Full Course Description
Trauma Treatment for Kids - Healing the Body Through Play: Advanced Interactive Workshop
- Articulate how to help children with complex trauma histories restore their capacity for playfulness and co-regulation.
- Evaluate the fight-or-flight response in children, and learn playful ways to teach children about the brain-body relationship.
- Assess the neurophysiological theory behind developmental trauma and attachment.
- Contrast diagnostic challenges within this population, and ascertain symptoms of post-traumatic stress disorder which can be decreased through embodied play therapy strategies.
- Combine embodied play therapy interventions with evidence-based treatment models for improving emotional and behavioral regulation.
- Utilize the core components found within the leading evidence-based trauma treatments (TF-CBT, EMDR, CPP, ARC, TARGET) with play therapy techniques to improve relational engagement.
- Evaluate which trauma informed treatment components “fit” with specific needs of children who have experienced developmental trauma.
- Determine how core components of childcentered play therapy align with best practices for treating childhood trauma.
- Employ strategies to help children with trauma through play therapy and evidence-based cognitive strategies.
- Implement play therapy techniques that are consistent with the core components of trauma-informed treatment.
- Develop a treatment plan for introducing play therapy to clients and families in an engaging, fun manner.
- Integrate culturally attuned play therapy strategies into trauma work with children and families.
- Neuroscience of Childhood Trauma Trauma Theory
- Fight-or-Flight (parasympathetic/sympathetic nervous system)
- Attachment Theory
- Complex Trauma
- Post-traumatic Stress Disorder
- Reactive Attachment Disorder
- Developmental Trauma Disorder
- A new conceptualization and integrated clinical framework
- Essential Components for Trauma-Informed Treatments
- Establishing safety and a sense of competence/worth
- Appropriate attachments & relational engagement
- Self-regulation (body & emotions)
- Self-reflection & Introspection
- Integration of traumatic experiences (acknowledgment & processing of the trauma)
- Future safety ~ transitioning beyond the Trauma
- Body Based Treatment – Emotional and Behavioral Regulation
- Verbal vs nonverbal responses – how to recognize trauma without verbal report
- Bottom-up versus top-down processing – trauma starts in the body
- Developmental needs of traumatized children
- Embodied play & sensory integration – emotional and behavioral regulation
- Incorporating Play Therapy into Proven Evidence-based Treatments
- Components that “fit” the child’s specific needs
- TF-CBT- Trauma focused Cognitive Behavioral Therapy
- EMDR – Eye Movement Desensitization and Reprocessing
- CPP – Child Parent Psychotherapy
- ARC – Attachment, Regulation, and Competency
- TARGET – Trauma Adaptive Recovery Group Education Therapy
- Play Therapy Principles
- Therapist establishes a friendly relationship
- Accepts the child as he is
- Creates a permissive relationship; child has freedom of expression
- Validates (acknowledge and reflect) child’s feelings
- Responsibility for decisions and change is left mostly to the child
- Child directs the therapeutic process; therapist follows
- Therapeutic interaction is not rushed
- Limits are set only when necessary for child’s outcomes
- Advancing Trauma Treatment with Play Therapy
- Non-verbal techniques
- Sensory-based techniques
- Culturally and developmentally appropriate techniques
- Play Therapy Strategies and Techniques
- Integration of traumatic experiences to acknowledge and process the trauma: Sandtrays, drawings, & play
- Target shame, self-doubt, and selfcompassion: Sandtray Safeplace & All About Me
- Build an understanding of the brainbody relationship: Flip your lid and Charades
- Target indiscriminate attachments and interpersonal reactivity: Invisible String & Family Sandtray
- Improve emotional and bodily regulation: Stressballs, Be Spaghetti, Feelings Map, Trashballs, Yoga, and Weather Massage
The Ethics of Touch in Child Psychotherapy & Play Therapy
- State 10 different types of touch that can occur in a therapy session.
- Demonstrate four ways to evaluate for a child’s psychosocial experiences related to touch.
- Describe how to apply 5 therapeutic interventions to handle in-the-moment ethical dilemmas in a play therapy session.
The Ethics of Touch in Context
- Clinical concerns of touch in child psychotherapy and play therapy
- No touch policies-more harm than good?
- Types of touch: greeting, accidental, task-oriented, attentional, and more
Assessment for Psychosocial Experiences of Touch
- 4 Child Drawing Assessments
- Rating scale questionnaires
- Parent’s perceptions of child’s touch experiences
- Teacher Touch Observation Rating Scale for child
Interventions and Case Examples: Ethical dilemmas of Touch- Responses, Interventions and Boundary Setting
- Risk/benefit decision making
- Child hits/slaps therapist
- Inappropriate touching of therapist
- Child asks to be touched inappropriately
- Child asks for appropriate touch
- Specific populations
- Infants-behavioral cue indications
- Attachment Disorders
- Autism/Sensory Processing Disorders
- Sexually traumatized children
- 10+ Recommendations for working with abused children
- Engaging parents in problem touch occurrences
20+ Top Ethical Touch Best Practice Guidelines
- Practitioner Touch Awareness Questionnaire
- Informed Consent-for therapy approaches that use touch
- Informed Consent-Mandated Reporter of all forms of abuse
- Unethical Forms of Touch
- And many more…
Trauma Defined: Bessel van der Kolk on The Body Keeps the Score
- Evaluate how trauma influences the activity of the key areas of the brain and how that dictates behavior patterns.
- Articulate the clinical research surrounding the effectiveness of yoga, mindfulness meditation, and theater in healing trauma in clients.
The Latest Clinical Research Surrounding:
- The impact of trauma on brain activity
- Neurofeedback, EMDR and “body work” on symptom reduction
- The effectiveness of movement, mindfulness and theater activities in trauma treatment
Overcoming Trauma-Related Shame and Self-Loathing with Janina Fisher, Ph.D.
- Discriminate the clinical implications of physiological and cognitive contributors to shame.
- Determine cognitive-behavioral, ego state, and psychoeducational interventions to address shame in clients.
The Neurobiology of Shame
Shame’s Evolutionary Purpose
- The role of shame in traumatic experience
- Shame as an animal defence survival response
- Effects of shame on autonomic arousal
Making Meaning of Shame
- Shame and the attachment system
- Rupture and repair in attachment formation
Working from the “Bottom Up”
- Feelings of disgust, degradation, and humiliation are interpreted as “who I am”
- Cognition and the body
- Internal working models predict the future and determine our actions
A New Relationship to the Shame: Acceptance and Compassion
- The role of procedural learning and memory
- Physiological effects of mindful dual awareness
- Using mindfulness-based techniques to inhibit self-judgment
The Social Engagement System and the Healing of Shame
- Re-contextualizing shame as a younger self or part
- Bringing our adult capacity to our childhood vulnerability
- Healing shame through compassionate acceptance
- Social engagement and the ventral vagal system (Porges)
- The incompatibility of shame and social engagement
- The therapist’s own social engagement system as a healing agent