Full Course Description
Janina Fisher’s Integrative Approach to Treating Trauma
Module 1: Janina Fisher’s Integrative Approach to Treating Trauma: Blending IFS, Sensorimotor, Mindfulness, Psychoeducation, and More.
- Introductory comments
- Brief modern history of treatment for PTSD
- An integrative approach toward treating trauma
- The legacy of trauma and how it's healed
- Structural Dissociation model in trauma treatment
- The adaptive value of symptoms
Module 2: How Trauma Is Stored in the Body and What to Do
- Introductory comments
- Clinical video demonstrations
- The nature of traumatic memory as implicit and somatic
- Internal Family Systems un-blending interventions
- Psychoeducation interventions around somatic memory through validation and normalization
Module 3: Be-Friending Suicide Through Doing Parts Work:
- Introductory comments
- Working with co-occuring trauma and addiction
- Working with co-occuring trauma and suicidality
- Understanding the five primary "parts" in the structural dissociation model
- Re-framing suicidal ideation in trauma survivors as an early coping skill
- Using un-blending from Internal Family Systems to work with traumatic symptoms
Module 4: Helping Clients Safely Let Down Their Armor and Heal from the Legacy of Trauma
- Introductory comments
- How to link current traumatic symptoms to childhood trauma
- Understanding working with traumatic triggers
- Somatic memory in trauma survivors
- Working with regressive states and "child parts"
- A new definition of "self love"
Module 5: Working with a Traumatized Couple
- Introductory comments
- Treatment challenges when working with trauma within an intimate relationship
- How trauma can sabotage an intimate relationship
- Working with a couple who have previous individual trauma histories and trauma within the relationship
- Understanding and re-framing a couple's conflicts
- Being able to self-soothe in intimate relationships
- Describe three ways traumatic memory presents in a client with PTSD
- Incorporate sensorimotor interventions into treatments to decrease symptoms of PTSD in clients.
- Incorporate Internal Family Systems interventions into treatments to decrease symptoms of PTSD in clients.
- Apply psychoeducational principles to decrease symptoms of PTSD in clients
- Define ‘implicit memory’ and breakdown its role in post-traumatic stress disorders
- Differentiate characteristics of fight, flight, freeze, attach and submit parts
- Articulate the role of suicidal ideation as an adaptation to traumatic events
- Apply Sensorimotor and Internal Family Systems interventions for trauma survivors
Chronic Suicidality and Self-Destructive Behavior
- Explain the somatic effects of suicidal ideation and impulses for the purposes of psychoeducation.
- Discuss the role of suicidality in a client’s survival or adaptation to trauma.
- Describe the three basic steps of the Fisher risk assessment tool.
- Identify body-centered interventions that can increase the client’s sense of control over unbearable emotions.
- Implement collaborative solutions to high-risk situations.
The Challenges of Working with Suicidality and Self-Destructive Behavior
- Association between suicidality/self-harm and a history of trauma
- Suicidality as a survival strategy
- The neurobiology of suicidality and self-harm
Evaluating Risk: Safe, Less Safe, and Not Safe
- Ideation versus impulse
- Relief versus punishment
- Simple tools for risk assessment
Suicidality and Self-Destructive Behavior as Dissociative Symptoms
- Using the Structural Dissociation model
- Borderline personality and dissociative symptom
- Increasing safety by working with suicidality as a part of the personality
Creating Safety with High-Conflict Couples: A Nonverbal Approach
- Determine the clinical implications of disorganized attachment in couples therapy.
- Articulate Sensorimotor methods that can be interfaced with psychotherapy practices to alleviate the volatility in couples.
What creates a ‘volatile’ couple?
Reducing volatility by helping couples communicate without words
- Early attachment, trauma, and later relationships
- Animal defense survival responses are activated by perceived threat
- Inhibition of the prefrontal cortex deprives them of access to perspective
- Tracking their bodily reactions to the other
- Increasing awareness of the role of triggering
- Regulating the nervous system and bodily tension
- Sensorimotor Psychotherapy
- Using gesture and movement to practice new alternatives to conflict and reactivity
Telehealth for Mental Health Professionals: Distance Therapy Training
- Appraise the legal and ethical challenges posed by telehealth for mental health professionals in a clinical setting.
- Analyze the evidence supporting the effectiveness of telemental health as it relates to clinical treatment.
- Inspect the unique policies and procedures considerations for telehealth and the clinical implications.
- Evaluate adaptions with telemental health for various populations to improve clinical outcomes.
- Investigate the privacy, security and confidentiality concerns related to technology use in clinical practice.
- Differentiate how client expectations differ for telehealth as compared to in-person therapy and what that means for clinical treatment.
- Distinguish unique boundary issues that arise in a telemental health setting.
- Utilize specific adaptations that are recommended for various disorders and modalities to improve clinical outcomes.
- Appraise text messaging and email complications as it relates to privacy in a clinical setting.
- Apply best ethical practices regarding referrals and advertising concerns as it relates to clinical practice.
- Articulate the legalities of practicing across state lines via telemental health sessions.
- Specify the HIPAA compliance challenges associated with telemental health and its clinical implications.
Telehealth for Mental Health Professionals: What You Need to Know Before You Get Started
Legal & Ethical Issues
- The Types of Telehealth
- Synchronous Format – Live Interaction via Video
- Asynchronous Format – Transfers of Information Electronically
- Evidence Supporting the Effectiveness of Telehealth for Clients and Various Populations
- The Benefits and Risk for Telehealth
- Recent Trends in Telehealth
How to Start Your Mental Health Telepractice
- Following a Code of Ethics
- Legal Implications of Practicing Across State Lines
- Privacy & Security
- HIPAA Compliance Concerns
- Documentation & Paperwork Issues
- Ensure Data Protection & Avoid Unintended Access/Disclosure
- The Client’s Perception of Privacy via Videoconferencing
- Boundary Issues More Likely to Arise in Telehealth
- Multicultural Issues in Telehealth
- Technology Competence of the Clinician and Client
Important Business Aspects to Consider
- Offering Your Telehealth Services – Where to Begin?
- How to Introduce the Concept to Clients
- Who is a Good Fit for Telehealth? Who is Not?
- Administrative Responsibilities
- Policies & Procedures Consideration – Protect Yourself and Your License
- Informed Consent – Unique Concerns & Best Practices
- Intake Process – Tips You Need to Know
- Emergency Plan for Telehealth
- Client Interviewing & Assessment Techniques
- Videoconferencing vs. Telephone
- Best Practices for Professionalism
- Camera Placement, Background, Proximity & Dress Attire
- Handling Technical Issues
Choosing a Platform – What Technology is Right for You and Your Clients?
- Marketing Concerns with Telehealth Practice
- Billing & Reimbursement Strategies – Is This Covered Under My Client’s Insurance Policy?
- Payment Fee Structure Considerations
- Communication of Payment Structure to Client
- Professional Liability Insurance – Telehealth Covered?
- Client Expectations & How They Differ Versus In-Person Therapy
- Financial, Accounting & Tax Concerns
- Giving and Getting Referrals – Issues for Telepractice
Demonstrations of Telehealth in Practice
- An Overview of the Various Platforms Available
- Demonstrations of Key Features
- How to Assess What Features are Important for You
- Cost Comparisons
- What Legal Assurances Do I Need from A Platform Provider?
- Client Considerations When Choosing a Platform
- What Technology is My Client Using & Where From?
Additional Technology Considerations
- A Guided Tour of How to Begin a Telehealth Videoconferencing Session
- What Videoconferencing Looks Like in Practice
- Key Techniques to Enhance the Telehealth In-Session Experience
- Presentation Skills & Tips
Treatment Adaptations to Consider for Telehealth
- Text Message & Email Telehealth – Security, Privacy & Expectations
- Cloud Storage – What are the legal issues?
- Virtual Reality – What You Need to Know
Case Studies of Telehealth Successes & Failures
- Discuss Key Adjustments Recommended for Practicing Telehealth for Different Disorders
- Evidence & Best Practices for Tailoring Telehealth to a Variety of Clients
- Important Adaptations for Groups or Couples
- Which Modalities Most Easily Apply to Telehealth & Which Could Use Adaptions
The Future of Telehealth for Mental Health Professionals
- Examples of the Do’s and Don’ts That Can Make or Break Your Telepractice
- Possible Future New Rules & Regulations
- Up & Coming Technology Trends to Be Aware Of
- What Distance Therapy Might Look Like in 10 years
Making Virtual Psychotherapy a Relational Experience
- Determine the challenges for clients and therapists of virtual psychotherapy
- Apply 3 ways of decreasing technophobia
- Determine the impact of threat on the autonomic nervous system
- Practice interventions for regulating autonomic dysregulation
- Demonstrate techniques that increase tolerance for fear and stress
- Model uses of the social engagement system for telehealth
Challenges to helping clients in a time of pandemic
- Fear of what will happen
- Isolation or forced proximity
- Moving from face-to-face to virtual psychotherapy
Addressing technical challenges and technophobia
- Collaboration: “we are in this together”
- Celebrating growth and mastery
Fear and the body
- “Inside threat” versus “outside threat”
- The impact of danger on the brain and body
- Somatic interventions for supporting immune system function
- Mindfulness-based interventions for calming the body
Increasing relational contact in virtual space
- Making use of the social engagement system
- Increasing feelings of “being fully present”
- Capitalizing on somatic techniques for increasing relationality