1. Articulate the differences between simple and complex trauma and identify the distinct challenges for diagnosis, treatment planning, stabilization and treatment of COMPLEX TRAUMA.
2. Understand the neurobiology of COMPLEX TRAUMA and how chronic exposure to threatening environments can produce the spectrum of symptoms of COMPLEX TRAUMA.
3. Appreciate the role that attachment trauma and Adverse Childhood Experiences (ACEs) play in risk for and creation of COMPLEX TRAUMA; and how successfully addressing attachment issues can accelerate treatment for COMPLEX TRAUMA.
4. Articulate the causes of attachment trauma (e.g., relational threat/anxious attachment; avoidant attachment; disorganized attachment) and how these adaptations are easily misunderstood as personality disorders.
5. Articulate the importance of neuroplasticity/pruning and understanding neuronal sequencing (i.e., “neural networks”) in treating COMPLEX TRAUMA and all post traumatic conditions.
6. Understand the important role that conditioned threat response and subsequent ANS dysregulation play in generating and sustaining the symptoms of all post traumatic conditions including COMPLEX TRAUMA.
7. Articulate and explain how dissociation symptoms (e.g., numbing; derealization; depersonalization; hearing “voices”; fractured multiple ego-states; dissociative identity) are adaptations to recurring (usually developmental) trauma.
8. Understand symptoms of COMPLEX TRAUMA as adaptations to ongoing developmental trauma that can include extreme symptoms including self-injury; suicide; dissociation; numbing; addiction (process and substance); eating disordered behavior; chronic & intractable depression; hyper/hypo sexuality; and rage.
9. Articulate the role of crucial non-specific factors of positive expectancy and therapeutic relationship using Feedback Informed Therapy (FIT) as central focus of treatment with COMPLEX TRAUMA.
10. Learn and appreciate the pivotal role of psychoeducation in treating COMPLEX TRAUMA to help survivors to begin to honor their survival, ameliorate shame and move towards self-compassion.
11. Learn and implement the four “common factors/active ingredients” shared by all effective trauma therapies for clients with COMPLEX TRAUMA.
12. Appreciate the ubiquitous role of reciprocal inhibition embedded in all evidence-based trauma therapies.
1. Master self-regulation of ANS dysregulation (i.e., anxiety) for clinician resilience and optimization of treatment delivery.
2. Become intentional with maximizing positive expectancy as crucial early treatment intervention for engagement and ongoing intervention to enhance outcomes.
3. First-session Interventions to enhance safety, stabilization, positive expectancy and therapeutic relationship.
4. Skilled implementation of Feedback Informed Therapy using Miller’s Session Rating Scale.