This book was conceived out of the authors' shared vision to synthesize key neurobiological developments with effective developments in clinical practice to offer both understanding and practical guidance for the many practitioners working to heal people burdened with traumatic sequelae. It is unique in bringing in all levels of the brain from the brainstem, through the thalamus and basal ganglia, to the limbic structures, including the older forms of cortex, to the neocortex. The book looks at the neurochemistry of peritraumatic dissociation (PD) and explores the effects on neuroplasticity and the eventual structural dissociation. Individual chapters focus on the definition of PD and tonic immobility (TI) and their associations with posttraumatic psychopathology, and review disturbances in self-referential processing and social cognition in posttraumatic stress disorder (PTSD) related to early-life trauma. Separate chapters focus on the modulatory role of the neuropetides in attachment as well as autonomic regulation, and highlight mesolimbic dopamine (ML-DA) system as central to the experiences of affiliation, attachment urge when under threat, attachment urge during experience of safety, and to the distress of isolation and/or submission. The book while increasing awareness of different parts of the self and ultimately creating a more stable sense of self, also incorporates psychoanalytic, cognitive behavioral, and hypnotic methods, as well as specific ego state, somatic/sensorimotor therapies, eye movement desensitization and reprocessing (EMDR), and variations of EMDR suitable for working with trauma in the attachment period. The latter methods are explicitly information-processing methods that address affective and somatic modes of processing.

Scripting is a way to inform and remind the Eye Movement Desensitization and Reprocessing (EMDR) practitioner of the component parts, sequence, and language used to create an effective outcome. As EMDR is a fairly complicated process, this book provides step-by-step scripts that will enable beginning practitioners to enhance their expertise more quickly. The book is separated into nine parts. The Client History part represents the first of the eight phases of EMDR treatment. The ability to gather, formulate, and then use the material in the intake part of treatment is crucial to an optimal outcome in any therapist’s work. Part II includes an important element of the Preparation Phase that addresses ways to introduce and explain EMDR, trauma, and the adaptive information processing (AIP) model. The importance of teaching clients how to create personal resources is the topic of Part III. Here, an essential element of the Preparation/Second Phase of EMDR work is addressed to ensure clients’ abilities to contain their affect and remain stable as they move through the EMDR process. Part IV shows how to work with clients concerning the targeting of their presenting problems when the usual ways do not work such as usage of drawings to concretize clients’ conceptualization of their issues and usage of an alternative initial targeting method. Part V includes protocols that have been scripted based on the material that appears in Francine Shapiro’s EMDR textbook. Parts VI and VII address EMDR and early intervention procedures for man-made and natural catastrophes for individuals and groups. Performance enhancement and clinician’s self-care are dealt with in the final two parts of the book.

This book provides a standard that reflects the basic elements of the 11-Step Standard Procedure; and the Standard 3-Pronged EMDR Protocol as they are applied to different populations. The diverse population includes children and adolescents; couples; clients suffering with complex post-traumatic stress disorder and dissociative disorders; clients with anxiety; clients who demonstrate addictive behaviors; clients who deal with pain; clinicians themselves. The book serves as a basis to encourage research into these various applications for EMDR. It is divided into seven parts. Part I is devoted to the scripted EMDR protocols such as olfactory stimulation, which are used to develop resources for children and adolescents who may have suffered traumatic events in their life. The protocols take into account the particular difficulties of this developmental group and help minimize common difficulties and major hurdles. Part II describes scripted EMDR protocols designed by couples therapists and sex therapists to further the progress of their patients precisely targeting templates of relational interaction, anxiety, or sexual dysfunction. Part III concerns the scripted protocols for dissociative disorders and complex post-traumatic stress disorder. The protocols represent the structured scripted efforts of many trauma therapists over a considerable number of years. Parts IV and V of the book address the concretization of much needed scripts for the EMDR treatment of addictions and pain—two interconnected public health worries. Part VI looks at the world of people’s adaptation to fears and tackles the usage of scripted protocols to detoxify the impact of specific phobias. Part VII demonstrates the usage of scripted EMDR protocols in clinician care and in the management of secondary post-traumatic stress disorder and vicarious traumatization.

This book is a practical resource for those involved in the training and supervision of school psychology practicum candidates, including supervising school psychologists, university trainers, and graduate candidates. It includes eight chapters that are organized to roughly follow the developmental sequence of a full academic year practicum, from entry through termination of the practicum. The content is relevant to the supervision and training of contemporary foundations of school psychological practice and addresses issues related to a wide range of practicum experiences. Topics addressed include case conceptualization across three broad roles (i.e., case study evaluation, case consultation, student counseling) of school psychological practice, the foundations of special education, and multitiered systems of support (MTSS) and internship preparation. Supervisors can help trainees to explore new school psychological roles, focus on professional behaviors that can help them gain independence, and develop a repertoire of self-care strategies. Each chapter is organized in a similar format, with a focus on key supervisory roles: candidate skill development, supervision, and advancement and evaluation. The content is aligned with the National Association of School Psychologists (NASP) training standards and meant to be a step-by-step guide to training and supervision related to practica. Each chapter concludes with a supervisor-to-do list to assist readers in applying the concepts addressed. The final chapter focuses on collaboration between university trainers and field supervisors, as well as strategies for addressing common issues in training, including problems with trainee professional competence.

This graduate-level, introductory textbook provides instructors and students with a comprehensive overview of the profession of clinical mental health counseling (CMHC). Designed to cover the Council for the Accreditation of Counseling and Related Educational Programs (CACREP) 2016 Standards and to provide an inclusive overview of the work of professional counselors, the book offers an in-depth exploration of the professional knowledge, skills, current issues, and dynamic trends in professional counseling that are essential parts of the educational journey of emerging clinicians. It provides readers with practical, applicable, real-world information upon which they can build through-out their programs of study and practice. Issues such as strength-based approaches, the various settings in which clinical mental health counselors may practice, record keeping and documentation, advocacy, professional roles, third-party payers and managed care, and self-care and professional development are vitally important to new counselors, and these subjects often are glanced over in an information-packed curriculum. In addition, the book covers the topics of crisis, disaster, and trauma, which constitute relatively new areas of emphasis within the CACREP Standards. Conceptually, it book looks at the history, roles, functions, settings, and contemporary issues of counseling through the lens of human ecological and integrated systems-of-care approaches. Unique to this particular textbook, and in juxtaposition to an ecological perspective of the individual, a focus on integrated systems of care in clinical mental health endeavors provides students with knowledge and skills that can help them to move seamlessly into the current world of work as clinical mental health counselors. The textbook is comprised of five sections, spanning the following clusters of CMHC-relevant information: (a) Introduction to Professional Counseling and Clinical Mental Health Counseling, (b) Working With Clients, (c) Practice Issues, (d) Working Within Systems, and (e) Client-Care and Self-Care Practices.

Informed by a social justice approach, this user-friendly text for social work students provides a comprehensive introduction to contemporary school social work practice structured around the 2022 CSWE EPAS Competencies. With a focus on skills development, this innovative text is competency-based and encompasses professionalism, cross-disciplinary collaboration, research applications, theoretical foundations, policies, engagement, assessment, intervention, and evaluation. Following a brief historical overview and introduction to the discipline, the book delves into school social work practice and delivers timely content regarding professional identity, supervision, anti-racism, diversity, equity, inclusion, and social justice. Practice knowledge is examined through social work theory, evidence-informed practice, use of data, and policies regarding school, children, and families. The text addresses the full range of client engagement, service provision, the multi-tiered system of supports, trauma-based practices, social emotional learning, termination, and transition-planning.

This book describes the foundational elements of counseling and psychotherapy with children and adolescents. It includes updates and expanded material about clients’ affect, trauma, substance abuse, progress monitoring, self-care, referral for medication, and mindfulness. Of particular interest is a series of new elements including elements addressing sexual and gender identity, social media, sexuality and harassment, and rules for use of technology. All of these topics have become increasingly important in counselors’ conceptualization of children and adolescent clients and therapy. The book emphasizes the conditions and processes of creating growth within the child, explicating the process of assisting growth and self-inquiry. There are new sections on grounding feelings in the body, teaching tools for distress tolerance, and highlighting the importance of progress monitoring. The book discusses teaching skills for negotiating social conflict—a substantial stressor for children and adolescents. It provides guidance on cocreating individual and family rules for use of technology. It also addresses frequent misconceptions and mistaken assumptions followed by the discussion on crisis intervention, effective referral skills, cultural competency and mandated reporting. The book then addresses issues such as coming to terms with one’s own childhood and adolescence and the rescue fantasy. There is a succinct introduction to interventions (i.e., including a list of more comprehensive texts on counseling with children and adolescents) and an updated review of techniques often used in work with children and adolescents (e.g., play therapy, brief, solution-focused therapy). For ease of reading the word caregiver will be used to indicate a parent, legal guardian, foster parent, and so on. The book focuses on counselor self-care and provides guidance for setting boundaries, knowing their edge, practicing within competency, and assessing and planning personal self-care. Finally, it closes with a brief overview of how to use the text for transcript analysis in training programs.

This book is designed to help the Bachelor of Social Work and Master of Social Work students, enrolled in foundation field placements and field seminars, structure their field placement learning around the nine Council on Social Work Education (CSWE) profession social work competencies defined in the 2015 Educational Policy and Accreditation Standards. Its goal is to ensure that foundation field placement students integrate course learning related to the social work competencies with their field placement learning experiences in a purposeful, reflective, and integrated manner. The book helps structure students’ field learning on the social work competencies. It also educates social work field instructors on the social work competencies mandated by CSWE. The book is divided into 14 chapters. Chapter one provides an introduction to social work field placement and the expectations for social work interns. Chapter two focuses on assessing ones mastery of the professional competencies in ones field placement. Chapters three and four explore the importance of social work supervision, and using reflection and self-regulation to promote well-being through self-care. Chapter five focuses on the importance of engaging with individuals, families, groups, organizations, and communities; and interprofessional collaboration. Chapter six examines what professional social work behavior in communication looks like. Chapters seven and eight focus on engaging in diversity and difference in practice; and advance human rights and social, economic, and environmental justice within ones field placement and beyond. Chapter nine discusses practice-informed research and research-informed practice. Chapter ten focuses on engaging in policy practice in ones field placement. Chapters eleven and twelve covers assessment of the three micro-level client systems: individuals, families, and groups; and reviews assessment of the two mezzo-level client systems: organizations and communities. The last two chapters focus on micro interventions with individuals, families, groups, and organizations and communities.

This book focuses on applying eye movement desensitization and reprocessing (EMDR) scripted protocols to medical related conditions. It delivers a wide range of step-by-step protocols that enable beginning clinicians as well as seasoned EMDR clinicians, trainers, and consultants alike to enhance their expertise more quickly when working with clients who present with medical-related issues. The scripts are conveniently outlined in an easy-to-use, manual style template, facilitating a reliable, consistent format for use with EMDR clients. The scripts distill the essence of the standard EMDR protocols. They reinforce the specific parts, sequence, and language used to create an effective outcome, and illustrate how clinicians are using this framework to work with a variety of medical related issues while maintaining the integrity of the Adaptive Information Processing model. Following a brief outline of the basic elements of EMDR procedures and protocols, the book focuses on applying EMDR scripted protocols to key medical issues. The book is organized into four parts comprising ten chapters. Chapter one presents protocol for EMDR therapy in the treatment of eating disorders. Chapter two describes EMDR therapy protocol for the management of dysfunctional eating behaviors in anorexia nervosa. Chapter three discusses EMDR therapy protocol for eating disorders. Chapter four presents the EMDR therapy protocol for body image distortion. Chapter five discusses EMDR therapy and physical violence injury: “best moments” protocol. Chapter six describes EMDR therapy for chronic pain conditions. Chapter seven presents EMDR therapy treatment for migraine. Chapter eight discusses EMDR therapy for fibromyalgia. Chapter nine describes the impact of complex posttraumatic stress disorder and attachment issues on personal health. The final chapter presents the EMDR therapy self-care protocol.

Psychological trauma can occur when a person experiences an extreme stressor that negatively affects his or her emotional or physical well-being. This book encompasses theories, diagnosis, and treatment as well as how trauma affects family members and caregivers. It also addresses the variables of gender, race/ethnicity, and culture as they bear on trauma psychology and the potential health consequences of trauma. In addition, the book illuminates controversies in the field and such emerging topics as posttraumatic growth (PTG), multiple traumas, and how traumatic events affect communities. A person could be diagnosed with posttraumatic stress disorder (PTSD) only if he or she experienced a criterion A stressor, which comprises two components: the person experienced, witnessed events that involved actual threatened death/serious injury, or a threat to the physical integrity of self/others, and the person’s response involved intense fear, helplessness, or horror. Given the serious often life-threatening conditions that trauma survivors often have, an adequate health care system response is perhaps the most pressing need of survivors of traumatic events. Children of parents with PTSD often describe damaged, preoccupied parents who are emotionally limited. Self-care is critical when someone works with clients or patients who have experienced trauma. Burnout is possible, as are compassion fatigue and secondary traumatic stress. Evidence-based treatments for PTSD can be cognitive behavioral therapy (CBT) interventions, such as prolonged exposure therapy, cognitive processing therapy (CPT), and eye movement desensitization and reprocessing (EMDR). The book also deals with alternative medicine treatments such as meditation and dance therapy and movement.