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EMDR Therapy for Borderline Personality Disorder, Dissociation and Complex Trauma (2 Day) presented by Dolores Mosquera, M.S. and Colin A. Ross, M.D.

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Presented by Colin A. Ross, M.D and Dolores Mosquera, M.S.

12 credits for 2-Day training: EMDRIA, APA, NASW, LMFT and LMHC, LPC and other NBCC approved masters level clinicians.

In this two-day workshop, Dr. Ross and Dolores Mosquera will provide a comprehensive overview of EMDR, borderline personality disorder, dissociation and complex trauma, including examples of specific treatment techniques and strategies. Dr. Ross will speak on Day One and Dolores Mosquera will speak on Day Two. Each will be present on both days. Dr. Ross will review the definition of dissociation and the differences between psychoform and somatoform dissociation. He will spend considerable time on dissociative identity disorder (DID): how to diagnose it; what it is and what it is not; prevalence, reliability and validity; treatment outcome data for DID; and the relationship between DID and PTSD. In his clinical experience, three common reasons for adverse reactions to EMDR he sees in patients referred to his hospital Trauma Programs are: failure to diagnose a complex dissociative disorder; inadequate history, preparation and stabilization; and moving into desensitization too quickly. Dr. Ross will then discuss borderline personality disorder (BPD) and the relationship between BPD, reactive attachment disorder, and dissociation. He will then place BPD within a modified version of the theory of structural dissociation – this formulation leads naturally to treating DID within EMDR and within the Adaptive Information Processing model. This will be followed by an explanation of the principles of Dr. Ross’ Trauma Model Therapy, which is suitable for DID, BPD, PTSD and a wide range of mental health problems and addictions. These principles can be most helpful in EMDR therapy of BPD, prior to desensitization work. He will finish the day with case examples of treatment techniques and an opportunity for questions and discussion.

In Day Two, Dolores Mosquera will draw on her extensive clinical experience as an EMDR clinician, consultant and specialty populations’ trainer, and will build on the groundwork laid by Dr. Ross in Day One. She will explain how to treat BPD within the Adaptive Information Processing model and will describe subgroups within BPD that require somewhat different EMDR strategies. She will describe in detail the clinical interview for BPD she conducts prior to treatment, including common problems encountered and common defenses seen. In the next section, she will talk in detail about grounding, stabilization and self-care and emotional regulation skills and treatment strategies. This will be followed by discussion of self-differentiation, psychoeducation strategies, working with defenses and working with dissociative parts. She will conclude the workshop with discussion of target selection in BPD, when to process trauma, and when not to, managing borderline defenses, and the reevaluation phase of EMDR. The focus will be on specific techniques and strategies and a practical, hands-on approach.

Day One - Colin A. Ross, M.D.

Part One: The Dissociative Disorders
Part Two: Dissociation and Borderline Personality Disorder (BPD)
Part Three: Trauma Model Therapy, BPD and Dissociation
Part Four: Trauma Model Therapy

Day Two - Dolores Mosquera, M.S.

Part One: BPD, Trauma, Dissociation and EMDR: Phase 1
Part Two: BPD, Trauma, Dissociation and EMDR: Phase 2
Part Three: BPD, Trauma, Dissociation and EMDR: Phase 3
Part Four: BPD, Trauma, Dissociation and EMDR: Phase 4-8

Objectives -- Participants will be able to:

  1. Describe the phenomenology, epidemiology, reliability and validity, and treatment outcome for dissociative identity disorder.
  2. Describe the relationships between trauma, disrupted attachment, PTSD, dissociation and borderline personality disorder (BPD).
  3. Describe the core principles and techniques of Trauma Model Therapy.
  4. Describe the relationship between trauma, dissociation and BPD from the perspective of the Adaptive Information Processing model, and how this guides EMDR therapy.
  5. Describe stabilization techniques to improve self-care and self-regulation in BPD and complex trauma.
  6. Describe strategies and techniques for target selection, choosing when to do bilateral stimulation and managing defenses within EMDR therapy for trauma and BPD.
  7. Describe strategies to explore the system of parts in a safe way, promoting integration.

Note: The content and application of this training material is for EMDR trained clinicians only. Viewing is for registered participants only. No recordings or other distribution of the materials without the presenter and sponsor’s permission is allowed.

Presenters

Colin A. Ross

Colin A. Ross received his M.D. from the University of Alberta in 1981 and completed his psychiatry training at the University of Manitoba in 1985. He has been running a Trauma Program in the Dallas, Texas area since 1991 and consults to two other Trauma Programs, one at Forest View Hospital in Grand Rapids, Michigan and one at Del Amo Hospital in Torrance, California. His Texas Trauma Program moved to UBH Denton in September of 2015. Dr. Ross is the author of 28 books and 190 professional papers and is a Past President of the International Society for the Study of Trauma and Dissociation. Dr. Ross has spoken widely throughout North America and in Europe, China, Malaysia, Australia and New Zealand. Ross is an internationally renowned speaker. He is adept at imparting complex information in a clear, user-friendly fashion. More info at the Colin Ross Institute: rossinst.com

Dolores Mosquera

Dolores Mosquera is a psychologist and psychotherapist. She is the director of the Institute for the Study of Trauma and Personality Disorders (INTRA-TP), a private institution where she has worked with EMDR for many years on cases related to severe traumatization. She is an EMDR Europe Consultant and Facilitator. She has extensive teaching experience, leading seminars, workshops and lectures internationally. She has published many books and articles on personality disorders, complex trauma and dissociation and is a recognized expert in this field.

Continuing Education

Credits:
6.0 CE
Level:
Any
Production Date:
07/21/2018

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EMDR Therapy for Borderline Personality Disorder, Dissociation and Complex Trauma

Presented by Colin A. Ross, M.D.

6 credits for 1-day training: EMDRIA, NASW, LMFT and LMHC, LPC and other NBCC approved masters level clinicians

Dr. Ross provides a comprehensive overview of EMDR, borderline personality disorder, dissociation and complex trauma, including examples of specific treatment techniques and strategies. Dr. Ross will review the definition of dissociation and the differences between psychoform and somatoform dissociation. He will spend considerable time on dissociative identity disorder (DID): how to diagnose it; what it is and what it is not; prevalence, reliability and validity; treatment outcome data for DID; and the relationship between DID and PTSD. In his clinical experience, three common reasons for adverse reactions to EMDR he sees in patients referred to his hospital Trauma Programs are: failure to diagnose a complex dissociative disorder; inadequate history, preparation and stabilization; and moving into desensitization too quickly. Dr. Ross will then discuss borderline personality disorder (BPD) and the relationship between BPD, reactive attachment disorder, and dissociation. He will then place BPD within a modified version of the theory of structural dissociation – this formulation leads naturally to treating DID within EMDR and within the Adaptive Information Processing model. This will be followed by an explanation of the principles of Dr. Ross’ Trauma Model Therapy, which is suitable for DID, BPD, PTSD and a wide range of mental health problems and addictions. These principles can be most helpful in EMDR therapy of BPD, prior to desensitization work. He will finish the day with case examples of treatment techniques and an opportunity for questions and discussion.

Content Outline - Colin A. Ross, M.D.

Part One: The Dissociative Disorders
Part Two: Dissociation and Borderline Personality Disorder (BPD)
Part Three: Trauma Model Therapy, BPD and Dissociation
Part Four: Trauma Model Therapy


Objectives -- Participants will be able to:

  1. Describe the phenomenology, epidemiology, reliability and validity, and treatment outcome for dissociative identity disorder.
  2. Describe the relationships between trauma, disrupted attachment, PTSD, dissociation and borderline personality disorder (BPD).
  3. Describe the core principles and techniques of Trauma Model Therapy.

Note: The content and application of this training material is for EMDR trained clinicians only. Viewing is for registered participants only. No recordings or other distribution of the materials without the presenter and sponsor’s permission is allowed.

Presenter

Colin A. Ross

Colin A. Ross received his M.D. from the University of Alberta in 1981 and completed his psychiatry training at the University of Manitoba in 1985. He has been running a Trauma Program in the Dallas, Texas area since 1991 and consults to two other Trauma Programs, one at Forest View Hospital in Grand Rapids, Michigan and one at Del Amo Hospital in Torrance, California. His Texas Trauma Program moved to UBH Denton in September of 2015. Dr. Ross is the author of 28 books and 190 professional papers and is a Past President of the International Society for the Study of Trauma and Dissociation. Dr. Ross has spoken widely throughout North America and in Europe, China, Malaysia, Australia and New Zealand. Ross is an internationally renowned speaker. He is adept at imparting complex information in a clear, user-friendly fashion. More info at the Colin Ross Institute: rossinst.com

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Dolores Mosquera – Treating Dissociative Disorders with EMDR: The Progressive Approach

After many early cautions about the potential dangers of using EMDR with individuals suffering from dissociative disorders, limited proposals have been offered for adapting EMDR procedures to this specific population. Based on these early cautions, EMDR is still considered by many clinicians as offering interventions that are limited to the treatment of traumatic memories in high functioning dissociative clients and only after a long preparation phase that depends on other treatment modalities. From this conceptualization, the use of EMDR is strongly limited and many survivors of severe traumatization are seen as unable to benefit from EMDR, if at all, only much later in the treatment process.

Mosquera and Gonzalez have developed the “Progressive Approach” (Gonzalez & Mosquera, 2012), which offers EMDR therapy innovations that are AIP consistent, and include methods to integrate bi-lateral stimulation earlier in treatment to accelerate trauma resolution and adaptive memory integration.

On Day One, Dolores Mosquera depicts the Progressive Approach and offers clinical case examples and video fragments to illustrate interventions with EMDR therapy for dissociative clients following the “Progressive Approach”. The workshop demonstrates how EMDR clinicians can safely utilize a wide range of EMDR interventions from early in the preparatory phase of treatment for patients with dissociative disorders.

Key Program Content

  1. EMDR therapy and managing dissociation, an expanded AIP model
  2. Managing dissociative phobias: identifying dissociative phobias and clinical strategies throughout different phases of treatment
  3. Empowering the client: working through the Adult Self with EMDR Therapy
  4. Understanding and exploring the internal system safely with Dissociative Disorders: clinical tools and interventions
  5. The Tip of the Finger Strategy and other tools to reprocess trauma gradually and safely

Day Two builds on the concepts of Day 1. New case examples and videos are used to illustrate the procedures explained in the book EMDR and Dissociation: the progressive approach. Clinical case examples and video fragments are presented and discussed to illustrate how the AIP theory and EMDR therapy methods can be used to conceptualize and treat complex trauma and to enhance emotional regulation, self-care and safety.

Key Program Content

  1. Developing client capacity for emotional regulation
  2. Assisting clients to experience an internal sense of safety
  3. Self-care work in severely traumatized clients: repairing attachment deficits with specific protocols
  4. Working with internal self-differentiation in severely traumatized clients
  5. Developing and expanding co-consciousness
  6. Enhancing adaptive integration.

12 credits: EMDRIA, APA, NASW, LMFT and LMHC, LPC and other NBCC approved masters level clinicians

Day One

9:00am EMDR and dissociation: An extended AIP model

10:00am Dissociative Phobias: the maintenance of dissociation

10.30am Coffee break

10:45am Working with Dissociative Phobias

12:15pm Lunch

1:00pm Empowering the client: working through the Adult Self with EMDR Therapy

2:00pm Exploring the internal system

2:30pm Coffee break

2:45pm How to explore the internal system safely in Dissociative Disorders

3:15pm The Tip of the Finger Strategy and other tools to process trauma gradually and safely

4:30pm- Close

Day Two

9:00am How to develop emotional regulation and safety in complex traumatization

10:00am Self-Care work in severely traumatized clients 10.30am Coffee break

10:45am The Self-Care protocol: repairing attachment

12:15pm Lunch

1:00pm Working with differentiation in severe traumatization

2:00pm Working with co-consciousness

2:30pm Coffee break

2:45pm Working with co-consciousness cont.

3:15pm Integration. Identifying progress appreciating progress and handling stuck points

4:30pm close

Note: The content and application of this training material is for EMDR trained clinicians only. Viewing is for registered participants only. No recordings or other distribution of the materials without the presenter and sponsor’s permission is allowed.

Presenter

Dolores Mosquera

Dolores Mosquera is a psychologist and psychotherapist. She is the director of the Institute for the Study of Trauma and Personality Disorders (INTRA-TP), a private institution where she has worked with EMDR for many years on cases related to severe traumatization. She is an EMDR Europe Consultant and Facilitator. She has extensive teaching experience, leading seminars, workshops and lectures internationally. She has published many books and articles on personality disorders, complex trauma and dissociation and is a recognized expert in this field.

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