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Over the past decade, meditation and yoga have become increasingly popular in mental health treatment and in the world at large. While the practices can be helpful, clients will receive the most benefit from work that is trauma informed and delivered with an understanding of how these healing mechanisms impact the mind, brain and body.
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Abstract
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Abstract
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Abstract
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In the wake of traumatic experience, survivors tend to be overwhelmed by intense emotions and body sensations, loss of faith in the universe, and unrelenting punitive introspection. Addictive craving and behavior seem to offer an ‘out,’ the promise of blessed relief from both the emotional and somatic overwhelm. The result is the frequent co-occurrence of addictive disorders that ultimately poses an equal or even greater threat to the patient as do the trauma symptoms.
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The Office Mental Status Exam for Dissociative Disorders was originally developed to assist psychiatric residents with assessment of complex dissociative and posttraumatic psychopathologies. Accordingly, it uses a phenomological approach to symptom clusters that commonly appear in patients with dissociative disorders and complex PTSD. This system was designed at a time when diagnosis of dissociative identity disorder (then multiple personality disorder) was primarily based in attempts to elicit alter self states, often by using hypnosis or similar intrusive methods.
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Dr. Brand will describe ways to manage common assessment challenges such as mistrust, amnesia and conflicting and variable experiences of symptoms. She will review the behaviors exhibited by DD patients during psychological assessment, describe a method for obtaining valid assessment data from them, and review some of the trauma-specific tests (DES, TSI, MID, MDI) and interviews (SCID-D-R, DDIS) that are useful in making a differential diagnosis of DD for adults.
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This workshop will provide an overview of the research on DD patients’ profiles on personality inventories (MMPI/MMPI-2, MCMI-II/MCMI-III) and projectives (Rorschach, Rotter Incomplete sentences, TAT). Dr. Brand will focus on how these tests can be useful in making differential diagnoses. She will review ways to clarify if the high levels of symptomatology seen in clients with DD are due to exaggerating and/or feigning symptomatology, including using an interview that assesses feigning of psychiatric disorders (SIRS).
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This webinar will review the triphasic unfolding of psychotherapy for DID, DDNos and chronic PTSD. It will particularly focus on that which differs from standard psychotherapeutic engagement and will use DID as its paradigmatic and emblematic disorder. It will describe how to engage the DID patient in a planful, organized psychotherapy which will favor functional stability and support the unfolding of dissociated material contained within the personalities.
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When chronic traumatization occurs, inner experience (emotions, needs, thoughts, fantasies, desires, bodily feelings, etc.) can become frightening, shame-inducing, and baffling aspects of the survivor’s world. The physical sensations, impulses, gestures and actions that correspond to such inner experience may also be a source of fear, shame and confusion.
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