intermediatetrauma-informed careassessment approachtherapeutic alliancePTSDchildhood traumapatient autonomy
A 29-year-old female presents to a community mental health clinic for an initial psychiatric evaluation. She has a documented history of childhood sexual abuse and reports being 'triggered' by her last provider, who she says 'kept pushing for details I wasn't ready to share.' She appears guarded, avoids eye contact, and asks how long the appointment will take. The PMHNP wants to conduct a thorough assessment using a trauma-informed approach. Which strategy best reflects trauma-informed assessment principles?