Greg Nooney – Trauma-Related Dissociation and Dissociative Disorders

Description

You work with trauma to make a difference.

But developmental trauma and disorganized attachment have profoundly negative effects on those who experience them — and the signs and symptoms of dissociation can be difficult to recognize, even for clinicians.

And many people with trauma-related dissociation and dissociative disorders actively work to hide their struggles; stigma and shame driving their secrecy and barring them from sharing the full extent of their distress with you. Frightened and confused, many become “revolving door” patients, in and out of the mental health system when the root of their problems can’t be identified.

They are in desperate need of your help.

This recording will prepare you to effectively meet the clinical challenges involved in identifying and treating individuals across the dissociative spectrum.

Key Benefits:

• Specialized methods for assessing clients with severe trauma who may be dissociating.
• Maximize attunement with dissociated clients while maintaining therapeutic boundaries.
• Step-by-step processes that effectively create and sustain an atmosphere of trust and safety.
• Detailed guidance on therapeutic interventions to calm and ground dissociative clients.
• Skills to help you prevent and manage suicidal crises.
• Treatment techniques from Trauma Focused CBT, EMDR and somatic approaches.

Objectives

1. Establish how the relationship between developmental trauma and dissociation can inform clinical assessment and diagnosis of dissociative disorders.
2. Articulate how the clinician can reduce the possibility of countertransference by regulating their reactions in-session.
3. Design treatment plans that ground dissociative clients with relaxation techniques and mindfulness.
4. Examine the clinical implications of suicidal alters and connect this information to techniques that can help prevent and manage suicidal crises in severely dissociated clients.
5. Develop strategies for integrating support systems into the lives of clients with Dissociative Identity Disorder, and communicate how this approach can improve treatment outcomes.
6. Formulate treatment plans for trauma that are individualized to clients with dissociative disorders

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Developmental Trauma, Symptomology and Risk Factors

• The role of early traumatic stress and insecure attachment
• Types of Dissociative Disorders and symptomology
• Dissociative Amnesia, Depersonalization Disorder,
• Dissociative Identity Disorder
• Populations at risk for dissociative issues
• The controversy – misconceptions and false memories

Clinical Assessment Tools for Trauma and Dissociative Disorders

• Adult Attachment Interview
• Adverse Childhood Experiences Questionnaire
• Dissociative Experiences Scale
• Identifying co-occurring disorders
• Avoiding false negatives and false positives in diagnosing DID

Problems and Solutions in the Treatment of People with Dissociative Disorders

• Maximize attunement with clients who are dissociating
• Getting client buy in
• How to establish trust and cooperation
• Manage issues that can interfere in therapy
• Compassion fatigue
• Modulating your own reactions
• The dangers of vicarious trauma
• Identify and address implicit biases
• Maintain therapeutic limits and boundaries
• Engagement of alternate identities in DID

Therapeutic Techniques that Develop Stability and Safety for Dissociating Clients

• Calming practices to ground the dissociative client
• Conscious breathing
• Relaxation techniques
• Mindfulness
• Working with clients facing continued abuse
• Techniques to manage suicidal crises – account for the suicidal alter
• Don’t let “crises of the week” keep you from reaching treatment goals
• Build support systems with WRAP plans (Wellness Recovery Action Plan)

Specific Trauma Work for Dissociative Disorder Treatment Plans

• Differences in working with DID clients
• The role of resourcing in trauma
• Calm clients and create personal safety with TF-CBT
• Eye Movement Desensitization and Reprocessing (EMDR)
• Somatic approaches – connect memory to the body

Limitations of the Research and Potential Treatment Risks

• Feasibility of randomized prospective double-blind placebo-controlled studies
• Ethical, financial, and logistical constraints
• Trauma, disorganized attachment and research data
• Potential risks in treating trauma and Dissociative disorders

More courses from the same author: Greg Nooney

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