Full Course Description
Treating Complex Trauma: Beyond Competency
- Formulate how the mammalian arousal cycle and stress response informs current trauma treatment.
- Evaluate the application of the Polyvagal Theory to arousal states in clients with complex and/or developmental trauma.
- Employ two methods of grounding a dissociated client in session informed by the Polyvagal theory.
- Appraise the ACE study and apply its findings to clinical diagnosis and treatment of developmental and attachment trauma.
- Construct a de-pathologizing term and reframing behaviors as creative adaptations to dysfunctional environments.
- Determine the basics of neurodevelopment in early stages of life and theorize how attachment deficits, left unaddressed, continue to impact adults throughout the lifespan.
- Formulate how “attunement” is significant to human development, facilitating psychobiological systems and co-regulation between humans.
- Assess interventions for healing attachment-related trauma and constructing paths to earning secure attachment.
- Analyze the diagnostic criteria and clinical presentation of a person with Borderline Personality Disorder.
- Theorize the trajectory from birth of a highly sensitive infant to an adult with Borderline Personality Disorder.
- Distinguish between Borderline Personality Disorder and Complex PTSD diagnoses.
- Appraise the diagnostic criteria and clinical presentation of Complex PTSD.
- Evaluate the biochemistry of self-harm and its use as a means of affect regulation.
- Role-play a compassionate approach to self-destructive behaviors with clients in-session.
- Assess the importance of setting firm boundaries in the therapeutic relationship as it relates to setting boundaries can improve treatment outcomes.
- Debate the current theoretical basis for addiction treatment (i.e. addiction is a choice or a disease) compared to the biopsychosocial theory of addiction.
- Justify support or criticism regarding current use of treatment facilities and 12-step programs for addicted populations.
- Evaluate the success of 12-Step programs and support groups in traumatized populations.
- Illustrate implementation of Janet’s Tri-Phase Model of Trauma Therapy within the therapy session.
- Debate the value of mindfulness as an effective approach to managing triggers across populations.
- Perform three mindfulness practices; include any clinical modifications for use with a traumatized population.
- Propose how somatic interventions enable clients to extinguish conditioned responses to procedural memories.
- Develop an argument for AND against the use of medications with traumatized clients.
- Formulate an argument for the use of touch in therapy that incorporates how touch may be incorporated safely into the therapeutic process.
- Appraise Shapiro’s 8-Phase Model of EMDR. Define and defend the modifications made to the protocol when using EMDR with clients with complex trauma.
- Determine the development of “parts” (component of IFS therapy) that result from trauma and how their function can be used as a resource for clients.
- Assess the theory and practice of Gestalt Therapy beyond the archetypal empty chair technique that can be incorporated into trauma treatment planning.
- Biological nature of trauma
- Triune brain
- Reptilian brain
- Mammalian brain (limbic system)
- Cerebral cortex
- Brain/body integration: understanding the brain/body feedback loop
- Mechanisms of trauma
- Arousal cycle/stress response
- mobilization: sympathetic response
- immobilization: profound primitive parasympathetic response
- Principles informing state of the art clinical interventions
- Defense cascade
- Freeze response (conditioned response procedural memory)
- Dissociative capsule (Scaer)
- Treatment implications
- Polyvagal Theory (Porges)
- Long-term memory
- Implicit memory
- Explicit memory
- DSM-5 trauma diagnoses
- Single-incident PTSD
- Acute Stress Disorder
- PTSD subtypes
- Dissociative subtype
- Preschool subtype
- Trauma Sequelae: chronology of symptom clusters post single incident PTSD
- First set – state symptoms
- Second set – trait symptoms
- Third set – medical symptoms
- Trauma symptoms characteristic of early childhood trauma (Scaer)
- Adverse Childhood Experiences (Felitti)
- Long-term impact on individuals
- Correlation with addiction
- Public health implications
- Neurodevelopment (Schore)
- Attachment essentials (Bowlby, Ainsworth, Main)
- Attachment security and strategies (Siegle, Poole Heller)
- Developmental trauma disorder (van der Kolk)
- Trauma: working definition
- Conditions resulting from trauma
- Single incident PTSD
- Complex PTSD
- Borderline Personality Disorder
- DSM criteria
- Developmental/attachment trauma
- BPD and CPTSD
- DSM 5 and ICD-11 specifications
- Distinct from PTSD (single incident)
- Maladaptive behaviors
- Function of addictions and self-injury in individuals with trauma
- Treatment principles and strategies
- Dissociation (Scaer)
- PTSD and CPTSD: "dissociative disorders”
- Correlation between childhood abuse and re-victimization
- Treatment implications
- Nature of addiction
- Treatment implications
- Trauma and addiction (Maté)
- 12-step programs and the rehabilitation industry (Dodes)
- Rat Park (Alexander)
- Stage model of trauma therapy
- Janet’s tri-phasic model of trauma therapy
- Dual awareness (Rothschild)
- History taking
- Mindfulness and awareness practices
- Mindfulness (Hopper)
- Embodiment circuitry
- Safely integrating mindfulness into trauma therapy
- Mindfulness based stress reduction (MSBR) (Kabat-Zin, Rosenbaum)
- Program breakdown
- “In session”: body scan demonstration
- Guided imagery (Naparstek)
- Right hemispheric intervention
- Applicability with traumatized clients
- Yoga (Weintraub)
- Pacing yoga practice for traumatized population
- Effects of trauma on musculoskeletal system
- Use of yoga mudras for self-soothing
- “In session” with Amy Weintraub
- Dialectical behavioral therapy (Pederson)
- Theory and development
- Systematic implication
- DBT skills training
- Distress tolerance
- Emotion regulation
- Interpersonal Effectiveness
- DBT tools
- “In session” with Lane Pederson
- Trauma and medication (Anderson)
- The importance of client agency
- Employing IFS when prescribing medications
- Somatic experiencing (Levine)
- “In session” with Peter Levine
- Theory and practice
- Somatic reenactment of trauma
- Contradicting the sense of fear
- Utilizing mirror neurons
- Titration and pendulation
- Somatic Therapy (Rothschild)
- “In session” with Babette Rothschild
- Theory and practice
- Window of tolerance
- Hypoarousal and hyperarousal
- Distinct therapeutic interventions for two distinct states
- Cognitive behavioral therapy (Meichenbaum)
- Prolonged exposure (Foa)
- Theory development
- Sensorimotor psychotherapy (Fisher)
- Psychoeducation in trauma therapy – utilizing cognitive override
- Resourcing clients
- Body-oriented and somatic interventions
- Eye-movement desensitization and reprocessing (EMDR)
- Theory with field leaders
- Shapiros 8-phase model
- Clinical modifications for complex trauma
- “In session” with Linda Curran
- Internal family systems (Schwartz)
- Theory and applicability
- “In session” with Frank Anderson
- Theory development and practice
- “In session” with Richard Schwartz
- Gestalt therapy
- The quintessential trauma therapy
- Theory and practice (Schack)
- Beyond the empty chair technique
- Verbal narrative vs. body narrative
- “In session” with Mary Lou Schack
- “In session” with David Henrich
Module 2: Principles Informing State of the Art Clinical Interventions
Module 1: Conditions Resulting from Trauma
Module 2: Self-Destructive Behaviors and Clinical Best Practices
Module 3: Dissociation
Module 4: Addictions
Module 1: Janet’s tri-phasic model
Module 2: DBT, IFS
Module 3: Somatic Psychotherapy
Module 4: In-Session with Babette Rothschild
Module 1: CBT, PE, Sensorimotor Psychotherapy, EMDR
Module 2: EMDR Demonstration, IFS Demonstration
Module 3: Internal Family Systems, Gestalt Therapy, Humor
Module 4: Group Exercises