Treatment - in general

There are great differences between people and the ways in which they deal with their problems. Therefore, each treatment plan is drawn up on the basis of a patient’s personal possibilities, needs and wishes.

Foundation Centrum ’45 offers patients treatments in the outpatient clinic, the day clinic (one-day part-time treatment) and the clinic.

Treatment follows care pathways, with first of all a careful mapping of the patient’s problem areas. The diagnosis is established either in the outpatient clinic (intake interviews) or in the day clinic (stocktaking stage day clinic) or in the clinic (diagnostics department). Patients are asked to fill in questionnaires on a regular basis to take stock of the complaints and problems; at a later stage, questionnaires are again used to assess the effect of the treatment (ROM: Routine Outcome Monitoring).

Emphasis may come to be placed on either one or on several problem areas. For instance, the emphasis may lay on regaining stability or regaining control over the complaints (so-called ‘stabilisation’). If possible, efforts will be made to help you work through the traumatic experiences. Foundation Centrum ’45 has customized forms of treatment on offer for the purpose. These include EMDR, NET, BEPP or exposure / cognitive behavioural therapy (CBT).

Quite often, there are also other psychological problems that require treatment, such as depressive complaints, anxiety complaints, problems related to substance abuse, problems in one’s personal functioning or physical complaints. These can sometimes be treated at Centrum ’45; sometimes they need to be tackled elsewhere. Psychotrauma may lead to partner relationship problems or family problems. Centrum ’45 has a number of specialist treatment programmes in place for these.

Aim of the treatments is for the complaints to decrease and for the patient to be able to give the traumatic experiences and their consequences their proper place in his or her daily routine.

The most common forms of treatment are:

  • Psychotherapy;
  • Non-verbal therapy;
  • Sociotherapy;
  • Treatment with medication.

Psychotherapy
Psychotherapy, either in groups or individually, occupies an important place in Foundation Centrum ’45. Psychotherapy is so much more than just talking. It can teach you to look at things differently, to alter behaviours or to handle (people in) your direct environment better. Every client will meet it in some form or another. Treatment consists of talks with a psychotherapist. No-one can entirely take the weight of experiences off your shoulders. But others (therapists and fellow patients) can help you work through these traumatic experiences in such a way that they impact your current life less strongly. (see leaflets NVvP)
 
Non-verbal therapy
Non-verbal therapy is the collective term for all forms of treatment that are not based on talking. These include creative therapy, psychomotor therapy and music therapy.
In creative therapy, drawing, painting or modelling are the languages which with you express and relate experiences and feelings. Traumatic experiences can be worked through or other problems can be tackled using this technique. Making a piece of work, typically together with others, is an important step towards sharing your own experiences with other people.
Problems can also be addressed with therapy forms that focus on body language, such as dance, play and expression. These seek to restore the balance between feeling, posture and behaviour. Take, for instance, psychomotor therapy. Movement and exercises geared to body perception can help achieve various treatment goals.

Through sensory perception, music therapy enables you to get in touch again with your own emotions and to make contact with others. Musical play gets emotions going and furthers their expression. In many cultures expressing yourself via music is very much a matter of course as well as, often, a social happening. Music therapy can help people express their emotions. Music therapy can also help build bridges between very different people from very different cultures.

Sociotherapy
Sociotherapy targets the here and now. In individual and in group talks, sociotherapy teaches you how to deal with your complaints. Further, sociotherapy ensures that the therapeutic group climate is a safe one. Such a group climate makes it easier to work towards your treatment goals, and creates opportunities for you to learn socially from and with each other.
 
Treatment with medication
It is occasionally beneficial or necessary to treat people with psychotrauma complaints with specific medication, for instance, for depressions, sleeping problems or fears. Foundation Centrum ’45 mostly prescribes medication in conjunction with other, non-medicinal forms of treatment.
 

Coping with the shock: MIRROR self test
If you find yourself in life-threatening situations or endure other unexpected and shocking or distressing events, you are confronted with intense feelings of fear, powerlessness, vulnerability, and helplessness. It is possible that you develop complaints as a result. Fortunately, these often disappear of their own accord. People are resilient; they usually have a natural ability to restore their health. The website MIRROR focuses on ‘empowerment’, and aims to explain and clarify normal reactions to distressing events and offers you tools to help you cope with and process the overwhelming event on your own as much as possible. Not everyone recovers under their own steam, though. For this reason, this website also provides links to help and counselling.