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by Mike Fisher, Chair of TAG

One helpful model for treatment and recovery recognises three distinct stages or phases towards recovery. These can be identified as:

  1. Stabilisation and symptom reduction

  2. Processing traumatic memories and achieving change

  3. Resolution, integration and recovery

However in actuality no treatment process moves through this progression in simple linear fashion. There will, at times, be considerable overlap or movement between the stages. There will also be a wide range of tasks that will need to be undertaken in the progression towards recovery.

Elements of each of the stages or phases are likely to include the following.


Processing trauma and achieving change

Resolution and recovery

This list can only be a very basic guide to what can be a complex array of tasks that may need to be undertaken as part of the therapeutic journey. Every individual’s needs and circumstances will be different. Likewise the time involved in making the journey to recovery will vary a great deal. The only predictable factor is that it will be long term. Whilst the first phase can take a long time before survivors feel secure enough to work in depth, phase two is likely to be the longest phase of recovery. Pacing the therapeutic work and the rate that the survivor can manage is important, otherwise “flooding” and destabilisation will take place.

Some considerations for Counsellors

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