Through small and large group exercises, multimedia presentation, videotaped session material,
demonstrations and role play, participants gain more than knowledge of self injury. After the link
between trauma and self injury is clear, participants are able to recognize self injury-not as crazy-
but as an effective form of coping with the physiologic and psychological symptoms of trauma,
i.e. affect dysregulation, hyperarousal; inability to self soothe; boundary and trust issues; and a
tendency to identify with the aggressor. Once we understand that invalidating environments are
inherently traumatic, we can safely assume that all self injuring (and borderline) clients have
experienced some form of trauma. Come learn the trauma paradigm; trauma and self injury’s
connection to Borderline Personality Disorder; the most effective modalities for trauma
treatment; and best practices for treating self injuring clients.
Goals
· Define self injury and the coping functions it serves
· Learn “best practices” for treating the self injuring client
· Identify clinicians’ fears and judgments and realize how they may impact therapy
· Recognize self injury’s relationship to trauma.
· Learn current trauma treatment modalities for the self injuring client.
· Understand Trauma Reenactment Syndrome and its connection to self injury
· Learn and implement trauma treatment modalities for calming and self-soothing
· Learn and implement trauma treatment modalities for affect regulation and arousal reduction
Objectives
1. Gain understanding of who self injures and why
2. Learn the coping functions SI serves
· Affect regulation
· Communication functions
· Control/Punishment
3. Identify “best practice” for treating the self injuring client including
· Handling disclosure
· Between session contact
· Safety contracts vs. safety plans
· Medication and hospitalization
4. Learn and implement effective trauma modalities for treating the self injuring client.
· Introduction to DBT skills training (Marsha Linehan)
· Mindfulness training exercises (Jon Cabot Zinn, Thich Naht Hahn, and Tara Brach)
· Guided visualization exercises for affect regulation and self soothing (Belleruth Naparstek)
· Meridian-based therapies and acupressure points for affect regulation and arousal reduction
(Traditional Chinese Medicine, Michael Gach)
“Trauma is a fact of life, but it doesn’t have to be a life sentence. We humans have the natural capacityto
“thaw” these frozen moments and move on with our lives. We do not have to cling to our past, reliving
devastating events again and again…. As we are unbound from the past, a future abundant with new
possibilities unfolds. Our ability to be in the present expands, revealing the timeless essence of the ‘now’.
Trauma can be hell on earth; transformed it is a divine gift.”
(Peter Levine, Trauma, Healing and Spirit)
Summary
EMDR Training about $2000.00
Gestalt Therapy training - $10,000.00
Somatic Experience training -$12,000.00
Energy psychology training about $3000.00
Hypnotherapy training about $7500.00
Feeling competent to treat difficult trauma cases: priceless.
But what if it didn’t cost over $25,000 to gain the competence and confidence to safely treat your
clients with traumatic histories? What if someone researched the most effective elements of
today’s successful modalities and combined them into a comprehensive, integrative program for
you? What if you had- at your fingertips- the most effective elements of trauma’s alphabet
therapies? The best of: DBT, EFT, EMDR, and SE. What if someone explained the theories,
demonstrated the techniques, and clearly indicated how, when and why to use them? What if
you could take home more than just a trauma tool kit? What if you could take home the whole
shop-The Trauma Shop?
The Trauma Shop is an interactive workshop of “hands on” trauma treatment, featuring small
and large group exercises, multimedia didactic presentation, and live demonstrations of today’s
state-of–the-art trauma modalities. Since neuroscience has proven that trauma is stored in the
body and the amygdala-not in the gray matter where the language center resides- we know that
clients cannot be “talked out” of their trauma. We clinicians must address the problem where it
lies. Come learn the somatic techniques that release the “undischarged trauma energy” from the
body and meridian-based techniques that reduce arousal levels and restore the healthy flow of
energy within the body. Maybe it’s time to stop talking and do something!
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
Biological nature of trauma
Specific trauma symptoms and their order of appearance
Primary treatment issues in trauma therapy
2. Participants will gain understanding of trauma’s somatic sequelae
§ Hyperarousal
§ Affect dysregulation
§ Dissociation
§ Body memories and “flashbacks”
3. Participants will learn cognitive and somatic reprocessing of traumatic events
§ Recognize and interrupt clients’ dissociative episodes and “flashbacks”-grounding
§ clients in their bodies and back in the present
§ Learn and implement Somatic Experiencing exercises to facilitate the discharge of
§ trapped “survival energy” (Peter Levine)
§ Learn and implement EMDR’s bilateral stimulation for successful cognitive
§ reprocessing of traumatic events (Francine Shapiro)
4. Participants will learn meridian-based techniques for affect regulation and reduction of
physiological arousal.
§ Mindfulness training skills for affect regulation and tolerating strong affect (Jon
Cabot-Zinn, Thich Naht Hahn, and Tara Brach)
§ Meridian-based therapies, EFT and TFT, for decreasing physiological arousal and
regulating affect. (Craig’s Emotional Freedom Technique, EFT)
§ Acupressure points for grounding, centering and self soothing (based on
Traditional Chinese Medicine and Michael Gach’s Acupressure for Emotional
Healing)
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the
body and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation;
dissociation, body memories and “flashbacks”.
3. Participants will learn the most effective somatic techniques to reduce/eliminate client’s
body memories, “flashbacks” and dissociation
4. Participants will learn various meridian-based techniques to decrease client’s arousal
levels and modulate affect.
An Enlightened Approach to Treatment
Summary
This is a two part multimedia presentation featuring film clips, music, art work and literary
selections capturing the crux of this relatively misunderstood disorder. Part One: How to
Develop a BPD-Step by Step includes accurate and informative scenes from Hollywood films
portraying the requisite conditions for the disorder’s development and maintenance, i.e.
relational and attachment issues; invalidating environments; and neglect and abuse. Part Two:
How to Treat the Client-NOT the Diagnosis follows up with the question, so, now what? Theory
and practice are combined to address each characteristic deficit of the disorder- attachment and
relationships; self definition and regulation; affect modulation; and self soothing.
Goals
1. Participants will gain an understanding of the current research and theory in the
development and maintenance of the disorder.
2. Participants will gain an understanding the real world implications of this diagnosis,
including the profound challenges clients face in the areas of attachment, self
definition and regulation; affect modulation; and self soothing.
3. Participants will gain “hands on” clinical skills for addressing clients’ cognitive distortions,
boundary issues, impulsivity, and inability to calm and soothe self.
Objectives
1. To provide clinicians with the relational tools to develop rapport within a well bounded
therapeutic relationship with this population.
2. To provide clinicians cognitive and somatic techniques for decreasing physiological arousal
and challenging cognitive distortions respectively.
3. To empower clinicians to facilitate a decrease in clients’ less than optimal coping
mechanisms, i.e. drugs and alcohol, self harm, bingeing/purging, etc.
4. To raise awareness of the political implications of this pejorative Axis Two diagnosis.
Instructors: Linda A. Curran, LPC, CACD
Summary: Who Cares for the Caretaker? Avoiding Burnout
Based on the current understanding of neuroscience, trauma specialists offer an explanation of
the physiological/ psychological (body/mind) response to stress. Left unrecognized and
untreated, the body’s response to stress is physiological as well as psychological. Clinicians, like
all other creatures, find ways to cope with these stress symptoms-some healthy, some not. When
we couple these unhealthy coping strategies with our responsibility to and for our clients, we
sometimes end up with a form of Burnout, otherwise known as, Caretaker’s Syndrome.
Fortunately, there are a variety ways to deal with stress in and out of session. Come learn the
proven techniques to calm soothe and rejuvenate. Through film clips, lecture and demonstration,
the workshop offers theory- but more importantly- it offers the “hands on” methods to manage
the unavoidable stress that comes with the job.
Goals:
1. Participants will gain understanding of stress/relaxation response
a. Biological nature of stress
b. Specific stress related somatic and psychological symptoms
2. Participants will gain understanding of Caretaker’s Syndrome: Avoiding “Burnout”, i.e., the
essential importance of self care if one is to continue caring for others.
3. Participants will gain “hands on” skills for stress reduction, including exercises for
decreasing physiological arousal; calming and soothing oneself.
Objectives:
1. Participants will identify the biological nature of stress including fight/flight/freeze
and relaxation responses.
2. Participants will learn to recognize and process vicarious traumatization, including
The Caretaker’s Syndrome: Avoiding Burnout.
3. Participants will gain an increased awareness of the essential importance of self care
if one is to continue caring for others.
4. Mindfulness training skills for affect regulation and tolerating strong affect
including, Belleruth Napastek’s Guided Visualization and acupressure points for
grounding, centering and self soothing (based on Traditional Chinese Medicine and
Michael Gach’s Acupressure for
Emotional Healing)
Summary
This is a multimedia presentation including; film clips, which accurately portray childhood
sexual trauma and its physiological and psychological sequelae; a short history of Freud’s
Aetiology of Hysteria, his retraction, and his legacy; and a visually compelling display of clients’
artwork. Due to the nature of the material this presentation can be psychologically disturbing and
physically arousing for participants. Cognizant of this fact, the facilitator will call attention to
participants’ internal experience throughout the presentation and demonstrate techniques for
grounding, centering, and self soothing. Those techniques- guided visualization, accupoints
(meridian) tapping sequences, and Shin poses- will be explained and participants will leave with
the ability to incorporate them into their clinical practice.
Goals
1. To raise participants’ awareness of the pervasiveness of childhood sexual trauma and the
severity and complexity of the resultant physiological and psychological manifestations
of the trauma.
2. Empowering clinicians to facilitate their clients’ healing via somatic techniques that
ground clients in their bodies; decrease the amount of time that clients spend in altered
states of consciousness i.e. utilizing their creative adaptation, dissociation; and decrease
clients’ necessity for current, less than optimal, coping mechanisms, i.e. drugs and
alcohol, self injury, bingeing/purging, etc..
Objectives
.
1. Participants will gain an understanding of the trauma paradigm; Freud’s Retraction
and its legacy: society’s willful unknowing.
2. Participants will gain an understanding of body memories, “flashbacks”, and the
physiologic response to sexual trauma.
3. Participants will be introduced to Somatic Experiencing; EMDR; mindfulness training;
Meridian (acupoint) Exercises for calming, centering and self soothing; Stopping a
“Flashback”; and art therapy for and with survivors of childhood sexual abuse.
Summary
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new
neurophysiological technique for treating traumatic material. This technique, alternating bilateral
stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye
Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical
studies demonstrating its uses and effectiveness in trauma treatment, it became clear that its
efficacy came not from the eye movements, per se, but from the alternating bilateral stimulation
caused by the eye movements across the midline of the body alternately activating of the left and
the right side of the brain.
Because EMDR has traditionally been taught as a “stand alone” psychotherapy with a semi-rigid
protocol many clinicians have yet to learn of its uses and efficacy. The development and research
of EMDR can be likened to a pharmaceutical company that was granted exclusive multi-year
patents for its initial research and development costs associated with producing an effective drug.
To maintain the standards of research, Shapiro and The EMDR Institute have rightfully held
tight control of how and to whom EMDR was to be taught. However, the results are in, making
EMDR one of only three trauma treatments approved and recommended by the veteran’s
administration. The empirical evidence is conclusive: EMDR is a clinically proven modality in
the effective treatment of trauma.
Isn’t it time for EMDR to go generic?
What that would mean for clinicians is that we could incorporate this modality into the relational
art of psychotherapy without giving up our psychotherapeutic orientation; without the rigid
protocol; and without the eye movements. It means that we would have one more modality in our
repertoire to alleviate client suffering. It would mean that we could facilitate profound shifts in
our clients at extremely accelerated rates. It would mean that we could teach our clients to
concurrently use imagery and alternating bilateral stimulation to employ their inner resources for
successful self support while working through painful traumatic material which would inevitably
lead to integration and healing. AND, it would mean that we can do it for about half the price.
Through didactic illustration and explanation; live and videotaped demonstrations; and
experiential exercises, this seminar provides clinicians the basic principles of EMDR and
EMDR- related techniques and how to incorporate them into their personal therapeutic
orientation and practice.
Goals
Participants will gain understanding of neuroscience’s trauma paradigm
1. Biological nature of trauma
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
2. Participants will gain understanding of trauma’s cognitive and somatic impact and how
to effectively treat its sequelae including:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing
(EMDR) and EMDR-related techniques for initial resourcing of clients, followed by
desensitizing and cognitive reprocessing of traumatic material.
4. Participants will acquire the clinically proven, powerful technique behind EMDR
(alternating bilateral stimulation) that can be immediately incorporated and integrated
into any psychotherapeutic orientation.
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the body
and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation;
dissociation, body memories and “flashbacks”.
3. Participants will learn the Adaptive Information Processing Model and clinical research
associated with EMDR
4. Participants will learn to implement EMDR and EMDR-related techniques as an adjunct to
psychotherapy including:
5. Participants will recognize and interrupt clients’ dissociative episodes and “flashbacks” using
grounding and centering skills.
6. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol.
7. Participants will describe the differences between eye movement, auditory and tactile
stimulation.
8. Describe and practice under supervision the skill employing tactile alternating bilateral
stimulation for resourcing a client prior to actual processing traumatic material.
9. Describe and practice under supervision the skill employing tactile alternating bilateral
stimulation for the processing traumatic memories.
Content Outline
I. Neuroscience’s trauma paradigm
· Biological nature of trauma
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
II. Trauma’s cognitive and somatic impact and how to effectively treat its sequelae:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
III. EMDR and EMDR related modalities: the powerful psychological and physiological
interventions that have become the mainstay of trauma treatment.
1. Theory: Adaptive Information Processing Model and clinical research associated
2. with EMDR
3. Practice: Pros and Cons of each modality utilizing alternating bilateral stimulation (ABS)
a. Alternating bilateral eye movements and EMDR
b. Alternating bilateral auditory stimulation (Hemisynch technology)
c. Alternating bilateral tactile stimulation (Theratapper)
d. Employing tactile alternating bilateral stimulation for resourcing a client
prior to actual processing traumatic material.
e. Employing tactile alternating bilateral stimulation for the processing
traumatic memories.
Summary
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new
neurophysiological technique for treating traumatic material. This technique, alternating bilateral
stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye
Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical
studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only
three approved treatments recommended by the veteran’s administration for the treatment of PTSD.
Through didactic illustration and explanation; videotaped demonstrations; and experiential
exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related
techniques and how each would be incorporated into their personal therapeutic orientation and
practice.
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
· Biological nature of trauma:
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
2. Participants will gain understanding of trauma’s cognitive and somatic impact and
how to effectively treat its sequelae including:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing
(EMDR) and EMDR-related techniques for initial resourcing of clients, followed by
desensitizing and cognitive reprocessing of traumatic material.
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the
body and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect
dysregulation; dissociation, body memories and “flashbacks”.
3. Participants will learn the Adaptive Information Processing Model and clinical
research associated with EMDR
4. Participants will learn how EMDR and EMDR-related techniques are used as an
adjunct to psychotherapy.
5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol.
6. Participants will describe the differences between eye movement, auditory and tactile
stimulation.
7. Describe the process for resourcing a client prior to actual processing traumatic
material.
8. Describe the process of employing tactile alternating bilateral stimulation for the
processing traumatic memories.
Content Outline
1. Neuroscience’s trauma paradigm
·
Biological nature of
trauma
·
Specific trauma symptoms and their order of appearance
·
Primary treatment issues in trauma therapy.
2. Trauma’s cognitive and
somatic impact and how to effectively treat its sequelae:
·
Hyperarousal
·
Affect dysregulation
·
Dissociation
·
Body memories and “flashbacks”
3. EMDR and EMDR related modalities: the powerful
psychological and physiological
interventions that have become the
mainstay of trauma treatment.
4. Theory: Adaptive Information Processing Model and
clinical research associated
with EMDR
5. Practice: Pros and Cons of each modality utilizing
alternating bilateral stimulation
·
Aternating bilateral eye movements and EMDR
·
Alternating bilateral auditory stimulation (Hemisynch
technology)
·
Aternating bilateral tactile stimulation
(Theratapper
6. Employing
tactile alternating bilateral stimulation for resourcing a client prior to
actual processing traumatic material.
7.
Employing tactile alternating bilateral stimulation for the processing
traumatic
memories. (Eight Stage Protocol)
Summary
Due to the prevalence of diagnosed (and un-diagnosed) simple Post Traumatic Stress
Disorder (PTSD); chronic PTSD and complex PTSD, which generally underlie other
diagnoses, a cursory knowledge is not only recommended, but essential for any clinician
currently working in the field of mental health and/or drug and alcohol counseling.
The course objective is two-fold; a review of the neuroscience of PTSD- connecting the
events and genetic vulnerability to the manifestation of the symptom clusters which
comprise the disorder; and based on this new trauma paradigm, review the current
treatment modalities, including pharmacological interventions, recommended for this
population affected by the disorder.
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
Biological nature of trauma
Specific trauma symptoms and their order of appearance
Primary treatment issues in trauma therapy
2. Participants will gain understanding of trauma’s psychological and physiological sequelae
Hyperarousal/late stage hypoarousal
Affect dysregulation
Dissociation/numbing
Body memories and “flashbacks”
3. Participants will learn the current evidence-based practices for treating PTSD.
Objectives
1. List the three general symptom clusters associated with Post-Traumatic Stress Disorder
2. Understand the current trauma paradigm, including the body/mind connection.
3. Summarize the mechanism by which the hypothalamus and pituitary gland
produce the “fight of flight” response in persons diagnosed with PTSD.
4. Understand the brain changes-structural and functional-associated with PTSD.
5. Summarize the current treatment modalities recommended for PTSD, including
pharmacologic interventions.
“Life can be found only in the present moment. The past is gone, the future is not yet here, and if we do not go back
to ourselves in the present moment, we cannot be in touch with life.” -Buddha
“Breath is the bridge which connects life to consciousness, which unites your body to your thought”
-Thich Nhat Hanh
Summary
In his work, the Mindful Brain, Daniel Siegel writes, “Where attention goes, neural firing occurs.
And where neurons fire, new connections can be made. In this manner, learning a new way to
pay attention within the integration of consciousness enables an open receptive mind within
therapy to catalyze the integration of new combinations of previously isolated segments of our
mental reality.” What might this new way of ‘paying attention within the integration of
consciousness’ be? It’s the new and improved (and by new and improved, I mean ancient and
unchanged) method of cultivating intentional awareness of the present moment, mindfulness.
According to Sharon Salzberg, co-founder of the Insight Meditation Society, “Mindfulness is
being aware of what is going on as it actually arises - not being lost in our conclusions or
judgments about it; our fantasies of what it means; our hopes; our fears; our aversions. Rather,
mindfulness helps us to see nakedly and directly; ‘this is what is happening right now.’ Through
mindfulness, we pay attention to our pleasant experiences, our painful experiences, and our
neutral experiences – the sum to total of what life brings us.”
Interestingly enough, mindfulness and mindfulness interventions affect the body in exactly the
opposite way that trauma and traumatic symptoms do:
· Decrease heart rate, respiratory rate and work of breathing
· Normalize blood pressure
· Reduce production of cortisol, adrenaline and noradrenaline by adrenal glands
· Increase positive hormone production
· Improve immune function
· Increase mental clarity and creativity
· Decrease dependence on former coping mechanisms, i.e., life-damaging habits like
smoking, drinking, binging, purging, self-injury and drugs.
· Restore the body to a calm state, i.e. cues the parasympathetic nervous system
· Help the body to physically repair itself, and prevent new damage from occurring.
Mindfulness interventions have been demonstrated to be beneficial for a number of
psychological and physical conditions. Over the last decade a significant body of research has
emerged showing its effectiveness in the treatment of: Depression, (Teasdale et al. 2000, J. M.
G.)?Borderline Personality Disorder, (Linehan M. et al 1991, 1993, 1994, Koons 2001)? chronic
pain (Kabat-Zinn J et al 1986), ?addiction (Linehan et al 1999, Alterman A.I. et al 2004) ?anxiety
disorders (Miller J.J. et al 1995).
While many clinicians are now discovering the benefits of mindfulness, some pioneers in the
psychotherapy world have already- with great success- incorporated it into their lives and clinical
practice. Most notably, Kabat Zinn’s Mindfulness-Based Stress Reduction; Daniel Siegel’s
COAL; Brach’s Radical Acceptance; Linehan’s Dialectical Behavior Therapy; and Steven
Hayes’ Acceptance Commitment Therapy.
Engaging in life mindfully helps clients (and clinicians) develop more skillful and creative
responses to life; to live with greater balance and ease; to cope with life’s stressors and
challenges; to accept the human condition; develop stronger observing selves with awareness of-
and appreciation for- the only time we have: the NOW.
Workshop Outline
· An Introduction To Mindfulness
o What is it?
o How does it work?
o Why does it work?
o Where can I learn more?
· A Little Neuroscience Associated with Mindfulness
o Emotion regulation; greater activation in prefrontal cortex and greater
deactivation of amygdala during affect labeling (in the moment).
o Detectable physical changes in the brain, such as a thickening of the middle
prefrontal lobes (over time)
· A Little Practice:
o Meditations and teachings by:
§ Thich Nhat Hahn
§ Sharon Salzberg
§ Tara Brach
§ Jack Kornfield
· Overview of Mindfulness in The Therapy Room
o Kabat Zinn’s Mindfulness-Based Stress Reduction (MBSR)
o Brach’s Radical Acceptance
o Linehan’s Dialectical Behavior Therapy (DBT)
o Daniel Siegel, The Mindful Brain the state of simultaneous Curiosity, Openness,
Acceptance and Love (COAL)
o Steven Hayes’ Acceptance Commitment Therapy (ACT)
Objectives
Participants will:
o Increase understanding of foundational principles of mindfulness
o Learn several mindfulness practices for personal and professional use
o Explore the relevance of mindfulness for managing traumatic symptoms in psychotherapy.
Narcissistic and Borderline Personality Disorders: Through the Trauma Lens
Summary
This is a multimedia presentation featuring film clips; music, artwork and literary selections capturing
the crux of Borderline and Narcissistic Personality Disorders. Theory and practice are combined to
address each of the characteristic deficits of these disorders; attachment and relationship;
shame-based rage reduction; self-definition and regulation; affect modulation and self-soothing.
In addition, this presentation defines the requisite interpersonal/attachment trauma that precedes
the development of both disorders and continues to be reenacted in present-day relationships.
Attachment theory, the current trauma paradigm and Gestalt therapy are combined to develop a
new look at these relatively misunderstood/pejorative “personality disorders”.
Goals
1. Participants will gain an understanding of the current (attachment/trauma) research and theory
in the development and maintenance of these disorders.
2. Participants will gain an understanding the real world implications of these diagnoses,
including the profound challenges clients face in the areas of attachment, shame-based rage
reactions; self definition and regulation; affect modulation; and self-soothing.
3. Participants will gain “hands on” clinical skills for addressing clients’ cognitive distortions,
boundary issues, impulsivity, and inability to calm and soothe self.
4. Participants will learn to identify and utilize the transference and countertransference issues
that accompany these diagnoses.
Objectives
1. Identify not only the DSM-IV criteria, but the real world implications of these diagnoses,
including the profound challenges clients face in the areas of attachment, shame-based rage
reactions; self definition and regulation; affect modulation; and self-soothing.
2. Identify the relational tools to develop rapport within a well-bounded therapeutic relationship
with both populations.
3. Clinicians will learn not only to recognize, but also to effectively utilize the countertransference
issues within the therapeutic relationship.
Participants will gain “hands on” clinical skills for addressing clients’ cognitive distortions,
boundary issues, impulsivity-violence toward self/other and inability to calm and soothe self.
