Prolonged Exposure Therapy for PTSD

Description:

This intensive 2-day module provides training in Prolonged Exposure Therapy, an evidence-based treatment for PTSD described in the manual, Prolonged Exposure Therapy for PTSD – Therapist Guide, by Foa et al., 2019 (2nd Edition).  It covers the empirical and theoretical support for PE and reviews the main clinical techniques used in this structured protocol.  Step-by-step instructions for conducting PE therapy sessions, including in vivo and imaginal exposure, along with strategies for working with over- and under-engaged patients and other difficult cases, are shared.  Videotaped examples of PE cases are used to demonstrate therapist skills.  Participants are expected to do role-plays in class to practice PE techniques, and they must attend both days.  

Total Credits: 14

Learning Objectives:

Following the training, attendees will be able to:

1. Formulate a rationale for Prolonged Exposure Therapy that builds rapport, improves client motivation, and increases treatment adherence.

2. Demonstrate an effective method of breathing that reduces client arousal and promotes distress tolerance.

3. Design an individualized avoidance hierarchy designed to systematically confront core fears.

4. Use in vivo exposure to block trauma related avoidance.

5. Apply imaginal exposure exercises to reduce the intensity and frequency of PTSD symptoms.

6. Apply specific skills to manage emotional engagement to increase the effectiveness of imaginal exposure.

7. Develop homework assignments that deepen exposure-based learning and further treatment goals.

8. Distinguish “hot spots” in the trauma memory in order to more efficiently reduce the intensity of associated symptoms.

9. Analyze exposure exercises to facilitate new learning and modify client's unhelpful, trauma-based cognitions.

10. Integrate new strategies to revise unhelpful cognitions that promote avoidance and maintain symptoms.

11. Evaluate Prolonged Exposure Therapy outcomes using standardized procedures and use assessment data to refine treatment planning.

12. Modify exposure techniques in a theoretically consistent manner to improve accessibility and clinical outcomes for specific patients.

Target Audience: For behavioral health providers who treat military personnel, veterans, and their families.

Instructional Content Level: Intermediate

Agenda:

DAY ONE

1100-1500 (15 minute break)

Assessment

Preparing for PE

1500-1600 LUNCH

1600-1930 (15 minute break)

Introducing Session #1: Overview of Treatment

Rationale for Treatment

Importance of Homework

Introducing Session #2: Common Reactions to Trauma

DAY TWO

1100-1500 (15 minute break)

Continue with Session #2 - In-Vivo Exposure:

Rationale

Use of SUDS

Construction of hierarchy

Assignment of Exposure Exercises

Introduce Session #3 - Imaginal Exposure

Rationale

Imaginal Exposure Procedures

1500-1600 LUNCH

1600-1930 (15 minute break)

Continue with Session #3

Processing Imaginal Exposure

Shaping Engagement

Hotspot procedures

Final session

Extending the reach of PE: Special populations & Modifications

Wednesday, May 25th, 2022 from 11:00 am - 7:30 pm, ET

Thursday, May 26th, 2022 from 11:00 am - 7:30 pm, ET

** Regular breaks will be assigned as indicated

One hour for lunch and two 15-minute breaks each day.

*Please note that agenda times are approximate and subject to change, depending on the needs of the workshop.

OUT-OF-TRAINING PRACTICE: Visit “The PTSD Experience” in Second Life, hosted by Center for Deployment Psychology

Continuing Education:

Course Completion Requirements: Participants are required to attend the entire training. Partial credits cannot  be issued. Attendance is taken through the use of electronic logs, and a post-training evaluation form must be  completed in order to receive social work CE credits. For psychology CE credits, completion of the evaluation is  strongly encouraged. If you do not wish to complete the evaluation but desire to receive psychology CEs please contact  the POC after the training event.  

There is a 30-day time limit post-training to complete all CE requirements. CE Credit Certificates will be available for  download from CE21 within 30 days after all course requirements have been completed. 

American Psychological Association Sponsor Approval: 

The Center for Deployment Psychology is approved by the American Psychological Association to sponsor continuing  education for psychologists. The Center for Deployment Psychology maintains responsibility for this program and its  content.  

Association of Social Work Boards Approved Continuing Education Provider Approval: The Center for Deployment Psychology, #1761, is approved to offer social work continuing education by the  Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not  individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to  determine whether an individual course may be accepted for continuing education credit. The Center for Deployment Psychology maintains responsibility for this course. ACE provider approval period: 5/19/2022 - 5/19/2025. Social workers completing this course receive 14 Live, Interactive Webinar continuing education credits. 

Inquiries regarding CE credits may be directed via email to Aric Bowie at aric.bowie.ctr@usuhs.edu. 

Participate:

Online Platform: Zoom

Date: May 25-26, 2022 

Time: 11:00am – 7:30 pm Eastern

Registration Information: Registration is done through event management system CE21, and the link will be provided to prospective attendees via the CDP website (https://deploymentpsych.ce21.com/item/prolonged-exposure-pe-therapy-ptsd-96742). 

Registration Deadline: Registration for this training closes one week prior to the training date. 

Cancellations/Questions: Please contact aric.bowie.ctr@usuhs.edu if you have any questions or need to cancel  your registration. 

Registration Cost/Refunds: $45

Instructional Format: This live webinar is fully interactive. Attendees may ask and answer questions throughout the  presentation and participate in instructor-led discussions.

Required Materials: 

PE Manual: The PE manual is a necessary supplement to this training. 

Prolonged Exposure Therapy for PTSD – Therapist Guide, by Edna Foa, Elizabeth Hembree, and Barbara Olaslov Rothbaum (2007)

ISBN-13: 9780195308501    ISBN-10: 0195308506

System Requirements: 

Zoom:
Internet connection, broadband wired or wireless.
Operating System:
Windows 7 or higher, Mac OS X with MacOS 10.9 or higher • Web Browser: Internet Explorer 11+, Edge 12+, Firefox 27+, Chrome 30+, Safari 7+ • Hardware: 1Ghz processor or higher.
For more specific system requirements, see the Zoom system requirements page here: https://support.zoom.us/hc/en-us/articles/201362023-Zoom-system-requirements-Windows-macOS-Linux

Please arrive within 30 minutes prior to the beginning of the training to complete all registration forms and sign-in documents.

Special Accommodations: If you require special accommodations due to a disability, please contact Aric Bowie at aric.bowie.ctr@usuhs.edu 4 weeks prior to the training so that we may provide you with appropriate service.

Grievances: For any grievances or concerns with this training including those related to course content, non-receipt of certificate or other occurrences, participants may contact CDP’s Continuing Education Director, Ms. Amanda Milochik, via email at Amanda.milochik.ctr@usuhs.edu.   

Instructor Biographies: 

Kevin M. Holloway, Ph.D., is a licensed clinical psychologist working as Director, Training and Education at the Center for Deployment Psychology (CDP) and Assistant Professor of Medical and Clinical Psychology at the Uniformed Services University of the Health Sciences in Bethesda, Maryland.  In this capacity, he leads a team of subject matter experts and support staff to develop and present workshops across the world to military and civilian audiences on topics in deployment behavioral health and evidence-based therapies for Posttraumatic Stress Disorder (PTSD).  Additionally, he leads a team of mental health subject matter experts and technology experts to develop and disseminate technology solutions to improve access to and quality of professional training. Recently this team was recognized as Gold Medal winners in the International Serious Play Awards 2019 for Operation AVATAR and Bronze Medal winners in the International Serious Play Awards 2020 for Build a Bedroom, both interactive provider training environments in Second Life.

Dr. Holloway received his Ph.D. in clinical psychology from Brigham Young University in 2004, and completed his doctoral internship at the Portland, Oregon Veterans Administration hospital. 

Prior to joining CDP, Dr. Holloway worked at the Department of Defense’s National Center for Telehealth and Technology, where he led the Center’s Virtual Worlds Program which explored the use of shared virtual environments for immersive, interactive patient education, provider training, and telemental health applications.  The program was recognized as a Computerworld Honors Laureate in 2012 for the T2 Virtual PTSD Experience.  Dr. Holloway also led or contributed to projects investigating virtual reality exposure (VRE) therapy to treat PTSD, training providers in using VRE, gaming motivation for health applications, and video teleconferencing for telemental health. 

Earlier in his career, Dr. Holloway was a staff psychologist at Madigan Army Medical Center, providing care to active-duty soldiers with an emphasis on combat-related PTSD and other anxiety disorders.

Paula Domenici, Ph.D., is one of the Directors of Training and Education at the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences (USUHS) in Bethesda, Maryland. She manages courses and training programs for enhancing behavioral health providers' and trainees' knowledge of military culture and evidence-based treatments to help address the unique needs of service members and veterans.  She also presents workshops to clinicians across the country on military psychology including deployment-related topics.  Dr. Domenici specializes in trauma and the treatment of PTSD using Prolonged Exposure Therapy (PE). When she first joined CDP in 2006, she worked at the National Naval Medical Center in the outpatient clinic and inpatient casualty care unit.  Earlier in her career, she was an APA Congressional Fellow as well as a Staff Psychologist at the San Francisco VA Medical Center.