Trauma-Informed CBT for Children & Adolescents: A Clinical Playbook for Integrating Structure with Client-Centered Flexibility – Amy Marschall – PESI

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Trauma-Informed CBT for Children & Adolescents: A Clinical Playbook for Integrating Structure with Client-Centered Flexibility 
Speaker: Amy Marschall, PsyD
Format: Audio and Video

Description

Sometimes we struggle to balance individual kids’ needs with implementing evidence-based care.

We know evidence-based treatment is an important goal, but statistics and research only go so far if the intervention isn’t the right fit for the child in the room.

Part of the experience of trauma is a sense of loss of control and disempowerment. Traumatized young clients need an active hand in their treatment, and as therapists we must foster this while implementing evidence-based care.

Dr. Amy Marschall, 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.

In this one-day event, you’ll learn to:

• Integrate effective CBT techniques with a trauma-informed approach
• Adapt your approach when you feel “stuck” in treatment
• Gain confidence treating children with histories of trauma
• Choose from a robust arsenal of techniques and tricks that are useful in-the-moment
• Reduce trauma-related symptoms: hypervigilance, rumination, people pleasing, dissociation, aggression, and more
• Teach kids concrete therapeutic skills while staying attuned to their trauma-related needs
• Empower kids to take an active role in their treatment!

Speaker

Amy Marschall, PsyD
Sioux Falls Psychological Services

Amy Marschall, PsyD, is a psychologist, author, and autistic adult who specializes in evaluating children, teens, and adults for autism, supporting autistic clients, and trauma therapy. She is the author of A Clinician’s Guide to Supporting Autistic Clients, (PESI Publishing, 2024) neurodivergence expert, and speaker. Primarily working with children and adolescents, she is trained in trauma-informed care and cognitive behavioral therapy. In 2017, she became certified in trauma-focused cognitive behavioral therapy. In addition to working with autistic individuals, 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.

Speaker Disclosures:
Financial: Amy Marschall is the founder of Resiliency Mental Health and has employment relationships with RMH Therapy, Sioux Falls Psychological Services, Spring Health, ADHD Online, A Change for Better, and Mi World. She is a consultant with VeryWell Mind and receives royalties as a published author. Amy Marschall receives a speaking honorarium, recording, and book royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Amy Marschall has no relevant non-financial relationships.

Objectives

1. Integrate a trauma-informed approach to assessment, treatment planning, and sessions.
2. Employ a collaborative approach to treatment planning, balancing relevant, specific, and time-measurable goals with each client’s articulated goals for their care.
3. Modify therapeutic interventions based on client feedback of their unique needs, preferences, and history.
4. Utilize trauma-informed, evidence-based cognitive behavioral interventions in sessions, including mindfulness activities, breathing exercises, visualizations, metacognition, and psychoeducation.
5. Apply evidence-based cognitive-behavioral techniques while teaching clients to identify what does or does not work for them about each technique, and adjust interventions appropriately in light of client feedback.
6. Assess behavioral issues from a trauma-informed perspective, with an emphasis on identifying and addressing underlying needs rather than consequences or punishments for problem behaviors, and educate parents on how to implement this approach outside of sessions.

Outline

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
  • Stong 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

Target Audience

• Psychologists
• Social Workers
• Counselors
• Marriage & Family Therapists
• Speech-Language Pathologists
• Occupational Therapists
• School Administrators
• Physicians
• Teachers/School-Based Personnel

Please see the full list of alternative group-buy courses available here: https://lunacourse.com/shop/