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Agate Institute: Live – EMDR Adult, Complex Trauma & Dissociation Specialist Intensive Program with Kathy Steele and Dolores Mosquera

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Credit Value: 37
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Phoenix, AZ  
July 16-20, 2019

This training intensive includes an overview of what makes Complex PTSD and Dissociative Disorders different from PSTD and different from each other. We explore the similarities and differences between ego states and dissociative parts in clinical practice, with treatment implications. Understanding of both the biological and psychological underpinnings of dissociation will lead to practical clinical interventions. Participants will have an opportunity to learn and practice assessment of complex PTSD and dissociative disorders, including both overt and nuanced symptom clusters of dissociation. We will practice formulating a treatment plan for structural dissociation for EMDR therapy. A phase-oriented approach that is standard of care for both Complex PTSD and dissociative disorders will guide our treatment approach. Because relationship is the context of the client’s trauma, we will explore particular relational strategies that support collaboration and curiosity and minimize the intensity of dependency or relational avoidance. Participants will learn and practice specific skills to work with dissociative clients, including those that promote safety, reduce dissociative and other symptoms, and stabilize by reducing inner conflicts among dissociative parts. There will be ample opportunity to practice working with structural dissociation with and without EMDR, including a sequenced, step-wise approach to working first with certain parts to promote stabilization, and ways to include all parts in therapy as much and often as possible. We will practice working with typical types of parts, including avoidant adult parts, child parts, angry parts, and parts that imitate the perpetrator, among others. Resistances to integration are a hallmark of dissociative disorders and participants will learn a progressive approach to identifying the most common resistances and helping the client work through them with compassion and curiosity, using EMDR. Finally, we will explore specific strategies to titrate traumatic memory processing in dissociative clients, and how to include all parts in the work with a window of tolerance. We will use video vignettes to illustrate approaches and participants will have ample time to practice skills and present cases.

Presenter Bios:
Dolores Mosquera, a well known psychologist, is the director of 3 private trauma clinics, including the Institute for the Study of Trauma and Personality Disorders in Spain. She has published 12 books and has been involved in the  EMDR world for 19 years, as a supervisor and trainer. Her sensitivity and credibility to professionals is known worldwide. She teaches an in depth understanding of how to work with DID clients, borderline clients, their families and their complex universe.
Kathy Steele, MN, CS, APRN, has been treating complex trauma and dissociation for over three decades in private practice in Atlanta, GA. Kathy is a past president of the International Society for the Study of Trauma and Dissociation (ISSTD), and has received a number of awards for her clinical and published works. She has co-authored numerous publications in the field of trauma and dissociation and frequently teaches internationally. Her books include:Treating Trauma-Related Dissociation: A Practical, Integrative Approach (2017, with Suzette Boon & Onno van der Hart) Coping with Trauma Related Dissociation:  A Skills Training for Patients and Therapists (2011, with Suzette Boon & Onno van der Hart) The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization (2006, with Onno van der Hart & Ellert Nijenhuis)
Timeline:
Day 1
History taking. How and what should be gathered (8:30 to 9:30 am)
Caveats about taking a detailed trauma history (9:30 to 10:30 am)
10:30 am to 10:45 Break
Assessment and diagnosis (10:45-11:30)
Tools: DES, MID, SCID-D, dissociative symptom cluster questions (11:30 to 1:30)  
How to identify prognostic factors (1:30 to 3:00)
Lunch 12 to 1:00 pm
The AIP Model in complex trauma and dissociative disorders. An overview (3:00 pm to 4:00)
How to formulate a treatment plan for a client with OSDD or DID (4:00 to 4:45)
Checklist for treatment planning (4:45 to 5:00 pm)
EMDR Case conceptualization for dissociative disorders (5:00 to 5:30 pm)
Day 2 Stabilization. Phase 2
Basic tools to organize the stabilization phase with dissociative disorders and complex trauma cases (8:30 to 9:30 am)
Special issues in using general stabilization skills with dissociative disorders (9:30 am to 10:00 am)
Stabilization in Complex PTSD (10:15 to 11:00 am)
Stabilization in Borderline Personality Disorder (11:00 am to 12:00 pm)
Stabilization in Dissociative Disorders (1:00 pm to 2:30 pm)
The relevance of Adaptive information in the treatment of dissociative disorders with EMDR (2:30 to 3:00 pm)
How to work with parts to maximize integration (3:00 to 4:00 pm)
How to work with Adult parts that are constantly triggered (4:00 pm to 4:30 pm)
When, why and how to work with child parts (4:30 to 5:00 pm)
Working with perpetrator-imitating parts (5:00 to 5:15 pm)
Helping the client develop co-consciousness and inner cooperation (5:15 to 5:30 pm)
Role play in big group
Practice in small groups
Breaks: 10:00 am to 10:15 and 3:30 to 3:45
Lunch 12 to 1:00 pm
Day 3 Working with defenses, phobias, resistance and complicated issues
Identifying defenses in the different phases of EMDR Therapy (8:30 to 10:00 am)
Working with trauma related phobias in Phase 2 of EMDR Therapy (10:00 am to 10:30 am)
Common resistances and how to address them (10:30 to 11:15 am)
Self-harm and suicidal tendencies( 11:15 to 2:00 pm)
How to handle aggression towards therapy and/or therapist (2:00 pm to 3:30)
Managing narcissistic clients and/or parts (3:30 to 4:00)
Dealing with sociopathy and sadism (4:00 to 4:30)
Role play and discussion (4:30 to 5:30 pm)
Lunch 12 to 1:00 pm
Breaks: 10:00 to 10:15 and 3:15 to 3:30 pm
Day 4 Trauma processing 
How to know when it is safe to process (8:30 to 9:30 am)
Identifying and understanding different types of dysfunctional stored information  (9:30 to 11:00 am)
Possible targets when Standard Procedures are not possible (11:00 am to 12:00)
Titrating strategies with and without EMDR (1:00 to 2:00)
Micro-processing procedures (2:00 to 3:45)
Trauma processing and reprocessing (3:45 to 5:30 pm)
Lunch 12 to 1:00 pm
Breaks: 10:00 to 10:15 and 3:15 to 3:30 pm
Day 5 Integration and Special Issues
What is integration? (8:30 to 9:45 am)
Distinguishing general integration from the special case of integrating dissociative parts (9:45 to 11:30 am)
How to promote integration (11:30 to 1:30 pm)
Frequent difficulties with integration and how to address them (1:30 to 2:30 pm)
How to know when we are on the right track (2:30 to 3:30 pm)
Markers of progress across therapy (3:30 to 4:00 pm)
Markers indicating need for consultation (4:00 to 4:30 pm)
Managing the therapeutic relationship (4:30 to 5:00 pm)
Special issues (by preference of the participants) (5:00 pm to 5:30 pm)
Learning Objectives
Participants will be able to:

  • Describe the criteria for Complex PTSD and Dissociative Disorders.
  • Identify the mental and physical signs and symptoms of structural dissociation.
  • Distinguish whether the inability to remember is due to absorption or to dissociative amnesia.
  • Explain the biological and psychological origins of dissociation, with treatment implications.
  • Formulate a case of structural dissociation that includes identification of prognostic signs, level of structural dissociation, and potential resistances and relational problems.
  • Organize the treatment plan with EMDR Therapy.
  • Employ practical skills for the stabilization phase for clients with developmental trauma, and skills to stabilize by using specific strategies to work with dissociative parts.
  • Describe a sequenced approach to working with dissociative parts that ensures the client can remain stable and improve integrative functioning across therapy.
  • Identify particular relational strategies that support collaboration and curiosity and that minimize overwhelming dependency or avoidance of connection.
  • Identify common types of parts and how to work with them therapeutically.
  • List common phobias and resistances found in clients with developmental trauma and structural dissociation.
  • Employ a progressive approach to working with resistances to progress.
  • Identify specific techniques and procedures to apply EMDR safely with complex trauma and dissociative disorders, including titration strategies to work with traumatic memories in clients with dissociative disorders, as well as ways to include dissociative parts in the work. 
To Register for this Live Workshop please visit: https://www.anagomez.org
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Credits: 37 CE Fee: $1650.00
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