Cognitive Model for Processing Trauma in Non-PTSD Sequelae

This article proposes a model for practitioners to assist those who have recently experienced a significant distressing event, but not of the type that satisfies Category A for a diagnosis of posttraumatic stress disorder, to process trauma-related thoughts and feelings. While not intended to treat psychological disorders, the aim is to avoid psychopathology and to optimize functioning and quality of life. The nature of different thoughts and feelings are examined, and it is argued that traditional cognitive behavioral therapy and acceptance and commitment therapy can be applied to process these in a complementary, interactive, and dynamic fashion. Presented as a simple visual metaphor, the model provides a guide to assist and psychoeducate clients to identify the nature of the different trauma-related thoughts and feelings they experience, and how to best process these. A detailed vignette illustrates how the model works in practice.