NP 4: Fine-Tuning Pivotal Moments in Therapy
This 4-day training explores further details of process, for both you and your clients.
Participants need to take NP 1 and 2 before taking this training, as we expand on that foundation.
We will again use a combination of presentation, discussion, exercises, demonstrations, and longer practicum sessions with personalized feedback. We will also do more short role plays, where you can bring in tough moments from your sessions. We will explore ways to approach, assess and work through them.
As with previous trainings, we focus on fine-tuning engagement with somatic processes, close tracking of nervous system reactions and resiliency, and judicious use of EMDR and other uses of bilateral stimulation.
In consult groups, therapists report where “trusting the process” can still be challenging. In this training, we will identify some of the ways this manifests in sessions, how to build experience so your confidence and trust in the process can increase.
“Borderline” dynamics as guides for engagement
- Client’s “process” as evidence for your discernment
- Gaining traction through somatic sensations vs. story or emotions
- The work to make self-reflection tolerable
Addictive and Compulsive dynamics
- Helping your client to sustained awareness, so there’s a chance for self-assessment
- Tracking dynamics of disconnection as critical for creating the space for newness
- Moments of craving, and the “draw” to action
Role Playing tough scenarios from your practice
- “My client does not seem to be getting better.”
- “This guy’s giving me nothing (smoke).”
- “We keep getting stuck in the same place.”
- “I get to this point and don’t know what to do.”
- “He just keeps talking, and I can’t get in there.”
- “It’s so hard to tell if they are ‘in the window’ or not.”
Catching disconnections as they are happening
- The importance of establishing a baseline for resiliency at the beginning of each session
- Noticing hidden client “caution,” and the potential for therapist’s overrides
- Identifying the tools you need to refocus in moments of disconnection
- Mis-diagnosing outcome vs. process
Fine-tune your “pacing” to increase the effectiveness of “fattening the moment”
- Holding sensation longer - when and how?
- Stepping into indicators of “something happening” when we don’t know what it is.
- Assessing the impact of your own interventions, in the moment
Challenges for the therapist when there is a need to “take a stronger lead”
- Therapist self-support in moments where “holding the heat” can feel threatening to your client
- Therapists feeling anxious, threatened or unsafe
- Different strategies inside and outside the “window of tolerance,” and at the edges
Each day has lecture/presentation/discussion, a demonstration session or videotape, and 45-60 minute practicums with personalized feedback for each participant.
Trainings are limited to 27 participants to allow the work to be very personalized.