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Trauma, Affect Dysregulation and Shame: Treating the Seeds of Self-Destructive Behaviors
Lisa Ferentz, LCSW-C, DAPA
PESI, Inc. / Seminar on DVD / Jan 2017
Self Harm
price: $307.95 (may be subject to change)
Not in Stock, usually ships in 7-10 business days

5 hr 58 min multi-disc DVD recording with electronic manual and instructions.

If you believe that most self-harming clients have Borderline Personality Disorder - you’re wrong.

If you believe that the choice to cut versus burn, to starve versus binge, is arbitrary - you’re wrong.

And if you don’t alter these beliefs and learn a new approach, you will keep failing your self-harming clients.

Join Lisa Ferentz, expert trauma and self-harm clinician, and master the ability to decode and unpack the pain and the shame your client experiences and delve deeper into the source of their trauma and self-injuring behaviors.

Lisa will give you her proven approach that teaches your client new coping strategies that:
• Communicate their pain in healthier ways
• Short-circuit overwhelming thoughts and feelings
• Self-soothe

The usual approach is to have the client sign a “safety contract” - safety contracts do not work!

The usual therapy does not prevent the client from substituting the one self-soothing action (i.e. cutting) with another poor choice - like getting high.

Complete this transformational seminar and take away creative treatment strategies including drawing, writing exercises, and body-based techniques that give clients insight and help them let go of their self-destructive behaviors. You’ll also receive a new instrument to replace the safety contracts that so often fail you and your client.


1. Explain the relationship between self-destructive behaviors, trauma, attachment, developmental stressors and affect dysregulation.
2. Describe a chronic cycle of self-harm and the ways in which dissociation and anxiety influence the process.
3. Describe and utilize CARESS, an alternative to standard safety contracts.
4. Implement at least 3 creative strategies that help re-ground and re-establish a sense of safety in triggered trauma survivors
5. Identify the recurring themes in the artwork of traumatized clients and learn how to work with art in session.
6. Describe the impact of counter-transference when working with self-destructive behaviors.


The Connection: Attachment and Affect Regulation
The four attachment styles and their impact on child development
The challenge of attaching to unavailable or abusive caretakers
Living in a state of affect dysregulation and the impact of hypo- and hyper-arousal
Exploring the dynamics of attachment and affect regulation through videos

Working from a Strengths-Based Perspective
Advantages to de-pathologizing destructive behaviors
The impact this paradigm has on the therapeutic relationship

Meta-communication of self-harm
“Telling” without talking
Why acts of self-harm are not arbitrary
Why your clients hurt themselves

Breaking the Cycle of Self-Destructive Behaviors
What sets the behavior in motion
Why it escalates
What reinforces it

Extinguish Self-Destructive Acts: Creative Interventions
The “management” of self-harming behavior
Journaling to understand triggers
Re-framing cognitive distortions
Using guided imagery for untenable thoughts and feelings
Safe place imagery and containment
The power of incorporating breath work
Using the body for somatic resourcing and grounding
Short-circuiting flashbacks and dissociation

Why Standard Safety Contracts Don’t Work and What To Do Instead
Incorporating CARESS - a unique proven approach
Eliminating the power struggles in treatment
Processing clients’ artwork

About the Speaker:

Lisa Ferentz, LCSW-C, DAPA, is a recognized expert in the strengths-based, de-pathologized treatment of trauma and self-harm and has been in private practice for over 30 years. She presents workshops and keynote addresses nationally and internationally, and is a clinical consultant to practitioners and mental health agencies in the United States and Canada. She has been an adjunct faculty member at several universities, and is the founder of “The Institute for Advanced Psychotherapy Training and Education,” now in its eighth year of providing continuing education to mental health professionals.

In 2009 she was voted the “Social Worker of Year” by the Maryland Society for Clinical Social Work. Lisa is the author of Treating Self-Destructive Behaviors in Traumatized Clients: A Clinician’s Guide (Routledge), now in its second edition, and Letting Go of Self-Destructive Behaviors: A Workbook of Hope and Healing (Routledge).

Lisa hosted a weekly radio talk show, writes blogs and articles for websites on self-harm and self-care, teaches on many webinars, and is a weekly contributor to . You can follow Lisa’s work at , Facebook, and LinkedIn.

*Continuing Education Information:

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact PESI, Inc Customer Service at 1-800-844-8260 for more details.

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