Full Course Description
2-Day Intensive Trauma Treatment Certification Workshop: EMDR, CBT and Somatic-Based Interventions to Move Clients from Surviving to Thriving
- Analyze the brain regions involved in trauma.
- Communicate the clinical implications of the freeze response in trauma treatment.
- Determine how clinicians can assess for simple, complex, and intergenerational trauma.
- Characterize how bottom-up techniques like grounding and breathwork can increase felt safety in clients.
- Specify methods clinicians can use to gauge when clients are ready for intense trauma work.
- Determine how narrative therapy exercises can be employed in session to help clients talk about hotspots.
- Specify how somatic approaches can be used to address the physical symptoms of trauma survivors.
- Determine how exposure, titration and pendulation can be used to “slow” emotions in clients.
- Communicate how EMDR-based techniques can be used with clients to resolve traumatic memories.
- Differentiate between EMDR, EFT and neuromodulation approaches.
- Develop plans for working with anger, resistance, and suicidality in clients who’ve experienced trauma.
- Communicate the potential risks and limitations of trauma treatment techniques.
The Neuroscience of Trauma and Mechanisms of Change
- Key brain areas involved in trauma
- Fight, flight, freeze, fawn survival responses
- Clinical implications of the freeze response
- The neuroscience of EMDR, exposure therapy and cognitive therapy
Connect Clients to a Diagnosis: Trauma Assessment Tools
- Simple vs. complex trauma
- Intergenerational trauma
- Symptom clusters and physical manifestations
- CAPS-5 and PCL-5
- Primary Care PTSD Screen
- Dual diagnosis
Stabilize Your Clients Prior to Trauma Work
- Trauma treatment roadmap – order of operations
- Bottom-up techniques to reconnect and feel safe in the body
- Self-soothing techniques
- Grounding strategies
- Gauge when a client is ready for intense trauma/cognitive work
Proven Skills and Techniques from Evidence-Based Approaches:
- Somatic Approaches: Address Physical Symptoms of Trauma
- Relevance of Polyvagal theory and early trauma
- Assess for readiness to apply somatic tools
- Teach body awareness
- Manage unease with “Felt sense” exercises
- Resourcing strategies to create a safe space
- CBT Coping Skills: Manage Emotions
- Identify inaccurate trauma-related cognitions
- Exposure, titration and pendulation to slow emotions
- Cognitive reframing and reappraisal interventions
- Memory reconstruction techniques
EMDR-Based Techniques: Resolve Traumatic Memories
- Adaptive Information Processing Theory EMDR vs EFT vs neuromodulation
- Resourcing strategies
- Combine memory reprocessing with cognitive restructuring
- Using “restricted processing” with complex trauma
Narrative Therapy Exercises: Rewrite Traumatic Experiences
- Interventions to help clients talk about hotspots
- Reclaim identity with the “Tree of life” exercise
- Awareness and closure - create life stories
Solutions to Trauma Treatment Roadblocks
- How to handle the angry client
- Strategies for the resistant trauma client
- Boundary concerns
- Dealing with crises, suicidality, substance use
Reintegration and Post-Traumatic Growth
- Better than normal - the neuroscience of post-traumatic growth
- The therapeutic alliance as a brain-based approach
- The power of forgiveness in moving forward
- Meaning making exercises
Research, Limitations and Potential Risks Copyright :
Complex Trauma Certification Training: A Strength-Based Approach for Treating Complex PTSD
- Distinguish key contributing factors to the development of Complex PTSD as it relates to client case conceptualization.
- Analyze the impact of Complex PTSD on the cognitive, emotional, and physical health of the client.
- Determine how to assess clients for Complex PTSD symptoms within other diagnoses, including personality disorders, mood disorders, anxiety disorders, and dissociative disorders.
- Incorporate into clinical treatment practical mind-body therapy tools to help clients feel resourced and prepared for trauma processing.
- Articulate the six stages of trauma responses within the neurobiology of Complex PTSD as it relates to clinical treatment.
- Utilize assessment tools to properly assess for Complex PTSD to better inform treatment planning.
- Analyze implicit memory foundations of preverbal and nonverbal memories.
- 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.
- Analyze parts work from Structural Dissociation, Internal Family Systems, and Gestalt perspectives.
- Evaluate the basic principles of a unified approach to somatic psychology.
- Implement mindfulness-based techniques into trauma treatment.
- Integrate interventions for the treatment of Complex PTSD drawn from CBT, DBT, EMDR Therapy, Parts Work Therapy, Somatic Psychology, and mind-body therapies.
- Determine how the neuroscience of interpersonal neurobiology provides insight into the psychobiological changes possible within trauma treatment.
- Analyze how working within the “Window of Tolerance” can help reduce the likelihood of re-traumatization.
- Assess how “top-down” and “bottom-up” interventions can speed up or slow down the pacing of trauma treatment.
- Differentiate past experience from present moment experience as it relates to the treatment of trauma.
- Employ resilience as a strength-based approach that fosters growth and integration of a positive sense of self-identity in clients.
- Evaluate the role of neuroplasticity in treating trauma.
- Determine resilience and protective factors to aid against the development of PTSD.
- Demonstrate effective strategies for working with clients' preverbal memories.
- Utilize relational interventions for shame.
- Utilize EFT, Havening Technique, and other “neuromodulation” strategies for trauma recovery.
- Apply techniques of focusing and resourcing to prepare clients for trauma reprocessing.
- Analyze somatic cues to determine level of internal trauma processing.
- Employ coregulation to reduce level of client distress.
- Adapt standard trauma therapy to the increased demands of complex PTSD.
Post-Traumatic Stress Disorder vs. Complex PTSD: Understand the Difference
- Acute traumatic stress, PTSD, Complex PTSD
- Diagnostic clarification, differential diagnosis and co-morbidities
- Key contributing factors of Complex PTSD
- The common symptoms of Complex PTSD
The Neurobiology of PTSD: Beyond Fight and Flight
- Polyvagal Theory
- Stages of trauma response
- Trauma specific psychopharmacology
- 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
- Identify parts, ego states and defences
- Assess for dissociation (“fragmentation”)
- Clinical Vignette #1
- Mutual regulation and relational repair in therapy
- Prepare for trauma processing: Develop resources and stability
- Working with parts of self
- Work through traumatic memories: EMDR and Somatic Psychology
- Clinical Vignette #2
- 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
Special Considerations in Complex Trauma Treatment
- Working with Preverbal and Nonverbal Memories
- Working with transgenerational trauma
- Somatization, Chronic Pain and illness
- Gate Control Theory
- Mindfulness, Yoga, and Compassion Based Interventions
- Clinical Vignette #3
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
Clinical Vignette – Wendy
- 56 year old woman with Hx of Bipolar Disorder, PTSD, DDNOS and Borderline traits
Trauma history of neglect, grandmother suicide, father inappropriate sexually
- Addressing internalized negative aspects of parents
- Goals of therapy
Integrative Approach to Trauma Reprocessing
- Focusing and resourcing
- Touchstone target
- Negative and positive cognitions
- Emotions and body sensations
Deepening the work
- Parts work, pendulating between distress and resource, and somatic interventions
Top down and bottom up
- Cognitive reappraisal, somatic interventions, and parts work
Somatic repatterning and reprocessing
- Parts work, cognitive reappraisal
Integration: A path to self-regulation
- Parts work, somatic integration, and cognitive reappraisal