"Part of me wants to quit, and part of me doesn't": An Integrative Developmental Approach to Addiction
*OnDemand Course*
Susan Brown, LCSW, BCD presents an OnDemand Course
Susan Brown is a Licensed Clinical Social Worker, Board Certified Diplomate in private practice in San Diego, CA. She specializes in the use of EMDR therapy to treat complex trauma and addictions. She was a Principal Investigator in a pilot study using an Integrated Trauma Treatment Program (ITTP) in an adult drug court combining EMDR therapy and Seeking Safety©. She currently integrates Internal Family Systems “informed” ego state work within the EMDR protocol to deepen and enhance treatment with these complex clients.
Ms. Brown co-authored “Integrated trauma treatment in drug court: Combining EMDR and Seeking Safety” (Brown et al. 2015); Co-authored 2 book chapters, EMDR: Mental Health-Substance Abuse (Brown, Stowasser, & Shapiro, 2012) and EMDR Therapy and the Treatment of Substance Abuse and Addiction, In Innovations in the Treatment of Substance Addiction, (Brown, Stowasser & Shapiro, 2016); and co-authored the article, ‘EMDR in the treatment of Borderline Personality Disorder’ (Brown & Shapiro, 2006).
Susan has presented nationally on the use of EMDR with trauma and addiction. She is an EMDRIA-Approved Consultant and Basic Training Facilitator for the EMDR Humanitarian Assistance Program and the EMDR Institute. She currently teaches 2-day workshops on the utilization of EMDR therapy, integrated with ego state applications for complex trauma, addictions and other self-defeating behaviors.
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An Integrative Developmental Approach to the Treatment of Addiction within an EMDR Framework
Welcome
FREE PREVIEWCourse Description & Learning Objectives
FREE PREVIEWCourse Outline & Schedule
FREE PREVIEWInstructor
FREE PREVIEWCE Information
FREE PREVIEWReferences
FREE PREVIEWComprehensive References
PLEASE READ: How to Obtain your CEs for this OnDemand Course
Instruction for the Module
Part of me wants to quit Slides Notes Pages
Targeting Flowchart
Video #1
Video #2
What is Your ACE Score?
Video#3
Video #4
Video #5
Parts Exercise
Susan Brown Addictions Exam Review Document
Instruction for the Module
Video #6
Video #7
Video #8
Video #9
Video #10
Instruction for the Module
Linda
Pete Transcript
Supplemental Videos- Two Post EMDR Sessions
Susan Brown Updated Contact Info
Phase 2 Worksheet w-Parts
Revised shortened SCRIPT An Integrated Approach to Tx of Addiction
Course Evaluation
Program Description
This intermediate advanced course is designed for fully trained EMDR clinicians who want to develop their skills working with trauma, substance use disorder, and other challenging patterns of behavior using an "Integrative Developmental Approach" within an EMDR therapy framework. Addictions and other compulsive behaviors present clinicians with a complex clinical landscape, having bio-psycho-social seeds originating in early development including transgenerational contributions. This course explores the roles of Attachment, ACEs (Adverse Childhood Experiences), neurobiological / developmental vulnerabilities, along with a focus on ego states ("parts work") informed by the Internal Family Systems (IFS) model, integrated within the 8 phase, 3-prong EMDR protocol.
Abstract
Ambivalence about giving up an addiction or other maladaptive behavior pattern is to be expected since those behaviors once served a protective function for the client. Working with parts to promote a collaborative goal will be emphasized throughout the workshop. Elements from addiction-specific approaches currently in use (DeTUR, Positive Affect and Avoidance, Feeling States and Addiction Memory) are synthesized within this integrative approach. (*Individual existing addiction protocols will not be taught). The course focuses on case conceptualization and treatment planning, safe preparation inclusive of all protective parts, target selection, timing, and relapse prevention. Workshop participants learn how EMDR therapy, as a memory-based developmental treatment approach, can address these highly treatment-resistant behaviors to facilitate integrative healing. When underlying trauma and attachment wounds are healed, life's focus can shift from simply surviving--to thriving. Learn how to work with your clients to systematically untangle the web of addiction and create a life worth living to its fullest.
Course Objectives
Upon completing this course, participants will be able to:
1. Recognize "Addiction" as a complex neurodevelopmental disorder of attachment, affect dysregulation, response to adverse childhood experiences, learning, memory, and neuroplasticity.
2. Identify three ways in which addictions may be viewed through the lens of maladaptive attachment, impacting neurodevelopmental challenges in brain development.
3. Describe the Adverse Childhood Experiences (ACE) Study questionnaire to assist in developing an experience-specific, collaborative AIP treatment plan.
4. Explain the concept of "parts of self" in the early stages of treatment in preparation for later reprocessing, emphasizing the "helpful intention" of parts to meet perceived needs across the lifespan.
5. Distinguish between the basic concepts of (IFS) Internal Family Systems (Schwartz), a trauma-informed ego-state approach, highlighting the parallels between EMDR/AIP and IFS and how to integrate the two models throughout the 8 phases and 3 prongs of EMDR therapy.
6. Recognize clients’ addiction-specific preparation needs and resources to maximize treatment retention and relapse prevention.
7. Describe focused sets of bilateral stimulation to access and enhance the cooperative connection between parts of self to reduce polarization of goals.
8. Identify at least two future fears and avoidance of recovery activities.
9. Describe integration of existing AIP-informed addiction elements (DeTUR, Positive Affect/Feeling State, Avoidance and Addiction Memory) within EMDR therapy’s 8-phase, 3-pronged protocol (*Individual existing addiction protocols will not be taught).
10. Demonstrate an addiction-specific AIP informed treatment plan including both rewarding and disturbing memory components, and clinically supported timing of targeting (what to do and when to do it).
Course Content/Outline
| Time: |
Course Content: |
|---|---|
| .5 hour |
Introduction |
| 1 hour |
Defining the Problem: Phase I: Case Conceptualization: Is addiction a disease, or? The many faces of addiction: Attachment, dissociation, legacy, genetic influence, spiritual disconnect, memory & learning, neurodevelopmental trajectory |
| 1 hour | The Adverse Childhood Experiences (ACE) Study: setup for addiction; Attachment, security, and the developing self; The role of attachment in addiction; Addiction Memory; Videos Complete Activity: What is Your ACE Score? |
| .5 hour | Family roles (external & internal), Introduction to Internal Family Systems (Schwartz); Parallels between EMDR and IFS; Roles of parts in IFS; Common protector fears; exercise with a protective part |
| .5 hour |
Integrating EMDR + Parts Work; Addiction through the lens of the AIP; Attachment; Family cycles; videos |
| .5 hour |
Addiction as a disorder of learning & memory Review of concepts and Q & A |
| 1 hour |
Creating an AIP informed treatment plan from ACEs including both disturbing & rewarding addiction memory associations; Dissociation & addiction; Phased treatment planning: Integrating parts work Phase 1 (History); Parts work with ambivalence; Polarizations of parts in addiction; motivation video. |
| .5 hour | Phase 2 Preparation: Therapist and client, our “parts” and theirs; Avoidance of Recovery support video Preparation, Safety, and Stabilization Tasks Complete Activity: Parts Exercise |
| 1.5 hours | Phase 3-8: Modified EMDR Addiction Protocols review: DeTUR (Popky); Targeting positive affect & avoidance (Knipe); Addiction Memory (Hase); Positive Feeling States (Miller); Integrating parts work within EMDR Phases 3-6; Video examples |
| 1 hour | Addiction memory; video targeting defiance; summary of integrating addiction targets |
| 2 hours | Q&A; Timing: What to do & when to do it; Risks vs. Benefits; Types of targets: triggers, avoidance, negative cognitions/emotions, addiction memory; Relapse Prevention EMDR-style; Video smoker; Summary of Integrated Addiction Treatment Guidelines Q &A and wrap up |
| .5 hours | Two Interviews post-EMDR therapy video Reading: Two Case Information and Transcripts |
| 10 hours |

This course is an advanced course for EMDR therapy clinicians.
If you have not yet taken EMDR Basic Training, please go to our Basic Training schedule on our EMDR Basic Training home page at EMDR Professional Training.
This course is a CE course. Participants are responsible for checking with their state boards to verify CE requirements.
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