From: 7:00 am to 3:00 pm

Helping Challenging, Marginalized & Underserved Patients
Presenter: Dr. Steve Shapiro

Eventbrite link: https://www.eventbrite.com/myevent?eid=168764578397

A 2-Day Video Demonstration Case Analysis of Trauma at Borderline and Psychotic Levels

Are you feeling frustrated and ineffective with your most challenging clients?

Are you interested in promoting deep & lasting change with those who have a history of trauma and severe deficits in emotional coping?

Join us for a detailed analysis, utilizing Experiential Dynamic Therapy (ISTDP & AEDP) & Psychodynamic Theory, of two cases over the course of treatment, to understand how to work with patients functioning at the borderline and psychotic levels of personality structure. One case will be presented each day. You will gain a greater understanding of the graded format used to help these fragile patients develop a more mature emotional infrastructure and witness how this development increases capacity for tolerating difficult and previously forbidden emotional conflicts and unconscious material. We will examine the intensive defense restructuring and anxiety regulating methods needed to develop the capacity to do this deeper work.  You will understand how to facilitate transformation to enable the development of increased emotional capacity, relatedness and level of functioning. Then, we will examine the phase of exploring powerful affective experience and associated unconscious material.

As we review methods used to successfully treat trauma and those who are prone to emotional dysregulation (PTSD, severe personality disturbance, Severe & Persistent Mental Illness), we will also focus on related topics such as splitting/projection, paranoia, hallucinations, disassociation, mind/ body phenomena, suicide, deliberate self-injury, therapeutic confrontation and management of psychiatric emergencies.

Participants will learn distinct skills to be able to intercede from the initial session to help create the safety and alliance necessary for patients to begin to risk connection. Participants will also learn how to restructure less mature defenses, regulate anxiety, increase emotional tolerance, improve reality testing, and develop a better capacity for self-observation.

The majority of teaching will be done using actual patient video demonstrations with ongoing narration from the presenter, microanalysis/discussion and question/answer periods to enhance practical skill building. While this type of work is difficult, with the right understanding and clinical toolkit, it can be extremely rewarding. These clients often have a long history of inpatient and outpatient treatment failures. Typically, they have been misunderstood, underserved, marginalized, blamed and abandoned. This webinar will focus on how to alleviate such suffering.

Attendees will learn the following in this training:

1. Understanding different anxiety channels & implications for intervention.

2. Understanding markers for excessive anxiety when working with patients with a trauma history.

3. Learning to regulate anxiety when it is too high.

4. Understanding when defenses reflect repression or splitting/projection.

5. Learning modified or graded techniques for restructuring defenses in those who become readily dysregulated.

6. Determining that a trauma patient has increased his/her anxiety tolerance and emotional capacity.

7. Demonstrating how to increase patient motivation and avoid misalliance with patients with trauma.

8. Learning to explore previously forbidden material in those with a history of borderline or psychotic level symptoms and functioning.

13 Continuing Credits are available for this event and can be purchased for an additional $25 here: https://www.academeca.com/CEUReg/Order.aspx?selectedId=4521&offerGuid=78698466-bae9-455a-8037-78c2814fcf94. Participants must have paid tuition fee, logged in and out each day, attended the entire webinar, and completed an evaluation to receive a certificate. Failure to log in or out will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available. Certificates are available following course completion at www.ceuregistration.com. There is no conflict of interest or commercial support for this program.

This training is exclusively for licensed mental health and registered health professionals, including Psychiatrists, Psychologists, Social Workers, MFTs, Counselors, as well as Physicians, Nurses, Physical Therapists, etc. If you are not a mental health or health professional, you may not attend due to the protection of patient confidentiality. Students and trainees pursuing licensure or registration as a mental health or health professional under supervision are welcome. The course content level is Intermediate level.

CE Learning Objectives:

1. List three indicators that anxiety is too high when working with patients with a trauma history (based on the different anxiety channels).

2. Identify three methods for regulating anxiety when it is too high.

3. Identify when defenses reflect repression or splitting/projection.

4. Describe three modified or graded techniques for restructuring defenses in those with a history of trauma

5. Identify that a trauma patient has increased his/her anxiety tolerance and emotional capacity.

6. Name three methods to increase patient motivation and avoid misalliance with patients with trauma.

7. Identify when the patient does not feel safe enough to continue exploring troubling material.

8. Distinguish 3 interventions designed to develop emotional capacity in a graded way.

9. Describe 3 ways to facilitate mobilization of affect

10. List indicators that healthy material is getting closer to awareness.

11. Distinguish when to deepen feeling/material and when to regulate

12. Specify ways to consolidate material in order to restructure view of self & others

Schedule (times in PST):

DAY 1: Personality Disorder

7:00 AM – 7:15 AM: Check in; Questions; Zoom orientation (sponsoring agency); Intro; Primary orien: EDT; Integrate into your approach

7:15 AM – 8:15 AM: Teaching/didactic: High defense vs high anxiety; NOTE: Includes Q & A, discussion

8:15 AM – 8:45 AM: Teaching: video demo #1: 3 anxiety pathways (Video: 10m); NOTE: Includes ongoing presenter commentary, group microanalysis, Q & A, discussion”

8:45 AM – 9 AM: BREAK

9 AM – 10:15 PM: Teaching: video demo #2: CPD/ dysregulation in severe personality disorder; NOTE: Includes ongoing presenter commentary, group microanalysis, Q & A, discussion

`10:15 PM – 1`1:15 PM: LUNCH

`11:15 PM – `11:30 PM: Q & A follow up

11:30 PM – 12:15 PM: Teaching/didactic: Anxiety pathways; NOTE: Includes Q & A, discussion

12:15 PM – 12:45 PM: Teaching: video demo #3. Severe Personality Disorder; NOTE: Includes ongoing presenter commentary, group microanalysis, Q & A, discussion

12:45 PM – 1:00 PM: BREAK

1:00 PM – 1:30 PM: Teaching/didactic: Anxiety regulation; NOTE: Includes Q & A, discussion

1:30PM – 2:30PM: Teaching: video demo #4: Severe Personality Disorder; NOTE: Includes ongoing presenter commentary, group microanalysis, Q & A, discussion

2:30 PM – 3:00 PM: Review, consolidation & check out

DAY 2: Psychotic Level Phenomenon (SPMI)

7:00 AM – 7:15 AM: Check in; Questions

7:15 AM – 8:15 AM: Teaching/didactic: Understanding Severe Fragility; NOTE: Includes Q & A, discussion

8:15 AM – 8:45 AM: Teaching: video demo #1: Psychotic Level Phenomenon (SPMI); NOTE: Includes ongoing presenter commentary, group microanalysis, Q & A, discussion”

8:45 AM – 9 AM: BREAK

9 AM – 10:15 PM: Teaching: video demo #2: Psychotic Level Phenomenon (SPMI); NOTE: Includes ongoing presenter commentary, group microanalysis, Q & A, discussion

`10:15 PM – 1`1:15 PM: LUNCH

`11:15 PM – `11:30 PM: Q & A follow up

11:30 PM – 12:15 PM: Teaching/didactic: Anxiety Regulation in SPMI; NOTE: Includes Q & A, discussion

12:15 PM – 12:45 PM: Teaching: video demo #3. Psychotic Level Phenomenon (SPMI); NOTE: Includes ongoing presenter commentary, group microanalysis, Q & A, discussion

12:45 PM – 1:00 PM: BREAK

1:00 PM – 1:30 PM: Teaching/didactic: Working with emotional breakthroughs and unconscious material; NOTE: Includes Q & A, discussion

1:30PM -2:30PM: Teaching: video demo #4: Psychotic Level Phenomenon (SPMI); NOTE: Includes ongoing presenter commentary, group microanalysis, Q & A, discussion

2:30 PM – 3:00 PM: Review, consolidation & check out

About the Presenter:

Steve Shapiro, Ph.D. is a clinical psychologist who maintains a full-time private practice in suburban Philadelphia and has over twenty-five years of clinical and teaching experience. He has been practicing various forms of Experiential Dynamic Therapy (EDT), since the mid-1990’s. These approaches include Intensive Short-Term Dynamic Psychotherapy (ISTDP) and Accelerated Experiential Dynamic psychotherapy (AEDP). He is an Adjunct Faculty and founding member of the AEDP Institute in New York City.

Dr. Shapiro conducts lectures, workshops and ongoing training internationally. His teaching is often commended for translating complex clinical theory into clear, precise, and practical techniques which are easily understandable and readily applied immediately in clinical settings by therapists of all orientations. His trainings are often described with words such as precision, systematic, safety, rewarding, fun, practical and deliberate.

For 16 years, Dr. Shapiro was the Director of Psychology and Education at Montgomery County Emergency Service (MCES), an emergency psychiatric hospital, where he worked with a range of severe disorders and those committed involuntarily to treatment. This intensive experience has helped inform his approach to transforming resistance with challenging patients who have a history of trauma, a high degree of resistance, or excessive anxiety and dysregulation.