Image of Toxic Shame in Clinical Practice: Help Clients Release Shame, Get Unst
Digital Seminar

Toxic Shame in Clinical Practice: Help Clients Release Shame, Get Unstuck and Improve Treatment Outcomes


Faculty:
Patti Ashley
Duration:
5 Hours 49 Minutes
Format:
Audio and Video
Copyright :
Sep 14, 2018
Product Code:
POS054025
Media Type:
Digital Seminar


Description

Clinicians often report feeling “stuck” and unsure of the reasons why clinical strategies aren’t working. In this recording shame expert, Patti Ashley, Ph.D., LPC, will help enhance your clinical skills using neurobiological-informed and relational-informed strategies for identifying and treating toxic shame.

Toxic shame is like an infectious disease that lies untreated due to symptoms being difficult to recognize or misdiagnosed. Learning how to recognize and treat toxic shame requires you to be vulnerable and courageous in the therapy session.

Recognizing the signs of toxic shame in the assessment and treatment process can be difficult. Here are some examples of client behaviors to watch for that could indicate shame:

  • Frequently cancels sessions
  • Terminates treatment early
  • Deflects and projects onto others
  • Narcissistic self-inflation
  • Perfectionism
  • Minimization
  • Anger, rage and contempt
  • and more

This recording will take you back to the origins of shame and help you identify the non-verbal unspoken and unseen aspects in clinical work. Understanding how shame can undermine the therapeutic alliance and using somatic strategies to deepen an authentic relationship with the client are the keys to working with toxic shame in clinical practice.

Dr. Ashley has heard other clinicians who have taken this workshop say they experienced a “sigh of relief.” This is a recording you don’t want to miss!

Credits


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. 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 cepesi@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 mental health professionals.  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 professions standards


Addiction Counselors

NAADAC

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 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.


California Alcoholism & Drug Abuse Counselors

PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: OS-03-036-1019. This activity meets the qualifications for 6.0 CEH's (continuing education hours).


Connecticut Addiction Counselors

Provider #120924. This course has been approved as a CCB approved training and has been awarded 6.25 hours by the Connecticut Certification Board.


Counselors

This intermediate self-study activity consists of 6.25 clock hours 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 the activity and contact your state board or organization to determine specific filing requirements.


Texas Counselors

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 6.0 continuing education credits.


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 self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists

This program has been approved for 6.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Approval #4540.


Marriage & Family Therapists

This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save this course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements. 


Texas Marriage & Family Therapists

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider # 503. This self-study package qualifies for 6.0 continuing education credits.


Illinois Marriage & Family Therapists

PESI, Inc. 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 self-study activity qualifies for 6.0 credits.


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 self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


Psychologists

This self-study activity consists of 6.0 clock hours of continuing education instruction. 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, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, Oklahoma, Pennsylvania, South Carolina and Wisconsin. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit. Full attendance is required; no partial credits will be offered for partial attendance. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education. PESI, Inc. designates this self-study activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 9/14/2018. It was last reviewed on 8/5/2018 and is valid until 08/05/2021.

Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Florida Psychologists

PESI, Inc., is an approved provider with the Florida Board of Psychology.Provider Number #50-399.This product qualifies for 6.3 self-study continuing education credits.


Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical) continuing education credits for completing this intermediate level course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. 


Canadian Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical) continuing education credits for completing this intermediate level self-study course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Colorado Social Workers

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This self-study course has been approved for 6.3 continuing education hours. 

 

COLORADO PARTICIPANTS ONLY: To be reported to the Colorado Chapter of the NASW, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com and provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors

CE Broker

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 self-study course qualifies for 6.25 continuing education credits.


Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.


Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 6.0 continuing education hours.


Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


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 self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Ohio Social Workers, Counselors, and 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. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.


Pennsylvania Social Workers, Counselors, and Marriage & Family Therapists

This intermediate activity is approved for 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


California Social Workers, Counselors, Marriage & Family Therapists, and Licensed Educational Psychologists

This intermediate activity consists of 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


Certification in Thanatology

This self-study educational offering is recognized by the Association for Death Education and Counseling to meet the thanatology-related educational contact hour requirements to be Certified in Thanatology: Death, Dying and Bereavement. This course will award 6.25 contact hours to participants.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours 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

Faculty

Patti Ashley Related seminars and products: 1

Ph.D., L.P.C.


Patti Ashley, Ph.D., L.P.C. owns and operates Breakthrough Psychotherapy and Parent Coaching in Boulder, Colorado. Combining elements of developmental, cognitive, strength-based, and positive psychology, Dr. Ashley has created a psychotherapy model that helps clients excavate authenticity and life purpose. Identifying dysfunctional patterns and treating shame-based disorders are integral parts of her work with individuals, groups, couples and families.

Patti has over thirty-five years of experience in the fields of education and psychology. These include developing continuing education courses for physicians and hospital wellness programs; instructing undergraduate and graduate courses for universities; and counseling individuals, couples and families in mental health agencies, psychiatric hospitals, and private practice settings.

Dr. Ashley completed a Doctor of Philosophy Degree in 2002. she is the author of the book Living in the Shadow of the Too-Good Mother Archetype, (2014) Dr. Ashley is currently writing two other books scheduled for release in 2018: Reconciliation of the Heart: How Beliefs, Choices and Forgiveness Influence Authenticity and Life Purpose,and Letters to Freedom: A True Story of Grief and Love that Never Dies. Patti is also a featured journalist for numerous publications, and a frequent workshop presenter. 

Speaker Disclosures: 

Financial: Patti Ashley maintains a private practice. She receives a speaking honorarium from PESI, Inc. 

Non-financial: Patti Ashley has no relevant non-financial relationship to disclose.


Additional Info

Program Information

CD/DVD

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Access for Self-Study (Non-Interactive)

Access never expires for this product.


Objectives

  1. Summarize the nature of toxic shame as it relates to the therapeutic process.
  2. Identify how the different attachment styles play a role in how client’s shame is formed.
  3. Discover how toxic shame develops as a core identity and how it can be a roadblock in clinical treatment.
  4. Correlate how toxic shame and trauma function similarly to the nervous system and how that relates to clinical treatment.
  5. Utilize clinical strategies to help heal shame and get clients unstuck in the therapeutic process.
  6. Develop skills to help clients regulate shame triggers both in-session and everyday living.

Outline

PART ONE: HOW SHAME SHOWS UP IN TREATMENT
Toxic Shame
Research & Definitions
  • Ruptures in interpersonal relationships create a shame-based identity
  • Shame and trauma function similarly in the nervous system
  • Subconscious shame effects of poisonous parenting
  • Attachment theories as they relate to shame
  • D.W. Winnicott’s true self/false self
  • Shame in family, culture and other systems
  • Limitations of the research
Signs of Toxic Shame:
What to Watch for in Assessment and Beyond
  • Individual Therapy – the client who:
    • Talks the whole session
    • Frequently cancels sessions
    • Feels bad when progress seems to have eluded
    • Terminates treatment early
    • Deflects and projects onto others
    • Relapses and does not return
    • Minimizes problems
    • Excessively intellectualizes and analyzes treatment
  • Couples/Family Therapy
    • The attack/defend patter
    • Anger, rage and contempt
    • Judgment of self and others
    • Grandiosity, narcissism and self-inflation
    • People pleasing and codependency
    • Avoidance
    • Problems with intimacy
  • Group Therapy:
    • Cross-talk
    • Intellectualizing
    • Silence
    • Judgment
    • Conflict
When the Therapist is Part of the Problem
Rigid Treatment Models May Increase Shame and Decrease Positive Outcomes
  • Shame can be activated when therapist appears to be the “expert”
  • Some strategies hinder treatment outcomes
  • Strategies that may create barriers to creativity and relational presence
  • Impact of mirror neurons and epigenetics
  • How naming “shame” can be shaming
  • Unconsciously enacting shaming parent
  • Treating client as appointment or diagnosis
  • What to do when your shame is triggered in-session
PART TWO: TREATING THE TOXIC SHAME
Effectively Treat Toxic Shame
Implications for Treatment to Move Forward with Clients
  • Right and left brain integration
  • Bottom-up versus top-down treatment approaches
  • Modeling, engaging and sustaining self-compassion
  • Repair the interpersonal bridge to self and others
  • Courage and vulnerability in right-brain regulation
  • Sustaining empathy in parallel process
  • Transference and counter-transference in treatment
Therapeutic Strategies:
Putting It All to Practice
  • Build a Safe Therapeutic Holding Environment
    • Establish safety and trust
    • Set a stage for treatment
    • Strong foundation for therapeutic work
  • Build a Solid Relationship
    • Therapeutic empathy as the antidote for shame
    • Connect and establish equal power
    • Mindfulness and compassion
  • Bridge the Head and Heart
    • Psycho-education to demystify shame
    • ”I” statements to identify shame-based feelings
    • Going beyond cognitive therapy models
  • Witness and guide clients through deeper layers
    • Return shame to its origin
    • Somatic strategies
    • Re-wiring new neural pathways
  • Experiential Tools and Techniques
    • Creative arts, writing and movement activities
    • Mindfulness and meditation
    • Archetypes, story-telling and mythology
    • Music and sound healing
    • Journaling and letter-writing
  • Working with Secrets
    • Patience and compassion
    • Deeper shame
    • Tolerance and non-judgmental witnessing
  • Creativity
    • Every client is unique
    • How therapy is like art
    • Goodness of fit
  • Research limitations and potential treatment risks

Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Case Managers
  • Marriage & Family Therapists
  • Other Mental Health Professionals
  • Chaplains/Clergy

Reviews

5
4
3
2
1

Overall:      4.1

Total Reviews: 77

Comments

Stephanie G

"Excellent course, I learned so much! Thank you for your vulnerability and your work."

Ann T

"Thank you Patti for talking about this pervasive and difficult to articulate topic. thanks also for getting to the end of the seminar and covering all the material (many speakers have to rush or skip the end of their materials). thanks also for the wonderful handouts for us to use with our clients. what a wonderful gift! Ann Tucker, Ph.d."

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