2-Day Trauma Treatment Certification Training: Safe and Stable Trauma Processing and Resolution with CPT, PE, EMDR and IFS

CPD

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.

Handouts

Faculty

Daphne Fatter, PhD Related seminars and products

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Daphne Fatter, PhD, is a licensed psychologist, certified Internal Family Systems (IFS) therapist, and approved IFS clinical consultant. She is certified in EMDR and an EMDRIA approved consultant. She has completed advanced training in cognitive processing therapy. She was awarded her doctorate in counseling psychology from Pennsylvania State University. She completed a postdoctoral fellowship in clinical psychology at The Trauma Center, an affiliate of the Boston University School of Medicine, under the direct supervision of Dr. Bessel van der Kolk. She is the former military sexual trauma coordinator at the Fort Worth Veteran Affairs Outpatient Clinic. She has authored works on trauma, IFS, countertransference and mindfulness. She speaks to mental health clinicians internationally providing engaging continuing education on nuances on trauma treatment from her seasoned clinical experience treating PTSD and complex trauma. She is in private practice in Dallas, Texas.

 

Speaker Disclosures:
Financial: Dr. Daphne Fatter maintains a private practice. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Daphne Fatter is a member of the American Psychological Association, the EMDR International Association, and the Texas Psychological Association.

Objectives

1. Assess clients for indicators of unprocessed traumatic memories.  
2. Utilize CAPS-5, PCL-5 and other appropriate clinical evidence-based assessments to identify traumatic events and PTSD diagnosis. 
3. Assess clients for racial trauma and/or stress from discrimination. 
4. Differentiate between hyper-arousal and hypo arousal signals in clients. 
5. Employ an evidence-based Three Phase Model in trauma treatment that begins with establishing safety.  
6. Analyze how therapeutic presence facilitates positive therapeutic relationships and effective therapy through the lens of Polyvagal Theory. 
7. Determine how clinicians can utilize adjunctive interventions like yoga to help clients regulate arousal and stabilize.  
8. Employ breathing and somatic interventions clients can use when they are in acute distress. 
9. Apply culturally relevant information to treatment plans and to build working alliance with clients before trauma processing.  
10. Assess clients to determine which are good candidates for trauma processing. 
11. Analyze factors to consider in choosing the appropriate trauma processing model for a client.  
12. Integrate effective adaptions when working with bi-lingual clients or neurodiverse clients. 
13. Evaluate signs that clients are making progress during trauma processing. 
14. Differentiate the benefits and potential drawbacks of EMDR, CPT, IFS and PE to establish which might best fit a particular client’s needs.  
15. Determine what to include in your clinical documentation when working with PTSD.

Outline

How the Neuroscience of Traumatic Stress Informs Your Treatment Plan

• Impact on Brain Stem, Limbic System, & Pre-Frontal Cortex
• How Trauma Impacts Information Processing
• Indicators that a Client has Unprocessed Trauma
• How Understanding the Neurobiology Informs Treatment Plans

Trauma Assessment Tools

• Trauma Symptomology
• Simple vs. Complex Trauma
• Intergenerational Trauma
• CAPS-5 and PCL-5
• Screening for Racial Trauma and Stress Due to Discrimination
• Dual Diagnosis & Differential Diagnosis

Creating Treatment Plans Focused on Arousal Regulation

• PTSD & the Nervous System
• Reading Your Client’s Signals
• Signs Your Client is in Hyperarousal
• Signs Your Client is in Hypoarousal
• Polyvagal Theory
• Emotional Attunement in Therapeutic Relationship

Employing the Phase-Oriented Treatment Model: A Roadmap to Safe and Effective Trauma Processing and Resolution

• Benefits, Risks, Limitations
• Phase One: Stabilization
• Phase Two: Trauma Processing & Grieving
• Phase Three: Present Day Life
• What to Include in your Clinical Documentation

Adjunctive Interventions: 4 Proven Tools to Reduce Symptomology, Enhance Calm, and Improve Functioning

• Arousal Regulation & Coping Skills
• Yoga
• Safe & Sound Protocol
• Heart Rate Variability
• Neurofeedback
• How to Integrate These into Your Practice
• Limitations of the Research and Potential Risks

Navigating Acute Distress for State Change In and Out of Session

• Bi-lateral Stimulation & Resource Tapping
• Relational Resources & Integrating Culturally-Based Strengths
• Breathing & Somatic Interventions
• Emotion-Freedom Technique
• Sensory Resources
• Self-Compassion and Mindfulness
• Limitations of the Research and Potential Risks

Trauma Processing: Accessing Trauma Memory Networks, Managing Triggers, and More

• What It Is and What It Isn’t
• Accessing Traumatic Memory Networks
• What Happens When a Client is Triggered
• Engaging the Right & Left-Brain Hemisphere

Is Your Client Ready? Contraindications for Trauma Processing

• Common Contraindications for Trauma Processing
• Understanding Factors that Contribute to Early Termination
• Informed Consent
• How to Communicate Realistic Expectations
• Things to Ask out Before Beginning
• Including Partners & Family in Trauma Treatment

Cultural & Relational Factors in Trauma Treatment

• Cultural Humility & Cultural Attunement
• Systemic & Oppression-based Traumas
• Social Location & Creating Working Alliance
• Language Code Switching
• Treatment Plan Considerations

Prolonged Exposure and Cognitive Processing Therapy: 2 of the Best-Validated Top-Down Models for Trauma Resolution

• Prolonged Exposure Therapy (PE)
• Cognitive Processing Therapy (CPT)
• Case Conceptualization & Case Examples
• Treatment Goals & Roadmaps
• Therapist’s Role
• Limitations of the Research and Potential Risks

EMDR and IFS: Evidenced-Based Bottom-Up Models to Heal Trauma

• Eye Movement Desensitization and Reprocessing (EMDR)
• Internal Family Systems (IFS)
• Memory Reconsolidation
• Case Conceptualization & Case Examples
• Treatment Goals & Roadmaps
• Therapist’s Role
• Limitations of the Research and Potential Risks

Choosing the Right Trauma Processing Model for Your Client

• Treatment Considerations
• Shared Decision Making
• Indicators of Effectiveness & Progress
• When Is Trauma Processing is Complete

Specific Considerations & Future Directions in Trauma Treatment

• Nuances with Neurodiverse Populations
• Considerations with Traumatic Loss
• When is Group Therapy Appropriate
• Future Directions & Psychedelic-Assisted Therapy
• Free Phone Apps and Resources for Clients

Target Audience

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