Integrating MI and EMDR: Working with Complex Presentations
Experiential Training Workshop for those trained in EMDR
A live experiential webinar on integrating MI and EMDR in working with complex presentations (COD/SUD), ambivalence and behavior change.
About this event
An advanced EMDR training for therapists already trained in EMDR is required to register and attend this live webinar.
Motivational Interviewing (MI) is a practical, evidence-based collaborative conversation style supporting patient treatment engagement and reducing reluctance around behavior change. This interactive workshop will introduce participants to the skills, strategies, and processes of MI, and its application with EMDR. Participants will learn how MI can compliment and enhance EMDR treatment, with specific focus on 8 phases and 3 prongs to support clients throughout the EMDR process. By implementing MI processes (engaging, focusing, evoking, planning), a clinician can support a client in engaging them when they’re anxious about addressing their trauma. MI can help EMDR clinicians enhance client willingness around their goals (i.e. reducing substance use), strengthen motivation when challenges arise, sustain change after an EMDR session, and tailor treatment to the patient’s needs. Finally, the workshop will differentiate between a ‘top down’ vs. ‘bottom up’ approach to reprocessing using EMDR and review additional resources to support individuals with complex PTSD.
Please be there at 9:15am PT for registration and orientation and ends at 4:30 on both days. Register by February 25th.
IMPORTANT: Participants will receive 12 EMDRIA CEU's as a result of attending and participating! Other CE's available for an additional charge.
Note:
Zoom instructions will be sent a few of days before the date of workshop. See you soon!
As a result of these sessions, you will be able to:
Objectives:
- Explore and analyze various Motivational Interviewing strategies and tools specifically applicable to EMDR for addressing ambivalence and behavior change in complex presentations.
- Identify key principles of Motivational Interviewing that can be effectively integrated with EMDR techniques to enhance client engagement and motivation.
- Explore and synthesize the application of both EMDR and Motivational Interviewing techniques in the context of treating clients with substance use disorders, focusing on enhancing motivation, addressing ambivalence and facilitating trauma resolution.
- Develop a comprehensive treatment framework that combines EMDR and Motivational Interviewing strategies to effectively address the complex interplay between substance use, trauma and behavior change.
- Compare and contrast the top-down and bottom-up therapeutic approaches in the context of addressing complex presentation, considering their theoretical foundations, mechanisms of action and potential outcomes.
- Develop an in-depth understanding of the Processing Continuum model and its relevance in facilitating client affect regulation and containment within their window of tolerance during EMDR processing.
- Explore case studies and clinical scenarios to effectively apply the Processing Continuum model in real-world settings, adapting strategies to varying degrees of client distress and arousal.
- Engage in practical exercises using the integration worksheets to stimulate therapeutic scenarios, gaining hands-on experience in applying the combined techniques while addressing the unique challenges of complex presentations.
- Acquire advanced skills in preparing clients with complex presentations for EMDR therapy, including development of resource states, emotional regulation techniques and stabilization strategies.
- Integrate somatic experiencing principles and practices within the context of EMDR therapy for complex presentations, focusing on enhancing body awareness, trauma processing and emotional release.
- Engage in a self-reflective process to explore and work on a personal area of change and growth, employing principles and techniques derived from therapeutic approaches presented during the workshop.
- Apply the process of self-exploration to gain insights into the challenges and dynamics of personal change, fostering empathy and understanding towards clients’ change process.
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Trainer Biography:
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Larisa Traga is a California-licensed clinical social worker (LCSW), master addiction counselor (MAC), with a co-occurring disorders specialization (CCDS), providing training, consultation and therapy to the Santa Barbara county community. Larisa has a Bachelor of Arts in Psychology from SUNY, Binghamton and a Master's in Social Work from University of Michigan, Ann Arbor. She is an EMDRIA (EMDR International Association) approved EMDR Certified therapist and Approved Consultant and an International Network of Trainers for Motivational Interviewing (MINT) Certified Trainer. Larisa has been an adjunct psychology and human services instructor at Allan Hancock College since 2015. She has also worked countywide with the County of Santa Barbara Behavioral Wellness Department since 2009 with individuals with co-occurring disorders, PTSD, Transitional Age Youth and adults with Severe and Persistent Mental Illness, drug court involved teens and adults and individuals experiencing crisis. Larisa currently has a private practice specializing in culturally sensitive individual psychotherapy for children, adolescents, and adults using an eclectic approach, including EMDR, CBT, MI, and mindfulness techniques. She treats a variety of issues including anxiety, depression, physical/sexual abuse, PTSD, self-esteem issues, workplace harassment, and more. In addition, Larisa conducts training on Evidence Based Practices, such as Motivational Interviewing, NIATx process improvement, MATRIX model, and more currently consultations and technical assistance on use of EMDR, and crisis debriefings using A-tip.
Outline for 2 day workshop:
- Introduction and Creating a Supportive Environment:
- Welcome and Ice Breaker
- Setting the tone for Learning and Growth
2. Understanding Motivational Interviewing:
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- The essence of MI: Exploring the Four Tasks
- MI Techniques and Strategies
- OARS: Building Rapport and Engagement - Interactive Exercises for OARS Mastery
- Eliciting Change Talk: DARN CATs - Promoting Positive Change Conversations
3. Integrating MI into EMDR:
- EMDR Phase 1 and 2: Preparation
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- Focusing within the MI Framework - Agenda Mapping for Client-Centered Care
- AIP Approach in MI and EMDR
- Resourcing Techniques: Creating a Safety Shield; Considerations for working with SUD/COD clients
- Belief-Focused Target Sequence Planning with Video Illustrations
- Addressing and Resolving Avoidance and Ambivalence
- Ask-Tell-Ask Method in MI for EMDR
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4. Practical Application of MI and EMDR:
- Hands-on Exercises
- Resourcing in MI and EMDR
- Identifying Belief-Focused Targets
- Deepening EMDR Phases 3-5
- Phase 4: Desensitization Techniques
- Cognitive Interweaves and Clinical Interventions
- Somatic Desensitization Strategies
- Clinical Interventions for Natural Disasters
- Phase 5: Mini Future Template and Deepening Adaptive Beliefs
5.Advancing EMDR: Phases 6-8:
- Phase 6: Somatic Clinical Interventions
- Phase 7: Closure and Debrief of session
- Phase 8: Achieving Behavioral Change
- Integrating MI for Behavior Change with Video Demonstrations
- Utilizing the Ask-Tell-Ask approach to strengthen behavior change
6. Putting theory into Practice:
- Practicum Exercise
- Re-evaluation of Client Progress
- Integrating MI to Resolve Ambivalence
7. Acknowledging Limitations and Risks:
- Understanding Research limitations and potential risks
8. Conclusion, Questions, and Feedback:
- Summary of key Concepts
- Open Q & A Session
- Participant Evaluations and Feedback