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An art therapy exercise can appear to end when the drawing is finished, the clay is put down, or the final piece of collage is attached to the page. Psychologically, however, the experience may be far from over. A client who has spent forty minutes creating an image of grief, fear, anger, childhood memories, or a difficult relationship may still be deeply connected to the feelings that emerged during the process. Someone who seemed quiet while working may suddenly become tearful when looking at the finished image. Another client may feel unexpectedly exposed after putting something private into visual form. A person working with trauma-related material may feel disoriented, activated, detached, or unable to shift attention away from what has surfaced. Simply announcing that the session is finished because time has run out can leave the client carrying emotional material without enough transition back into ordinary life.

For this reason, the ending of an art therapy exercise deserves as much clinical thought as its beginning. A well-designed closing process does not require the client to resolve the emotion, understand every symbol, or turn a difficult experience into a positive insight. Instead, it helps create a transition between creative exploration and the next part of the person's day. Depending on the client and the exercise, this may involve reflecting on what happened, reconnecting with the present environment, deciding what to do with the artwork, identifying what should remain unfinished for now, and checking whether the person feels sufficiently oriented and steady to leave the therapeutic space.

This approach is consistent with broader trauma-informed principles that emphasize safety, trustworthiness, collaboration, choice, and empowerment. The Substance Abuse and Mental Health Services Administration places physical and psychological safety at the center of trauma-informed care, and its clinical guidance specifically advises practitioners to ensure that clients are grounded and safe at the end of encounters involving trauma material (Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). Art-making can offer valuable distance from direct verbal disclosure and may help clients access difficult emotional material, but research on trauma-focused art therapy also emphasizes that the evidence base remains developing rather than supporting the assumption that any emotionally intense creative exercise is automatically beneficial.

Safe closure therefore does not mean making sure the client feels happy before they leave. It means helping them move from one psychological state to another deliberately rather than abruptly. Reflection helps them notice what occurred. Grounding helps reconnect attention with the present. Containment helps establish a boundary around material that does not need to be solved today. Together, these processes can protect the therapeutic value of art-making without demanding an artificial sense of completion.

What You Will Learn

In this article, you will learn:

• Why finishing the artwork is not always the same as finishing the therapeutic exercise.

• How reflection can support meaning-making without forcing interpretation.

• What psychological grounding is and how sensory orientation can help after emotionally activating art-making.

• How containment differs from emotional suppression or avoidance.

• Practical ways to close exercises involving grief, trauma, anger, shame, or other intense experiences.

• Why the client's artwork should not automatically be displayed, interpreted, destroyed, or taken home.

• How therapists can respond when there is not enough time to fully explore what has emerged.

• Why a safe ending is about transition and choice rather than forcing emotional resolution.

The Artwork May Be Finished While the Experience Is Still Active

Creative work can produce a deceptive sense of completion because it has a visible endpoint. The paper is full, the sculpture has taken shape, or the client announces, “I'm done.” Yet the psychological process may continue long after the hands stop moving. Art-making can provide access to feelings and memories that are difficult to approach directly, and research involving trauma-focused applications has suggested that clients may experience art therapy as providing emotional access and a degree of distance from distressing material (Campbell et al., 2016). This possibility is part of what makes art therapy meaningful, but it also means that therapists need to consider what state the client is in once the creative process stops.

Imagine a client who has been asked to create an image representing the relationship they had with a parent who died. For most of the exercise, they work silently and methodically. They draw a house, a road, and two figures. With only five minutes remaining, they add a small empty chair and suddenly begin crying. The image may technically be complete, but saying, “We need to stop now; I'll see you next week,” would ignore the shift that has just occurred.

The opposite can also happen. A piece of artwork may look intensely emotional to the therapist while the client feels calm and curious. A page covered in black paint cannot tell the therapist whether someone is overwhelmed, regulated, angry, focused, aesthetically satisfied, or simply experimenting with paint. Closure therefore depends on the person's present experience rather than on how emotionally dramatic the artwork appears.

A useful transition begins with observing rather than assuming. The therapist might ask how the client is feeling now compared with when they began, what they notice in their body, whether anything surprised them, or whether they feel ready to move away from the image. These questions treat the ending as part of the therapeutic process rather than as an administrative necessity.

Reflection Is Not the Same as Interpretation

A common way to close creative work is to discuss the finished artwork, but reflection becomes less helpful when it turns into a search for the “correct” interpretation. An image may contain symbolism, but the therapist does not need to decode every shape, color, object, or empty space before the session ends. In fact, rushing toward meaning can impose coherence on an experience that the client has only begun to understand.

Reflection can be much simpler. The therapist may ask what it was like to make the piece, which part drew the client's attention, whether there was a moment when something changed, or what the client notices when looking at it now. The emphasis shifts from “What does this artwork mean?” to “What happened while you were making it, and what is happening now?”

Consider someone who created a collage about a recent separation. The therapist notices that every human figure has been cut in half and might be tempted to interpret this immediately as fragmentation or relational rupture. The client, however, explains that the images were simply too large for the composition, so they cut them to fit. Later, the client becomes interested in the fact that one particular photograph was difficult to cut. That moment may have more personal significance than the visual pattern the therapist first noticed.

Good reflection remains curious enough to allow unexpected meanings. It also accepts that there may be no meaning available yet. A client may look at their artwork and say, “I don't know what this is.” That response does not mean the exercise failed. Sometimes an image becomes understandable only after several sessions; sometimes its significance changes over time; sometimes making it was useful even if the client never develops a coherent explanation for the result.

Closing safely means resisting the pressure to extract an insight simply because the clock is approaching the end of the session.

Why “How Do You Feel?” May Not Be Enough

Asking a client how they feel at the end of an exercise can be useful, but it is often too broad to tell the therapist whether the person is ready to transition. Someone may answer “fine” because they do not want to continue talking, because they cannot identify the emotion, because they are accustomed to minimizing distress, or because they are genuinely okay.

More specific questions often provide better information. A therapist might ask whether the client feels more activated, less activated, or about the same as before the exercise; whether they feel fully present in the room; whether their body feels settled enough to transition; or whether there is anything in the artwork that still feels difficult to move away from.

These questions do not need to become a formal checklist after every activity. Their purpose is to help therapist and client notice the current state together. Trauma-informed care emphasizes collaboration and choice rather than making the professional the sole authority on what the client needs. Asking the client what would help them shift out of the exercise can therefore be as important as deciding clinically what should happen next.

A client may say, “I don't need to talk about it anymore, but I want to cover the picture before I leave.” Another might want to sit silently for two minutes. Someone else may prefer to stand, stretch, drink water, or move to a different chair. Closing practices work best when they respond to the person rather than becoming rituals performed identically regardless of what happened.

Grounding: Reconnecting With the Here and Now

Grounding is often used in psychological and trauma-related contexts to help someone redirect attention from distressing internal experiences toward present reality. The National Center for PTSD describes grounding as focusing attention on the current situation rather than remaining absorbed in intrusive thoughts, memories, or internal reactions. Sensory attention, breathing, orienting to the environment, and noticing concrete physical sensations are among commonly described methods.

This is particularly relevant when an art exercise has brought the client close to emotionally powerful material. Someone who has created an image of a traumatic event may intellectually know that they are sitting safely in a therapy room while their body still feels caught in the remembered experience. Another client may not be having a flashback but may simply feel mentally far away, deeply absorbed, or emotionally flooded.

Grounding helps mark the distinction between the material represented in the artwork and the person's current environment. The therapist might invite the client to look around and name several objects in the room, feel both feet pressing into the floor, notice the support of the chair, describe the temperature of a glass of water, identify sounds inside and outside the room, or take a slow breath while looking at something neutral in the environment. Guidance from the National Center for PTSD similarly describes grounding through attention to the breath, the five senses, and concrete physical sensations as ways of reorienting to the present.

The aim is not to erase the emotion. A client can remain sad while becoming more oriented. They can still feel angry while noticing the room. They can carry grief without remaining fully immersed in the memory that the artwork activated. Grounding is successful not because all distress disappears but because the person regains enough contact with present reality to choose what happens next.

Grounding Should Be Matched to the Person

Not every grounding technique works for everyone. Deep breathing is often recommended, but some people find focusing on their breath uncomfortable or activating. Closing the eyes may feel calming for one client and unsafe for another. Strong sensory stimulation can interrupt dissociation for some people while overwhelming clients with sensory sensitivities.

Trauma-informed practice therefore requires options rather than rigid instructions. SAMHSA's framework emphasizes safety, collaboration, empowerment, and voice and choice, principles that are directly relevant when selecting closing techniques.

A client who dislikes breath-focused exercises might orient visually by naming five rectangular objects in the room. Someone who benefits from movement may stand and stretch or walk slowly across the space. Another person may hold a cool stone, notice the texture of the chair beneath their hands, or drink water slowly. A child may prefer a simple game involving finding objects of different shapes around the room.

The therapist should also be cautious about physical contact. When someone is disoriented or experiencing a trauma reaction, touching them unexpectedly can intensify distress. Guidance from the National Center for PTSD recommends calm verbal orientation rather than assuming touch will be reassuring when a person is experiencing a trauma-related reaction.

The underlying principle is straightforward: grounding should increase orientation and safety, not become another demand the client must perform correctly.

Containment Does Not Mean Pushing Feelings Away

The concept of containment is sometimes misunderstood. In ordinary language, “contain your emotions” can sound like suppressing them, hiding them, or forcing them under control. Therapeutic containment is different. It recognizes that a person can acknowledge an emotionally significant experience without needing to explore every part of it immediately.

This distinction becomes particularly important near the end of a session. Suppose a client has created an image related to childhood trauma and suddenly remembers an event they have never discussed before. There are eight minutes left. The therapist now faces a clinical choice. Beginning a detailed exploration simply because important material has emerged may leave the client more activated at the point when they need to leave. Ignoring the memory would also be problematic.

Containment offers a third option: acknowledge the importance of what has emerged, establish that it can be returned to, and help the client decide how to hold it between sessions. The therapist might say that the memory seems significant and deserves more time than is currently available. Together they might identify a word, title, symbol, or note that will help them return to it later. The client might place the artwork in a folder or designated storage space rather than taking it home if seeing it outside therapy feels overwhelming.

The message is not, “We are shutting this away.” It is, “This matters enough that we do not need to rush it.”

The Container Exercise as a Literal and Symbolic Boundary

Sometimes containment can be represented physically through art. A client might create an envelope, box, folder, folded paper structure, or drawn container in which emotionally charged material can be placed temporarily. A difficult drawing can be covered with another sheet. Written words can be folded inward. Small objects can be placed inside a container and returned to during a future session.

The value of this practice depends on how it is framed. If the client is told to put painful feelings into a box so that they disappear, containment may become avoidance. If the exercise communicates that difficult material can exist without requiring immediate processing, it can support pacing and agency.

Consider a client who creates several small images representing worries that feel impossible to solve. At the end of the session, rather than trying to address each concern, they place the drawings in an envelope labeled “Not ignored, not tonight.” The wording matters. The concerns are acknowledged, but the client does not have to spend the evening continuing the therapy session internally.

A containment exercise may also be entirely imaginary. The client can visualize leaving the artwork in the therapy room or imagine placing unfinished thoughts somewhere safe until the next appointment. Some clients find such symbolism meaningful; others find it artificial. As with grounding, choice matters more than adherence to a particular technique.

Deciding What Happens to the Artwork

What happens physically to an artwork after an emotionally intense exercise can influence how the session feels when it ends. Therapists should not assume that the client wants to take the piece home. An image representing abuse, grief, shame, anger, or a traumatic memory may feel manageable in the therapy environment and intrusive in a bedroom, family home, car, or workplace.

At the same time, the therapist should not automatically store or cover the artwork as though it is dangerous. Some clients feel protective of their creations and want them nearby. Others want to photograph the piece and leave the original. Someone may want the artwork placed face down. Another person may want to destroy it, although even this decision deserves a moment of reflection rather than an automatic therapeutic ritual.

The most useful question may simply be, “What would you like to happen to this between now and next time?”

This preserves ownership and agency. The client may choose to take it, leave it, cover it, fold it, place it in a portfolio, or decide later. If artwork is stored by the therapist, practical issues of privacy, confidentiality, informed consent, record-keeping, and professional policies should also be considered.

The physical placement of the artwork can become part of containment without requiring the emotional experience itself to be rejected.

Reflection Can Include the Body, Not Just the Image

Art therapy can draw attention strongly toward the visual product, yet closing reflection can also include the client's physical experience. A person may discover that they held their breath while drawing a particular section, tightened their jaw while using red paint, or felt their shoulders drop when they moved from pencil to clay.

Asking, “What do you notice in your body now?” can help the client shift attention from the story represented in the artwork toward their present state. This question can also provide information about whether further grounding is needed.

For example, a client who has been exploring anger may report that their hands are still clenched and their chest feels tight. The therapist might invite a slow physical transition by putting away materials together, washing paint from the hands, stretching the fingers, noticing the sensation of warm water, and feeling the feet against the floor. Ordinary actions become part of returning to the present.

This is not a claim that art-making mechanically “releases” stored emotion from the body. Psychological and physiological responses to trauma and stress are complex. National Center for PTSD guidance does, however, recognize relaxation, breathing, sensory orientation, and physical awareness as practical ways of helping people manage stress reactions and reorient following trauma reminders.

The body can therefore become part of closing without requiring speculative explanations about what particular sensations mean.

Ending an Exercise About Grief

Grief-oriented art therapy presents a particular challenge because the goal is not necessarily to reduce sadness before the client leaves. Someone may spend a session creating a memory book, drawing an empty chair, making a collage about a deceased parent, or writing and illustrating a letter to someone who died. Tears at the end of such an exercise do not automatically mean the intervention went wrong.

Safe closure may involve helping the client distinguish between being emotionally touched and being unable to function. A grieving client might say, “I'm sad, but I feel okay to go.” Another may say, “I feel like I can't stop crying and I don't want to walk outside yet.” Those states require different responses.

Reflection might involve identifying what the client wants to remember from the exercise rather than asking them to “find closure.” They may choose a sentence, image, or part of the artwork that feels meaningful. Grounding can then help them notice the room, time of day, bodily position, and what will happen immediately after the session. The therapist may ask about the transition ahead: Are they going home? Returning to work? Driving? Meeting someone?

The objective is not to close the relationship represented in the artwork. It is to close this particular period of focused therapeutic work in a way that allows the client to re-enter ordinary life.

Ending an Exercise Involving Anger

Anger-based art exercises can be highly physical. A client might make strong charcoal marks, tear paper, manipulate clay, use large brush movements, or work intensely with repeated forms. After such an activity, a sudden command to sit quietly and discuss the symbolism may feel unnatural.

The closing process can follow the body's pace. The therapist might first help transition from large movements to smaller ones, from standing to sitting, or from manipulating materials to cleaning the workspace. The client can notice changes in muscle tension and breathing before beginning verbal reflection.

It is also important not to assume that expressive intensity automatically produces emotional relief. Catharsis is not a guaranteed consequence of forceful expression, and asking clients to become increasingly activated without adequate clinical rationale can be counterproductive. Broader reviews of art therapy and trauma suggest potential benefits but also emphasize limited and heterogeneous research, making careful pacing and individualized clinical judgment important.

A useful closing question might therefore be, “Where is the anger now compared with when you started?” rather than, “Do you feel better?” The answer may be that it has decreased, become clearer, shifted into sadness, or remained almost exactly the same. All of these possibilities can provide useful information without turning emotional reduction into the measure of whether the exercise succeeded.

When Shame or Vulnerability Appears After the Artwork Is Finished

Some clients feel relatively comfortable while creating but experience vulnerability once they realize another person can see what they made. The finished artwork suddenly feels exposing. They may laugh dismissively, apologize for the picture, cover it, criticize their artistic ability, or immediately explain that the image “doesn't really mean anything.”

This reaction deserves careful handling because closing the exercise by praising the artwork can accidentally intensify the sense of being evaluated. Statements such as “It's beautiful” or “You're very talented” may sound supportive but shift attention toward artistic performance when the client is worried about emotional exposure.

A more attuned response might acknowledge the vulnerability: “It feels different now that the image is sitting between us,” or, “You seemed comfortable making it, and now you want to cover it. What changed?”

If the client wants to turn the artwork over, move it away, or stop discussing it, that preference can be respected. Safe closure includes control over exposure. Trauma-informed frameworks emphasize empowerment, voice, and choice partly because loss of control can itself be clinically significant for people with trauma histories.

The client does not owe the therapist complete disclosure simply because they created an image in therapy.

What to Do When Something Important Emerges With Five Minutes Left

Therapists cannot always predict when emotionally significant material will appear. A client may work quietly for most of a session and make an unexpected connection just before the end. Trying to “finish processing” because the insight feels important can create pressure and may extend the session psychologically even when the actual time cannot be extended.

One of the most useful skills in such moments is naming both realities: something important has emerged, and there is not enough time to explore it carefully today.

The therapist can help the client identify what needs to be remembered for the next session. This might involve placing a sticky note on the back of the artwork, writing one sentence in a therapy journal, choosing a title, or agreeing on the point where the conversation will resume. The client can then engage in grounding and transition.

This approach communicates that pausing is not abandonment. The work has not disappeared simply because it is unfinished.

In fact, learning that emotionally important material can be approached gradually may itself be therapeutic. People with trauma histories sometimes fear that if difficult material is opened, it will become uncontrollable. A session in which the client discovers that they can approach something painful, stop intentionally, orient to the present, and return another time can provide an experience of agency that is different from both avoidance and overwhelm.

Closure Should Begin Before the Final Two Minutes

One of the simplest ways to make endings safer is to plan for them. If a session is fifty minutes long, an emotionally demanding art process should not necessarily continue until minute forty-nine. Therapists can monitor time and begin signaling the transition early enough for the client to finish or pause deliberately.

A ten-minute warning may allow a client to decide whether to add another element, leave something unfinished, or shift toward reflection. A therapist might say, “We have about ten minutes left. Notice where you are with the piece and whether you want to continue making marks or begin moving toward stopping.”

This language preserves choice while acknowledging reality.

Predictability is especially relevant within trauma-informed work because trustworthiness and transparency are core principles identified by SAMHSA. A predictable ending can reduce the feeling that the therapeutic process has suddenly been cut off by an external authority.

Over time, some clients begin internalizing this pacing. They notice when they need to slow down, decide which material can be left for another day, and develop ways of moving from emotional engagement back into daily activity. In that sense, closing is not only something the therapist does for the client. It can become a skill the client gradually learns to practice themselves.

A Simple Three-Part Closing Sequence

Although closure should remain individualized, it can be useful to think about the ending in three broad movements: reflection, grounding, and containment. Reflection asks what happened and what matters. Grounding asks where the client is now and helps reconnect them with present reality. Containment asks what should happen to anything that remains emotionally unfinished.

These movements do not have to occur in a rigid order. A highly activated client may need grounding before any reflection is possible. A client who feels calm may spend several minutes reflecting and require only a brief orientation before leaving. Another may need to decide what to do with the artwork before they can settle.

A therapist might close an ordinary session by asking what the client notices about the piece now, giving them a moment to identify one thing they want to remember, then helping them shift attention toward the room and their body. Finally, therapist and client decide where the artwork will remain and briefly acknowledge what comes next in the client's day.

The entire process may take only a few minutes when the exercise has been gentle. After more evocative work, it may need significantly more time.

The principle is more important than the formula: do not confuse stopping the activity with completing the transition.

When Additional Support Is Needed

Grounding and containment are useful clinical tools, but they are not substitutes for appropriate assessment or treatment when a client is experiencing severe psychological distress. If someone remains significantly disoriented, unable to regain present orientation, highly agitated, or otherwise appears unsafe at the end of a session, the situation requires more than a routine art-therapy closing exercise.

Trauma-focused treatment also needs appropriate professional competence. The National Center for PTSD emphasizes that PTSD is a serious mental health condition for which evidence-based professional treatments are available, and tools for managing distress are intended to complement rather than replace appropriate treatment.

This boundary is particularly important when art exercises are used outside formal therapy, such as in workshops, classrooms, coaching, support groups, wellness programs, or self-guided activities. Creative prompts can unexpectedly evoke grief, trauma, or other difficult material even when the facilitator did not intend to conduct psychotherapy. The more emotionally evocative the prompt, the more important it becomes to consider facilitator competence, participant choice, available support, boundaries of the setting, and what will happen if someone becomes significantly distressed.

Not every creative activity needs to explore the deepest available material. Sometimes the safest intervention is a less evocative one.

The Ending Is Part of the Intervention

How an exercise ends can subtly change what the client learns from the entire experience. If emotionally difficult artwork is followed by panic, rushed interpretation, or an abrupt goodbye, the person may come away with the impression that opening difficult material is dangerous or unmanageable. If the same exercise is followed by thoughtful reflection, deliberate pacing, present-focused grounding, and the option to return to unfinished material later, a different learning experience becomes possible.

The client may discover that an emotion can be intense without being endless. A memory can appear without requiring immediate exploration of every detail. An artwork can contain something painful without needing to be destroyed. A session can end while the larger therapeutic process continues.

This is particularly important in art therapy because visual images often remain physically present after the conversation ends. Words disappear into the air, but a drawing may sit on the table looking back at the person. Closing therefore includes negotiating not only emotional distance but physical distance from the image.

Sometimes the client will want to keep looking at it. Sometimes they will want it covered. Sometimes they will want to leave it exactly where it is until next week.

All three can be valid.

Conclusion: Safe Closure Does Not Mean Finished Feelings

A meaningful art therapy exercise does not always produce a tidy ending. The client may still be sad, angry, confused, uncertain, or deeply moved when the session ends. Something important may remain unresolved. A memory may have surfaced without revealing its full significance. A piece of artwork may feel unfinished because the psychological experience it represents is unfinished too.

Safe closure does not require changing this reality.

Instead, it creates a bridge between emotional exploration and ordinary life. Reflection helps the client notice what happened without forcing an interpretation. Grounding helps them reconnect with the present through the body, senses, environment, and awareness of where they are now. Containment communicates that significant material can be acknowledged and returned to later rather than either ignored or explored beyond what the available time and emotional capacity can safely hold.

These principles reflect a broader trauma-informed emphasis on physical and psychological safety, collaboration, transparency, empowerment, and choice (SAMHSA, 2014). They also remind us that art therapy is not valuable because it produces dramatic emotional breakthroughs on demand. The field's research base, particularly in trauma treatment, remains promising but heterogeneous, and emotionally evocative art-making should not be assumed to be therapeutic merely because strong feelings emerge.

Sometimes a powerful session ends with an insight. Sometimes it ends with a client washing charcoal from their hands, placing a drawing face down in a folder, drinking a glass of water, noticing the afternoon light through the window, and deciding that the rest of the story can wait until next week.

There is nothing incomplete about that kind of ending.

The artwork does not have to be emotionally resolved. The feeling does not have to disappear. The therapist and client simply need to recognize where they are, establish enough safety and orientation for the transition ahead, and give unfinished material a place to remain.

In this sense, closing an art therapy exercise safely is not about shutting the door on what emerged. It is about learning that the door can be closed gently, intentionally, and temporarily, with the confidence that it can be opened again when there is enough time and support to continue.

References

Campbell, M., Decker, K. P., Kruk, K., & Deaver, S. P. (2016). Art therapy and cognitive processing therapy for combat-related PTSD: A randomized controlled trial. Art Therapy, 33(4), 169–177.

Han, H. R., Miller, H. N., Nkimbeng, M., Budhathoki, C., Mikhael, T., Rivers, E., Gray, J., Trimble, K., Chow, S., & Wilson, P. (2021). Trauma informed interventions: A systematic review. PLOS ONE, 16(6), e0252747. https://doi.org/10.1371/journal.pone.0252747

Heijman, J., van Hooren, S., de Jongh, A., & van der Vleugel, B. (2024). Effectiveness of trauma-focused art therapy for adult patients with post-traumatic stress disorder: Protocol for a multiple-baseline single-case experimental design study. European Journal of Psychotraumatology, 15(1).

Regev, D., Cohen-Yatziv, L., & Snir, S. (2018). Effectiveness of art therapy with adult clients in 2018: What progress has been made? Frontiers in Psychology, 9, 1531. https://doi.org/10.3389/fpsyg.2018.01531

Schouten, K. A., de Niet, G. J., Knipscheer, J. W., Kleber, R. J., & Hutschemaekers, G. J. M. (2015). The effectiveness of art therapy in the treatment of traumatized adults: A systematic review on art therapy and trauma. Trauma, Violence, & Abuse, 16(2), 220–228. https://doi.org/10.1177/1524838014555032

Substance Abuse and Mental Health Services Administration. (2014). Trauma-informed care in behavioral health services (Treatment Improvement Protocol Series 57, HHS Publication No. SMA 14-4816). U.S. Department of Health and Human Services.

U.S. Department of Veterans Affairs, National Center for PTSD. (2006). Psychological first aid: Field operations guide (2nd ed.).

U.S. Department of Veterans Affairs, National Center for PTSD. (n.d.). Coping with traumatic stress reactions. U.S. Department of Veterans Affairs.