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May 7, 2018

Prolonged Exposure Therapy (PET) for the treatment of PTSD

Prolonged Exposure Therapy (PE)

May 7, 2018- May 10, 2018

 

Location: Doubletree Hotel Detroit-Dearborn 5801 Southfield Fwy., Detroit, MI

Eligible attendees will receive a special code from

Robert Compton

 

An estimated 70% of adults in the United States have experienced a traumatic event at least once in their lives. Though most recover on their own, up to 20% develop chronic Posttraumatic Stress Disorder. For these people, overcoming PTSD requires the help of a professional. This training gives clinicians the information they need to treat clients who exhibit the symptoms of PTSD. It is based on the principles of Prolonged Exposure Therapy, the most scientifically-tested and proven treatment that has been used to effectively treat victims of all types of trauma. Whether your consumer is a veteran of combat, a victim of a physical or sexual assault, or a casualty of a motor vehicle accident, the techniques and strategies outlined in this training will help. In this treatment consumers are exposed to imagery of their traumatic memories, as well as real-life situations related to the traumatic event in a step-by-step, controllable way. Through these exposures, your client will learn to confront the trauma and begin to think differently about it, leading to a marked decrease in levels of anxiety and other PTSD symptoms.

Training Description

This intensive workshop on how to implement Prolonged Exposure Therapy will begin with instruction in the basics of all components of PE. The second half of the workshop will focus on how to modify therapy procedures in order to tailor the treatment to the client’s response to exposure. Maintaining focus on treatment of PTSD while maintaining flexibility in following the manual will be emphasized. During this workshop, participants will be presented detailed case vignettes that illustrate use of PE in the treatment of trauma survivors with chronic PTSD. Participants will also see segments of videotaped therapy sessions conducted by experts that illustrate all PE therapy components. Attendees will be given the opportunity to practice PE procedures with other attendees with feedback from faculty trainers. We will also provide detailed treatment manuals and supporting materials used in providing the therapy.

Learning Objectives

At the completion of this training, participants should be able to: 

  1. Describe the diagnosis and psychopathology of PTSD.
  2. Discuss emotional processing theory as it relates to Prolonged Exposure Therapy for PTSD.
  3. Discuss empirically-supported, psychotherapeutic treatments for chronic PTSD and the comparative efficacy of these treatment approaches.
  4. Explain how clients can be helped to emotionally engage in and process traumatic memories, with the aim of reducing trauma-related symptoms and difficulties.
  5. Implement psychoeducational treatment components of Prolonged Exposure Therapy for PTSD 
  6. Construct an in-vivo exposure hierarchy that includes a range of situations that safely and effectively promote learning while expanding the client’s world.
  7. Implement in-vivo exposure to safe but avoided trauma reminders with patients.
  8. Help patients choose an appropriate index trauma to focus on in Prolonged Exposure Therapy for PTSD.
  9. Conduct imaginal exposure to memories of traumatic events.
  10. Choose hot spots with patients and implement hot spots procedures.
  11. Identify and address avoidance in PE sessions.
  12. Identify and address over- and under-engagement in imaginal exposure.
Course Content:
  • Theories and concepts of human behavior in the social environment.
  • Social work practice, knowledge and skills.
  • Social work research, program evaluation, or practice evaluation.
  • Social work agency management or administration.
  • Development, evaluation, and /or implementation of social policy.
  • Social work ethics and standards of professional practice (presenter must be an LMSW).
  • Pain-must address physical pain.

Agenda:

Day 1:

9:00am-1:00pm – Prolong Exposure Therapy for PTSD Break as needed

1:00pm-2:00pm – Lunch

2:00pm-3:30pm – Overview of PE Therapy

3:30pm-3:45pm – Break

3:45pm-5:00pm – Prolonged Exposure Therapy Program 

 

Day 2:

9:00am-10:15am – Practice delivery of treatment overview/rationale in pairs

10:15am-10:30am – Break

10:30am-11:15am – Session 1: Trauma Interview and Breathing Retraining

                    Session 2: Psychoeducation

11:15am-12:00pm – Session 2: In Vivo Exposure

12:00pm-1:00pm – Lunch

1:00pm-1:45pm – Session 2: In Vivo Exposure

1:45pm-2:45pm – Practice rational and procedure for in vivo exposure and hierarchy construction in pairs

2:45pm-3:00pm – Break

3:00pm-5:00pm – Session 3: Imaginal Exposure 

 

Day 3:

9:00am-10:00am – Imaginal Exposure Processing Anger, Guilt, and Shame

10:00am-11:00am – Practice delivery of imaginal exposure rationale and procedure in pairs

11:00am-11:15am – Break

11:15am-12:00pm– Session 4 and 5, Therapist Self Care

12:00pm-1:00pm – Lunch

1:00pm-2:00pm – Session 6-9: Hot Spots procedure for imaginal exposure

2:00pm-2:45pm – Session 10: Reassessing SUDs, relapse prevention, post-treatment planning

2:45pm-3:00pm – Break

3:00pm-5:00pm – Factors that impair effective emotional engagement in exposure: Avoidance 

 

Day 4:

9:00am-10:00am – Factors that impair effective emotional engagement in exposure: Underengagement

10:00am-10:15am – Break

10:15am-11:30am – Factors that impair effective emotional engagement in exposure: Overengagement

11:30am-12:30pm – Lunch

12:30pm-1:30pm – Special Issues: Working with clients with comorbid alcohol abuse/dependence

1:30pm-2:15pm – Special Issues: Maintaining focus on PTSD, Home work compliance

2:15pm-2:30pm – Break

2:30pm-3:30pm – Review of Treatment/Forms

3:30pm-4:00pm – Discussion Period

 

About the Trainers:

Dr. Emily Malcoun is a licensed clinical psychologist and nationally recognized expert in evidence-based treatment of anxiety and related disorders. She has lectured and published widely on best practice treatment of obsessive-compulsive disorder, posttraumatic stress disorder, trauma resiliency and multicultural adaptations of evidence-based psychotherapies. She is among a selected group of experts who are certified to provide training in Prolonged Exposure therapy by its developer, Dr. Edna Foa. Her work has been featured on television and other media outlets including Al-Jazeera America segment highlighting delivery of Prolonged Exposure therapy to adolescents living with PTSD. She is also certified in Exposure and Ritual Prevention for Treatment of OCD by the Behavior Therapy Training Institute.  

 

Dr. Malcoun received her Ph.D. from Bryn Mawr College and completed a postdoctoral fellowship at Emory University Trauma and Anxiety Recovery Program under the directorship of Dr. Barbara Rothbaum, where she helped implement a ground-breaking study investigating an evidence-based treatment model for prevention of PTSD in the immediate aftermath of trauma. Dr. Malcoun also completed clinical training at the University of Pennsylvania Center for the Treatment and. Study of Anxiety under the directorship of Dr. Edna Foa, where she later served as a staff psychologist. Dr. Malcoun received a bachelor’s degree in theology from the University of Notre Dame and a Masters of Divinity from Harvard University, where she focused on comparative religions. She has extensive training in pastoral counseling and is a certified inter-faith hospital chaplain, a background she draws extensively from in treatment of scrupulosity OCD and working with individuals embracing post-trauma growth. 

 

Suggested Participants:

Community Mental Health (CMH) Staff currently serving as part of a DBT or Trauma-Specific Service Team

Continuing Education Information

Continuing Education Credits are PENDING for this training.  

  • Social Workers:  27 continuing Education Credits are approved for this training. 
  • Qualified Mental Health Professional: 27 training hours are approved for clinical trainings in the behavioral health field (QMHP).

 

For technical assistance, contact our help desk at 313.451.3792

If you have questions regarding the training, contact Robert Compton at rcompton@dwmha.com