Full Course Description
Working with the Cycle of Self-Destructive Behaviors in Traumatized Clients
Clients with histories of prior trauma often lack the ability to engage in appropriate affect regulation, so they may find coping and self-soothing through self-destructive strategies including acts of self-mutilation, addictions, and disordered eating. Join Lisa Ferentz, LCSW-C, DAPA, an esteemed expert in the strengths-based, de-pathologized treatment of trauma, to learn:
- Creative and effective strategies to reduce and eventually extinguish self-destructive behaviors
- Unique grounding and containment skills to reduce flashbacks and other trauma-related symptoms
- Tools to avoid power struggles with an effective alternative to safety contracts
Program Information
Objectives
- Analyze the four potential attachment patterns in parent-child development and the impact they have on psychological development.
- Identify at least two reasons why clients engage in self-destructive behaviors and their treatment implications.
- Apply a strengths-based perspective when treating clients who engage in self-harm.
- Utilize at least two interventions to decrease negative cognitions and affect dysregulation fueling self-destructive behaviors.
- Implement at least one tool to decrease shame in clients who engage in self-harm.
Outline
Attachment, Affect Regulation, and Psychological Development in a Traumatic Environment
- Secure is not the norm – the predicament of attaching to unavailable or abusive caretakers
- Affect dysregulation and the impact of hypo- and hyper-arousal
- Brain-based navigation of developmental stressors and challenges
Strengths-Based Assessment and Treatment of Self-Destructive Behaviors
- Advantages to de-pathologizing acts of self-harm
- Understand trauma-reenactment syndrome and the meta-communication of self-harm
- Tips for helping clients share information about self-destructive behaviors
- Explore triggers and how to navigate them with journaling and escape clauses
- Self-compassion, re-framing, de-coding, and other interventions for negative cognitions
- Install safety, enhance containment, and access somatic resources to stabilize affective dysregulation
- Breathwork to decrease anxiety
- Introduce choices and re-grounding to address dissociation
Additional Clinical and Other Considerations
- Working with endorphins produced by self-harm
- Tools to address shame and decrease emotional vulnerability
- Why standard safety contracts don’t work and what to do instead
- Reducing power struggles in treatment
- Limitations of the research and potential risks
Target Audience
- Addiction Professionals
- Counselors
- Marriage & Family Therapists
- Psychologists
- Psychiatrists
- Social Workers
- Other Mental Health Professionals
Copyright :
10/02/2023
Psychotherapy with Self-Harming Clients
For therapists working with clients who self-harm, safety is the most pressing concern, and missteps can be damaging. Join Dr. Janina Fisher for this essential training on the most common mistakes made by therapists in working with unsafe behavior. You'll learn:
- How to validate the relief offered by unsafe behavior without increasing its frequency
- What to say to increase clients' curiosity to regulate the nervous system and decrease shame
- Top techniques to help clients become more concerned about the care of their bodies
Program Information
Objectives
- Apply knowledge of neurobiology to explain how trauma-related cues increase symptoms
- Utilize mindfulness-based interventions to demonstrate empathic understanding of the self-harming client’s experience
- Employ at least two interventions for stabilizing self-destructive behavior
Outline
Trauma and self-harm – recovering from either means recovering from both
- The neurobiology of trauma and how triggers work
- Procedural learning of self-destructive behavior
- How unsafe behavior “helps” and the need to change the client’s relationship to self-destructive behavior
How to address common mistakes made by therapists in working with unsafe behavior
- The failure to validate the relief stimulated by self-harm
- Forgetting that shame will make it feel normal to evade and unsafe to disclose
- Tools for working with trauma survivors on care of the body
- Techniques for stepping out of the role of safety spokesperson
- Curiosity, mindful awareness, psychoeducation, and other important interventions
- Limitations of the research and potential risks
Target Audience
- Addiction Professionals
- Counselors
- Marriage & Family Therapists
- Psychologists
- Psychiatrists
- Social Workers
- Other Mental Health Professionals
Copyright :
10/03/2023
DBT Crash Course for Clinicians
DBT is one of today’s most in-demand treatments, trusted by countless clinicians to provide their clients with the skills they need to manage their emotions, overcome their distress, and create positive change.
Whether they’ve been diagnosed with trauma, anxiety, depression or any number of the conditions you see in your office each day, DBT empowers clients to navigate the challenges of everyday life and relationships so they can heal, grow, and achieve their goals.
And it’s all done from a skills-building perspective that moves you away from change-based models that can feel overwhelming or unattainable for clients.
Now you can take home over a dozen of the most powerful skill-building exercises from DBT in just one training.
Led by certified DBT therapist Lexi Mulee, LMHC, C-DBT, this training will equip you to start using the DBT techniques she’s found most effective in her own practice so you can:
- Provide clients with the tools they need to better manage intense emotions
- Show clients how they can accept distressing situations without judgment or resistance
- Quickly build clients ability to cope in healthier ways
- Give clients the skills they need to create positive emotional connections with others
- Improve communication and boundary setting skills with clients
- Rapidly interrupt clients’ self-defeating and self-sabotaging patterns
- And much more!
Plus you’ll get printable worksheets that make it simple to start using these proven DBT exercises with clients right away.
Don’t wait to get the fundamental DBT skills you need to succeed.
Purchase now!
Program Information
Objectives
- Gain a comprehensive understanding of the origins and foundational concepts of Dialectical Behavioral Therapy (DBT).
- Develop an understanding of the neurobiology of emotional dysregulation and how DBT interventions can effectively address it.
- Discuss the effectiveness of DBT in reducing self-directed violence, including suicide attempts, non-suicidal self injury (NSSI), and accessing psychiatric crisis services.
- Apply validation strategies in DBT to enhance therapeutic rapport and promote positive change.
- Utilize mindfulness exercises for emotional regulation and symptom management in DBT practice.
- Evaluate the effectiveness of DBT with a diverse range of clients including individuals with substance use disorders, anxiety, and depression.
Outline
DBT Foundations and Fundamentals
- Main goals and history as an evidencebased treatment
- DBT practice components and the 4 modules of DBT
- Balancing acceptance and change
- Validation skills to build a therapeutic alliance
- The effectiveness of DBT for clients with depression, anxiety, SUDs, and more
- Realities of DBT for clinicians – potential benefits and drawbacks
- DBT skills training for suicidal clients
- Research, limitations, and treatment risks
- Indications, contraindications, costs, and alternative treatments
DBT Mindfulness Techniques: Enhance Treatment through Client Awareness and Acceptance
- “Wise mind” in decision making and problem solving
- One Mindful: fully engage in the present moment without distraction
- Pocket Mindfulness: brief exercises to manage stress and regulate emotions
- Cultivating acceptance and letting go of self-judgment and criticism
5 DBT Techniques to Manage Distress and Shift Perspectives
- Riding the Wave exercise to navigate emotional turbulence
- Radical Acceptance of distressing situations without judgment or resistance
- Using the STOP techniques to interrupt automatic patterns
- How to teach clients to better manage intense emotions with the TIPP technique
- Using ACCEPTS to help clients develop healthier coping skills
The DBT Toolkit for Emotional Regulation and Coping
- The connection between emotions and physical sensations
- Exercises to enhance emotional awareness and recognition
- Opposite action skill to change emotional responses
- Checking the facts skill to challenge emotional assumptions and biases
Interpersonal Effectiveness Skills for Better Communications and Boundary Setting
- Emotional Bank Account - build and maintain positive emotional connections
- Using the DEARMAN technique for effective communication
- Assertive skills for saying “No” and setting boundaries
- Using the Alternate Rebellion technique to help clients who struggle with oppositional behavior
Other Key Clinical Considerations: Skills Groups, Integration Strategies and Culturally Adapted Practices
- Using DBT individually or with skills groups
- Best practices in conducting culturally adapted DBT interventions
- Integrating and prioritizing DBT skills into a provider’s treatment as usual
Case Studies and Demonstrations
Target Audience
- Counselors
- Social Workers
- Art Therapists
- Marriage & Family Therapists
- Addiction Counselors
- Psychologists
- Psychotherapists
- Case Managers
- Physicians
- Nurses
- Mental Health Professionals
Copyright :
11/30/2023
Forgiving the Body, Forgiving the Self
Now that your client's self-harming behavior has eased or ended, what's next? Often clients are left with overwhelming grief, sadness, and shame around the harm they caused toward their bodies - and need help meeting these tough emotions so they won't return to old ways of coping. During this engaging session with Dr. Biasetti, you'll learn:
- How to facilitate self-forgiveness to build a new, compassionate relationship with the body
- Skills for encouraging clients' safe grieving and authentic embodiment
- The emerging somatic practice of body forgiveness
- Strengths-based interventions to build affect tolerance and develop self-compassion
Program Information
Objectives
- Determine the stages of forgiveness as related to clinical treatment.
- Apply self-compassion strategies with clients to improve treatment outcomes.
- Conduct a body forgiveness practice.
Outline
Manage grief, sadness, and shame after self-harm
The stages of self-forgiveness and how to facilitate them
Self-compassion strategies to build affect tolerance
The emerging somatic practice of body forgiveness
Limitations of the research
Target Audience
- °ä´Ç³Ü²Ô²õ±ð±ô´Ç°ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- Social Workers 
- ±Ê²õ²â³¦³ó´Ç±ô´Ç²µ¾±²õ³Ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- ±Ê²õ²â³¦³ó¾±²¹³Ù°ù¾±²õ³Ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- Marriage & Family Therapists 
- Addiction °ä´Ç³Ü²Ô²õ±ð±ô´Ç°ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- Other mental health professionals 
Copyright :
10/03/2023
Using Food to Survive Early Trauma
Binge eating often develops to protect clients from the overwhelming somatic and psychological experience of trauma. When few choices for coping are available, particularly in childhood, food may allow for stimulation, dissociation, and other means of survival. Amy Pershing, LMSW, ACSW, a pioneer in the treatment of binge eating disorder, will show you:
- How to transform your clients' relationships with food
- Strengths-based interventions to build affect tolerance and develop self-compassion
- Critical skills to address the impact of cultural body shaming and weight stigma on recovery
Program Information
Objectives
- Conduct an assessment for binge eating disorder.
- Examine binge eating and restriction through the lens of self-harm.
- Utilize at least two interventions to prepare clients to manage the impulse to binge.
Outline
Define binge eating/BED
- Understand how bingeing (and restriction) offer protections in the face of overwhelming experiences
- The Critical Components of the Change Process
- Treatment Essentials and Best/Worst Models of Practice
- Defining Recovery and case example
Definitions
- What is a binge? How does it differ from “overeating”?
- What is BED?
- Stats about BED
- Etiology
- Trauma (especially trauma to body, and weight related bullying and body shaming); attachment trauma
- Dieting
- ADHD Spectrum; “HSP”
- How to assess for BED in clinical practice
Bingeing and Restriction as Self-Harm Behaviors
- Used much like cutting and other NSSI behaviors: management of the FFFF response and overwhelming experience
- Food is more predictable, available, and already intrinsically comforting, especially for children
- Endogenous opiates released
- Binges lessen PFC availability, so dissociation achieved
- Less dissonance than cutting/burning
- May use body shape/size to communicate, as with cuts
- May begin organically with food restriction by dieting (even at early ages)
Common Uses of Binge Eating and Restriction as NSSI
The Basics of Change
- Any treatment model must be strengths-based in approach
- Abstinence models should be avoided
- Models that suggest bingeing is about being “powerless” should be avoided
- The “choice” to binge must belong to the client; no behavior contracts
- Bingeing must be seen as a part of the journey, not a “relapse”
- Weight stigma, body objectification must be addressed
- Non-diet/intuitive eating model builds trust in the body and allows clients to be the expert and owner of their body and experience
- “Fixing” the body (i.e. weight loss or shape change) should not be a treatment goal
- Using the POWR Model for the Impulse to Binge
- Pause into presence
- Open and allow
- Wisely consider
- Respond with care
Case example using POWR Target Audience
- °ä´Ç³Ü²Ô²õ±ð±ô´Ç°ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- Social Workers 
- ±Ê²õ²â³¦³ó´Ç±ô´Ç²µ¾±²õ³Ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- ±Ê²õ²â³¦³ó¾±²¹³Ù°ù¾±²õ³Ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- Marriage & Family Therapists 
- Addiction °ä´Ç³Ü²Ô²õ±ð±ô´Ç°ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- Other mental health professionals 
Copyright :
10/03/2023
The Alliance or the Addiction?
This workshop will provide the clinical and theoretical rationale for why it is often essential to engage addicted people in therapy while they are actively engaging in addictive behaviors. Participants will learn basic engagement skills for creating alliance with actively using people and how to explore into the addictive process for the possibility of trauma and symptoms of trauma that may be driving the addictive process.
After attending this session, clinicians will be able to teach their clients Urge Surfing to interrupt the addictive process and support their clients in exploring into the addictive urge by Unwrapping the Urge to discover dissociated aspects of self that are related to trauma and find expression in the urge.
The harm reduction therapeutic frame begins wherever the client is ready to begin their healing journey and facilitates a strong alliance between client and clinician as a therapeutic team whether or not the client is committed to abstinence. Since substances are often used to cope with trauma symptoms and vital to one’s functioning, the traditional abstinence requirement has been a barrier to getting help for these people who are not ready to give them up. This approach enables you to open your practices to this large group of people who have been denied vital, life-saving therapy.
Program Information
Objectives
- Appraise the risks and benefits of a harm reduction approach to treatment.
- Utilize at least two engagement skills to improve client participation in therapy.
- Demonstrate Urge Surfing to improve clients’ acceptance and tolerance of emotions.
Outline
The dilemma when clients with trauma symptoms also have problematic substance use/addiction
Reframe addiction in a way that supports treatment and recovery
Acceptance and compassion: a harm reduction frame as essential to effective helping
Integrative Harm Reduction Psychotherapy (IHRP) to resolve ambivalence about addressing substance use
Top harm reduction strategies for facilitating positive change
Management of therapist reactions
Limitations of the research and potential risks
Target Audience
- °ä´Ç³Ü²Ô²õ±ð±ô´Ç°ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- Social Workers 
- ±Ê²õ²â³¦³ó´Ç±ô´Ç²µ¾±²õ³Ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- ±Ê²õ²â³¦³ó¾±²¹³Ù°ù¾±²õ³Ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- Marriage & Family Therapists 
- Addiction °ä´Ç³Ü²Ô²õ±ð±ô´Ç°ù²õ &²Ô²ú²õ±è;&²Ô²ú²õ±è;
- Other mental health professionals 
Copyright :
10/03/2023
Clinical Tools for Self-Injury Among LGBTQ+ People
Join Clinical Psychologist and author of The Queer Mental Health Workbook, Dr. Brendan Dunlop, to learn the unique stressors and causes of self-injury among LGBTQ+ people. Walk away feeling confident in knowing how to assess for and treat self-injurious behavior with your LGBTQ+ clients in a way where they feel seen and understood.
Program Information
Objectives
- Define key terms related to self-injury and its unique stressors and causes among LGBTQ+ individuals.
- Analyze the prevalence and risk groups associated with self-injury among LGBTQ+ individuals.
- Evaluate various theories, such as the Four Function Model and Cognitive-Emotional Model, to understand self-injury in the LGBTQ+ community.
- Apply a risk assessment approach to identify self-injurious behavior in LGBTQ+ clients.
- Develop strategies for working with self-injury and addressing the impact of self-injury on staff.
- Explore the benefits and barriers of different treatment approaches for self-injury among LGBTQ+ individuals.
- Apply experiential avoidance techniques to manage difficult emotions and improve emotional regulation skills in LGBTQ+ clients.
Outline
Definitions and Myth Busting
The Spectrum of Self-harm
Prevalence & Risk Groups
Theories
- Four Function Model
- Benefits and Barriers
- Cognitive-Emotional Model
- Experiential Avoidance
Functions
Example of Understanding
Risk Assessment
Working with self-harm: Impact on Staff
Working with self-harm: Self care
Target Audience
- Counselors
- Social Workers
- Marriage & Family Therapists
- Addiction Counselors
- Educators
- Nurses
- Other Professions
Copyright :
04/12/2023
When Hurting Helps
The aim of all therapists is to heal, so it is particularly challenging to work with clients who intentionally self-harm. Learn directly from Dr. Sue Johnson, treatment developer of Emotionally Focused Individual Therapy, who will show you how to:
- Facilitate the safe haven needed to explore destructive behaviors
- Identify and work with the core emotions that trigger negative coping
- Create corrective emotional experiences that spur growth and positive coping
Program Information
Objectives
- Utilize a non-pathologizing approach to create a strong therapeutic alliance that allows clients to share information about self-destructive behaviors
- Determine the core emotions that trigger self-harm as coping for traumatized clients.
- Utilize interventions from the EFIT Tango to reduce self-harm behaviors.
Outline
Top tips for creating a supportive and secure therapy framework
How to understand and talk about self-destructive behaviors from an attachment lens
EFIT overview: fitting the need for emotional balance with an attachment-based roadmap
Ask evocative questions to unpack emotions and deepen emotional experience safely
Construct corrective emotional experiences to resolve blocks to growth
Limitations of the research and potential risks
Target Audience
- Addiction Professionals
- Counselors
- Marriage & Family Therapists
- Psychologists
- Psychiatrists
- Social Workers
- Other Mental Health Professionals
Copyright :
10/02/2023
Emotionally Focused Individual Therapy (EFIT) for Attachment Trauma
There is no greater betrayal than trauma inflicted by a caregiver.
When understood as aftershocks of broken attachment bonds, our clients’ anxiety, depression, and trauma symptoms make perfect sense.
The problems our clients have with emotion regulation... with decision-making... with self-esteem... with relationships – when we tie them back to core attachment injuries, they tell the full picture of a child whose needs for connection were never met.
What if there was a way to quickly get to the heart of the matter and heal those early traumas? To give our clients not just the relief of symptom reduction, but also the lasting stability and resilience of repaired, secure attachment?
Based on decades of groundbreaking research, Dr. Sue Johnson’s emotionally-focused model offers a simple, proven 5-step attachment-informed process to create predictable, repeatable, and lasting change with individual therapy clients.
In this training, you’ll learn about EFIT directly from its developer Dr. Sue Johnson, along with senior trainer Dr. Leanne Campbell. Get the skills you need to offer your clients healing experiences in every session as you:
- Assess core attachment injuries and related symptoms
- Apply interventions from the five steps of the EFIT Tango to create emotional balance
- Model safety as a surrogate attachment figure to restore trust in self and others
PLUS, you’ll have the rare chance to watch Drs. Johnson and Campbell talk through and demonstrate key clinical decision points with their own clients!
Whether you’re new to EFIT or already using it, you’ll walk away with practical insights, strategies, and interventions you can use immediately in your practice.
Don’t let this opportunity pass you by – register today!
Program Information
Objectives
- Assess the impact of core attachment injuries on adult psychotherapy clients.
- Apply the three stages of Emotionally Focused Individual Therapy to the conceptualization of clients with caregiver trauma.
- Utilize two attachment-informed interventions to reduce symptoms of caregiver trauma.
Outline
- Impacts of caregiver trauma on attachment
- Assessing core attachment injuries and depression, anxiety, and trauma symptoms
- EFIT overview: fitting the need for emotional balance with an attachment-based roadmap
- Key clinical decision points and how to avoid stuck places
- Case studies
- Limitations of the research and potential risks
Target Audience
- °ä´Ç³Ü²Ô²õ±ð±ô´Ç°ù²õ â¶Ä¯&²Ô²ú²õ±è;
- Social Workers  
- ±Ê²õ²â³¦³ó´Ç±ô´Ç²µ¾±²õ³Ù²õ â¶Ä¯&²Ô²ú²õ±è;
- ±Ê²õ²â³¦³ó¾±²¹³Ù°ù¾±²õ³Ù²õ â¶Ä¯&²Ô²ú²õ±è;
- Marriage & Family Therapists  
- Addiction °ä´Ç³Ü²Ô²õ±ð±ô´Ç°ù²õ â¶Ä¯&²Ô²ú²õ±è;
- Other mental health professionals  
Copyright :
09/08/2023
Healing the Fragmented Selves
Childhood developmental trauma leaves people with a legacy of overwhelming emotions and a fragmented sense of self. Unaware that their intense reactions represent communications from fragmented parts, these clients often resort to addictive behavior, self-harm, and suicidality when feeling hurt, threatened, or rejected. In this session, you’ll learn about Trauma-Informed Stabilization Treatment, a new model for understanding traumatized clients as inherently fragmented and at war with themselves. When trauma symptoms are understood and treated as emotional memories held by split-off, disowned parts of ourselves, even the most self-destructive clients become manageable. Discover how to help clients:
- Make sense of their baffling and overwhelming inner experience
- Increase their curiosity and interest in the feelings they usually avoid
- Decode beliefs, emotions, and impulses in order to discover fragmentation
- Establish an internal environment of safety
Program Information
Objectives
- Differentiate 3 signs of trauma-related to fragmentation or splitting.
- Categorize the thoughts, feelings and impulses characteristic of each survival-oriented part, as described by Structural Dissociation Theory.
- Analyze the experience of being flooded by or blended with aspects of the self, commonly refered to as parts.
- Conduct 2 interventions for increasing client self-compassion.
Outline
- How traumatic experiences evoke self-alienation, self-rejection and self-fragmentation
- The structural dissociation model as an explanatory theory for trauma- related fragmentation of self
- How Structural Dissociation Theory differentiates between parts and distressing emotions
- How to help clients safetly connect with their dis-associated parts using the TIST theoretical model
- Learning how to unblend: how to be in relationship to the aspects of self commonly referred to as parts
- Developing respect and appreciation for the entire self and buiding empathy
- Limitations and potential risk factors associated with this approach
Target Audience
- Counselors
- Social Workers
- Psychologists
- Marriage & Family Therapists
- Addiction Counselors
- Physicians
- Physician Assistants
- Nurses
- Nurse Practitioners
- Other Mental Health Professionals
Copyright :
03/18/2023
Dialectical Behavior Therapy, Vol 1, 2nd Edition
Have you always wanted to learn how to use DBT with your clients but weren’t sure where to start? Have you believed that only full-fidelity DBT works and that if you can’t offer all the elements of DBT in your setting you shouldn’t bother learning DBT? The authors address those questions and more with a practical guide for applying DBT skills to fit your client needs.
Clearly written and easy to understand for all levels of DBT experience, the authors bring their extensive knowledge to light with creative ideas that work, clinical examples, treatment plans, practice vignettes, and strategies for adapting the skills across a variety of settings and age groups.
Examples throughout this book will address issues such as:
- Anger and Emotion Dysregulation
- Depression
- Substance Use Disorder
- Anxiety
- Impulse Control
- Trauma
- ODD
- Conduct Disorder
- Eating Disorders
- Grief
- Borderline Personality Disorder
- Bipolar
- Stress Management
Dialectical Behavior Therapy, Vol II, 2nd Edition
Keep clients engaged, reinforce their knowledge and increase their ability to integrate DBT skills into their lives with this game-changing resource. The second edition of this much-loved toolbox contains a vast collection of worksheets, handouts, practices and games that therapists can use with clients, or to develop their own DBT skills.
Let DBT experts, Cathy Moonshine and Stephanie Schaefer, guide you through sample vignettes and clinical presentations, sharpening your skills to use DBT with any client, in any setting.
Included for easy reproduction are:
- Skills worksheets
- Detailed diary cards
- Simplified and in-depth chain analysis
- Posters and coloring pages to learn these skills
- DBT BINGO
- Crossword puzzles and word searches