Full Course Description


CBT, DBT & EMDR Strategies to Free Clients from Codependency, Narcissistic Abuse & Attachment Trauma

You see codependency in so many clients… and yet, many therapists skip over directly treating it.

Your clients are left suffering with a lack of boundaries, obsessively people pleasing, blaming themselves endlessly, self-sabotaging and unable to make simple decisions…

To make matters worse… They’re often in toxic relationships experiencing narcissistic abuse, gaslighting and have layers of attachment trauma.

Get your codependent clients to learn new skills AND take them beyond the walls of the therapy room to radically change their lives.

Join Krystal Mazzola, LMFT whose dedicated her career to breaking codependent clients free of the shackles of painful relationships, self-hate and more. Get essential skills from CBT, DBT, EMDR, Mindfulness & Narrative Therapy to move your clients forward in life. In just three self-paced modules you’ll learn:

  • How to co-occurring PTSD, Anxiety, Personality & Mood Disorders
  • Integrate CBT, DBT, EMDR, Mindfulness & Narrative Therapy techniques
  • Rebuild your client’s sense of self, create compassion & self-regulate
  • Red flags in assessment
  • Overcome perfectionism, fantasy thinking & damage from narcissistic abuse
  • Step-by-step guidance in the four main treatment stages

All this AND printable assessments, worksheets, in-session exercises and real-world case studies!

Don’t let any clients slip through the cracks… Get expert training!

Program Information

Objectives

  1. Investigate signs and symptoms of codependency.
  2. Theorize how codependency presents with and impacts mental health disorders.
  3. Appraise impact of codependency, narcissistic abuse and other behaviors on client’s mental health.
  4. Formulate a comprehensive plan to guide clients toward interdependent, healthy relationships.
  5. Employ skills to implement treatment targeting core boundary issues.
  6. Apply DBT skills to clients struggling with codependency. 
  7. Utilize skills from EMDR, CBT and narrative therapy to combat codependent thoughts, behaviors, and triggers.
  8. Build insight into how clients exhibit codependent symptoms in the therapeutic relationship.

Outline

Codependency: What you need to know 

  • What codependency isn’t
  • New research: narcissistic abuse, gaslighting, lovebombing
  • How codependency develops in childhood & adulthood
  • Trauma areas specific to codependency – bullying, rejection, social disconnection, IPV, infidelity, betrayal & addiction
Assessment and Diagnosis: Core symptoms of codependency
  • Red flags of codependency: common client statements, ruminations & more 
  • Combat tendency to neglect, abuse, or self-sabotage 
  • Explore core & empowerment shame issues
  • Comorbidities: SUDs, anxiety, PTSD, CPTSD, Personality & Mood Disorders
  • Exploring your client’s loss of self
Dive into Problem Areas: Distorted Reality, Boundaries, Control & Relationships
  • Overcome roadblocks: resentment, people pleasing, approval seeking
  • Manage perfectionism, fantasy thinking & damage from gaslighting
  • Improve guilt, trust, catastrophizing & polarized thinking
  • Improve intimacy issues & heal fears of abandonment
  • Assessment checklist & more worksheet
Roadmap for Treatment: The 4-Core Treatment Stages 
Phase one: Guide Clients’ Self-Work
  • Build client insight & awareness to destructive patterns
  • Implement narrative therapy & journal writing prompts
  • Nervous system balancing exercises: yoga, mindfulness, medication & more
  • Combat shame with self-validation
  • Teach clients how to practice patience
Phase Two: Integrate the 4-Boundary Part System
  • Replace shame with self-validation
  • Create internal & external boundaries in clients
  • Explore 7 types of essential boundaries 
  • Help client’s authentic self shine
Phase Three: Trauma Healing
  • Grief work specific to relationships 
  • Intervene in fight-flight-freeze response
  • Diaphragmatic breathing – instructions & benefits
  • Guide inner child and reparenting
  • Healthy parenting education
  • Guided scripts for self-visualization and inner child visualization
Phase Four: Relationship & Intimacy Skill Building
  • Step-by-step guidance in assertiveness training
  • Appropriate empathy and vulnerability
  • Teach clients to accept support
  • Flooding and time-outs
  • Build awareness of abusive behaviors
  • Interdependence – the solution to co-dependency
Dialectical Behavior Therapy Strategies and Codependency Recovery 
Phase One
  • Learn self-soothing toolkit & teach mindfulness to clients
  • Practice radical acceptance of self & self-validation
  • Discover states of Mind
  • Learn ACCEPTS
  • Work with the 5 senses
Phase Two
  • Dialectical thinking about self, others, reality
  • Radical acceptance of others
  • Check facts to correct distortions
  • Practice “coping ahead”
Phase Three
  • Dialectical thinking
  • Radical acceptance of change
  • Meaning making - IMPROVE
Phase Four
  • DEAR MAN, THINK & other interventions
  • Broken record for boundary development
EMDR, CBT & Narrative Therapy Strategies 
EMDR
  • Container
  • Butterfly hug
  • Safe place
  • Negative cognitions and validity of cognition
Cognitive Behavioral Therapy
  • Thinking mistakes
  • Challenge and Replace Negative Thoughts
  • Response prevention plan
  • Effective problem solving
Narrative therapy
  • Deconstruct the socially constructed self 
  • Writing as therapy
  • Externalize inner critic
Self of the Therapist: How Your Work Supports Therapy
  • Prevent clients from entering a co-dependent relationship with you
  • Examine personal experiences and biases
  • Impact of pervasive codependent messages in culture
  • Manage perfectionism
  • Role model self-compassion & boundaries
Two case-studies
“Savannah” codependency with comorbidity of PTSD and BPD
“Leticia” codependency with comorbidity of anxiety

Target Audience

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

Copyright : 06/24/2022

Narcissistic Abuse for Therapists: Empower Clients to Break Free and Recover from Gaslighting, Emotional Manipulation and Coercion

You may be working with a victim of narcissistic abuse without even knowing it.

Clients in your caseload who lack self-esteem, can’t say no, and blame themselves for everything may have been emotionally manipulated, controlled, and gaslit through a narcissistic relationship.

But without the right training you could be failing to see the subtle signs, leaving you without a key piece of the puzzle…and keeping them trapped in emotionally damaging and often dangerous relationships.

Now with this one-day training you can get the clinical guidance and tools you need to help clients free themselves from the cycle of narcissistic abuse and overcome its toxic legacy in therapy!

Amy Marlow-MaCoy, LPC has helped hundreds of clients identify, understand, and heal from narcissistic abuse from interpersonal relationships. She is the author of the Amazon best-selling book The Gaslighting Recovery Workbook: Healing from Emotional Abuse (Callisto Media, 2020).

Watch Amy and get the strong foundational understanding of narcissistic abuse dynamics and treatment you need to:

  • Recognize overt and covert signs of narcissism in a variety of contexts
  • Open your clients’ eyes to gaslighting and other manipulative tactics of narcissists
  • Avoid clinical missteps that could alienate these clients
  • Build assertiveness in clients who can’t say no
  • Teach clients to develop healthy boundaries without guilt
  • End clients damaging self-blame and help them be their own individual
  • and much more!

Don’t miss this chance to help clients break the cycle of narcissistic abuse and regain their personal power!

P.S. As popular culture continues to shine a spotlight on the problem, more people than ever before are seeking therapists well-versed on narcissistic abuse. This training will leave you better positioned to work with this growing client population!

Program Information

Objectives

  1. Analyze how abuse from individuals with narcissistic personality disorder in the context of romantic relationships, friendships, and family relationships can lead to long term effects for clients.
  2. Differentiate narcissistic abuse from other forms of emotional abuse to improve your ability to recognize the subtle signs that clients may be victims.
  3. Employ in-session psychoeducation approaches to help clients become aware of narcissistic behavior in their lives and recognize the consequences.
  4. Analyze common mistakes made by practitioners in the treatment of survivors of narcissistic abuse.
  5. Employ exercises to help survivors of narcissistic abuse build assertive communication skills.
  6. Investigate the current research and treatment limitations surrounding work with survivors of narcissistic abuse.

Outline

A Clinician’s Guide to Narcissism:
Narcissistic Personality Disorder and the Spectrum of Narcissistic Traits

  • DSM-5™ criteria for Narcissistic Personality Disorder
  • Social and culturally acquired definitions
  • The spectrum of narcissistic traits
  • Narcissistic traits without meeting criteria for NPD
  • Psychoeducation for survivors about NPD, narcissistic behavior and its consequences
Narcissistic Abuse and General Emotional Abuse:
Similarities, Differences and Tactics Impacting Detection and Treatment
  • Goals of perpetrators of emotional abuse vs. narcissistic abuse
  • Cycle of abuse in narcissistic relationships
  • Gaslighting and other tactics of manipulation and coercion
  • What is narcissistic supply?
  • Subtypes: engulfing and ignoring/neglecting
Narcissistic Abuse in Specific Relationships:
Dynamics and Impacts
  • Romantic/intimate relationships/sex addiction
  • Co-parenting vs counter-parenting
  • Friendships and frenemies
  • Family of origin – the golden child, black sheep, scapegoat, and invisible child
  • Lack of self-esteem, difficulties trusting others, C-PTSD and other effects of narcissistic abuse
Potential Missteps and Traps to Avoid
  • Everyone’s a narcissist (over-pathologizing problematic behaviors)
  • No one’s a narcissist (dismissing client reports because you can’t diagnose NPD)
  • Pushing for reconciliation or family therapy
  • Inadvertently gaslighting clients by questioning hard-to-spot emotional manipulation
  • Not focusing enough on calming the underlying trauma triggers
Victims of Narcissistic Abuse in Therapy:
Break the Cycle of Abuse through Increased Autonomy, Agency and Sense-of-Self
  • Building assertiveness and individuation – strategies to help clients be their own individual
    • Exercises to help clients discover their own preferences, interests, desires, and goals
    • Teach clients to distinguish between assertiveness, aggression, and passive aggression
    • Counteract internalized messaging that assertive communication is harmful, cold, cruel, or harsh
    • Prepare clients for the backlash that often attends increasing autonomy and agency
    • Cultural sensitivity considerations
  • Exploring levels of contact and clients’ wishes regarding contact
    • Developing healthy boundaries -- how to best protect themselves within the relationship parameters they choose
    • Processing guilt/shame over setting boundaries and saying no
    • Coping strategies for when contact is inevitable
Additional Approaches and Considerations
  • Trauma competency – an essential for working with these clients
  • Inner child work to heal attachment wounds
  • Is family therapy advised?
  • Specific modalities to explore - AEDP, IFS, EMDR, SE, BSP, Gestalt
  • Research, risks and treatment limitations

Target Audience

  • Counselors
  • Social Workers
  • Marriage & Family Therapists
  • Psychologists
  • Physicians
  • Addiction Counselors
  • Psychiatric Nurses

Copyright : 03/11/2022

Codependence: Treatment Strategies for Clients Who Lose Themselves in Others

Extending far beyond its roots in addictions work, codependence is a universal issue that shows itself in a variety of diagnoses, from anxiety and depression to trauma-related and eating disorders.

Join Nancy Johnston, MS, LPC, LSATP, MAC, NCC, addictions and codependency expert, for this compelling 3-hour webinar designed to provide guidance, insight, and straightforward strategies for clients who are:

  • Over-focused on caring for, fixing, controlling, pleasing, and/or conflict-avoiding 
  • Adult children of an addict 
  • Spending session talking about someone else 
  • Having difficulty allowing their children to become independent 
  • “Too resilient”; downplay suffering, forget how hard something was 
  • Struggling to leave an abusive situation or relationship 
  • Afraid to make necessary changes despite being unhappy  
  • Numb or unaware of what they want or feel
  • And more! 

Taught in everyday language and filled with practical tools, this is a recording you don’t want to miss!

Program Information

Objectives

  1. Apply the codependency paradigm as an underlying factor for common presenting problems, symptoms and diagnoses.   
  2. Determine the origins of codependent behaviors to support case conceptualization and decrease pathology or stigma.   
  3. Utilize clinical strategies to increase client’s self-understanding, self-awareness, and skills to attend to their internal well-being.   

Outline

Conceptualizing Codependent Dynamics in a Practical Way 

  • Over-functioning for others while under-functioning for the Self 
  • The physical and emotional costs of a “dominant external focus” 
  • Codependence as a precursor to anxiety, depression, and relationship difficulties 
  • Limitations of the research and potential risks 

Assessment:  Broadening Your Lens to Include the Codependence Paradigm 

  • How to identify and address codependence without stigmatizing 
  • Self-understanding (the why), self-awareness (the what), and skill sets (the how) 
  • Addressing the grief that underlies acceptance of reality 
  • What’s missing from the Stages of Change 

Treatment Tools:  Help Clients Detach from Codependence and Anchor Within the Self  

  • Setting goals that make sense 
  • Shifting focus from external to internal 
  • 3-part boundary setting skills 
  • Visuals to illustrate the relationship between the self and others 
  • Building “quiet reactivity” 
  • Breaking through the illusion of control 
  • Daily practices for self-awareness and self-care 
  • And more! 

Case Studies: 

  • 50 y/o mother, overly enmeshed with adult child who repeatedly relapses from alcohol recovery 
  • 36 y/o, depressed and insecure, unsure of role at work, feels excluded and inconsequential  
  • 17 y/o, discouraged and hesitant to share true thoughts and feelings with partner

Target Audience

  • Psychologists 
  • Social Workers 
  • Counselors 
  • Addiction Counselors 
  • Marriage and Family Therapists 
  • Case Managers 

Copyright : 07/09/2020

Untangling Toxic Relationships: Helping Clients Release Abusive Cycles

Helping clients disentangle themselves from a toxic relationship is difficult but important work, especially when powerful “trauma bonds” continuously draw them back to emotionally or physically abusive partners in an unconscious attempt to heal past wounds. How can therapists guide clients toward a conscious awareness of what’s keeping their relationship toxic and emotionally transactional? And how can we determine if a trauma-bond dynamic can be repaired in a relationship? In this recording, learn a specific process to help clients recognize the spectrum of toxic relationships, heal the wounds that create trauma bonds, and rediscover their Self. You’ll discover how to: 

  • Map the five stages of the trauma bond so clients can recognize the patterns in their relationship, reduce shame, and build pathways for change 
  • Explore concrete tools to help clients reclaim and reparent the Self 
  • Use an experiential “cord-cutting” intervention that releases clients from toxic dynamics to open themselves to post-traumatic growth

Program Information

Objectives

  1. Evaluate the spectrum of toxic relationships and trauma bonding in a clinical framework that can be used to assess and treat clients and heal relationships. 
  2. Assess the specific psychological dynamics that can interfere with treatment with clients in toxic relationships and trauma bonds. 
  3. Apply 3 clinical interventions to be used with clients for healing relationships and overcoming traumatic bonding. 

Outline

  • Define the spectrum of toxic relationships and trauma bonding in a clinical framework that can be used to assess and treat clients and heal relationships. 
    • Understand the signs of a toxic dynamic that is likely to remain abusive and detrimental to a victim’s wellbeing. 
    • Explore the indicators that a relationship can heal and recover from its trauma wounds. 
  • Explore the specific psychological dynamics that can interfere with treatment with clients in toxic relationships and trauma bonds. 
    • Learn to identify areas of resistance and what defense mechanisms may look like in the context of a toxic dynamic. 
  • Apply 3 clinical interventions to be used with clients for healing relationships and overcoming traumatic bonding. 
    • Learn how to identify the wounded part of the self and what it serves through Parts Work, map the “toxic dance,” integrate the skill of “reparenting the self,” and more! 

Target Audience

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

Copyright : 01/17/2021

Bringing the Body into Therapy: Clinical Tools from Relationship Repair and Somatic Experiencing

When it comes to tapping into clients’ natural resources for healing from trauma, the body is an invaluable tool. Not only does it store information about our early attachment experiences, but it shows the signs of epigenetic and transgenerational influences. The body reveals how trauma negatively impacts relationships with friends, partners, colleagues, and loved ones. But research and experience show that trauma behaviors aren’t set in stone. Pulling from the latest developments in Somatic Experiencing and neuroplasticity, this recording will teach you a dynamic toolkit of body-oriented approaches for treating early developmental trauma as well as helping clients improve nervous-system regulation and repair relationships. You’ll explore:

  • The neurophysiological and embodied underpinnings of healthy relationships
  • How to create a vibrant experience of resilience and wholeness in your work
  • How implicit memory shapes our physiological and psychological responses to trauma and recovery
  • Three skills to work with the autonomic nervous system to rebound from trauma and overwhelm

Program Information

Objectives

  1. Appraise the concepts of attachment theory, interoception, and the window of tolerance in the treatment of psychological trauma and post-traumatic stress disorder.
  2. Evaluate the theory that traumatic memories are stored primarily in implicit memory.
  3. Formulate a treatment process based on the approach of Somatic Experiencing for the treatment of trauma and discuss risks and limitations.
  4. Practice three skills to work with the autonomic nervous system to rebound from trauma and overwhelm.

Outline

  • Introduction to Rupture and Repair cycles in attachment relationships, Interpersonal Neurobiology from a somatic perspective
  • Present Somatic Experiencing and the Window of Tolerance in the Autonomic Nervous System Model
  • Introduce interoception-based tracking and stabilization tools
  • Utilizing interoception in Relational repair models with demonstration
  • Explore attachment theory from a physiological lens
  • Mirroring intervention for attachment disruption

Target Audience

  • Psychologists
  • Physicians
  • Addiction Counselors
  • Counselors
  • Social Workers
  • Marriage & Family Therapists
  • Art Therapists
  • Nurses
  • Other Behavioral Health Professionals

Copyright : 03/11/2022

Christina Reese has dedicated her life’s work to helping those with trauma cope to live healthier, happier, and more fulfilling lives. In her newest book, Trauma and Attachment, she has created a resource to guide clients from a place of fear, anxiety, and trauma to healthy attachment.

In this comprehensive yet accessible book, Dr. Reese provides an attachment framework for treating clients who have experienced a multitude of traumas, ranging from abuse and neglect to medical traumas, natural disasters, and exposure to violence. Through a variety of worksheets, exercises, and activities, this book provides clients with the tools they need to develop a foundation for healing so they can find feelings of safety and security within relationships again.

Inside, clinicians will find tools to help clients heal from the impact of:

  • Abuse by helping them establish safety and security within relationships.
  • Neglect by teaching them to find their voice and express their needs.
  • Medical trauma by helping them adjust to a new normal and better tolerate uncertainty.
  • Natural disasters by using mindful grounding techniques to navigate sensory triggers and cultivate mind-body awareness.
  • Witnessing violence by restoring clients’ sense of felt safety and helping clients identify what they can control to keep themselves safe.