1. Early Attachment Trauma
Recency of Trauma
3
9
6
Age
15
12
30
KEY
Child protection
Trauma prevention
events
traumatic
severity of
Number and
Prevention
Parenting skills
Panic Reaction Sensitive presentation of PNES diagnosis
Support: Family therapy, anxiety reduction
Anxiety Disorder
Relaxation
Counter conditioning of traumatic affect
Simple PTSD
Safety, assess / attend to depression
negotiating developmental milestones
trauma and subsequent retraumatisation
Safe, long term therapeutic alliance
Complex PTSD
with or without history of attachment trauma
Phase orientated trauma treatment
Skill development, viz affect regulation
Borderline distress tolerance
Personality
Disorder Interpersonal effectiveness
Mindfulness (DBT)
Population with PNES with intractable epilepsy/head injury -
Population with PNES with history of chronic severe attachment
Phase orientated trauma treatments
Depression & anxiety
Dissasociative
Population with PNES with history of single event trauma or difficulty
Disorders: Development of internal communication
Treatment approaches
Amnesia skills, emphasis on stablisation, trauma
cognition, affect and identity
Derealisation work, including;
Depersonalisation Counter conditioning of traumatic affect,
integration of aspects of self,
DDNOS
Degree of deficits in self-skills, and integration of memory,
development of self and life skills
DID consolidation.