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J Complement Integr Med. 2017 Jun 16;14(3). pii: /j/jcim.2017.14.issue-3/jcim-2016-0011/jcim-2016-0011.xml. doi: 10.1515/jcim-2016-0011.

Return to work program efficacy with Self-Regulation Therapy (SRT®): Case study with complex trauma and concurrent disorders.


Background This study shows the efficacy of treating complex cases neurobiologically using Self-Regulation Therapy (SRT®) within the context of return to work goals. Case presentation This is a single case study of a 32-year-old white female. This case study follows a client with concurrent diagnoses of post-traumatic stress disorder (PTSD), bipolar disorder I and substance abuse over the course of 2 years of treatment with SRT®. Using SRT® as primary modality and Likert Scale self-report on the Zettl Scale of Dysregulation, psychiatric medication monitoring and pharmaceutical tracking, this study shows session summaries and progress. Results After six sessions the client was cleared by her psychiatrist for return to work. Her medications were reduced and her post-traumatic symptoms abated. She no longer met diagnostic criteria for PTSD or substance abuse after nine sessions. She returned to work successfully and maintained sobriety and continued symptom reduction. Follow up over a 2-year time period showed consistency and continued improvements in both her professional and her personal life. Conclusions Clients with complex traumatic history with concurrent diagnosis are typically difficult to treat in traditional psychotherapy with limited long-term success. This creates challenges in therapy because the traumas occur during key developmental periods of life. This study shows the efficacy of treating complex cases neurobiologically using SRT®. Using SRT®, clinicians are able to address both developmental and complex trauma to reduce sympathetic arousal in the nervous system providing symptom reduction and even resolution of previous clinical diagnoses.


PTSD; mental health; neurobiological treatment; self regulation therapy; trauma therapy

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