Full Course Description
2-Day Grief Treatment Certification Course: Evidence-Based Strategies for Helping Clients Make Meaning After Loss
- Differentiate relevant theories and models describing the physical and psychosocial effects of loss, grief, and mourning on the individual and family system and their clinical implications.
- Determine how to plan and implement appropriate assessments, interventions and strategies to help individuals and families cope with loss and grief to improve treatment outcomes.
- Perform a clinical assessment to inform the clinician’s choice of best treatment interventions for the reduction of symptoms of complicated grief, disenfranchised grief, or Persistent Complex Bereavement Disorder.
- Differentiate potential loss events occurring throughout the lifespan, including non-death situations, to inform the clinician’s choice of treatment interventions.
- Analyze the ethnic, gender, and cultural factors that affect individual responses to loss-related situations as it relates to case conceptualization.
- Evaluate factors that influence normal and complicated reactions to dying and grief in clients.
- Determine one’s own cognitive, affective, and behavioral reactions to death, dying, and bereavement, as it relates to professional practice with clients experiencing grief and loss.
- Differentiate theories and models of individual, cultural, couple, family, and community resilience in relation to assessment and treatment planning.
- Analyze the efficacy of various treatment interventions for complicated grief to improve clinical outcomes.
- Determine the ethical and legal issues in end-of-life decisions, such as suffering, dying, and choice, and their clinical implications.
- Utilize clinical strategies to assist grieving clients in the move from flight or fight to social engagement in session.
- Utilize the co-regulating pathways of the social engagement system in session as an approach to managing symptoms of complicated grief.
Types of Grief & Their Implications for Treatment
Assessment: Intake Considerations for Grieving Clients
- Disenfranchised grief
- Persistent Complex Bereavement Disorder
- Traumatic bereavement
- Complicated Grief
- Common trajectories for grief
- Recognize complicated grief
- Risk factors for complicated grief
- Treatment Interventions
- Types of Loss & Their Impact on Grieving
- Parental loss
- Child loss
- Non-death losses
Cultural Considerations for Grief Treatment
- Current conceptualization models
- Recognize different expressions of grief
- Factors impacting the grief experience
- Assess for depression and suicide ideation
- Differentiate between depression, grief, & PTSD
- Use of Adjustment Disorder diagnosis with grief clients
- Determine how the client understands their grief narrative
- Persistent complex bereavement disorder
- DSM-5® changes to Major Depressive Disorder
- Take home assessment tools
Grief Treatment: Interventions & Strategies to Improve Clinical Outcomes
- Cultural factors affecting expression of grief
- Impact on mourning practices
- Culture’s impact on death anxiety & meaning of life
- Determine where the identity emphasis lies
- Cultural values regarding emotional expression and disclosure
- The impact of society on grief
In-Session Activities: On-the-Spot Interventions to Facilitate Healing
- Assist clients with expressing their pain
- Integrate a new inner image of the deceased
- Client self-assessment strategies for coping
- Foster client relaxation skills
- Let the client lead: Starting point, story, & stopping point
- Cultivate acceptance
- Elicit emotional availability in clients
- Give clients “permission” to not share stories
- Focus on planning – not positivity
- Develop healthy grief rituals
- Target guilt due to stopping grief rituals
- Build a bridge between memories, current behaviors, & underlying values
- Help clients accept the finality of the death
- Navigate the treatment of multiple losses
Grief Across the Lifespan: Help Your Clients Heal at Any Developmental Stage
- The client “influence of loss” chart
- Use loving kindness meditation to build self-compassion in clients
- ”Who am I?” exercise
- Utilize client letters to self
Grief & the Family: Guide Families Through Healthy Grieving
- Developmental considerations & milestones related to loss reactions for:
- Early adulthood
- Middle adulthood
- Later adulthood
Professional Issues: Ethical Considerations for Working with Grieving Clients, Their Families, & the Terminally Ill
- Family systems theory: Family influences on individual grief
- Variables that complicate family adaptation
- Strategies to guide family adaptation to loss
- Develop respect for different grieving styles
- The role of gender norms
- ”Family coat of arms” activity
- Ethical dilemmas that confront the terminally ill
- Ethical principles of end-of-life decisions
- The clinician’s role in addressing psychological suffering & needs of the terminally ill
- Impact of cause of death on social isolation
- Identify the core values and principles of professional ethical behavior
- Boundaries of professional competence
Post-Traumatic Growth for Loss, Grief and Related Trauma: Guide Your Clients through the Losses in Life and Help Them Reinvest Themselves in a Life Worth Living
- Face Loss, Grief and Trauma with a Strengths-Based Approach
- Crisis of belief and existential shattering
- Meaning making and the importance of “why”
- Grief vs. complicated grief
- Abstract losses and the Ball of Grief
- Tapping into resiliency
- Core competencies and key principles
- Identify your clients’ strengths
- Current evidence on strengths-based approaches
- Calm the Overactive Brain of Your Client
- The neurobiology of the traumatized brain
- Mindfulness and the art of noticing
- Containment skills
- Grounding exercises
- Affect regulation
- Breathing and soothing techniques
- Tools for Managing Anger, Guilt, Shame and Traumatic Memories
- Dealing with anger
- The REACH model of forgiveness
- Certificates of debt
- The power of surrender
- Address guilt and shame
- How shame relates to trauma and loss
- Faulty beliefs and getting stuck
- Cognitive restructuring
- Manage traumatic memories with CBT coping skills
- Distraction techniques
- Positive self-talk
- Move Clients Toward Post-Traumatic Growth With Interventions Informed by Cognitive Behavioral Therapy (CBT)
- Shattered Vase Exercise - plant the seeds of possibility
- Creating narratives
- Letter writing
- Positive remembering and repositioning
- Reframe the meaning
- Expressive and Somatic Therapeutic Interventions To Cultivate Post-Traumatic Growth
- Integrate left and right hemispheres
- Art therapy
- Writing to heal
- Access and reclaim compassion
- Somatic resourcing
- Remembered resources
- Assess clients self-talk
- Reinvest in a Life Worth Living: Rekindle the Desires of the Heart
- The PIE of life - brainstorm possibilities of growth
- Cultivate social connection and re-engagement
- Support and grief groups
- Toxic people
- Working with families impacted by loss
- Choice and perspective
- Foster gratitude and a spirit of contentment after loss
- Measurements of Post-Traumatic Growth
- Specify how a case conceptualization based on the strengths of the client can tap into their potential for resiliency and improve clinical outcomes.
- Analyze the neurobiology of the traumatized brain and effectively utilize clinical tools based in mindfulness and grounding to calm the biological stress response.
- Articulate the relationship of shame to trauma and loss and communicate how cognitive restructuring can be used in-session to manage the emotions of clients and open them to new possibilities.
- Employ powerful interventions informed by CBT, expressive therapies, and somatic psychotherapy to treat the devastating effects of loss and grief by reframing its associated meaning.
- Characterize the impact on clients, as well as the relevance to clinical practice, of connecting individuals and families affected by loss with social support and grief groups.
- Incorporate and individualize therapeutic interventions based in art and writing into treatment plans for loss, grief, and related trauma.
Suicide Assessment and Intervention: Today's Top Challenges for Mental Health Professionals
- Conduct a thorough suicide assessment that includes both risk and protective factors.
- Implement clinical techniques to support clients’ ability to self-regulate, problem solve, and communicate their needs.
- Develop and monitor realistic safety plans that clients will participate in.
- Create accurate and comprehensive documentation of clinical crises to protect all parties involved and minimize liability risks.
Assessment: Your Comprehensive Guide to Identify Suicidal Risk
Suicide Intervention Strategies: Supporting Clients From “Passive” Ideation to Full-Blown Crisis
- Suicide, ideation, plan, means and intent
- Why do people kill themselves?
- Risk and protective factors
- How to identify implicit suicidal intent
- Strategies for asking direct questions (even when it’s uncomfortable)
- How to engage shut down, withdrawn or resistant clients
Other Clinical Considerations
- Psychological interventions
- Problem solving
- Emotional regulation
- Pharmacology: Short and long term interventions
- Why “no harm” contracts are a dangerous idea (and what to do instead)
- When to break client confidentiality
- How and when to involve loved ones/caregivers
- Hospitalization: Why, when, how
- Clinicians inside the ER: When to admit/planning for home
- After the ER: Limiting the risk
- Documentation: Protect your client, protect your license
- Non-suicidal self-injury (NSSI)
- Relationship between suicide, mental illness and trauma
- Tips for managing clinician anxiety around suicidality