CBT for Kids Certification Course: Trauma-Informed Interventions for Depression, Anxiety, Autism, ODD, PTSD & More – David Pratt, Amy Marschall & Sean Inderbitzen – PESI

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Exploring the Essential Features of “CBT for Kids Certification Course: Trauma-Informed Interventions for Depression, Anxiety, Autism, ODD, PTSD & More – David Pratt, Amy Marschall & Sean Inderbitzen – PESI”

Underlying trauma makes treating any client more complicated — especially for children and teens, society is quick to label as “disruptive” or “out of control.”

Without help, those kids can start feeling left behind; like they’re not as good as — or as smart — as their peers. And those feelings could start impacting their physical health by making it hard to eat or sleep.

As a CBT Certified Clinician, you’ll provide a safe way for young clients to identify negative thoughts and replace them with more positive ones — giving even the hardest-to-reach kids and teens the power to successfully navigate stressful situations and control their emotions.

Combine that with a trauma-informed approach, and you’ll elevate your treatment plans by integrating concrete skill-building into trauma processing work — allowing you get to the root cause of each child’s unique trauma needs.

That’s why we’ve assembled this certification training and a team of behavioral and trauma experts — with decades of experience using different CBT interventions to help different kinds of families.

Through case studies, downloadable session scripts, and printable CBT worksheets, you’ll learn practical strategies you can use immediately with any client, including medication and non-medication interventions.

WHAT WILL I LEARN?

Section I | Cognitive Behavioral Therapy (CBT) for Children & Adolescents

David M. Pratt, PhD, MSW, a leading expert in the field, will help you develop core competencies and transform your CBT skills to achieve better therapeutic outcomes, even with your most challenging children or adolescents!

Theoretical Foundations

• 1st Wave and Behavioral Therapy
• 2nd Wave CBT Interventions
• Recent 3rd Wave Advances (Mindfulness)

Essential Elements of CBT with Youth

• Transparency & Collaboration
• Socratic Questioning & Guided Discovery
• Integrating 3rd Wave Advances

Therapeutic Alliance with Youth

• Confidentiality & Parent Involvement
• Developing “SMART” Goals
• Motivational Counseling with Youth

CBT for Youth Depression

• The CBT Model of Depression
• Developmental Manifestations of Youth Depression
• Mood Monitoring
• Behavioral Activation
• Problem Solving Skills
• Assertiveness Skills

CBT for Anxious Youth

• CBT Model of Anxiety
• Social Skills Training
• CBT for Social Phobia
• CBT for Separation Anxiety & Night Fears
• CBT for Panic & Worry
• CBT for Perfectionism

CBT for PTSD

• CBT Model of PTSD
• Trauma-Focused CBT
• Cognitive Coping
• Writing a Trauma Narrative
• Conjoint Child-Parent Sessions

CBT for Obsessive-Compulsive Disorder

• CBT Model of OCD
• Declaring war on OCD
• Parent & Family Involvement
• OCD Mapping
• Relapse Prevention & Booster Sessions
• Psycho-Tropic Medication for OCD

CBT for Oppositional-Defiant Disorder

• How to Counter Scapegoating
• 25 Positive Parenting Skills for ODD
• Conflict De-Escalation Skills
• Enhancing Family Communication
• Family Problem Solving
• Home-School Report Cards

CBT for ADHD

• ADHD Evaluation
• Parent Management Training
• Home-School Report Cards
• Teaching Executive Functioning Skills

Pediatric Bipolar Disorder & Disruptive Mood Dysregulation Disorder

• Medications
• Identifying Mood Symptoms: Keeping a Mood Chart
• Managing Mania Symptoms
• Parent Counseling & Involvement
• Crisis Management
• Disruptive Mood Dysregulation Disorder

Adolescent Sleep Disorders & Insomnia Special Applications for CBT

• Adolescent Sleep Patterns
• Developing & Utilizing a Sleep Diary
• Sleep Efficiency
• Stimulus Control Training
• Cognitive Interventions for Worry

Suicide Assessment & Prevention

• The CBT Model of Suicide
• Suicide Risk Factors
• Suicide Protective Factors
• Recent Advances in Safety Planning
• Reasons for Living
• Hope Box
• Distress Tolerance Skills

CBT for Co-occurring Substance Use Disorders

• CBT Model for Substance Use Disorders
• Motivational Enhancement Therapy (MET)
• Developing Treatment Goals
• Functional Family Therapy for SUDs
• Dual Disorders Treatment

Parent Involvement

• Confidentiality
• Evaluation & Treatment Planning
• Check-In & Check-Out
• Parent Psycho-Education
• CBT Homework

Section II | Trauma-Informed CBT for Children & Adolescents
Dr. Amy Marschall, a psychologist certified in TF-CBT and expert in evidence-based care for children and adolescents, will teach you how to balance the structure of CBT and the flexibility of a trauma-informed approach in a way that meets each child’s unique needs.

What Trauma Looks Like in Children & Adolescence

• Adverse Childhood Experiences
• Growing up During COVID: A New Stressor
• Preverbal Trauma
• Trauma-Related Emotional and Behavioral Issues

Trauma-Informed Assessment & Treatment Planning

• Developmental trauma interview; ACEs score; Trauma Symptom Checklist
• Assessment is not finite; how to continually assess client safety and therapeutic needs
• Integrating behavioral and emotional goals
• What does it mean to feel “better”?

How to Elevate Your Practice Utilizing CBT and Trauma-Informed Techniques

• Actively engaging kids with a child-centered approach
• Balancing the structure of CBT with flexibility/nuance of a trauma-informed lens
• Integrating concrete skill-building into trauma processing work
• Getting to the root cause of each child’s unique trauma needs

A Playbook for Implementing Trauma-Informed CBT (Worksheets, scripts & demonstrations included)

• Preparing clients for trauma work

• Psychoeducation: deciding what information is helpful and how to present it
• Identifying the child’s level of anxiety/physiological arousal
• Teaching children the language around trauma
• Affective Monitoring

• When feelings are happening — press pause/go with the flow
• Noticing when emotions start to get bigger — feelings thermometer/feelings spectrum/volcano
• Mindfulness and body awareness
• Metacognition

• Noticing thoughts as they come — watching the clouds/radio station
• Emotional reaction to those thoughts — naming feelings/emoji feelings
• Thought stopping activities
• Narrative therapy

• With specific trauma memories — writing vs dictating poem/children’s book/ narrative story
• Without specific memories — exploring when they learned about the trauma/ exploring feelings related to the knowledge of the trauma
• Relaxation Techniques that children enjoy

• Mindful bowling/juggling
• Guided safe place visualization
• Body scan
• Muscle relaxation
• Strong like a tree
• Art therapy
• Music

Clinical Considerations

• The art of getting caregiver buy-in for participation in treatment
• Balancing honoring the client’s needs and requests with evidence-based practice and treatment goals created by guardians
• Sometimes developmental trauma needs to be re-processed as the child gets older
• Determining/Discerning how much treatment is “enough” for the child’s developmental age/stage
• Cultural diversity considerations for trauma work
• Limitations of the research and potential risks

Section III | Trauma-Focused Therapy for Autistic Children
Many clinicians working with kids on the autism spectrum struggle to effectively treat their clients’ trauma. Sean Inderbitzen, an active clinical social worker with decades of lived experience as he himself is on the autism spectrum, will show you simple solutions for adapting the skills and techniques you already know to successfully treat trauma in kids and adolescents with autism.

Autism and Trauma: Overlap and Treatment Implications

• What is the window of tolerance and its relevance to Polyvagal Theory?
• Rethinking autism: A Polyvagal Model of autism
• Implications of trauma on executive dysfunction and memory
• A case study of an autistic child with PTSD and dissociative amnesia

The Diagnostic Intersection of Autism, OCD and PTSD

• Diagnostic criteria for ASD
• Diagnostic overshadowing in ASD, Obsessive Compulsive Disorder and PTSD
• Applying Polyvagal Theory to the intersection of a state specific model of autism
• Implications to diagnosis and treatment of autism and PTSD

EMDR for Kids with ASD and PTSD:
Adapting Social Stories and Tapping for Enhanced Treatment

• EMDR protocol walkthrough
• Visual aids for improved psychoeducation on trauma symptoms
• Adapting social stories to the treatment of trauma in children with ASD
• Using tapping for simple stress reduction
• Case study
• Research and limitations

Sensorimotor Psychotherapy:
Treat the Symptoms of Unresolved Trauma in the Body

• Mindful awareness of the body — helping kids with autism identify triggers
• Modified mindfulness exercises to activate calm in children with ASD and PTSD
• Simplified language to teach deep breathing and relaxation techniques
• Case study
• Research and limitations

Trauma Focused Cognitive Behavioral Therapy:
Adaptations to Address Developmental Level and Increase Comprehension

• Modifications for using Trauma-Focused Cognitive Behavioral Therapy

• Strategies to increase generalization
• Tips for overcoming concrete thinking
• Integrating visual learning to illustrate points

• Deepening TF-CBT practices with motivational interviewing
• Research and limitations
• Applying EMDR, TF-CBT, and Sensorimotor Psychotherapy to a state specific model of ASD

Meet the Course Experts

David M. Pratt, PhD, MSW, is a New York State Licensed Psychologist with 40+ years’ experience working with children, adolescents, and families. Dr. Pratt has conducted numerous trainings in Cognitive Behavioral Therapy at local, state, national and international forums. He is the author of CBT Toolkit for Depressed, Anxious and Suicidal Children and Adolescents (PESI Publishing, Inc., 2019) and Advanced CBT Toolbox for Children and Adolescents: Promoting Resilience, Positive Emotions and Personal Growth (in press, PESI, Publishing, Inc.).

Amy Marschall, PsyD, is a licensed clinical psychologist who works primarily with children and adolescents. She is trained in trauma-informed care as well as Cognitive Behavioral Therapy, and in 2017 became certified in Trauma-Focused Cognitive Behavioral Therapy. In her clinical practice, Dr. Marschall works with survivors of abuse, families in the foster care system, children with incarcerated parents, clients dealing with high-conflict divorce or separation, and those growing up with other chronic stressors and traumas.

Sean Inderbitzen, APSW, MINT, has lived 32 years with autism spectrum disorder and is an active clinical social worker within a community health center, specializing in the treatment of autism and co-occurring trauma. He is a doctoral student at Tulane University’s School of Social Work and is a collaborator on two studies for the treatment of PTSD in children with autism, one on utilizing modified EMDR and the other on Sensorimotor Psychotherapy (SP).

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