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Addiction, Trauma, & Adverse Childhood Experiences (ACEs): The Neuroscience behind Developmental/Attachment Trauma and Adverse Childhood Experiences
Original Program Date :


Clients are desperately trying to make sense of their symptoms of depression, free-floating anxiety, addictive behaviors, dysregulated emotions, physiological arousal, and seemingly unrelated medical issues. They look to you to create an understanding, provide an accurate diagnosis, and layout an effective treatment approach; however, you find that you can’t without understanding and addressing their “why”. The science is clear and overwhelming about the lasting effects of adverse childhood experiences, developmental trauma, and attachment wounds.

In this video, you will learn key insights regarding the neuroscience of addiction from the Adverse Childhood Experiences (ACE) Study, one of the largest investigations of childhood abuse and neglect, and the impact on later-life health and well-being. You will understand the important assessment and treatment implications from neuroscience that show us addiction is experience dependent, not substance dependent.

You will learn treatment recommendations from the leading experts in trauma and addictions treatment including:

  • Bessel A. van der Kolk, MD, New York Times best-selling author and the world’s leading expert on psychological trauma
  • Vincent Felitti, MD, co-principal investigator of the ACE Study
  • Louis John Cozolino, PhD
  • Lance Dodes, MD
  • Lisa Ferentz, LCSW-C, DAPA
  • Jim Hopper, PhD
  • Gabor Maté, MD
  • Lane Pederson, PsyD, LP, DBTC
  • Mary Lou Schack, PhD

Fusing research and theory about attachment and complex developmental trauma, these experts provide invaluable insight that simply must inform our therapy, including:

  • The therapeutic alliance, along with all its inherent challenges with boundaries and clinical enactments
  • The use of contemplative practices for changing the brain
  • Teaching skills for self-regulation
  • Evidence-based modalities for both stabilization and processing traumatic material

These experts help illustrate how your clients do not get over or grow out of childhood trauma. These painful experiences, when left unrecognized or untreated, continue to impact us throughout our lifetime; however, with this new insight you can finally say to your client:

Your behavior absolutely makes sense and here’s what neuroscience and the ACE Study tells us about the association between your experiences as a child and your struggles as an adult.

Featuring—Linda Curran, BCPC, LPC, CACD, CCDP-D, a trauma specialist, veteran clinician, and best-selling author of Trauma Competency: A Clinicians Guide and 101 Trauma-Informed Interventions. Linda has collaborated with the world’s leaders in trauma, including Bessel van der Kolk, M.D., to develop best-selling DVDs and books covering all aspects of psychological trauma, including three video projects for The Master Clinician Series: Trauma Treatment: Psychotherapy for the 21st Century; Power Therapies: EMDR and Beyond; and Evidence-Based Treatments for PTSD.

OUTLINE

Introduction of the Program

Introduction of Master Clinicians

The ACE Study

  • The Origins of the ACE Study
    • ACE Study Questions
  • 10 Categories Studied
    • 3 Categories of Abuse
    • 2 Categories of Neglect
    • 3 Categories of Household Dysfunction
  • Demographics
    • Race
    • Age
    • Education
  • Impact on
    • Emotional State
    • Mental Illness
    • Social Malfunction
    • Occupational Performance
    • Biomedical Health
    • Disease
    • Premature Death
  • Damage Occurs
    • Various “Maladaptive” Coping Mechanisms
    • Chronic Unrelieved Stress on the Brain
    • Epigenetics
  • Implementing ACE Study Information
    • The Addition of 10 Trauma-Oriented Questions
  • Treatment
    • Theater work
    • Meditation
  • Neuroscience of Trauma
  • Addiction Treatment Trauma
    • 12 Step Program vs. Treatment
    • Rehab
    • Recommendations
  • Therapeutic Relationship Complex Trauma
  • Therapeutic Alliance
  • Clinical Enactments
  • Mandated Therapy for Therapists
  • Simple Interventions
  • The Body and the Brain; Embodiment Circuitry
  • 5 Functions of DBT
    •  Increasing Client Motivation
    •  Increasing Client Capability
    • Generalize Skills
    •  Increasing Therapist Motivation
    • Structure
  • DBT Skills
    • Mindfulness
    • Distress Tolerance
    • Emotion Regulation
    • Interpersonal Effectiveness
  • DBT Interventions
  • More on the Phase Model of Treatment
  • Simple vs. Complex PTSD
  • Trauma Processing Modalities
  • Evidence-Based Practice

OBJECTIVES

  • List the 10 categories studied, along with the major findings, The Adverse Childhood Experiences Study.
  • Discuss the impact of 6 or more ACEs with regard to adult morbidity and mortality.
  • Describe the impact of the addition of 10 “trauma-informed questions” to a general medical questionnaire in terms of medical costs.
  • Apply DBT skills to mental health, addiction, and dual diagnosis clients.
  • Analyze the challenges and complications with 12 step programs.
  • Differentiate simple PTSD versus complex PTSD.

 

Linda Curran, BCPC, LPC, CAC-D, CCDPD, EMDR-C

Linda A. Curran, BCPC, LPC, CAC-D, CCDPD, EMDR-C, sought after national trainer, best-selling author and film producer, has trained thousands of mental health clinicians across the country on trauma treatment. She is President of Integrative Trauma Treatment, LLC, in Havertown, PA. With advanced degrees in both clinical psychology and public health, Linda is a Board Certified, Licensed Professional Counselor; Certified Addiction Counselor Diplomate; Certified Co-Occurring Professional Diplomate; Certified Gestalt Therapist; Certified Neurofeedback Practitioner; Certified Hypnotherapist; and Level II EMDR Practitioner.

International speaker on the treatment of trauma, author of both Trauma Competency: A Clinicians Guide and 101 Trauma-Informed Interventions, Linda has developed, produced, and presents multi-media workshops on all aspects of psychological trauma. Her latest projects include the completion of www.trauma101.com (an extensive trauma resource for clinicians and clients alike), along with nine completed video projects for The Master Clinician Series. Linda continues to advocate for accessible, coherent, integrative trauma treatment for all those affected by trauma.

 

Speaker Disclosures:
Financial: Linda Curran maintains a private practice. She receives a speaking honorarium, recording, and book royalties from PESI, Inc. Linda Curran is a paid consultant for Evergreen Certifications. She has no relevant financial relationships with ineligible organizations.
Non-financial: Linda Curran is a member of the American Counseling Association and the Association for the Advancement of Gestalt Therapy. She serves on the advisory board for International Association of Trauma Professionals.
Vincent Felitti, MD

Dr. Vincent Felitti is Clinical Professor of Medicine at the University of California and a Fellow of The American College of Physicians. A graduate of Johns Hopkins Medical School, Dr. Felitti is an internist who founded-then served as Chief of-the Department of Preventive Medicine for Kaiser Permanente in San Diego, CA.

A renowned physician and researcher, Dr. Felitti is one of the world’s foremost experts on childhood trauma. Co-principal investigator (along with Dr. Robert Anda) of the internationally recognized Adverse Childhood Experiences (ACE) Study, a long-term, in-depth, analysis of over 17,000 adults that revealed a powerful relationship between our emotional experiences as children and our physical and mental health as adults.

Gabor Maté, MD

Gabor Maté, MD (pronounced GAH-bor MAH-tay) is a retired physician who, after 20 years of family practice and palliative care experience, worked for over a decade in Vancouver’s Downtown East Side with patients challenged by drug addiction and mental illness. The bestselling author of five books published in nearly 40 languages, including the award-winning In the Realm of Hungry Ghosts: Close Encounters with Addiction, Gabor is an internationally renowned speaker highly sought after for his expertise on addiction, trauma, childhood development, and the relationship of stress and illness. For his groundbreaking medical work and writing he has been awarded the Order of Canada, his country’s highest civilian distinction, and the Civic Merit Award from his hometown, Vancouver. His most recent book, The Myth of Normal: Trauma, Illness and Healing in a Toxic Culture is a New York Times and international bestseller. 

 

Speaker Disclosures:
Financial: Dr. Gabor Maté receives compensation as a presenter. He receives royalties as a published author. Dr. Maté receives a speaking honorarium and recording and book royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Gabor Maté has no relevant non-financial relationships.

Louis Cozolino, PhD

Louis Cozolino, PhD, is a professor of psychology at Pepperdine University and maintains a clinical and consulting practice in West Los Angeles. He is the author of Attachment-Based Teaching: Creating a Tribal Classroom, The Social Neurosience of Education: Optimizing Attachment and Learning in the Classroom, The Neuroscience of PsychotherapyThe Making of a TherapistThe Neuroscience of Human Relationships, and The Healthy Aging Brain, all from W.W. Norton. 

Dr. Cozolino holds degrees in Philosophy (State University of New York, Stony Brook), Theology (Harvard University), and a PhD in Clinical Psychology from UCLA. He speaks internationally on neuroscience and education.

Speaker Disclosures:

Financial: Louis Cozolino is faculty at Pepperdine University and maintains a private practice. Mr. Cozolino has books published by W. W. Norton. He receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: Louis Cozolino is a member of the American Neuropsychiatric Association (ANPA), International Society for the Study of Dissociative Identity Disorder and Dissociation (ISSDID), Society for Research in Psychopathology (SRP), International Society for Traumatic Stress Studies (ISTSS), and Los Angeles County Psychological Association (LACPA).

Bessel A. van der Kolk, MD, Trauma Research Foundation

Bessel A. van der Kolk, MD, is a clinician, researcher and teacher in the area of post-traumatic stress. His work integrates developmental, neurobiological, psychodynamic and interpersonal aspects of the impact of trauma and its treatment.

Dr. van der Kolk and his various collaborators have published extensively on the impact of trauma on development, such as dissociative problems, borderline personality and self-mutilation, cognitive development, memory, and the psychobiology of trauma. He has published over 150 peer-reviewed scientific articles on such diverse topics as neuroimaging, self-injury, memory, neurofeedback, Developmental Trauma, yoga, theater, and EMDR. 

He is founder of the Trauma Center in Brookline, Massachusetts and President of the Trauma Research Foundation, which promotes clinical, scientific, and educational projects. 

His 2014 #1 New York Times best seller, The Body Keeps the Score: Brain, Mind, and Body in the Treatment of Trauma, transforms our understanding of traumatic stress, revealing how it literally rearranges the brain’s wiring – specifically areas dedicated to pleasure, engagement, control, and trust. He shows how these areas can be reactivated through innovative treatments including neurofeedback, somatically based therapies, EMDR, psychodrama, play, yoga, and other therapies.

Dr. van der Kolk is the past president of the International Society for Traumatic Stress Studies, and professor of psychiatry at Boston University Medical School. He regularly teaches at conferences, universities, and hospitals around the world.

 

Speaker Disclosures:
Financial: Dr. Bessel van der Kolk is a professor at Boston University School of Medicine, the Director of the Trauma Center, and the National Complex Trauma Network. He receives royalties as a published author. Dr. van der Kolk receives a speaking honorarium, recording royalties, and book royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Bessel van der Kolk has no relevant non-financial relationships with ineligible organizations.

James W. Hopper, PhD

James W. Hopper, PhD, Independent consultant and Instructor in Psychology, Cambridge Health Alliance & Harvard Medical School.  Co-editor, Mindfulness-Oriented Interventions for Trauma: Integrating Contemplative Practices.  The MDMA Team, Trauma Research Foundation.

Speaker Disclosures:
Financial: James Hopper maintains a private practice and has employment relationships with Harvard University and Cambridge Health Alliance. He receives royalties as a published author. James Hopper receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: James Hopper serves on the advisory board for Callisto. He is a member of the International Society for Traumatic Stress Studies and the APA Division 56. James Hopper is an Ad hoc reviewer for several peer review journals, for a complete list contact PESI, Inc.

Lance Dodes, MD

Lance Dodes, M.D., is a Training and Supervising Analyst with the Boston Psychoanalytic Society and Institute and assistant clinical professor of psychiatry at Harvard Medical School. He is Chair of the annual discussion group The Patient with Addiction in Psychotherapy and Psychoanalysis at the winter meeting of the American Psychoanalytic Association. Dr. Dodes has been honored by the Division on Addictions at Harvard Medical School for "Distinguished Contribution" to the study and treatment of addictive behavior.

Lisa Ferentz, LCSW-C, DAPA, The Ferentz Institute

Lisa Ferentz, LCSW-C, DAPA, is a recognized expert in the strengths-based, de-pathologized treatment of trauma and has been in private practice for over 35 years. She presents workshops and keynote addresses nationally and internationally, and is a clinical consultant to practitioners and mental health agencies in the United States, Canada, the UK, and Ireland.

She has been an adjunct faculty member at several universities, and is the founder of “The Ferentz Institute,” now in its 12th year of providing continuing education to mental health professionals and graduating over 1,600 clinicians from her two certificate programs in Advanced Trauma Treatment.

In 2009, she was voted the “Social Worker of Year” by the Maryland Society for Clinical Social Work. Lisa is the author of Treating Self-Destructive Behaviors in Trauma Survivors: A Clinician’s Guide, 2nd Edition (Routledge, 2014), Letting Go of Self-Destructive Behaviors: A Workbook of Hope and Healing (Routledge, 2014), and Finding Your Ruby Slippers: Transformative Life Lessons From the Therapist’s Couch (PESI, 2017). Lisa also hosted a weekly radio talk show, writes blogs and articles for websites on self-harm and self-care, and teaches on many webinars.

 

Speaker Disclosures:
Financial: Lisa Ferentz maintains a private practice and is the Founder and President of the Ferentz Institute. She receives royalties as a published author and is a consultant for Northwest Hospital. Lisa Ferentz receives a speaking honorarium and product royalties from Psychotherapy Networker and PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Lisa Ferentz is a member of the National Association of Social Workers and the American Psychotherapy Association.
Mary Lou Schack, PhD

Mary Lou is a clinical psychologist, working with individuals and couples and supervising therapists in her Bala Cynwyd, PA, practice. She received her PhD in Psychology from Temple University and has been training therapists in experiential methods for more than 30 years. She herself trained in Gestalt Therapy with James Simkin, Isadore From, Laura Perls, and Erving and Miriam Polster. She is, with the late Joyce Lewis, one of the founders of GTIP. Mary Lou's current areas of theoretical interest include mutuality and connection in relationships, the experience of time, scapegoating phenomena, body/mind functioning, forgiveness, and the healing of early psychological wounds.

Lane Pederson, PsyD, LP, C-DBT

Lane Pederson, PsyD, LP, C-DBT, has provided Dialectical Behavior Therapy (DBT) training and consultation to over 30,000 professionals in the United States, Australia, South Africa, England, Canada, Mexico, and the Middle East through his training and consultation company, Lane Pederson and Associates, LLC (www.DrLanePederson.com).  A real world practitioner, Dr. Pederson co-owns Mental Health Systems, PC (MHS), one of the largest DBT-specialized practices in the United States with four clinic locations in Minnesota (www.mhs-dbt.com).  At MHS, Dr. Pederson has developed DBT programs for adolescents, adults, people with dual disorders, and people with developmental disabilities.  He has served as clinical and training directors, has directed practice-based clinical outcome studies, and has overseen the care of thousands of clients in need of intensive outpatient services.

Dr. Pederson’s DBT publications include The Expanded Dialectical Behavior Therapy Skills Training Manual, 2nd Edition: DBT for Self-Help and Individual & Group Treatment Settings  (PESI, 2017); Dialectical Behavior Therapy: A Contemporary Guide for Practitioners (Wiley, 2015); Dialectical Behavior Therapy Skills Training for Integrated Dual Disorder Treatment Settings (PESI, 2013) and The DBT Deck for Clients and Therapists: 101 Mindful Practices to Manage Distress, Regulate Emotions & Build Better Relationships (PESI, 2019).

Notable organizations he has trained for include Walter Reed National Military Hospital, the Federal Bureau of Prisons, the Ontario Psychological Association, the Omid Foundation, and Psychotherapy Networker.  He has provided DBT training for community mental health agencies, chemical dependency treatment centers, hospital and residential care settings, and to therapists in forensic settings.  Dr. Pederson also co-owns Acacia Therapy and Health Training (www.AcaciaTraining.co.za) in South Africa. Dr. Pederson currently serves on the advisory board for the doctorial counseling program at Saint Mary’s University of Minnesota and is a peer reviewer for Forensic Scholars Today.

Lane Pederson is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organization.

 

Speaker Disclosures:
Financial: Lane Pederson maintains private practice and is the founder and CEO of Dialectical Behavior Therapy National Certification and Accreditation Association. He receives compensation as a national speaker and receives royalties as a published author. Lane Pederson receives a speaking honorarium, recording, and book royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Lane Pederson has no relevant non-financial relationships.
Dr. Christine A. Courtois, PhD, ABPP

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