How our service can help you
The Trauma and Dissociation Service (TDS) is a national specialist, outpatient assessment, consultation and treatment service for adults who are suffering psychological difficulties following trauma and/or dissociative disorders. We assess and treat survivors of a range of traumatic events (both adult and childhood) including domestic violence, childhood abuse, assault, torture, war, rape, major disasters and accidents.
We are the only NHS specialist service offering treatment for people presenting with complex post-traumatic stress disorder (PTSD) and severe dissociative disorders.
- Treatment type: Outpatient
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Contact the service
Site Location: Maudsley Hospital Email: TDS@slam.nhs.uk Phone Number: 020 3228 2969 -
Address:
Maudsley Hospital
Denmark Hill,London, SE5 8AZ - Conditions: Trauma, Dissociation, Outpatients
Other essential information
Interventions
NICE guidelines
- Eye movement desensitisation and reprocessing (EMDR)
- Trauma-focussed cognitive behavioural therapy (TF-CBT)
- Dialectical behaviour therapy (DBT) - informed therapy
Attachment-based therapies
- Individual sensorimotor psychotherapy (SMP)
- Individual lifespan integration therapy (LI)
Group therapy
- Sensorimotor psychotherapy (SMP)
- For survivors of childhood sexual and physical abuse (CSA)
- Systemic therapy for individuals and families
- Psycho-education family sessions
- Medication advice
All therapy, whether group or individual, is time limited. Treatment includes a range of interventions lasting between 14 and 24 sessions, for simpler cases, and for up to three to five years for more complex cases.
Eligibility criteria
Eligibility criteria
- 18 years and over
- A diagnosis of post-traumatic stress disorder (PTSD), complex post-traumatic stress disorder (C-PTSD), dissociative disorders for example reliving traumatic experiences through flashbacks, nightmares and avoidance symptoms
- Treatment resistant PTSD/dissociative disorders
- PTSD with comorbid disorders when standard treatments have not been effective Symptoms of depression, anxiety, psychosis, dissociation and personality disorders
- People with head injuries and PTSD
- Survivors of childhood abuse (physical, sexual or neglect)
- Survivors of domestic violence
- Asylum seekers, refugees and veterans
- For complex trauma cases we often request that the patient is supported by their local community mental health team (CMHT) before therapy can commence
- If patient is being referred by a short-term intervention services (e.g. A&E or community liaison services) the GP must be made aware of the referral.
Exclusion criteria*
- Active psychosis
- Active suicide risk
- Severe self-harm
- Significant risk of harm to self or others including severe eating disorders
- Current alcohol or drug abuse and/or dependency
- When primary issues are forensic related
- Severe learning difficulties
- Severe pain or disability that may interfere with the treatments
- This is not a conclusive list of exclusion criteria as there are other clinical/social factors that may impact the final referral outcome of the clinical decision to exclude
*Some of these exclusion criteria may be suitable for second opinion assessments on a case-by-case basis. Please send specific enquiries to TDS@slam.nhs.uk
Outcomes
- Diagnosis or differential diagnosis
- Proposed treatment plan
- Reduction in symptoms
- Reduction in risk behaviour
- Enhanced self-esteem
- Improvement in interpersonal relationships and quality of life
Care Options
Referrals
Please complete this referral form referral-form-2020 and email to tds@slam.nhs.uk