Psychotherapy

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.

The term trauma is used to describe the challenging emotional consequences experienced by someone who has lived through a distressing event. These consequences can involve Post-Traumatic Stress Disorder (PTSD), which has been identified as a global health issue, with prevalence rates ranging from 1.3% to 37.4% (and even higher in clinical populations). But what happens when the trauma occurs early in life, and/or involves on-going or repetitive exposure to traumatic events? In these cases, individuals will often experience Complex Post-Traumatic Stress Disorder (C-PTSD), and/or dissociative disorders such as Dissociative Identity Disorder (DID).
 

As our understanding of trauma continues to evolve, so does our understanding of how to treat it. In this webinar, Sheri Van Dijk will teach some essential perspectives and skills to help you and your clients get unstuck in treatment. In this webinar you will learn leading edge, evidence-based principles in the treatment of clients experiencing the sequelae of trauma, including the difference between PTSD and C-PTSD; theories to inform treatment of clients with complex trauma histories; and skills to help clients ground and regulate emotions.

“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 lives. 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 treatment, Trauma Focused- Cognitive Behavioral Therapy. Attendees will gain an overview of child trauma, review the definition of abuse and discuss the common affective, behavioral and cognitive reactions 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.

Post-Traumatic Stress Disorder (PTSD) can be challenging and debilitating, and many treatments fall short of achieving lasting and meaningful change for patients suffering from it. In this seminar, Dr. Jonah Paquette will help demystify PTSD and bring your knowledge and skills related to treating trauma to the next level. Attendees will gain understanding around the development and maintenance of trauma, as well as understanding the impact of social and cultural factors in the development of PTSD.  In addition, participants will learn about well-established evidence-based treatments for trauma (such as CPT, PE, and EMDR), along with promising emerging treatments that are gaining traction in the field (including MDMAassisted therapy and IFS). Best of all, attendees will learn practical and tangible tools that they can begin using with their patients immediately.

“Outstanding. This was the best seminar I've taken (from any source, not just TZK) in the last several years. It was a great combination of teaching the content, including research on the topic, providing examples, and inviting and using participant feedback to enhance learning. Exact right amount of solid content and examples that reinforced learning - WONDERFUL!”-Nancy C., Psychologist, Kentucky

What do you feel when you gaze up at the Milky Way, see a beautiful rainbow, or stand before a mountain that seems impossibly high? This feeling – often complete with goosebumps and a shiver down our spine – is known as awe. And as it turns out, this underappreciated and often misunderstood emotion just might hold the key to a happy, meaningful, and healthy life.

Recent research has shown that awe can improve our physical health, strengthen our social bonds, and become lastingly happier. Experiences of awe strengthen our immune system, improve our psychological well-being, and even change our brain in unique ways. In this seminar, participants will explore the nature and benefits of awe, and how learning to become more awestruck can improve our psychological, physical, and social well-being. Through lecture, vignettes, and hands-on practice, you’ll learn to harness these breakthrough findings and transform your clinical practice.

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.

While you can certainly take this seminar alone, this webinar is part of a six series on Unified Psychotherapy.  Strategic Psychotherapeutics is offering a certificate in Unified Psychotherapy for those that attend each of the six webinars.  Optional discussion groups are offered after each webinar to encourage application.  Go to the Strategic Psychotherapeutics website to see the schedule for the discussion groups and more details about how to earn your certificate in Unified Psychotherapy. 

This webinar is conducted by Jeff Harris, Ph.D. and Rachel Hershenberg, Ph.D.

“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.

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.

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.

“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.

“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.

School refusal is a common problem and can be due to a number of factors. In this seminar, Dr. Hannan will identify some of the causes of school refusal and how to assess kids to get a better understanding of the behavior. He will talk about some of the instruments that can be helpful in the assessment process. He will go over how to do a functional assessment of the problem. He will provide you with treatment strategies for assisting kids that includes cognitive therapy, social skills training, exposure therapy, problem solving, and behavior management. He will use a number of case examples to illustate the assessment and treatment process. He will also highlight the treatment literature on this important topic.

“Knowledgeable presenter - current info, good examples. I liked the video that showed a real life example of treatment.”-Shannon T., Professional Counselor, Massachusetts

The fight or flight response is a normal biological process in which the body prepares itself to take on dangerous circumstances.  At times, however, the response is activated under situations that are not life threatening.  Individuals may experience these panic attacks in a variety of situations.  In the context of Panic Disorder and Agoraphobia, one’s fear of panic sensations and their consequences is a driving force for ongoing distress and life disruption.  Attendees will learn to distinguish panic attacks that occur in context of Panic Disorder with those that occur outside of Panic Disorder.  In addition, the webinar will address vulnerabilities and maintaining factors of Panic Disorder and Agoraphobia.  Panic Disorder and Agoraphobia will be conceptualized from the cognitive behavioral therapy (CBT) perspective.  Attendees will be educated about the appropriate treatment interventions, such as cognitive restructuring and exposure therapy.  Exposure therapy will be explained, incorporating visual examples and demonstrations by the presenter.

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.

While you can certainly take this seminar alone, this webinar is part of a six series on Unified Psychotherapy.  Strategic Psychotherapeutics is offering a certificate in Unified Psychotherapy for those that attend each of the six webinars.  Optional discussion groups are offered after each webinar to encourage application.  Go to the Strategic Psychotherapeutics website to see the schedule for the discussion groups and more details about how to earn your certificate in Unified Psychotherapy. 

This webinar is conducted by Jeff Harris, Ph.D. and Amy Dreier, Ph.D.

“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.

Bipolar Disorder (BD) is a serious mental health problem that typi¬cally creates chaos in an individual’s life, often leading to risky and impulsive behaviors, damaged relation­ship and careers, substance use problems, hospitalization, and even suicide. Based on Sheri Van Dijk’s ground-breaking work on using DBT with Bipolar Disorder, this webinar will briefly review the different types of bipolar disorder and what to look for to help someone get a proper diagnosis and treatment. You’ll also learn about the existing psy­cho-therapies being used to treat bipolar disorder, before looking at the efficacy of Dialectical Behavior Therapy in treating this illness, and a delving more into how to teach some of the DBT skills most pertinent to clients with BD.

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.

Grief is disenfranchised when a person is denied the right to grieve, does not have the social support essential to adapting to his or her loss, and is deprived of the social validation in order to heal. When the griever is disenfranchised, he or she may withdrawal from others or question his or her own grieving process, may not acknowledge the reality of the loss and its implications, or adapt to the loss in healthy ways. As a result, their grieving process remains private, intensifying the grieving process, which increases the risk of complicated grief. Disenfranchisement comes from several sources, including one’s cultural expectations, expectations of others, professionals who serve in “expert” roles, and even from the griever himself. Since every mental health professional will work with bereaved clients, it is essential that he or she know how to recognize disenfranchisement, understand the impact of disenfranchisement on the griever’s mourning process, learn how to reduce the chance of disenfranchising his or her clients, and provide guidance and interventions for disenfranchised grievers as they navigate through the social interactions that may include unhelpful expectations and judgments. Attendees will engage in didactic lecture, case studies, and videos to meet these goals. 

“The material was clearly presented and case vignettes were plentiful and helpful. I learned about the expanded information on the role the unconscious plays in symptomatology.”-Stephen K., Professional Counselor, Massachusetts

Psychodynamic therapy (PDT) is a widely practiced form of psychotherapy for a variety of different problems and disorders.  Nevertheless, the concepts and techniques used in PDT are often taught in a way that obscures rather than clarifies their nature.  In addition, a gap remains between the theoretical, clinical, and empirical literature of PDT.  This seminar presents a series of evidence-based psychodynamic techniques and processes, grounded in coherent theoretical formulations, systematic research, and applied clinical examples.  You will also learn about meta-analytic research on the overall efficacy and effectiveness of PDT.

Anxiety Disorders are the most common form of mental illness, with roughly one-third of all people living in the United States suffering from an anxiety disorder at some point in their lives. Moreover, untreated anxiety disorders come at a tremendous cost both individually and societally, and can adversely impact a person’s health, social relationships, job performance, and much more. Thankfully, effective treatments are available that can alleviate a person’s suffering in powerful ways.
 

But with a wide range of treatments available, clinicians can often feel overwhelmed knowing when and how to incorporate approaches like cognitive restructuring, exposure based
strategies, breathing retraining, and more. In this seminar, join Dr. Jonah Paquette for a practical overview of how we can effectively treat a range of anxiety disorders Attendees will gain tangible skills that they can begin using in their clinical work starting today.

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.

Working with youth can be challenging given the generational patterns of trauma, poverty, incarceration, etc. So, it’s essential for providers to understand generational trauma and how to work with youth from a generational perspective. Without this perspective, we can have unrealistic expectations for youth and their families and encounter barriers to engagement. Providers will learn strategies to support youth with generational patterns of trauma within their families.

Many youth, especially foster care and juvenile justice youth, come from generational cycles of trauma and oppression. So, it’s necessary for providers to understand these generational patterns to effectively partner with these youth and their families.

This workshop will provide an overview of shame and in­volvement in the commercial sex industry and how it can present in treatment. The workshop will also focus on strategies to heal shame with youth and young adults who have been commercially sexually exploited. The presenter will share information on shame resilience and self-compas­sion. 

Why topic is important: Involvement in the commercial sex industry can carry a lot of stigma and shame. When individuals don’t heal their shame, it can linger and nega­tively impact their lives. So, it’s crucial for providers to understand the heaviness of shame with commercially sex­ually exploited youth and young adults and learn strategies to support their healing.

Self-harm, or non-suicidal self-injury (NSSI) is most common among adolescents and young adults. Although NSSI typically decreases in late adolescence, this behavior is one of the strongest antecedents of suicide in youth; and those who engage in repetitive NSSI seem to be at high risk for continuing to use dysfunctional emotion regulation strategies, even after discontinuing NSSI. People engage in NSSI for a wide array of reasons (including a diagnosis of Borderline Personality Disorder, or BPD), but usually this involves an inability to manage emotions in some way, making Dialectical Behavior Therapy (DBT) an ideal treatment for this population.

While most mental health clinicians will encounter NSSI at some point, there is still a paucity of research about this behaviour and why it happens; and education programs rarely teach about this behaviour and how to work with clients who are engaging in it. This workshop will help you understand NSSI, factors to consider when assessing and working with clients, and will take a DBT approach to helping clients eliminate this behaviour.

“The presentation was great.  The speaker gave great insights. I would have not changed anything about it. I learned different ways to view personality disorders to help better treat them. This will help me better serve individuals who make up this population.”-Nicolas F. Social Worker, Maryland

Personality disorders are a common co-occurring condition in about half of the patients seeking outpatient mental health treatment. While most clinicians regularly see patients with a personality dysfunction, it is not always identified and may complicate treatment. Left untreated, personality disorders place a great burden on health care systems, families and communities. When you are equipped with a basic knowledge of personality disorders and their treatment, you can incorporate strategies to increase effectiveness in reducing therapeutic ruptures and achieve better outcomes. Personality dysfunction complicates and reduces efficacy of first line treatment approaches to clinical syndromes such as anxiety, depression, and addiction, as well as increasing the challenge of working with couples and families. When patients with personality dysfunction are unidentified and untreated, therapist frustration may ensue and lead to unintended therapeutic ruptures and treatment dropouts. Early identification and appropriate treatment reduce susceptibility to addictions and other comorbid disorders. Clinicians who understand and identify personality disorders and possess a cohesive conceptual framework can effectively treat personality dysfunction, optimize treatment and Improve outcomes. This seminar provides you with the foundation necessary for identification, conceptualization, effective management, and treatment of personality dysfunction. 

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

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

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

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

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 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.

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.

While you can certainly take this seminar alone, this webinar is part of a six series on Unified Psychotherapy.  Strategic Psychotherapeutics is offering a certificate in Unified Psychotherapy for those that attend each of the six webinars.  Optional discussion groups are offered after each webinar to encourage application.  Go to the Strategic Psychotherapeutics website to see the schedule for the discussion groups and more details about how to earn your certificate in Unified Psychotherapy. 

“Great presenter style, held my interest, provided a ton of interesting, useful information. Learned simple structures to organize treatment of complex trauma that will be so useful!”-Lisa G., Social Worker, Maryland

In this seminar, Dr. Hartman-Hall reviews empirically validated treatments for PTSD and trauma symptoms.  Practical strategies are presented for managing clinical challenges including self-injury, dissociation, and difficulties in interpersonal functioning. Ideas for addressing sleep disturbance and chronic pain will be discussed. Avoiding clinician burn-out and managing vicarious traumatization is also a focus. This seminar provides tools developed from clinical experience and the research literature that you can start using right away to help your clients who are struggling with trauma symptoms.

Cognitive-behavioural therapy is widely considered the gold standard treatment of psychotherapy. However some clients don’t respond to standard protocols, and a number of approaches, still considered under the CBT “umbrella” have been adapted to meet the specific needs of different populations. Schema therapy is one such treatment that continues to show promise for what used to be considered “treatment-resistant” patients. Individuals struggling with personality disorders, addictions, and other impulsive and destructive
behaviours are amongst those considered to be the most challenging to reach, and many practitioners often feel ill equipped to deal with them.
 

Attend this full day workshop with internationally recognized personality disorders expert Dr. Jeff Riggenbach as he presents an integrated schema focused cognitive model for dealing with your most challenging cases. This unique, chock-full training will teach you practical strategies to implement with individuals struggling with BPD, addictions, Impulse control problems, and other emotionally dysregulated or Cluster B presentations. Leave this engaging workshop with a plethora of new tools in your toolbox that you can implement tomorrow to help you get unstuck and facilitate meaningful change that lasts. Moreover, leave with a renewed hope that you are now more equipped to deal with even the most clients that walk through your door.

Although the commercial sexual exploitation of youth has occurred in the United States, it has only recently begun to get attention. Given the newness of the topic, many providers struggle to engage youth involved in the com­mercial sex industry. The Stages of Change model has been identified as a best practice for working with the popula­tion. This 3-hour training will equip you with a better understanding of the Stages of Change model and en­gagement skills you can utilize when working with youth who are commercially sexually exploited. Without a model to engage youth, providers may place undue pressure on youth, unintentionally cause harm, and develop unrealis­tic expectations for themselves. The training will discuss the stages in a practical manner. Participants will follow a youth through each stage and learn strategies to engage them and help them move to the next stage.

There are over four hundred approaches to psychotherapy, most of which branch from the primary streams of learning including clinical experience, empirical evidence, theoretical systems, and evidence from related disciplines such as developmental, relational, and cognitive psychology, as well as neuroscience. The basic building blocks of psychotherapeutics that are fundamental to most approaches are well-documented. Strategic Psychotherapeutics uses these building blocks to inform evidence-based practices, combining the best empirical evidence and clinical expertise with patient preferences and values. In this webinar, participants will be introduced to the StratPsych ®system, which delineates the domains of knowledge that constitute the basic building blocks of psychotherapy. The therapeutic scope and impact of clinicians can be enhanced when therapists are grounded in the fundamental knowledge domains, the basic building blocks of strategic psychotherapeutics. As clinicians gain an understanding of how these basics relate to approaches and technical interventions, more complex therapeutic activities such as assessment, treatment planning, clinical decision making, and alliance maintenance can be appreciated. In this symposium, participants will learn the 11 basic building blocks of psychotherapeutics that can be used to select the approaches and technical interventions best suited to each patient. The goal of this webinar is to enhance clinical expertise by providing the basic, intermediate, and advanced knowledge domains universal to all psychotherapeutics.

“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.

"Enjoyed the presentation.  Learned a lot.  Very organized, easy to apply to practice.  Understanding the difference between OCD and hoarding was very helpful"-Scott M. Psychologist, Washington 

Hoarding behavior has received significant attention in recent years. Due to the potential harmful effects of hoarding behavior (risk of fire, personal injury, financial hardships, etc.), it has become an important topic of research. It has also drawn the attention of the media and local governments, which have to address the impact hoarding has on citizens. In this seminar, Dr. Hannan will review the current status of hoarding as its own diagnostic entity in DSM-V. Dr. Hannan will discuss the latest research findings on the psychopathology of hoarding disorder. Participants will learn how to assess clients for hoarding disorder and will learn how to devise and implement an appropriate treatment plan. Given the complicated nature of hoarding, he will discuss potential obstacles to treatment and ways to address these issues.

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.

“Dr. Z was personable, knowledgeable and very funny. She kept my attention, which can be a challenge over an entire day. I loved her use of humor and real-life examples, and her sharing of personal stories and anecdotes. As a fellow trainer, I give Dr. Z the highest rating possible for a wonderful training day!”-Jeffrey T. Social Worker, New York

Mental health and healthcare professionals are faced with the often misunderstood and misdiagnosed symptoms of uncomplicated and complicated grief. Formal education rarely, if ever, provides extensive enough training to accurately identify and treat those who are grieving. Often grieving clients present with other diagnoses because symptoms can mimic uncomplicated or complicated grief. The grieving process is often pathologized, or misdiagnosed, resulting in potential exacerbation of the presenting issues because inappropriate interventions are utilized. As a result, those who are grieving are often are inadvertently disenfranchised by providers, which can make the professional support they sought to reconstruct their previously shattered identities and worldviews ineffective. It is essential to be versed in identifying grief related constructs that may underlie, or even cause, mental health difficulties. 

This presentation aims to provide current information on the grieving process, clarify misconceptions of outdated theories, and differentiate between uncomplicated and complicated grief, and also examines the changes in conceptualization, differential diagnosing, treatment planning, and interventions used with grieving individuals. Attendees will leave with an improved clinical skill set they can immediately use to identify and treat their clients.

“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.

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.

“Very well explained and organized. Easy to follow and understand. I will use his plans to help me with creating effective behavior plans.”-Deborah S., Professional Counselor, New York

Child and adolescent behavioral issues can cause significant disruption to family life.  In addition to the effects on family, it may impact academic and social life.  Although many parents understand the concepts of reward and punishment, they may not understand the most effective ways to implement behavior management techniques.In addition, many parents may be overly reliant on punitive consequences for negative behavior rather than focusing on ways increase positive,pro-social behaviors.  Dr. Hannan’s seminar Understanding and Implementing Parent Training in Clinical Practice will teach clinicians how to instruct parents in behavior management.  Parent training is essential to positive outcomes in treatment for both externalizing and internalizing disorders.  This webinar will include instruction on performing a functional behavioral assessment, case conceptualization, and devising an appropriate behavior plan.  Beyond positive reinforcement and punishment,this webinar will present a variety of behavioral techniques including shaping,extinction, and differential reinforcement of alternative behavior.  Clinicians will learn how to tailor treatment according to developmental level and co-occurring psychiatric conditions, as well as how to address problems within typical development.  Research into the factors associated with successful implementation of behavioral principles will be discussed as well.

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.

“I was extremely impressed with the presentation from start to finish. I liked the inclusion of videos/visuals to enhance the presentation. Finally, I was extremely appreciative of the follow-up resources as well. I learned a great deal and all of the techniques would arguably enhance anyone's therapy practice in some way.”-Kristin K., Professional Counselor, Massachusetts

Although the field of clinical psychology has traditionally aimed to “fix what’s wrong,” the newer sub-field of positive psychology instead helps us to “build what’s strong.” In this seminar, attendees will learn about the nature of happiness, and discover research-backed methods from positive psychology to help lastingly increase happiness both in ourselves and in our clients. We’ll explore what it means to be happy, why happiness is so important, and why it can often feel so hard to come by. We’ll then discuss 7 research-based principles for lasting well-being, drawing from positive psychology, mindfulness-based approaches, and cutting-edge neuroscience. In addition, we will introduce and put into practice dozens of evidence-based tools and techniques that can easily be implemented into clinical practice. Through lecture, clinical vignettes, and hands-on practice, you’ll learn skills that can transform your clinical work.

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 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.

“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.

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.