AEDP Institute

Working with High Anxiety/ Under-Regulation & High Defense/ Over-Regulation: Two Different Approaches for Transforming Resistance

an AEDP NE Seminar the Scottish Rite Masonic Museum in Lexington, MA

with Steve Shapiro, PhD


Ironically, many clients interfere with the very progress they seek either through their own resistance to the psychotherapy process or because their anxiety is too high and there is too much dysregulation to use the process effectively. Not infrequently, they terminate prematurely before reaching their goals.  This results in tragic consequences for the client, as well as frustration and a sense of failure for the therapist. While clients enter treatment with conscious motivation, resistance is unconscious and, therefore, difficult to address without a coherent system. Therapists typically interpret resistance in a personal way becoming confused, frustrated, and hopeless, with a tendency to hold the client responsible and label him/her as “unmotivated or resistant”. Participants will learn to move beyond resistance and simple symptom management into deep, transformational processes that release resources of health and resilience. Learn to accelerate treatment using innovative techniques that implore clients to abandon chronic coping patterns that were once necessary, but have long outlived their usefulness and are now causing untoward suffering.

Therapists offer the promise of help often based on the presumption that the client will arrive with sufficient initial motivation, openness and willingness to face painful realities. Frequently this is not the case. Clinicians are rarely adequately prepared to address resistance directly and therapeutically, making it difficult to help more challenging clients.  Defenses can be seen as “a problem,” rather than an inevitable part of the process; defense restructuring can mistakenly be understood as an adversarial task, that we then avoid, rather than a compassionate and collaborative venture.

Therapists of all orientations and levels of experience will gain a clear understanding of the nature and function of defences, and ways to transform them therapeutically so clients can align with the healthy, buried and previously inaccessible internal resources, as well as effective ways to regulate anxiety when it is too high. The principles taught can be readily integrated with your existing orientation and skill set. By adopting an active, focused, precise, experiential, attachment-based and emotionally engaged stance, therapists can create the safety and attunement necessary for patients to risk abandoning their resistance and shift to healthier functioning. The ultimate goal is to accelerate the healing process for clients, but also to help clinicians practice in a way that substantially reduces counter transference, is deeply rewarding, effective, and authentic, fully compatible with your personal and professional history. 

Objectives:

  • Construct reliable, internal clinical maps that will flexibly and accurately guide assessment of the patient and, consequently, therapist interventions/clinical stance, particularly understanding the difference between high anxiety and high defense.
  • demonstrate the ability to respond in the moment effectively to the patient’s need based on a moment to moment psychodiagnostic assessment of various aspects of the patient’s experience, especially considering whether the patient is responding with high anxiety or high defense.
  • relate practical clinical skills as rapidly as possible to function in an effective, deep and efficient manner (technique).
  • create a therapy style that is not only effective, accelerated and reduces suffering as rapidly as possible (patient benefit), but that is authentic and unique for each individual clinician, based on his both his/her professional experience/orientation, as well as his/her personality. (professional development).
  • integrate therapist awareness of his/her emotional reactions in various scenarios, to develop greater affect/anxiety tolerance, to welcome and use countertransference in a positive/effective manner (personal/emotional)

Meet the Presenter

Steve Shapiro, PhD

Steve ShapiroSteve Shapiro, PhD, a licensed psychologist, has been practicing various forms of Experiential Dynamic Therapy (EDT) since the mid-1990’s, including Accelerated Experiential Dynamic Psychotherapy (AEDP) and Short-Term Dynamic Psychotherapy (STDP). He has been studying AEDP with Dr. Fosha since 2003 and is a founding member of the AEDP Institute, where he is a senior faculty member. Dr. Shapiro provides training in the form of seminars, group supervision and private individual supervision. He has lectured and given workshops to the mental health community through various agencies and organizations. He is the former Director of Psychology and Education at Montgomery County Emergency Service (MCES), an emergency psychiatric hospital, where he worked primarily with severe personality disorders and those involuntarily committed to treatment. Dr. Shapiro conducts seminars and workshops on various topics in his other areas of specialization, which include: adolescents and their families, parenting, communication principles, personality disorders, involuntary treatment (adolescents and others), psychiatric emergencies and crisis intervention. He has held adjunct professor positions at Drexel/Hahnemann University and the University of the Sciences. Dr. Shapiro maintains a full-time private practice in suburban Philadelphia.


Date, Time and Location

Date:  Friday, January 26, 2018

Time:  9:30am – 4:30pm

Location:
The Scottish Rite Masonic Museum and Library
33 Marrett Rd
Lexington, MA 04241


Agenda

9:30-10:45    Overview: understanding high anxiety/dysregulation and high defense/resistance. Two different skill sets.

10:45-11:00  Break

11:00-12:30  Treatment of high anxiety: video demonstration and discussion. How to identify level of anxiety, type of anxiety. Ways to monitor anxiety and keep it in a tolerable range.

12:30-1:30    Lunch

1:30-3:30      Treatment of high defense: video demonstration and discussion. How to identify resistance which interferes with productive therapy and restructure defenses to reach core material.

3:30-3:45      Break

3:45-4:00      Group exercises: identifying aspects of defense vs anxiety vs core affect

4:00-4:30      Q&A/Wrap-up


Fees and Registration

  • $140 Members (must be logged into your AEDP Account)
  • $145 Early Bird (12/29/17)
  • $155 Non-Member Regular Price
  • $165 All Walk Ins

Event Registration


Continuing Education

This event is co-sponsored by R. Cassidy Seminars

Satisfactory Completion

Participants must have paid tuition fee, signed in, attended the entire seminar, completed an evaluation, and signed out in order to receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available.

Psychologists R. Cassidy Seminars is approved by the American Psychological Association (APA) to offer continuing education for psychologists. R. Cassidy Seminars maintains responsibility for this program. 5.5 CE hours.

Psychoanalysts
NY: R. Cassidy Seminars is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed psychoanalysts. #P-0005.   5.5 clock hours.

Social Workers R. Cassidy Seminars, ACE provider #1082, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) Program. R. Cassidy Seminars maintains responsibility for the program. Approval Period: April 15, 2015-April 15, 2018. Social workers should contact their regulatory board to determine course approval. Social workers participating in this course will receive 5.5 continuing education clock hours.
CA: The Board of Behavioral Sciences has deferred CE course approvals to APA and ASWB for its licensees. See those approvals under Psychologists and Social Workers
NY: R. Cassidy Seminars is recognized by the New York State Education Department’s State Board for Social Work as an approved provider (#0006) of continuing education for licensed social workers. This program is approved for 5.5contact hours live.
OH: R. Cassidy Seminars is an approved provider by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for 5.5 clock hours, #RCST110701

Counselors/ Marriage and Family Therapists:
CA: The Board of Behavioral Sciences has deferred CE course approvals to APA and ASWB for its licensees. See those approvals under Psychologists and Social Workers.
Other States: If your state is not specifically listed, nearly all state Counselor and MFT boards accept either APA or ASWB approval, or are reciprocal with other state licensing board approvals, such as those listed below. Check with your board to be sure. The Ohio Board includes Counselors and MFTs.
IL:  R. Cassidy Seminars is approved to offer continuing education to Marriage and Family Therapists by the Illinois Department of Financial and Professional Regulation provider #168000141.  5.5 Continuing Education Credits/Hours.
MA-LMHCs: Application for MaMHCA/MMCEP continuing education credits has been submitted. Please contact us at www.aedpinstitute.org for the status of LMHC CE certification.
NY-LMHCs: R. Cassidy Seminars is recognized by the New York State Education Department’s State Board of Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0015. 5.5 contact hours.
NY-LMFTs: R. Cassidy Seminars is recognized by the New York State Education Department’s State Board of Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists. #MFT-0011. 5.5 contact hours.
OH: R. Cassidy Seminars is an approved provider by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for 5.5 clock hours, #RCST110701
TX: R. Cassidy Seminars is approved by the Texas Board of Examiners of Marriage and Family Therapists to provide CE offerings for MFTs.  Provider Number 151.  5.5 Continuing Education Credits/Hours.

Creative Arts Therapists
NY: R. Cassidy Seminars is recognized by the New York State Education Department’s State Board of Mental Health Practitioners as an approved provider of continuing education for licensed creative arts therapists. #CAT-0005. 5.5 contact hours.

Disability Access – If you require ADA accommodations please contact our office 10 days or more before the event. We cannot ensure accommodations without adequate prior notification.

Please Note: Licensing Boards change regulations often and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling.

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Questions about this Workshop?

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Event Details:

Date/Time

01/26/2018
9:30 am - 4:30 pm


Location

The Scottish Rite Masonic Museum and Library
33 Marrett Rd
Lexington, MA
04241

 
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