Essential Skills for Treating Complex Trauma and Dissociation in EMDR therapy: Theory, Clinical Assessment and Treatment Approaches with Dolores Mosquera MS and Kathy Steele MN, CS
November 8th and 9th, 2024
9:00am to 4:30pm EDT
Day 1: Essential Concepts and Skills for Trauma-Informed Therapists
Day 2: Additional Advanced Skills
To Register for On-Site attendance, see bottom of page
On-Site registration includes access to the recorded training via On-Demand for 90 days after the training
To register for Livestream (also including On-Demand viewing), CLICK HERE.
Hampton Inn Boston/Natick
319 Speen Street
Natick, MA 01760
To book a room at the Hampton Inn at a 15% off group rate, click here. Please note: The discount cutoff date is on Wednesday, October 9, 2024. There are other hotels in the area as well.
PROGRAM FEES (includes 6 CEs per day):
Both days: $345 Early Bird | $395 After October 28, 2024
15% discount for clinicians working for non-profits (30+ hours a week) or groups of 4 or more (for groups, please contact info@markinickerson.com for details)
Full refunds until October 8, 24; then 80% until 1 week before training, no refunds after November 1, 2024.
Disability Accommodations: All programs are held virtually or in facilities that accommodate mobility limitations consistent with ADA guidelines Americans with Disabilities Act. Requests for preferred seating and other accommodations can be directed to info@markinickerson.com
Program Description:
As therapists hear about an increasing number of trauma-informed treatment approaches, it can be hard to know which knowledge and skills are most essential. Many EMDR trained therapists complete the basic EMDR training with a good grasp of the 8-phase approach, but struggle to know how to apply it with their most challenging clients. This training is designed to bridge the gap between the foundational protocols and principles which are covered in basic EMDR therapy training and the additional methods that are often needed to work with more complex trauma, developmental deficits, dissociation and a range of other co-existing symptoms and disorders.
As detailed below and in the website registration details, this training provides an array of next level therapeutic skills including clinical assessment considerations, case conception, treatment planning strategies, intervention options, and moment-to-moment decision making principles. Multiple case examples will be provided and there will be time for questions and discussion.
The training is co-led by two luminaries in the field of trauma treatment. Dolores Mosquera, a keynote speaker at the EMDRIA 2024 Summit Conference, is an innovative clinician and author who is best known for her many contributions to the treatment of complex trauma within EMDR therapy. Kathy Steele is a widely published trauma informed theorist and practitioner. She is the author of multiple treatment-oriented books such as Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists. Both are sought after trauma informed trainers who are widely acclaimed for their clinical wisdom and accessible teaching style. This is a unique opportunity to learn from each of these colleagues in this collaboratively taught format.
You can register to participate on-site in the Boston, MA region or via livestream telecast. Your training registration includes On-Demand viewing access for 90 days after the event.
This training is designed to not only assist recently trained EMDR therapists, but to teach experienced EMDR clinicians and other trauma-informed therapists how to use best-practice methods with complex trauma. Overall, this training will help you build clinical skills and confidence. It will help you evaluate your own treatment approaches and make adjustments where needed.
Day 1: Essential Concepts and Skills for Trauma-Informed Therapists
Learning objectives:
Participants will be able to:
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- Identify differences between complex developmental trauma and acute or “single incident” trauma
- Identify the criteria for Complex PTSD (CPTSD), Other Specified Dissociative Disorders, and Dissociative Identity Disorder
- Define various ways dissociation is understood, including the biological and psychological underpinnings and the theories that address it
- Define a dissociative part of self and how it is distinguished from normal ego states
- Assess readiness and priorities for treatment in clients with CPTSD / Dissociative disorders, including prognostic factors
- List the three phases of Phase oriented treatment of CPTSD and dissociation and the goals of each phase
- Identify the manifestations of disorganized attachment and the central conflict of needing to be close but experiencing closeness as dangerous
- Identify and effectively work with a collaborate relational strategy that manages caretaking and rescue tendencies by the therapist and over-dependency by the client.
- Describe strategies that support safety and stabilization
- Describe adequate clinical boundaries and limits, create a stable therapeutic frame, and discuss rationale for these boundaries
- Describe strategies to improve the client’s mentalizing capacities
- Utilize at least 5 interventions to improve emotion regulation and tolerance for ambiguity
Schedule: Friday, November 8, 2024
Below times are EDT, please adjust for your local time:
9:00 AM: Section 1: Differences between single incident and complex trauma
- Exploring the criteria for Complex PTSD (CPTSD and how it is different from PTSD
- Developmental injuries and trauma-related injuries: Two sides of one coin
- Dissociative disorders: A more complex trauma-related problem
- Criteria for Other Specified Dissociative Disorder (OSDD) and Dissociative Identity Disorder (DID): the most complex trauma disorders
- Dispelling myths about DID: Dissociation is just a human strategy to survive
- Four ways dissociative symptoms are defined
- Spacing out, shutting down, depersonalization, and dissociative parts
- Biological and psychological underpinnings of dissociation – relevant to understanding treatment
- Normal ego states versus dissociative parts: Understanding differences in treatment
10:30 AM: Break (15 minutes)
10:45 AM: Section 2: Assessing priorities in treatment and readiness for the work with complex trauma and dissociation
- What skills does a client need to be ready?
- Understanding why significant dissociative symptoms require stabilization
- What factors should I look for in determining how challenging treatment might be, and how do I identify difficulties?
- Prognostic factors
- Phase-oriented treatment: A 200-year history of treatment innovation
- The essential three phases of trauma treatment for CPTSD and dissociation
- The basic goals of each of the three phases
- How the 8 phases of EMDR fit in a phase-oriented treatment approach to trauma
12:15 PM: Break (60 minutes)
1:15 PM: Section 3: Essential treatment issues: The therapeutic relationship and the therapeutic frame
- Question and Answer
- Disorganized attachment: the fundamental split in clients between needing connection and needing safety
- How disorganized attachment shapes dissociation and relational strategies
- Developing a therapeutic relationship that manages difficult relational issues
- Collaboration not caretaking as the main focus of the therapeutic relationship
- The central importance of compassionate curiosity
- How to identify countertransference and help yourself as the clinician to move to a more neutral position
- Rescue and caretaking problems in the therapist
- Avoidance problems in the therapist
- Boundaries and limits: What they are and why we need them in treatment
- Keeping our eyes on treatment goals: How to set goals and how to stay on track
- How often and how long should I see a client?
- What about contact outside of sessions?
- Emails, texts, and phone calls
2:45 PM: Break (15 minutes)
3:00 PM: Section 4: Stabilization skills: Beyond safe space
- Creating safety
- Physical, emotional, and relational safety
- How to handle urgency and emergency
- What is mentalizing and why is it an essential skill?
- Improving the client’s mentalizing capacity
- Using the therapeutic relationship to improve mentalizing
- Helping the client understand the mind of the therapist and others
- Skills for working with emotion
- Taking an emotion history: What emotions can the client handle and feel comfortable with? What emotions do they avoid?
- Identifying emotion
- Tolerating distress
- Regulating everyday emotions
- Regulating overwhelming emotions
- Question and Answer
4:30 PM: Close
Day 2: Additional Advanced Skills
Learning objectives:
Participants will be able to:
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- Define the concept of the Adult Self in treatment
- Identify strategies to effectively work with the “Adult Self”
- Identify when it is not possible to work through the Adult Self, and describe integrative options to work with dissociative parts
- List at least five integrative skills to work with dissociative parts
- Identify defenses and employ at least five skills to gradually work through defenses.
- Utilize strategies to titrate clinical work according to the client’s window of tolerance
- Identify the five types of trauma-related phobic avoidance commonly found in CPTSD and dissociative disorders.
- List at least five skills to work with trauma-related phobias, resistance, and other defenses
Schedule: Saturday, November 9, 2024
Below times are EDT, please adjust for your local time:
9:00 AM: Section 5: Advanced therapeutic skills: Working with dissociative parts
- When a client is dissociative, “who” are we working with?
- What do we mean when we talk about the “adult self” of the client?
- How to help the client as “adult self” build skills
- Being safe
- Being present
- Mentalizing
- Emotion regulation
- How to address the whole person
- How can we work with dissociative parts while still fostering integration?
- When it is not possible in the moment to work with the adult self, how do we decide which parts to work with and what work needs to be done?
- Working with two or more parts
- Working with one part
- Circling back to “all parts” over and over again
10:30 AM: Break (15 minutes)
10:45 AM: Section 6 Working with dissociative parts (continued)
- Understanding the inner world of dissociative parts: Conflict, defensive protection and avoidance
- Types of parts and how to work with them
- Angry/hostile/ parts that are like the perpetrator
- Child parts (fearful, attachment seeking, shamed)
- Other types of parts
- Identifying and working with trauma-related phobias
- How to work with dissociative parts
- Types of parts and how to work with them
12:15 PM: Break (60 minutes)
1:15 PM:Section 7: Working with defenses
- Question and Answer
- The function of defense: Protection against what is experienced as overwhelming
- How to recognize defenses and work with compassionate curiosity
- Types of defenses: Avoiding realization
- Unresolved inner conflicts
- Shame based defenses
- Maladaptive positive emotions
- Trauma-related phobias
- Fantasies
- Relational defenses
- How to work with defenses
- Be curious about why the defense is needed
- Help the client be curious about the defense
- Ego syntonic and ego dystonic defenses
- Strategies to work with defenses
- Recognizing and working within the window of tolerance
- Returning to the client’s goals
2:45 PM: Break (15 minutes)
3:00 PM: Section 8 Working with defenses (continued)
- Working with dissociative parts that are defensive
- How to work with inner conflicts
- How to work with maladaptive positive emotions
- How to work with idealized fantasies
- More on relational defenses and how to manage the therapeutic relationship
- Question and Answer
4:30 PM: Close
Presenters
Dolores Mosquera, MS is a psychologist and psychotherapist. She is the director of the Institute for the Study of Trauma and Personality Disorders (INTRA-TP), a private institution where she has worked with EMDR for many years on cases related to severe traumatization. She is an EMDR Europe Consultant and Facilitator. She has extensive teaching experience, leading seminars, workshops and lectures internationally. She has published many books and articles on personality disorders, complex trauma and dissociation and is a recognized expert in this field.
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Direct additional questions to Mark Nickerson, Director of EMDR Advanced Trainings, LLC and .Advanced Psychotherapy Trainings, : info@EMDRadvancedtrainings.com., EMDRadvancedtrainings.com, or mail to EMDR Advanced Trainings | Box 3, Granby, MA 01033. Phone: 413-256-0550
Please complete your IN-PERSON registration below. A confirmation will be sent to the email address you provide during registration – check your spam filter and/or tabs if you cannot find it (especially if you use Gmail).
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Essential Skills for Treating Complex Trauma and Dissociation in EMDR therapy: Theory, Clinical Assessment and Treatment Approaches, Dolores Mosquera, MS and Kathy Steele, MN, CS~~ On-Site or Virtual ~~ 6 CE hrs ea - (11/8-9/24)
November 8, 2024
9:00 am - 4:30 pm
Hampton Inn Boston/Natick
-
Essential Skills for Treating Complex Trauma and Dissociation in EMDR therapy: Theory, Clinical Assessment and Treatment Approaches, Dolores Mosquera, MS and Kathy Steele, MN, CS~~ On-Site or Virtual ~~ 6 CE hrs ea - (11/8-9/24)
November 9, 2024
9:00 am - 4:30 pm
Hampton Inn Boston/Natick
Venue: Hampton Inn Boston/Natick
Address:
Description:
Hampton Inn Boston/Natick
319 Speen Street
Natick, MA 01760