Treating the Cycle of Self-Destructive Behaviors in Trauma Survivors

Thursday, May 2, 2019
8:30 AM - 4:00 PM

The Brattleboro Retreat, Brattleboro, Vermont 
6 CE Contact Hours

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Lisa Ferentz, LCSW-C, DAPA

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Course Description: 

Clients with histories of trauma, neglect, or insecure attachment lack the ability to engage in appropriate affect regulation.  As a result, they turn to self-destructive strategies including self-mutilation, addiction, and eating disorders to cope and self-soothe.  Ms. Ferentz  will explore the relationship between trauma, attachment, and a cycle of self-destructive behaviors. Participants will learn a variety of creative and effective treatment strategies designed to reduce and eventually extinguish such behaviors, without relying on ineffective “safety contracts.”

Learning Objectives - at the end of this conference, participants will be able to:

1. Explain the concepts of inter-regulation and auto-regulation and their connection to self-destructive behavior.
2. D
escribe the onset of self-destructive behaviors and its relationship to trauma, parental absence, and the developmental challenges of adolescence.
3. Distinguish between the four attachment patterns and describe the manifestations of disorganized attachment.
4. Explain the cycle and perpetuation of self-injury, and the ways in which dissociation and anxiety influence the process.
5. Identify at least 6 reasons why clients hurt themselves.
6. Describe and implement at least 5 intervention strategies, including CARESS, designed to avoid “power struggles” and eventually extinguish the behavior.

Lisa Ferentz, MSW, LCSW-C, DAPA, is a recognized expert and international trainer in the treatment of trauma and has been in private practice for over 35 years. Founder of The Ferentz Institute, Ms. Ferentz was voted the “Social Worker of Year” in Maryland in 2009. She is the author of three books and is a frequent contributor to   

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Any questions? Please call 802-258-4359.
Thursday, May 2, 2019
The Brattleboro Retreat, Brattleboro, Vermont

8:00 AM - 8:30 AM
Coffee and Registration
8:30 AM - 10:00 AM
Processing Inter-regulation and Auto-regulation 
The Four Attachment Styles - Videos
The Optimal Window of Arousal
The Challenge of Attaching to Abusive Caretakers
Shifting the Locus of Control
10:00 AM -10:15 AM
Break and Refreshments 
10:15 AM - 11:30  AM
          Video - Still Face Experiment 
          The Developmental Challenges/ Stressors of Adolescence
          The Adolescent Brain
          The Strengths-based Approach to Treatment 
11:30 AM - 11:45 AM
11:45 AM - 12:45 PM
Definitions and Manifestation of Self-Harm 
Why Clients Engage in Self-Destructive Behaviors
Meta-Communication Re-enactment and Re-Storying 
The Cycle of Self-destructive Behaviors
12:45 PM - 1:45 PM
Lunch in the Retreat cafeteria and included with your registration)
1:45 PM - 3:45 PM
Triggering Events - Use of Journaling
Addressing Negative Cognitions - Reframing
Working with Negative Affect - Safety and Containment 
Tension, Anxiety, and Breathwork
Dissociation and Flashback Halting Protocols 
Incorporating CARESS - Clients' Artwork 
Addressing Shame and Vulnerability 
3:45 PM - 4:00 PM
Participant Question and Answer Session