Customization and Future Directions in TIMBER

  • Basant Pradhan
  • Narsimha R. Pinninti
  • Shanaya Rathod


When it comes to the experience of trauma or mindfulness practice, no two people are exactly alike. In any psychotherapy, especially in trauma-focused therapy or mindfulness therapy, it is important not to follow the “one-size-fits-all” approach. It is important to customize the therapeutic interventions based on the client’s biopsychosocial profile as well as the experiential data that the client provides to the therapist. Assessment scales in addition to qualitative information are important to help individualize the interventions and evaluate the progress in therapy. However, an assessment scale for trauma that includes only the verbal accounts of client is incomplete and inaccurate and excludes the key processes such as dissociation. Therefore, assessment of trauma should take into account the non-verbal behavior as well.

This chapter describes two rating scales and a practice log of meditation that we currently use for customizing the TIMBER psychotherapy for the clients. The two scales are ASMI© (for measuring the level of mindfulness) and ART-MR© (for measuring the level of arousal due to activation of the trauma memories). With respect to these aspects, we describe the clinical utility of these instruments and also mention our plan for the future toward improvising them as well as improve further the delivery of TIMBER, especially for the clients located in remote areas.


TIMBER therapy Mindfulness scale Trauma scale Meditation home practice log Trauma care 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Basant Pradhan
    • 1
  • Narsimha R. Pinninti
    • 2
  • Shanaya Rathod
    • 3
  1. 1.Department of PsychiatryCooper University HospitalCamdenUSA
  2. 2.Department of PsychiatryRowan University SOM Department of PsychiatryCherry HillUSA
  3. 3.Antelope HouseSouthern Health NHS Foundation TrustSouthamptonUK

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