Table 2.

IAT treatment process: applying cross-cutting treatment strategies to ADAPT-specific challenges

	Assessment and identity problem areas in relation to the ADAPT-specific domains		Explore, identity and address underlying stress and reactions associated with the antecedents/precipitants/perpetuating factors		Apply cross-cutting treatment strategies to build capacity for managing core challenges and distress across multiple adaptive systems
The ADAPT pillars	Precipitants	Perpetuating factors	Adaptive Stress Reactions (Tay et al., 2019a)	Comorbid disorders	Cross-cutting treatment strategies
Safety and security	Persecution, torture, abuse, intimate partner violence	Insecure residency, conditions of protracted displacement, threats of communal violence	Fear, anxiety, panic, nightmares, flashbacks, recurring thoughts, arousal	PTSD, depressive disorder, anxiety disorders	Psychoeducation, stress management, guided narrative, problem-solving, emotion regulation, cognitive reappraisal
Attachments	Traumatic losses, separation and displacement from homeland	Continuing separation from family, ongoing displacement	Sadness, isolation, suicidal ideation, preoccupations with deceased	Complicated bereavement, prolonged grief disorder, separation anxiety	Psychoeducation, stress management, guided narrative, problem solving, emotion regulation, cognitive reappraisal
Justice	Past and current human rights violations	No legal redress or mechanism to address past and current violations	Anger, resentment, sense of injustice, unfairness, moral injury	Intermittent explosive disorder, explosive anger	Psychoeducation, stress management, guided narrative, problem solving, emotion regulation, cognitive reappraisal
Role and identity disruptions	Post-migration stressors and deprivations	Transition and adjusting to new role and identity	Frustration, confusion, sadness, difficulties adjusting to life	Depression, adjustment disorder	Psychoeducation, stress management, guided narrative, problem solving, emotion regulation, cognitive reappraisal
Existential meaning	Mass killing, genocide, ethnic cleansing	Loneliness, isolation, limited access to spiritual, religious activities that confer meaning	Feelings of emptiness, sadness, isolation, suicidal ideation	Depression, suicidality, dysthymia	Psychoeducation, stress management, guided narrative, problem solving, emotion regulation, cognitive reappraisal, meaning-making