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Digital Seminar

Chronic Suicidality and Self-Destructive Behavior


Faculty:
Janina Fisher, PhD
Duration:
1 Hour 54 Minutes
Copyright:
Mar 23, 2019
Product Code:
NOS096047
Media Type:
Digital Seminar
Access:
Never expires.


Description

Chronically suicidal clients present a special kind of stress for therapists: there’s not only the emotional stress of working with their pain, but the additional burden of risk, responsibility, and anxiety.

When should we hospitalize a suicidal client?

How can we best assess when the level of suicidality is an immediate threat to life and safety?

What role should suicide contracts play in our work?

This workshop recording offers practical strategies for developing collaborative approaches with suicidal clients despite their resistance to help and transforming their relationships to self-destructive thoughts and impulses.

Handouts

Faculty

Janina Fisher, PhD's Profile

Janina Fisher, PhD Related seminars and products


Janina Fisher, PhD, is a licensed clinical psychologist and former instructor at The Trauma Center, a research and treatment center founded by Bessel van der Kolk. Known as an expert on the treatment of trauma, Dr. Fisher has also been treating individuals, couples and families since 1980.

She is past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, Assistant Educational Director of the Sensorimotor Psychotherapy Institute, and a former Instructor, Harvard Medical School. Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of the neurobiological research and newer trauma treatment paradigms into traditional therapeutic modalities.

She is co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma (2015) and author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Internal Self-Alienation (2017) and the forthcoming book, Working with the Neurobiological Legacy of Trauma (in press).

Speaker Disclosures:
Financial: Dr. Janina Fisher has an employment relationship with the Sensorimotor Psychotherapy Institute. She is a consultant for Khiron House Clinics and the Massachusetts Department of MH Restraint and Seclusion Initiative. Dr. Fisher receives royalties as a published author. She receives a speaking honorarium, recording royalties and book royalties from Psychotherapy Networker and PESI, Inc. Dr. Fisher has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Janina Fisher is on the advisory board for the Trauma Research Foundation.


Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Objectives

  1. Determine the somatic effects of suicidal ideation and impulses for the purposes of psychoeducation.
  2. Evaluate the role of suicidality in a client’s survival or adaptation to trauma.
  3. Determine the three basic steps of the Fisher risk assessment tool.
  4. Distinguish body-centered interventions that can increase the client’s sense of control over unbearable emotions.
  5. Develop collaborative solutions to high-risk situations.

Outline

The Challenges of Working with Suicidality and Self-Destructive Behavior

  • Association between suicidality/self-harm and a history of trauma
  • Suicidality as a survival strategy
  • The neurobiology of suicidality and self-harm

Evaluating Risk: Safe, Less Safe, and Not Safe

  • Ideation versus impulse
  • Relief versus punishment
  • Simple tools for risk assessment

Suicidality and Self-Destructive Behavior as Dissociative Symptoms

  • Using the Structural Dissociation model
  • Borderline personality and dissociative symptom
  • Increasing safety by working with suicidality as a part of the personality

Target Audience

  • Psychologists
  • Physicians
  • Addiction Counsellors
  • Counsellors
  • Social Workers
  • Marriage & Family Therapists
  • Nurses
  • Other Behavioural Health Professionals

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