For all in-house training enquiries, click here or call us on (02) 8920 3611 to speak to our training team. Download our In-house Training Booklet here

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Become a Member of Blue Knot Foundation and support adult Australians who have survived childhood trauma and abuse.

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Testimonials

“I have attended one of your workshops for Health Professionals and found it to be one of the most enlightening and useful trainings I have attended. In particular, I really got an understanding of how to best deal with people in crisis related to past trauma.”

FRANCENE

“The workshop was outstanding - could be used for all practitioners no matter what their discipline. I would hope that you would promote it among psychologists - particularly because the focus was on "abuse" without putting the various types of abuse into boxes.”

ANNE O'BRIEN

“I recommend Blue Knot Foundation's trauma training to every professional, worker of all setting, survivor, and carer. The better trained the earlier the diagnosis and a better chance for survivor recovery.”

PASCALE STENDELL IT Matters

“I would highly recommend Blue Knot Foundation training. The information and research is impressive and relevant; the facilitator knew her stuff, was engaging and provided relevant examples.”

ANONYMOUS

Complex Trauma Treatment

The impacts of complex trauma are more extensive and debilitating than the symptoms of PTSD alone (Courtois & Ford, 2009; van der Kolk, 2003). While survivors of complex trauma may experience PTSD symptoms as well and are also at increased risk of PTSD, many experience a greater variety and breadth of adverse impacts. These differences demand differences in treatment (van der Kolk, 2003; Courtois & Ford, 2009).

 

`[t]here is no one perfect trauma therapy’ (Shapiro, 2010:1). All modalities used in treating complex trauma should include core common features which reflect the relevant clinical and neurobiological insights. There is now widespread recommendation that effective trauma therapy needs to be `bottom up’ as well as `top down’ (i.e. involve all dimensions of the person; physiological and somatic as well as affective and cognitive (Ogden, 2006; van der Kolk, 2010; Fosha, 2003). `[i]t is important to be able to engage the relevant neurobiological processes’(Fosha, 2003:229) and that `[e]ffective therapy for trauma involves the facilitation of neural integration’ (Solomon & Siegel, 2003:xviii).

 

Specialist treatment guidelines for complex trauma endorse a phased approach to therapy, in which the first stage (safety and stabilisation) is central and foundational prior to processing of trauma (Phase 2) and integration (Phase 3; Courtois and Ford, 2009; Blue Knot Foundation (ASCA), 2012). Trauma is highly dysregulating. It impairs reflective capacity, such that consistent focus on identification and interception of thoughts prior to the ability to self-regulate and manage internal states may itself be re-traumatising. Hence the recommendation of the expert consensus treatment guidelines that therapy for complex trauma should be phased

 

People who experience complex trauma `may react adversely to current, standard PTSD treatments, and that effective treatment needs to focus on self-regulatory deficits rather than `processing the trauma’ (van der Kolk (2003:173).There are substantial limits of randomised control trials and standard outcome studies as a measure of effectiveness of treatment for complex trauma (also see Ross & Halpern, 2009). In considering effective complex trauma treatment it is important to additionally consider `practice based evidence’ which considersclient and therapist input when assessing treatment effectiveness (Green & Latchford (2012); Barkham & Hardy, 2010; Duncan, Miller et al, 2010). Common factors research substantiates that treatment does not occur in a vacuum, and that a combination of factors contribute to treatment effectiveness, including the importance of the therapeutic alliance and the relational context in which therapy takes place. Irrespective of the modality deployed, therapy for complex trauma also needs to be relational.

 

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Testimonials

“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.”

ANONYMOUS

“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.”

STEVEN

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

TAMARA

Contact Us

Phone: 02 8920 3611
Email: admin@blueknot.org.au
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 AM
0425 812 197 or ckezelman@blueknot.org.au

For media enquiries, please contact: 
Jo Scard
0457 725 953 or jo@fiftyacres.com