Interventions

Assessment and Treatment of Post-Traumatic Stress Disorder (PTSD) and trauma-related psychopathology

Our service is for young people with difficulties arising from exposure to traumatic and severely stressful events. This can include events such as:

  • Physical, emotional, and sexual abuse
  • Traumatic loss of family
  • Violent crimes
  • Traumatic events experienced by asylum seekers and refugees
  • Emergencies and disasters
  • Accidents and physical injuries

We offer specialist diagnostic assessments to identify post-traumatic stress reactions, including post-traumatic stress disorder (PTSD), anxiety disorders, complicated grief reactions, and other depressive conditions. We offer evidence-based, NICE-recommended treatment for PTSD and related disorders, both for single-incident trauma and complex PTSD. We have several treatment packages available which will be tailored to suit the needs of the individual and their family.

Assessment and Treatment of Anxiety Disorders

We also work with young people with severe and/or treatment resistant anxiety disorders. This includes:

  • Generalized Anxiety Disorder
  • Health Anxiety
  • Social Anxiety Disorder
  • Specific Phobias and Agoraphobia
  • Separation Anxiety Disorder
  • Other worries or fears
  • Panic Disorder
  • Selective Mutism
  • Obsessive-Compulsive Disorder
  • Body-Dysmorphic Disorder

We offer expert diagnostic assessments and evidence-based, NICE-recommended treatments for anxiety disorders. We have several treatment packages available which will be tailored to suit the needs of the individual and their family.

Assessment and Treatment of Depression

We also offer assessment and treatment options for young people with severe and/or treatment resistant unipolar depression. We offer expert diagnostic assessments and evidence-based, NICE-recommended treatments for depression. We have several treatment packages available, which will be tailored to suit the needs of the individual and their family.

Interventions:

Our evidence-based interventions include:

  • Comprehensive multidisciplinary assessment involving a structured diagnostic interview, problem formulation, and treatment recommendations
  • Expert medico-legal assessments of post-traumatic reactions
  • Individually tailored, specialist trauma-focused Cognitive-Behavioural Therapy (CBT) for single-event or complex traumas, and intensive treatment where appropriate.
  • Narrative Exposure Therapy
  • Eye Movement Desensitisation and Reprocessing (EMDR)
  • Individually tailored, specialist CBT for Anxiety Disorders using disorder-specific treatment approaches
  • Family-focused CBT
  • Individually tailored, specialist Cognitive Behavioural Therapy for Depression, with a large Behavioural Activation focus.
  • Interpersonal Psychotherapy for Adolescents (IPT-A) for Depression
  • Mindfulness Based Cognitive Behaviour Therapy (MBCT) for Depression
  • Specialist psychopharmacological treatment

Training, Consultation and Supervision

We provide professional training for clinicians on the assessment and treatment of post-traumatic reactions, anxiety disorders and depression in young people and families. We offer consultation around care planning and treatment for local CAMHS teams. We offer face-to-face or remote clinical supervision packages for both individuals and groups.

Public Health

We collaborate with the UK government and local commissioning groups to set up and manage public health initiatives related to disasters and emergencies. Together with the South London and Maudsley Centre for Anxiety Disorders and Trauma, we have led a Department of Health / Public Health England scheme to assess and treat victims of terrorist attacks in Tunisia, Belgium, and France and their families. We have also worked together with local commissioners to plan the care for asylum seekers and refugees during the Syrian crisis. Finally, we have worked with schools to assist teachers and young people copying with bereavement and witnessing of violence (e.g., stabbing incidents).

Research

Our research is uncovering the mechanisms through which childhood exposure to traumatic stress can cause mental and physical health problems, in order to inform new preventative and treatment strategies. Our research has also been leading the way in improving and disseminating evidence-based treatments for trauma-related psychopathology and anxiety in young people. All senior team members are also affiliated with the Institute of Psychiatry, Psychology and Neuroscience (IOPPN) at King’s College London. Families seen in our clinic are often invited to participate in ongoing research projects. We have contributed to several external projects to provide resources for professionals, young people and families, such as e-learning materials on MindEd.

Research from our team helps clinicians to understand what happens to young people who experience traumatic stress, giving insight into new ways of preventing and treating trauma-related psychopathology. These insights are informing initiatives by the National Society for the Prevention of Cruelty to Children (NSPCC). These insights are also informing public health strategies discussed at the UK House of Commons, the World Health Organisation (WHO), and United Nations International Children’s Emergency Fund (UNICEF):   http://www.kcl.ac.uk/ioppn/about/difference/33-Understanding-and-treating-child-maltreatment.aspx.

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