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Digital Seminar

Basic Clinical Science


Speakers:
Bessel A. van der Kolk, MD |  Kerry Ressler, MD, PhD |  Martin Teicher, MD, PhD |  Ronald D. Siegel, PsyD
Duration:
2 Hours 42 Minutes
Format:
Audio and Video
Copyright:
May 19, 2023
Product Code:
POS059410
Media Type:
Digital Seminar


Description

Bessel’s Section: 

One of the most important findings regarding traumatic stress has been how it affects the developing brain,:  different forms of trauma at different stages of development, have significantly different effects on brain functioning and mental development. We will examine prospective and retrospective data on various forms of trauma on neural development, as well as epigenetic changes. We will look at how trauma affects one’s relationship towards one’s body, identity and the sense of self; we will view how neurofeedback can help regulate abnormal brain circuitry, and present the latest data  on how psychedelic agents can change mental and neurobiological processes. 

Ressler and Teicher Section: 

Posttraumatic stress disorder (PTSD) manifests after exposure to a traumatic event and is characterized by avoidance/numbing, intrusive symptoms and flashbacks, mood and cognitive disruptions, and hyperarousal/reactivity symptoms. These symptoms reflect dysregulation of the fear system likely caused by poor fear inhibition/extinction, increased generalization, and/or enhanced consolidation or acquisition of fear.  Increasingly, animal models of trauma exposure as well as human neuroimaging of PTSD suggests that sensory cortical areas are involved in the encoding of trauma, in addition to the well-established threat circuitry such as amygdala and anterior cingulate cortex.  These data support a multimodal representation of trauma that can be experienced in different ways from primarily sensory phenomena, to dissociation, to ‘classic’ threat-based hyperarousal and intrusive symptoms.   I will discuss the evidence for genetic, neurobiological, and neural circuit mechanisms to understanding PTSD and future approaches to neurobiology-based interventions for posttraumatic stress disorder that have been developed via a bench to bedside translational models. 

Singer Section: 

Recently the fields of contemplative and social neurosciences have provided ample evidence for the beneficial effects of mindfulness- and compassion-based practices on mental health, resilience and social cohesion. I will present an overview of findings from two mental training studies, the ReSource and the CovSocial projects, on diverse training outcomes ranging from changes in brain structure and function, stress hormones, interoceptive body awareness to subjective wellbeing, prosocial behavior and cooperation. Whereas the first project, the ReSource project, was a large-scale 9-month longitudinal mental training study including more than 90 measures, the CovSocial project investigated how to reduce mental health problems exacerbated during the Covid19 pandemic through a purely app-based 10-week online program comparing the differential efficiency of classic mindfulness versus partner-based socio-emotional training (Dyads). I will discuss the findings in the context of their relevance for clinical applications and society at large.  

Siegel Section: 

Mindfulness and compassion practices are now part of mainstream psychotherapy, while recently research on psychedelic-assisted psychotherapy has mushroomed, offering not only possible breakthrough treatments for trauma, but providing new insights into the nature of psychological distress and mechanisms of healing.   

Why have we humans sought non-ordinary states to heal psychological injuries for millennia? How can recent research developments inform our clinical practice even if we’re not participating in the studies? This presentation will explore the common healing factors in non-ordinary states of consciousness and their practical applications in diverse forms of therapy.

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.


Disclosure of Program CoSponsorship

This program was developed through the joint providership of PESI, Inc., Trauma Research Foundation, and The Meadows Behavioral Healthcare.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant 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, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is 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. 
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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.


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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 self-study activity consists of 2.5 clock hours of instruction.


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Psychologists - Psychologists

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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 self-study course qualifies for 2.5 continuing education credits.


Marriage & Family Therapists - 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 2.5 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 self-study activity consists of 2.5 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 self-study activity qualifies for 2.5 contact hours. Approved Provider # NVCEP2006.


Marriage & Family Therapists - New York Marriage & Family Therapists

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Marriage & Family Therapists - South Carolina Marriage & Family Therapists

This self-study program has been approved for 2.5 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 - Texas Marriage & Family Therapists

This self-study activity consists of 2.5 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.


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CE Broker


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Handouts/Brochure

Speaker

Bessel A. van der Kolk, MD's Profile

Bessel A. van der Kolk, MD Related seminars and products

Trauma Research Foundation


Bessel A. van der Kolk, MD, is a clinician, researcher and teacher in the area of post-traumatic stress. His work integrates developmental, neurobiological, psychodynamic and interpersonal aspects of the impact of trauma and its treatment.

Dr. van der Kolk and his various collaborators have published extensively on the impact of trauma on development, such as dissociative problems, borderline personality and self-mutilation, cognitive development, memory, and the psychobiology of trauma. He has published over 150 peer-reviewed scientific articles on such diverse topics as neuroimaging, self-injury, memory, neurofeedback, Developmental Trauma, yoga, theater, and EMDR. 

He is founder of the Trauma Center in Brookline, Massachusetts and President of the Trauma Research Foundation, which promotes clinical, scientific, and educational projects. 

His 2014 #1 New York Times best seller, The Body Keeps the Score: Brain, Mind, and Body in the Treatment of Trauma, transforms our understanding of traumatic stress, revealing how it literally rearranges the brain’s wiring – specifically areas dedicated to pleasure, engagement, control, and trust. He shows how these areas can be reactivated through innovative treatments including neurofeedback, somatically based therapies, EMDR, psychodrama, play, yoga, and other therapies.

Dr. van der Kolk is the past president of the International Society for Traumatic Stress Studies, and professor of psychiatry at Boston University Medical School. He regularly teaches at conferences, universities, and hospitals around the world.

 

Speaker Disclosures:
Financial: Dr. Bessel van der Kolk is a professor at Boston University School of Medicine, the Director of the Trauma Center, and the National Complex Trauma Network. He receives royalties as a published author. Dr. van der Kolk receives a speaking honorarium, recording royalties, and book royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Bessel van der Kolk has no relevant non-financial relationships with ineligible organizations.


Kerry Ressler, MD, PhD's Profile

Kerry Ressler, MD, PhD Related seminars and products


Kerry J. Ressler, MD, PhD, is chief scientific officer and James and Patricia Poitras Chair in Psychiatry at McLean Hospital. He is also a professor in psychiatry at Harvard Medical School and past president of the Society for Biological Psychiatry. Dr. Ressler was previously an investigator of the Howard Hughes Medical Institute and is a member of the National Academy of Medicine.

Dr. Ressler’s lab focuses on translational research bridging molecular neurobiology in animal models with human genetic research on emotion, particularly fear and anxiety disorders. He has published over 350 manuscripts ranging from basic molecular mechanisms of fear processing to understanding how emotion is encoded in a region of the brain called the amygdala, in both animal models and human patients.

 

Speaker Disclosures:
Financial: Dr. Kerry Ressler has employment relationships with Yerkes National Primate Research Center, Emory University McLean Hospital, Harvard University, Emory University Hospital, Wesley Woods Geriatric Hospital, and Grady Memorial Hospital. He is on the scientific advisory board of the National Alliance for Research on Schizophrenia and Depression (NARSAD)/Brain and Behavior Foundation, the Marine Resiliency Study, the Army STARRS, One Mind for Research, and the National Center for PTSD. Dr. Ressler receives grants from the NIH and has relationships with Boehringer Ingelheim, Senseye, Inc., Sage, and the Brain Research Foundation. He receives royalties as a published author. He receives a consulting fee from Jazz Pharma and Bionomics. Dr. Ressler receives a speaking honorarium from PESI, Inc.
Non-financial: Dr. Kerry Ressler is a member of the Society for Neuroscience, the American Psychiatric Association, and the American Medical Association. He serves on the editorial board for International Society of Traumatic Stress Studies and the American College of Neuropsychopharmacology.

 


Martin Teicher, MD, PhD's Profile

Martin Teicher, MD, PhD Related seminars and products


Martin Teicher, MD, PhD, has been director of the Developmental Biopsychiatry Research Program at McLean Hospital since 1988. He was the director of the former Developmental Psychopharmacology Laboratory (now the Laboratory of Developmental Neuropharmacology) and is currently an associate professor of psychiatry at Harvard Medical School.

Dr. Teicher is a member of the editorial board of the Journal of Child and Adolescent Psychopharmacology, Current Pediatric Reviews, and Current Psychosomatic Medicine. He is a member of the Scientific Advisory Council of the Juvenile Bipolar Research Foundation and has been part of Harvard University’s Brain Development Working Group. He has served on or chaired numerous review committees for the National Institutes of Health, published more than 150 articles, and has received numerous honors.

 

Speaker Disclosures:
Financial: Dr. Martin Teicher has employment relationships with Harvard Medical School and McLean Hospital. He receives grants from ANS Research Foundation, MIDA, Harvard Brain Science Initiative Bipolar Disorder Seed Grant, NIH/NIDA - National Institute on Drug Abuse. Dr. Teicher receives compensation as a consultant. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Martin Teicher serves on the scientific advisory board for SMARTfit™ and is a board member of the National Academy of Sciences, Engineering and Medicine, the Children, Youth and Families of National Academy of Sciences, and the Trauma Research Foundation. He is a trustee of Robert E. Kahn MD and Elizabeth L. Kahn Family Foundation. Dr. Teicher is a member of the International Behavioral Neuroscience Society, the International Society for Traumatic Stress Studies, the Society of Biological Psychiatry, and the American Academy of Child and Adolescent Psychiatry. He is a is an Ad hoc reviewer and editor for several peer review journals, for a complete list contact PESI, Inc.


Ronald D. Siegel, PsyD's Profile

Ronald D. Siegel, PsyD Related seminars and products


Ronald D. Siegel, PsyD, has spent over 35 years as a part-time assistant professor of psychology at Harvard Medical School. A long-time student of mindfulness meditation, he serves on the Board of Directors and faculty of the Institute for Meditation and Psychotherapy. He also teaches internationally about mind-body medicine and the application of mindfulness and compassion practices in psychotherapy, psychopharmacology, and other fields.

Dr. Siegel has edited and written several books, including the critically acclaimed professional text, Mindfulness and Psychotherapy, 2nd Edition, a comprehensive guide for general audiences. He also authored several professional guides: The Mindfulness Solution: Everyday Practices for Everyday Problems, Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy and Wisdom and Compassion in Psychotherapy. His step-by-step self-treatment guide, Back Sense, integrates mindfulness practice, aggressive rehabilitation, and mind-body approaches to treat chronic back and neck pain.

 

Speaker Disclosures:
Financial: Ronald Siegel maintains a private practice and has employment relationships with Harvard Medical School, the University of Massachusetts, and the Institute for Meditation and Psychotherapy. He receives compensation as an international presenter. Ronald Siegel receives royalties as a published author. Ronald Siegel receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Ronald Siegel is a member of the American Psychological Association. He is an author for Psychotherapy Networker.


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Objectives

  1. Describe new research across Patient populations and animal models into the neurobiology and sensory systems biology of PTSD.  
  2. Discuss brain regions, neural circuits, and genetics thought to underlie PTSD.  
  3. Educate others on potential new treatment methods, as well as further understanding current approaches to treating PTSD.  
  4. Evaluate the process and research methodology of the ReSource project, a large-scale randomized trial and systematic scientific mental training study.   
  5. Analyze the effects of mindfulness and compassion practices on brain, mental and physical health.  
  6. Appraise the effects of mindfulness and compassion practices on prosocial behaviours and social connectedness.  
  7. Describe the historical use of non-ordinary states in psychotherapy and psychological healing  
  8. Identify four evolutionarily-determined propensities of the brain that predispose us to trauma.  
  9. Describe insights derived from non-ordinary states of consciousness  
  10. Apply practices related to non-ordinary states to reduce self-evaluative preoccupation.  
  11. Investigate the differential effects of trauma on different stages of development 
  12. Devise between the effects of insecure/disorganized attachment and trauma  
  13. Evaluate the capacity of brain/computer interfaces to modulate brain circuitry  
  14. Assess the role of synchronicity and rhythmicity in identity and relationships 
  15. Appraise an update on the current status of psychedelic research for treating PTS  

Outline

Introduction to PTSD epidemiology and nosology  

Classical understanding of the neurobiology of Fear  

Observations of sensory system alterations with trauma exposure  

  • Preclinical models of olfactory trauma/fear neurobiology  
  • Preclinical models of auditory trauma/fear neurobiology  
  • Clinical models of visual system alterations with trauma exposure  
  • Integration of these neurobiology data with clinical observation, e.g. van der kolk ‘Body Keeps Score’  

Integration of genetic / epigenetic / circuitry understanding of fear neurobiology  

Neurobiology-based opportunities for prevention of trauma memory consolidation  

Neurobiology-based opportunities for enhancement of fear extinction  

Summary  

The ReSource Project  

  • Process and methodology  

Mindfulness and compassion practices  

  • Effects on brain, mental, and physical health  
  • Effects on prosocial behaviors  
  • Effects on social connectedness  

Balancing empathy, compassion, self-compassion, and mindfulness practices  

  • Avoiding empathic distress and burnout  

History of non-ordinary states in psychotherapy  

Common factors in trauma-related psychopathology and their antidotes  

Brief history of psychedelic-assisted psychotherapy (PAP)  
What are mindfulness practices and how do they work to help resolve trauma?  
Synergies among mindfulness, compassion, & PAP  
The role of transpersonal awareness in healing  
Discovering the extraordinary gift of being ordinary  

Key trauma principles that have emerged from the thousands of studies published over the last 30 plus years 

Changes in neural circuits and emotional systems in the brain 

Neurofeedback to correct some of these circuits

Target Audience

Art Therapists
Counselors
Marriage & Family Therapists
Nurses
Physicians
Psychologists
Social Workers

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