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CBT, DBT & EMDR Strategies to Free Clients from Codependency, Narcissistic Abuse & Attachment Trauma

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Krystal Mazzola Wood, LMFT
6 Hours 55 Minutes
Jun 24, 2022
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Digital Recordings


You see codependency in so many clients… and yet, many therapists skip over directly treating it.

Your clients are left suffering with a lack of boundaries, obsessively people pleasing, blaming themselves endlessly, self-sabotaging and unable to make simple decisions…

To make matters worse… They’re often in toxic relationships experiencing narcissistic abuse, gaslighting and have layers of attachment trauma.

Get your codependent clients to learn new skills AND take them beyond the walls of the therapy room to radically change their lives.

Join Krystal Mazzola, LMFT whose dedicated her career to breaking codependent clients free of the shackles of painful relationships, self-hate and more. Get essential skills from CBT, DBT, EMDR, Mindfulness & Narrative Therapy to move your clients forward in life. In just three self-paced modules you’ll learn:

  • How to co-occurring PTSD, Anxiety, Personality & Mood Disorders
  • Integrate CBT, DBT, EMDR, Mindfulness & Narrative Therapy techniques
  • Rebuild your client’s sense of self, create compassion & self-regulate
  • Red flags in assessment
  • Overcome perfectionism, fantasy thinking & damage from narcissistic abuse
  • Step-by-step guidance in the four main treatment stages

All this AND printable assessments, worksheets, in-session exercises and real-world case studies!

Don’t let any clients slip through the cracks… Get expert training!

Register now!


Program Information

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.


This online program is worth 7 hours CPD.



Krystal Mazzola Wood, LMFT's Profile

Krystal Mazzola Wood, LMFT Related seminars and products

Krystal Mazzola Wood, LMFT, is a licensed marriage and family therapist, author, and codependency expert. Krystal received her undergraduate degree in gender studies and human sexuality from the University of Arizona. She then attended the University of Oregon to pursue their couples and family therapy master’s program in 2009. It was highly important to Krystal to attend an inclusive program as this was prior to the Marriage Equality Act.

Krystal gained her expertise in codependency by working at The Meadows, a world-renowned treatment center. Here, Krystal trained under pioneering codependency expert, Pia Mellody. Throughout this time, Krystal has been fascinated by the systems in which people suffer – and recover – from the beginning of her career. This systemic focus led her to create her five-step codependency recovery system, which is featured in her book, The Codependency Recovery Plan: A 5-Step Guide to Understand, Accept, and Break Free from the Codependent Cycle. To support readers further, she then wrote The Codependency Workbook: Simple Practices for Developing and Maintaining Your Independence.

Krystal’s systemic focus also led her to a four-part program for health boundaries. This program is featured in her current training at PESI, CBT, DBT & EMDR Strategies to Free Clients from Codependency, Narcissistic Abuse & Attachment Trauma.

Krystal currently treats individual and couples’ clients experiencing codependency at her practice, The Healthy Relationship Foundation. She is currently working on her third book due late 2022, Self-Love Made Possible: The 5-Step Guide to Stop Being Your Own Worst Enemy and Become Your Own Best Friend. She also contributes weekly to her blog for empowering dating advice, Confidently Authentic.


Speaker Disclosures:
Financial: Krystal Mazzola Wood is the ceo and therapist at the Healthy Relationship Foundation. She receives royalties as a published author. Krystal Mazzola Wood receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Krystal Mazzola Wood has no relevant non-financial relationships.


Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


For a more detailed outline that includes times or durations of time, if needed, please contact ** no”Access to Self Study” tab available. 


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  1. Investigate signs and symptoms of codependency.
  2. Theorize how codependency presents with and impacts mental health disorders.
  3. Appraise impact of codependency, narcissistic abuse and other behaviours on client’s mental health.
  4. Formulate a comprehensive plan to guide clients toward interdependent, healthy relationships.
  5. Employ skills to implement treatment targeting core boundary issues.
  6. Apply DBT skills to clients struggling with codependency. 
  7. Utilize skills from EMDR, CBT and narrative therapy to combat codependent thoughts, behaviours, and triggers.
  8. Build insight into how clients exhibit codependent symptoms in the therapeutic relationship.


Codependency: What you need to know 
  • What codependency isn’t
  • New research: narcissistic abuse, gaslighting, lovebombing
  • How codependency develops in childhood & adulthood
  • Trauma areas specific to codependency – bullying, rejection, social disconnection, IPV, infidelity, betrayal & addiction
Assessment and Diagnosis: Core symptoms of codependency
  • Red flags of codependency: common client statements, ruminations & more 
  • Combat tendency to neglect, abuse, or self-sabotage 
  • Explore core & empowerment shame issues
  • Comorbidities: SUDs, anxiety, PTSD, CPTSD, Personality & Mood Disorders
  • Exploring your client’s loss of self
Dive into Problem Areas: Distorted Reality, Boundaries, Control & Relationships
  • Overcome roadblocks: resentment, people pleasing, approval seeking
  • Manage perfectionism, fantasy thinking & damage from gaslighting
  • Improve guilt, trust, catastrophizing & polarized thinking
  • Improve intimacy issues & heal fears of abandonment
  • Assessment checklist & more worksheet
Roadmap for Treatment: The 4-Core Treatment Stages 
Phase one: Guide Clients’ Self-Work
  • Build client insight & awareness to destructive patterns
  • Implement narrative therapy & journal writing prompts
  • Nervous system balancing exercises: yoga, mindfulness, medication & more
  • Combat shame with self-validation
  • Teach clients how to practice patience
Phase Two: Integrate the 4-Boundary Part System
  • Replace shame with self-validation
  • Create internal & external boundaries in clients
  • Explore 7 types of essential boundaries 
  • Help client’s authentic self shine
Phase Three: Trauma Healing
  • Grief work specific to relationships 
  • Intervene in fight-flight-freeze response
  • Diaphragmatic breathing – instructions & benefits
  • Guide inner child and reparenting
  • Healthy parenting education
  • Guided scripts for self-visualization and inner child visualization
Phase Four: Relationship & Intimacy Skill Building
  • Step-by-step guidance in assertiveness training
  • Appropriate empathy and vulnerability
  • Teach clients to accept support
  • Flooding and time-outs
  • Build awareness of abusive behaviours
  • Interdependence – the solution to co-dependency
Dialectical Behavior Therapy Strategies and Codependency Recovery 
Phase One
  • Learn self-soothing toolkit & teach mindfulness to clients
  • Practice radical acceptance of self & self-validation
  • Discover states of Mind
  • Learn ACCEPTS
  • Work with the 5 senses
Phase Two
  • Dialectical thinking about self, others, reality
  • Radical acceptance of others
  • Check facts to correct distortions
  • Practice “coping ahead”
Phase Three
  • Dialectical thinking
  • Radical acceptance of change
  • Meaning making - IMPROVE
Phase Four
  • DEAR MAN, THINK & other interventions
  • Broken record for boundary development
EMDR, CBT & Narrative Therapy Strategies 
  • Container
  • Butterfly hug
  • Safe place
  • Negative cognitions and validity of cognition
Cognitive Behavioral Therapy
  • Thinking mistakes
  • Challenge and Replace Negative Thoughts
  • Response prevention plan
  • Effective problem solving
Narrative therapy
  • Deconstruct the socially constructed self 
  • Writing as therapy
  • Externalize inner critic
Self of the Therapist: How Your Work Supports Therapy
  • Prevent clients from entering a co-dependent relationship with you
  • Examine personal experiences and biases
  • Impact of pervasive codependent messages in culture
  • Manage perfectionism
  • Role model self-compassion & boundaries
Two case-studies
“Savannah” codependency with comorbidity of PTSD and BPD
“Leticia” codependency with comorbidity of anxiety

Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Psychotherapists
  • Therapists
  • Marriage & Family Therapists
  • Addiction Counselors
  • Case Managers
  • Physicians
  • Nurses
  • Other Mental Health Professionals


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