Full Course Description

2-Day Seminar: EMDR: A Rapid, Safe, and Proven Treatment for Trauma

Program Information

Objectives

Analyze the role of the autonomic nervous system in trauma symptomology.
Articulate the clinical implications of the freeze response in trauma treatment.
Characterize the potential neurobiological mechanisms of change in the empirically validated EMDR approach.
Specify how EMDR techniques can build dual awareness in clients to treat the avoidance that makes trauma treatment challenging.
Communicate the 8 Phases of the EMDR protocol.
Determine which clients you should use EMDR with.
Analyze resourcing strategies from EDMR that clinicians can use to help facilitate the processing of trauma.
Characterize how EMDR techniques can be used to reinforce and activate positive neural networks.
Communicate how EMDR can be modified to work with complex/developmental trauma to directly treat traumatic memories.
Evaluate strategies that can help foster the critical connection between client and therapist in EMDR therapy.
Articulate the research limitations and potential risks associated with EMDR.
Demonstrate the order of operations for attachment-based EMDR treatment to resolve relational trauma.

Outline

Trauma and Neuroscience

Key brain areas involved in trauma
Polyvagal Theory, and types of freeze responses
Trauma and insecure attachment
The neuroscience of developmental trauma
Clinical implications of the freeze response

How the EMDR Approach Works

The neuroscience of exposure therapy and cognitive therapy
The neuroscience of relaxation exercises
EMDR and other “transformative therapies”
Why EMDR works so well from a brain perspective

Trauma Symptoms and Assessment Tools

Traumatic memories and intrusive thoughts
Phobias and anxiety: Insula hyperactivation
Emotional hijackings and implicit memory
Avoidance cluster of symptoms
Why treating avoidance in trauma is critical
DSM-5® symptoms in a nutshell
Connecting to a diagnosis
- Simple vs. complex trauma
- Intergenerational trauma
- Symptom clusters and physical manifestations
- CAPS-5 and PCL-5
- Primary Care PTSD Screen
- Dual diagnosis

Overcome Avoidance with EMDR

Dual awareness
What you are thinking about is the network you’re in
Activate networks for change
Neurons that fire together, wire together (Hebb’s Rule)
EMDR as neuroentrainment

When to Use EMDR in Treatment

Demonstrations and experiential exercises
Single event trauma
Anxiety disorders involving imaginal exposure

EMDR Trauma Treatment: The Original 8-Phase Model

Client history and treatment planning
How to resource: Create a safe space
Assessment: Choose a target, SUDS, connect with the image/emotions/thought
Desensitization: Tactile vs. auditory vs. eye movement
How to use touchpoints, Theratapper, CDs
Positive Cognition Installation: Likert scale 1-7
Body Scan: Locate tension and distress in the body
Closure: Close the neural network and the 6-hour window
Re-evaluation

Demonstration of Original 8-Phase Model

Presenter demonstration
Attendee dyad practice of the 8-phase model

EMDR Techniques to Resolve Traumatic Memories

Modifications for Complex/Developmental Trauma
Do not use standard protocol – Rationale for modifications
Resourcing strategies
Techniques to reinforce and activate positive neural networks
Relevance of Polyvagal Theory, early trauma, and EMDR
Sensory motor modifications and somatic approaches
How to build Dual Awareness
EMDR techniques to bring traumatic memories from the limbic system into the prefrontal cortex

Attachment-Based EMDR: Strategies to Treat Relational Trauma

Strategies to foster the critical connection between client and therapist
Mirror neuron activation
How to emphasize safety during sessions
Guidance on order of operations

Research Limitations and Potential Risks

Target Audience

This seminar is intended for masters- and doctoral-level clinicians experienced in working with trauma.

Counselors
Psychotherapists
Social Workers
Psychologists
Addiction Counselors
Marriage & Family Therapists
Case Managers
Nurses
Other Mental Health Professionals

Copyright : 02/20/2020

Virtual EMDR: A How-to Guide to Providing EMDR via Telehealth

Program Information

Objectives

Utilize tools and techniques to assist clients in regulating and de-escalate trauma associated triggers via telehealth.
Analyze different ways to utilize and provide EMDR to clients via telehealth.
Develop client resources and teach self-efficacy through EMDR resourcing activities via telehealth.

Outline

Quick EMDR Overview of the Basics

Review of the basic protocol
Review of resources (calm place, container, ICON, etc)
Dual attention methods (eye movements, tapping, tappers, sound)

EMDR and Telehealth: How to Adapt to a Virtual World

Dual awareness and bi-lateral stimulation and its importance in the EMDR process
Bilateral stimulation via video
Eye movement resources for telehealth practitioners using EMDR:
- Bilateral stimulation via video
- Butterfly hug
- Congruent tapping
- Sound pulses
- Other eye movement strategies
Addressing safety – how to manage potential risks of not being there in-person
Identifying and implementing a protocol with a client via telehealth
Limitations, risks, and further research

Target Audience

*In attending this training, it is assumed that you have previous EMDR training and clinical experience using EMDR.

Counselors
Social Workers
Psychologists
Addiction Counselors
Marriage and Family Therapists
Other Mental Health Professionals

Copyright : 04/16/2020

2-Day: Certified Clinical Telemental Health Provider Training: A Therapist Guide for Ethical, Legal and Technology Concerns when Using Teletherapy

Program Information

Outline

Research about Telehealth Services

Here to stay
It works
Benefits

Application of Ethical Codes

Psychologists, social workers, professional counselors
Building competence
Technology appropriateness examples

HIPAA

HIPAA and HITECH
HIPAA and small providers
Violations and why they occur

State Law Applications

State interests for the pros and cons for permitting telehealth
Cohesive incoherence
- Examples of statutory guidance
Risk management guidelines
Interjurisdictional practice

Efforts to Improve Telehealth Interjurisdictional Practice

PsyPact
Others
Checklist of questions to determine if you can practice across statelines

Case Examples for Using Various Forms of Telehealth Best practices for telehealth

Selecting the appropriate tools
Utilizing ATA guidelines
- Clinical – patient and setting appropriateness
- Technical - The setting, camera, microphones, and lighting
Administrative – connectivity, training
Practical solutions for your therapy

Processes & Procedures

The intake process
Informed consent – sample plan, key topics to cover
Emergency and crisis plans – what to include, medical issues, sample plan

Delivery Platforms Keeping Ethics/HIPAA in Mind

Asynchronous platforms
Common elements
Concerns with platform
- Synchronous therapy
- All-in-one services
Email and texting safely
Pros and cons
HIPAA requirements
Encryption
Password protection
VPN
Electronic communication policy
Hardware and software safety

Screening and Suitability of the Client

Benefits of telehealth Services
- Evidenced-based research
- Patient and setting contraindications
The intake, mental status exam, and ongoing Evaluation
Assessment with clients

Professional Boundary Considerations

For the client
For the clinician
- Crossings versus violations
- Recommendations for maintaining professional boundaries
Licensing board complaint examples
Red Flags for Therapist
Strategies to Avoid Red Flags
Recommendations for improving the therapist's telehealth experience
Additional Resources

Multicultural Considerations

Issues to consider
Geography, settings, populations
Seeking guidance

Theoretical Considerations for Telehealth

Evidence-based support
Which models transition well

Self-Care for the Clinician

Ethics application
Causes of burn out
Warning signs in therapists
Characteristics of effective self-care
Strategies and techniques
Resources

Dos and Don'ts of Social Media

Using social media to your advantage
The required social media policy
Social media and boundaries

The Era of Electronic Records

Development of the electronic record
Electronic document storage
Electronic document destruction

Reimbursement

Medicare/Medicaid
Private payer

Target Audience

Counselors
Social Workers
Marriage & Family Therapists
Psychologists
Physicians
Case Managers
Addiction Counselors
Therapists
Nurses
Other Mental Health Professionals

Objectives

Analyze the ethical principles and applications of ethical codes for telehealth services.
Determine the HIPAA guidelines and how they apply to telehealth services.
Assess inter-state issues associated with telehealth and how to stay in compliance.
Determine best practices for creating a good setting for telemental health services.
Evaluate how to implement policies and procedures that are necessary for maintaining an ethical telehealth practice.
Assess electronic services and platforms for delivering ethical telemental health services.
Determine how to screen for suitable clients for telemental health services.
Assess how to effectively manage boundary issues that might arise during telemental health services.
Determine which therapeutic practices are conducive to telemental health services.
Assess the threats that technology poses to the confidentiality and privacy of clients.
Determine how to maintain ethical standards and compliance while utilizing social media technology.
Determine how to correctly manage electronic records in a telemental health setting.