Full Course Description
The Magic of CBT for Anxiety and OCD AND How to Help Your Clients Understand the Anxious Brain
- Identify 5 aspects that are unique to CBT
- Educate clients on CBT for anxiety
- Structure the initial and future sessions according to CBT principals
- Differentiate between healthy and necessary anxiety vs. maladaptive anxiety
- Educate clients on the neurobiology of anxiety disorders
- Disseminate information on the role of medication and CBT in treating anxiety disorders
- Outline principles of CBT highlighting: problem solving and skills based model, relationship between therapist and client, active participation by client, present oriented model, note taking, cognitive training, behavioral activation including homework, therapeutic attitude and relapse prevention.
- Demonstrate the differences of CBT for anxiety.
- Explain how to structure first and following sessions, and how to educate client in CBT.
Ask the Right Questions AND Being a Detective!
- Use cross-cutting symptom measures for adults and children
- Demonstrate knowledge of the DSM-5® diagnostic criteria for anxiety and related diagnoses
- Recognize clinical signs of anxiety and related diagnoses
- Teach clients how to construct their own self-help notebook to guide progress
- Identify current problems caused by anxiety
- Implement anxiety-rating scales in sessions
- Finding the right diagnosis is part of the education process.
- Asking the hard questions to get to the important distinctions.
- Reconciling clinical presentations of anxiety with the DSM 5 criteria for anxiety and related diagnoses.
The Art of Exposure and Response Prevention AND You Are What You Think
- Demonstrate understanding of the role of avoidance in the formation of an anxiety disorder
- Explain the role of habituation in the treatment of anxiety disorders
- Implement Exposure and Response Prevention (ERP) in the treatment of anxiety disorders
- Identify 2 key aspects to cognitive therapy and when to introduce it in session
- Teach clients about 9 cognitive distortions
- Educate clients on at least 4 different ways to talk back to their brain
- Explain the role of avoidance in the formation and maintenance of anxiety disorders.
- Define the role of habituation in the maintenance of and recovery from an anxiety disorder.
- Explain what ERP is and how it works.
- Explain how ERP is the cornerstone of successful treatment.
- Explain the importance of tolerating uncomfortable physiological sensations and scary thoughts.
- Explain why you do not want to use distractions during ERP.
- Teach participants how to help keep their clients in the feared situation.
- Explain how to create an ERP hierarchy.
- Talk about the importance of practice.
- Explain the role of rewards in the treatment process.
- Explain how understanding the psychodynamic roots of anxiety disorders is not necessary for recovery.
- Teach participants how to deal with client resistance to ERP.
Playing with Fear AND Don't Panic!
- Diagnose and treat children ages 6-17 with anxiety and related disorders
- Engage children and parents in the treatment process in a meaningful way
- Demonstrate age-appropriate ways to explain cognitive restricting and brain training for anxiety
- Identify 2 ways that Panic Disorder is unique
- Educate clients on how to eliminate safety behaviors
- Teach interoceptive therapy to clients with panic disorder
- Anxiety disorders are the most common mental health diagnosis in children and youth. CBT works well with children - a collaboration with child - do not force.
- Teenagers and youth adults who do not want their parents involved.
- Imagery, games, drawing and telling a different story to re-work the anxious brain.
I Can't Do That AND The Role of Mindfulness in the Treatment of Anxiety Disorders
- Evaluate a client for OCD using the YBOCS
- Develop scripts for clients to use as exposures
- Coach a client through exposure and response prevention for OCD symptoms
- Explain the importance of tolerating feelings in the treatment of anxiety disorders
- Identify the fundamentals of Mindfulness in relationship to anxiety disorders
- Utilize breathing and progressive muscle techniques
- Identifying themes of OCD. (violent, sexual, doubting, scrupulosity, illness, etc.)
- Using the YBOCS.
- Doing the opposite when treating OCD.
- Using scripts (live example) and doing in vivo treatment.
- Coaching through an exposure. (Live demonstration) Teaching family/friends to be coaches.
- Successful exposures: proactive, consistent, frequent, intense
- What doesn't work in OCD treatment.
Termination and Relapse Prevention AND Complex Cases
- Utilize the criteria for when a client is ready to terminate treatment
- Develop a discharge plan that includes provisions for relapse prevention and relapses
- Discuss with the client how they can use what they have learned in treatment to assist in other areas of their life
- Identify 3 reasons for client resistance to treatment
- Utilize practice guidelines to treat clients with co-morbid disorders
- Implement several strategies when the treatment does not seem to be working
- Teach participants the signs that show a client is ready for termination.
- Explain how anxiety is a chronic condition and that clients should expect and accept that relapses may occur in times of stress.
- Teach participants how to develop a plan with client as to what should be done in the event of a relapse.
- Emphasize to participants the importance of encouraging clients to continue to practice after treatment termination.
- Wrap up: teach participants how to convey to clients how their overcoming their anxiety disorder has given them tools that can be used in every sphere of their life; i.e., tolerating uncertainty.
Hoarding Disorder: Diagnosis, Assessment and Effective Treatment Strategies for Mental Health Professionals
Inside the Mind of a Person Who Hoards
- Uncovering the Person Who Hoards
- Functional People Who Hoard
- Co-morbid diagnoses with hoarding disorder
- Biopsychosocial model
- Implications of diagnosis on public safety
- Communities: Neighborhoods, Multi-family Dwellings
- Professionals: Code Enforcement, Fire, Law Enforcement
Diagnosis and Assessment of Hoarding Disorder
- DSM-5® Criteria
- Clutter vs. collecting vs. hoarding
- Effective measures for assessment
- Levels of hoarding
- Emotional/psychological impact of hoarding on clients
- Effects on physical health:
- Respiratory issues
- Falling and Balance Issues
- Dangers of Mold and Waste
Treatment & Strategies
- Safety Day: Critical stress management approach to mandatory cleanouts
- Coordinated and systematic response to forced clean-outs
- Ambiguous Loss Theory
- Trauma-Informed CBT, DBT
- Working with the family of the person who hoards
- Community collaboration
- Reduce and prevent negative consequences
- Recognize and respond to symptoms of psychological crisis
- Support resilience:
- Promote Safety
- Calm & Comfort
- Prevention Strategies
- Recognize effective diagnosis and treatment strategies of hoarding disorder.
- Describe alternative options to treatment other than a forced cleanout.
- Apply evidence-based treatment strategies to address issues of safety in hoarding disorder.
- Develop collaborative networks in your area to form a community response to hoarding disorder.
The Top One-Minute Mindfulness Strategies to Use in Your Practice
- Use breathing as a powerful stress reduction method to counter anxiety
- Describe how to focus attention away from negative mood states by grounding awareness in the external world
- Explain a calming meditation for increasing concentration and shown to be helpful for ADD
- Create space from feelings of depression through affirmation and intention as a way to strengthen feelings of safety
- Use gratitude as a daily practice to create a new narrative and reduce depression
De-Stress Your Inner Space
- Stress detox using the breath
- A grounding method for refocusing attention
- Deal with anxious thoughts and PTSD
- Enhance concentration
- Work with ADD
- Reduce stress
One-Minute Centering Intentions and Affirmations
- Strategies to reduce depression
- Strategies to increase feelings of safety
Gratitude for the Day
- A method to reduce depression
- Engage awareness
- Focus on the positive
Silence and Lessons from the Earth
- A powerful means of reconnecting with one’s:
- Inner wisdom
- Sense of peace