| One-Minute Clinician

Trauma Informed Care: What the Practitioner Should Know

  • Practitioners should understand there are patients who don’t even appreciate all the changes that have occurred in their life
  • Trauma can occur early in a life: years later, that patient may come into our office
  • Sometimes patients have no concept of what we’re asking them to try. If they’ve been traumatized, just asking a patient to try something new—an exercise or behavioral change—could at the outset could be triggering, and may remind them of their trauma, and so they’re going to be avoidant, they’re not going to want to engage
  • I try to stress the importance of what I’m talking about; I talk to them about how this is helpful so that it’s not just me shaking a finger and demanding they do something
  • They may be no-shows because they associate the doctor’s office with being triggered. This is not just a patient acting badly. (They essentially are, but it’s not on purpose.) They’re either not coming in or when they do they have a crummy attitude
  • Many patients want help but have no concept what “help” looks like