2-Day Embodied Practices for Trauma Recovery: 30+ Healing Practices to Empower Lasting Change

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Catherine Cook-Cottone, PhD, C-IAYT Related seminars and products

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Catherine Cook-Cottone, PhD, C-IAYT, is a licensed psychologist in Colorado and New York, yoga therapist, and professor at University at Buffalo, SUNY. Dr. Cook-Cottone is a trauma therapist, trained in EMDR, and teaches courses in psychopathology, mindful therapy, advanced counseling techniques, and counseling with children and adolescents. She has written/edited 15 books and published over 100 research articles and chapters on mindful self-care, yoga, embodiment, self-regulation, eating disorders, and trauma. Dr. Cook-Cottone is co-founder of Yogis in Service and has researched and consulted with the Africa Yoga project, Give Back Yoga Foundation, and the United Nations Foundation to develop and deliver trauma-informed, mindfulness-based resilience training for yoga teachers and humanitarian workers in North America, Africa, and the Middle East. In 2018, she was awarded the American Psychological Association’s Citizen Psychologist Presidential Citation.

Speaker Disclosures:
Financial: Catherine Cook-Cottone has an employment relationship with University of Buffalo and receives compensation as a consultant. She is the Co-editor in Chief of Eating Disorders and receives royalties as a published author. Catherine Cook-Cottone receives a speaking honorarium and book royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Catherine Cook-Cottone is a member of the American Psychological Association, the International Association of Yoga Therapists, the National Association of School Psychologists, the Western New York Yoga Association, the Yoga Alliance, the National Eating Disorder Association, and the Association for Eating Disorders.

 

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Program Information

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Objectives

1. Identify the developmental implications of trauma.
2. Determine the impact of trauma on the nervous system.
3. Utilize two trauma assessments for trauma symptoms and events.
4. Relate the embodiment theory to conceptualization of the trauma recovery process.
5. Choose mindful self-care recommendations.
6. Utilize embodied approaches in trauma work.
7. Use the self-awareness scale with states of activation for self-regulation.
8. Use somatic experiencing techniques to access trauma memories stored in the body.
9. Integrate body mapping to manage feelings and thoughts associated with trauma.
10. Choose sensorimotor psychotherapy techniques for working with boundaries and relationships.
11. Utilize the trauma processing protocol throughout the phases of treatment (safety, stabilization, processing, and re-integration).
12. Use creativity to cultivate posttraumatic growth.

Outline

The Embodiment of Trauma

• Principles of trauma-informed care
• DSM-5-TR® and PTSD
• Causes and effects of trauma
• Complex trauma
• Symptoms of trauma and comorbidities
• Developmental implications of trauma
• The impact on the nervous system
• Standard treatment protocols
• Apply embodied approaches to trauma work
• Practice:
  • Grounded breath and centering
  • Mindfulness of breath

Trauma Assessments

• Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
• PTSD checklist for DSM-5 (PCL-5)
• Structured clinical interview for DSM-5 (SCID-5)
• Brief Trauma Questionnaire (BTQ)
• Life events checklist for DSM-5 (LEC-5)
• Trauma Screening Questionnaire (TSQ)
• Posttraumatic Maladaptive Beliefs Scales (PMBS)
• Body-Oriented Scales from the Traumatic Stress Research Consortium (TSRC)
• Support client self-assessment
• Practice: Infinity breath
• Case Study: Mathilde, college student, injured in car accident, sister died of injuries, parents substance users, no support

Embodiment and the Polyvagal Theory

• Competing drives of connection and protection
• Explaining the nervous system and body states to clients
• The stress response system
• Assess allostatic overload with clients
• Window of tolerance and the growth zone
• Apply the Self-Awareness Scale
• Operationalize the zones
• Sustainability - great effort, great rest
• Practice:
  • Apply PAUSE (Pause, Assess, and USE your resources)
  • Subtle breathing
  • The second arrow
• Case study: Operationalizing connection and protections states, Mathilde

Techniques for Befriending the Trauma Body

• The hungry ghost, the disembodied, and embodiment
• Create the foundations for embodiment work
• Work with what I can control
• Develop a resource repository
• Understand interoception, exteroception and neuroception
• Grounding, breathing, and orienting
• Sensate focus for distress
• Practice:
  • 4, 7, 8 Breathing Method
  • A commitment letter to the body
  • Positive Embodiment Body Scan

Mindful Self-Care and Resource Development for Stabilization

• Unpack self-care therapeutically
• Consider your own mindful self-care practice
• Formal and informal self-care techniques
• Assessment of mindful self-care
• Mindful self-care and goal development
• Development of inner resources
• Practice:
  • Somatic resources with Yoga nidra
  • Meditation

Sensation Awareness and Basic Processing

• From sensation to reaction or response
• Interoception assessment
• Exteroception assessment
• Expand the safe and growth zones
• Practice:
  • Letter of encouragement
  • Awareness of state activations
  • Pendulation
  • Distress tolerance with paced breathing and muscle relaxation
  • Somatic processing of sensations
  • Sensation tracking
• Case study: Gianna, adult, dog died in traffic accident, intense grief

Emotion Awareness and Basic Processing

• Qualities and components of emotions
• Prompting event patterns
• Body maps of emotions
• Naming, body experiences, and activation patterns
• The interface between feeling and activation
• Break habitual reactions
• High and low emotionality thoughts
• Practice:
  • Explore your feeling-based thoughts
  • Track feeling sensations
  • Being with action urges

Emotions and Therapeutic Embodiment

• Techniques for being with difficult emotions
• Match needs, practices, and directions
• Three accessible yoga practices
• Practice:
  • Be with difficult emotions
  • Self-sooth with inner resources
  • Have an emotion over for tea
  • Explore direction in movement
• Case study: Kim, 35-yr-old, brother heroine user, many overdoses

Re-Establishment of Boundaries

• Trauma and Highly Sensitive People (HSP)
• Assessment of HSP
• Embodiment and relationship
• Explore boundary types and boundary qualities
• Boundary setting
• Positively embodied relationship guidance
• Practice:
  • Manage difficult people
  • Physical and energetic boundaries meditation
  • Boundary work journal
  • Boundary setting actions
  • Being with others’ actions
• Case Study: Soka, 25-yr-old, sexually abused, no protection from mom, working on boundaries with mom

Embodied Wisdom - More than Cognitions

• Embodying self-statements
• Morita action guide
• Embodiment as a human right
• Practice:
  • Inner Compass- embodied decision making
  • Finding glimmers

Therapeutic Embodiment Practice for Trauma Processing

• De-escalation protocol
• Review of TP-PAUSE
• Safety assessment
• Document resources
• List distressing and traumatic experiences
• Process trauma across the layers of embodiment
• The embodied healing process
• Practice the three session sequence
• Here and Now Script
• Self-holding
• Explore sensations and action urges
• Practice: Moving through and honoring your body

Posttraumatic Growth and Joy

• Develop play, creativity, and joy
• Play as potentially activating (window of tolerance)
• Play and creativity for continuous growth
• Embodying self-statements for growth
• The Hero(ine)’s Journey
• Practice: The next loving thing
• Case Study: Elizabeth, 52-yr-old, resolved trauma and engaged in posttraumatic growth

Target Audience

• Counselors
• Social Workers
• Psychologists
• Case Managers
• Addiction Counselors
• Marriage and Family Therapists
• Nurses
• Physicians
• Other Mental Health Professionals