An Integrative Approach to Treating Complex PTSD
and Dissociative Disorders
Kathy Steele, MN, CSThis two day workshop will offer an integrative approach to creating safety, reduce and resolve symptoms, and stabilize clients who have complex PTSD and dissociative disorders. Many clients with complex trauma are challenging, with a high level of crisis and chaos, problems with the therapeutic relationship, and entrenched dysfunctional coping patterns. We will first examine how to understand and plan these demanding treatments in a sequenced, rational and tailored manner that supports increasing integration and improved functioning. Next, we will focus on specific principles and prognostic factors that can guide therapists in thoughtfully choosing interventions that are most likely to be effective. Interventions will be drawn from a variety of top-down and bottom-up modalities that are based upon a coherent theoretical foundation. Participants will explore how to work with attachment problems such as dependency, rage, need, shame, and isolation, and will learn specific interventions to facilitate a collaborative therapeutic relationship. We will explore when and how to approach traumatic memory in the context of the therapeutic relationship. Emphasis will be place on how to work with various degrees of dissociation. A sequenced and systemic approach to dissociation will be discussed, with highly practical interventions. Participants will also explore the concept of resistance and how it can best be addressed in a collaborative manner with highly traumatized clients.
Educational ObjectivesParticipants will be able to:
- Name five essential principles of treatment in working with Complex PTSD and dissociative disorders.
- Discuss the differences between a parent-child model and a collaborative model of the therapeutic relationship, and list at least 3 ways a collaborative relationship can be estabilished.
- Define disorganized attachment and how it is associative with dissociation.
- Define dissociation and name at least four ways to work with clients who have dissociative disorders.
- List contraindications to working with traumatic memory.
- Employ at least five different interventions to support integration of traumatic memory.