Using discussion and case examples, and specific approaches that attendees can immediately use the presenters will extend and enhance skill with:

Transcription

1 This seminar is based n: published material Drs. Curtis and Frd their jint wrk as c-chairs f the Internatinal Sciety fr Traumatic Stress Studies Cmplex Trauma Task Frce and its recently published treatment guidelines Dr. Curtis frthcming new bk n spirituality and trauma treatment Dr. Frd s writings and research n the psychtherapy mdel TARGET(c) (Trauma Affect Regulatin: Guide fr Educatin and Therapy) the wrk f the Center fr Trauma Recvery and Juvenile Justice which Dr Frd directs in the Natinal Child Traumatic Stress Netwrk. Using discussin and case examples, and specific appraches that attendees can immediately use the presenters will extend and enhance skill with: cre principles and best practices the full range f evidence-based / infrmed mdels f treatment f cccurring and cmplex clinical presentatins innvatins in wrking with varius types f adaptatins t cmplex trauma acrss the lifespan. practical infrmatin and specific appraches that attendees can immediately use identifying and handling/preventing crises and threats t patient safety r t the therapeutic alliance patients wh present with: - cmplicated characterlgical issues - suicidality - substance abuse - aggressin - self-harm Tpics t be discussed in this training include: - the definitin f cmplex trauma and the central rle f self-regulatin - attachment and cmplex trauma and implicatins fr treatment

2 - the neurbilgy f adaptatins t cmplex trauma and implicatins fr treatment - cmmn after-effects by gender, age and life stage - cmplex traumatic stress disrders in the DSM-5 and ICD-11 - trauma-infrmed practice and therapist preparatin fr treatment f cmplex trauma - the centrality f the therapeutic relatinship - sequencing treatment interventins in linear and nn-linear ways - treatment strategies at each stage f treatment - custmizing and individualizing treatment, and addressing special clinical issues - integrating a variety f theries and mdels in a cherent apprach t treatment - challenges and rewards f wrking with cmplex trauma This wrkshp is highly attuned with the Australian federal gvernment funded practice guidelines fr treatment f cmplex trauma and trauma-infrmed care and service delivery entitled The Last Frntier published by Adults Surviving Child Abuse and theaustralian Guidelines fr the Treatment f Acute Stress Disrder and Psttraumatic Stress Disrderjust published by The Australian Centre fr Psttraumatic Mental Health. Learning Objectives Attendees will be able t: 1. Define cmplex trauma and distinguish it frm ther types f trauma and stressrs 2. Describe an internalizing, externalizing, and dissciative clinical presentatin f cmplex trauma survivrs 3. Describe 3 safety issues and safeguards in cmplex trauma treatment 4. Apply the 3-phase treatment mdel t their wn clinical practice 5. Apply emtin regulatin interventins frm evidence-based treatment mdels Prgram Outline 1. Cmplex trauma - Definitin - Types - Gender, age and develpmental stage variatins

3 - Neurbilgical impact n brain and psychscial develpment 2. Adaptatins, After-effects, and Symptms - By gender, age and stage - Initial, acute, and lnger-term/chrnic - Delayed after-effects - Cnceptualizatins and diagnstic frmulatins - Understanding self-regulatin and its central rle in cmplex psttraumatic adaptatins 3. Treatment Overview - Cmplex trauma, cmplex treatment - Guiding principles - Gals adjusted by age and stage f develpment - Treatment sequence: linear and nn-linear 4. Preparing fr Treating Cmplex Trauma - The need fr training and the lack f training - The need t anticipate and prepare fr - Treatment cntract - Self f the therapist: readiness t treat, supprt system, and emtinal health - Ethics 5. Assessment and Pre-treatment - Strategies - Instruments - Custmizatin and an individualized treatment plan - Mtivatin enhancement, educatin abut treatment, and reductin f treatmentinterfering behaviurs - Prgnstic factrs and resurces 6. Phase 1: Safety, Stabilizatin, and Engagement

4 - Basic safety and life stabilizatin - Educatin - Skill-building, starting with emtinal regulatin - Engagement with the therapist and attachment style and issues - T stp at this stage r t cntinue: making the determinatin 7. Phase 2: Trauma Memry and Emtin Prcessing - Assessing readiness fr prcessing - What is prcessing? - Evidence-based and ther techniques - Issues f lss and grieving - Effects n the therapist: the need t stay the curse 8. Phase 3: Cnslidatin and Applicatin t Life, Treatment Clsure - Applicatin: Life Special actins and issues - Preparing fr treatment terminatin 9. Int the Breach: A-vid-ance and Dissciatin - The dissciative and psttraumatic relatinal matrices - Challenging avidance - Validatin f experience and persnhd - Identifying means f avidance and dissciatin - Challenging psttraumatic beliefs and cgnitins - Challenging shame int the dissciative breach - Integratin as the gal 10. Walking the Walk: The Intersubjective Cntext - The need fr respect, cmpassin, and hpe - Treating shame withut shaming

5 - Traumatic transference and enactment - Cuntertransference and enactment - Vicarius trauma - persnal and prfessinal grwth in the therapist: challenges and fulfilment