4-DAY INTENSIVE WORKSHOPS OFFERED BY DR. EDNA B. FOA AND COLLEAGUES


PTSD WORKSHOPS
FALL 2008
October 22-25

OCD WORKSHOP
FALL 2008

September 8-11


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Intensive Training in Prolonged Exposure Therapy for PTSD

Workshop Agenda

Day 1

 
8:30 am - 9:00 Registration and continental breakfast
9:00 am - 10:30 Prolonged Exposure Therapy for PTSD: Edna B. Foa, Ph.D.
 
  • Diagnosis of PTSD
  • Theory and empirical support for cognitive behavioral treatment approaches
10:30 - 10:45 break
10:45 - 12:30 Overview of Prolonged Exposure (PE) Therapy
12:30 - 1:30 Lunch on your own
1:30 - 3:00 Assessment of PTSD and other trauma-related psychopathology
3:00 - 3:15 break
3:15 - 5:00 Instruction in the individual treatment components through description of intervention, videotapes of therapy sessions, role-plays among participants with observation and feedback from faculty
  Prolonged Exposure Therapy Program
 
  • How to present the PE program to clients
  • Establishing therapeutic alliance
  • Breathing retraining
  • Psychoeducation - common reactions to trauma
  Break into pairs to practice delivery of treatment overview/rationale
5:00 pm end
   

Day 2

 
8:30 - 9:00 check-in and continental breakfast
9:00 - 10:30 Imaginal Exposure
 
  • Rationale for imaginal exposure (recounting the trauma)
  • Procedure for imaginal exposure
  • Videotape illustrations of progressive sessions of imaginal exposure
10:30 - 10:45 break
10:45 - 12:30 Imaginal Exposure (con’t):
 
  • Assignment of imaginal exposure homework
  • Hot spot procedure for imaginal exposure
  Break into pairs to practice the procedures
12:30 - 1:30 Lunch on your own
1:30 - 3:00 In-Vivo Exposure
 
  • Rationale for in-vivo exposure
  • Use of Subjective Units of Distress Scale (SUDS)
  Break into pairs to practice these procedures
3:00 - 3:15 break
3:15 - 5:00 In-vivo exposure (con’t):
 
  • Construction of in-vivo hierarchy (approaching safe situations)
  • Safety guidelines for in-vivo exposure
  • Assignment of in-vivo homework
  Break into pairs to practice the procedures
   

Day 3

 
8:30 - 9:00 check-in and continental breakfast
9:00 - 10:30 Treatment components (continued):
  Final Session
 
  • Reassessing SUDS for in-vivo hierarchy; discussion of what has changed; relapse prevention; planning on-going exposure work
  • Final Session summaries - video illustrations
  Break into pairs to practice the procedures as needed
10:30 - 10:45 break
10:45 - 12:30 Special issues: Case presentations (description and excerpts from videotaped sessions) illustrating procedural modifications, therapist response to client behavior:
 
  • Avoidance
    - reluctance to do in-vivo or imaginal exposure
    - avoidance of homework (including listening to tapes)
    - missing therapy sessions
12:30 - 1:30 Lunch on your own
1:30 - 5:00 Special issues (con’t):
 
  • Maintaining focus on PTSD
  • Anger
  • Working with clients with co-morbid alcohol abuse/dependence
  • Obstacles to homework compliance
3:00 - 3:15 break
3:15 - 5:00 Procedural modifications of imaginal exposure in order to titrate emotional engagement:
 
  • Over-engagement in exposure
   

Day 4

 
8:30 - 9:00 check-in and continental breakfast
9:00 - 10:30 Procedural modifications (con’t):
 
  • Under-engagement in exposure
10:30 - 10:45 break
10:45 - 12:00 Break into pairs to role-play exposure rationales, procedures, breathing training; observation and feedback from faculty
12:00 - 1:00 Lunch on your own
1:00 - 2:30 Important considerations in providing Prolonged Exposure therapy to trauma survivors
 
  • Using the theoretical model of the treatment to guide therapists’ decision-making
  • Developing tolerance for client’s emotional distress
  • Flexibility in applying this treatment
  • Importance of supervision and peer consultation
  • How to begin using the therapy
  • 60 vs. 90-minute therapy sessions
2:30 - 2:45 break
2:45 - 4:00 Wrap-up
 
  • Discussion period
  • Suggested readings and literature
  • Wrap-up and questions from participants