Course Description
Co-existing personality disorders in clients who have complex trauma and dissociation are not uncommon, can complicate the treatment, and often lead to therapeutic impasses. We will explore practical ways to assess for the most common personality disorders and plan treatments that address behavioral problems and major defenses and conflicts that overlap with trauma. Behavioral challenges that interfere with treatment should be addressed early. We will explore the emotional, cognitive, and relational challenges of working with these clients, who may be especially affected by childhood trauma and neglect due to genetic vulnerabilities. The necessity of clear, consistent boundaries, the avoidance of power struggles, and the management and therapeutic use of countertransference will be discussed.
Join us to learn about:
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The association between childhood trauma and attachment functioning in clients with personality disorders.
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Complex PTSD and borderline personality disorder.
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PTSD, C-PTSD, and BPD; comorbid but distinct syndromes.
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Distinguishing Complex PTSD from Borderline Personality Disorder.
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Pathological narcissism (PN) and narcissistic personality disorder (NPD).
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Internal processing in patients with pathological narcissism or narcissistic personality disorder: Implications for alliance building and therapeutic strategies.
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Personalizing psychotherapy for personality disorders; a personalized approach that will optimize therapy effectiveness.
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Guiding treatment with individualized case formulation.
Learning Objectives
Participants will be able to:
1. Assess for basic personality disorders and related defenses by exploring clinical presentations and history.
2. Determine a basic treatment trajectory and develop a sequenced treatment plan for a client who has both trauma and a personality disorder.
3. Employ a collaborative relational approach that focuses on shared treatment goals with clients who have personality disorders.
4. List the major features of personality disorders.
5. Name at least three (3) interventions to work with relational, emotional, and cognitive challenges in therapy with clients who have personality disorders and complex trauma and dissociation.
The Envision Difference
100 % online: Develop your skills from the comfort of your home or office.
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1 YEAR access: Your registration comes with 1 year of access to the recorded program and to any materials the presenter has made available. Once you finish the program's requirements, you can receive a certificate with CEs for home study learning. *Exception applies, see CE section
On-Demand
60 minutes
● The association between childhood trauma and attachment functioning in clients with personality disorders.
● Assess for basic personality disorders and related defenses by exploring clinical presentations and history.
30 minutes
● PTSD, cPTSD, and BPD; comorbid but distinct syndromes.
● Distinguishing Complex PTSD from Borderline Personality Disorder.
30 minutes
● Pathological narcissism (PN) and narcissistic personality disorder (NPD).
60 minutes
● Working with narcissism, continued AND Working with avoidant personality disorder.
60 minutes
● Determine a basic treatment trajectory and develop a sequenced treatment plan for a client who has both trauma and a personality disorder.
● Internal processing in patients with pathological narcissism or narcissistic personality disorder: Implications for alliance building and therapeutic strategies.
● Employ a collaborative relational approach that focuses on shared treatment goals with clients who have personality disorders.
30 miuntes
● Interventions to work with relational, emotional, and cognitive challenges in therapy with clients who have personality disorders and complex trauma and dissociation.
About Kathy Steele, MN, CS, APRN
Kathy Steele has been in private practice since 1985, and with Metropolitan Psychotherapy Associates in Atlanta, Georgia since 1988. She was Clinical Director of Metropolitan Counseling Services, a non- profit psychotherapy and training center until 2016. She is a Past President and Fellow of the International Society for the Study of Trauma and Dissociation (ISSTD), and has also served two terms on the Board of the International Society for Traumatic Stress Studies (ISTSS). Kathy served on the International Task Force that developed treatment guidelines for Dissociative Disorders, and on the Joint International Task Force that has developed treatment guidelines for Complex Posttraumatic Stress Disorder. She is now a part of the Editorial Board, Journal of Trauma and Dissociation. She has received a number of awards for her work, including the Lifetime Achievement Award from ISSTD, an Emory University Distinguished Alumni Award, and the Cornelia B. Wilbur Award for Outstanding Clinical Contributions from ISSTD. Kathy has (co)authored numerous book chapters, peer reviewed journal articles, and three books with her colleagues.