Full Course Description
Somatic Interventions for Treating Complex Trauma with Janina Fisher, Ph.D.
OUTLINE
The Neurobiological Legacy of Trauma
- How the mind and body react to threat and danger
- Autonomic arousal and affect tolerance
- Inability to feel safe in the body
- Loss of the ability to self-witness
The Nature of Traumatic Memory
- “The body keeps the score” (Van der Kolk)
- Implicit memories: is it memory?
- Remembering situationally: ‘here’ or ‘there’?
Neurobiologically-informed Trauma Treatment
- Regulating the traumatized nervous system and restoring a witnessing self
- Psychoeducation: knowledge is power
- Reframing the symptoms
- Avoid ‘self-defeating stories’ (Meichenbaum)
- Treat the symptoms, not just the event
Sensorimotor Psychotherapy
- Trauma and procedural learning
- Tracking the body as a source of information
- Use the language of the body
- Body-centered techniques into talking therapy treatments
Mindfulness and Neuroplasticity
- Mindfulness practices in therapy
- Differentiate thoughts, feelings and body experience
- Dual awareness of everyday experience
- Teach mindfulness to clients
Challenges of Trauma Treatment
- Secondary symptoms: anger, self-harm and suicidality, aggression, substance abuse, and eating disorders
- Treatment-resistant depression and anxiety
- Complex symptoms as manifestations of animal defense responses
Therapy as a Laboratory for the Practice of New Actions
- Dis-identifying with the symptoms
- Develop a new language and a new story
- Capitalize on somatic resources for modulating the nervous system
- New resources that address specific trauma symptoms
The Role of Neuroplasticity
- Neuroplastic brain change
- Principles of neuroplasticity
- Treatments to enhance neuroplastic effects
Somatic Resolution of Traumatic Events
- Repair and transformation rather than re-processing
- Address uninvited memory
- Tell the story to ourselves: creating internal safety
- Right brain-to-right brain communication: feeling safe with others
OBJECTIVES
- Describe the neurobiological effects of traumatic experience.
- Identify implicit and procedural memories of trauma.
- Recognize role of autonomic arousal in exacerbating symptoms.
- Discuss how “the body keeps the score” as it relates to trauma.
- Describe basic principles of Sensorimotor Psychotherapy how it can inform treatment.
- Integrate mindfulness-based techniques in traditional treatments.
- Identify animal defense survival responses in trauma patients.
- Describe the roles of substance abuse, eating disorders and self-destructive behavior as trauma symptoms.
- Implement ‘top-down’ and ‘bottom-up’ interventions to address unsafe behavior.
- Describe a somatic approach to resolving traumatic experience.
- Differentiate past experience from present moment experience as it relates to the treatment of trauma.
- Utilize right brain-to-right brain communication to improve the effectiveness of trauma treatment.
Copyright :
12/05/2016
In-Session: Working with Somatic Components to Overcome Trauma Related Fears of Feeling Good
Program Information
Objectives
- Describe the characteristics of the split brain and its implications for trauma treatment.
- Discover aspects of sensorimotor psychotherapy as it relates to the treatment of trauma.
Outline
- Introduction of client
- Psychological Trauma Flip Chart
- The Split Brain
- Client Questions
- Recap and Analyzation with Janina
- Expressing Emotions
- Recap and Analyzation with Janina
- Anger
- Recap and Analyzation with Janina
- Accepting Anger
- Recap and Analyzation with Janina
- Safe feelings
- Recap and Analyzation with Janina
- Client Feelings Survival
- Recap and Analyzation with Janina
- Trusting the Protective Parts
- Recap and Analyzation with Janina
- Communicating with your Body
- The Trickle Down Affect
- Recap and Analyzation with Janina
Copyright :
01/01/2017
In-Session: Steps Toward Healing Traumatic Attachment & Borderline Personality Disorder
Program Information
Objectives
- Utilize right and left brain communication to improve the effectiveness of attachment treatment.
- Describe the Structural Dissociation mode as it relates to trauma.
Outline
- Introduction of Client
- Psychological Trauma Flip Chart
- The Split Brain
- Client Background
- Recap and Analyzation with Janina
- Domestic Violence in Pregnancy
- Attachment
- Recap and Analyzation with Janina
- Domestic Violence and Attachment
- Anger in Relationships
- Recap and Analyzation with Janina
- Structure Dissociation Model
- Childhood Attachment
- Recap and Analyzation with Janina
- Earned Secure Attachment
- Internal Attachment
- Recap and Analyzation with Janina
- Internal Attachment
Copyright :
01/01/2017
BONUS: Shame and Self-Loathing in the Treatment of Trauma
Program Information
Objectives
- Evaluate the effects of shame and self-loathing symptoms and identify how these symptoms inform treatment interventions.
- Determine the impact of the neurobiological effects of shame as it relates to clinical practice.
- Evaluate cognitive schemas and its clinical implications.
- Articulate the foundation of Sensorimotor Psychotherapy as it relates to clinical treatment.
- Apply simple yet effective clinical interventions drawn from Sensorimotor Psychotherapy to alleviate symptoms in clients.
- Utilize clinical techniques, such as, memory processing, cognitive-behavioral and ego state as related to clinical treatment.
Outline
The Neurobiology of Shame
- The role of shame in traumatic experience
- Shame as an animal defense survival response
- Effects of shame on autonomic arousal
- Why shame can be treatment-resistant
Shame and Attachment: Its Evolutionary Purpose
- Shame and the attachment system
- Rupture and repair in attachment formation
- What happens to shame without interpersonal repair
The Meaning of Shame in the Treatment of Trauma
- Disgust, degradation, and humiliation
- Cognitive schemas that exacerbate shame
- Internal working models
Treating Shame
- Sensorimotor Psychotherapy: Physiological state as the entry point for treatment
- Regulating shame states with somatic interventions
- Using mindfulness-based techniques to inhibit self-judgment
Healing Shame: Acceptance and Compassion
- Re-contextualizing shame as a younger self or part
- Dual awareness of who we are now and who we were then
- Getting to know our “selves”
- Bringing our adult capacity to our childhood vulnerability
Copyright :
12/12/2016