Sunday, June 8, 2014

Dissociative Identity Disorder: Safety in Ignorance - an article.

Dissociative Identity Disorder:
Safety in Ignorance


Jamie was bred into a generational family of abuse.  They didn’t consider what they did to the child as abuse but rather ‘training’ to fit into society as expected.  She was to attend college in order to work as an attorney within the ‘organization’.   Her training began at birth.  During her early childhood, she was exposed to brutal rapes and torture by members of the organization.  Since she was viewed as an asset rather than a child with needs, the abuse came from seemingly every source.  By the age of three, the perpetrators, who were aware that abused children dissociate, had effectively set up scenarios that split her mind into several different personalities.  Before she was 5 years old, she had learned only pain, sadness, agony, and betrayal.  She knew never to tell anyone, or the punishment would be death of a friend, pet, or herself.

She learned to dissociate (go away) in order to avoid the torturous situations, never realizing that another state of mind was aware.  She learned to avoid the sad feelings of having no one there who cared enough to protect her, not knowing that another state of mind carried those feelings.  She learned that there were only two ways to avoid the ongoing agony: dissociation or suicide.  Mostly, she learned to behave normally in public and for the next 40 years, she managed to behave as if her family of origin was perfect, being the product of loving and nurturing parents.

She always knew the sad and pain inside and never forgot the threats of telling.  As long as she acted normally, all would be well in her life.  She would attend the best schools, marry well, and have the perfect family.  That was her cross to bear – her heritage.

Throughout her life, Jamie struggled with the symptoms of dissociative identity disorder (DID), as do most children who use the defense of dissociation to deal with extreme abuse.  She always felt as if her outside life were a fog, unreal and timeless.  This is called ‘derealization’ and a symptom of DID. She could never remember to eat and had no connection with her body.  It also seemed unreal.  This is called ‘depersonalization’ – another symptom of DID.  She often lost time; seemingly waking up in places she did not recognize feeling much younger than her age.  This is often termed ‘switching’ – yet another symptom of DID.  Though she lived her life in a state of self-hatred, she knew she was as she had been carefully taught – damned.

Jamie is but one in some million abused children struggling with living adult life as a survivor of abuse.  Not all have dissociative disorders, but many do – about 1-3% of the population.   Though these statistics are reality, articles and information are written by groups of ‘professionals’ who claim that there is really ‘no such thing as DID’.  These articles also invalidate the people who have been diagnosed with DID and/or treat dissociated clients.  It soon becomes obvious that the topic of trauma and dissociation is actually viewed by many as ‘controversial’.

I remember when I was first diagnosed with DID some 10 years ago.  I ran home from the doctor and began researching the diagnosis.  I learned that there were vocal groups who not only hated me, but also the few mental health professionals who I could look to for help with my symptoms.  One group, the False Memory Syndrome Foundation (FMSF), have been in the media since the 90’s spreading such nonsense that there is a syndrome called ‘false memory syndrome’.  This happens when a person remembers any childhood abuse.  Another popular tale is that therapists who treat dissociation ‘implant false abuse memories’ into their clients’ brains.  Most importantly, these folks poke fun at the DID diagnosis stating that clients come to ‘believe’ they have DID from their therapists – called ‘iatrogenic DID’ or ‘therapy induced’.    According to Dr. Paul McHugh (a well-know FMSF member):
“Once the patient permits the therapist to "talk to the part . . . who is taking those long drives," the patient is committed to having MPD and is forced to act in ways consistent with this role. The patient is then placed into care on units or in services - often titled "the dissociative service" - at the institution. She meets other patients with the same compliant responses to therapists' suggestions. She and the staff begin a continuous search for other "alters." With the discovery of the first "alter," the barrier of self-criticism and self-observation is breached. No obstacles to invention remain.

Countless numbers of personalities emerge over time. What began as two or three may develop to 99 or 100. The distressing symptoms continue as long as therapeutic attention is focused on finding more alters and sustaining the view that the problems relate to an "intriguing capacity" to dissociate or fractionate the self.

At Johns Hopkins, we see patients in whom MPD has been diagnosed because symptoms of depression have continued despite therapy elsewhere. Our referrals have been few and our experience, therefore, is only now building, probably because our views - that MPD may be a therapist-induced artifact - have only recently become generally known in our community” (McHugh, 1995).

Dr. McHugh is an educator and a doctor.  He, and others like him, have trained and are now training scores of people who have and will be entering the mental health field.  These folks were not only trained, but rewarded for accepting such nonsense as ‘truth’.

I do recall my university studies in the area of psychology.  During my some 6 years in university, I never learned about DID/MPD and only remember learning how to spell ‘dissociation’ despite that theories of dissociation were first written about during 1869, when French neurologist Pierre Janet discovered that a system of ideas split off from the main personality when he hypnotized his female patients. Soon afterward, William James, the father of American psychology, uncovered a similar phenomenon and termed the condition ‘disassociation’.  The theory of DID has been around since then.

Many have asked why our society seems to listen to and believe such garbage as ‘false memory syndrome’, ‘iatrogenic DID’, therapists having the ability to or even wanting to ‘implant memories’ in their clients’ brains.  And, for those who care, answers creep forward.  Are the members and/or followers of the FMSF (who does have a shady history) and other professionals who perpetrate this controversy financially benefitting from child abuse?  Are they just ignorant and/or too lazy to research dissociation and or the effects of trauma on children?   What’s the deal?

I have come in contact with mental health professionals who not only have set beliefs that DID does not exist, but refuse to treat it and actually emotionally abuse those who seek treatment.  Therefore, I have learned to hide, as I did as a child from unsafe people who are meant to keep us safe.  Those seeking help ‘avoid’ those who are meant to help us, because they ‘avoid’ us by believing that we aren’t ‘real’.  
As a society, we find safety in ignorance – we avoid anything that seems unsafe.  We believe what seems the safest to believe.  And, when we live this way – we die ignorant.
Why is it difficult to believe that so many folks struggle with symptoms of DID?  Clearly, there is no such ‘syndrome’ as ‘false memory syndrome’.  At least, there has never been any evidence to prove such a thing.  Therapists do not have the power to ‘implant memories’ in their clients brains, and DID happens as an affect of extreme trauma at an early age.
Is it easier to invalidate folks who have endured horrible abuse at the hands of their caretakers than to help them?  For gosh sakes – these people have lived through hell with nobody to protect or stand for them.  They aren’t suffering from ‘false memory syndrome’ or ‘iatrogenic DID’, but from horrifying flashbacks, lost time, confusing derealization and depersonalization, eating disorders, low self-esteem, relationship problems, and more.

These folks cannot regain their childhood, but deserve respect and support now as they struggle to live in a world that holds everything they always deserved.  At the very least, they should not have to fear the mental health system that has the education available to treat and finally give these folks some help.

Anyone who invalidates the reality of DID only needs to think for themselves – and, disregard those who, for whatever reason, promulgate the notion that DID is not real.  We, who have DID are real; we only need professional therapists to help us realize that.  Maybe, you don’t like ‘knowing’.  Maybe, avoiding us – dissociating our reality is easier.  Maybe, deciding that we are all looking for attention helps you get through a day.

From the very beginning of our life, we learn to act normally, to fit in with society’s expectations.  And, within our society are beliefs that hold us all together: parents nurture their children teaching them right from wrong; teachers ensure that their students behave and learn according to rules within the status quo; friends and family accept that what happens ‘behind closed doors’ is not their business; only criminals of low social standing would ever abuse a child; children cannot be believed.

These are the lies you are told.  We, with DID, live in a hell no singleton could ever understand and/or believe.  Few stand for us.  Those who do are our heroes.  They put their reputations on the line, their time caring for the adults who were never heard.  And, they put themselves out there to educate others.  
Those who care know who you are, and you know that you give us life and a strength we never realized we have always held deep inside.  We are survivors and together, we are strong.  The glue that holds us together, the foundation that holds us up is those therapists who are there for us – believing, validating and helping us heal.

I have written this article in thanks to my wonderful therapist and in asking that other therapists take the time to give us a chance.  Join adult survivors of abuse, other therapists, and supporters at the 2014 Trauma and Dissociation Conference being held on October 3-5.  We aren’t asking anyone to change their ‘beliefs’, but to come listen with an open heart to a full schedule of educational opportunities; to take part in valuable workshops and hear plenaries presented by educators and practitioners in the area of trauma and dissociation.   Please visit:  www.igdid.org.

Source: Journal of the American Academy of Child and Adolescent Psychiatry, July 1995 v34 n7 p957(3).

Copyright:  Felicity Lee 5/11/14

You do not have the right to copy this article without permission of the author.

Friday, June 6, 2014

Trauma and Dissociation Conference - workshop and ceu's updated

Friday October 3, 2014
Conference Workshops
Northwest Ballroom, Cascade 6 and Suite
Rooms NW1 and NW2
9:00-5:30 am All-Day Workshop
This workshop has been approved for “7” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Your Provider number is #1975-362
Presenter: Sandra Paulsen, Ph.D.
Title: LOOKING THROUGH THE EYES OF TRAUMA
Mini-Workshops: 1) Phases of Therapy, 2) Common Mistakes, 3) Releasing the Ties that Bind, and 4) How the Story Tells Itself
Format: Suitable for therapists, survivors, and supporters in audience.
The therapy of DID differs from standard therapy in important ways. This day long workshop is divided into four mini-workshops. The first reviews the phases of therapy, emphasizing containment strategies, enlisting the ego state system, hypnotic procedures and methods to metabolize trauma, and integration and wrap up. The second identifies common errors made by therapists and clients. The third workshop identifies strategies for decreasing attachment to perpetrators by working with internal parts identified with perpetrators. The fourth reviews some of the myriad ways that the client’s story tells itself non-verbally in reenactments, somatic symptoms, the therapeutic relationship and more.
Attendees who attend all four will be able to:
1. Describe the phases of therapy using an acronym ACT-AS-IF.
2. Identify six common mistakes made by therapists and clients.
3. List four interventions therapists can use to increase stability by working with introjects.
4. List four non-verbal ways the client’s story reveals itself.
5.     Recognize and embrace the role of diversity in client/therapist interaction.   
Time Period
Topic/Content
Objective
Instructional Methods

9:00 to 10:15
Phases of Therapy: First Things First
a)     ACT-AS-IF Acronym
b)     Assessment
c)     Containment
d)     Accessing Trauma 
e)     Hypnosis/Imagery
f)      Abreactive Synthesis
g)     Skills Building
h)     Integration
i)      Follow Up
1.     ACT-AS-IF
Cartoons, lecture, powerpoint

10:30 to 12:00
Fearful Avoidance of Experience and Other Famous Errors of Therapists &Clients
a)     Therapist: if can’t see it not there.
b)     Therapist: can’t see it wasn’t trained
c)     Therapist: can’t see it if not floridly shaking my hand
d)     Therapist: Jump to trauma work
e)     Client: it’s not me
f)      Client: means schizophrenic
g)     Client: not real if ignore it
h)     Client: it didn’t happen to me, it happened to them
i)      Client: doorknob pronouncement
j)      Client: don’t talk in session then have a crisis 
k)     Client: insist on trauma work
2.     Common Mistakes
Cartoons, lecture powerpoint

1:30 to 3:00
Releasing the Sinewy Attachments by Working  with the Internal Likeness of the Perpetrator   
a)     Call for
b)     Appreciate
c)     Orient x three
d)     Mediate a crisis
e)     Empathize with pain
3.     Introjects
Cartoons, lecture powerpoint

3:15 to 5:00
Metabolizing the Trauma:
All the Ways the Story Tells Itself Verbally and Non-Verbally
a)     Therapeutic Relationship
b)     Other relationships
c)     Somatic symptoms
d)     Emotional flashbacks
e)     Relationships between parts
f)      Intuition/energy field  
4.     Story tells itself
Cartoons, lecture powerpoint

Room NW3
9:00-10:15 am -


Cascade 6

9:00-10:15 -

Suite
9:00-10:15 - Workshop
Presenters: Lori King and Heather Fields
Helpers: Glasscastle
Title: LET’S MAKE A GROUNDING BOOK
Grounding exercises are so important in staying in the present when dealing with anxiety and urges to SI. Come make a grounding book with us. We did this in a card exchange and it was so much fun and was so successful. It will be a fun way to relax and make your own resource to help you stay grounded.
Goals:
1. Attendees will be supplied with a flip book of index cards, writing items, magazine pictures and stickers and a handout with ideas for grounding ideas to use for anxiety and self-injury/self-harm urges.
2. We will go over the importance of grounding skills and using the books.
3. Attendees will work together in the workshop with help from presenters and helpers to create their book and learn how and when to use them.
Objectives:
1. Attendees will create grounding book to take home with them.
2. Attendees will understand how grounding book helps reduce anxiety and the urge to Self-Injury.
3. Attendees will know how to use grounding book and when to use them.

Room NW3

10:30-12:00 


Cascade 6
10:30-12:00 - Workshop
10:30-11:00 - BoyyM - Service Dogs

Suite

10:30-12:00


Room NW3
1:30-3:00 pm - Workshop
Pesenter: Gina Vance, CLC, CMHT,CCHT, RBT
Title: IT’S ALL HEALABLE
This workshop has been approved for “7” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Your Provider number is #1975-362
Whatever you want; whatever you want to be free of, and however you want to contribute your unique talents, gifts and abilities to the world, it’s probably doable…
… and the super simple, uncomplicated, un-time-consuming mind-body tools you’ll be shown in this workshop can instantly become part of your self care and self healing repertoire.
In under 12 minutes a day, you can get great benefit with the use of the power tools you’ll practice with in this workshop.
Not only will you find that these tools create change for the better for you alone, you’ll find others in your sphere of influence begin to act differently in your presence - in positive ways!
These methods are easy to learn and easy to share, and are generally taught under the heading of “mindfulness”. In our short time together, you will come to understand what mindfulness really is and how it works, and then go beyond that to real presence of mind embodied.
If you have others in your sphere that look to you for support, you can teach these methods to others as you practice them. You can begin sharing what you learn as soon as you learn it!
This program is presented to you in Gina’s proprietary blend of time and consult-room tested recipes that are wholesome, healing and simply divine. That of which miracles are made!
These are research and evidence-based methods and techniques that have been around for thousands of years, but generally only known by seekers initiated into “secret” knowledge, willing to spend long hours devoted to their practice. Gina can show you how to get there in 15 seconds or less!
Together with a decades’ worth of clients, Gina has simplified the complicated to make these methods more usable for more people.
Gina believes it’s time to take it to the streets! Power to the people! These belong to all, for the benefit of all. Let’s do this!
To qualify for this workshop you must: 1) be human, 2) have a desire for change for the better, and 3) be willing to follow your heart’s nudging to come along on this journey of discovery, exploration, and healing.
Healing truly can be a joy
 cascade 6
1:30-3:00 pm

suite

1:30-3:00 - Workshop
Presenters: Lori King and Heather Fields
Helpers: Glasscastle
Title: LET’S MAKE A GROUNDING BOOK
Grounding exercises are so important in staying in the present when dealing with anxiety and urges to SI. Come make a grounding book with us. We did this in a card exchange and it was so much fun and was so successful. It will be a fun way to relax and make your own resource to help you stay grounded.
Goals:
1. Attendees will be supplied with a flip book of index cards, writing items, magazine pictures and stickers and a handout with ideas for grounding ideas to use for anxiety and self-injury/self-harm urges.
2. We will go over the importance of grounding skills and using the books.
3. Attendees will work together in the workshop with help from presenters and helpers to create their book and learn how and when to use them.
Objectives:
1. Attendees will create grounding book to take home with them.
2. Attendees will understand how grounding book helps reduce anxiety and the urge to Self-Injury.
3. Attendees will know how to use grounding book and when to use them.

Room NW3
3:15-5:15 - Workshop
Presenter: Ellie Fields, LPC, LIMHP, CPC
‘TAPPING’/THOUGHT FIELD THERAPY FOR SELF REGULATION - Workshop
This workshop has been approved for “1 #” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Your Provider number is #1975-362
Thought Field Therapy (TFT), a form of “energy work”, is another tool for your tool kit that may offer very effective slowing or reduction of feelings that can overwhelm us and send us into hiding. The fields of Accupressure, Kinesiology and Psychology contribute to this technique developed by Roger Callahan PhD. Many have come to hear or know about aspects of this technique through Emotional Freedom Therapy, an outgrowth of TFT made readily available on the internet. It’s all good! Learning how to take care of yourself with this approach is empowering, stabilizing and helps build our confidence in our ability to care for ourself. Self care being a lifelong challenge for so many. Our body is set up to heal itself in so many ways wonderful. This approach offers a menu of options to address anxiety, pain and sadness, obsessive thoughts, anger, shame, embarrassment, guilt, panic and trauma and more.
Learning Objectives
Participants will learn how to use the worksheet to guide them in the use of TFT
Participants will be shown how to implement the anxiety sequence by the presenter.
Participants will be able to see examples of trouble shooting when the approach doesn’t seem to be working.
Participants will have time to ask questions.

 Suite

3:15-5:15 - Workshop

Cascade 6

3:15-5:15 - Workshop
Victoria Hodge
“Expressing Through Writing: Techniques for Processing”
This workshop has been approved for “1” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Provider number is #1975-362.







Saturday, October 4, 2014
Conference Schedule
Place: Northwest Ballroom, Cascade 6, and Suite


Northwest Ballroom

Plenary – All Rooms

8:45-10:15

Presenter:  Colin A. Ross M.D.
THE PROBLEM OF ATTACHMENT TO THE PERPETRATOR
This workshop has been approved for “1  of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Your Provider number is #1975-362 (pending)


Northwest Ballroom
Plenary – All Rooms
10:30 – 12:00
Presenter:  Sandra Paulsen, Ph.D.
INTUITION AND SPIRITUALITY: GUIDANCE ON THIS SIDE OF THE VEIL
This workshop has been approved for “1"  of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Your Provider number is #1975-362
Many people with complex trauma histories have strong intuitive impressions and keen spiritual understandings.  Are they divine guidance or guidance from within?  Is spirituality a separate subject from trauma recovery or central to the healing path?  Can there be too much of a good thing?  What if ones therapist has a different understanding or was trained to leave spirituality out of the therapy room?  What if one feels betrayed by God?  This talk will discuss these and other questions for attendees to reflect upon.
Attendees will be able to articulate:
1. two ways that spirituality can benefit trauma recovery.
2. two ways that spirituality can impede trauma recovery.
3. identify two conflicting views of the role of spirituality in therapy.

NW1 and NW 2
1:30-3:00
Presenter: Colin A. Ross M.D.
“Treatment Approaches: Host Resistance, Orienting Alters to the Body and the Present”
Workshop - CEU's pending


NW3

1:30-3:00
Presenter: Ellie Fields, LPC, LIMHP, CPC
This workshop has been approved for “1” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors. Your Provider number is #1975-362
Title: MIND BODY CENTERING AND HEALING PRACTICES FOR SELF-CARE
Finding a healing path that is right for you can be a challenge. In this workshop I will introduce three different practices for working within. This will include learning how to work with blocked energy by using the technique known as Thought Field Therapy (TFT) created by Roger Callahan PhD. “Tapping” on specific accupressure points to give relief to overwhelming emotions. Listening inside is another skill dissociative persons benefit from learning how to do, over time. I will offer a script and suggestions for personalizing this approach. It encourages respect, appreciation and understanding on both sides of the dissociative barrier. Surviving and healing from early trauma is exhausting work but work one cannot take a break from. Learning to offer Loving Kindness to oneself can put gas in your tank to help keep you on your healing path. I will offer an example of such a mediation and possibilities for application.
Target audience includes: client, support person and clinician.
Learning Objectives
Participants will learn the basic principles guiding TFT, using it and the sequence used for anxiety reduction.
Participants will obtain a worksheet that will guide them in their use of many scripts to reduce other overwhelming feelings.
Participants will be given precautions and considerations for use of TFT.
Participants will be given a sample script for Listening Inside and guidelines for use.
Participants will learn about why self administered Loving Kindness is important and receive a handout to be used with this practice.
Participants will be offered examples of how dissociative persons can adapt the meditation for a more inclusive practice.

Cascade 6

1:30-3:00
Presenter: Marvin Thomas:  Therapist, Teacher, And Community Expert
Title:  BUILDING YOUR OWN PERSONAL VILLAGE - Workshop
This workshop has been approved for “1" of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors. Your Provider number is #1975-362
This workshop will be around the topic of creating a personal village.  I will start with an overview of the importance of each individual’s personal village and then map out the existing personal village of each participant, and identify the next step in shaping a personal village that will work for you.  I will provide material for you to take home.  I will have my books on sale so there will be lots of back-up information to help everyone outside of the workshop.

Suite:

1:30-3:00

Presenter: Lynn Crook, M. Ed.
Title: COURAGE – YOUR NAME IS COMEDY IMPROV!
This workshop has been approved for “1” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Provider number is #1975-362.
Improv comedy is a form of theater that’s performed as it’s created. Improv is also a path to discovering the courage we never thought we had, by doing something we never thought we could do.  The basic improv rules are much like life, stay in the moment, play fair, challenge yourself.  And most importantly, improv comedy is just plain fun.  We’ll begin with some easy warm-up exercises.
Participants will:
  1.  Learn three basic rules for doing improv comedy.
  2.  Learn 3 improv exercises they can do with friends.
  3. Learn by experience to “Jump off the cliff and trust that you’ll grow wings on the way down.”
Room NW1 and NW2
3:15-5:30
Presenter: Colin A. Ross M.D.
“Treatment Approaches: Making Friends With Persecutor Alters, Talking Through to the Voices”
Workshop CEU's pending

NW3

3:15-5:30

Presenter: Susan Pease Banitt, LCSW
Title:  HELP FOR THE HELPER: A HOLISTIC TRAUMA TOOL KIT – Workshop
This workshop has been approved for “1” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Provider number is #1975-362.
Working with people in crisis presents special problems for the caregivers.  How do we keep ourselves from being traumatized by the trauma we see all around us or by the people we are helping? What is vicarious traumatization, and how can we prevent it from disabling us as helpers in the short and long term? Using the latest findings on the neurobiology of trauma, participants will learn effective holistic methods to keep ourselves stable, grounded and functioning effectively without taking on the stress of those around us, especially our traumatized clients.
Susan will present current first-aid techniques and resources for healing from traumatic stress based with opportunities to integrate these techniques through practice in breakout groups. Some of these techniques are appropriate in the treatment with clients  as well as for self-care. In fact a recent study showed that forty percent of psychotherapy patients use these alternative modalities for healing PTSD (Libby et al., 2012).
In this workshop Susan will open the doors to different dimensions of practice by closely examining multicultural beliefs and practices in healing from stress. These modalities are both inclusive of classical yogic techniques and philosophies while providing additional tools from other cultures both East and West. Participants will come away with cutting-edge knowledge for self renewal, protection and renewed vigor in working with traumatized populations.
Goals:
Participants will be able to:
1)      Learn how to self-assess for vicarious traumatization
2)     Identify and implement interventions with themselves or others in the techniques of grounding, clearing, restoring and intervening.
3)     Master three important breathing techniques for instant relief of traumatic states
4)     Describe the mechanisms of stress and vicarious traumatization in the body and mind
5)     Locate and utilize diverse holistic health practitioners in the community for fast relief of stress symptoms as needed
6)     Implement fast and effective daily practices of self-care
Workshop Description:
Working with people in crisis presents special problems for therapists and other caregivers.  How do we keep ourselves from being traumatized by the trauma we see all around us or by the people we are helping? Drawing on extensive research, Susan will present current holistic first-aid techniques and resources for healing from traumatic experiences to alleviate stress in the provider. Expect to come away with knowledge, protection and renewed vigor in working with people with traumatic histories.

Cascade 6

3:15-5:30

Presenter: Victoria Hodge
Titles - WRITING TOOLS TO EXPRESS EMOTION– Workshop
This workshop has been approved for “1” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors. Your Provider number is #1975-362

Suite

3:15-5:30

Presenters: Lori King and Heather Fields
Helpers: Glasscastle
Title: LET’S MAKE A GROUNDING BOOK
Grounding exercises are so important in staying in the present when dealing with anxiety and urges to SI. Come make a grounding book with us. We did this in a card exchange and it was so much fun and was so successful. It will be a fun way to relax and make your own resource to help you stay grounded.
Goals:
1. Attendees will be supplied with a flip book of index cards, writing items, magazine pictures and stickers and a handout with ideas for grounding ideas to use for anxiety and self-injury/self-harm urges.
2. We will go over the importance of grounding skills and using the books.
3. Attendees will work together in the workshop with help from presenters and helpers to create their book and learn how and when to use them.
Objectives:
1. Attendees will create grounding book to take home with them.
2. Attendees will understand how grounding book helps reduce anxiety and the urge to Self-Injury.
3. Attendees will know how to use grounding book and when to use them.





Sunday, October 5, 2014
Conference Schedule
Northwest Ballroom
Pre-conference Event - Room to be announced
7:30-8:30
Presenter: Susan Pease Banitt, LCSW
Title:  YOGA MODALITIES IN SOCIAL WORK AND PSYCHOTHERAPY – Workshop
This workshop has been approved for “1 #” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Provider number is #1975-362.
This workshop explores how three facets of yoga: postures, breathwork and meditation effectively reduce the negative effects of extreme abuse and stress. Each will be linked to emerging neuroscience research, and tips will be given about best practices in psychotherapy based on the setting and theoretical orientation of the practitioner. The audience will be asked to involve their mind and their body in this experiential and evidence-based workshop. Come prepared to move, breathe and relax!
Yoga is a hot topic of research right now in the fields of neuroscience and, especially, stress related disorders including Post-traumatic Stress Disorder. In the last five years there has been a plethora of research studies on a wide variety of people suffering from PTSD including soldiers, prisoners, youth and women.  Emerging neuroscience shows us how yoga works to dampen the sympathetic nervous system and regulate the parasympathetic response bringing baseline anxiety levels down significantly in people suffering from stress related disorders.  Likewise, the amygdala, responsible for impulsive action is deactivated, and executive function of the frontal lobe is increased with yogic practices.
Many psychotherapists, like their patients, partake of yoga classes outside of sessions, but is there a role for yoga in the therapy session, itself?  Many psychotherapists and social workers have begun doing just that. While teaching yoga postures is inconvenient and contraindicated in some settings unless you are a trained yoga teacher, there are universal yoga practices that can benefit patients as homework, part of a session or even as crisis intervention in various settings such as hospitals, inpatient units, home visits and even in private practice.
The most universal practices fall into three categories: breathwork (pranayama), hand positions (mudras) and meditation techniques. This workshop teaches practitioners to look for signs of hyperarousal or hypoarousal in the nervous system and gives techniques that are simple enough for anyone to use to help the patient re-regulate their autonomic nervous system so that they are more available for working through their issues in whatever setting is needed.  Touch is not required for any of these techniques.
The best way to learn any of these techniques is through self-practice so this workshop will be very active and participator in addition to didactic.  Social workers and psychotherapists will leave with a new set of tools to use in a variety of settings with a range of clientele with moderate to severe anxiety disorders and other psychiatric issues.
Northwest Ballroom
Plenary – All Rooms
9:00-10:30
Presenter:   David Calof
Title:  CLINICAL APPROACHES TO CHRONIC SELF-INJURY, SELF-MUTILATION, AND SELF-HARM SYNDROMES
This workshop has been approved for “1 ” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Your Provider number is #1975-362
An estimated three million Americans engage in some form of self injury. Incidence rates are increasing, especially among adolescent and young women. Without benefit of specific training, clinicians’ countertransferences, misconceptions, and lack of information about chronic self-injury can misinform clinical judgment leading to exacerbation of self-injurious behaviors. 
For adult survivors of abuse and neglect, while suicidal ideation and frank suicidal behavior may coexist with patterns of chronic self-injury, clinicians often misconstrue these acts as expressions of suicidal versus self-regulatory intent. Such a failure of empathy can lead to iatrogenic exacerbation of the client’s self-injurious behavior.
Chronic self-injury in such patients is better understood as an attempt to adapt to and manage a difficult existence, than to end one.  Survivors of childhood abuse and neglect most often use self-injury as a way to manage emotional states, body states, cognition, and psychological function. The motivation for self injury often is complex and variable.  Personal rationales for self-injury often are “trance logical” (e.g., “hurting will relieve the pain,” “pain is pleasure,” “I can keep you from hurting me by hurting me first/worst”). Self-injurious behaviors are trance-based (i.e., dissociated from their rightful sensations, affects or knowledge).
Through lecture, case examples, and discussion, the presenter will explore the origins, motivations, logical properties, and clinical management of self-injury.  The presenter will describe typical motivational frameworks for self-injury adult survivors of abuse and neglect, along with guidelines for intervention.
Learning Objectives:
Through lecture, discussion, Q+A, and handouts:
1. Participants will be able to discuss typical developmental courses for chronic self-injury and self-mutilation.
2. Participants will be able to identify and discuss at least four typical methods of self-injury in post-trauma-related disorders and distinguish them from frankly suicidal methods.
3. Participants will be able to discuss the role of dissociative processes (e.g., trance logic, depersonalization, derealization, anesthesia/analgesia, and so on) in the development and maintenance of chronic self-injurious behavior.
4. Participants will learn a case-based clinical intervention framework that is oriented toward addressing motivational dynamics, not merely self-harming behavior alone.


Room NW1 and NW2
10:45-12:45
Presenter: Laura Brown Ph.D.
Title:  "YOUR TURN FOR CARE: SURVIVING THE AGING AND DEATH OF PERPETRATORS N YOUR FAMILY"
This workshop has been approved for “2 ” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Your Provider number is #1975-362
This workshop was developed to assist survivors who are confronting the aging and death of family members who perpetrated abuse and/or were passive bystanders to that abuse. The aging and death of these difficult adults can re-traumatize survivors, and it can also present unexpected opportunities for healing. The workshop will cover common responses to the aging and death of perpetrators, common dilemmas faced by survivors, and strategies for responding to those dilemmas. This workshop will also cover the question of how therapist and other support persons in a survivor's life can accompany the survivor well during this experience.
Learning objectives.
1. Be able to normalize the experiences of survivors dealing with the aging and death of family member perpetrators.
2. Be able to assess whether and how a survivor might participate- or not- in caregiving with an elder who was abusive
3.  Understand how dynamics of gender, culture, social class, and other aspects of identity affect response to pressures to caregive an abusive elder.


Room NW3
10:45-12:45
Presenter: Lynn Crook, M. Ed.
Title: COURAGE – YOUR NAME IS COMEDY IMPROV!
This workshop has been approved for “2” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Provider number is #1975-362.
Improv comedy is a form of theater that’s performed as it’s created. Improv is also a path to discovering the courage we never thought we had, by doing something we never thought we could do.  The basic improv rules are much like life, stay in the moment, play fair, challenge yourself.  And most importantly, improv comedy is just plain fun.  We’ll begin with some easy warm-up exercises.
Participants will:
  1.      Learn three basic rules for doing improv comedy.
  2.      Learn 3 improv exercises they can do with friends.
  3.     Learn by experience to “Jump off the cliff and trust that you’ll grow wings on the way down.”


Northwest Ballroom
Plenary – All Rooms
1:45-3:00
Presenter:  Joan Golston DCSW, LICSW
Boundaries: What’s Inside, What’s Outside, What’s Me, What’s Not – And Why is it All So Damn Important, Anyway?
This workshop has been approved for “1” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Your Provider number is #1975-362

Northwest Ballroom

Plenary – All Rooms

3:00-4:00

Presenter:  Marvin Thomas:  Therapist, Teacher, And Community Expert
Title:  THE ART OF GROWING A PERSONAL VILLAGE - Plenary
This workshop has been approved for “1#” of CEUs by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors.  Provider number is #1975-362.
I assume most of you will be tired after a long weekend and be eager to get home as early as possible.  So I thought I would do a brief inspirational talk about overcoming shyness, the biggest barrier to creating a personal village and then instead of giving a speech do a floor presentation about how to meet people to bring into your personal village.  That would be some drama and then a playful and very informative dyad exercise with again a take-home hand out.