If you have experienced childhood trauma, you can speak with a Blue Knot Helpline trauma counsellor including for support and applications around national redress

1300 657 380
Monday - Sunday
between 9am - 5pm AEST
or via email helpline@blueknot.org.au


Do you live with disability?  Have you experienced abuse, neglect, violence or exploitation?

For support for Disability Royal Commission or general support contact our National Counselling & Referral Service

1800 421 468
9am - 6pm AEST Mon- Fri
9am - 5pm AEST Sat, Sun & public holidays


Practice Guidelines


Guidelines to Differences between Therapy for Complex Trauma and Standard Counselling Approaches and Guidelines to Therapist Competencies for Working with Complex Trauma and Dissociation

 (They are included within a single `Complementary’ Guidelines publication)

Complementary Guidleines 2019

Increasing numbers of therapists and health professionals from a range of disciplines are providing therapy to clients with complex trauma histories.

These Complementary Guidelines complement and support the Practice Guidelines for Clinical Treatment of Complex Trauma (2019) by specifying what the work requires and the relevant competencies.

The two sets of guidelines included in this publication are:

  1. Guidelines to Differences between Therapy for Complex Trauma and Standard Counselling Approaches
  2. and
  3. Guidelines to Therapist Competencies for Working with Complex Trauma and Dissociation

The first short guidelines address the ways in which working with complex trauma clients require adaptation of common counselling principles. All modalities need to be trauma-informed but at a more basic level they consider the `taken-for-granteds’ of what is widely considered to comprise `good’ therapy.

The second additional short guidelines present therapist competencies for working with complex trauma and can be read as a prelude to the clinical guidelines.

Although the original (2012) and updated (2019) clinical guidelines convey what therapy for complex trauma clients entails, they do not specify the attributes and abilities the therapist needs. These guidelines fill this gap.

Complementary Guidelines Download links




Disclaimer - Blue Knot Foundation makes every effort to provide readers of its website and newsletters with information which is accurate and helpful. It is not however a substitute for counselling or professional advice. While all attempts have been made to verify all information provided, Blue Knot Foundation cannot guarantee and does not assume any responsibility for currency, errors, omissions or contrary interpretation of the information provided.


Health Direct


Head to Health


“Blue Knot Foundation has a key role to play in the building of community capacity in care provision to those who have experienced childhood abuse and trauma in any environment.”

NIALL MULLIGAN Manager, Lifeline Northern Rivers

“I think Blue Knot Foundation is a fantastic support organisation for people who have experienced childhood trauma/abuse, for their families/close friends and for professionals who would like to learn how to more effectively work with these people.”

Psychologist Melbourne

“It's such a beautiful thing that you are doing. Helping people to get through this.”


“It was only last September when I discovered the Blue Knot Foundation website and I will never forget the feeling of support and empathy that I received when I finally made the first phone call to Blue Knot Helpline, which was also the first time I had ever spoken about my abuse.”


"At last there is some sound education and empathetic support for individuals and partners impacted by such gross boundary violations.”


Contact Us

Phone: 02 8920 3611
PO Box 597 Milsons Point NSW 1565
Hours: Mon-Fri, 9am-5pm AEST

Blue Knot Helpline
Phone: 1300 657 380
Email: helpline@blueknot.org.au 
Hours: Mon-Sun, 9am-5pm AEST

For media comment, please contact:
Dr Cathy Kezelman
+61 425 812 197
+61 2 8920 3611
or ckezelman@blueknot.org.au

For media enquiries, please contact: 
Jo Scard
+61 457 725 953 
or jo@fiftyacres.com