From Trauma-Informed to Trauma-Responsive: Concretizing Trauma-Informed Care with Clinical Skills of Co-Regulation -- Part II
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Presented by Helena Vissing, PsyD
Recorded on Thursday, February 22, 2024
Access provided upon registration on “My Courses” page
Findings from psychological, biomedical, and social sciences make it clear that we cannot ignore the role of the body and nervous system in trauma treatment (Porges, 2022; Schore, 2021). Somatic psychology and body-based interventions have developed from neuroscience advances showing that subcortical brain levels are implicated in trauma reactions making it necessary to apply bottom-up interventions that target the psychophysiological reactions to trauma (Rosendahl et al., 2021). These insights have informed the bottom-up approaches that not only include but center nervous system coregulation dynamics in psychotherapy. Bottom-up approaches focus on subcortical brain level processing and the nervous system patterns and body states related to it (Kuhfuß et al., 2021).
The therapeutic relationship becomes effective only when safety is established through coregulation (Geller & Porges, 2014; Porges, 2022). Through therapeutic presence, the therapist communicates safety by expressing nonverbal signals of social engagement and thereby down-regulates the nervous systems of both therapist and client. The autonomic nervous system functions from ongoing safety appraisal that determines whether it is safe for the person to engage socially (Porges, 2022). Therapeutic coregulation is therefore contingent upon the therapist’s ability to establish and communicate safety from an authentically regulated state. This presentation will offer an in-depth focus on techniques that enhance therapeutic safety through coregulation and attunement.
Access provided upon registration on “My Courses” page
This program, when attended in its entirety, offers 2.0 CEs for Psychologists, 2.0 IL CEUS for Counselors and Social Workers, or 2.0 BBS California CEUs for LPCCs, LPSWs, and LMFTs.
Findings from psychological, biomedical, and social sciences make it clear that we cannot ignore the role of the body and nervous system in trauma treatment (Porges, 2022; Schore, 2021). Somatic psychology and body-based interventions have developed from neuroscience advances showing that subcortical brain levels are implicated in trauma reactions making it necessary to apply bottom-up interventions that target the psychophysiological reactions to trauma (Rosendahl et al., 2021). These insights have informed the bottom-up approaches that not only include but center nervous system coregulation dynamics in psychotherapy. Bottom-up approaches focus on subcortical brain level processing and the nervous system patterns and body states related to it (Kuhfuß et al., 2021).
The therapeutic relationship becomes effective only when safety is established through coregulation (Geller & Porges, 2014; Porges, 2022). Through therapeutic presence, the therapist communicates safety by expressing nonverbal signals of social engagement and thereby down-regulates the nervous systems of both therapist and client. The autonomic nervous system functions from ongoing safety appraisal that determines whether it is safe for the person to engage socially (Porges, 2022). Therapeutic coregulation is therefore contingent upon the therapist’s ability to establish and communicate safety from an authentically regulated state. This presentation will offer an in-depth focus on techniques that enhance therapeutic safety through coregulation and attunement.
After attending this advanced-level program, participants will be able to:
- Explain how principles of trauma-informed care are applied in clinical work using co-regulation techniques.
- Describe and practice 2 clinical skills of advanced coregulatory tracking of both client’s and therapist’s own nervous system shifts to enhance therapeutic safety.
This program meets APA’s continuing education STANDARD 1.1: Program content focuses on application of psychological assessment and/or intervention methods that have overall consistent and credible empirical support in the contemporary peer reviewed scientific literature beyond those publications and other types of communications devoted primarily to the promotion of the approach.
This program meets APA’s continuing education GOAL 3: Program will allow psychologists to maintain, develop, and increase competencies in order to improve services to the public and enhance contributions to the profession.
General Admission: $30
The Chicago School Faculty/Staff/Alumni: $20*
The Chicago School Students: $15*
(*Please email [email protected] for coupon code)
Refund Policy: 100% of tuition is refundable up to 48 hours before the program. Within 48 hours of the program, and at any point in Homestudy format, tuition is nonrefundable.
Helena Vissing, PsyD, Licensed Psychologist
Helena Vissing is a Licensed Psychologist certified in Perinatal Mental Health (PMH-C) in private practice in California. She practices trauma-informed somatic psychotherapy as a Somatic Experiencing Practitioner. She is experienced as Adjunct faculty and on the training committee of Maternal Mental Health NOW where she provides consultations and trainings of providers. Dr. Vissing has written a book on her biopsychosocial model for treatment of trauma in the Perinatal Period published with Routledge, titled Somatic Maternal Healing: Psychodynamic and Somatic Trauma Treatment for Perinatal Mental Health.
Geller, S.M., & Porges, S.W. (2014). Therapeutic presence: Neuro physiological mechanisms mediating feeling safe in therapeutic relationships. Journal of Psychotherapy Integration, 24(3), 178–192.
10.1037/a0037511
Hill, D. (2015). Affect regulation theory. A clinical model. Norton.
Jokić, B., Purić, D., Grassmann, H., Walling, C.G., Nix, E.J., Porges, S.W., & Kolacz, J. (2022). Association of childhood maltreatment with adult body awareness and autonomic reactivity: The moderating effect of practicing body psychotherapy. Psychotherapy (Chicago, Ill.), 10.1037/pst0000463. Advance online publication. 10.1037/pst0000463
Kuhfuß, M., Maldei, T., Hetmanek, A., & Baumann, N. (2021). Somatic
experiencing – effectiveness and key factors of a body-oriented trauma therapy: A scoping literature review. European Journal of Psychotraumatology, 12, 1929023. 10.1080/20008198.2021.1929023
Porges, S.W. (2022). Polyvagal theory: A science of safety. Frontiers in Integrative Neuroscience, 16, 871227. 10.3389/fnint.2022.871227
Rosendahl, S., Sattel, H., & Lahmann, C. (2021). Effectiveness of body psychotherapy. A systematic review and meta-analysis. Frontiers in Psychiatry, 12, 709798. 1–15. 10.3389/fpsyt.2021.709798
Schore, A.N. (2021). The interpersonal neurobiology of intersubjectivity. Frontiers in Psychology, 12, 648616. 10.3389/fpsyg.2021.648616
Target Audience: Mental Health Professionals (licensed and pre-licensed), clinical faculty and supervisors.
Psychologists. This program, when attended in its entirety, is available for 2.0 continuing education credits. The Chicago School of Professional Psychology is approved by the American Psychological Association to sponsor continuing education for psychologists. The Chicago School of Professional Psychology maintains responsibility for this program and its content. The Chicago School of Professional Psychology is committed to accessibility and non-discrimination in its continuing education activities. The Chicago School of Professional Psychology is also committed to conducting all activities in conformity with the American Psychological Association’s Ethical Principles for Psychologists. Participants are asked to be aware of the need for privacy and confidentiality throughout the program. If program content becomes stressful, participants are encouraged to process these feelings during discussion periods.
Counselors/Clinical Counselors. This program, when attended in its entirety, is available for 2.0 hours of continuing education. The Chicago School of Professional Psychology is licensed by the Illinois Department of Financial and Professional Regulation (IDFPR) to provide continuing education programming for counselors and clinical counselors. License Number: 197.000159
Social Workers. This program, when attended in its entirety, is available for 2.0 hours of continuing education. The Chicago School of Professional Psychology is licensed by the Illinois Department of Financial and Professional Regulation (IDFPR) to provide continuing education programming for social workers. License Number: 159.001036
MFTs, LPCCs, and LCSWs. Course meets the qualifications for 2.0 hours of continuing education credit for MFTs, LPCCs, and/or LCSWs as required by the California Board of Behavioral Sciences. If you are licensed outside of California please check with your local licensing agency to to determine if they will accept these CEUs. The Chicago School of Professional Psychology is approved by the California Board of Behavioral Sciences (BBS) to offer continuing education programming for MFTs, LPCCs, LEPs, and/or LCSWs. The Chicago School of Professional Psychology is an accredited or approved postsecondary institution that meets the requirements set forth in Sections 4980.54(f)(1), 4989.34, 4996.22(d)(1), or 4999.76(d) of the Code.
Non-Psychologists. Most licensing boards accept Continuing Education Credits sponsored by the American Psychological Association but non-psychologists are recommended to consult with their specific state-licensing board to ensure that APA-sponsored CE is acceptable.
*Participants must attend 100% of the program in order to obtain a Certificate of Attendance.
If participants have special needs, we will attempt to accommodate them. Please address questions, concerns and any complaints to [email protected]. There is no commercial support for this program nor are there any relationships between the CE Sponsor, presenting organization, presenter, program content, research, grants, or other funding that could reasonably be construed as conflicts of interest.