Trauma, emotions, and adolescence: A transdiagnostic approach to treat severe dysregulation using emotion-focused therapy

Volume 1, Issue 1 (Jun-Aug 2025)

Authors: Mitisha Banerjee and Mohini Thukran

DOI: doi.org/10.64848/WJST.1.1.2025.57-68

Page No: 57-68

Keywords: Emotional dysregulation, Emotion-focused therapy, Adolescence, Trauma-informed interventions

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Abstract

Adolescence is an age of varied concerns and widespread challenges whether intrinsic factors such as hormonal changes, self-esteem issues or body image concerns, or, extrinsic factors like peer pressure, meeting familial expectations or cyber influence. Congruent to the same, this clinical case examines the clinical presentation of a 16-year-old female with severe emotional dysregulation, interpersonal difficulties, anger outbursts, and significant psychosocial adversity. Assessment using clinical interviews, standardized rating scales, and projective tests indicated features suggestive of Bipolar I Disorder (Mixed Episode) and emerging personality pathology. The case was conceptualized using the transdiagnostic model of Emotion-Focused Therapy (EFT), emphasizing the role of early relational trauma, emotional avoidance, and maladaptive coping. Intervention focused on grounding techniques, emotional processing, and developing adaptive emotional responses. The therapy approach significantly improved affect regulation, interpersonal functioning, and overall psychological well-being. The case highlights the importance of comprehensive assessment and culturally sensitive, trauma-informed interventions in adolescent mental health care in the Indian context.