Trauma Center Belgium

Principles of trauma-informed care

Trauma-informed care represents a shift in perspective from the question "What is wrong with you?" to "What happened to you?"

This approach to therapy and care is aligned with the understanding that many people have experienced traumatic events and that these experiences can affect their health and behavior.

Safety and reliability

Creating a safe environment is paramount in trauma-informed care. It helps clients feel safe enough to open up and fully participate in the therapeutic process. Creating trust is equally important because many traumatized people have experienced betrayal or have been in situations where their trust was broken.

Choice, collaboration and empowerment

Trauma victims often feel a lack of control over their lives. A trauma-informed approach emphasizes providing clients with choices and collaborating with clients on their treatment plans, giving them more control over their own healing. By involving clients in the decision-making process, therapists validate clients' autonomy and promote a sense of self-efficacy.

Cultural, historical and gender considerations

Understanding and respecting clients' cultural, historical and gender backgrounds is crucial in trauma-informed care. Appropriate treatment takes these aspects into account and provides care that is sensitive to clients' full background and identity.

Trauma-informed care is all about creating an environment in which the individual feels understood and supported. By ensuring that treatment is aware of these principles, therapists create a solid foundation from which healing can begin.

Importance of building a therapeutic alliance

A therapeutic alliance refers to the working relationship between a therapist and a client and is considered one of the most important predictors of success in therapy. This alliance consists of three core components. The first is the establishment of an affective bond that refers to the emotional connection, trust and mutual appreciation between the therapist and the client. A second component is agreement on goals in which the therapist and client must agree on the goals of therapy. Finally, there should be an agreement on the specific activities, exercises or steps to be undertaken in therapy to achieve the goals.

A strong therapeutic alliance needs an authentic and sincere therapist about who can be flexible to the client's needs. The therapist shows genuine interest and attention to what the client shares.

A strong therapeutic alliance provides a secure foundation for open communication, collaboration and effective therapy.