Trauma

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.

While the larger human trafficking narrative has focused on child sex trafficking, child labor trafficking has been left out of the discussion. This training will provide an overview of child labor trafficking in the United States, specifically focusing risk factors, and the intersection of homelessness and forced criminality. Participants will learn about signs a youth may be labor trafficked as well as needs a youth needs after being identified as a child labor trafficking survivor.

“Very informative. Presenter used real world examples to help explain concepts I learned that there are many more pathways that lead youth into being sexually exploited.”-Amy L., Social Worker, Arizona

The commercial sexual exploitation of youth and young adults is a national and international epidemic. It impacts youth regardless of gender, sexual orientation, ethnicity, socioeconomic status, and age. It’s crucial for providers working with youth and young adults to learn about commercial sexual exploitation. “An Overview of Commercial Sexual Exploitation” will introduce you to the topic by talking about federal legislation, whether or not youth choose to be involved in the commercial sex industry, risk factors for being exploited, and the impact of involvement in the industry. Providers will also learn about the resiliency of survivors and an overview of ways to support survivors on their healing journey.

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.

“Presenter was extremely thorough and covered all angles of this subject matter. I liked the use of anecdotal situations to illustrate the principles.”-Michelle M., Professional Counselor, Massachusetts

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 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 them, unintentionally cause harm, and develop unrealistic expectations for themselves. The training will discuss the stages in a practical manner. Participants will see vignettes of what a youth and caregiver look like in each stage as well as strategies to engage them and help them move to the next stage.

 “Enjoyed how this CEU went further than domestic violence education and actually educated us on how to apply that to mental health practice. Gave a nice range of materials to access and consider. She was also obviously knowledgeable about the topic and gave concise explanations on various items that was beneficial compared to just reading slides.”-Kelley K., Social Worker, Maryland

The field of domestic violence has been evolving over the past thirty plus years as the knowledge base has increased and new assessment and intervention techniques offer assistance to the families in which it occurs. This Webinar will begin by reviewing identification and assessment tools for victims, perpetrators, and children that can assist mental health professionals. We will then review the field of trauma and the psychological impact on victims. Finally, we will look at one specific treatment program that can be used with victims of domestic violence and other gender-based trauma.

Given the amount of trauma individuals have experienced, it’s crucial for social service providers to understand common trauma responses and how they may manifest. Although
fight, flight, and freeze are more commonly known there is more acknowledgment of the fawn response. This training will provide an overview of these common trauma responses, how they manifest and how to clients. Not only is it important for us to understand these trauma responses it’s equally as important to help clients understand how they show up in their lives and may even be impeding their functioning at home, at school and other settings.

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 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.

“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.

“I really enjoyed the expertise of the presenter. He had so much useful knowledge to share. The case studies really went deeper into my personal knowledge and helped me to process and analyze situations differently.”-Kristie C., Social Worker, New York

It is essential that that schools and communities know the incidence of school violence and be up to date on the best safety and prevention practices. This presentation will review numerous state and national initiatives that have focused on school safety and the recommendations from a variety of foundations started by parents who lost their in tragic school shootings. Many school shooters died by suicide and this presentation will outline the major theory of murder suicide. The presenter has a wealth of practical experience responding to school crises and participants, whether they are parents, school personnel or community members will learn many lessons from school tragedies and practical strategies to prevent future school violence.

"Excellent speaker. Very engaging and very conversational. I only signed up due to scheduling, but she got me very interested in this subject matter. My favorite CE program for this license renewal! Opened my eyes to the long term consequences of trauma and ways to work it though.”-Martin W.-Psychologist, California

Trauma can impact one’s understanding and experience of intimacy and given the high rates of sexual abuse amongst youth and young adults, it’s important that clinicians are equipped with the skills and knowledge to talk about intimacy after sexual abuse. In this workshop participants will have an opportunity to reflect of their understanding of intimacy and how it impacts their work with sexual abuse survivors. You will learn about common sexual symptoms of sexual abuse and ways to support clients in developing healthier sexual beliefs, attitudes, and behaviors.  Despite how common this can be amongst sexual abuse survivors, it is often not addressed in therapy. In this training, the trainer will discuss how trauma impacts one’s relationship with sex and how to support foster youth and transitional age youth in developing a healthier understanding and experience of sex.

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.

“Outstanding instruction presented in an interesting way, especially wtih the use of short video clips. It increased my awareness of how trauma is transmitted to children and made me want to research more about this.”-Audrey H., Counselor, Alabama

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 what life is like when one live in poverty or close to it. It will start with an opportunity to reflect on one’s socioeconomic upbringing and how this impacts one’s ability to work with lower socioeconomic individuals. The presenter will share information about the prevalence of poverty and populations most impacted by it. The presenter will also discuss the lasting impact of poverty on one’s educational, occupational, and physical health. Lastly, the presenter will discuss strategies to engage lower socioeconomic individuals in therapy.

It’s essential for clinicians to understand the impact of poverty, especially for those working with marginalized populations and those working in underserved areas. Many families are living below the poverty line or near it and it’s important to understand the accompanying stressors to better serve lower socioeconomic individuals. Without this knowledge, it can be challenging to effectively support individuals these individuals.

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.

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.

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.