Full Course Description


Module 1 | Definitions, Assessment, Differential Diagnosis

Many clinicians are trained in the treatment of single traumatic events, but are not fully equipment to treat Complex PTSD. The traditional approaches to the treatment of PTSD can fall short when working with clients with Complex PTSD. Watch this recording to learn how you can adapt your therapeutic approach to help clients diagnosed with Complex PTSD achieve more successful outcomes.

The most common question asked when treating Complex PTSD is, “where do I start?”. In this training, you will develop confidence in your ability to successfully organize and prioritize your client’s treatment goals. You will learn how to compassionately and effectively work with clients who have experienced multiple traumatic events and prolonged trauma exposure.

Successful treatment requires a compassionate therapeutic relationship and effective, research-based interventions. After this two-day workshop you will learn how to:

  • Help clients move out of crisis by building stabilizing resources
  • Prepare clients to work through traumatic memories without becoming Overwhelmed
  • Develop an integrative trauma treatment plan that includes CBT, DBT, EMDR Therapy, Somatic Psychology, Parts Work Therapy, and Complementary and Alternative Medicine (CAM).

In this recording, Dr. Arielle Schwartz will show you an engaging and interactive way to learn valuable strategies that will allow you to successfully address the dysregulated affect and arousal states that accompany Complex PTSD. You will leave this seminar with practical tools that facilitate a strength-based approach to trauma recovery and increased resilience in clients.

Program Information

Outline

Post-Traumatic Stress Disorder vs. Complex PTSD: Understand the Difference

  • Acute traumatic stress, PTSD, Complex PTSD
  • Diagnostic clarification and differential diagnosis
  • Key contributing factors of Complex PTSD
  • The common symptoms of Complex PTSD
The Neurobiology of PTSD: Beyond Fight and Flight
  • Polyvagal Theory
  • 6 Stages of trauma response
  • Heart Rate Variability and the Social Nervous System
  • Interpersonal Neurobiology
  • Psychobiological regulation
  • Rupture and repair
  • Implications of childhood neglect or abuse
  • Neuroplasticity and Complex PTSD
Psychological and Physiological Repercussions of Complex PTSD: A Deeper Understanding for Accurate Assessment
  • Intrusive symptoms and anxiety
  • Emotional dysregulation: Outbursts of anger and debilitating shame
  • Avoidance symptoms and phobic reactions to traumatic material
  • Interpersonal problems and difficulty being close to others
  • Dissociation and dysregulation
  • Cognitive distortions and compromised meaning making
  • Physical health problems, ACE factors and painful somatization
  • Preverbal and nonverbal memories
  • Disturbing somatic sensations
  • Depressive symptoms
  • Learned helplessness and shame
Therapeutic Interventions for Complex PTSD: Summary of Effective Therapies
  • Psychodynamic and Relational Therapy
  • Psychobiological perspectives: Polyvagal Theory
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • EMDR Therapy
  • Somatic Psychology
  • Parts Work Therapy: Work with Ego States
  • Complementary and Alternative Medicine (CAM): mindfulness, yoga, and integrative healthcare
Integrative Treatment for Complex PTSD: Putting it All Together for an Effective Treatment Plan
  • A biopsychosocial approach: Partner with clients to build a health care team
  • Goal of treatment: Memory retrieval vs. trauma recovery
  • History taking: Identify chronic, repeated, and/or developmental trauma events
  • Cultural factors and Complex PTSD
  • Recognize attachment Injuries
  • How to work with transgenerational trauma
  • Identify parts, ego states and defenses
  • Assess for dissociation
  • Mutual regulation and relational repair in therapy
  • Prepare for trauma processing: Develop resources and stability
  • Work through traumatic memories: EMDR and Somatic Psychology
  • Grief work in Complex PTSD
  • Integrate and Instill positive change
Experiential Interventions: Mind-Body Practices for Clients with Complex PTSD
  • Conscious breathing for self-regulation
  • Grounding and sensory awareness
  • Containment: Reclaim choice and control
  • Build imaginal allies
  • Cultivate mindfulness, acceptance, and self-compassion
  • Somatic interventions: Titration, sequencing, and somatic re-patterning
  • Bilateral stimulation and dual attention in EMDR Therapy
  • Potential risks and limitations of mind-body therapies
Fostering Resilience: For Post-Traumatic Growth and Healing
  • Learn the 6 Pillars of Resilience
  • Trauma recovery and the bell curve
  • Resilience as a process and an outcome
  • Help clients move from learned helplessness to learned optimism
  • Post-Traumatic Growth: Help clients reach their potential
Vicarious Trauma: Improve Client Outcomes Through Effective Self-Care
  • Identify resources that improve your clinical skills
  • In-session self-care to improve focus on the client and therapeutic process
  • Burnout prevention techniques

Please Note: PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.

Objectives

  1. Distinguish key contributing factors to the development of Complex PTSD as it relates to client case conceptualization.
  2. Investigate how Complex PTSD impacts the cognitive, emotional, and physical health of the client.
  3. Determine how to assess clients for Complex PTSD symptoms within other diagnoses, including personality disorders, mood disorders, anxiety disorders, and dissociative disorders.
  4. Incorporate into clinical treatment practical mind-body therapy tools to help clients feel resourced and prepared for trauma processing.
  5. Articulate the six stages of trauma responses within the neurobiology of Complex PTSD as it relates to clinical treatment.
  6. Utilize assessment tools to properly assess for Complex PTSD to better inform treatment planning.
  7. Breakdown how mutual regulation within the therapeutic relationship teaches clients self-regulation strategies that help them develop new interpersonal strengths that help with the treatment process.
  8. Integrate interventions for the treatment of Complex PTSD drawn from CBT, DBT, EMDR Therapy, Parts Work Therapy, Somatic Psychology, and mind-body therapies.
  9. Analyze how working within the “Window of Tolerance” can help reduce the likelihood of re-traumatization.
  10. Assess how “top-down” and “bottom-up” interventions can speed up or slow down the pacing of trauma treatment.
  11. Employ the 6 Pillars of Resilience as a strength-based approach that fosters growth and integration of a positive sense of self-identity in clients.
  12. Determine resilience and protective factors to aid against the development of PTSD.

Copyright : 10/23/2018

Module 5 | Attachment, Psychodynamic, IFS & Parts Work Interventions

Copyright : 10/23/2018

Module 1 | Understanding C-PTSD Development

For years I got stuck with my complex trauma clients.

The traditional standalone approaches everyone recommended seemed to fail me as my clients’ unresolved conflicts kept sabotaging our efforts toward healing. Session after session I was met with defensiveness and resistance. It was exhausting…and soon doubt and frustration started to creep in.

But one day the solution became clear -- complex trauma requires complex treatment -- not a standalone therapy.

Now in this one-day seminar I’ll show you how you can more successfully access deeply rooted pain points and move clients past the internal conflicts that hang them up in treatment by integrating elements of EMDR with skills from a parts work approach!

Watch me for this unique, advanced level trauma treatment course, so you can:

  • More safely gather your client’s trauma history
  • Manage dissociation and fragmentation in clients using skills from parts work therapy
  • Create a safe healing environment using modified EMDR therapy protocols
  • Confidently use relational skills and somatic therapy for improved complex trauma treatment

Making the change to an integrated EMDR and parts work approach turned my treatment completely around. Since that day I’ve found tremendous success with my clients, authored several books on complex trauma and trained thousands of clinicians.

Don’t miss this chance to take your complex trauma treatment to the next level!

-Arielle Schwartz, PhD, CCTP-II

Program Information

Objectives

  1. Analyze the neurobiology of complex PTSD and dissociation through the lens of polyvagal theory.
  2. Apply interpersonal neurobiology through co-regulation strategies that strengthen our client’s social engagement system.
  3. Assess for emotional and physiological dysregulation as “parts” of self.
  4. Integrate practical parts work therapy interventions to improve treatment outcomes for “resistant” clients.
  5. Utilize techniques to help clients to work with shame and develop self compassion for their most wounded parts.
  6. Conduct modified EMDR therapy protocols that will allow you to create a safe healing environment for clients with a history of complex traumatization.

Outline

Understanding Complex Trauma: The Neurobiology of PTSD

  • Nuances of stress, trauma, and complex PTSD
  • The impact of dissociation
  • Interpersonal neurobiology, somatic psychology, and social engagement
  • The polyvagal theory
  • Skill: Spacious, Relational Awareness
  • Skill: Explore Co-Regulation
How to Assess for a Complex Diagnosis: History Taking and Case Conceptualization
  • Identify chronic, repeated, developmental and sociocultural trauma
  • Overcoming betrayal trauma to resolve insecure attachment
  • Assess for dissociation (“fragmentation”)
  • How parts, ego states and defenses create walls to change
  • Compassionate strategies for “Resistant” clients
  • Move from shame to empowerment
  • Skill: Understand emotional dysregulation as a “part”
  • Skill: Connect to the adult self
  • Skill: Differentiating from a part
Moving Clients Forward: Modified EMDR and Parts Work for Complex PTSD
  • The 8-phases of EMDR therapy
  • Neural networks and “encapsulated” ego states
  • Bilateral stimulation and dual attention in EMDR therapy
  • Modified EMDR therapy protocols
  • Preparation for trauma reprocessing
  • Cultivate mindfulness, acceptance, and self-compassion
  • Skill: Choice and containment
  • Skill: Build allies for a part of self
  • Skill: Facilitate repair scenarios
  • Skill: Reprocess a traumatic memory
  • Skill: Positive state installation
The 6 Pillars of Resilience: For Post-Traumatic Growth and Healing
  • Trauma recovery and the bell curve
  • Resilience as a process and an outcome
  • Move from learned helplessness to learned optimism
  • Skill: Create your resilience recipe

Copyright : 09/30/2021

Module 2 | Case Conceptualizations, Clinical Interviews, and Therapeutic Interventions

Copyright : 09/30/2021

Module 3 | Integrative EMDR

Copyright : 09/30/2021

Healing with CPT

How exactly do people get stuck in traumatic events and PTSD, and how can they recover? Cognitive Processing Therapy (CPT) is a rapidly growing model that is showing promising results and has uncovered key cognitive processes that, when addressed, can create lasting healing from PTSD, often without the need to go back and even talk extensively about the traumatic event. 

Join co-developer of CPT, Kathleen Chard, PhD, for a fascinating recording that will address many common myths around PTSD recovery and what research has shown helps. Learn the key processes behind this approach to trauma treatment that is endorsed by the U.S. Departments of Veterans Affairs and Defense, the International Society of Traumatic Stress Studies, and the U.K. National Institute for Health and Care Excellence (NICE) as a best practice for the treatment of PTSD.  

Program Information

Objectives

  1. Analyze the empirical evidence supporting the use of Cognitive Processing Therapy for Post-Traumatic Stress Disorder and related conditions.
  2. Determine common myths around PTSD that can interfere in treatment and worsen outcomes.
  3. Utilize 3 keys from CPT that help clients understand how to overcome “stuck points”.

Outline

  • Explore the basis for positive results from CPT research 
  • Identify common myths around PTSD recovery 
  • The keys behind how CPT helps clients recover from PTSD  

Copyright : 12/03/2020

Pharmacology of Trauma & Dissociation

Let’s face it – treating trauma is hard work and it’s not always clear what needs to be done. Dysregulated nervous systems, co-morbidities, and a myriad of psychotherapeutic and psychopharmacological options often make it difficult to reach the desired goals for your clients.

Even though you may not be a prescriber of medications, it’s essential that you have a thorough understanding of the effects medication has in treating trauma.

Watch world renowned trauma expert Frank Guastella Anderson, MD, in this recording as he guides you through the essentials of Psychopharmacology related to the treatment of Trauma and Dissociation.

Dr. Anderson will teach you how to:

  • Integrate psychopharmacological and psychotherapeutic approaches
  • Identify positive and negative effects of medication
  • Prepare clients for adding medication to their treatments
  • Understand the effects of trauma on neurobiological processes
  • Assess clients for appropriate medication referrals

Improve your outcomes through the understanding and application of the interplay between medications, psychotherapy and trauma.

Program Information

Objectives

  1. Integrate psychopharmacological and psychotherapeutic approaches in the treatment of trauma and dissociation.
  2. Determine the positive and potentially negative effects of psychoactive medication interventions related to trauma treatment.
  3. Prepare clients effectively for the implementation of psychopharmacological adjuncts to psychotherapy.
  4. Analyze the neurobiological effects of trauma to the dysregulation of neurotransmitters and the use of mitigating medications.
  5. Assess therapeutic indications for appropriate medication referrals.

Outline

  • Effectively approaching traumatized clients with medication supports
  • Classification of the different types of trauma
    • Normative responses
    • Iatrogenic risks of rapid psychopharmacological treatment
  • Introduction to Internal Family Systems (IFS)
    • Working with “parts of self” and medication interventions
    • Primary types of parts
  • Therapists’ role in medications – facilitating compliance
    • Indications for medication referrals
    • Integrating IFS with medication management
    • Video case example – securing parts agreement and clarifying expectations
  • Neuroscience and the neurobiology of PTSD 
    • Neural networks and neural integration
    • Fear response circuitry – normal and disrupted function
  • Neurotransmitters and medications
    • Specific effects of most commonly used medication interventions
  • Treating Acute Trauma
    • Current psychopharmacological research and new directions
    • Negative effects of benzodiazepine use
  • Treating PTSD
    • Indicated medications and common side effects
  • Psychedelic assisted psychotherapy
    • Enhancing self-compassion and reducing defenses
    • Limitations of current research
  • Hormones and PTSD
  • Polyvagal theory and Dissociation
    • Differentiating ventral and dorsal parasympathetic function  
  • Treating Dissociation – applications of atypical antipsychotics
    • Medications new to the market
  • Psychosis, Bipolar Disorder and Trauma - Co-morbidities and Trauma 
    • Use of PRN medications and scheduling
    • Discriminating between biological and emotional symptoms
  • Sleep disturbances
    • Psychotropics used – effects and side effects
  • Attention Deficit Disorder – overlap and medication interaction with PTSD
  • Substance abuse and indicated medications
  • Depression and co-morbid PTSD
    • Star-D study results
    • Polypharmacy for PTSD symptomology
  • OCD  
  • Alternative treatments for Trauma

Copyright : 09/11/2019

Advances in Treating Dissociation

ln this course, Kathy Steele identifies what dissociation is, the challenges one faces when working with dissociation regarding the dance between attachment and defense; and the role of the therapeutic relationship as a stabilizing factor. Attachment strategies, the basic principles in working with parts, and a systematic approach to working with parts will also be discussed and evaluated.

Program Information

Objectives

  1. Differentiate between dissociative parts and ego states.
  2. Analyze attachment strategies, investigate the principles of working with parts, and justify the use of a systemic treatment approach for improved clinical outcomes.
  3. Evaluate the role of trauma-related phobias and other factors that contribute to maintaining dissociation.

Outline

Working with Women 

What is Dissociation? 

  • Dissociative Parts vs. Ego States 

The Attachment Dilemma 

  • Attachment vs. Defense 
  • The Therapeutic Relationship  
  • Dependency, Attachment, & Interdependence  

Attachment Strategies 

  • Managing Relationships 
  • Defending Against Relationships 
  • Dissociative Attachment Cycle 

 
Working with Disorganized Attachment 

  • Basic Principles in Working with Parts 
  • What Maintains Dissociation? 
  • Trauma Related Phobias 

 
A Systematic Approach to Dissociation 

  • Working with Parts in an Integrative Fashion 

 Q&A 

Copyright : 11/05/2020