Guilt is an emotion that is commonly encountered when working with trauma. It can be difficult to know how to address guilt in therapy regardless if the guilt is realistic or not. In this video, you will learn ways to help a patient process through guilt and cognitively challenge stuck points. This video will first demonstrate ways you might assist with manufactured guilt through challenging the patient to reconsider their responsibility in the trauma event. The second part of this video will demonstrate how you might handle a trauma where the patient had both intent and responsibility, and the guilt is more realistic. In both cases, you will see how to identify and challenge the patient’s cognitions about the event and their role, and help them move forward in the path toward recovery.