Psychotherapy

Most therapists recognize the power of the past as it is revealed in the way partners respond to each other. The therapist can be baffled by emotionally intense reactions that seem way out of proportion to the moment.  Repeated conflict themes also suggest that the ways partners interpret each other’s behavior can only be understood by exploring their individual lived experience. This seminar presents an overview of an object relations approach to working with couples, and describes dynamics that are unique to this clinical approach. You will understand how unfinished business from the past and each partner’s relational past can unfold in patterns and postures that work against intimacy. You will also be able to understand how extreme emotional reactions and black & white thinking create instability and specific relationship problems. The seminar will explain a range of techniques that can help couples acquire new ways of responding to each other and strengthening intimacy. You will also understand how the therapist’s intuition and reaction to partners is an important source of information that allows insight into the core themes and facilitates the partners ability to heal past wounds while forging deeper intimacy.

“Dr. Satir was excellent. She kept my interest and is obviously very knowledgeable and experienced. I learned a lot about how to deal with eating disorders.”-Richard H., Psychologist, Colorado

This training will offer the opportunity to learn about the diagnosis, assessment, theory, and treatment of eating, weight and shape disorders. While working with clients with eating disorders (EDs) can present unique challenges, we will explore the perception/stigma that these clients are notoriously difficult to treat. We will focus on the importance of integrative treatments, and the role of behavioral, symptom focused techniques in addition to psychodynamic approaches that explore underlying characterological and developmental issues. This training will also consider potential challenges clinicians may face when working with clients with eating disorders and how to cope with feelings that may arise when working with this population.

“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.

Traumatized adolescents and young adults struggle with self-regulation. They are dysregulated across systems--neurologically, cognitively, physically, emotionally, behaviorally, socially, and spiritually. Anxious and vigilant, and unable to trust themselves or caregivers, they may experience even loving relationships as confusing and frightening. But to learn self-soothing, they must first be able to rely upon others and discover the comfort of co-regulation. They benefit from relationships with adults that provide them with the psychological (and physical) sense of stability and containment they cannot supply themselves.

To work effectively with these youth it’s crucial for adults to first foster their own capacity for self-awareness and self-regulation. It’s not easy, especially when our young clients’ extreme reactions—ranging from angry arousal to frozen shutting down—can trigger our own sense of helplessness, failure, dissociation, and rejection. In this webinar, you will learn about Developmental-Relational Therapy (DRT), an attachment-based model of trauma treatment. You will learn and practice mindful, empathic strategies that help teens feel more secure, connected, present, and regulated. You’ll discover how to get unhooked from old enactments by exploring:

Specific adolescent attachment styles that interact with or trigger our own

The React, Reflect, and Respond approach to corrective relational experience

Four M’s—mirroring, mentalizing, mindfulness, and modulation—to increase connection and mood regulatio

How to use moment-to-moment attunement—including strategies of validation, unflinching empathy, strategic self-disclosure, and the compassionate sharing of adult feelings and opinions-—to bring traumatized youth back into relationships with themselves and with you.

The incidence of youth suicide requires that schools and communities collaborate and increase suicide prevention efforts and that they be prepared to respond if a suicide occurs in order to reduce suicide contagion.  This presentation will help school and community mental health personnel increase their understanding of the most common factors in youth suicide.  Participants will learn effective strategies to prevent youth suicide and lessons from the aftermath of numerous suicides.

“Excellent; exceeded my expectations. The instructor (Scott Hannan) was very impressive. He clearly had a very deep knowledge of the topic and also knew how to answer broad questions very succinctly but thoroughly. I'm amazed he was able to talk for 6 hrs straight in an engaging way, while being very responsive to different questions throughout the seminar, while also sticking exactly to the expected time. Bravo!.”-Teresa A. Psychologist, Maryland

Obsessive compulsive disorder can be associated with extreme levels of distress and severe impairment in one’s life. Proper diagnosis and treatment formulation is essential in assisting those with this disabling condition. Although most people are familiar with typical symptoms including washing and checking, many may not have an understanding of other presentations of OCD, such as scrupulosity, harm obsessions, and sexual obsessions. Fortunately, the gold standard treatment exposure and response prevention can be utilized to treat the various presentations of OCD. In this seminar, Dr. Hannan will review the various presentations of OCD and train attendees in making an accurate diagnosis of OCD. In addition to learning about the various presentations of OCD, attendees will learn to assess the severity of OCD. Dr. Hannan will explain the rationale of using exposure and ritual prevention and discuss how to conceptualize cases of OCD, along with creating an exposure hierarchy. Exposure therapy will be introduced through both didactics and video demonstration. Special cases of OCD, including comorbid conditions and adaptations needed to treat children, will be addressed.

“This was a great webinar. The presenter shared content in an organized, yet interactive manner. The tools taught were very practical. Great presenter and would be awesome to teach future webinars.”-K.W., Social Worker, North Carolina

A high percentage of mental health clients have experienced some sort of trauma in their childhoods. That’s why it’s so important that we as clinicians use a treatment that is proven to work. This seminar will present an overview of child trauma and the evidence-based child treatment, Trauma Focused- Cognitive Behavioral Therapy. Attendees will gain an overview of child trauma, review the definition of child abuse and discuss the common affective, behavioral and cognitive reactions that children have to trauma. Then an overview of Trauma- Focused CBT will be given, including the specific components, real life examples of activities used and the evidence for why this approach works. At the end attendees will be provided with the next step to get certified in TF-CBT. Please note, this is an introduction overview course of a child focused treatment.

High rates of adolescent depression and suicide present as a major international public health problem.  Suicidal adolescents are often a daunting population for clinicians to work with given their high-risk. Of the few effective treatments for this population, many are often multi-modal involving individual and group therapy, medication, etc.  An empirically supported family therapy for adolescents struggling with depression and suicide that requires only weekly sessions and which can be conducted on an outpatient, home-based, or inpatient basis is Attachment-Based Family Therapy (ABFT).  ABFT emerges from interpersonal theories suggesting adolescent depression and suicide can be precipitated, exacerbated, or buffered against by the quality of interpersonal family relationships. It is a trust-based, emotion-focused psychotherapy model aiming to repair interpersonal ruptures and rebuild an emotionally protective, secure-based, parent-child relationship. The therapy is trauma-focused while also being brief and structured. Treatment is characterized by five treatment tasks: a) reframing the therapy to focus on interpersonal development, b) building alliance with the adolescent, c) building alliance with the parents, d) facilitation conversations to resolve attachment ruptures and e) promoting autonomy in the adolescent. 

In this workshop, Dr Levy will use lecture and case studies to provide an overview of the theoretical principles, research support, and clinical strategies forABFT. Dr. Levy will review how attachment theory,emotional regulation, and trauma resolution informthe delivery of this treatment approach.  She will review the goals and structureof the five treatment tasks that provide a roadmapfor delivering this interpersonally focused psychotherapy effectively and rapidly in community mental health.

“This may have been the best training overall I have seen in the 30 years of my professional life. If not the best, then clearly in the top five. Dr. Hannan maintained the pace and energy and held my attention for six hours, no mean feat whatsoever. Hats off to him!.”-James B. Counselor, Armed Forces

In this webinar, Keith Hannan, Ph.D will talk about the diagnosis and treatment of disruptive behavior disorder.  He will help you distinguish between benign mischievousness and malignant antisocial behavior.  He will explore the literature on delinquency in girls.  There will be a review of risk assessment.  Information will also be presented on the cognitive style and deficits of delinquent youth.  He will present a model for effective psychotherapeutic intervention.

This course is designed to provide an overview of military culture and how military culture impacts clinical practice with veterans and military personnel.  A review of effective treatments for posttraumatic stress disorder (PTSD) and related conditions will be reviewed as well as other related clinical issues such as nightmares and insomnia.  Psychological and pharmacological treatments reviewed will focus on those with the most rigorous scientific support currently available. The concept of posttraumatic growth will be highlighted, particularly as it relates to understanding trauma response from a unique perspective. 

This webinar will satisfy your ethics requirement.

“Presenter was knowledgeable and engaging. Very informative and helpful webinar. I feel more confident in the decisions that I have been making in regard to self disclosure and I feel I can look at those areas that feel more challenging with less criticism.”-Gabrielle D., Psychologist, New York

“Therapist Self Disclosure” is an introductory ethics course for practitioners who seek to navigate how to utilize self-disclosure to achieve client engagement without boundary violations in treatment environments. With the mainstreaming of peer counseling, cognitive behavioral and humanistic treatments, therapist self-disclosure is encouraged as a means to improving patient rapport & communication. Therapists need to differentiate among the nuanced differences between self-disclosure, self-involving statements, deliberate & confrontative disclosures from disclosures amounting to harmful boundary violations to avoid becoming ensnarled in questionable ethical practices.

This webinar focuses on several factors like: (1) role played by self-disclosure in relationships, (2) the history of therapist self-disclosure, (3) what is therapist self-disclosure?, (4) how theoretical treatments and the type of client in treatment impact therapist self-disclosure, (5) when are therapists most often willing to self-disclose, (6) ethics of self-disclosure and boundary violations, (7) conclusions and practical clinical checklist to prevent inappropriate therapist self-disclosure. Given these complexities, knowledge about therapist self-disclosure is crucial.

This course will utilize “clinical” situations from film and television to highlight protective measures relating to therapist self-disclosure. Excerpts from TV shows and movies, such as, “Mindhunter,” “In Treatment,” “Ordinary People,” “Good Will Hunting,” “The Sopranos,” “The Breakfast Club,” and others will be utilized.

“Really good, well organized, great pace, easy to follow with good examples - I learned a lot and feel energized and ready/equipped to put what I learned into practice.”-Vicki T., Social Worker, Maine

Cognitive Behavioral Therapy (CBT) and Mindfulness are two methods on the cutting-edge of evidence-based psychotherapy today. Together these techniques are highly-effective in the treatment of anxiety and depressive disorders. Even disorders found to be often resistant to treatment, such as substance abuse and personality disorders, are responding to this unique integration of therapeutic skills.

By attending this webinar you will learn not only to the basic techniques in CBT and Mindfulness, but also the application of more advanced methods. This approach is designed both to inform those who are new to this field as well as provide more advanced clinical options to those already familiar with the basics. The seminar will include PowerPoint slides, case examples and experiential learning.

“This was my favorite webinar. I learned the most about myself as a therapist and a great deal about the borderline elicitation of counter transference. This webinar was a revival of things I learned in graduate school and that I needed a refresher course in.”-Jane K., Social Worker, New York

Recent research suggests that the therapeutic alliance and the ability to heal ruptures in the therapeutic relationship are key elements of successful treatment for individuals with personality disorders.  Yet, these patients tend to stimulate strong countertransference reactions that can derail the treatment.  This seminar elucidates common countertransference reactions to each of the personality disorders.  There is also discussion about how to manage these reactions and to use them to better understand the patient and thus, provide better care.

“This was the best seminar I've seen on TZK so far. The presenter was engaging, spoke at a nice cadence (not to fast or slow). Extremely knowledgeable with clear strategies to use with clients.”-Justine M., Psychologist, Idaho

Over 28% of adults will have a panic attack in their lifetime. Many will experience repeated attacks, which can lead to struggles to hold down a job, maintain friendships, or even carry out basic chores, like shopping for groceries. When we think of panic, we often think of panic disorder. However, individuals with PTSD, depression, social anxiety, substance use disorder, generalized anxiety, and specific phobias frequently grapple with both episodic and chronic panic attacks.

This training will delve into the problems of panic. What is it and why is it so important to treat? Then we’ll explore anxiety sensitivity theory, a compelling explanation for why some people develop panic attacks. Next, using the ironic process theory (Wegner, 1997), we’ll learn how attempts to suppress panic symptoms actually cause the very thing panic sufferers are desperately trying to avoid. We will then turn to understanding how mindfulness can break panic’s vicious cycle. After we study the fundamental elements of mindfulness and their connection to panic, we will delve into helping patients use mindfulness to ameliorate panic and start living life again.

The concept of posttraumatic growth (PTG), that is, how people report personal transformations in the aftermath of traumatic events is an emerging area of research and clinical focus. These growth experiences are relatively common, but often ignored in standard trauma practice due to relatively few clinicians fully understanding the concept. In order to enhance trauma-focused clinical services, professionals should learn to integrate the PTG model into their trauma treatment strategies and practice. PTG is based on an integrative cognitive-existential-narrative theoretical foundation. The theoretical foundation of PTG also informs a highly effective intervention strategy that has been labeled “Expert Companionship”. Using the Expert Companionship clinical approach in treating trauma survivors facilitates personal development beyond the reduction of symptoms of trauma. In fact, trauma survivors are able to both reduce symptoms of PTSD and related conditions and learn to use their difficult life experiences as a means to live a more rewarding and fulfilling life. This is important considering the field of mental health recognizes that standard practice for PTSD has important limitations. This posttraumatic growth based approach shows promise for addressing these limitations.

“Strong and knowledgeable instructor. Highly responsive to questions. Explained each component clearly and was great at putting it all together especially tying in the theories with clinical implications. This webinar inspired me to learn more about DBT, and use it with my clients.”-Liat Z., Professional Counselor, New York

Over 75% of mental illnesses described in the DSM are related to emotion dysregulation – the inability to manage emotions effectively. Given that Dialectical Behavior Therapy (DBT) was initially created to treat Borderline Personality Disorder (BPD), of which emotion dysregulation is a primary problem, it only makes sense that DBT would be effective in treating other disorders, and research in recent years is supporting this.

This seminar will provide an introduction to DBT, including the origins of the therapy, and the Biosocial Theory of how emotion dysregulation develops. You will learn about some of the research demonstrating that DBT is effective in treating disorders other than BPD. Finally, you will learn about Dialectics, and the importance of balancing validation with change with the dysregulated client; and how to effectively use validation to help clients re-regulate in session, as well as how to teach them to practice this skill on their own.

“Great presentation! Very useful information for practitioners in a variety of settings. Highly recommended. I learned the CBT is NOT just “change your thoughts and change your life.”-Kellie H., Social Worker, Iowa

Across behavioral health professions, there is a workforce shortage of psychotherapists trained to provide evidence-based mental health services to aging individuals. Cognitive-behavioral conceptualizations and therapy strategies have been effectively used with culturally diverse middle-aged and older adults. This webinar is aimed at psychotherapists who already have some knowledge of and experience providing CBT. You will develop an understanding of typical adjustments to CBT sessions with aging individuals, with CBT strategies for later life depression used as examples. The presentation will also include resources for clinical practice with middle-aged and older adults and recommendations for further professional development.

“Dr. Hannan was extremely informative, knowledgeable, and easy to listen to. His clinical examples enhanced the learning experience. Great presentation. I learned techniques on how to effectively engage in a therapeutic relationship with a BPD patient.-Shayna S., Professional Counselor, Illinois

This seminar will talk about the All-or-None Phenomenon in Borderline Personality (BPD), looking at it from both a psychodynamic and cognitive-behavioral perspective.  The talk will define the All-or-None Phenomenon, as well as providing clinical examples.  It will also look at the reactions this elicits in treating professionals.  You will leave this webinar will techniques that are useful in helping patients who suffer from BPD.

“Fantastic webinar. Dr. Paquette was very knowledgeable, very personable, and open with comments and questions. He maintained my interest, and had great examples for explanation.”-Marilyn H., Counselor, Mississippi

Cognitive Behavioral Therapy (CBT) is one of the most effective forms of psychotherapy, a gold standard treatment that can be applied to a wide range of psychological disorders. With hundreds of randomize controls trials to demonstrate its impact, cognitive behavioral therapy has been shown to be one of the most efficacious and well-validated forms of treatment within the mental health community. However, many clinicians struggle to effectively implement it a powerful way with their clients. Join clinical psychologist, author, and international speaker Jonah Paquette for an exciting hands-on workshop aimed to help bring your knowledge and skills related to CBT to the next level. Complete with over 50 techniques aimed towards changing thoughts and behaviors, this workshop can transform your practice.

This seminar will provide you with a deeper understanding of how CBT can be applied to a wide range of problems, and will help you master the core competencies of CBT treatment. In addition, attendees will be provided with powerful, practical, and easy-to-use tools that you can use in your clinical practice starting right away. Through didactic presentation, hands-on practice, and opportunities for reflection, you’ll learn how to expertly apply these approaches into your life and your clinical work. You’ll leave equipped to improve your clinical skills and achieve better therapeutic outcomes with even your most challenging clients.

In this program I will teach clinicians about the foundations of Cognitive behavioral therapy for alcohol use disorder. I will then teach how these principles are applied to session by following an established (and publicly available) CBT manual for alcohol use disorder. I will review the treatment goals and techniques required to implement the CBT protocol with the highest fidelity. I will discuss each of the seven core sessions (including handouts) in the CBT program:
 

Session 1: Introduction to Coping Skills Training
Session 2: Coping with Cravings & Urges to Drink
Session 3: Managing Thoughts About Alcohol & Drinking
Session 4: Problem Solving
Session 5: Drink Refusal Skills
Session 6: Planning for Emergencies & Coping With a Lapse
Session 7: Seemingly Irrelevant Decisions
 

I will then review the optional sessions and I will conclude by reviewing a host of free resources for evidence-based practices in addiction, primarily those offered by the National Institutes of Health. I will conduct this seminar by combining lecturing, question & answer periods, videos, and polling tools to engage the audience.

Therapy with adults or couples with children frequently presents opportunities to help parents understand and improve parent-child dynamics. Parenting reveals implicit and unconscious expectations about raising children that are often culturally determined, and based on each parent’s own childhood experiences. This seminar draws on theories from systems, object relations and the parenting literature to show how unconscious factors get played out in the parent-child relationship. Therapists can help parents identify ways that their own childhood experiences, and aspects of the marital relationship, are played out in the parenting process. Through presentation of theory, and case examples, participants will be able to understand how to raise and explore parenting dynamics in the therapy session, and help parents find new ways of relating to their children and each other. This is particularly import in work with highly conflicted couples, even those who have divorced but have difficulty co-parenting.

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.

“This was the best seminar I've seen on TZK so far. The presenter was engaging, spoke at a nice cadence (not to fast or slow). Extremely knowledgeable with clear strategies to use with clients.”-Justine M., Psychologist, Idaho

Over 28% of adults will have a panic attack in their lifetime. Many will experience repeated attacks, which can lead to struggles to hold down a job, maintain friendships, or even carry out basic chores, like shopping for groceries. When we think of panic, we often think of panic disorder. However, individuals with PTSD, depression, social anxiety, substance use disorder, generalized anxiety, and specific phobias frequently grapple with both episodic and chronic panic attacks.

This training will delve into the problems of panic. What is it and why is it so important to treat? Then we’ll explore anxiety sensitivity theory, a compelling explanation for why some people develop panic attacks. Next, using the ironic process theory (Wegner, 1997), we’ll learn how attempts to suppress panic symptoms actually cause the very thing panic sufferers are desperately trying to avoid. We will then turn to understanding how mindfulness can break panic’s vicious cycle. After we study the fundamental elements of mindfulness and their connection to panic, we will delve into helping patients use mindfulness to ameliorate panic and start living life again.

“Sheri did a great job of keeping my attention. Time flew all the while I felt I was learning something of use.  I've been teaching clients mindfulness for years but there are those clients that are still difficult and haven't been responsive. This seminar gave me brand new tools/approaches and hope for helping some of my existing clients.”-Laura D., Social Worker, Arkansas

Over 75% of mental illnesses described in the DSM are related to emotion dysregulation – the inability to manage emotions effectively. Given that Dialectical Behavior Therapy (DBT) was initially created to treat Borderline Personality Disorder (BPD), of which emotion dysregulation is a primary problem, it only makes sense that DBT would be effective in treating other disorders, and research in recent years is supporting this.

This seminar will provide an overview of the DBT Core Mindfulness skills. Participants will learn about these skills, including an introduction to mindfulness, the States of Mind, and the “What” and “How” skills. Discussion will be around how to use these skills ourselves in both professional and personal lives, and how to teach these skills to clients struggling with mental illness.

“The presentation was exceptionally useful in the provision of practical suggestions grounded in dynamic conceptualization. The instructor seemed seasoned in real world experience and this enhanced the context in which she provided research and conceptual information. This presentation will allow me to enhance the specificity and utility of recommendations I make for managing self-harm in high risk and incarcerated children and adolescents.”-Lara H., Psychologist, Texas

Nonsuicidal self-injury is more common than we think. Almost every mental health clinician has come across some form of nonsuicidal self-injury in their careers, and the behavior is on the rise among adolescents and young adults. Yet, rarely do education programs cover anything about nonsuicidal self-injury within their programs, even though it is important for mental health clinicians to be aware of what this behavior is, how to assess it, how it is related yet different from suicidal behavior, and how to intervene and work with clients who engage in nonsuicidal self-injury. This seminar will help you understand what nonsuicidal self-injury is, factors to consider when assessing and working with clients, ethical considerations in treatment and breaching confidentiality, and methods of treatment that have been shown to be effective.

Premature termination is a significant problem in psychotherapy, with deleterious impacts on both clients and therapists. For example, research shows that clients who prematurely terminate show poorer treatment outcomes, are less likely to make lasting changes in their symptoms, and are more likely to over-utilize the health care system. Research also shows that when clients end treatment prematurely, their therapists often experience a sense of failure with the loss. Additionally, repeated dropout by clients can lead to experiences of demoralization and burnout in their providers. Current estimates indicate that approximately 1 in 5 clients will drop out of psychotherapy and/or counseling prematurely. Although these numbers may differ depending on the setting and client type, almost all therapists will experience premature termination at some point in their practice. 

The purpose of this workshop is provide strategies and approaches that therapists can use to reduce premature termination in their practice. This workshop will begin with a discussion of what premature termination is and why some clients choose to end treatment prematurely. It will then cover the latest research on the frequency of premature termination and client, therapist, treatment, and setting risk factors associated with its occurrence. In the second half of this workshop, eight evidence-based strategies for reducing premature termination will be presented. These strategies include: providing role induction, incorporating preferences into the treatment decision-making process, planning for appropriate termination, providing education about patterns of change in psychotherapy, strengthening hope, enhancing motivation for treatment, fostering the therapeutic alliance, and assessing and discussing treatment progress.

“Fantastic webinar. Dr. Paquette was very knowledgeable, very personable, and open with comments and questions. He maintained my interest, and had great examples for explanation.”-Marilyn H., Counselor, Mississippi

Cognitive Behavioral Therapy (CBT) is one of the most effective forms of psychotherapy, a gold standard treatment that can be applied to a wide range of psychological disorders. With hundreds of randomize controls trials to demonstrate its impact, cognitive behavioral therapy has been shown to be one of the most efficacious and well-validated forms of treatment within the mental health community. However, many clinicians struggle to effectively implement it a powerful way with their clients. Join clinical psychologist, author, and international speaker Jonah Paquette for an exciting hands-on workshop aimed to help bring your knowledge and skills related to CBT to the next level. Complete with over 50 techniques aimed towards changing thoughts and behaviors, this workshop can transform your practice.

This seminar will provide you with a deeper understanding of how CBT can be applied to a wide range of problems, and will help you master the core competencies of CBT treatment. In addition, attendees will be provided with powerful, practical, and easy-to-use tools that you can use in your clinical practice starting right away. Through didactic presentation, hands-on practice, and opportunities for reflection, you’ll learn how to expertly apply these approaches into your life and your clinical work. You’ll leave equipped to improve your clinical skills and achieve better therapeutic outcomes with even your most challenging clients.

“This may have been the best training overall I have seen in the 30 years of my professional life. If not the best, then clearly in the top five. Dr. Hannan maintained the pace and energy and held my attention for six hours, no mean feat whatsoever. Hats off to him!.”-James B. Counselor, Armed Forces

In this webinar, Keith Hannan, Ph.D will talk about the diagnosis and treatment of disruptive behavior disorder.  He will help you distinguish between benign mischievousness and malignant antisocial behavior.  He will explore the literature on delinquency in girls.  There will be a review of risk assessment.  Information will also be presented on the cognitive style and deficits of delinquent youth.  He will present a model for effective psychotherapeutic intervention.

Traumatized adolescents and young adults struggle with self-regulation. They are dysregulated across systems--neurologically, cognitively, physically, emotionally, behaviorally, socially, and spiritually. Anxious and vigilant, and unable to trust themselves or caregivers, they may experience even loving relationships as confusing and frightening. But to learn self-soothing, they must first be able to rely upon others and discover the comfort of co-regulation. They benefit from relationships with adults that provide them with the psychological (and physical) sense of stability and containment they cannot supply themselves.

To work effectively with these youth it’s crucial for adults to first foster their own capacity for self-awareness and self-regulation. It’s not easy, especially when our young clients’ extreme reactions—ranging from angry arousal to frozen shutting down—can trigger our own sense of helplessness, failure, dissociation, and rejection. In this webinar, you will learn about Developmental-Relational Therapy (DRT), an attachment-based model of trauma treatment. You will learn and practice mindful, empathic strategies that help teens feel more secure, connected, present, and regulated. You’ll discover how to get unhooked from old enactments by exploring:

Specific adolescent attachment styles that interact with or trigger our own

The React, Reflect, and Respond approach to corrective relational experience

Four M’s—mirroring, mentalizing, mindfulness, and modulation—to increase connection and mood regulatio

How to use moment-to-moment attunement—including strategies of validation, unflinching empathy, strategic self-disclosure, and the compassionate sharing of adult feelings and opinions-—to bring traumatized youth back into relationships with themselves and with you.

Most therapists recognize the power of the past as it is revealed in the way partners respond to each other. The therapist can be baffled by emotionally intense reactions that seem way out of proportion to the moment.  Repeated conflict themes also suggest that the ways partners interpret each other’s behavior can only be understood by exploring their individual lived experience. This seminar presents an overview of an object relations approach to working with couples, and describes dynamics that are unique to this clinical approach. You will understand how unfinished business from the past and each partner’s relational past can unfold in patterns and postures that work against intimacy. You will also be able to understand how extreme emotional reactions and black & white thinking create instability and specific relationship problems. The seminar will explain a range of techniques that can help couples acquire new ways of responding to each other and strengthening intimacy. You will also understand how the therapist’s intuition and reaction to partners is an important source of information that allows insight into the core themes and facilitates the partners ability to heal past wounds while forging deeper intimacy.

“This was my favorite webinar. I learned the most about myself as a therapist and a great deal about the borderline elicitation of counter transference. This webinar was a revival of things I learned in graduate school and that I needed a refresher course in.”-Jane K., Social Worker, New York

Recent research suggests that the therapeutic alliance and the ability to heal ruptures in the therapeutic relationship are key elements of successful treatment for individuals with personality disorders.  Yet, these patients tend to stimulate strong countertransference reactions that can derail the treatment.  This seminar elucidates common countertransference reactions to each of the personality disorders.  There is also discussion about how to manage these reactions and to use them to better understand the patient and thus, provide better care.

“Great presentation! Very useful information for practitioners in a variety of settings. Highly recommended. I learned the CBT is NOT just “change your thoughts and change your life.”-Kellie H., Social Worker, Iowa

Across behavioral health professions, there is a workforce shortage of psychotherapists trained to provide evidence-based mental health services to aging individuals. Cognitive-behavioral conceptualizations and therapy strategies have been effectively used with culturally diverse middle-aged and older adults. This webinar is aimed at psychotherapists who already have some knowledge of and experience providing CBT. You will develop an understanding of typical adjustments to CBT sessions with aging individuals, with CBT strategies for later life depression used as examples. The presentation will also include resources for clinical practice with middle-aged and older adults and recommendations for further professional development.

“This was the best seminar I've seen on TZK so far. The presenter was engaging, spoke at a nice cadence (not to fast or slow). Extremely knowledgeable with clear strategies to use with clients.”-Justine M., Psychologist, Idaho

Over 28% of adults will have a panic attack in their lifetime. Many will experience repeated attacks, which can lead to struggles to hold down a job, maintain friendships, or even carry out basic chores, like shopping for groceries. When we think of panic, we often think of panic disorder. However, individuals with PTSD, depression, social anxiety, substance use disorder, generalized anxiety, and specific phobias frequently grapple with both episodic and chronic panic attacks.

This training will delve into the problems of panic. What is it and why is it so important to treat? Then we’ll explore anxiety sensitivity theory, a compelling explanation for why some people develop panic attacks. Next, using the ironic process theory (Wegner, 1997), we’ll learn how attempts to suppress panic symptoms actually cause the very thing panic sufferers are desperately trying to avoid. We will then turn to understanding how mindfulness can break panic’s vicious cycle. After we study the fundamental elements of mindfulness and their connection to panic, we will delve into helping patients use mindfulness to ameliorate panic and start living life again.

“Fantastic webinar. Dr. Paquette was very knowledgeable, very personable, and open with comments and questions. He maintained my interest, and had great examples for explanation.”-Marilyn H., Counselor, Mississippi

Cognitive Behavioral Therapy (CBT) is one of the most effective forms of psychotherapy, a gold standard treatment that can be applied to a wide range of psychological disorders. With hundreds of randomize controls trials to demonstrate its impact, cognitive behavioral therapy has been shown to be one of the most efficacious and well-validated forms of treatment within the mental health community. However, many clinicians struggle to effectively implement it a powerful way with their clients. Join clinical psychologist, author, and international speaker Jonah Paquette for an exciting hands-on workshop aimed to help bring your knowledge and skills related to CBT to the next level. Complete with over 50 techniques aimed towards changing thoughts and behaviors, this workshop can transform your practice.

This seminar will provide you with a deeper understanding of how CBT can be applied to a wide range of problems, and will help you master the core competencies of CBT treatment. In addition, attendees will be provided with powerful, practical, and easy-to-use tools that you can use in your clinical practice starting right away. Through didactic presentation, hands-on practice, and opportunities for reflection, you’ll learn how to expertly apply these approaches into your life and your clinical work. You’ll leave equipped to improve your clinical skills and achieve better therapeutic outcomes with even your most challenging clients.

Most psychotherapists would like to draw from different theoretical sources in order to serve the individual needs of each client. However, this is a difficult goal to accomplish without training and structure. Unified Psychotherapy (UP) is a comprehensive approach to integration that enhances a therapist’s capacity to draw from diverse approaches by providing a holistic framework. This structure can be used to guide both conceptualization and intervention. 

This seminar will introduce a three-tiered model of psychological functioning that distinguishes between immediate psychological functioning, external influences, and internal influences. (A) Psychological functioning focuses on the dynamic interaction between (1) cognition, (2) emotion, and (3) behavior. (B) External influences include (4) development across life experiences, (5) interpersonal patterns, (6) families and other microsystems, as well as (7) sociocultural macrosystems. (C) Internal influences include (8) intrapsychic processes and (9) biological health. 

This seminar will include a video demonstration of a multidimensional survey of cognition, emotion, and behavior. This survey is the foundation for the process of unified treatment planning which will be elaborated upon in a later seminar (TUP 1-6). This seminar will encourage active learning by including activities and worksheets related to reflection and application. This is the first webinar in Level One of Training in Unified Psychotherapy (TUP), focusing on working interactively with cognition, emotion, and behavior.

Therapy with adults or couples with children frequently presents opportunities to help parents understand and improve parent-child dynamics. Parenting reveals implicit and unconscious expectations about raising children that are often culturally determined, and based on each parent’s own childhood experiences. This seminar draws on theories from systems, object relations and the parenting literature to show how unconscious factors get played out in the parent-child relationship. Therapists can help parents identify ways that their own childhood experiences, and aspects of the marital relationship, are played out in the parenting process. Through presentation of theory, and case examples, participants will be able to understand how to raise and explore parenting dynamics in the therapy session, and help parents find new ways of relating to their children and each other. This is particularly import in work with highly conflicted couples, even those who have divorced but have difficulty co-parenting.

“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.

High rates of adolescent depression and suicide present as a major international public health problem.  Suicidal adolescents are often a daunting population for clinicians to work with given their high-risk. Of the few effective treatments for this population, many are often multi-modal involving individual and group therapy, medication, etc.  An empirically supported family therapy for adolescents struggling with depression and suicide that requires only weekly sessions and which can be conducted on an outpatient, home-based, or inpatient basis is Attachment-Based Family Therapy (ABFT).  ABFT emerges from interpersonal theories suggesting adolescent depression and suicide can be precipitated, exacerbated, or buffered against by the quality of interpersonal family relationships. It is a trust-based, emotion-focused psychotherapy model aiming to repair interpersonal ruptures and rebuild an emotionally protective, secure-based, parent-child relationship. The therapy is trauma-focused while also being brief and structured. Treatment is characterized by five treatment tasks: a) reframing the therapy to focus on interpersonal development, b) building alliance with the adolescent, c) building alliance with the parents, d) facilitation conversations to resolve attachment ruptures and e) promoting autonomy in the adolescent. 

In this workshop, Dr Levy will use lecture and case studies to provide an overview of the theoretical principles, research support, and clinical strategies forABFT. Dr. Levy will review how attachment theory,emotional regulation, and trauma resolution informthe delivery of this treatment approach.  She will review the goals and structureof the five treatment tasks that provide a roadmapfor delivering this interpersonally focused psychotherapy effectively and rapidly in community mental health.

“This may have been the best training overall I have seen in the 30 years of my professional life. If not the best, then clearly in the top five. Dr. Hannan maintained the pace and energy and held my attention for six hours, no mean feat whatsoever. Hats off to him!.”-James B. Counselor, Armed Forces

In this webinar, Keith Hannan, Ph.D will talk about the diagnosis and treatment of disruptive behavior disorder.  He will help you distinguish between benign mischievousness and malignant antisocial behavior.  He will explore the literature on delinquency in girls.  There will be a review of risk assessment.  Information will also be presented on the cognitive style and deficits of delinquent youth.  He will present a model for effective psychotherapeutic intervention.

Over 75% of mental illnesses described in the DSM are related to emotion dysregulation – the inability to manage emotions effectively. Given that Dialectical Behavior Therapy (DBT) was initially created to treat Borderline Personality Disorder (BPD), of which emotion dysregulation is a primary problem, it only makes sense that DBT would be effective in treating other disorders, and research in recent years is supporting this. 

This seminar will provide an overview of the DBT Emotion Regulation skills. Participants will learn about these skills, including briefly reviewing the biosocial theory and how this contributes to problems managing emotions. Many of the emotion regulation skills will be introduced and participants, and there will be discussion regarding how to use these skills with clients with a variety of diagnoses.

This webinar will satisfy your ethics requirement.

“Presenter was knowledgeable and engaging. Very informative and helpful webinar. I feel more confident in the decisions that I have been making in regard to self disclosure and I feel I can look at those areas that feel more challenging with less criticism.”-Gabrielle D., Psychologist, New York

“Therapist Self Disclosure” is an introductory ethics course for practitioners who seek to navigate how to utilize self-disclosure to achieve client engagement without boundary violations in treatment environments. With the mainstreaming of peer counseling, cognitive behavioral and humanistic treatments, therapist self-disclosure is encouraged as a means to improving patient rapport & communication. Therapists need to differentiate among the nuanced differences between self-disclosure, self-involving statements, deliberate & confrontative disclosures from disclosures amounting to harmful boundary violations to avoid becoming ensnarled in questionable ethical practices.

This webinar focuses on several factors like: (1) role played by self-disclosure in relationships, (2) the history of therapist self-disclosure, (3) what is therapist self-disclosure?, (4) how theoretical treatments and the type of client in treatment impact therapist self-disclosure, (5) when are therapists most often willing to self-disclose, (6) ethics of self-disclosure and boundary violations, (7) conclusions and practical clinical checklist to prevent inappropriate therapist self-disclosure. Given these complexities, knowledge about therapist self-disclosure is crucial.

This course will utilize “clinical” situations from film and television to highlight protective measures relating to therapist self-disclosure. Excerpts from TV shows and movies, such as, “Mindhunter,” “In Treatment,” “Ordinary People,” “Good Will Hunting,” “The Sopranos,” “The Breakfast Club,” and others will be utilized.

“This was a great webinar. The presenter shared content in an organized, yet interactive manner. The tools taught were very practical. Great presenter and would be awesome to teach future webinars.”-K.W., Social Worker, North Carolina

A high percentage of mental health clients have experienced some sort of trauma in their childhoods. That’s why it’s so important that we as clinicians use a treatment that is proven to work. This seminar will present an overview of child trauma and the evidence-based child treatment, Trauma Focused- Cognitive Behavioral Therapy. Attendees will gain an overview of child trauma, review the definition of child abuse and discuss the common affective, behavioral and cognitive reactions that children have to trauma. Then an overview of Trauma- Focused CBT will be given, including the specific components, real life examples of activities used and the evidence for why this approach works. At the end attendees will be provided with the next step to get certified in TF-CBT. Please note, this is an introduction overview course of a child focused treatment.

“This was my favorite webinar. I learned the most about myself as a therapist and a great deal about the borderline elicitation of counter transference. This webinar was a revival of things I learned in graduate school and that I needed a refresher course in.”-Jane K., Social Worker, New York

Recent research suggests that the therapeutic alliance and the ability to heal ruptures in the therapeutic relationship are key elements of successful treatment for individuals with personality disorders.  Yet, these patients tend to stimulate strong countertransference reactions that can derail the treatment.  This seminar elucidates common countertransference reactions to each of the personality disorders.  There is also discussion about how to manage these reactions and to use them to better understand the patient and thus, provide better care.

The incidence of youth suicide requires that schools and communities collaborate and increase suicide prevention efforts and that they be prepared to respond if a suicide occurs in order to reduce suicide contagion.  This presentation will help school and community mental health personnel increase their understanding of the most common factors in youth suicide.  Participants will learn effective strategies to prevent youth suicide and lessons from the aftermath of numerous suicides.

The concept of posttraumatic growth (PTG), that is, how people report personal transformations in the aftermath of traumatic events is an emerging area of research and clinical focus. These growth experiences are relatively common, but often ignored in standard trauma practice due to relatively few clinicians fully understanding the concept. In order to enhance trauma-focused clinical services, professionals should learn to integrate the PTG model into their trauma treatment strategies and practice. PTG is based on an integrative cognitive-existential-narrative theoretical foundation. The theoretical foundation of PTG also informs a highly effective intervention strategy that has been labeled “Expert Companionship”. Using the Expert Companionship clinical approach in treating trauma survivors facilitates personal development beyond the reduction of symptoms of trauma. In fact, trauma survivors are able to both reduce symptoms of PTSD and related conditions and learn to use their difficult life experiences as a means to live a more rewarding and fulfilling life. This is important considering the field of mental health recognizes that standard practice for PTSD has important limitations. This posttraumatic growth based approach shows promise for addressing these limitations.

“Dr. Hannan was extremely informative, knowledgeable, and easy to listen to. His clinical examples enhanced the learning experience. Great presentation. I learned techniques on how to effectively engage in a therapeutic relationship with a BPD patient.-Shayna S., Professional Counselor, Illinois

This seminar will talk about the All-or-None Phenomenon in Borderline Personality (BPD), looking at it from both a psychodynamic and cognitive-behavioral perspective.  The talk will define the All-or-None Phenomenon, as well as providing clinical examples.  It will also look at the reactions this elicits in treating professionals.  You will leave this webinar will techniques that are useful in helping patients who suffer from BPD.

Over 75% of mental illnesses described in the DSM are related to emotion dysregulation – the inability to manage emotions effectively. Given that Dialectical Behavior Therapy (DBT) was initially created to treat Borderline Personality Disorder (BPD), of which emotion dysregulation is a primary problem, it only makes sense that DBT would be effective in treating other disorders, and research in recent years is supporting this. 

This seminar will provide an overview of the DBT Distress Tolerance skills. Participants will learn about these skills, including the Reality Acceptance Skills and the Crisis Survival Skills, and how to help clients with a variety of diagnoses and problems use these skills appropriately and in healthy ways.

This course is designed to provide an overview of military culture and how military culture impacts clinical practice with veterans and military personnel.  A review of effective treatments for posttraumatic stress disorder (PTSD) and related conditions will be reviewed as well as other related clinical issues such as nightmares and insomnia.  Psychological and pharmacological treatments reviewed will focus on those with the most rigorous scientific support currently available. The concept of posttraumatic growth will be highlighted, particularly as it relates to understanding trauma response from a unique perspective. 

“This may have been the best training overall I have seen in the 30 years of my professional life. If not the best, then clearly in the top five. Dr. Hannan maintained the pace and energy and held my attention for six hours, no mean feat whatsoever. Hats off to him!.”-James B. Counselor, Armed Forces

In this webinar, Keith Hannan, Ph.D will talk about the diagnosis and treatment of disruptive behavior disorder.  He will help you distinguish between benign mischievousness and malignant antisocial behavior.  He will explore the literature on delinquency in girls.  There will be a review of risk assessment.  Information will also be presented on the cognitive style and deficits of delinquent youth.  He will present a model for effective psychotherapeutic intervention.

Over 75% of mental illnesses described in the DSM are related to emotion dysregulation – the inability to manage emotions effectively. Given that Dialectical Behavior Therapy (DBT) was initially created to treat Borderline Personality Disorder (BPD), of which emotion dysregulation is a primary problem, it only makes sense that DBT would be effective in treating other disorders, and research in recent years is supporting this.

This seminar will provide an overview of the DBT Interpersonal Effectiveness skills. Participants will learn about these skills, looking at the three possible goals in interpersonal situations and how to pair these with assertiveness skills to increase the likelihood of reaching one’s goals; how to think dialectically to improve communication and balance in relationships; the role of mindfulness and behavior theory in improving healthy relationships; and ways to increase relationship satisfaction in clients’ lives.

Most therapists recognize the power of the past as it is revealed in the way partners respond to each other. The therapist can be baffled by emotionally intense reactions that seem way out of proportion to the moment.  Repeated conflict themes also suggest that the ways partners interpret each other’s behavior can only be understood by exploring their individual lived experience. This seminar presents an overview of an object relations approach to working with couples, and describes dynamics that are unique to this clinical approach. You will understand how unfinished business from the past and each partner’s relational past can unfold in patterns and postures that work against intimacy. You will also be able to understand how extreme emotional reactions and black & white thinking create instability and specific relationship problems. The seminar will explain a range of techniques that can help couples acquire new ways of responding to each other and strengthening intimacy. You will also understand how the therapist’s intuition and reaction to partners is an important source of information that allows insight into the core themes and facilitates the partners ability to heal past wounds while forging deeper intimacy.

“This was the best seminar I've seen on TZK so far. The presenter was engaging, spoke at a nice cadence (not to fast or slow). Extremely knowledgeable with clear strategies to use with clients.”-Justine M., Psychologist, Idaho

Over 28% of adults will have a panic attack in their lifetime. Many will experience repeated attacks, which can lead to struggles to hold down a job, maintain friendships, or even carry out basic chores, like shopping for groceries. When we think of panic, we often think of panic disorder. However, individuals with PTSD, depression, social anxiety, substance use disorder, generalized anxiety, and specific phobias frequently grapple with both episodic and chronic panic attacks.

This training will delve into the problems of panic. What is it and why is it so important to treat? Then we’ll explore anxiety sensitivity theory, a compelling explanation for why some people develop panic attacks. Next, using the ironic process theory (Wegner, 1997), we’ll learn how attempts to suppress panic symptoms actually cause the very thing panic sufferers are desperately trying to avoid. We will then turn to understanding how mindfulness can break panic’s vicious cycle. After we study the fundamental elements of mindfulness and their connection to panic, we will delve into helping patients use mindfulness to ameliorate panic and start living life again.

Traumatized adolescents and young adults struggle with self-regulation. They are dysregulated across systems--neurologically, cognitively, physically, emotionally, behaviorally, socially, and spiritually. Anxious and vigilant, and unable to trust themselves or caregivers, they may experience even loving relationships as confusing and frightening. But to learn self-soothing, they must first be able to rely upon others and discover the comfort of co-regulation. They benefit from relationships with adults that provide them with the psychological (and physical) sense of stability and containment they cannot supply themselves.

To work effectively with these youth it’s crucial for adults to first foster their own capacity for self-awareness and self-regulation. It’s not easy, especially when our young clients’ extreme reactions—ranging from angry arousal to frozen shutting down—can trigger our own sense of helplessness, failure, dissociation, and rejection. In this webinar, you will learn about Developmental-Relational Therapy (DRT), an attachment-based model of trauma treatment. You will learn and practice mindful, empathic strategies that help teens feel more secure, connected, present, and regulated. You’ll discover how to get unhooked from old enactments by exploring:

Specific adolescent attachment styles that interact with or trigger our own

The React, Reflect, and Respond approach to corrective relational experience

Four M’s—mirroring, mentalizing, mindfulness, and modulation—to increase connection and mood regulatio

How to use moment-to-moment attunement—including strategies of validation, unflinching empathy, strategic self-disclosure, and the compassionate sharing of adult feelings and opinions-—to bring traumatized youth back into relationships with themselves and with you.

“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.

“This was my favorite webinar. I learned the most about myself as a therapist and a great deal about the borderline elicitation of counter transference. This webinar was a revival of things I learned in graduate school and that I needed a refresher course in.”-Jane K., Social Worker, New York

Recent research suggests that the therapeutic alliance and the ability to heal ruptures in the therapeutic relationship are key elements of successful treatment for individuals with personality disorders.  Yet, these patients tend to stimulate strong countertransference reactions that can derail the treatment.  This seminar elucidates common countertransference reactions to each of the personality disorders.  There is also discussion about how to manage these reactions and to use them to better understand the patient and thus, provide better care.

The way people think and perceive the world is at the heart of the human experience. Psychological problems often include cognitive distortions, irrational beliefs, and cognitive fusion. Cognitive interventions have gained robust research support and should be included in the toolbox of any mental health professional. When we help our clients embrace more functional ways of thinking, this is also likely to impact emotions, behavior, and other dimensions of adaptive functioning. 

This seminar will teach both cognitive conceptualization and intervention methods.  Distinct methods of cognitive formulation will be introduced that allow us to understand different parts of the cognitive experience. Dysfunctional self-talk will be highlighted as the most accessible way to approach cognitive conceptualization.  Diversity is addressed in this webinar by describing the way cultural contexts shape clients’ cognitions.
 

Video demonstrations of foundational cognitive skills drawn from Beck’s Cognitive Therapy will be used to help participants prepare for practice. These skills will address three general processes: (1) Exploration and functional analysis of current patterns, (2) Guided discovery to uncover more adaptive functioning, and (3) Enacting adaptation outside of psychotherapy. More advanced cognitive interventions will be previewed as possibilities for future professional development.
 

Although cognitive change is often an essential part of treatment, there are times when thoughts and beliefs cannot be easily modified. In this case, more recently-developed strategies related to mindfulness and acceptance may be more helpful. This seminar will prepare psychotherapists to discuss with clients when to emphasize acceptance and when to promote change.
 

This seminar is part of Level One of Training in Unified Psychotherapy (TUP), focusing on working interactively with cognition, emotion, and behavior. Instead of exclusively focusing on cognition as a point of clinical leverage, TUP encourages psychotherapists to develop a wide repertoire of skills that can be adapted to the individual needs of each client.

“Fantastic webinar. Dr. Paquette was very knowledgeable, very personable, and open with comments and questions. He maintained my interest, and had great examples for explanation.”-Marilyn H., Counselor, Mississippi

Cognitive Behavioral Therapy (CBT) is one of the most effective forms of psychotherapy, a gold standard treatment that can be applied to a wide range of psychological disorders. With hundreds of randomize controls trials to demonstrate its impact, cognitive behavioral therapy has been shown to be one of the most efficacious and well-validated forms of treatment within the mental health community. However, many clinicians struggle to effectively implement it a powerful way with their clients. Join clinical psychologist, author, and international speaker Jonah Paquette for an exciting hands-on workshop aimed to help bring your knowledge and skills related to CBT to the next level. Complete with over 50 techniques aimed towards changing thoughts and behaviors, this workshop can transform your practice.

This seminar will provide you with a deeper understanding of how CBT can be applied to a wide range of problems, and will help you master the core competencies of CBT treatment. In addition, attendees will be provided with powerful, practical, and easy-to-use tools that you can use in your clinical practice starting right away. Through didactic presentation, hands-on practice, and opportunities for reflection, you’ll learn how to expertly apply these approaches into your life and your clinical work. You’ll leave equipped to improve your clinical skills and achieve better therapeutic outcomes with even your most challenging clients.

“Dr. Hannan was extremely informative, knowledgeable, and easy to listen to. His clinical examples enhanced the learning experience. Great presentation. I learned techniques on how to effectively engage in a therapeutic relationship with a BPD patient.-Shayna S., Professional Counselor, Illinois

This seminar will talk about the All-or-None Phenomenon in Borderline Personality (BPD), looking at it from both a psychodynamic and cognitive-behavioral perspective.  The talk will define the All-or-None Phenomenon, as well as providing clinical examples.  It will also look at the reactions this elicits in treating professionals.  You will leave this webinar will techniques that are useful in helping patients who suffer from BPD.

Pediatric phobias can have a significant impact on a child’s life. Given the wide variety of phobias with which a child may present, there are many areas of life that may be affected including, but not limited to, socialization, school, health, and family. Attendees will learn to conceptualize Specific Phobias utilizing a cognitive behavioral framework. The webinar will address the relation of thoughts and behaviors to the maintenance of pediatric phobias. This training will highlight the role of safety behaviors and family accommodation in the maintenance of pediatric phobias. As Specific Phobias can come in many different forms, this presentation will provide a description of cognitive behavioral therapy (CBT) as can be applied to the pediatric phobias in general. To assist in developing an understanding of the treatment of pediatric phobias, three specific phobias will be discussed in detail: Fear of the dark, fear of vomiting (emetophobia), and fear of needles. Exposure therapy will be explained, incorporating visual examples and demonstrations by the presenter.

Therapy with adults or couples with children frequently presents opportunities to help parents understand and improve parent-child dynamics. Parenting reveals implicit and unconscious expectations about raising children that are often culturally determined, and based on each parent’s own childhood experiences. This seminar draws on theories from systems, object relations and the parenting literature to show how unconscious factors get played out in the parent-child relationship. Therapists can help parents identify ways that their own childhood experiences, and aspects of the marital relationship, are played out in the parenting process. Through presentation of theory, and case examples, participants will be able to understand how to raise and explore parenting dynamics in the therapy session, and help parents find new ways of relating to their children and each other. This is particularly import in work with highly conflicted couples, even those who have divorced but have difficulty co-parenting.

“This may have been the best training overall I have seen in the 30 years of my professional life. If not the best, then clearly in the top five. Dr. Hannan maintained the pace and energy and held my attention for six hours, no mean feat whatsoever. Hats off to him!.”-James B. Counselor, Armed Forces

In this webinar, Keith Hannan, Ph.D will talk about the diagnosis and treatment of disruptive behavior disorder.  He will help you distinguish between benign mischievousness and malignant antisocial behavior.  He will explore the literature on delinquency in girls.  There will be a review of risk assessment.  Information will also be presented on the cognitive style and deficits of delinquent youth.  He will present a model for effective psychotherapeutic intervention.

Fundamental human emotions like fear, sadness, anger, and shame underlie psychological problems but are also the key to healing and growth. Experiential and emotion-focused interventions have a rich background in humanistic and existential approaches like gestalt and person-centered therapies. When we help our clients embrace more adaptive emotions, we reduce suffering and enhance human potential. This seminar will teach both experiential conceptualization and intervention methods. Formulating an emotion-based conceptualization involves distinguishing between primary, secondary, and instrumental emotions. Exploration can help distinguish between adaptive and maladaptive emotions. Diversity is addressed in this webinar by describing the way cultural contexts shape clients’ emotional experiences.
 

Video demonstrations of foundational experiential skills drawn from Emotion- Focused Therapy will be used to help participants prepare for practice. These skills will address three general processes: (1) Exploration and functional analysis of current patterns, (2) Guided discovery to uncover more adaptive functioning, and (3) Enacting adaptation outside of psychotherapy. More advanced experiential interventions—like chair work and focusing—will be previewed as possibilities for future professional development.
 

Although emotional transformation is often an essential part of treatment, there are time when emotions cannot be changed. Many people use experiential avoidance and defense mechanisms to evade uncomfortable emotions. When emotions cannot be changed, it is important to help clients accept difficult parts of the human experience and to increase distress tolerance and emotional regulation. This seminar will prepare psychotherapists to discuss with clients when to emphasize acceptance of emotions and when to promote change.
 

This webinar is part of Level One of Training in Unified Psychotherapy (TUP), focusing on working interactively with cognition, emotion, and behavior. Instead of exclusively focusing on emotion as a lever of change, TUP encourages psychotherapists to develop a wide repertoire of skills that can be adapted to the individual needs of each client.

“Fantastic webinar. Dr. Paquette was very knowledgeable, very personable, and open with comments and questions. He maintained my interest, and had great examples for explanation.”-Marilyn H., Counselor, Mississippi

Cognitive Behavioral Therapy (CBT) is one of the most effective forms of psychotherapy, a gold standard treatment that can be applied to a wide range of psychological disorders. With hundreds of randomize controls trials to demonstrate its impact, cognitive behavioral therapy has been shown to be one of the most efficacious and well-validated forms of treatment within the mental health community. However, many clinicians struggle to effectively implement it a powerful way with their clients. Join clinical psychologist, author, and international speaker Jonah Paquette for an exciting hands-on workshop aimed to help bring your knowledge and skills related to CBT to the next level. Complete with over 50 techniques aimed towards changing thoughts and behaviors, this workshop can transform your practice.

This seminar will provide you with a deeper understanding of how CBT can be applied to a wide range of problems, and will help you master the core competencies of CBT treatment. In addition, attendees will be provided with powerful, practical, and easy-to-use tools that you can use in your clinical practice starting right away. Through didactic presentation, hands-on practice, and opportunities for reflection, you’ll learn how to expertly apply these approaches into your life and your clinical work. You’ll leave equipped to improve your clinical skills and achieve better therapeutic outcomes with even your most challenging clients.

“Strong and knowledgeable instructor. Highly responsive to questions. Explained each component clearly and was great at putting it all together especially tying in the theories with clinical implications. This webinar inspired me to learn more about DBT, and use it with my clients.”-Liat Z., Professional Counselor, New York

Over 75% of mental illnesses described in the DSM are related to emotion dysregulation – the inability to manage emotions effectively. Given that Dialectical Behavior Therapy (DBT) was initially created to treat Borderline Personality Disorder (BPD), of which emotion dysregulation is a primary problem, it only makes sense that DBT would be effective in treating other disorders, and research in recent years is supporting this.

This seminar will provide an introduction to DBT, including the origins of the therapy, and the Biosocial Theory of how emotion dysregulation develops. You will learn about some of the research demonstrating that DBT is effective in treating disorders other than BPD. Finally, you will learn about Dialectics, and the importance of balancing validation with change with the dysregulated client; and how to effectively use validation to help clients re-regulate in session, as well as how to teach them to practice this skill on their own.

High rates of adolescent depression and suicide present as a major international public health problem.  Suicidal adolescents are often a daunting population for clinicians to work with given their high-risk. Of the few effective treatments for this population, many are often multi-modal involving individual and group therapy, medication, etc.  An empirically supported family therapy for adolescents struggling with depression and suicide that requires only weekly sessions and which can be conducted on an outpatient, home-based, or inpatient basis is Attachment-Based Family Therapy (ABFT).  ABFT emerges from interpersonal theories suggesting adolescent depression and suicide can be precipitated, exacerbated, or buffered against by the quality of interpersonal family relationships. It is a trust-based, emotion-focused psychotherapy model aiming to repair interpersonal ruptures and rebuild an emotionally protective, secure-based, parent-child relationship. The therapy is trauma-focused while also being brief and structured. Treatment is characterized by five treatment tasks: a) reframing the therapy to focus on interpersonal development, b) building alliance with the adolescent, c) building alliance with the parents, d) facilitation conversations to resolve attachment ruptures and e) promoting autonomy in the adolescent. 

In this workshop, Dr Levy will use lecture and case studies to provide an overview of the theoretical principles, research support, and clinical strategies forABFT. Dr. Levy will review how attachment theory,emotional regulation, and trauma resolution informthe delivery of this treatment approach.  She will review the goals and structureof the five treatment tasks that provide a roadmapfor delivering this interpersonally focused psychotherapy effectively and rapidly in community mental health.

“This was my favorite webinar. I learned the most about myself as a therapist and a great deal about the borderline elicitation of counter transference. This webinar was a revival of things I learned in graduate school and that I needed a refresher course in.”-Jane K., Social Worker, New York

Recent research suggests that the therapeutic alliance and the ability to heal ruptures in the therapeutic relationship are key elements of successful treatment for individuals with personality disorders.  Yet, these patients tend to stimulate strong countertransference reactions that can derail the treatment.  This seminar elucidates common countertransference reactions to each of the personality disorders.  There is also discussion about how to manage these reactions and to use them to better understand the patient and thus, provide better care.

This course is designed to provide an overview of military culture and how military culture impacts clinical practice with veterans and military personnel.  A review of effective treatments for posttraumatic stress disorder (PTSD) and related conditions will be reviewed as well as other related clinical issues such as nightmares and insomnia.  Psychological and pharmacological treatments reviewed will focus on those with the most rigorous scientific support currently available. The concept of posttraumatic growth will be highlighted, particularly as it relates to understanding trauma response from a unique perspective. 

“This was a great webinar. The presenter shared content in an organized, yet interactive manner. The tools taught were very practical. Great presenter and would be awesome to teach future webinars.”-K.W., Social Worker, North Carolina

A high percentage of mental health clients have experienced some sort of trauma in their childhoods. That’s why it’s so important that we as clinicians use a treatment that is proven to work. This seminar will present an overview of child trauma and the evidence-based child treatment, Trauma Focused- Cognitive Behavioral Therapy. Attendees will gain an overview of child trauma, review the definition of child abuse and discuss the common affective, behavioral and cognitive reactions that children have to trauma. Then an overview of Trauma- Focused CBT will be given, including the specific components, real life examples of activities used and the evidence for why this approach works. At the end attendees will be provided with the next step to get certified in TF-CBT. Please note, this is an introduction overview course of a child focused treatment.

“This was the best seminar I've seen on TZK so far. The presenter was engaging, spoke at a nice cadence (not to fast or slow). Extremely knowledgeable with clear strategies to use with clients.”-Justine M., Psychologist, Idaho

Over 28% of adults will have a panic attack in their lifetime. Many will experience repeated attacks, which can lead to struggles to hold down a job, maintain friendships, or even carry out basic chores, like shopping for groceries. When we think of panic, we often think of panic disorder. However, individuals with PTSD, depression, social anxiety, substance use disorder, generalized anxiety, and specific phobias frequently grapple with both episodic and chronic panic attacks.

This training will delve into the problems of panic. What is it and why is it so important to treat? Then we’ll explore anxiety sensitivity theory, a compelling explanation for why some people develop panic attacks. Next, using the ironic process theory (Wegner, 1997), we’ll learn how attempts to suppress panic symptoms actually cause the very thing panic sufferers are desperately trying to avoid. We will then turn to understanding how mindfulness can break panic’s vicious cycle. After we study the fundamental elements of mindfulness and their connection to panic, we will delve into helping patients use mindfulness to ameliorate panic and start living life again.

This webinar will satisfy your ethics requirement.

“Presenter was knowledgeable and engaging. Very informative and helpful webinar. I feel more confident in the decisions that I have been making in regard to self disclosure and I feel I can look at those areas that feel more challenging with less criticism.”-Gabrielle D., Psychologist, New York

“Therapist Self Disclosure” is an introductory ethics course for practitioners who seek to navigate how to utilize self-disclosure to achieve client engagement without boundary violations in treatment environments. With the mainstreaming of peer counseling, cognitive behavioral and humanistic treatments, therapist self-disclosure is encouraged as a means to improving patient rapport & communication. Therapists need to differentiate among the nuanced differences between self-disclosure, self-involving statements, deliberate & confrontative disclosures from disclosures amounting to harmful boundary violations to avoid becoming ensnarled in questionable ethical practices.

This webinar focuses on several factors like: (1) role played by self-disclosure in relationships, (2) the history of therapist self-disclosure, (3) what is therapist self-disclosure?, (4) how theoretical treatments and the type of client in treatment impact therapist self-disclosure, (5) when are therapists most often willing to self-disclose, (6) ethics of self-disclosure and boundary violations, (7) conclusions and practical clinical checklist to prevent inappropriate therapist self-disclosure. Given these complexities, knowledge about therapist self-disclosure is crucial.

This course will utilize “clinical” situations from film and television to highlight protective measures relating to therapist self-disclosure. Excerpts from TV shows and movies, such as, “Mindhunter,” “In Treatment,” “Ordinary People,” “Good Will Hunting,” “The Sopranos,” “The Breakfast Club,” and others will be utilized.

The incidence of youth suicide requires that schools and communities collaborate and increase suicide prevention efforts and that they be prepared to respond if a suicide occurs in order to reduce suicide contagion.  This presentation will help school and community mental health personnel increase their understanding of the most common factors in youth suicide.  Participants will learn effective strategies to prevent youth suicide and lessons from the aftermath of numerous suicides.

“Dr. Hannan was extremely informative, knowledgeable, and easy to listen to. His clinical examples enhanced the learning experience. Great presentation. I learned techniques on how to effectively engage in a therapeutic relationship with a BPD patient.-Shayna S., Professional Counselor, Illinois

This seminar will talk about the All-or-None Phenomenon in Borderline Personality (BPD), looking at it from both a psychodynamic and cognitive-behavioral perspective.  The talk will define the All-or-None Phenomenon, as well as providing clinical examples.  It will also look at the reactions this elicits in treating professionals.  You will leave this webinar will techniques that are useful in helping patients who suffer from BPD.

Premature termination is a significant problem in psychotherapy, with deleterious impacts on both clients and therapists. For example, research shows that clients who prematurely terminate show poorer treatment outcomes, are less likely to make lasting changes in their symptoms, and are more likely to over-utilize the health care system. Research also shows that when clients end treatment prematurely, their therapists often experience a sense of failure with the loss. Additionally, repeated dropout by clients can lead to experiences of demoralization and burnout in their providers. Current estimates indicate that approximately 1 in 5 clients will drop out of psychotherapy and/or counseling prematurely. Although these numbers may differ depending on the setting and client type, almost all therapists will experience premature termination at some point in their practice. 

The purpose of this workshop is provide strategies and approaches that therapists can use to reduce premature termination in their practice. This workshop will begin with a discussion of what premature termination is and why some clients choose to end treatment prematurely. It will then cover the latest research on the frequency of premature termination and client, therapist, treatment, and setting risk factors associated with its occurrence. In the second half of this workshop, eight evidence-based strategies for reducing premature termination will be presented. These strategies include: providing role induction, incorporating preferences into the treatment decision-making process, planning for appropriate termination, providing education about patterns of change in psychotherapy, strengthening hope, enhancing motivation for treatment, fostering the therapeutic alliance, and assessing and discussing treatment progress.

The concept of posttraumatic growth (PTG), that is, how people report personal transformations in the aftermath of traumatic events is an emerging area of research and clinical focus. These growth experiences are relatively common, but often ignored in standard trauma practice due to relatively few clinicians fully understanding the concept. In order to enhance trauma-focused clinical services, professionals should learn to integrate the PTG model into their trauma treatment strategies and practice. PTG is based on an integrative cognitive-existential-narrative theoretical foundation. The theoretical foundation of PTG also informs a highly effective intervention strategy that has been labeled “Expert Companionship”. Using the Expert Companionship clinical approach in treating trauma survivors facilitates personal development beyond the reduction of symptoms of trauma. In fact, trauma survivors are able to both reduce symptoms of PTSD and related conditions and learn to use their difficult life experiences as a means to live a more rewarding and fulfilling life. This is important considering the field of mental health recognizes that standard practice for PTSD has important limitations. This posttraumatic growth based approach shows promise for addressing these limitations.

“Great presentation! Very useful information for practitioners in a variety of settings. Highly recommended. I learned the CBT is NOT just “change your thoughts and change your life.”-Kellie H., Social Worker, Iowa

Across behavioral health professions, there is a workforce shortage of psychotherapists trained to provide evidence-based mental health services to aging individuals. Cognitive-behavioral conceptualizations and therapy strategies have been effectively used with culturally diverse middle-aged and older adults. This webinar is aimed at psychotherapists who already have some knowledge of and experience providing CBT. You will develop an understanding of typical adjustments to CBT sessions with aging individuals, with CBT strategies for later life depression used as examples. The presentation will also include resources for clinical practice with middle-aged and older adults and recommendations for further professional development.

Human functioning is rooted in action and other parts of the behavioral system. Ineffective actions are both the cause and effect of psychological problems. Psychotherapy is only effective if it can foster tangible changes in behavior. When we help our clients enact more effective behaviors, it is likely to improve their well-being as well as support more functional thoughts and adaptive emotions.
 

This seminar will teach both behavioral conceptualization and intervention methods. Reinforcement and exposure will be highlighted as common factors as well as more technical interventions. Distinct methods of behavioral formulation will be introduced that allow us to understand different parts of the behavioral system. Reinforcement and operant conditioning will be highlighted as the most accessible way to approach cognitive conceptualization. Diversity is addressed in this seminar by describing the way cultural contexts shape clients’ behavior.
 

Video demonstrations of foundational behavioral skills drawn from Behavioral Activation will be used to help participants prepare for practice. These skills will address three general processes: (1) Exploration and functional analysis of current patterns, (2) Guided discovery to uncover more adaptive functioning, and (3) Enacting adaptation outside of psychotherapy. More advanced behavioral interventions will be previewed as possibilities for future professional development.
 

Although behavior change is often an essential part of treatment, there are times when actions cannot be easily modified. In some situations, clients may prefer to approach risky behaviors using a harm reduction approach rather than eliminating certain behaviors completely. This seminar will prepare psychotherapists to discuss with clients when to emphasize harm reduction and when to promote behavior change.
 

This seminar is part of Level One of Training in Unified Psychotherapy (TUP), focusing on working interactively with cognition, emotion, and behavior. Instead of exclusively focusing on behavior as a lever of change, TUP encourages psychotherapists to develop a wide repertoire of skills that can be adapted to the individual needs of each client.

Psychological functioning is shaped by experiences throughout the life span. The way each individual responds to life and internalizes these experiences represents their developmental trajectory. Incorporating a developmental perspective into treatment includes considering normal stages of development—as described by Erik Erikson—as well as disruptions such as adverse childhood events or traumatic experiences.
 

This seminar will teach both developmental conceptualization and intervention methods. Development can become the focus in psychotherapy in three different ways: (a) Life experiences impact current functioning; (b) Normal developmental challenges and transitions are the current focus; and (c) Developmental disruptions impact functioning.
 

In order to promote a unified approach to treatment, the seminar will highlight the way behaviors, cognitions, or emotions interact in the treatment of trauma and other developmental issues. Trauma and adverse childhood experiences can be described as disruptions to normal development. Trauma will be described on a continuum and a distinction will be made between shock trauma and stress trauma. Another distinction will be made between PTSD and complex trauma. Post-traumatic growth will be highlighted as a way of embracing adaptive thoughts, feeling, and actions after an adverse life event.
 

Psychotherapists cannot change the life experiences or developmental challenges that our clients have faced. However, psychotherapy can help clients respond to these events with more adaptive cognitions, emotions, and behaviors. Video demonstrations will show how a psychotherapist can explore the impact of a developmental disruption and foster more functional ways of thinking, feeling, and acting.
 

This seminar is part of Level One of Training in Unified Psychotherapy (TUP), focusing on working interactively with cognition, emotion, and behavior. An essential part of a unified approach to treatment is understanding the developmental origin of dysfunctional thoughts, feelings, and actions and fostering more adaptive responses.

Most psychotherapists combine ideas and strategies from different theoretical sources in order to meet the needs of each individual client. However, most therapists do so in an informal or intuitive manner. The purpose of this seminar is to teach a practical method of unified treatment planning that allows psychotherapists and clients to make intentional choices together.
 

Unified treatment planning includes four distinct steps. The first step involves conducting a multidimensional survey of cognitions, emotions, and behaviors that contribute to distress. This survey includes the exploration of sources of this pattern. The source of a maladaptive patterns may include external influences (like family systems or cultural contexts) or internal influences (like intrapsychic conflicts or biological health). Second, a psychotherapist can work with clients to establish an interactive focus on two or three dimensions of functioning. Third, a multitheoretical conceptualization can be formulated using constructs from theories that correspond to focal dimensions. Fourth, based on this case conceptualization, intervention strategies can be chosen that promote change within the focal dimensions chosen.
 

The outcome of unified treatment planning is a comprehensive description of a client’s problem as well as a defined place to initiate change. This unified approach to treatment assumes that working interactively with cognition, emotion, and behavior is ideal for most clients. Understanding the contextual influences of current functioning will support the process of multidimensional change. This seminar is the final part of Level One of Training in Unified Psychotherapy (TUP) and will prepare participants to put this integrative model into practice.