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2-Day: Healing from Toxic Relationships: Help Your Clients Recover from Gaslighting, Narcissism, and Emotional Abuse, 3/27/2025 7:00:00 AM CDT, Live Webinar More info »
2-Day: Healing from Toxic Relationships: Help Your Clients Recover from Gaslighting, Narcissism, and Emotional Abuse, 9/19/2024 12:00:00 AM CDT, Digital Seminar More info »
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Live Webinar

2-Day: Healing from Toxic Relationships: Help Your Clients Recover from Gaslighting, Narcissism, and Emotional Abuse


Speaker:
Stephanie Sarkis, PhD, NCC, DCMHS, LMHC
Duration:
2 Full Days
Format:
Audio and Video
Product Code:
LWC059011
Brochure Code:
PWZ90255
Media Type:
Live Webinar - Also available: Digital Seminar | Live Webinar

Dates
Schedule at a glance

Normal Price:      $459.99 - Now:  $79.99 - Exclusive offer when combined with this live training.
Other great resources - exclusive savings when you add now!

Description

Toxic relationships come in all types— romantic partners, business partners, parents, siblings, friends…

and everyone, at some point in their lives, has experienced a toxic relationship.

As a therapist you’ll encounter at least one client a month who is preparing to leave or has left a toxic relationship. They’re emotionally fragile, so being well-educated on how to provide the best care for your client is a must - as well as how to deal with your own feelings of frustration when your client returns to the toxic relationship.

Stephanie Sarkis PhD is the author of the best-selling books Gaslighting: Recognize Manipulative and Emotionally Abusive People— and Break Free and Toxic Relationships: Help Your Clients Recover from Gaslighting, Narcissism, and Emotional Abuse.

Join Dr. Sarkis, for this LIVE two-day webinar where she shows you, through evidence-based practice: trauma-informed therapy, dialectical behavior therapy, solution-focused therapy, acceptance and commitment therapy, cognitive-behavioral therapy, case studies and her 20 years of experience, how to help clients rebuild their lives after the trauma of a toxic relationship:

  • Knowing what to do when your client gets “hooked” on the cycle of abuse & reconciliation
  • Client who continues to seek out similar toxic relationships
  • Moving on without closure
  • Letting go of anger and self-blame
  • Establishing boundaries
  • Practicing self-care
  • Grief – working through the loss
  • Rebuilding emotionally healthy relationships

Don’t miss out on getting answers to an all-too common but underdiscussed personality type!

Sign up today!

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - *

NOTE: Each purchase includes CE credit for one individual (participants in full attendance will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, Q&A, and others.

Continuing Education Information: Credits listed below are for full attendance at the live, interactive webinar only. This webinar is being broadcast live in real-time and must be attended live, in its entirety, in order to earn credit. You will be able to type questions to the speaker. The speaker will see the questions and address them during the presentation as time allows. Please note, your state licensing board dictates whether web-based activities are an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.
 


* Credit Note - ---

Earn up to 12.5 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Counselors - Counselors

This educational offering consists of 12.5 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements. 


Counselors - Alaska Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Alaska Counselors. The Board of Professional Counselors (12 AAC 62.320) confirms acceptance of continuing education programs relevant to counseling from providers approved by NAADAC. This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 12.5 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming.


Counselors - Arizona Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Arizona Counselors. PESI is an approved provider of continuing education seminars with a national social work association. Please see social work approvals for this program. 


Counselors - California Counselors

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.”  This intermediate level activity consists of 12.75 clock hours of continuing education instruction.


Counselors - Connecticut Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Connecticut Counselors. The Regulations of Connecticut State Agencies confirm acceptance of this program as a qualifying continuing education activity if approved by a national professional association of social work (Sec. 20-195cc-3). PESI is an approved provider of continuing education seminars with a national social work association. Please see social work approvals for this program. 


Counselors - Delaware Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Delaware Counselors. The Delaware Board of Mental Health and Chemical Dependency Professionals (Admin Code: Title 24: Chapter 30) confirms acceptance of continuing education programs relevant to counseling and approved by NAADAC. This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 12.5 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming.


Counselors - District of Columbia (DC) Counselors

CE credit is available. This course consists of 15.0 continuing education clock hours for DC Counselors. The District of Columbia Municipal Regulations for Professional Counseling (S.6612.3) confirm acceptance of continuing education programs relevant to counseling by organizations that have been approved by a counseling board in another state. PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This activity will qualify for 15.0 CE hours. 


Counselors - Florida Counselors

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This course qualifies for 12.5 continuing education credits. 


Counselors - Georgia Counselors

CE credit is available. 12.5 Core in-person (synchronous) or live webinar (synchronous) contact hours of continuing education have been approved by the Licensed Professional Counselors Association of Georgia, (LPCA CE Approval #2023-11-6-923LW ). Full attendance is required; no partial credits will be offered for partial attendance.


Counselors - Illinois Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Illinois Counselors. The Illinois Division of Professional Regulation, Administrative Code Section 1375.220(c), confirms acceptance of continuing education programs relevant to counseling that are provided by a Social Work Continuing Education Sponsor approved by the Division. PESI, Inc is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Full attendance at this course qualifies for 12.5 contact hours.


Counselors - Indiana Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Indiana Counselors. The Rules of the Indiana Behavioral Health and Human Services Licensing Board (839 IAC 1·6·2) confirm acceptance of continuing education programs relevant to counseling that are approved by another state’s mental health counselor board. PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 12.5 clock hours of continuing education credit.


Counselors - Iowa Counselors

CE credit is available. This live activity consists of 12.5 continuing education clock hours for Iowa Counselors and is designed to meet the continuing education requirements of the Iowa Bureau of Professional Licensure, IAC 645–32.3(154D,272C). Please retain the course advertisement and certificate of completion for four years in your CE records.


Counselors - Kentucky Counselors

CE credit is available. This course consists of 15.0 continuing education credit hours for Kentucky Counselors. The Continuing Education Requirements for the Kentucky Board of Licensed Professional Counselors (201 KAR 36:030 Section 2) state continuing education programs from providers sponsored or approved by a state counseling licensure board shall be approved without further review by the board. PESI, Inc. is approved by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540. PESI maintains responsibility for this program and its contents.


Counselors - Maryland Counselors

CE credit is available. This course is approved for 12.5 clock hours of continuing education instruction for Maryland Counselors. The Maryland Board of Professional Counselors recognizes courses and providers that are approved by NAADAC. A certificate of attendance will be awarded at the end of the program to counselors who complete the program evaluation, to submit to their state board. This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 12.5 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming.


Counselors - Mississippi Counselors

CE credit is available. This live course consists of 12.5 continuing education clock hours for Mississippi Counselors. The Mississippi State Board of Examiners for Licensed Professional Counselors, Rule 6.2 allows live continuing education not pre-approved by the Board if relevant to counseling and presented by someone at the master’s level or above and trained in the mental health field or related services. CEH will be subject to approval by the Board at the time of renewal. Please retain the course advertisement and certificate of completion for your CE records. Full attendance is required.


Counselors - Missouri Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Missouri Counselors. The Missouri Committee for Professional Counselors accepts continuing education programs relevant to counseling that are provided by organizations recognized by national social worker associations. PESI, Inc. is recognized by a national social worker association. Please see social work approvals for this program.


Counselors - Montana Counselors

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level activity consists of 12.5 clock hours of instruction.


Counselors - Nevada Counselors

PESI, Inc. is an approved CEU provider with the State of Nevada Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors. This activity qualifies for 12.5 contact hours. Approved Provider # NVCEP2006.


Counselors - New Jersey Counselors

CE credit is available. This course consists of 12.5 contact hours of continuing education for New Jersey Counselors. The New Jersey Professional Counselor Examiners Committee (pursuant to N.J.S.A. 13:34-15.4) confirms acceptance of continuing education programs relevant to counseling that are approved by the National Association of Alcoholism and Drug Abuse Counselors (NAADAC). This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 12.5 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming.


Counselors - New York Counselors

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This activity will qualify for 15.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


Counselors - North Carolina Counselors

CE credit is available. This course consists of 12.5 contact hours of continuing education for North Carolina Counselors. The North Carolina Board of Licensed Professional Counselors (Rule .0603) confirms acceptance of up to 15 contact hours per renewal period of continuing education programs approved by the National Association of Alcoholism and Drug Abuse Counselors (NAADAC). This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 12.5 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming.


Counselors - Ohio Counselors

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Full attendance at this course meets the qualifications for 12.5 clock hours of general continuing education credit. Tracking number: 20-986980


Counselors - South Carolina Counselors

This program has been approved for 12.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.


Counselors - South Dakota Counselors

CE credit is available. This course consists of 12.5 continuing education credit hours for South Dakota Counselors. The South Dakota Administrative Rules (ARSD20:68:07) confirm acceptance of continuing education programs relevant to counseling that offer AMA PRA Category 1 Credit™. This live activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  


Counselors - Tennessee Counselors

CE credit is available. This course consists of 12.5 continuing education credit hours for Tennessee Counselors. The Rules of the Board for Licensed Professional Counselors, Licensed Marital and Family Therapists, and Licensed Clinical Pastoral Therapists, Section 0450-01-.12, confirm continuing education courses which pertain to the practice of counseling shall be considered approved if sanctioned by any state regulatory agency for professional counseling in the United States. PESI, Inc. is approved by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540. PESI maintains responsibility for this program and its contents.


Counselors - Texas Counselors

This activity consists of 12.5 clock hours of continuing education instruction. Texas State Board of Examiners of Professional Counselors no longer approves programs or providers. PESI activities meet the continuing education requirements as listed in Title 22 Texas Administrative Code, Chapter 681, Subchapter J, Section 681.142 Acceptable Continuing Education. Please retain the certificate of completion that you receive and use as proof of completion when required.


Counselors - Utah Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Utah Counselors and is designed to meet the continuing education requirements of the Clinical Mental Health Counselor Licensing Act Rule, R156-60c. Please retain the course advertisement and certificate of completion for your CE records.


Counselors - Virginia Counselors

CE credit is available. This course is approved for 12.5 clock hours of continuing competency instruction for Virginia Counselors. The Virginia Board of Counseling recognizes continuing competency activities in the behavioral health field offered by organizations that are approved by a counseling board in another state (18VAC115-20-105). PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This activity will qualify for 12.5 contact hours. 


Counselors - Wisconsin Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Wisconsin Counselors. The Wisconsin Department of Safety and Professional Services (MPSW 19) accepts continuing education programs relevant to counseling by approved providers recognized by national social worker associations. PESI, Inc. is recognized by a national social worker association (Sec. 20-195cc-3). Please see social work approvals for this program.


Counselors - Pennsylvania Counselors

CE credit is available. This course consists of 12.5 continuing education clock hours for Pennsylvania Counselors. The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors confirms under 49 Pa. Code S.49.36 that CE providers approved by the ACE Program of the Association of Social Work Boards meet the Board standards and qualify as approved providers. PESI, Inc. is an approved provider. Please see social work approvals for this program.


Social Workers - Social Workers - National ASWB ACE

PESI, Inc., #1062, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: January 27, 2023 - January 27, 2026. Social workers completing this course receive 12.75 Clinical continuing education credits.

 

Course Level: Intermediate Format: Synchronous distance.  Full attendance is required; no partial credits will be offered for partial attendance.

 

Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Social Workers - California Social Workers

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level activity consists of 12.75 clock hours of continuing education instruction.


Social Workers - Colorado Social Workers

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 12.6 continuing education hours. 

Please note: Colorado Social Workers must select "Colorado Social Workers" credit and complete the post-test and evaluation if they would like their participation submitted to the Colorado Chapter of the NASW. Participation cannot be reported without a completed post-test.


Social Workers - Florida Social Workers

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This course qualifies for 12.5 continuing education credits.


Social Workers - Illinois Social Workers

PESI, Inc is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Full attendance at this course qualifies for 12.5 contact hours.


Social Workers - Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This course has been approved for 12.5 continuing education hours.


Social Workers - Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This course has been approved for 12.5 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Social Workers - Montana Social Workers

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level activity consists of 12.5 clock hours of instruction.


Social Workers - New York Social Workers

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This activity will qualify for 15.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Social Workers - Ohio Social Workers

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Full attendance at this course meets the qualifications for 12.5 clock hours of general continuing education credit. Tracking number: 20-986980


Social Workers - Pennsylvania Social Workers

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions. This intermediate level activity consists of 12.5 clock hours of continuing education instruction.


Psychologists - Alaska Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Alaska Psychologists. The Alaska Statutes and Regulations section 12 AAC 60.300 (b) confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - Arizona Psychologists

This activity consists of 760 minutes of continuing education instruction and is designed to meet the requirements of the Arizona Board of Psychologist Examiners. Please save the course outline, certificate of completion, and any other supporting documentation you receive from this live activity in case it is requested by the board.


Psychologists - Arkansas Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Arkansas Psychologists. Section 9.1.A(2)(a) of the Arkansas Psychology Board Rules and Regulations confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 

 


Psychologists - California Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for California Psychologists. The California Department of Consumer Affairs Board of Psychology recognizes and accepts for continuing education credit courses that are specifically applicable and pertinent to the practice of psychology and by entities approved by the ACCME (Accreditation Council for Continuing Medical Education). This live activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - Colorado Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Colorado Psychologists. The Colorado State Board of Examiners Rule 20 confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 


Psychologists - Connecticut Psychologists

CE credit is available. This course consists of 12.5  continuing education credit hours for Connecticut Psychologists. CT Gen Stat Sec. 20-191c Continuing Education (b)(3) confirms acceptance of continuing education programs relevant to psychology from a nationally recognized provider of continuing education seminars. PESI, Inc. is a nationally recognized provider of continuing education seminars with multiple national CE approvals. This course consists of 12.5  continuing education credit hours.


Psychologists - Delaware Psychologists

CE credit is available. This course consists of 12.5  continuing education credit hours for Delaware Psychologists. This course meets the continuing education requirements specified in Section 10.0 of the Delaware Board of Examiners of Psychologists Rules and Regulations. Please keep your program brochure and certificate of attendance to support the following criteria: relevance, stated objectives, qualified faculty and attendance.


Psychologists - Kentucky Psychologists

PESI, Inc. is approved by the Kentucky Board of Examiners of Psychology to offer continuing education for psychologists. PESI maintains responsibility for this program and its content. This activity will qualify for 12.5 contact hours.


Psychologists - Florida Psychologists

PESI, Inc. is an approved provider with the Florida Board of Psychology. Provider Number #50-399. This course qualifies for 12.6 continuing education credits.


Psychologists - Georgia Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Georgia Psychologists. The Rules and Regulations of the State of Georgia, Chapter 510-8, Section 3 confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - Hawaii Psychologists

CE credit is available. This course consists of 12.5  continuing education credit hours for Hawaii Psychologists. Hawaii Revised Statutes Sec. 465-11 confirms acceptance of continuing education programs relevant to psychology from providers approved by state or provincial psychological associations. PESI, Inc. is approved by the Ohio Psychological Association, Provider #263896894, to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content.


Psychologists - Idaho Psychologists

CE credit is available. This course consists of 12.5  continuing education credit hours for Idaho Psychologists. The Rules of the Idaho State Board of Psychologists Examiners, Section 402, confirm acceptance of continuing education programs relevant to psychology from providers offered in association with or under the auspices of a state psychological association. PESI, Inc. is approved by the Ohio Psychological Association, Provider #263896894, to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content.


Psychologists - Illinois Psychologists

PESI, Inc is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 268.000102. Full attendance at this course qualifies for 12.5 contact hours.


Psychologists - Iowa Psychologists

CE credit is available. This course is designed to meet the continuing education requirements of the Iowa Board of Psychology (IAC Subrule 241.3(1) general criteria) and to qualify for 12.5 continuing education hours for Iowa Psychologists.


Psychologists - Kansas Psychologists

This live activity consists of 12.5 hours of continuing education instruction and is designed to meet the requirements of the Kansas Board of Psychology. PESI is a nationally accredited provider of continuing education. Please retain the activity advertisement and certificate of attendance for your CE records.


Psychologists - Maine Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Maine Psychologists. Pursuant to Board Rules Chapter 8 Section 3 (2), PESI courses directly relating to the practice of psychology are approved by the Maine Board of Examiners of Psychologists because PESI has been approved to offer continuing education for Psychologists by a state regulatory board having legal jurisdiction over the practice of psychology. PESI, Inc. is an approved provider with the Florida Board of Psychology. Provider Number 50-399.


Psychologists - Maryland Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Maryland Psychologists. Pursuant to COMAR 10.36.02, the Maryland Board of Examiners of Psychologists accepts continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - Mississippi Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Mississippi Psychologists. The Continuing Education For Psychologists Section of the Mississippi Board of Psychology website confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This live activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - Missouri Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Missouri Psychologists. The Rules of Department of Insurance, Financial Institutions and Professional Registration Division 2235-State Committee of Psychologists Chapter-Continuing Education (1) confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - Montana Psychologists

This activity is designed to meet the criteria requirements of the Montana Board of Psychologists and is a PESI-approved continuing education and qualifies for 12.5 instructional hours. Please save the certificate of completion you receive from this activity.


Psychologists - Nebraska Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Nebraska Psychologists. The Nebraska Department of Health and Human Services Regulation and Licensure, Title 172, Chapter 55 confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - Nevada Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Nevada Psychologists. The State of Nevada Board of Psychological Examiners, NAC 641.1363 confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - New Jersey Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for New Jersey Psychologists. The New Jersey Administrative Code, Title 13 Law and Public Safety, Chapter 42, Board of Psychological Examiners, Section 13:42-10.21 Continuing Education Programs, confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - New Mexico Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for New Mexico Psychologists. The New Mexico State Board of Psychologist Examiners 16.22.9.9 CPE Program Categories A(1)(c) confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This live activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - New York Psychologists

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0014. This activity will qualify for 15.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.


Psychologists - North Carolina Psychologists

This course is designed to meet the Category B Requirements of the North Carolina Psychology Board, provided it is within the scope of practice of psychology. Please retain all documents to provide to your board should this be requested of you. This activity consists of 12.5 clock hours of continuing education instruction. 


Psychologists - North Dakota Psychologists

CE credit is available. This course consists of 12.5 continuing education clock hours for North Dakota Psychologists. The North Dakota State Board of Psychologist Examiners, pursuant to 66-03-01-03, confirms acceptance of continuing education programs for content related to practice authorized in North Dakota (century code 43-32) for programs approved by certain ce associations. When printing your certificate, please include any national social work approvals.


Psychologists - Ohio Psychologists

PESI, Inc. is approved by the Ohio Psychological Association, Provider #263896894, to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content. PESI is offering this activity for 12.5 standard hours of continuing education credit. 


Psychologists - Oklahoma Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Oklahoma Psychologists. The Oklahoma State Board of Examiners of Psychologists’ Recognized Sponsors of Continuing Education confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - Oregon Psychologists

This activity consists of 12.5 hours of continuing education instruction and is designed to meet the requirements of the Oregon Board of Psychology (858-040-0035). Please save the course outline, certificate of completion, and any other supporting documentation you receive from this live activity in case it is requested by the board.


Psychologists - Pennsylvania Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Pennsylvania Psychologist. The Pennsylvania Board of Psychology, 41.59(d)(3) confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - South Carolina Psychologists

This course is designed to meet the Category B Requirements of the South Carolina Department of Labor, Licensing, and Regulation, provided it is within your scope of practice of psychology. Please retain all documents to provide to your board should this be requested of you. This activity consists of 760 minutes of continuing education instruction.


Psychologists - South Dakota Psychologists

This live activity consists of 12.5 hours of continuing education instruction for South Dakota Psychologists and is related to the practice of psychology.


Psychologists - Tennessee Psychologists

CE credit is available. This course is designed to meet Type II CE of the Tennessee Board of Examiners of Psychology. The Board accepts approvals by any recognized national credentialing body. Please retain all documents to provide to your board should this be requested of you. This activity consists of 12.5 clock hours of continuing education instruction. 


Psychologists - Texas Psychologists

CE credit is available. This course consists of 12.5 professional development credit hours for Texas Psychologists. Pursuant to Board rule 461.11, the Texas State Board of Examiners of Psychologists accepts programs by formally organized groups providing professional development that is directly related to the practice of psychology; and professional associations relating to other mental health professions such as social work. PESI is a formally organized group dedicated to providing professional development programs for psychologists, social workers and other mental health professions. 


Psychologists - Utah Psychologists

This live activity consists of 12.5 hours of continuing education instruction and is designed to meet the requirements of the Utah Department of Commerce Division of Occupational and Professional Licensing for psychologists.  Please save the course outline, certificate of completion, and any other supporting documentation you receive from this live activity in case it is requested by the board.


Psychologists - Virginia Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Virginia Psychologists. The Virginia Board of Psychology (S.18VAC125-20-122) confirms acceptance of programs by any continuing education provider approved by a psychological association or psychology board in another state or jurisdiction. PESI, Inc. is approved by the Kentucky Board of Examiners of Psychology to offer continuing education for psychologists. PESI maintains responsibility for this program and its content.


Psychologists - Washington Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Washington Psychologists. The Washington Examining Board of Psychology recognizes continuing education activities sponsored by regional or state psychological associations. PESI, Inc. is approved by the Ohio Psychological Association, Provider #263896894, to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content.


Psychologists - West Virginia Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for West Virginia Psychologists. The West Virginia Board of Examiners of Psychologists’ Guidelines For Continuing Education confirm acceptance of continuing education programs from CE providers who are approved through NASP or State Boards or Associations of Psychology. PESI, Inc. is approved by the Ohio Psychological Association, Provider #263896894, to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content.


Psychologists - Wisconsin Psychologists

CE credit is available. This course consists of 12.5 continuing education credit hours for Wisconsin Psychologists. The State of Wisconsin Department of Safety and Professional Services under Wis. Administrative Code Chapter PSY 4 confirms acceptance of continuing education programs relevant to psychology by providers that are approved for Category 1 AMA credit. This activity is certified for a maximum of 12.5 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Psychologists - Psychologists & Physicians

Physicians: PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this live activity for a maximum of 12.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

 

Psychologists: The following state psychologist boards recognize activities sponsored by PESI, Inc. as an approved ACCME provider: Alaska, Arkansas, California, Colorado, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Michigan, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, Oklahoma, Pennsylvania, South Carolina and Wisconsin. This activity consists of 12.5 clock hours of continuing education instruction. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit.


Marriage & Family Therapists - Marriage & Family Therapists

This activity consists of 760 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the activity advertisement, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements. 


Marriage & Family Therapists - California Marriage & Family Therapists

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.”  This intermediate level activity consists of 12.75 clock hours of continuing education instruction.


Marriage & Family Therapists - Florida Marriage & Family Therapists

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This course qualifies for 12.5 continuing education credits.


Marriage & Family Therapists - Georgia Marriage & Family Therapists

This activity has been approved by the Georgia Association for Marriage & Family Therapy for continuing education hours for licensed marriage and family therapists. Full attendance at this activity qualifies for 12.5 Core continuing education hours. ID #: 204-2023. Full attendance is required. No partial contact hours will be issued for partial attendance.


Marriage & Family Therapists - Illinois Marriage & Family Therapists

PESI has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #:168-000156. Full attendance at this activity qualifies for 12.5 credits. 


Marriage & Family Therapists - Montana Marriage & Family Therapists

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level activity consists of 12.5 clock hours of instruction.


Marriage & Family Therapists - Nevada Marriage & Family Therapists

PESI, Inc. is an approved CEU provider with the State of Nevada Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors. This activity qualifies for 12.5 contact hours. Approved Provider # NVCEP2006.


Marriage & Family Therapists - New York Marriage & Family Therapists

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0024. This activity will qualify for 15.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


Marriage & Family Therapists - Ohio Marriage & Family Therapists

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Full attendance at this course meets the qualifications for 12.5 clock hours of general continuing education credit. Tracking number: 20-986980


Marriage & Family Therapists - Pennsylvania Marriage & Family Therapists

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This intermediate level activity consists of 12.5 clock hours of continuing education instruction.


Marriage & Family Therapists - South Carolina Marriage & Family Therapists

This program has been approved for 12.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.


Marriage & Family Therapists - Tennessee Marriage and Family Therapists

CE credit is available. This course consists of 12.5 continuing education credit hours for Tennessee Marriage and Family Therapists. The Rules of the Board for Licensed Professional Counselors, Licensed Marital and Family Therapists, and Licensed Clinical Pastoral Therapists, Section 0450-02-.12, confirm continuing education courses which pertain to the practice of Marital and Family Therapists shall be considered approved if sanctioned by any state regulatory agency for marital and family therapy in the United States. PESI, Inc. is approved by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540. PESI maintains responsibility for this program and its contents.


Marriage & Family Therapists - Texas Marriage & Family Therapists

This activity consists of 12.5 clock hours of continuing education instruction. Texas State Board of Examiners of Marriage and Family Therapists no longer approves programs or providers. PESI activities meet the continuing education requirements as listed in Title 22 of the Texas Administrative Code, Chapter 801, Subchapter K, Section 801.264 Types of Acceptable Continuing Education. Please retain the certificate of completion that you receive and use as proof of completion when required.


Addiction Counselors - California Alcoholism & Drug Abuse Counselors (CADTP)

PESI, Inc. is an approved provider by the CADTP, Provider #: 201. This Category C activity meets the qualifications for 12.5 CEUs (continuing education hours).


Addiction Counselors - Connecticut Addiction Counselors

Provider #120924. This course has been approved as a CCB approved training and has been awarded 12.5 hours by the Connecticut Certification Board.


Addiction Counselors - California Alcoholism & Drug Abuse Counselors (CCAPP-EI)

PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: 0S-03-036-1023. This activity meets the qualifications for 12.5 CEHs (continuing education hours).


Addiction Counselors - Addiction Counselors - NAADAC

NAADAC

This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 12.5 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance. 


Addiction Counselors - Mississippi Addiction Counselors

The Mississippi Association of Addiction Professionals (MAAP) recognizes courses and providers that are approved by NAADAC. This intermediate activity is approved for 12.5 clock hours of continuing education instruction.


Addiction Counselors - Oklahoma Alcohol & Drug Counselors

PESI, Inc. is an Oklahoma Board of Licensed Alcohol and Drug Counselors approved provider # 20230032. This activity consists of 12.5 clock hours of continuing education instruction.


Educators, Teachers & School Professionals - California Licensed Educational Psychologists

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.”  This  level activity consists of 12.0 clock hours of continuing education instruction.


Educators, Teachers & School Professionals - South Carolina Psycho-Educational Specialists

This program has been approved for 12.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.


New Jersey Social Workers

2-Day: Healing from Toxic Relationships: Help Your Clients Recover from Gaslighting, Narcissism, and Emotional Abuse , Course #4614, is approved by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program to be offered by PESI, Inc. as an individual course. Individual courses, not providers, are approved at the course level. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. ACE course approval period: 11/30/2022 - 11/30/2024. Social workers completing this course receive 12.5 clinical continuing education credits. Full attendance is required; no partial credits will be offered for partial attendance. 


Other Professions

This activity qualifies for 760 continuing education minutes as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 



Handouts/Brochure

Speaker

Stephanie Sarkis, PhD, NCC, DCMHS, LMHC's Profile

Stephanie Sarkis, PhD, NCC, DCMHS, LMHC Related seminars and products


Stephanie Moulton Sarkis, PhD, NCC, DCMHS, LMHC, is a renowned therapist and leading expert on gaslighting. With over two decades of experience as a clinician, author, and speaker, Dr. Sarkis has become a trusted voice in the fight against gaslighting and related forms of psychological manipulation. Her groundbreaking book, Gaslighting: Recognize Manipulative and Emotionally Abusive People – and Break Free, has become a must-read for anyone seeking to understand the devastating impact of gaslighting and how to heal from its side effects. She was named a Diplomate and Clinical Mental Health Specialist in Child and Adolescent Counseling by the American Mental Health Counselors Association, one of only 20 professionals in the United States with this dual designation. Dr. Sarkis is also a national certified counselor, licensed mental health counselor, and a Florida Supreme Court Certified Family and Circuit Mediator. She has been in private practice for over 20 years. Dr. Sarkis is a senior contributor for Forbes online and is also a contributor to Psychology Today. Her Psychology Today posts have been viewed over 70 million times. Her Psychology Today article “11 Red Flags of Gaslighting in a Relationship” went viral, with over 15 million views. She has taught the graduate-level classes Diagnosis and Assessment of Mental Health Disorders in addition to Law and Ethics of Counseling at the University of Florida and Florida Atlantic University. Dr. Sarkis earned a PhD, EdS, and MEd in Mental Health Counseling from the University of Florida, named by US News and World Report as the top counselor education program in the country. Dr. Sarkis has appeared on CNN, 10% Happier with Dan Harris, Sirius XM Doctor Radio, ABC (US), ABC (Australia), in USA Today, The Washington Post, Newsweek, and many more media outlets. Her research on comorbid ADHD and its impact on pediatric executive function was published in the Journal of Attention Disorders. She hosts the Talking Brains podcast and is based in Tampa, Florida. Her latest book Healing from Toxic Relationships is available now. Visit her Website at www.stephaniesarkis.com.

 

Speaker Disclosures:
Financial: Dr. Stephanie Moulton Sarkis maintains a private practice. She serves as a contributor to Forbes, The Huffington Post, and Psychology Today and is an advisory panel member for Evergreen Certifications. Dr. Sarkis is a facilitator for Collaborative Divorce. She receives royalties as a published author. She receives a speaking honorarium, recording, and book royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Stephanie Moulton Sarkis is a professional expert for Understood.org, part of the National Center for Learning Disabilities. She is a member of the Attention Deficit Disorder Association, American Mental Health Counselors Association, Children and Adults with Attention Deficit Disorder, and the National Board for Certified Counselors.


Alternate Dates

Additional Info

Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.


Webcast Schedule

Please note: Each day there will be a 70-minute lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Employ evidence-based practice from trauma-informed therapy, dialectical behavior therapy, solution-focused therapy, acceptance and commitment therapy, and cognitive-behavioral therapy to assist clients in rebuilding their lives.
  2. Assess suicidality effectively and treat it through integrative psychodynamic psychotherapy and dialectical behavior therapy.  
  3. Determine a diagnosis of complex PTSD through trauma-informed interviewing skills. 
  4. Evaluate the research-based benefits of altruism through volunteering in increasing self-esteem and self-efficacy.
  5. Analyze how parental alienation further traumatizes clients and their children.
  6. Build 10 tools to help clients reestablish healthy boundaries via research-based activities.
  7. Utilize clinical strategies to uncover and heal client’s family-of-origin trauma.
  8. Minimize symptoms of post-traumatic stress disorder through trauma-informed therapeutic techniques.
  9. Prescribe individualized therapeutic care to improve client engagement when discussing experience of abuse.
  10. Determine level of family-of-origin pathology in order to inform choice of treatment interventions.
  11. Demonstrate knowledge of vicarious trauma for purposes of reducing clinician burnout.
  12. Diagnose complex post-traumatic stress disorder in a clinical setting.

Outline

Neurochemical Cycle of Abuse: Every Day is a Recovery

  • Harder to leave when trauma bonding has occurred
  • Abuse = cortisol levels and adrenaline increases
  • Reconciliation = dopamine and oxytocin increase
  • Client’s brain can get addicted to this cycle
  • Withdrawal and/or reframing grief after the relationship (i.e., drug withdrawal)

Phases of Toxic Relationships – Cycle of Abuse

  • Attachment Style – Predictor of abuse vulnerability
  • Idealizing - Relationship begins - seems too good to be true, pressured commitment
  • Devaluing - Toxic person starts emotional abuse, eventually ramps up into physical abuse
  • Discarding - Client discovers toxic person’s infidelity, “financial cheating” or toxic person leaves

Results of Toxic Relationships

  • Complicated grief
  • Questioning what was “real” in the Relationship
  • Complex PTSD
  • Dissociative episodes
  • Brief psychotic episode
  • Dissociative identity disorder
  • Suicidality
  • Case study: Sarah, a 52-year-old female who is experiencing complex grief as a result of an abusive family of origin and abusive relationship

Returning to the Toxic Relationship

  • Leave toxic relationships at least three times before they leave for good or are killed
  • Abusers “hoover” victims to get their “narcissistic supply”
  • Therapists may start “fixing” rather than supporting client – codependent behavior

Solution-Focused Therapy to Relearn Self-Care

  • Creating future plans
  • Emotional and physical safety
  • ADL’s – in extreme cases
  • Reconnecting with healthcare (infidelity, etc)
  • Seeking injunction – restraining order
  • Reframing self-care as a necessity rather than a luxury
  • Case study: James, a 53-year-old male relearning basic life skills that were lost as a result of severe abuse and depression

Trauma-Informed Therapy to Break Free from Codependence

  • Multicultural therapy’s view that codependence is a culture-bound term
  • Multi-cultural implication – divorce, religious, traditional gender roles/abuse
  • Determining clients “secondary gain” from codependent behavior

Toxic Family of Origin

  • Abuse can be intergenerational
  • Family of origin substance abuse
  • “Splitting” - golden child and a scapegoat child
  • Siblings may maintain dysfunctional roles into adulthood
  • Using genograms to identify client’s familial behavior patterns
  • Transgenerational family therapy
  • Caregiving and elderly toxic parents

Existential Therapy Tools to Manage Suicidality

  • Best way to assess for suicidality according to research
  • Myths about suicidal behavior
  • Hidden signs of suicidality
  • Evidence-based treatment of suicidality resulting from abuse
  • Case study: Emma, a 17-year-old who has ended an abusive relationship

Coparenting with a Toxic Personality

  • Parental alienation
  • Using detailed parenting plan
  • Resources available - parent coordinator, family law attorney (some do pro bono work)
  • Communicate via a coparenting app
  • Case study: Ian, a 48-year-old who is learning how to coparent with their ex-partner who has been diagnosed with narcissistic personality disorder.

DBT & Grief Therapy Techniques to Redefine Closure

  • Toxic person will not give closure
  • Toxic people keep exes and friends “in rotation”
  • Helping clients find their own closure
  • Forgiveness is not necessary for closure
  • Dangers of pushing an agenda of forgiveness on clients
  • Sometimes closure is not possible
  • Clients can have fulfilling lives without closure or forgiveness

Reconnecting with Trusted Friends and Family

  • Reassessing emotional health of client’s loved ones
  • Client’s level of disclosure about the abuse to friends and family – how much is too much
  • Case study: Jimmy, a 28-year-old male reconnecting with family after going no-contact with his mother

ACT & Trauma-Focused Techniques to Help Client Forgive Themselves

  • Forgiving can be a continual process
  • Empty chair and writing techniques
  • CBT – changing inner dialogue (to non-violent communication)
  • Altruism as pathway to healing volunteerism – increase self-esteem and self-concept

The Power of Language in Session

  • When to refer to a relationship as “abusive”
  • Go at same pace of your client
  • Ask client what words they prefer
  • Some words can be triggers
  • Case Study: Sheila, a 38-year-old mother of two who feels she is the cause of the difficulties in her marriage

Trauma-Informed and Solution Focused Therapy - Prepare for Life After a Toxic Relationship

  • Helping clients identify signs of a healthy person
  • Addressing client’s concerns about a healthy relationship feeling “boring”
  • Addiction to the excitement of a toxic relationship
  • Reviewing client’s progress

TIPS for Therapists

  • Attend regular therapy sessions and clinical supervision
  • Beware of client’s experiences triggering your trauma
  • Expect to be contacted by abuser
  • You may be involved in litigation
  • Protecting yourself and your practice
  • Look for signs of burnout
  • Practice proactive self-care

Target Audience

  • Addiction Counselors
  • Counselors
  • Marriage and Family Therapists
  • Physicians
  • Psychologists
  • Social Workers

Reviews

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