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.
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)
9 hours of online training
Module 1: 5/25/19 9:00 am to noon
Module 2: 5/31/19 9:00 am to noon
Module 3: 6/1/19 9:00 am to noon
Participants will be able to:
- Define the four ways dissociation is discussed in the clinical and research literature and their different mechanisms, and basic treatment differences.
- Describe the differences between dissociative parts, ego states, and borderline modes.
- Describe the major and more subtle symptoms of dissociation, and list at least 5 questions to ask clients that help distinguish dissociation from other symptoms.
- Assess clients with complex trauma and dissociation for comorbidity and prognostic factors that affect and guide the pace of treatment
- Use a model of case formulation for complex trauma and dissociation that sets achievable goals and helps therapy stay on track.
- Describe the AIP model as it appyls to complex trauma nd dissociation, including preparation, procedures, and processing.
- Identify trauma-related phobias and utilize EMDR as well as systemic interventions to work with these phobic avoidance strategies.
Test Takers: It is always suggested to print out your exam and record your answers on paper prior to entering the answers in on the website. This can save a lot of time if an error occurs or if you need to retake the exam.