Behavioral Dysregulation and Self-Harm

Behavioral Dysregulation and Self-Harm

All sessions can be found in full on learn.nctsn.org under “Clinical Training” – “Identifying Critical Moments and Healing Complex Trauma”. These are worth CEU (Continuing Education Units) credit when completed in their entirety.

After watching the video, please take the time to give us feedback on the session. Your feedback will help us shape the new webinars and sessions! If you have any questions or would like a copy of your responses, please email Meadow Pallein B.A., at ctdtd@uchc.edu.

Defusing Violence and Facilitating Recovery from Profound Dissociation

In this webinar, a mother and her teenage daughter who have experienced severe family violence by an ex-husband/father in the past become embroiled in an intense verbal argument that escalates into sudden physical violence. Their therapist attempts to mediate the disagreement while not siding with either mother or daughter, and then must help the mother recover from shock and dissociation while simultaneously helping the daughter not run away and stay present in the room. Mother and daughter go through a complex series of emotional reactions (anger, fear, guilt, shame, grief) with the help of the therapist, and are able to make the shift from experiencing a flashback of violence to reconnecting with one another based on their core relationship.

Understanding and Working with Dissociative States

In this webinar, you will meet Adam, a 15 year old Caucasian male. For years, Adam was excelling in school and was a star soccer athlete. Unbeknownst to his parents, Adam was sexually assaulted a year ago by his female tutor Amber. Following the assault, Adam began to struggle in school and behaving in uncharacteristic ways. Adam was referred to a therapist and about one year later, Adam reported to his therapist that he was hearing voices telling him to kill himself. Over several weeks Adam became increasingly anxious and sad and began to experience auditory hallucinations telling him to either hang himself or jump out a window.

Helping a Family Cope with the Threat or Revictimization

Michael (12-years old) and Trisha (16-years-old) live with their mother Monica in a single-parent household. Five years ago, their father Neil was incarcerated after violently attacking and nearly killing Monica while the children were upstairs in their bedrooms. Michael and Trisha seem resilient, doing well emotionally, in school, and with peers, but Monica developed panic attacks and nightmares. Monica began therapy with Dr. Taylor two years ago, and her PTSD symptoms had largely resolved until she learned a couple of weeks ago that her ex-husband was going to get released from prison within the next month. Monica and Dr. Taylor jointly decided it would be helpful for the children to learn of their father’s imminent release in a family session with Dr. Taylor, the children’s first meeting with Dr. Taylor.

Supporting a Recently Traumatized Youth in a Crisis of Dissociation and Self-Harm

Samantha is a 15-year-old African American girl who lives in public housing in an urban area rife with violence and drug use. Samantha is an outstanding student and attends private school on scholarship, where her friends describe her as beautiful, popular, brilliant, and a star athlete. At age 10, Samantha saw her brother murdered when he was walking her home from school. Their mother became hysterical and chronically depressed, and their father changed from a loving dad to drinking and screaming at the family. Samantha was sexually assaulted by her boyfriend’s male friends at a party at which she, usually a non-drinker, became intoxicated and passed out. Samantha has no memory of the assault and was referred to a female therapist, Dr. Sofia Mattei, by a sexual assault counselor who met with her at the hospital. This webinar presents Samantha’s first therapy session with Dr. Mattei.

Helping an Angry Father Find Common Ground with His Son

Depicts a father who has been physically violent in the past becoming intensely verbally angry, frightening and emotionally alienating his son. The therapist has to find a way to help the father feel supported, so he can engage his son with the love and appreciation which his son needs from him. With this caring and role modeling, the son can heal and move forward in his own life.