Donald Meichenbaum – New Developments in the Treatment of PTSD, Complex PTSD and Co-Occurring Disorders: Ways to Bolster Resilience

Outline

THE NATURE AND IMPACT OF TRAUMA EXPOSURE: THE “UNTOLD STORY” OF RESILIENCETHE NATURE AND IMPACT OF TRAUMA EXPOSURE: THE “UNTOLD STORY” OF RESILIENCE

• Controversies in the field of PTSD and Complex PTSD: “State of the Art”Controversies in the field of PTSD and Complex PTSD: “State of the Art”
• What distinguishes the 75% of individuals who evidence resilience VERSUS the 25% who develop persistent PTSD and related co-occurring disorders and adjustment difficultiesWhat distinguishes the 75% of individuals who evidence resilience VERSUS the 25% who develop persistent PTSD and related co-occurring disorders and adjustment difficulties
• The nature and neurobiology of resilience: Implications for assessment and treatmentThe nature and neurobiology of resilience: Implications for assessment and treatment
• Constructive Narrative Treatment Perspective: How to help clients develop “healing stories” and accompanying coping strategiesConstructive Narrative Treatment Perspective: How to help clients develop “healing stories” and accompanying coping strategies
• What resilient individuals DO and do NOT doWhat resilient individuals DO and do NOT do
• A Case Conceptualization Model of risk and protective factors that informs treatment decision-makingA Case Conceptualization Model of risk and protective factors that informs treatment decision-making

SPECIFIC EVIDENCE-BASED INTEGRATED TREATMENT APPROACHES FOR CLIENTS WITH COMORBID DISORDERSSPECIFIC EVIDENCE-BASED INTEGRATED TREATMENT APPROACHES FOR CLIENTS WITH COMORBID DISORDERS

• The Core Tasks of Psychotherapy: What “EXPERT” therapists doThe Core Tasks of Psychotherapy: What “EXPERT” therapists do
• PTSD is more than a Fear-based Anxiety Disorder: The role of guilt, shame, disgust, anger, prolonged and complicated grief and moral injuriesPTSD is more than a Fear-based Anxiety Disorder: The role of guilt, shame, disgust, anger, prolonged and complicated grief and moral injuries
• Detailed clinical examples of INTEGRATED treatment with clients experiencing a variety of clinical disordersDetailed clinical examples of INTEGRATED treatment with clients experiencing a variety of clinical disorders
  • Prolonged and Complicated Grief DisorderProlonged and Complicated Grief Disorder
  • Borderline Personality DisorderBorderline Personality Disorder
  • Suicidal behaviorSuicidal behavior
  • Substance abuse disorder (including how to integrate 12 AA step programs and ways to enhance Recovery Transition Coping skills)Substance abuse disorder (including how to integrate 12 AA step programs and ways to enhance Recovery Transition Coping skills)
  • Traumatic Brain Injuries and PTSDTraumatic Brain Injuries and PTSD

HOW TO IMPLEMENT THE CORE TASKS OF PSYCHOTHERAPYHOW TO IMPLEMENT THE CORE TASKS OF PSYCHOTHERAPY

• Develop, maintain and monitor a therapeutic allianceDevelop, maintain and monitor a therapeutic alliance
• Treatment-informed feedbackTreatment-informed feedback
• Collaborative goal setting using Motivational Interviewing to nurture hope and positive emotionsCollaborative goal setting using Motivational Interviewing to nurture hope and positive emotions
• Psycho-education using a CLOCK metaphorPsycho-education using a CLOCK metaphor
• Teach intra- and interpersonal coping skills: Intervention guidelines on ways to increase the likelihood of treatment generalizationTeach intra- and interpersonal coping skills: Intervention guidelines on ways to increase the likelihood of treatment generalization
• Bolster the client’s resilience in six domains: physical, interpersonal, emotional, cognitive, behavioral and spiritualBolster the client’s resilience in six domains: physical, interpersonal, emotional, cognitive, behavioral and spiritual
• Integrate spirituality and psychotherapyIntegrate spirituality and psychotherapy
• Address the needs of health care providers: Ways to bolster “vicarious resilience”Address the needs of health care providers: Ways to bolster “vicarious resilience”

PRESENTATION OF A CLINICAL TOOL BOX TO BE USED IN YOUR PRACTICEPRESENTATION OF A CLINICAL TOOL BOX TO BE USED IN YOUR PRACTICE

• Detailed CLIENT-BASED ChecklistsDetailed CLIENT-BASED Checklists
  • Coping strategies with GriefCoping strategies with Grief
  • Transition Recovery strategies from substance abuseTransition Recovery strategies from substance abuse
  • Consumer guidelines on how to evaluate treatment centersConsumer guidelines on how to evaluate treatment centers
  • 12 step AA checklist12 step AA checklist
  • Spirituality-based activities assessment and othersSpirituality-based activities assessment and others