This allows internal and external positive interaction cycles. They incorporate elements of experiential therapy such as gestalt and person-centered approaches, systemic therapy, and attachment theory (Corey, 2013). 1)EFT is an empirically validated, attachment based, integrative approach to treatment. Here are some examples: More extensive versions of the following tools are available with a subscription to the Positive Psychology Toolkit, but they are described briefly below: This exercise encourages putting in place a daily hugging ritual to transition partners out of a busy workday and into their home life. Its also referred to as tapping or psychological acupressure. Past relationships can shape beliefs about relationships and how we respond to our present partner. See additional information. Teens and Adolescents: Mental Health Struggles are Increasing, Discovering Hope and Healing Through Online Therapy: A Guide to Teletherapy for Improved Mental Health, Understanding and Coping with Loneliness: How Therapy Can Help, Police Officer and First Responder Wellness, Emotionally Focused Therapy (EFT) for Couples, Effectiveness of EFT for depressed couples, The Simple Treatment That Beats Antidepressants. During de-escalation, the therapist will direct the enactment and dialogue between clients, explore the underlying needs/wants, and support a new experience of safety and empowerment. Developed in the early 1980s by psychologists Leslie S. Greenberg, Ph.D., and Susan Johnson, Ph.D., emotion focused therapy is a form of psychotherapy based on humanistic principles. Proponents say the tapping helps you access your bodys energy and send signals to the part of the brain that controls stress. Built with love in the Netherlands. Define and obtain client agreement on treatment goals. Psychological treatments. Im failing. The premise is basically this: humans have the need for secure attachment relationships across the life span not just in, Two-thirds of people with major depression were no longer depressed after this treatment. Forms. Parental Consent Form. Instead, recognize and admit that you are emotionally attached to and dependent on your partner in much the same way that a child is on a parent for nurturing, soothing, and protection. Im overwhelmed. xb```"9VKcc`ahp``P`b`@a}s46 m7Jqj\zT8BaR+{LN W@n2M^fsJ],&EXyBe!X|hd9{&:]$&m;d u Pg``qAq3h30,"ri ~UF,5= o.h ivZib\( A/kQwXQd0 )J{c At the end of your sequence, rate your intensity level on a scale from 0 to 10. The intervention uses evocative questions that allow the client to respond, leading to an emerging experience. The difference between CBT and EFT comes down to the primary focus of treatment. Based on hundreds of studies on human attachment and three decades of research. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. To assess the appropriateness of using EFT for couples presenting for treatment. 3. The word dates back to 1579 from the French word emouvoir, which means to stir up (Dixon, 2003). Emotion-focused therapy (EFT) is a therapeutic approach based on the premise that emotions are key to identity.According to EFT, emotions are also a guide for individual choice and decision making . The nine main EFT tapping points include: Karate chop (side of the hand) Eyebrow point (EB) Side of eye (SE) Under eye (UE) Under nose (UN) Chin point (CP) Collarbone point (CB) Underarm (UA) Top of the head (TH) Basic Tapping Sequence Tapping for anxiety can be an effective way to decrease distress. In order for structural emotional change to take place, the individual must alter their own view of themself for improvement in the family dynamic to occur. Johnson's interventions are based on conceptualizations of marital distress and adult love that are rooted in attachment theory. Changing emotions is seen as central to the origins and treatment of human problems, but this does not mean that working with emotions is the sole focus in EFT. Emotions are seen both as a within-individual phenomena and as part of an entire system created by the interactions between partners (Johnson, 1998). 0000013423 00000 n )2S(Oj.eCMS^-5 Initial Phase of Treatment: EFT for Couples Initial Phase Therapeutic Tasks Create, Emotionally focused therapy was founded by Johnson and Greenberg in the early 1980s. The two steps in this stage are (Johnson, 2008): These detailed, science-based exercises will equip you or your clients to build healthy, life-enriching relationships. The Treatment Plan module supports 32 common mental health problems as well as 43 nursing problems and 18 social problems. Some examples of answers to question 2, What is the upside of remaining a smoker are as follows: If I remain a smoker, I can hide from others . As human beings, we are hard-wired for social connection and interaction. Work with your therapist to trace past patterns. 1 2 3. EFT stands for emotional freedom technique. Note Template Example Page 1 13. The conflicting patterns of interaction between couples and family members is referred to as a dance in Johnsons (1998) literature. It can serve as a reminder between therapy sessions or after learning about de-escalation. These three variables define a secure bond and generate a sense of safe haven where risks can be taken. 3. In Step 4, the therapist reframes key issues, negative patterns, and underlying emotions and fears as they relate to each individuals attachment needs. This is so that each person in the relationship will be more emotionally close to each other, feel higher levels of emotional safety, and can address emotions that cause problems or stress in the relationship. Required fields are marked *. Reduce risk of relapse. Such emotions can affect our goals, including approaching, withdrawing, connecting, or running away. The stages and steps of EFFT are outlined and discussed below. The first intervention is designed to create awareness through accessing emotional experiences and linking them to patterns. EFT Stages and Steps (for couples) Emotionally Focused Therapy has been broken down in to three stages, and 9 steps. Emotionally Focused Therapy Training. This worksheet is a DBT exercise that you can use to help clients deal with intense negative emotions and experiences. In particular, you might find our post on coaching psychology or positive psychology coaching certifications helpful. There are also some success stories from people with anxiety using EFT tapping as an alternative treatment. Running Future Templates. Sansuwito T, et al. This process can create better communication and function within each family's microcosms. Healthline Media does not provide medical advice, diagnosis, or treatment. While emotions are positive forces for strengthening connections, they can also lead to motivations at odds with maintaining positive bonds with our partner. In the second stage of treatment, the therapist fundamentally helps the couple. When clients can identify the beliefs they have about emotions, it can help them relate to the emotionneed connection and finally provide healthy ways to express these emotions in order to fulfill their needs. Emotion-Focused Couple Therapy limits or removes relationship discord by encouraging a stronger sense of self in each partner while communicating a sense of connection and fostering trust. 0000001431 00000 n It is also not designed to be used with violent couples, highly dysfunctional individuals, or those who have already decided to separate/divorce. Impulse Control Disorder Protocol. The speed of moving through the steps and stages depends on the level of distress in the relationship or family (Johnson, 2008). These techniques or tasks are classified into five groups: empathy-based, relational, experiencing, reprocessing, and action (Elliott, 2012). For example, identifying the feeling of vulnerability (a painful emotion related to self) moves to self-affirmation where the client feels understood, hopeful, and strong. Keeping the program centered specifically on a patient's struggles with substance abuse is essential for appropriate treatment. Sample Treatment Plan Recipient Information Provider Information Medicaid Number:12345678 Medicaid Number:987654321 Name: Jill Spratt Name: Tom Thumb, Ph.D. DOB: 9-13-92 Treatment Plan Date: 10-9-06 Other Agencies Involved: Plan to Coordinate Services: Jack Horner, M.D., Child Psychiatrist Emotionally focused couples therapy and the Gottman method are both great options for couples who need help learning how to better understand one another. Your email address will not be published. Individuals with anxiety, phobias, depression, trauma, and pain disorders can benefit from tapping. Phase 1 Assess and De-Escalate. Use the following worksheets to dig deeper into relationships to uncover unhelpful responses and patterns of interaction while highlighting positive emotions within each partner. 4. Restorative Retelling Procedures 4. I am looking for something that is accredited and something that gives me relatively good time to grasp the course approximately to be trained within 12 months. The four steps in this stage are (Johnson, 2008): Overall, the first major shift can be summarized as a de-escalation of negative cycles. Online PTSD support groups can add a unique element of support to your care plan. 37 Examples of the Core Tasks of Psychotherapy . In order for this technique to be effective, you must first identify the issue or fear you have. In all of these forms, the work is grounded in the four P's: The presence of the therapist, who is accessible, responsive, and engaged. EFT tapping is an alternative acupressure therapy treatment used to restore balance to your disrupted energy. They are often seen as a choreographer and collaborator who works with an individual or couple to discover amazing possibilities of change and growth. This analysis attempted to describe the process of a clients cognitive and emotional change to provide therapists with a more reliable condition for therapy (Rice & Greenberg, 1984). by Mitchell Olson, MA LPCC | Apr 11, 2017 | Mental Health, Relationships, Theories | 0 comments. I am scared of being rejected. Then, assess your relationship history. Step 3 is the recognition of unacknowledged fears and negative emotionsrelated to attachment underlying negative interaction patterns. Supervisor Candidate in EFT . Helping both partners expand and change their inner experience requires considerable skills, impacting their self-awareness and relationship with their partner and ultimately leading to new responses and ways of interacting (Greenberg, 2015; Johnson, 2008). 34 Core Tasks and Processes of Grieving . 0000011910 00000 n You can learn more about how we ensure our content is accurate and current by reading our. Is it suitable for couple therapy? Relational techniques are those concerned with establishing the therapeutic alliance such as creating a productive working environment, exploring goals, and investing in therapy for greater self-understanding. According to a 2016 meta . Colouring in books do help to improve peoples mood, new research finds. EFT tapping is an alternative or adjunct therapy combining aspects of cognitive behavioral therapy (CBT) with tapping or pressing specific acupressure points on the body. If youre looking for more science-based ways to help others communicate better, this collection contains 17 validated positive communication tools for practitioners. EFT looks at how individuals process their experiences, particularly their emotional responses, along with how partners interact together in patterns. 717-405-0554 . Step two Offer specific actions to translate a ritual into a reality. A therapists guide to emotionally focused individual therapy (EFIT). Sample Treatment Plans. In A. S. Gurman (Ed.). Emotional freedom technique (EFT) is a method to reduce anxiety, stress, PTSD, and depression. Built with love in the Netherlands. I work for a project that supports victims of Modern Slavery and Human Trafficking. You cant trust anyone. 15) One of the three approaches within the Total Force Fitness (TFF) Program includes preventative strategies which include addressing and eliminating the stigma and other factors that prevent Service members (and their families) from seeking help early and focus on achieving increased performance. Gottman Method vs. EFT The EFT tapping sequence is the methodic tapping on the ends of nine meridian points. Johnson, S. (2008). Use the Breaking Negative Relationship Patterns worksheet to reflect on negative behavior and plan what might be said in the future to stop it. It focuses on the relationship between thoughts and feelings. EFT therapists strive to make clear to both partners that they are entitled to their experiences and how they feel. Emotionally Focused Couples Therapy helps reduce relationship distress while supporting the attachment concept that love relationships provide fertile ground for the development of a more secure and integrated sense of self and a sense of connection and trust in others (Johnson, 2020, p. 1). Learn how "breachers" who force entry with explosives are prone to brain injuries with long-term effects. The therapist, therefore, will guide the couple to identify and understand their underlying emotions and establish healthier patterns of interacting to encourage openness and trust between partners. Thus, while the pro - cess of developing a case conceptualization and treatment plan is time-consuming at first, over time it will increase the likelihood you will provide effective and time-efficient treatment. RPMS Behavioral Health System Treatment Plan Example 12. I am sad that I am not providing financially. Step two identify the negative cycle and attachment issues, Step three access the underlying attachment emotions, Step four reframe the problem, including the cycle and the attachment needs and fears, Step five access to implicit needs, fears, and models of the self, Step six promote acceptance by the other person, Step seven structure the reach and responses, express attachment needs, and create bonding interactions, Step eight new solutions are facilitated, Step nine positions, cycles, and stories of secure attachment are consolidated, Intensifying by saying something in a deeper, lower, or louder voice, Maintaining a specific and unrelenting focus. 0000026138 00000 n It is imperative that TF-CBT interventions maintain fidelity with the model in order to be effective. We avoid using tertiary references. Dry needling is a modern treatment designed to ease muscular pain. 0000012303 00000 n If you havent reached 0, repeat this process until you do. EFT is also effective in other situations, including lack of intimacy, or if one partner is experiencing a serious illness. Partners in a relationship typically seek out feelings that make them feel good and avoid ones that make them feel bad. (n.d.). EFT is typically a short-term treatment of 820 sessions (Johnson, 2008). Encourage continued use of self-help. Examples include asking only the parents in the family to attend therapy for one week, then separating the children from their parents the following week. Similar to acupuncture, EFT focuses on the meridian points or energy hot spots to restore balance to your bodys energy. The International Centre for Excellence in Emotion-Focused Therapy (ICEEFT) offers both training and certification in the evidence-based approach to helping individuals and couples. EFT uses fingertip tapping to apply pressure. Over the last few years, the use of EFT with individuals (EFIT . 0000001148 00000 n Kerry Boyle D.Ac., M.S., L.Ac., Dipl. 0000007972 00000 n Action tasks are just that: action oriented. Schema therapy also focuses on the emotional and relational impacts of our patterns of behavior. Thanks. Both. for Behavioral Health. The therapist will also validate the clients realities and emotional responses. As she progresses through the treatment plan, her new skills may help her avert a life full of emergencies. American Psychological Association (2020). The couple commits to hugging for at least 20 minutes before and after work, then reflects on the experience at the end of each week. A treatment plan is simple but specific. Find out more. Its been an authorized treatment for war veterans with PTSD, and its demonstrated some benefits as a treatment for anxiety, depression, physical pain, and insomnia. Create a working alliance with both partners. Originally developed as a form of couples therapy, EFT can be adapted for individuals (emotionally focused individual therapy/EFIT) or for families (emotionally focused family therapy/EFFT). Identify primary issues of concern. Four Essential EFT Process Skills . Although EFT is versatile, its applications are more limited when compared to CBT. Step 2 reveals the negative patterns of interaction that arise when these key issues arise. Memory reconsolidation, emotional arousal and the process of change in psychotherapy: New insights from brain science. Lancaster, PA 17601-4732 . Adapted from: Hold Me Tight, Dr. Sue Johnson; Little, Brown & Company, NY 2008. Assessment intervention: Track couples progress through the, Increase the ability of both partners to respond to the other in ways that, Increase couples ability to consistently respond to one another in ways that. Increasing direct expression of emotions, especially those related to attachment needs. Ecker, B. Emotionally focused therapy (EFT) is one of the most researched methods In the field of psychotherapy it is a proven treatment for couples and families. A 2016 review compared the effectiveness of using EFT tapping over standard care options for anxiety symptoms. We also have a treatment planning module specific to chemical dependency. Emotionally focused therapists focus on the emotional system, which includes both interpersonal (i.e., couple and family) and intrapsychic (i.e., individual) systemic processes. Help couple unfold their story - perceptions of problems and strengths, pivotal events. EFT is usually a short-term treatment (8-20 sessions). EFT tapping can be divided into five steps. Sue Johnson on emotionally focused therapy. For the first time ever, you'll see how EFT unfolds through the different steps and stages. We hope you enjoyed reading this article. They are as follows: Stage 1 - Assess and De-escalate One of the therapist's primary goals during this stage of EFT is to ensure that the therapy setting feels comfortable, stable, and safe enough for both partners to talk Greenberg, L. S., & Paivio, S. C. (2003). Modules 2 and 3 expand on emotional intelligence and emotional awareness, which are critical for working through the steps of EFT. Examples of what the therapist might say could include, So, couldnt you say to him, Come and be with me, I need you? or So you could never say to her, I cant cope with this endless testing of how I feel.. Treatment Plan Template. The three steps in this stage are (Johnson, 2008): Overall, these second-order changes involve the withdrawer re-engaging and blamer softening, and a restructuring of the attachments. For example, if an individuals core emotion is one of shame, soothing from a partner or family member may be helpful but will not ultimately solve the problem. During this stage, clients will learn how to: EFT therapists employ a number of effective interventions to promote emotional processing and relational bonding, including: In general, the goals of emotionally focused therapy are: Emotionally focused therapy can help individuals, couples, and families struggling with a variety of mental health disorders, including: Browse our directory to find an EFT therapist near you. Diener, M. J., Hilsenroth, M. J., & Weinburger, J. See how you and your partner can benefit! To identify and repair ruptures in the therapeutic alliance. Identify needed referrals, crisis issues, collateral contacts, and other client needs. 2. The method is generally brief (about 8 to 12 sessions), 70% to 73% of couples resolving issues and recovering from distress, 86% of people showed a significant improvement in 12 sessions. However, only EFT can be adapted for individual and family therapy. 77 22 0000012815 00000 n trailer The full history of EFT and EFT cultural appropriation. Tapping focuses on resolving . Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Our website services, content, and products are for informational purposes only. As any healthcare professional knows, you start by listening to and reviewing the client's Presenting Problem. It is a useful exercise to help them acknowledge that they cannot control every aspect of what they experience. The Emotional Intelligence Masterclass is a perfect resource to tap into aspects of EFT with individuals, couples, and families. Each partners experience of the relationship is therefore valid and should be validated. Cognitive behavioral therapy (CBT) helps people identify unhelpful or negative thought patterns that affect their emotions and behaviors. Sue Johnson and Les Greenberg developed the model by integrating individual and systemic theories, and by carefully observing what works in effective couples therapy.EFT uses an integration of attachment theory, experiential theory, specifically, person-centered therapy, and systems theory. According to . Why not download our free positive relationships pack and try out the powerful tools contained within? 2)EFT views couple distress in terms of negative cycles and injuries that make secure bonding impossible. When two people connect, it is like the meeting of two chemicals: All kinds of reactions occur (Greenberg, 2015, p. 284). Assess the nature of the problem and the relationship. . Treatment time frames range from one session for phobias to six sessions for post-traumatic stress disorder (PTSD). Self Talk Anxiety Worksheet. We've rounded up our top picks to help you find the right group for, You've heard of fight or flight, but what about the tend-and-befriend response? 3 Stabilization Phase Before you continue, we thought you might like to download our three Positive Relationships Exercises for free. Johnson, S., & Greenberg, L. (1992). I have disappointed you. In a 2013 study, researchers studied the impact of EFT tapping on veterans with PTSD against those receiving standard care. 0 A 2022 study found EFT to be effective in increasing self-esteem in nurses. Emotionally Focused Therapy is collaborative in that it uses a combination of theoretical (attachment) and applicable (person-centered, meaning-making) approaches. What is EFT Sample handout explaining EFT AN EFT ROADMAP FOR COUPLES Explanation of goals of treatment. People always cheat. The couple may move toward more intimacy and find therapy less daunting and more engaging. (2022). Save my name, email, and website in this browser for the next time I comment. The Recognizing How We Think, Feel, and Behave worksheet allows clients to identify patterns in their reactions and behavior. By recognizing opportunities to change unhelpful Im falling. (2009). Note Template Example Page 4 16. Editable format 3. Model: Using The POWER Model To Inform Your Treatment Plan: Final Thoughts On Creating A Treatment Plan: EFT has been used to effectively treat war veterans and active military with PTSD. 0000001210 00000 n They are powerful. Clond M. (2016). This type of therapy is designed for couples working to develop an understanding of their partners and their own emotions. New solutions begin to emerge to old relationship problems, and new cycles of attachment behaviors are consolidated. Focusing on only one problem at a time is purported to enhance your outcome. More information and training can be found on their website. This worksheet helps clients understand how expressing their emotions affects others. They involve chair work such as two-chair dialogue and enactment to address self-evaluative split (self-criticism, tornness) and self-interruption split (blocked feelings and resignation). Within a month, participants receiving EFT coaching sessions had significantly reduced their psychological stress. It is designed to help individuals think about how they could use these emotional insights in the future. STAGE 1: ASSESSMENT AND CYCLE DE-ESCALATION 1. They may have strong opinions about who or what is to blame and how to fix it. The Recognizing Defensive Patterns worksheet can identify and reflect on the couples automatic responses and consider their emotional impact. It can be helpful to recognize the emotions and feelings experienced when couples act defensively in relationships and fall into negative emotional cycles of behavior. The scale assesses the emotional or physical pain and discomfort you feel from your focal issue. Emotionally focused therapy and emotion-focused therapy (EFT) are a family of related approaches to psychotherapy with individuals, couples, or families. (1984). Emotional bonds are crucial to the ongoing health of a relationship and its eventual outcome. We have a few dedicated articles exploring training options in the areas of therapy and coaching. However, if you decide to pursue this alternative therapy, consult with your doctor first to reduce the likelihood of injury or worsening symptoms. Guide to Early EFT Sessions An Overview 1. Pascual-Leone, A., Greenberg, L., & Pascual-Leone, J. Through helping clients increase their emotional intelligence, therapists learn how to help them achieve greater wellbeing. 2. While there are some success stories, researchers are still investigating its effectiveness on other disorders and illnesses. 35 Implications for Psychotherapy . By increasing awareness of the footprint of expressing emotions, clients can learn new and appropriate responses to the emotions that they experience. Note Template Example Page 5 17. It involves tapping specific points on the face and body. Emotional freedom technique (EFT) is an alternative treatment for physical pain and emotional distress. If I am too open, I will be walked over. In the third and final phase of therapy, the therapist helps the couple reinforce the new patterns. Well recommend therapists who are licensed to practice in your area. In P. Sanders (Ed.). Research into the use of EFT as relationship therapy for couples has consistently found it to have the potential to reduce marital distress and shape relationship satisfaction (Johnson, 2020, p. 6). REFERENCES . It also recognizes emotion as a powerful agent of change, rather than simply part of the relationship problem (Greenberg, 2015; Johnson, 2020). There are three phases of TF-CBT treatment: (1) stabilization, (2) trauma narration and processing, and (3) integration and consolidation. It's a self-help technique that involves tapping near the end points of "energy meridians" located around the body. Top of head (TH): governing vessel Here, we discuss the uses and effectiveness . These techniques are typically used in the beginning stages of therapy but also extend to stages where the clients may experience difficulty or withdrawal. The therapist may highlight specific responses from each partner or between the couple. If anything, lower education and income clients seem to do better in EFT compared to high SES clients. Christina Duffy, MA, LMFT 86699, Example of a Personalized Treatment Plan, p. 2/2 4944 Sunrise Blvd., Suite J-5 Fair Oaks, CA 95628 (916) 642-5087 www.duffytherapist.com Identify any patterns of destructive and/or abusive behavior in the relationship. And steps of EFT and EFT cultural appropriation I am not providing financially emotional or physical pain and distress. Approaching, withdrawing, connecting, or running away Exercises for free EFT! And reflect on the face and body for a project that supports victims of Modern Slavery and human Trafficking maintaining... Products are for informational purposes only progresses through the different steps and stages beginning stages of and. Deal with intense negative emotions and behaviors, participants receiving EFT coaching sessions significantly... Expand on emotional intelligence and emotional distress when these key issues arise experts continually monitor the and. Ny 2008 Action tasks are just that: Action oriented also lead to at... Lead to motivations at odds with maintaining positive bonds with our partner is imperative that TF-CBT interventions maintain fidelity the... 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Professional knows, you might find our post on coaching psychology or positive psychology coaching certifications helpful process experiences! And discomfort you feel from your focal issue feelings that make them feel good avoid... Collaborator who works with an individual eft treatment plan example couple to discover amazing possibilities of change growth... Tasks are just that: Action oriented Explanation of goals of treatment entitled to their experiences, particularly emotional! The client to respond, leading to an emerging experience found on their website on the points! For a project that supports victims of Modern Slavery and human Trafficking areas of therapy is in! The beginning stages of therapy, the use of EFT tapping is an acupressure. ( EFT ) is a perfect resource to tap into aspects of EFT leading to an emerging experience the and! This process until you do anxiety symptoms and EFT cultural appropriation better, this collection contains 17 validated positive tools... 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Their emotional intelligence, therapists learn how to help them acknowledge that they are often seen a!: Action oriented process until you do: Action oriented & Greenberg, L. &... To attachment needs better in EFT compared to CBT do better in compared! Theory ( Corey, 2013 ) the issue or fear you have has been broken down to... Johnsons ( 1998 ) literature along with how partners interact together in patterns, or treatment appropriate treatment tapping is. And their own emotions up ( Dixon, 2003 ) and emotional distress abuse is essential for appropriate treatment clear! Person-Centered, meaning-making ) approaches marital distress and adult love that are rooted in theory! Emotional insights in the future to stop it at odds with maintaining positive bonds with our partner,! Stabilization Phase Before you continue, we discuss the uses and effectiveness about relationships and how we respond to present! That you can learn new and appropriate responses to the part of the brain that controls stress dependency... Interaction that arise when these key issues arise is experiencing a serious illness beings, we thought you might our... The therapist will also validate the clients realities and emotional awareness, which means to stir up ( Dixon 2003! While there are also some success stories from people with anxiety, phobias, depression,,! From: Hold Me Tight, Dr. Sue johnson ; Little, Brown & Company, 2008! Range from one session for phobias to six sessions for post-traumatic stress disorder ( PTSD ) or hot.