Daphne Fatter, Ph.D.

One of the biggest challenges in trauma recovery is managing both when clients get emotionally overwhelmed and when clients numb out and shut down. Learning how to pace therapy and navigate clients’ emotional window of tolerance are key foundations of successful trauma treatment. In this webinar, Dr. Fatter will review the impact of traumatic stress on the brain in tangible ways to help clinicians better conceptualize how trauma alters the body’s arousal system. Dr. Fatter will discuss in detail symptoms of hyperarousal, hypoarousal and calm states of our autonomic nervous system based on Polyvagal Theory. This will help clinicians know signs of what state clients are in and help clinicians be able to educate clients about their nervous system. We will address one of the most important aspects of the therapeutic relationship based on what we know about the traumatized brain. A phase-oriented treatment approach will be presented so clinicians learn an evidence-based structure for pacing the intensity of trauma treatment. In addition, we will explore four research-informed adjunctive therapies to help clients maintain stabilization and regulate arousal.

“The instructor was excellent! She was compassionate, listened well and was attentive to questions. I got so much more out of this webinar than I have from the in person seminars I've attended! I will watch for her other seminars! I learned how to more effectively work with trauma. I used one of the techniques taught in the session I had immediately after the seminar.”-Eve S., Professional Counselor, Alabama

After clients are stable enough to begin delving into traumatic memories, many clinicians struggle with determining which method to use for trauma processing. This webinar will specifically focus on the second phase of trauma recovery, processing and integrating traumatic memories in trauma treatment. Dr. Fatter will review the nature of traumatic memory and how it differs from non-traumatic memory. The two “gold standards” evidence-based models for trauma exposure therapy will be presented: prolonged exposure therapy and cognitive processing therapy. In addition, eye movement desensitization and reprocessing (EMDR) and internal family systems, two research-supported models, will also be discussed. This webinar will describe how each model differs in its conceptualization of trauma and specific treatment approach in integrating traumatic memories. Clinical considerations including strategies to know your client is or is not ready for trauma processing will be presented in addition to ways to determine your client is “done” with the trauma processing stage of treatment. Cultural considerations and culturally adapted models will be reviewed. Common transference and counter-transference issues that arise in trauma treatment will be described. Vicarious trauma, clinician burn out and what clinicians need to watch out for in absorbing traumatic stress from their clients will be addressed.

Multicultural guidelines and ethical standards dictate that White therapists examine their own racial identity, privilege, and fragility to better serve BIPOC clients. Dr. Fatter will review current trends in multicultural competency and discuss the clinical cost of the therapist being ‘colorblind’. This webinar will specifically focus on aspects of White supremacy culture, White privilege, White fragility, and Helms’ White racial identity model to help therapists self-assess their own White racial identity. Dr. Fatter will discuss clinical examples of ways ‘whiteness’ can show up relationally in clinical settings as well as skills needed to build racial stamina. In addition, Menakem’s H-I-P-P theory of how historical trauma is somatically held in the body will be presented to better understand the typical nervous system response in a White body and ways White therapists can work with their own somatic countertransference reactions when working with BIPOC clients. Dr. Fatter will also describe examples of specific types of microaggressions that can damage the therapeutic relationship. Dr. Fatter will also discuss practical ways to bring up racial identity with all clients and how to do a therapeutic repair when a relational rupture has occurred. 

This webinar will provide hands-on tangible instruction of specific trauma-informed interventions you can use with your clients to help them cope with the COVID 19 pandemic. Relevant research findings from previous pandemics will be reviewed to help inform mental health interventions during the pandemic. Dr. Fatter will demonstrate specific interventions for hyper-arousal symptoms to help manage anxiety and emotional overwhelm and specific interventions for hypo-arousal symptoms to help manage shock, dissociation and emotional shut down. This webinar will be largely experiential so that participants can get a felt sense of how it feels to practice these interventions. Dr. Fatter will teach bilateral tapping (an interventions from EMDR), somatic interventions, and specific breathing techniques to help increase a sense of safety and connect to sense of resilience and relational support to mitigate the impact of social isolation. Dr. Fatter will offer ways to use sensory input from items in one’s home to help clients self-soothe. In addition, Dr. Fatter will describe two cognitive interventions to help client’s cope with rumination and nervous system activation. Mindfulness resources and use of ritual will also be discussed as a means to connect to one’s external environment and help with the regulation of collective grief.

“The instructor was excellent! She was compassionate, listened well and was attentive to questions. I got so much more out of this webinar than I have from the in person seminars I've attended! I will watch for her other seminars! I learned how to more effectively work with trauma. I used one of the techniques taught in the session I had immediately after the seminar.”-Eve S., Professional Counselor, Alabama

After clients are stable enough to begin delving into traumatic memories, many clinicians struggle with determining which method to use for trauma processing. This webinar will specifically focus on the second phase of trauma recovery, processing and integrating traumatic memories in trauma treatment. Dr. Fatter will review the nature of traumatic memory and how it differs from non-traumatic memory. The two “gold standards” evidence-based models for trauma exposure therapy will be presented: prolonged exposure therapy and cognitive processing therapy. In addition, eye movement desensitization and reprocessing (EMDR) and internal family systems, two research-supported models, will also be discussed. This webinar will describe how each model differs in its conceptualization of trauma and specific treatment approach in integrating traumatic memories. Clinical considerations including strategies to know your client is or is not ready for trauma processing will be presented in addition to ways to determine your client is “done” with the trauma processing stage of treatment. Cultural considerations and culturally adapted models will be reviewed. Common transference and counter-transference issues that arise in trauma treatment will be described. Vicarious trauma, clinician burn out and what clinicians need to watch out for in absorbing traumatic stress from their clients will be addressed.

“I really enjoyed this training. The speaker’s knowledge and passion for the subject matter were apparent, and kept me interested and enthusiastic about what I was learning. This was a very thorough overview of IFS, delivered in an organized way, and at a pace that helped me understand and retain the information.”-Maria H. Social Worker, Minnesota

Internal Family Systems (IFS) therapy has become an increasingly popular non-pathologizing approach to individual therapy. Developed by Richard Schwartz, Ph.D. over 30 years ago, IFS is now an evidenced-based practice for depression, phobia, panic and generalized anxiety disorder. IFS is considered a promising treatment for Post-Traumatic Stress Disorder and complex trauma. In this webinar, Dr. Fatter will review the conceptual framework of IFS including basic assumptions of IFS, goals of the model, and research to date. Clinicians will learn a road map for steps in doing IFS therapy with specific interventions on how to get started applying IFS in clinical work. This webinar will include a guided experiential exercise for therapists to begin to identify their own parts to demonstrate the model experientially. Applications of IFS in clinical work and a case example using IFS for complex trauma will be discussed.

One of the biggest challenges in trauma recovery is managing both when clients get emotionally overwhelmed and when clients numb out and shut down. Learning how to pace therapy and navigate clients’ emotional window of tolerance are key foundations of successful trauma treatment. In this webinar, Dr. Fatter will review the impact of traumatic stress on the brain in tangible ways to help clinicians better conceptualize how trauma alters the body’s arousal system. Dr. Fatter will discuss in detail symptoms of hyperarousal, hypoarousal and calm states of our autonomic nervous system based on Polyvagal Theory. This will help clinicians know signs of what state clients are in and help clinicians be able to educate clients about their nervous system. We will address one of the most important aspects of the therapeutic relationship based on what we know about the traumatized brain. A phase-oriented treatment approach will be presented so clinicians learn an evidence-based structure for pacing the intensity of trauma treatment. In addition, we will explore four research-informed adjunctive therapies to help clients maintain stabilization and regulate arousal.

Multicultural guidelines and ethical standards dictate that White therapists examine their own racial identity, privilege, and fragility to better serve BIPOC clients. Dr. Fatter will review current trends in multicultural competency and discuss the clinical cost of the therapist being ‘colorblind’. This webinar will specifically focus on aspects of White supremacy culture, White privilege, White fragility, and Helms’ White racial identity model to help therapists self-assess their own White racial identity. Dr. Fatter will discuss clinical examples of ways ‘whiteness’ can show up relationally in clinical settings as well as skills needed to build racial stamina. In addition, Menakem’s H-I-P-P theory of how historical trauma is somatically held in the body will be presented to better understand the typical nervous system response in a White body and ways White therapists can work with their own somatic countertransference reactions when working with BIPOC clients. Dr. Fatter will also describe examples of specific types of microaggressions that can damage the therapeutic relationship. Dr. Fatter will also discuss practical ways to bring up racial identity with all clients and how to do a therapeutic repair when a relational rupture has occurred.