Registrar Resources

A compilation of useful resources for clinicians new to working with trauma, particularly those rotating through the Austin’s Psychological Trauma Recovery Service or Phoenix Australia’s psychiatry clinic.

Clinician-facing resources

  • Phoenix Australia’s PTSD guidelines are the nationally endorsed NHMRC-funded guidelines for Australia, and also inform several international guidelines. They provide an accessible overview of currently accepted best practice.
  • For a broader, detailed understanding about the state of the science in understanding and treating PTSD, I recommend this comprehensive 2024 review[1]
  • Nightmare rescripting / imagery rehearsal training can be a useful 6-session intervention to implement in the unit. Phoenix Australia produce a short manual here.
  • Guidelines for the Diagnosis and Treatment of PTSD in emergency service workers produced by Black Dog Institute, Phoenix Australia, University of Melbourne and St John of God.
  • Open Arms’ military and veteran culture resources for clinicians can be very useful for working effectively with this population though, as always, consumers will be your best guide.
  • It is worth at least looking through the CAPS-5,a structured clinical interview for PTSD commonly used in treatment research. It can give you some verbatim pointers on taking a trauma clinical history, and also gives you a sense of perspective in interpreting research studies (a more intuitive grasp of what, for example, a 5-point drop really means in practice).
  • The International Society of Traumatic Stress Studies also produces some clinical resources and run an annual conference.
  • The UK Trauma Council also has some great resources for both clinicians and consumers / carers of younger children.

For carers and consumers

  • For consumer-facing information on medications, I prefere to use Choice and Medications, which are evidence based and very practical.
  • In a disaster setting, Phoenix Australia’s disaster mental health hub has a lot of resources for both clinicians and consumers/carers. Many of the information sheets are applicable to other drivers of PTSD and available in multiple languages.
  • Online education platforms like Coursera or Future Learn offer cheap or low-cost courses on a range of topics for those wanting to explore their readiness to return to formal education or re-training.

Apps

I and/or close colleagues have had good experiences with the following apps and digital services. I haven’t tested them all personally.

App Overview
PTSD Coach Developed by the (US) Department of Veterans’ Affairs (VA), it includes a lot of educational materials plus some skills and symptom tracking functions.
CPT Coach Another VA app, this is a companion app to Cognitive Processing Therapy and includes digital versions of CPT worksheets and assignments.
PE Coach As above, for Prolonged Exposure.
Ahead An app focused on developing emotion recognition and management skills. Can be particularly helpful for those struggling with problem anger.
Reframe An app to support behavioural change around alcohol.
I am Sober A sobriety tracking app to support and reward behavioural change. Some consumers have noted using it for other challenges like self-harm.
Beyond Now An app to support suicide safety planning.
Smiling mind Free app with a focus on relaxation skills
Insight timer Free meditation / mindfulness app
How We Feel A wellbeing journal with a nice UI that can be particularly helpful for those with alexithymia (difficulty identifying emotions)
Goblin.tools A set of mostly AI-based tools for the neurodiverse (but helpful for others too!). Free on the website, with paid apps.
Finch Bills itself as a ‘self care companion’, geared towards younger cohorts but very highly rated.
Betwixt A fantasy-based therapeutic adventure game to support self-exploration.
Mello Another evidence-based app for younger people developed by Orygen Digital.
Slowly Not a mental health app per se but aims to recreate ‘pen pals’ for a digital age and can be a gentle start to help people reconnect with others.

And finally, for Android users Minimalist Phone can be helpful for reducing screen time - particularly with the app delay and timer functions enabled.

Digital services

Service Overview
More Good Days Digital chronic pain management (disclosure: I am an advisor with equity)
SANE Australia SANE run a range of digital programs including the largest mental health forums in Australia (disclosure: I am an advisor)
This Way Up Online self-directed courses for a range of challenges, including insomnia. They’re free with a referral.

Books and their companions

Service Overview
Invisible Obvious by Tim Peck Written by a police detective (and colleague) about his journey through and beyond mental ill health.
Line in the Sand by Dean Yates Another memoir by an Australian reported who developed PTSD. He also wrote this essay about his experiences, including time in Ward 17.
Atomic Habits by James Clear A best seller on behavioural change in small increments.
  • For those interested in dietary interventions, I suggest checking out Deakin University’s Food and Mood Centre, who conducted one of the first clinical trials of a dietary intervention for depression. Known as the SMILES trial[2], it showed improvements in both dietary quality and mood. The ‘supplementary materials’ from that research paper has a lot of accessible information to support implementing the changes in your own life.
  • Current research (and non-research) projects I’m involved in are here, several of which are open for enrollment and have a therapeutic focus.

References

  1. L. Burback, S. Brémault-Phillips, M. Nijdam, A. McFarlane, and E. Vermetten, Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review, Current Neuropharmacology, vol. 22, no. 4, pp. 557–635, 2024. doi:10.2174/1570159X21666230428091433
  2. R. Opie, A. O’Neil, F. Jacka, J. Pizzinga, and C. Itsiopoulos, A modified Mediterranean dietary intervention for adults with major depression: Dietary protocol and feasibility data from the SMILES trial, Nutritional Neuroscience, vol. 21, no. 7, pp. 487–501, 2018. doi:10.1080/1028415X.2017.1312841
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