Table 1 Outline of PE-A treatment, A detailed outline of the PE-A treatment
| Major focus | Goals | Sessions (ideal) | Present at session |
|---|---|---|---|
| Phase 1: Psychoeducation and treatment planning | |||
|
Module 1: Treatment Rationale Tool 1: Breathing Retraining |
1. Build rapport 2. Give overview of treatment 3. Introduce treatment rationale to the adolescent and the parent or guardian 4. Provide the adolescent with a tool to control anxiety | 1,2 | Adolescent, Guardian (Full or partial) |
| Module 2: Gathering Information | Gather information as the adolescent tells about the traumatic event. | 1,2 | Adolescent |
| Module 3: Common Reactions |
1. Describe common reactions 2. Discuss the adolescent’s own reactions to trauma | 2, 3 | Adolescent, Guardian (partial) |
| Phase 2: Exposure | |||
|
Module 4: Rationale for Exposure Tool 2: Real Life Experiments Tool 3: Stress Thermometer |
1. Review rationale for real-life experiments/In –vivo Exposure 2. Discuss how confronting feared situations reduces anxiety reactions | 3,4 | Adolescent, Guardian (partial) |
|
Module 5: Dealing with avoidance. Tool 4: Construction of hierarchy for real life experiments |
1. Create in vivo hierarchy 2. Choose an initial target for in vivo exposure | 3,4 | Adolescent, Guardian (partial) |
|
Module 6: Recounting the trauma Tool 5: Imaginal Exposure |
1. Explain why it is helpful to recount the memory of the trauma 2. Reliving the memory through writing or talking | 4,5,6,7 | Adolescent |
|
Module 7: Recounting the Trauma Tool 6: Worst Moments | Process the most difficult parts of the memory | 7,8,9,10, 11,12,13 | Adolescent |
| Phase 3: Relapse Prevention and Graduation | |||
| Module 8: Generalization and Relapse Prevention |
1. Review progress 2. Discuss the efficacy of various tools acquired in therapy. 3. Introduce generalization training and relapse prevention 4. Discuss the outcome of the therapy | 10,11,12,13, or 14 | Adolescent, Guardian (partial) |
| Module 9: Graduation |
1. Review Progress with Parents/Guardians 2. Celebrate accomplishments 3. Reiterate Relapse Prevention Strategies | 10,11,12,13, or 14 | Adolescent, Guardian (partial) |
| Modules 1–9: Family intervention |
1. Foster relationship with guardian(s) 2. Inform the Guardian about the progress of treatment. 3. Address obstacles to treatment. | Family interventions are included in each module. Up to 3 additional sessions as necessary to meet goals of the module. To include parents with or without adolescent. | |
