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Journal of Complementary and Integrative Medicine

Editor-in-Chief: Lui, Edmund

Ed. by Ko, Robert / Leung, Kelvin Sze-Yin / Saunders, Paul / Suntres, PH. D., Zacharias

CiteScore 2017: 1.41

SCImago Journal Rank (SJR) 2017: 0.472
Source Normalized Impact per Paper (SNIP) 2017: 0.564

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Return to work program efficacy with Self-Regulation Therapy (SRT®): Case study with complex trauma and concurrent disorders

Tara Miller
  • Corresponding author
  • Canadian Foundation for Trauma Research & Education, British Columbia, Canada
  • Canadian Foundation for Trauma Research & Education, 208 - 3030 Pandosy Street, Kelowna, BC V1Y 0C4, Canada
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  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2017-06-16 | DOI: https://doi.org/10.1515/jcim-2016-0011



This study shows the efficacy of treating complex cases neurobiologically using Self-Regulation Therapy (SRT®) within the context of return to work goals.

Case presentation

This is a single case study of a 32-year-old white female. This case study follows a client with concurrent diagnoses of post-traumatic stress disorder (PTSD), bipolar disorder I and substance abuse over the course of 2 years of treatment with SRT®. Using SRT® as primary modality and Likert Scale self-report on the Zettl Scale of Dysregulation, psychiatric medication monitoring and pharmaceutical tracking, this study shows session summaries and progress.


After six sessions the client was cleared by her psychiatrist for return to work. Her medications were reduced and her post-traumatic symptoms abated. She no longer met diagnostic criteria for PTSD or substance abuse after nine sessions. She returned to work successfully and maintained sobriety and continued symptom reduction. Follow up over a 2-year time period showed consistency and continued improvements in both her professional and her personal life.


Clients with complex traumatic history with concurrent diagnosis are typically difficult to treat in traditional psychotherapy with limited long-term success. This creates challenges in therapy because the traumas occur during key developmental periods of life. This study shows the efficacy of treating complex cases neurobiologically using SRT®. Using SRT®, clinicians are able to address both developmental and complex trauma to reduce sympathetic arousal in the nervous system providing symptom reduction and even resolution of previous clinical diagnoses.

Keywords: mental health; neurobiological treatment; PTSD; self regulation therapy; trauma therapy


  • 1.

    Zettl L. Psychological anatomy: Developmental neuromuscular affective integration. CFTRE Press, Kelowna, BC, 2014 .Google Scholar

  • 2.

    Porges S. The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. New York, NY: W.W. Norton & Company, Inc., 2011.Google Scholar

  • 3.

    Scaer R. The trauma spectrum: Hidden wounds and human resiliency. New York, NY: W.W. Norton & Company, Inc., 2005.Google Scholar

  • 4.

    Post RM, Weiss SRB, Smith M, Li H, McCann U. Annals of the New York academy of sciences. Volume 821, Psychobiology of posttraumatic stress disorder, June 1997:285–295. Article first published online: 17 DEC 2006 DOI: 10.1111/j.1749-6632.1997.tb48287.x.CrossrefGoogle Scholar

  • 5.

    Schore AN. Relational trauma and the developing right brain: The neurobiology of broken attachment bonds. In: Barandon T, editors. Relational trauma in infancy. London: Routledge, 2010:19–47.Google Scholar

About the article

Tara Miller

Tara Miller received her MC (Master of Counselling) with distinction from Gonzaga University (Washington) and is a Registered Clinical Counsellor (RCC) with the BC Association of Clinical Counsellors. She has advanced level post graduate training in Self Regulation Therapy (SRT®) from the Canadian Foundation for Trauma Research and Education and runs a private psychotherapy practice in Kelowna, BC.

Received: 2016-01-25

Accepted: 2017-03-21

Published Online: 2017-06-16

Citation Information: Journal of Complementary and Integrative Medicine, Volume 14, Issue 3, 20160011, ISSN (Online) 1553-3840, DOI: https://doi.org/10.1515/jcim-2016-0011.

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