Full Course Description
2-Day Seminar: EMDR: A Rapid, Safe, and Proven Treatment for Trauma
- Analyze the role of the autonomic nervous system in trauma symptomology.
- Articulate the clinical implications of the freeze response in trauma treatment.
- Characterize the potential neurobiological mechanisms of change in the empirically validated EMDR approach.
- Specify how EMDR techniques can build dual awareness in clients to treat the avoidance that makes trauma treatment challenging.
- Communicate the 8 Phases of the EMDR protocol.
- Determine which clients you should use EMDR with.
- Analyze resourcing strategies from EDMR that clinicians can use to help facilitate the processing of trauma.
- Characterize how EMDR techniques can be used to reinforce and activate positive neural networks.
- Communicate how EMDR can be modified to work with complex/developmental trauma to directly treat traumatic memories.
- Evaluate strategies that can help foster the critical connection between client and therapist in EMDR therapy.
- Articulate the research limitations and potential risks associated with EMDR.
- Demonstrate the order of operations for attachment-based EMDR treatment to resolve relational trauma.
Trauma and Neuroscience
How the EMDR Approach Works
- Key brain areas involved in trauma
- Polyvagal Theory, and types of freeze responses
- Trauma and insecure attachment
- The neuroscience of developmental trauma
- Clinical implications of the freeze response
Trauma Symptoms and Assessment Tools
- The neuroscience of exposure therapy and cognitive therapy
- The neuroscience of relaxation exercises
- EMDR and other “transformative therapies”
- Why EMDR works so well from a brain perspective
Overcome Avoidance with EMDR
- Traumatic memories and intrusive thoughts
- Phobias and anxiety: Insula hyperactivation
- Emotional hijackings and implicit memory
- Avoidance cluster of symptoms
- Why treating avoidance in trauma is critical
- DSM-5® symptoms in a nutshell
- Connecting to a diagnosis
- Simple vs. complex trauma
- Intergenerational trauma
- Symptom clusters and physical manifestations
- CAPS-5 and PCL-5
- Primary Care PTSD Screen
- Dual diagnosis
When to Use EMDR in Treatment
- Dual awareness
- What you are thinking about is the network you’re in
- Activate networks for change
- Neurons that fire together, wire together (Hebb’s Rule)
- EMDR as neuroentrainment
EMDR Trauma Treatment: The Original 8-Phase Model
- Demonstrations and experiential exercises
- Single event trauma
- Anxiety disorders involving imaginal exposure
Demonstration of Original 8-Phase Model
- Client history and treatment planning
- How to resource: Create a safe space
- Assessment: Choose a target, SUDS, connect with the image/emotions/thought
- Desensitization: Tactile vs. auditory vs. eye movement
- How to use touchpoints, Theratapper, CDs
- Positive Cognition Installation: Likert scale 1-7
- Body Scan: Locate tension and distress in the body
- Closure: Close the neural network and the 6-hour window
EMDR Techniques to Resolve Traumatic Memories
- Presenter demonstration
- Attendee dyad practice of the 8-phase model
Attachment-Based EMDR: Strategies to Treat Relational Trauma
- Modifications for Complex/Developmental Trauma
- Do not use standard protocol – Rationale for modifications
- Resourcing strategies
- Techniques to reinforce and activate positive neural networks
- Relevance of Polyvagal Theory, early trauma, and EMDR
- Sensory motor modifications and somatic approaches
- How to build Dual Awareness
- EMDR techniques to bring traumatic memories from the limbic system into the prefrontal cortex
Research Limitations and Potential Risks Copyright :
- Strategies to foster the critical connection between client and therapist
- Mirror neuron activation
- How to emphasize safety during sessions
- Guidance on order of operations
Virtual EMDR: A How-to Guide to Providing EMDR via Telehealth
- Utilize tools and techniques to assist clients in regulating and de-escalate trauma associated triggers via telehealth.
- Analyze different ways to utilize and provide EMDR to clients via telehealth.
- Develop client resources and teach self-efficacy through EMDR resourcing activities via telehealth.
Quick EMDR Overview of the Basics
- Review of the basic protocol
- Review of resources (calm place, container, ICON, etc)
- Dual attention methods (eye movements, tapping, tappers, sound)
EMDR and Telehealth: How to Adapt to a Virtual World
- Dual awareness and bi-lateral stimulation and its importance in the EMDR process
- Bilateral stimulation via video
- Eye movement resources for telehealth practitioners using EMDR:
- Bilateral stimulation via video
- Butterfly hug
- Congruent tapping
- Sound pulses
- Other eye movement strategies
- Addressing safety – how to manage potential risks of not being there in-person
- Identifying and implementing a protocol with a client via telehealth
- Limitations, risks, and further research
2-Day: Certified Clinical Telemental Health Provider Training: A Therapist Guide for Ethical, Legal and Technology Concerns when Using Teletherapy
Research about Telehealth Services
- Here to stay
- It works
Application of Ethical Codes
- Psychologists, social workers, professional counselors
- Building competence
- Technology appropriateness examples
- HIPAA and HITECH
- HIPAA and small providers
- Violations and why they occur
State Law Applications
- State interests for the pros and cons for permitting telehealth
- Cohesive incoherence
- Examples of statutory guidance
- Risk management guidelines
- Interjurisdictional practice
Efforts to Improve Telehealth Interjurisdictional Practice
- Checklist of questions to determine if you can practice across statelines
Case Examples for Using Various Forms of Telehealth Best practices for telehealth
- Selecting the appropriate tools
- Utilizing ATA guidelines
- Clinical – patient and setting appropriateness
- Technical - The setting, camera, microphones, and lighting
- Administrative – connectivity, training
- Practical solutions for your therapy
Processes & Procedures
- The intake process
- Informed consent – sample plan, key topics to cover
- Emergency and crisis plans – what to include, medical issues, sample plan
Delivery Platforms Keeping Ethics/HIPAA in Mind
- Asynchronous platforms
- Common elements
- Concerns with platform
- Synchronous therapy
- All-in-one services
- Email and texting safely
- Pros and cons
- HIPAA requirements
- Password protection
- Electronic communication policy
- Hardware and software safety
Screening and Suitability of the Client
- Benefits of telehealth Services
- Evidenced-based research
- Patient and setting contraindications
- The intake, mental status exam, and ongoing Evaluation
- Assessment with clients
Professional Boundary Considerations
- Issues to consider
- Geography, settings, populations
- Seeking guidance
Theoretical Considerations for Telehealth
- Evidence-based support
- Which models transition well
Self-Care for the Clinician
- Ethics application
- Causes of burn out
- Warning signs in therapists
- Characteristics of effective self-care
- Strategies and techniques
Dos and Don'ts of Social Media
- Using social media to your advantage
- The required social media policy
- Social media and boundaries
The Era of Electronic Records
- Development of the electronic record
- Electronic document storage
- Electronic document destruction
- Private payer
- Analyze the ethical principles and applications of ethical codes for telehealth services.
- Determine the HIPAA guidelines and how they apply to telehealth services.
- Assess inter-state issues associated with telehealth and how to stay in compliance.
- Determine best practices for creating a good setting for telemental health services.
- Evaluate how to implement policies and procedures that are necessary for maintaining an ethical telehealth practice.
- Assess electronic services and platforms for delivering ethical telemental health services.
- Determine how to screen for suitable clients for telemental health services.
- Assess how to effectively manage boundary issues that might arise during telemental health services.
- Determine which therapeutic practices are conducive to telemental health services.
- Assess the threats that technology poses to the confidentiality and privacy of clients.
- Determine how to maintain ethical standards and compliance while utilizing social media technology.
- Determine how to correctly manage electronic records in a telemental health setting.