动的创伤反应
• The shattering of your assumptive expectations that guide you in the world

Levin解释了这些标志的细节。首先，她说：“创伤的反应是与其他形式的悲伤不同的创伤悲伤。”

In some cases, a person may respond normally to an abnormal event. While everyone has different reactions to trauma, people's trauma response falls into four categories:

• 心理/情绪化
• Cognitive
• 身体的
• Behavioral

其次，Levin说，创伤事件违反了我们在世界上保持安全的假设。这些可以包括：

• 我们和我们所爱的人在世界上是安全的（学校，工作，穿越街道等）
• We expect the world to be predictable and not random
• We expect things to happen for a reason
• 我们希望为我们的工作获得奖励

当这些理想受到突然和痛苦的损失的挑战时，创伤性悲伤可以挑战您的信仰系统的核心。

When to Seek Traumatic Grief Therapy

If the trauma symptoms you’re experiencing and/or the pain of grief is making it difficult for you to function—in areas that Levin lists such as work, taking care of others, getting out of bed, getting through the day—it’s likely time to seek out traumatic grief therapy.

What to Expect in Therapy

虽然每个人的创伤悲伤治疗旅程都有不同的，但莱文概述了一些普遍的步骤，你可以在整个治疗过程中期待。

Stabilization of Trauma

This is when your therapist will develop a rapport and feeling of safety, with a focus on routine and structure so you can rebuild an environment in which your body will begin to trust again.

处理创伤

在您构建了一个坚实的基础之后，您将开始使用第一步中学到的技能来处理创伤和悲伤。

如果您觉得不堪重负或体验创伤响应，那么Levin表示您会停止并返回早期技能“减少症状”和“增加
coping skills.”

Later Grief Work

这将重点关注与损失相关的感情的不断处理，生活在创伤的不确定性，悲伤丧失，解决已遗漏的东西，重写叙述，意义，发展持续债券，促进创伤后的增长。

在这个阶段，参与者可以通过个体治疗，组治疗或两者寻求治疗。

Pitfalls of Not Seeking Therapy

如果你抱怨你的悲伤或假装它不存在，你可能会抵制寻求创伤性悲伤治疗的需要，导致负面影响。

Levin says that people may experience “a continuation or an increase of trauma symptoms, including rumination about details of the incident, flashbacks, nightmares, hypervigilance anxiety, and depression.”

She also shares risks of physical and mental health disorders, such as急性应激障碍那PTSD，不健康coping mechanisms那and an increased risk of转向物质。

“You may be able to repress symptoms for the short term, but it will come back and cause bigger issues, or you will have multiple issues to address,” Levin warns.

好处

There are several benefits associated with traumatic grief therapy, according to Levin, they include:

• 症状减少
• Increased coping mechanisms
• 增加likelihood for post-traumatic growth
• Continuing bonds with deceased
• Ability to envision future possibilities
• 继续生活有意义的生活

“So many of my clients cannot envision continuing on without their loved one, especially when a spouse dies,” Levin says.

Levin notes that while many clients are not suicidal after the sudden death of a loved one, they often show a lack of motivation or desire to engage with the world.

In her work, Levin has seen many people benefit from traumatic grief therapy. With time, patience, and the belief that life can improve, many go on to lead meaningful lives.