P01 - The Cutting Edge of Mind-Body Medicine: From Immunology to Neuroscience
P02 - Mindfulness, Meditation and Buddhism: Breaking the Addiction for the Mind
Upon completion of this session, attendees will be able to:
P04 - Ethics: Client Welfare, Therapist Responsibility: Legal and Ethical Issues in Clinical Practice
HOUR THREE
Upon completion of this session, attendees will be able to:
Thursday, February 16, 2017
8:30 am - 10:15 am
The most important determinant of physical health is mental health. In this research-based practical presentation, participants will learn how adverse childhood experiences set the stage for chronic illness, and substance abuse later in life through epigenetic changes, neurochemistry, immune function, and brain wiring. In this session, Dr. Borysenko will examine how evidence-based psychological interventions can rewire neuro-hormonal circuitry, and help restore both physical and mental balance. Some of the interventions covered include the modification of explanatory style, stress hardiness and resilience training, narrative therapy, meditation, mindfulness techniques, and cognitive approaches. Since the quality of the provider-client relationship is key to healing, there will be a focus on how to optimize the therapeutic bond.
Upon completion of this session, attendees will be able to:
- Describe the effect of adverse childhood experiences on physical and mental health
- List three interventions that can rewire neural circuits
- Explain the role of epigenetics in trauma
Thursday, February 16, 2017
10:45 am - 12:15 pm
Buddhism is a path to freedom from suffering. Such suffering originates in the addictive quality of the mind, and our habitual tendency to grasp at pleasure and push away pain, all addictions stem from these roots. The Buddhist path offers a spiritual and psychological process of transformation that has proven to be a most effective treatment for our human addiction to thinking, and all the suffering we create with the mind. The Buddhist practice of mindfulness meditation is the most potent tool there is for recovering our original wholeness or Buddha nature. Noah will explore the practice of mindfulness meditation, philosophical framework of Buddhist practice, and tools and exercise for all will be utilized. This session will also discuss ways of breaking the addiction to the mind as outlined in the Refuge Recovery process.
Upon completion of this session, attendees will be able to:
- Find and place attention in a unique way using basic mindfulness practice, and an object of mediation, such as breath.
- Demonstrate a basic understanding of the philosophical framework of Buddhist practice.
- Walk away with culturally relevant tools to bring mindfulness exercises into all areas of their lives.
P03 – The Child is Father of the Man: Neurobiological Crossroads of Trauma, Addiction and Mood Disorders
Christopher La Tourette La Riche, MD
Thursday, February 16, 2017
1:30 pm - 3:00 pm
Early life trauma can cause long-term and persisting changes to the brain and brain chemistry, which can be measured and imaged, even decades after the childhood events. The presence (or absence) of childhood trauma can increase later-life vulnerability to addiction and mood disorders and also appears to influence which treatments are most effective. Taking a careful trauma history in children and adults is essential for any provider of healthcare. Attendees will gain insight into the neuro-endocrine system and learn how to offer clients and families and a new perspective on addiction and mood disorders that can help them better engage in effective treatment.
Upon completion of this session, attendees will be able to:
- Name the 3 basic elements of the neuro-endocrine system altered in early life trauma that can affect mood, anxiety and addiction.
- Explain a simple teaching model of the neurobiology of addiction to clients and their families.
- Name and briefly explain at least 3 early life events that have correlated with later life mood and addictive disorders
Thursday, February 16, 2017
3:30 pm - 5:00 pm Recent court cases highlight conflicts faced by students (in counseling, social work or academic programs focused on psychology), supervisors and psychotherapists when personal values conflict with diversity ethics requirements. Two legal cases involve student values related to client sexual orientation that were in conflict with diversity ethics codes. This workshop reviews ethical issues involved, legal outcomes and current standard of care.
Upon completion of this session, attendees will be able to:
Upon completion of this session, attendees will be able to:
- List three issues related to the current standard of care when therapists’ personal values conflict with ethics codes related to diversity.
- List three ethical considerations related to conflicts between ethics codes and personal values.
- Explain and define “conscience clause” and why it is relevant to diversity.
FIRST 45 MINUTES:
- Review of ethics codes related to diversity
- Revision of Codes of Ethics related to legal cases
- Requirement for ethical “bracketing”
- Appropriate referral situations: competency vs. discrimination
- Referral and discrimination
- Value imposition
- Value neutrality
SECOND 45 MINUTES:
- Requirement to clarify therapist values and beliefs
- Religious beliefs and discrimination
- Christian therapists and counseling clients in same-sex relationships
- Practicing “empathic morality”
- Five suggestions for graduate school programs
- Two legal cases and outcomes
- The “conscience clause”
Thursday, February 16, 2017
6:00 pm - 9:15pm
6:00 pm - 9:15pm
Psychotherapists struggle with the role of the DSM-5 system and ethical diagnosing of clients. This workshop examines the major changes to the DSM-5 including: the non-axial system, ICD-9 and ICD-10 requirements, substitutions for Axis I through V, and the primary “lifespan” chapter arrangement. Potential harm inherent in using diagnostic inflation for reimbursement, assigning improper parity diagnoses, fraudulent insurance practices, multicultural diagnostic challenges and documented ethical controversies related to development of the DSM-5 will be discussed.
Upon completion of this session, attendees will be able to:
- Name and explain the three major sections of the DSM-5.
- Explain the primary reason the “bereavement exclusion” was eliminated.
- Give three examples of insurance fraud with regard to DSM-5 diagnosing.
- Name two reasons why it is tempting to give a “parity” diagnosis.
- Explain what is meant by using a “cultural lens” with regard to proper diagnosis.
HOUR ONE
- Introduction to DSM system terminology
- Judging abnormality
- Organization of new system
- Sections I, II, III
- Chapter arrangement
- ICD-9 and ICD-10 codes
- Legal and ethical dilemmas
- Benefits, limitations and controversies of the DSM
HOUR TWO
- Using the DSM system in detail
- Following the “lifespan”
- Specific changes to DSM-5 – Selected Diagnoses
- Methods to diagnose
- Specific area of changes to DSM-5
- Disorders proposed in Section III
- Conditions for further study
- Optional measures
HOUR THREE
- Selected diagnostic changes
- Cultural additions
- Cultural concepts of distress
- Outline for cultural formulation
- Cultural formulation interview
- Legal and ethical dilemmas
Friday, February 17, 2017
8:30 am - 10:15 am
Over the past several years new approaches to treating PTSD have been used to treat this very old disorder. Research has shown high rates of PTSD in individuals who present with substance use disorders. In fact, many women who present for addiction treatment report histories of sexual assault. Others who come for treatment for substance use disorders often report abusive childhoods that include sexual, emotional, and/or physical abuse. Finally, it is very common for people with histories of addiction to describe situations in which they encountered life-threatening experiences.
This presentation will discuss the epidemiology of PTSD among this population, as well as explore whether addressing a person’s PTSD when he/she first comes to treatment does more harm than good. The presenter will discuss some of the various ways to treat PTSD and examine research comparing the effectiveness of the different approaches.
Upon completion of this session, attendees will be able to:
- Gain an understanding of the various treatment approaches to PTSD for individuals with addiction that includes both modern and traditional approaches
- Understand how widespread PTSD is among individuals seeking treatment for addiction
- Explore whether to address PTSD early in treatment, as well as the risks and benefits of treating this disorder in early recovery
Friday, February 17, 2017
10:45 am - 12:15 pm
The co-occurrence of borderline personality disorder and substance abuse disorders is well-documented and poses specific treatment challenges. While borderline personality disorder (BPD) is often conceptualized as the behavioral manifestation of early life events amenable to intensive psychotherapy rather than biological approaches, more recent research suggests that it is a disabling brain disease well as a personality disorder. By neglecting the neurobiological underpinnings, psychotherapeutic intervention is likely to be only partially successful thereby reinforcing the cycle of affective instability that often characterizes BPD. This presentation suggests that some individuals with BPD who also have specific deficits in certain brain structure and function might benefit from a neuroplastic approach to BPD and substance abuse treatment.
Upon completion of this session, attendees will be able to:
- Identify personality disorders that most frequently occur with addictions.
- Describe the biological and environmental factors that contribute to the onset of a personality disorder.
- Describe the adult manifestation of a personality disorder and how personality disorders maintain addictive behavior.
- Define neuroplasticity and its relevance for the disease model of addiction.
- Review traditional psychotherapeutic treatment of BPD that is augmented with a bio-behavioral neuroplastic approach.
The Latest Developments on the Trump Administration and Behavioral Healthcare: Scenarios on Healthcare Reform and Their Impact on Mental Health/SUD Benefits
Friday, February 17, 2017
12:15 pm - 1:30 pm
As President Trump builds his team to reform healthcare, many behavioral health practitioners are uneasy about what the future may hold. Will essential benefits be preserved? Without a mandate, will states be able to afford continuation of coverage? What impact will interstate insurance options have on local healthcare markets for behavioral health services? Will a conservative cabinet mean that addiction policy will change? Walking through some potential scenarios is a valuable process for any practitioner or manager. Using the latest news releases and inside information from Washington insiders, Daley will assist participants in “reading the tea leaves” in real time. From her unique history with California’s policy for universal healthcare, Daley will give perspective about state legislation that preceded the Affordable Care Act and can help prepare stakeholders for successful advocacy in this area.
Upon completion of this session, attendees will be able to:
- Develop a realistic impression of likely outcomes for health reform.
- Understand the difference between federal and state approaches to mandatory coverage.
- Identify specific advocacy strategies for impacting state policy decisions regarding healthcare.
This session is not CE eligible.
Friday, February 17, 2017
1:30 pm - 3:00 pm
Trauma is neither a disease nor a disorder, but is rather an injury caused by paralyzing fright, helplessness and loss. By grounding energetic experiences through the containment of bodily sensations, while engaging our innate capacity to self-regulate extreme states of arousal and intense emotions, we can facilitate the transformation of trauma and the integration of embodied spiritual experiences. Together this marriage of East and West, promotes deep and enduring healing. In this session we will also explore how the roots of addiction lie in unresolved trauma, insecure attachment, lack of support, overindulgence and habitual childhood frustration. Drawing on forty five years as a pioneering body oriented clinician, a parallel study of stress, neurobiology, child development, as well as a deep personal journey in shamanism and eastern philosophy, Dr. Levine shows that it is possible to live life robustly with pleasure and creativity, even in the face of the most painful assaults to our humanity, not to mention the deceptively trivial ones. From an evolutionary understanding of the sources of trauma, to a spiritual dimension of how we as human beings can be strengthened by traumatic healing, this journey unfolds--if we learn to attend to the “Unspoken Voice of the Body.”
- Understand the importance of embodied awareness as a vehicle for transforming traumatic experience.
- Utilize the intrinsic relationship between trauma and spirituality in therapeutic practice.
- Recognize the importance of therapy as a step towards a spiritual practice.
P09 - Closing Keynote: Spirituality and Recovery: How to Welcome a Higher Power in Treatment
Friday, February 17, 2017
3:30 pm - 5:00 pm The basic aim of recovery is to move away from dependencies on drugs, sex, alcohol, food, or gambling and toward a powerful spiritual interdependence. One basic definition of spirituality is being a positive and creative human being. Taking care of your body, avoiding harmful behaviors and unhealthy relationships are spiritual disciplines. In this session, Rev Leo will discuss a model of treatment that helps clients of all denominations find inner wisdom from a higher power.
Upon completion of this session, attendees will be able to:
- Explain cognitive and experiential information about the importance of spirituality for mental, physical and emotional wellness.
- Use a treatment and recovery model with clinical tools for helping their clients move into recovery.
- Understand that spirituality is an essential part of ongoing recovery.
