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Digital Seminar

Advanced Codependency Treatment: A Complete Guide to CBT, Somatic, and Family-of-Origin Strategies to Disentangle Clients from Toxic Relationships and Recover Self


Faculty:
Nancy L. Johnston, LPC, LSATP, MAC, NCC
Duration:
12 Hours 28 Minutes
Copyright:
20 Oct, 2025
Product Code:
POS150336
Media Type:
Digital Seminar
Access:
Never expires.


Description

Trapped in patterns of fixing, pleasing, or managing everyone around them, codependent clients come to your office, anxious, depressed and in seriously unhealthy relationships.

But sessions are tough as they continually steer the conversation back to someone else – the fear of looking inward pushing them to retreat into the familiar territory of putting others first and themselves last.

If you’re not careful you can end up joining them in trying to solve the problems of others, missing chances for self-discovery and healing.

That’s why recognized codependency expert and author, Nancy Johnston, LPC, created this training – to give you the tools to help your clients develop a deeper understanding of themselves, establish healthier boundaries, and foster more authentic and fulfilling connections with others!

You’ll get:

  • Assessment tools to identify codependent behaviors at intake
  • CBT, somatic, and family-of-work based strategies to shift client focus to self-awareness and self-consideration
  • Techniques for managing fixing, pleasing, and other behaviors that go too far
  • And so much more!

This is the step-by-step guide for taking clients from codependency to self-recovery. Packed with assessment tools, specific interventions, skill building exercises, case studies and more, there has never been a better chance to get tangible, life-changing results for your clients.

PLUS, you get The Clinician’s Codependency Treatment Workbook FREE when you register!

Purchase today!

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.



CPD

PESI Australia, in collaboration with PESI in the USA, offers quality online continuing professional development events from the leaders in the field at a standard recognized by professional associations including psychology, social work, occupational therapy, alcohol and drug professionals, counselling and psychotherapy. On completion of the training, a Professional Development Certificate is issued after the individual has answered and submitted a quiz and course evaluation. This program is worth 12.5 hours CPD for points calculation by your association.



Handouts

Faculty

Nancy L. Johnston, LPC, LSATP, MAC, NCC's Profile

Nancy L. Johnston, LPC, LSATP, MAC, NCC Related seminars and products


Nancy L. Johnston, MS, LPC, LSATP, MAC, NCC is a licensed professional counselor and licensed substance abuse treatment practitioner in private practice in Virginia, US. With 49 years of clinical experience, Nancy is master addiction counselor and an American Mental Health Counselors Association (AMCHA) diplomate in substance abuse and co-occurring Disorders.

 

She has authored four books on codependency: Disentangle: When You've Lost Your Self in Someone Else 2nd Edition (2020), My Life as a Border Collie: Freedom from Codependency (2012), The Clinician’s Codependency Treatment Workbook: 66 Self-Recovery Strategies for Clients Who Lose Themselves in Others (2024), and You. Here. Today. 200 Readings for Growth from Codependency to Self-Recovery (2026).

 

Nancy has digital seminars produced with PESI for clinicians on treating codependency, including “Codependence: Treatment Strategies for Clients Who Lose Themselves in Others” (2020), “The Codependency Treatment Guide: CBT, Somatic Strategies and More to Disentangle Clients from Dysfunctional Relationships and Recover Self” (2022), and “Advanced Codependency Treatment: A Complete Guide to CBT, Somatic, and Family of Origin Strategies to Disentangle Clients from Toxic Relationships and Recover Self” (2025).

 

Nancy offers online self-recovery workshops and delights in designing and facilitating Codependence Camp twice/year at a retreat site in Virginia, US. Codependence Camp has been in operation since 2004.

 

Over the past 26 years Nancy has presented at numerous conferences including the Cape Cod Symposium on Addictive Disorders, the Carolinas Conference for Addiction and Recovery, Addiction: Focus on Women, the Virginia Summer Institute for Addiction Studies, the American Mental Health Counselors Association’s Annual Conference, the Virginia Counselors Association’s Annual Conference, and Specialty Docket Training for the Virginia Supreme Court. She has been a faculty member for the Psychotherapy Networker Symposium and the Ferentz Institute, and her work was included in a New York Times article on enmeshment in relationships.

 

Nancy writes from her country home on a river in Virginia, US. When she is not teaching or writing, she is enjoying extended time with family and friends, gardening, collaging, writing haiku, dancing, walking in the woods, and sitting by the river.

 

More information about Nancy and her work is available at her website: https://www.nancyljohnston.com/


Additional Info

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 cepesi@pesi.com.


Objectives

  1. Identify functioning patterns exhibited by codependent individuals.
  2. Use assessment tools to identify the dominant external orientation of codependent clients.
  3. Choose psychoeducational interventions that clarify the precise nature of codependency to clients.
  4. Examine how codependency influences responses to the person’s own feelings of vulnerability.
  5. Evaluate the potential correlation between codependency and growing up in a family environment where children are parentified.
  6. Identify the intra/interpersonal dynamics of codependency.
  7. Evaluate the potential link between codependency and the selection of partners with problematic behavior.
  8. Identify countertransference dynamics in codependency treatment.
  9. Use thoughts, feelings, inclinations, and needs to develop an authentic sense of self.
  10. Utilize cognitive therapy interventions to foster positive changes in self-awareness, self-image, and interpersonal communications within the context of codependency treatment.
  11. Use somatic strategies to help clients safely ground and calm self so they can attend more fully to their body, mind, and emotions.
  12. Choose skills sets to help codependent clients address their emotional expression, shame, guilt, assertiveness, and boundary setting.
  13. Develop a working knowledge of self-attunement to help clients cultivate a secure, safe, and reliable relationship-with-self.

Outline

Intake and Assessment of Clients with Codependent Behaviors

  • Identify codependency in a variety of clients – how it looks in therapy
    • Dominant external focus: other-centered
    • Loss of self in someone else
    • Behavior vs. label
  • Assessment tools for codependent characteristics
  • Relationship patterns/themes to look for
  • Codependency in clients presenting with anxiety, depression
  • Connect internally as a foundational treatment goal
  • Research, risks and treatment limitations
  • Case Study: a 57-year-old primary caregiver for his mother who is developing memory problems

Establish a Therapeutic Relationship with a Codependent Client

  • Foster your client’s autonomy and join their stage of change
  • Ingredients of change
  • Avoid becoming the client’s external source of direction
  • Strategies for self-empowerment from the very first session
  • Manage countertransference & your own codependency
  • Ethical considerations

Psychoeducation and Early Sessions

  • Educate clients about external vs. internal focus
  • Client-ready visual tools illustrate codependent dynamics
  • Shift to an aware, responsive, internal focus
  • Goal setting
  • The 4 interlocking elements of self-recovery
  • Case Study: Continue with the 57-year-old primary caregiver for his mother who is developing memory problems

Family of Origin and Parts Work to Help Clients Understand their Codependent Characteristics

  • Influences on self-development: Individual, family systems, social/cultural/political/religious worlds
  • Gather your clients’ trauma history
  • Parts of self developed from formative experiences
  • Grief that can arise and strengths embedded in self-understanding
  • Case Study: 24-year-old in a serious relationship with a dominating partner

Somatic and Cognitive Techniques to Enhance Codependent Clients’ Awareness of Body, Mind, Emotions, and Spirit

  • Mindfulness techniques
  • Bottom-up grounding tools to calm and connect with self
  • Cognitive strategies to increase awareness of thoughts
  • Exercises to help clients correct their thoughts
  • Emotional awareness and self-expression strategies
  • Spirituality as an internal resource
  • Case Study: Continue with 24-year-old in a serious relationship with a dominating partner

Skills to Transform Shame, Manage Guilt, Be Assertive, and Set Healthy Boundaries

  • Recognize shame, sharing with safe others, and releasing
  • Cognitive corrections for quieting guilty thoughts
  • Learning to construct “I” statements
  • Three-part boundary setting process:
    • Listen to self to discern your boundaries
    • Express boundaries to others
    • Live with your boundaries
  • Case Study: 50-year-old mother of a chronically relapsing alcoholic adult daughter

Exercises and Practices That Help Clients Learn How to Count on Self

  • Self-attunement and relationship-with-self
  • Qualities of a secure relationship-with-self
  • Exercises to deepen internal connections and offer supportive self-regard
  • Gatekeepers – parts that keep clients from accessing self
  • Release exercises – let go of what clients cannot control
  • Cultivate self as a secure base and an anchor
  • Case Study:  Continue with 50-year-old mother of a chronically releasing alcoholic adult daughter

Make Self-Recovery a Way of Being

  • Maintain connection with goals and self-recovery strategies
  • Daily practices for self-awareness and self-responsiveness
  • Ongoing ways to use internal focus
  • Tools to continue to develop their relationship-with-self

Clinical Applications

  • Individual therapy
  • Group settings
    • Value of group settings
    • Psychoeducational workshops
    • Outpatient/inpatient groups
  • Usefulness to various populations

Target Audience

  • Counsellors
  • Social Workers
  • Addiction Counsellors
  • Psychologists
  • Art Therapists
  • Marriage and Family Therapists
  • Other Mental Health Professionals
  • Physicians

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