Full Course Description

2-Day Intensive Trauma Treatment Certification Workshop: EMDR, CBT and Somatic-Based Interventions to Move Clients from Surviving to Thriving

Program Information

Objectives

  1. Analyze the brain regions involved in trauma.
  2. Assess the clinical implications of the freeze response in trauma treatment.
  3. Determine how clinicians can assess for simple, complex, and intergenerational trauma.
  4. Evaluate how bottom-up techniques like grounding and breathwork can increase felt safety in clients.
  5. Analyze methods clinicians can use to gauge when clients are ready for intense trauma work.
  6. Determine how narrative therapy exercises can be employed in session to help clients talk about hotspots.
  7. Justify how somatic approaches can be used to address the physical symptoms of trauma survivors.
  8. Determine how exposure, titration and pendulation can be used to “slow” emotions in clients.
  9. Support how EMDR-based techniques can be used with clients to resolve traumatic memories.
  10. Differentiate between EMDR, EFT and neuromodulation approaches.
  11. Develop plans for working with anger, resistance, and suicidality in clients who’ve experienced trauma.
  12. Debate the potential risks and limitations of trauma treatment techniques.

Outline

The Neuroscience of Trauma and Mechanisms of Change

  • Key brain areas involved in trauma
  • Fight, flight, freeze, fawn survival responses
  • Clinical implications of the freeze response
  • The neuroscience of EMDR, exposure therapy and cognitive therapy

Connect Clients to a Diagnosis: Trauma Assessment Tools

  • Simple vs. complex trauma
  • Intergenerational trauma
  • Symptom clusters and physical manifestations
  • CAPS-5 and PCL-5
  • Primary Care PTSD Screen
  • Dual diagnosis

Stabilize Your Clients Prior to Trauma Work

  • Trauma treatment roadmap – order of operations
  • Bottom-up techniques to reconnect and feel safe in the body
  • Self-soothing techniques
  • Grounding strategies
  • Breathwork
  • Gauge when a client is ready for intense trauma/cognitive work

Proven Skills and Techniques from Evidence-Based Approaches:

  • Somatic Approaches: Address Physical Symptoms of Trauma
    • Relevance of Polyvagal theory and early trauma
    • Assess for readiness to apply somatic tools
    • Teach body awareness
    • Manage unease with “Felt sense” exercises
    • Resourcing strategies to create a safe space
  • CBT Coping Skills: Manage Emotions
    • Identify inaccurate trauma-related cognitions
    • Exposure, titration and pendulation to slow emotions
    • Cognitive reframing and reappraisal interventions
    • Memory reconstruction techniques

EMDR-Based Techniques: Resolve Traumatic Memories

  • Adaptive Information Processing Theory EMDR vs EFT vs neuromodulation
  • Resourcing strategies
  • Combine memory reprocessing with cognitive restructuring
  • Using “restricted processing” with complex trauma

Narrative Therapy Exercises: Rewrite Traumatic Experiences

  • Interventions to help clients talk about hotspots
  • Reclaim identity with the “Tree of life” exercise
  • Awareness and closure - create life stories

Solutions to Trauma Treatment Roadblocks

  • How to handle the angry client
  • Strategies for the resistant trauma client
  • Boundary concerns
  • Dealing with crises, suicidality, substance use

Reintegration and Post-Traumatic Growth

  • Better than normal - the neuroscience of post-traumatic growth
  • The therapeutic alliance as a brain-based approach
  • The power of forgiveness in moving forward
  • Meaning making exercises

Research, Limitations and Potential Risks

Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Case Manager
  • Addiction Counselors
  • Therapists
  • Marriage and Family Therapists
  • Nurses
  • Other Mental Health Professionals

Copyright : 06/06/2019

Complex Trauma Certification Training: A Strength-Based Approach for Treating Complex PTSD

Program Information

Objectives

  1. Distinguish key contributing factors to the development of Complex PTSD as it relates to client case conceptualization. 
  2. Analyze the impact of Complex PTSD on the cognitive, emotional, and physical health of the client.
  3. Determine how to assess clients for Complex PTSD symptoms within other diagnoses, including personality disorders, mood disorders, anxiety disorders, and dissociative disorders.
  4. Incorporate into clinical treatment practical mind-body therapy tools to help clients feel resourced and prepared for trauma processing.
  5. Articulate the six stages of trauma responses within the neurobiology of Complex PTSD as it relates to clinical treatment.
  6. Utilize assessment tools to properly assess for Complex PTSD to better inform treatment planning.
  7. Analyze implicit memory foundations of preverbal and nonverbal memories.
  8. Breakdown how mutual regulation within the therapeutic relationship teaches clients self-regulation strategies that help them develop new interpersonal strengths that help with the treatment process.
  9. Analyze parts work from Structural Dissociation, Internal Family Systems, and Gestalt perspectives.
  10. Evaluate the basic principles of a unified approach to somatic psychology.
  11. Implement mindfulness-based techniques into trauma treatment.
  12. Integrate interventions for the treatment of Complex PTSD drawn from CBT, DBT, EMDR Therapy, Parts Work Therapy, Somatic Psychology, and mind-body therapies.
  13. Determine how the neuroscience of interpersonal neurobiology provides insight into the psychobiological changes possible within trauma treatment. 
  14. Analyze how working within the “Window of Tolerance” can help reduce the likelihood of re-traumatization.
  15. Assess how “top-down” and “bottom-up” interventions can speed up or slow down the pacing of trauma treatment.
  16. Differentiate past experience from present moment experience as it relates to the treatment of trauma.
  17. Employ resilience as a strength-based approach that fosters growth and integration of a positive sense of self-identity in clients.
  18. Evaluate the role of neuroplasticity in treating trauma.
  19. Determine resilience and protective factors to aid against the development of PTSD.
  20. Demonstrate effective strategies for working with clients' preverbal memories.
  21. Utilize relational interventions for shame.
  22. Utilize EFT, Havening Technique, and other “neuromodulation” strategies for trauma recovery.
  23. Apply techniques of focusing and resourcing to prepare clients for trauma reprocessing.
  24. Analyze somatic cues to determine level of internal trauma processing. 
  25. Employ coregulation to reduce level of client distress.
  26. Adapt standard trauma therapy to the increased demands of complex PTSD.

Outline

Post-Traumatic Stress Disorder vs. Complex PTSD: Understand the Difference

  • Acute traumatic stress, PTSD, Complex PTSD
  • Diagnostic clarification, differential diagnosis and co-morbidities
  • Key contributing factors of Complex PTSD
  • The common symptoms of Complex PTSD

The Neurobiology of PTSD: Beyond Fight and Flight

  • Polyvagal Theory
  • Stages of trauma response
  • Trauma specific psychopharmacology
  • Heart Rate Variability and the Social Nervous System
  • Interpersonal Neurobiology
  • Psychobiological regulation
  • Rupture and repair
  • Implications of childhood neglect or abuse
  • Neuroplasticity and Complex PTSD

Psychological and Physiological Repercussions of Complex PTSD: A Deeper Understanding for Accurate Assessment

  • Intrusive symptoms and anxiety
  • Emotional dysregulation: Outbursts of anger and debilitating shame
  • Avoidance symptoms and phobic reactions to traumatic material
  • Interpersonal problems and difficulty being close to others
  • Dissociation and dysregulation
  • Cognitive distortions and compromised meaning making
  • Physical health problems, ACE factors and painful somatization
  • Preverbal and nonverbal memories
  • Disturbing somatic sensations
  • Depressive symptoms
  • Learned helplessness and shame

Therapeutic Interventions for Complex PTSD: Summary of Effective Therapies

  • Psychodynamic and Relational Therapy
  • Psychobiological perspectives: Polyvagal Theory
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • EMDR Therapy
  • Somatic Psychology
  • Parts Work Therapy: Work with Ego States
  • Complementary and Alternative Medicine (CAM):
    mindfulness, yoga, and integrative healthcare

Integrative Treatment for Complex PTSD: Putting it All Together for an Effective Treatment Plan

  • A Biopsychosocial Approach: Partner with clients to build a health care team
  • Goal of treatment: Memory retrieval vs. trauma recovery
  • History taking: Identify chronic, repeated, and/or developmental trauma events
  • Cultural factors and Complex PTSD
  • Recognize attachment injuries
  • Identify parts, ego states and defenses
  • Assess for dissociation (“fragmentation”)
  • Clinical Vignette #1
  • Mutual regulation and relational repair in therapy
  • Prepare for trauma processing: Develop resources and stability
  • Working with parts of self
  • Work through traumatic memories: EMDR and Somatic Psychology
  • Clinical Vignette #2
  • Grief work in Complex PTSD
  • Integrate and Instill positive change

Experiential Interventions: Mind-Body Practices for Clients with Complex PTSD

  • Conscious breathing for self-regulation
  • Grounding and sensory awareness
  • Containment: Reclaim choice and control
  • Build imaginal allies
  • Cultivate mindfulness, acceptance, and self-compassion
  • Somatic interventions: Titration, sequencing, and somatic re-patterning
  • Bilateral stimulation and dual attention in EMDR Therapy
  • Potential risks and limitations of mind-body therapies

Special Considerations in Complex Trauma Treatment

  • Working with Preverbal and Nonverbal Memories
  • Working with transgenerational trauma
  • Somatization, Chronic Pain and illness
  • Gate Control Theory
  • Mindfulness, Yoga, and Compassion Based Interventions
  • Clinical Vignette #3

Fostering Resilience: For Post-Traumatic Growth and Healing

  • Learn the 6 Pillars of Resilience
  • Trauma recovery and the bell curve
  • Resilience as a process and an outcome
  • Help clients move from learned helplessness to learned optimism
  • Post-Traumatic Growth: Help clients reach their potential

Vicarious Trauma: Improve Client Outcomes Through Effective Self-Care

  • Identify resources that improve your clinical skills
  • In-session self-care to improve focus on the client and therapeutic process
  • Burnout prevention techniques

Clinical Vignette – Wendy

  • 56 year old woman with Hx of Bipolar Disorder, PTSD, DDNOS and Borderline traits

Trauma history of neglect, grandmother suicide, father inappropriate sexually

  • Addressing internalized negative aspects of parents
  • Goals of therapy

Integrative Approach to Trauma Reprocessing

  • Focusing and resourcing
  • Touchstone target
  • Negative and positive cognitions
  • Emotions and body sensations

Deepening the work

  • Parts work, pendulating between distress and resource, and somatic interventions

Top down and bottom up

  • Cognitive reappraisal, somatic interventions, and parts work

Somatic repatterning and reprocessing

  • Parts work, cognitive reappraisal

Integration:  A path to self-regulation

  • Parts work, somatic integration, and cognitive reappraisal

Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Physicians
  • Case Managers
  • Psychotherapists
  • Addiction Counselors
  • Marriage and Family Therapists
  • Nurses
  • Other Mental Health Professionals

Copyright : 11/30/2020