Full Course Description
Trauma Treatment Certification Course: Comprehensive Strategies and Customizable Interventions for Enhanced Recovery
Trauma Impact: Summary of the Research
Assessment and Diagnosis of Trauma
- Definitions & concepts
- Short term and long term effects (the ACE study)
- The “good” and “bad” news about trauma exposure
- Limitations of the research
Address Trauma’s Impact on Neurobiology
- Assessment of trauma in children, adolescents and adults
- Trauma- & Stressor-Related Disorders in the DSM-5
- What’s still missing from the DSM-5®?
- Common pitfalls in diagnosis
- My “favorite” diagnosis & why to use it frequently
Evidence-based Treatments vs. the “Real World”
- Major areas of impact
- The 3-part brain (or upstairs/downstairs brain)
- Neurologically-related issues in trauma survivors
- ”Arrested Development”
- ”Hair Trigger” threat response
- Cognitive, academic, & work-related problems
- Relationship problems
- The arousal continuum
Points of Intervention in Trauma Treatment
- What does “evidence-based” mean in trauma treatment?
- Components of evidence-based treatments
- The evidence-based components approach
Address Critical Domains in Trauma Treatment
- Main entry points: immediate support vs. trauma treatment
- Psychological first aid
- Stages of trauma-focused treatment
- What can you do if your client isn’t emotionally or physically safe?
- Trauma-Focused Cognitive-Behavioral Therapy: The “Gold Standard”
- Case examples
- ”Amanda”: 7-year-old girl with sexual abuse and complex family issues
- ”Phil”: mid-30s man whose son died while in his care
Additional Components for the 3 Stages of Trauma Recovery
- The Physiology Domain
- Nutrition and hydration
- Sensory needs and interventions
- Medications, supplements, & nontraditional interventions
- Physical activity/exercise
- ”Amanda” and “Phil” and the physiology domain
- The Relationship Domain
- The Attachment, Regulation, & Competency (ARC) model (for youth)
- Teaching caregiver emotional control (for caregivers of youth)
- Build attunement (for caregivers of youth)
- Positive discipline (for caregivers of youth)
- Build the therapeutic alliance
- Build a support network
- Implement routines & rituals
- ”Amanda” and the relationship/attachment domain
- ”Phil” and the relationship domain
- The Emotional Regulation Domain
- Feelings identification and expression
- Use SUDs scales
- Grounding & self-soothing techniques
- The “Comfort Kit”
- Add attunement!
- Apply Bruce Perry’s Neurosequential Model of Therapeutics™
- NMT assessments
- NMT: Interventions by developing age
- ”Amanda” and “Phil” and the emotional regulation domain
- The Cognitive Domain
- Teach and practice problem-solving
- Teach and practice mindfulness
- Address distorted cognitions: Most common targets of cognitive processing
- Cognitive processing: how to modify problematic thoughts
- Use the Franklin Method
- ”Amanda” and “Phil” and the Cognitive Domain
- The Identity Domain
- Focus on identity and sense of self
- Build on existing strengths
- The Life Book approach
- Exercises to improve identity
- ”Amanda” and “Phil” and the identity domain
Resiliency and Protective Factors
- Stage One: Safety & Stabilization
- Establish rapport
- Education of the client about effects of trauma
- Safety plans
- Trauma-specific areas of focus
- Sexual abuse for “Amanda”
- Triggers for “Phil”
- Stage Two: Process the Past Trauma
- Create the trauma narrative
- Play and verbal-based methods of creating the trauma narrative
- Process of constructing a trauma narrative
- When is your client finished with Stage Two?
- Process “Amanda’s” trauma (play therapy “narrative”)
- Process “Phil’s” trauma (verbal narrative)
- Stage Three: Reconnection:
- Consolidate/internalize coping skills
- Enhance positive emotions
- Making meaning of the trauma
- Facilitate reconnection to daily activities
- Enhance current relationships
- Prepare for future safety and triggers
- Posttraumatic growth
- Reconnection for “Amanda” and “Phil”
- Research on resiliency and protective factors
- The top protective factors for trauma
- Build resiliency
- Analyze the strategies to avoid common pitfalls clinicians may encounter when formulating a trauma diagnosis.
- Demonstrate the impact of trauma on the brain and behavior for the purpose of client psychoeducation.
- Analyze how to resolve the disconnect that sometimes exists between evidence-based treatments and the real lives of survivors.
- Determine the process for applying psychological first aid to ensure safety for clients who have experienced trauma.
- Apply a flexible conceptual framework to trauma treatment that is sensitive to clients’ needs across several critical domains.
- Utilize strategies to assist caregivers of young trauma clients with issues of emotional control, attunement, and discipline.
- Implement a variety of treatment exercises and grounding techniques to help clients develop emotional regulation skills.
- Integrate cognitive behavioral strategies to transition problematic thoughts of clients into more adaptive, helpful thinking patterns.
- Evaluate the effectiveness of various trauma treatment strategies used through the three stages of trauma recovery.
- Incorporate play-based and verbal techniques to assist clients in developing their trauma narrative.
- Choose appropriate strategies to help clients prepare for future safety issues and trauma triggers.
- Create a treatment plan for building resiliency in clients to facilitate posttraumatic growth and meaningful recovery.
2-Day Shame-Informed Treatment Certification Course
- Discriminate between guilt and core shame and elaborate on the adaptive, social and clinical implications.
- Evaluate the role of attachment in the formation of a shame-based identity.
- Investigate the neurophysiology of shame as seen through the lens of Porges’ polyvagal theory.
- Assess for verbal and non-verbal signs of shame in clients.
- Employ interview questions for assessing shame in clients’ relationships and current patterns.
- Investigate how clinicians can enhance attunement to create trust and openness with shame-prone clients.
- Evaluate how therapists can use co-regulation to create a sense of safety and equal power in the therapeutic relationship.
- Support how clinicians can increase vulnerability and self-awareness of their own shame to overcome barriers of relational presence.
- Investigate how shame acts as a cover for anger and explain how compassion exercises can be employed to help clients let go of anger.
- Evaluate the importance of managing shame in clients with substance use issues in efforts to prevent relapse.
- Employ somatic interventions to help cultivate secure attachment in trauma clients.
- Communicate how shame pushes clients into binge eating and clarify how self-acceptance interventions can be used to reduce emotional eating.
Shame, Attachment and Social-Emotional Development
The Neurophysiology of Shame:
Polyvagal Theory, Shame and the Shutdown Response
- The difference between guilt, shame and core shame
- Shame and attachment
- Ruptured interpersonal bridges
- The evolution of social-emotional development
- Why self-compassion is so hard to access
Recognizing Shame: Assessment Tools
- Shame and the Vagus Nerve
- Neuroception, shame and felt safety
- Core shame and implicit memory
- Three common responses to shame
- How addressing shame expedites treatment
How to Create a Safe and Empathetic Therapeutic Environment
- Why shame goes undetected by clinicians
- Multicultural perspectives
- Perfectionism, rage, blame and other defenses against shame
- Reading the body - non-verbal signs of shame
- Interview questions for assessing shame in relationships and current patterns
- Self-assessment: identify your own shame
- Mirror neurons and relational presence
- Attunement as the key to therapeutic change
- Large Empathy and being vulnerable
- Avoid stigmatizing language in therapy
- Co-regulating safety and equal power in the therapeutic relationship
Re-Write the Story of Shame into “I Am Enough”:
Clinical Strategies to Cultivate Secure Attachment and Self-Compassion
- Somatic approaches to cultivate secure attachment
- Self-compassion and gratitude exercises
- The four therapeutic “R”s: Recognize, Respect, Regulate and Re-Story
- Four “C” shovels to calm nervous system and self-regulate shame response
- Exercises to strengthen connections
- Creative arts, music and poetry – increase neuroplasticity
- Playfulness, humor and being in nature can rewire the brain
- Mindfulness and meditations for non-judgmental awareness of shame
- Narratives and visualizations to re-write clients stories to safety and being enough
- Research, limitations and potential risks
Connect Shame-Informed Clinical Strategies to the Treatment of:
Anger and Rage
- Shame of fear: Shame as a cover for anger
- Self-acceptance techniques for internal damage control
- Compassion and forgiveness exercises to let go of anger
- Somatic interventions
- Strategies to survive without guilt
- Exercises to rediscover self-worth
Stress and Anxiety
- Mediate the paralysis of perfection with self-acceptance
- Social anxiety as shame & self-doubt
- Mindfulness-based, non-anxious self-consciousness
- How shame pushes clients into binge eating
- Choice Awareness Training for moderation & presence
- Self-acceptance strategies for emotional eating
Substance Abuse and Addiction
- Addressing the shame of relapse
- Self-assertive trigger avoidance
- Choice awareness techniques for habit modification
- Build craving/impulse control skill power
Depression, Self-Harm & Suicidality
- Recognize how internalized shame can deepen depression
- Developing healthy coping strategies for uncomfortable feelings
- Demystifying shame responses and returning them to their origin