Full Course Description
- Examine the nature of traumatic stress, grief and loss and their sequelae.
- Analyze the clinical application of theoretical treatment models for traumatic stress, grief and loss.
- Evaluate traumatic stress, grief and loss from biochemical, psychological, & social perspectives in order to improve clinical outcomes.
- Examine the clinical research that supports the efficacy of trauma treatment.
- Identify appropriate treatment interventions to address the comorbidity of traumatic stress in other diagnoses, including personality disorders and Dissociative Identity Disorder.
- Examine the research on the efficacy of self-regulation skills as preliminary treatment interventions for trauma.
- Summarize psychoeducation and cognitive restructuring techniques for maximizing client engagement and participation in early stages of treatment.
- Articulate the 10 core competencies of traumatic stress, grief and loss and specify the clinical application of each.
- Incorporate clinical interventions and techniques for the initial assessment, safety and stabilization phase of treatment as well as the remembrance and mourning phases of trauma treatment.
- Examine the potential clinical limitations and benefits of completing a needs assessment for better progress in treatment.
- Develop clinical skills to support and facilitate recovery from complicated bereavement in clients.
- Incorporate CBT skills to promote the development of stability, self-efficacy, anxiety management, and relational capacities in traumatized clients.
MODULE 1 OUTLINE
A Brief History and Evolution of Traumatic Stress, Grief & Loss
- Systemic traumatic stress theory
- Symptom review
- Review of effective treatments
- Tri Phasic model
- Most commonly used instruments to assess traumatic stress
MODULE 2 OUTLINE
10 Core Competencies of Traumatic Stress, Grief & Loss Bio-Psycho-Social-Spiritual Factors that Produce Anxiety & Traumatic Stress
- Precipitating events
- Meaning making
- Physiology of Trauma
Adaptive and Maladaptive Coping Behaviors
- Trauma Adaptation
- Systemic influences
- Emotional & psychological stressors
- Integrated theoretical concepts from stress, crisis & trauma theories
- Information Processing Model
- Psychosocial Model
The Biochemical, Affective, and Cognitive Impacts of Traumatic Stress
- Affective volatility
- The body keeps the score
- Biology of traumatic stress
The Impacts of Traumatic Stress Over Time& Across & Within Developmental Stages
- Reactive Attachment Disorder
- Adrenal fatigue
The Role of Traumatic Stress in Clinical Disorders such as Personality Disorders, Dissociative Identity Disorder, and More
Conceptualizing a Framework of Healing for Survivors of Traumatic Stress
- Systemic perspective
- Strengths perspective
- Survivor metaphor
Traumatic Stress Exists Across the Continuum of Systemic Levels
- Systemic trauma theory
- Community trauma
MODULE 3 OUTLINE
- Interoception and Balancing the ANS
- Self-Regulation Skills & Techniques
Assessment of Traumatic Stress Disorders
- Diagnostic and Statistical Manual of the APA
- DSM-5® changes
- ACE & Developmental Trauma
- Diagnosing PTSD with the PCL-5
MODULE 4 OUTLINE
- Drawing art
- Healing metaphors
- Transitional objects
MODULE 5 OUTLINE
Demonstrations: Interactive Exercises/Application of skills
- Narrative Exposure Therapy Technique
- Thought Field Therapy (TFT)
- Bilateral Stimulation
MODULE 6 OUTLINE
Review of Effective Treatment Interventions
- Cognitive Behavioral Techniques (PE, CPT & SIT)
- EMDR & Bilateral Stimulation
- Thought Field Therapy (TFT)/Emotional Freedom Techniques (EFT)
MODULE 7 OUTLINE
Desensitization & Integration
- Trauma Memory Processing
- Graphic Timeline
Closure: Lessons Learned
MODULE 8 OUTLINE
Theories of Traumatic Stress, Loss and Grief
- Information processing model
- Psychosocial model
- Contemporary thoughts
Bereavement and Adjustment Disorders
- Supporting Normal Bereavement
- Treating Complicated Bereavement
Bonus: Overcoming Trauma-Related Shame and Self-Loathing with Janina Fisher, Ph.D.
Shame has an insidious impact on our traumatized clients’ ability to find relief and perspective even with good treatment. Feelings of worthlessness and inadequacy interfere with taking in positive experiences, leaving only hopelessness. This 60-minute recording was webcast live from the office of Dr. Janina Fisher and introduces shame from a neurobiological perspective—as a survival strategy driving somatic responses of automatic obedience and total submission.
Learn to help clients relate to their symptoms with curiosity rather than automatic acceptance, discriminate the cognitive, emotional, and physiological components of shame, and to integrate somatic as well as traditional psychodynamic and cognitive-behavioral techniques to transform shame-related stuckness.
- Discriminate the clinical implications of physiological and cognitive contributors to shame.
- Describe cognitive-behavioral, ego state, and psychoeducational interventions to address shame in clinical practice.
OutlineThe Neurobiology of Shame
Shame’s Evolutionary Purpose
- The role of shame in traumatic experience
- Shame as an animal defense 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
Bonus: Trauma Defined: Bessel van der Kolk on The Body Keeps the Score
Researchers are increasingly finding that the body is the key to trauma treatment. Trauma is about the body becoming immobilized, feeling helpless or numb. Often traumatized people either don’t feel their body at all, or they feel it all the time.
In this compelling one-hour discussion, world’s leading trauma researcher and author of the The Body Keeps the Score, Dr. Bessel van der Kolk discusses his research and the influences on his life work with trauma. During the hour, he succinctly and descriptively draws the picture of trauma, the brain, and how various treatments work (and don’t) on the trauma client.
This hour will leave you, and those with whom you share this information, with the best understanding on the nature of trauma, its impact on the brain, how our brains work and most of all, the important new treatments that promise hope to those suffering from PTSD and trauma.
Bessel has spent 40 years working with and learning from traumatized clients. In this video, he shares insight into a bold new paradigm for healing from trauma. You won’t want to miss this personal account of Dr. van der Kolk’s work.
OutlineThe 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
- Explain 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.