Full Course Description
Module 1 - Bessel van der Kolk on the Neurobiology and Treatment of Trauma and Attachment
Dr. Bessel van der Kolk, renowned trauma expert and NY Times bestselling author of The Body Keeps the Score, shares the latest research and advancements in brain science, attachment and trauma treatments in this in-depth seminar video.
Based on groundbreaking research and clinical practice, Dr. van der Kolk reveals both the science and art of today’s most effective pathways to healing posttraumatic stress and working with disorganized attachment in complex trauma.
You’ll return to your clinical work with new knowledge of the impact of trauma on the brain and nervous system, along with mind-body treatment approaches that can rewire the trauma response and help your clients reclaim their lives.
Don’t miss this opportunity to advance your practice with the latest trauma treatment research, insight and interventions.
- Appraise the applicability of trauma research in order to ascertain its clinical implications.
- Present an overview of the impact of trauma on the various parts of the brain, body and nervous system.
- Differentiate the symptomology and treatment of trauma versus working with disorganized attachment in your clinical practice.
- Evaluate the use of the DSM-5® in the diagnosis and treatment of trauma-related disorders.
- Analyze the effectiveness of psychopharmacology, evidence-based protocols, and body-oriented therapies in the treatment of trauma.
- Consider the long-term consequences and comorbidities of adverse childhood experiences and disorganized attachment.
- Communicate the frequent challenges for children with complex trauma such as affect dysregulation, impulse control and risk taking.
- Articulate ways to restore proper balance between the rational and emotional brains, that can help clients re-establish ownership of their bodies and minds.
- Evaluate treatment interventions for disorganized attachment that target emotion regulation and self-leadership.
- Assess the effectiveness of EMDR to access, tolerate and process memories in the treatment of distinct trauma.
- Explore methods that re-establish connection and synchrony with others to overcome trauma.
- Teach clients self-care and self-compassion practices to build self-leadership and an internal locus of control.
Trauma and Neuroscience
- Neurobiology of Traumatic Stress
- What Happens in the Mind, Brain and Body
- The Anatomy of Survival
- The Loss of Self and Instinct of Purpose
Diagnosis and Treatment of Trauma and Attachment Disorders
- Disorganized Attachment vs. Traumatic Stress
- DSM-5® Implications for assessment, Diagnosis and Treatment
- Psychopharmacology, Treatment Protocols & Body-Oriented Interventions
Early Brain Development and Attachment
- Interpersonal Neurobiology
- Synchrony and Attunement
- Disorganized Attachment
- Complex Trauma in Children
- Developmental Trauma Disorder
- Adverse Childhood Experiences (ACES) & Long-Term Implications
Pathways to Healing
- Synchrony & Community
- Affect Regulation
Module 6 - Bessel van der Kolk on the Neurobiology and Treatment of Trauma and Attachment
Pat Ogden, Ph.D., on Sensorimotor Psychotherapy
- Explore healing trauma through body movement therapies
- Communicate important foundational aspects of Sensorimotor Psychotherapy
- Background into Trauma
- Lack of Improvement in Patients
- Change Approach to Improve Therapeutic Outcomes
- Body Focus versus Emotions Focus
- Movement to Release Trauma
- Sensations Awareness & Presence and Trauma
- Attunement to Client
- “The Missing Experience”
- Movement Reluctance
- The Body Tells the Story
- Sensorimotor Psychotherapy
- Addressing Movement and Psychological Beliefs
- Clients Realizing Effects of their Actions
Richard Schwartz, Ph.D., on Internal Family Systems (IFS)
- Present the IFS Model and design ways to integrate IFS into your clinical practice.
- Model how to work with clinician’s own parts.
- Internal Family Systems Therapy
- The roles in IFS
- The Self
- How the Therapist Shows Their Parts
- Working with Passive Clients
- IFS Role-Play
- The IFS Roles
Onno van der Hart, Ph.D., on Treating Dissociative Disorders
- Critique the DSM’s categorization of PTSD as an anxiety disorder versus Dissociative Identity Order.
- Explore how the work of Pierre Janet is relevant for current therapy models in evaluating trauma
- Critique the nature of evidence-based treatments relative to trauma and the possibility of retraumatizing the client.
- DSM and defining PTSD
- The work of Pierre Janet: current contexts
- PTSD as a Dissociative Identity Disorder vs. an Anxiety Disorder
- Implications of seeing trauma as DID
- Understanding people with “parts” - how to become a different therapist.
- ”Befriending self, allowing yourself to know what you know” - Bessel van der Kolk
- Dis-association: a non-connection of parts
- The confusion of nomenclature
- Clinical implications involved in the assessment and treating “shutting down” of personality from dealing with DID
- Traumatic memories
- The recommencements of actions that happened at the time of the trauma - actions that require completion - Janet
- What does this signify for contemporary therapy.
- Dealing with “knowing when it’s over” in practice
- Facilitating completion of the action: Somatic and Sensorimotor therapy
- Evidence based treatment methods and their limitation for trauma
- Retraumatizing the client
- Psychological tension: high and low mental energy & efficiency
- The need to incorporate psychological tension in evaluation process
- Helping the client explore enhancing this tension
Frank Putnam, MD, on Attachment & Trauma Research
Attachment and States of Change: Trauma Clients from Childhood to Adulthood
- Bessel van der Kolk, MD introduces Frank Putnam, MD author of The Way We Are: How States of Mind Influence our Identities, Personality and Potential for Change
- Dr. Putnam’s early work and studies in rapid-cycling Bipolar and Dissociative Identity Disorder.
- Physiology of DID
- State Changes – the transitioning point between the state changes we make as children and adolescents
- Attachment and attunement as children
- 4-generation longitudinal study conclusions of abused and normal children
Early Disrupted Attachments
- Disorganized Attachment “Type D” as a pre-cursor of adulthood physiological and psychological illness
- The mother’s critical role: early patterns and intervening with a mother’s first child
Childhood Abuse: The Adolescent Female
- Cortisol levels
- FSH levels
- Biological versus behavioral aspects of trauma
- Attachment as generational and reverberational qualities
- The “Strange Man” study
Development and States of Change
- Multiple layering of states
- Moving in and out and transitions
- Stuck states or slippery states
Meta-Cognitive Function & Executive Function
- Functions of healthy attachment
- Validation: the critical need to “be seen”
- Genetics versus Trauma as effecting behavior
- Implications for Treatment
The Ohio Home Visit Program Study: Working with Children and Mothers
- 2,000+ families in the study
- Maternal depression
- Substance Abuse
- Domestic violence
- Help mothers with state change
- Games, mirroring
- Role for therapist
- Effectiveness of the study and public health
- PCIT: Parent/Child Interaction Therapy
- Brain changes
- Meditation studies
- Hyper-arousal states “burn out” leaving shutting down
Inducing A State of Change
- Hypnosis – viable treatment that has fallen off the radar but still successful with trauma processing
- Yoga, martial arts create alternative state not fraught with trauma
- The stages of stabilization
- Intrusive states: not seen in PTSD alone
- ACE Study, addiction and maladaptive temporary solutions
- Basic training in the military: the classic state change success story
- Self-compassion: a required element of Mindfulness
Latest Research and Evidence for Drug-Induced State Change
- MDMA: PTSD and combat trauma, initial study results
- Psilocybin – Frank’s personal experience in a study
Language, Meaning and Context
- Creating a coherent narrative
- DSM III to DSM-5
- Developing the Dissociative Experience Scale (DES)
Dissociative Identity Disorder: Story of the Scientist and the Study
- The cyclical nature of studying trauma and dissociation of time
- Lack of literature
- Developing the longitudinal robust study
- The DES
Discussion on the Brain Functions
- Pre-frontal area
- Anterior cingulate
- Intrusive states
How do you help the client get out of the dissociated state?
- Decrease triggers
- Create safety
- Substitute other behaviors
- Self-monitoring: how to build that in the treatment
- How to build stronger meta-cognitive functioning
- Sensory integration: drumming, rhythm
Trans-generational Aspects of Trauma & Abuse
- The predatory personality
- Results of the longitudinal study over generations
- Bethany Brand’s (Towson University) online longitudinal study for client and clinician
- The importance of “telling the truth”
- Value of the histories the professional asks
- How far to dig into the specifics of the trauma
- Provide a description of the longitudinal study on childhood abuse as designed and conducted by Dr. Frank Putnam.
- Summarize the trans-generational aspects of trauma and abuse.
- Describe methods of inducing a state of change in the trauma client.
- Breakdown the latest research and evidence for drug-induced states of change.
- Explain the brain functionality with respect to Dissociative Identity Disorder.
- List at least three areas vital to assist the client out of their dissociative state.
- Summarize the results of the ACE study.
- Explain the relevance of language and meaning making and creating a coherent narrative.
Deany Laliotis, LICSW, on EMDR as a Broad-Based Approach to Change
While EMDR is best known for its treatment of trauma, it has developed into a comprehensive psychotherapy approach that treats a broad spectrum of presenting issues across various clinical populations. This workshop is for practitioners who are interested in learning more about this highly effective, evidence-based approach that can treat a wide range of problems from single traumatic events to relationship problems, self-esteem issues, and complex trauma. You’ll explore how to:
- Identify nodal experiences shaping not only clients’ current symptoms, but their lives and identity
- Focus on the predominant themes in clients’ lives that underlie their current difficulties
- Integrate the adaptive information-processing model of EMDR with whatever model of therapy you’re currently using
Trauma Often Occurs in Childhood
Capacities to Resolve Trauma are Overwhelmed
Difficulty in Relationships
Conclusions about the Self
Shifting the Way a Memory is Stored
Images of A Parent’s Denial of Trauma Stored in Brain
Lack of Connection Between Information and Feelings
EMDR As Integrative Therapy
Present is Informed by the Past
State Specific Emotions
Adaptive Information Processing System in Brain
Brain Processes in Present Time while Reflecting on Negative Experience
Use of Dual Awareness Increases Capacity to Feel More Stable
Creating Appropriate Responses and Exploring Personal Capacities
Focus of Present Experiences and Changing These
- Summarize the implications of nodal experiences as they relate to shaping clients’ current symptoms Discuss clinical strategies to identify predominant themes in clients’ lives that underlie their current symptomology.
- Integrate the adaptive information-processing model of EMDR with other therapeutic interventions used within a clinical setting.
Ed Tronick, Ph.D, Richard Schwartz, Ph.D., Michael Mithoefer, M.D., and Lou Bergholz on Psychological Trauma: Attachment, Stabilization, Identity and Self-Awareness
Attachment, Meaning Making & Self-Regulation
Ed Tronick PhD
Edward Z. Tronick is a world class researcher and teacher recognized internationally for his work on the neurobehavioral and social emotional development of infants and young children, parenting in the U.S. and other cultures, and infant-parent mental health. Over the course of his career, Dr. Tronick has co-authored and authored more than 150 scientific papers and chapters.
In this session, Dr. Tronick reveals how the dynamics of infant-parent emotional and social interactions impact neurobiological and social-emotional development as well as intra and inter-relationships.
- Analyze the nature of normal and abnormal developmental processes that are embedded in the emotional and social exchanges of infants and young children and their caregivers.
- Present three key findings Dr. Tronick discovered that help understand the neurobiological and social-emotional development of infants/children.
- Determine three factors that can influence meaning-making in the developing infant.
- Assess the clinical implications of neglect and/or abuse on meaning-making on their developing self in relation to others.
Ecstasy (MDMA) & Psychedelics: Re-Frame Experience and Change Self-Awareness
Michael Mithoefer MD, and Richard C. Schwartz, PhD
Like every drug or technology that has therapeutic value, MDMA and psychedelics have potential risks and benefits. Unlike most other drugs under clinical investigation, psychedelics have a complex and controversial history that has delayed dispassionate scientific investigation into its therapeutic use.
In this session, Dr. Michael Mithoefer and Dr. Richard Schwartz discuss recent and current studies on MDMA-assisted psychotherapy to enhance and improve the treatment response for PTSD. Doing MDMA research in a rigorous, scientific way always involves a tension between striving to understand and not needing to understand. The ongoing challenge is to balance the intention not to be attached to any story at all—to be open and receptive to unexpected discoveries when we’re sitting with people in MDMA psychotherapy sessions—with the inescapable and potentially fruitful propensity of the rational mind to weave new discoveries into our evolving understanding of therapeutic methods and mechanisms. Without losing sight of this compelling tension, which is inherent to some degree in any psychotherapy, we will discuss some of the similarities and differences between MDMA-assisted psychotherapy and other approaches to psychotherapy for Posttraumatic Stress Disorder (PTSD).
- Determine that MDMA-assisted psychotherapy can be an effective treatment for people who do not respond to traditional therapies for PTSD.
- Explore the mechanism of MDMA in the brain.
Playing to Heal: Sports as Tools for Stabilization, Identity Development, and Connection
In the emerging field of sports-based stabilization, we explore the ways in which sport can be shaped into a therapeutic modality effective in healing trauma. During this engaging session, Lou will explore the key elements of the sports-based stabilization framework and benefits that structure, competition, skill building, physical movement, interaction and communication have in promoting healing.
- Communicate the case for sport as a medium for healing and the emerging field of sports-based stabilization.
Attachment, Meaning Making & Self-Regulation
Ecstasy (MDMA) & Psychedelics: Re-Frame Experience and Change Self-Awareness
- Michael Mithoefer MD, Richard C. Schwartz, PhD and Frank Putnam, MD
Playing to Heal: Sports as Tools for Stabilization, Identity Development, Competency and Connection