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  • Conference
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Disordered eating behaviors often do not generally occur outside of relationship to body dissatisfaction, trauma, and attachment disrupt. Disordered eating is considered to be a form of dissociation that, like traditional forms of dissociation, ranges from mild to severe in complexity and acuity.
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​​​​​​​A focus on diagnosis of dissociative disorders distracts clinicians from the more important and more useful discernment of what dissociative processes are active in a given patient "in the moment" and how this provides an entry point into the subjective experience of the patient.
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Dissociative Disorders are underdiagnosed, undertreated, and widely misunderstood among mental health professionals. Dissociative disorders are more common than either schizophrenia or bipolar disorder even by conservative estimates, yet individuals suffering from these disorders are typically in the mental health system for years before receiving the proper diagnosis.
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Children and teens with developmental delays and disabilities face high risks for trauma yet at the same time encounter barriers to receiving therapy for traumas they endure. Some barriers arise from professionals’ lack of familiarity with the ways trauma can impact different disabilities, and how posttraumatic and dissociative symptoms might manifest in these populations.
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Studies, and master clinicians have pointed to the power of the relationship between therapist and client. However, there's a discrepancy between how powerful the relationship is in therapy and the amount of time and attention given to it in training. While transference and counter-transference are sometimes addressed; for this to be useful, it requires the therapist to be aware of his/her own self, defenses, triggers, history, etc.
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The "Progressive Approach" (Gonzalez & Mosquera, 2012) was introduced in 2010, as a proposal to use of EMDR with Dissociative Disorders in safe way. After many early cautions about the potential dangers of using EMDR with individuals suffering from dissociative disorders, EMDR is still considered by many clinicians as offering interventions that are limited to the treatment of traumatic memories in high functioning clients, and only after a long preparation phase. But this is only one of the ways EMDR can be used with this population.
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While the neuroscience of trauma has become a burgeoning field in recent times, it is often difficult for clinicians to translate the research findings into clinically relevant signs and symptoms and to integrate this knowledge into treatment planning.
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​​​​​​​Complex trauma is… well, complex.  Complex trauma is the combined impacts of chronic or multiple traumas and disrupted attachment in early childhood. Often presenting with multiple diagnoses, multiple treatment failures, placement breakdowns, emotional or behavioral dysregulation, and dissociation, these young clients often get lost in the system.
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