Full Course Description


Treating Self-Destructive Behaviors in Trauma Survivors with Lisa Ferentz

Program Information

Objectives

  1. Investigate the relationship between, trauma, attachment, and affect regulation.
  2. Categorize the four attachment styles and their impact on a child’s cognitive and emotional development.
  3. Investigate the challenge of attaching to unavailable or abusive caretakers and the resulting need to take “ownership” of the abuse.
  4. Differentiate the manifestations of affect dysregulation and the impact of hypo-arousal and hyper-arousal.
  5. Determine five benefits to working with a strengths-based, de-pathologized perspective, including the impact this mindset has on the therapeutic relationship.
  6. Implement the concepts of trauma-re-enactment and the meta-communication of self-harm.
  7. Assess six reasons why clients engage in self-destructive behaviors.
  8. Investigate the “cycle of self-destructive behaviors.”
  9. Argue the role that dissociation plays in “priming the well” for self-destructive behaviors and implement at least three strategies to short-circuit dissociation.
  10. Utilize CARESS, an alternative to standard safety contracts, and analyze why standard safety contracts can be ineffective.
  11. Implement 6 creative strategies to help re-ground and re-establish a sense of safety and give a voice to trauma narratives in triggered clients.
  12. Interpret the recurring themes in the artwork of traumatized clients and integrate working with art into sessions.
  13. Diagnose three manifestations of counter-transference when working with self-destructive behaviors.
  14. Catalogue three clinical pitfalls to avoid when working with self-destructive behaviors.

Outline

Session 1: Redefining Traumatic Triggers & Self-Destructive Behaviors

  • How to help client “de-code” their traumatic experiences
  • Re-defining self-destructive behaviors from pathology to survival strategy
  • What not to do when starting to work with trauma survivors
  • Incorporating art and drawings as a way of assessing trauma.
  • Helping trauma survivors find grounding and safety for doing trauma therapy

Session 2: How Self-Destructive Behaviors Really Develop and What to Do

  • Why trauma survivors develop various self-destructive tendencies, why they have such a hard time changing them, and why it matters.
  • Understanding the meta-communication of eating disorders, addictions, self-mutilation, and more.
  • Why simply trying to get clients to stop self-destructive behaviors doesn’t work and what to do instead.

Session 3: A New Model for Understanding & Talking with Clients about Self-Destructive Behaviors

  • A strengths-based, de-pathologized model for changing the cycle.
  • How to understand traumatic “Triggers” and how they can be used in trauma therapy. 
  • How to understand the process of dissociation, how to work with it, and why you shouldn’t immediately stop clients from dissociating.
  • Explore several case studies from real clients

Session 4: The Tools & Techniques for Transforming the Cycle of Self-Destructive Behaviors -- Part 1

  • Creatively treating self-destructive behaviors through “intervention sites” designed to reduce and eventually extinguish the behaviors.
  • How to use Lisa’s unique “REACTS” model that clients can easily understand and use immediately in their treatment.
  • Understand how to develop “Somatic Resourcing” tools.
  • Utilizing containment strategies for developing a sense of safety
  • Specific interventions for using journaling, somatic resourcing, cognitive re-framing, art, visualization and guided imagery techniques to enhance safety, containment and grounding for traumatized clients

Session 5: The Tools & Techniques for Transforming the Cycle of Self-Destructive Behaviors -- Part 2

  • Keys for properly using breath work with trauma survivors
  • Learn two flashback halting protocols.
  • Use Lisa’s CARESS model as an alternative to self-injury and binge eating.
  • Addressing chronic negative affect and positively addressing boundaries in therapy

Session 6: Critical Pitfalls in Working with Trauma Survivors and How to Avoid Them 

  • How to address clinical pitfalls that so often make trauma treatments fail.
  • Understanding the unique ways in which counter-transference emerges in trauma work 
  • Addressing vicarious traumatization and how to avoid burnout

Target Audience

  • Psychologists
  • Physicians
  • Addiction Counselors
  • Counselors
  • Social Workers
  • Marriage & Family Therapists
  • Nurses
  • Other Behavioral Health Professionals

Copyright : 06/01/2017

Treating Self-Destructive Behaviors in Trauma Survivors with Lisa Ferentz


Treating Self-Destructive Behaviors in Trauma Survivors with Lisa Ferentz


Treating Self-Destructive Behaviors in Trauma Survivors with Lisa Ferentz


Treating Self-Destructive Behaviors in Trauma Survivors with Lisa Ferentz


BONUS - Module 1: Post Traumatic Growth: From Devastation to Hope

Although it’s important for therapists to help clients process the painful and often demoralizing effects of trauma, it’s also crucial to nurture their potential for new possibilities of healing through post-traumatic growth (PTG). In fact, learning respectful ways to plant seeds of hope and resilience can make all the difference when working with trauma survivors. In this workshop, you’ll explore:

  • The tangible markers of PTG, such as new ways of relating to others, the rediscovery of personal strengths, and a newfound appreciation for life in general
  • Specific strategies—including writing exercises, role-playing, art, and guided imagery—to help clients connect with the concept of PTG
  • How to use somatic resourcing and remembered resources to access clients’ inner wisdom
  • How to cultivate the possibility that insight and healing can occur even in the midst of painfully devastating experiences

Program Information

Target Audience

Psychologists, Physicians, Addiction Counselors, Counselors, Social Workers, Marriage & Family Therapists, Nurses, and other Behavioral Health Professionals

Outline

  • History - typical clinical approaches to trauma emphasize ameliorating symptoms and dysfunction
    • Trauma also offers hope of transcendence and growth
    • Positive psychology, recognizing capability for growth and planting the seeds for post traumatic growth
  • Necessity and utility of expressive therapies
    • Awareness of anxiety and resistance related to expressive approaches
  • Trauma assessment should look for client resilience as well as dysfunction and vulnerabilities
    • Trauma survivors may not recognize their own existing strengths and coping mechanisms
    • Strengths begin with taking on the effort and risk involved in engaging in the therapy process
  • Use of metaphor in the therapeutic process and in expressive work
    • Finding beauty in struggle and pain
  • Recognizing that all clients will not experience post-traumatic growth
  • Validating growth without framing trauma as a positive experience
    • Importance of attaching functional meaning to traumatic experiences
  • Interpreting symptoms through assigned meaning
    • Attached meanings with negative impact
    • Subjective interpretation of events exacerbating or minimizing impact of trauma
    • Impact of traumatic experiences on self-image and interpersonal behavior
  • Effective use of art and expressive therapies
    • Facilitating projective expression
  • Identifying and validating strengths and survival techniques
    • Evaluating current utility of prior strategies
  • Appropriate timing of therapeutic steps
  • Identifying personality factors associated with vulnerability and growth
  • Planting the seeds of post-traumatic growth
  • Case example
    • Assessment questions, evaluation of strengths and symptoms
    • Common misdiagnoses
    • Function and self-acceptance of negative behaviors
    • Evaluating client self-talk
    • Modeling compassion and curiosity
  • Journaling exercise
    • Resources for positive self-talk and self-judgement    
  • Facilitating Resilience
    • Cognitive approaches
    • Utilizing positive self-statements
  • Utilizing assessment instruments sensitively
    • Post-traumatic Growth Inventory
    • Patient Health Questionnaire – 9
    • Sand Tray
  • Case example – Post-traumatic growth
  • Somatic Resourcing
    • Exercise - Accessing internal wisdom and compassion
  • Belief in new possibilities – tangible evidence of post-traumatic growth
    • Accepting reasonable risks
    • Attending to and creating new opportunities
    • Transcending trauma
  • Case example – Working with Dissociative Identity Disorder
  • Therapeutic Exercises – Moving from PTSD to post-traumatic growth
  • Relating to others
    • Restoring and creating social relationships
    • Healing disrupted perceptions of others, diminishing sense of threat
  • Therapeutic Exercise – Two handed writing
    • Identifying and integrating traumatized aspects of self
    • Facilitating containment, control and safety for vulnerable clients
    • Using parts language effectively – reducing competition and shame, managing nonverbal parts
  • Spiritual Changes
    • Addressing disruptions of faith stemming from abuse
    • Utilizing spiritual reconciliation as resource
    • Case example – restoring faith post trauma
  • Newfound appreciation for life as evidence of post-traumatic growth
    • Case example – finding meaning in the face of terminal illness
    • Achieving perspective and freedom
    • Gratitude and neurochemistry
    • Therapeutic exercise – facilitating gratitude
  • Forgiveness – correlation with post-traumatic growth
    • Useful but not necessary
    • Facilitation strategies

Objectives

  1. Identify and utilize markers of Post-Traumatic Growth (PTG) to increase resiliency and guide treatment planning.
  2. Theorize how to cultivate growth, insight, and development in the midst of traumatic experiences.
  3. Utilize ‘somantic resourcing’ and ‘remember resources’.
  4. Formulate expressive and art-based techniques to encourage PTG, including writing exercises, role-playing, art, and guided imagery.
  5. Integrate philosophical and conceptual elements of PTG into traditional treatment modalities.
  6. Practice assessment of client strengths and personality factors to enhance PTG.

Copyright : 03/23/2017

BONUS - Module 2: Post Traumatic Growth: From Devastation to Hope

Copyright : 03/23/2017