Psychotherapy

Recorded Webinars for 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.

session: 8722

“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.

session: 9260

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. 

session: 9805

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.

session: 7508

“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.

session: 8425

“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.

session: 9366

“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.

session: 8647

“The explanation of the 12 STEP units was clear and interesting. Dr. Walker is a confident, relaxed speaker who was easy to listen to and ask questions if needed. Her PPT was helpful in following her ideas.”-Lynda B., Licensed Professional Counselor, Arizona

Survivors of domestic violence have many psychological effects similar to other trauma victim/survivors, particularly those who have experienced gender-based violence such as sexual assault, rape, sexual exploitation, trafficking, and child sexual abuse. Although many different types of psychotherapy and other interventions have been described in the literature, the consensus is that trauma-specific treatment has the best efficacy in helping victims become survivors with new resilience. Using an evidence-based, trauma-specific treatment program, the Survivor Therapy Empowerment Program (STEP-2) helps move victims to a survivor status with a tripartite program. The three areas are psychoeducation to assist in the understanding of the various trauma responses, a period of discussion where the impact of these trauma responses are understood from an individual perspective, and a skill-building period where new skills are learned and old skills reinforced. The transparent intervention program has 12 units that can be broken down into smaller sessions if necessary. Goals are negotiated with the clients as part of modeling the empowerment process necessary to heal from trauma. Rebuilding lost resilience is included as a part of healing from PTSD.

Topics include safety planning, relaxation training, cognitive restructuring faulty cognitions, boundaries and assertiveness, cycle of violence, trauma and PTSD, numbing behaviors and substance abuse, attachment and emotional re-regulation, impact of domestic violence on children, dealing with legal issues, grieving and letting go of old relationships, and building wellness and resilience. Each STEP can be used in a group or individually, in sequence or using each unit as its own stand alone section.

session: 8712

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.

session: 9607

“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.

session: 9084

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.

session: 6848