About the Event
Cognitive Behavior Institute is excited to welcome Steven D. Tsao, Ph.D, David Yusko, Psy.D., Christina DiChiara, Psy.D., and Shannon Murphy, PhD, for a 2-Day Intensive Workshop on the topic: Prolonged Exposure Treatment for PTSD
Dates/Times:
November 21st, 2024 9:00am-5:00pm EST
November 22nd, 2024 9:00am-5:00pm EST
Location: online via Zoom meetings
*Participants will have access to their microphone and camera and should expect to use both for participation
Cost: $99.99
Level: Intermediate
Credit Hours: 13 Clinical CEs
***Participants are strongly encouraged to purchase the manual to get the most out of the training, but purchasing the manual is not required.
Here is a link to the manual on the publisher website (it can also be purchased through Amazon): https://academic.oup.
Description:
Globally, the approximately lifetime prevalence of PTSD is 3.4% overall and 8% among those exposed to trauma (Shein et al., 2021). Half of those who have experienced PTSD report persistent symptoms (Koenen et al., 2017). Prolonged exposure therapy (PE) is a well-established frontline treatment for PTSD that has been rigorously evaluated and tested in a large number of clinical trials in many countries covering a wide range of trauma populations (McLean at el., 2024). PE is a clinical best practice and is strongly recommended by the American Psychological Association for the treatment of PTSD (APA, 2017; Schnurr et al., 2022). PE also has comparable efficacy when delivered in person versus through telehealth (Arcinero et al., 2021; Wells et al., 2020).
This training will provide intensive instruction in the use of Prolonged Exposure Therapy (PE) for survivors of trauma, covering the basics of all components of PE and how to modify PE procedures in order to tailor the treatment to the client’s response to exposure. Maintaining focus on treatment of PTSD while maintaining flexibility in following the PE treatment manual (Foa et al., 2019) will be emphasized. Lecture, discussion, and videotaped therapy sessions are used to accomplish the goals of the workshop.
Agenda:
Thursday 11/21/2024
8:45-9:00 am EST Zoom Check-In
9:00am-10:00am EST Prolonged Exposure Therapy for PTSD
● What is PE
● Emotional processing theory
● Research/Clinical Practice Guidelines
10:00am-12:30pm Prolonged Exposure Therapy Program Overview
Session 1: Rationale for PE
● Rationale for PE
● Role play delivering rationale
Trauma Interview and Breathing Retraining
Session 2: Psychoeducation/Common Reactions to Trauma
10:30-10:45pm EST Break
12:30-1:30pm EST Lunch
3:00-3:15pm EST Break
1:30-5:00pm EST
Session 2: In Vivo Exposure
● Rationale for in vivo exposure
● Use of Subjective Units of Distress (SUDs) scale
● Construction of in vivo hierarchy
● Safety guidelines for in vivo exposure
● Assignment of in vivo homework
● Hierarchy Construction Role Play
Friday 11/22/2024
8:45-9:00 am EST Zoom Check-In & Questions
9:00am-12:30pm EST Session 3: Imaginal Exposure
● Rationale for imaginal exposure
● Procedure for imaginal exposure
Imaginal Exposure Rationale Role Play
Imaginal Exposure Processing – Anger/Guilt/Shame
Sessions 6-11: Hot Spots Procedure for Imaginal Exposure
10:30-10:45 am EST Break
12:30-1:30 pm EST Lunch
3:00-3:15 pm EST Break
1:30-4:30pm EST
Session 12: Final Session
Factors that impair effective emotional engagement in
exposure:
● Under-engagement
● Avoidance
● Over-engagement
4:30-5:00 pm EST Review of forms, Q&A
Learning Objectives:
1. Participants will understand the basic premise of emotional processing theory as it relates to Prolonged Exposure Therapy for PTSD
2. Participants will understand how to present the rationale for PE for PTSD
3. Participants will understand how to present the rationale for in vivo exposures in PE for PTSD
4. Participants will understand how to construct an in-vivo exposure hierarchy.
5. Participants will understand how to help patients choose an appropriate index trauma to
focus on in PE for PTSD
6. Participants will understand how to present the rationale for imaginal exposure in PE for
PTSD
7. Participants will understand the therapist procedures for conducting imaginal exposure to
memories of traumatic events with patients
8. Participants will understand how to identify hot spots with patients
9. Participants will identify avoidance in PE sessions
10. Participants will recognize basic steps to address avoidance in PE sessions
11. Participants will identify under-engagement in imaginal exposure
12. Participants will recognize basic steps to address under-engagement in imaginal exposure
13. Participants will identify over-engagement in imaginal exposure
14. Participants will recognize basic steps to address over-engagement in imaginal exposure
Instructor Bios:
Steven D. Tsao, Ph.D.: Dr. Tsao is an expert in exposure and response prevention (EXRP) for obsessive compulsive disorder (OCD), having trained under several internationally-recognized leaders in the field including Dr. Edna Foa, Dr. Michael Jenike, and Dr. Dean McKay. Dr. Tsao has treated hundreds of clients with OCD, given regional and national presentations on OCD, and been featured on several popular media outlets including ABC’s 20/20, The Philadelphia Inquirer, WBUR, WGBH, Prevention Magazine, and Health.com. Dr. Tsao also has extensive experience with prolonged exposure (PE) therapy for posttraumtaic stress disorder (PTSD) and is a certified therapist and supervisor by Dr. Edna Foa, the developer of PE. He has helped train PE therapists both nationally and internationally and provided expert consultation on PE for grants funded by the Department of Defense. Dr. Tsao received his Ph.D. in clinical psychology from Fordham University where he was the recipient of Senior Teaching Fellowship and the Alumni Dissertation Fellowship. Dr. Tsao completed his predoctoral internship at Boston University School of Medicine/Boston VA Medical Center and his postdoctoral fellowship at Harvard Medical School/McLean Hospital. He worked at a residential eating disorders program where he developed and implemented a specialized track for patients with OCD and later, focused exclusively on severe and treatment-resistant OCD and OC-spectrum disorders during his years as a Staff Psychologist at the OCD Institute at McLean Hospital. After relocating to the Philadelphia area, Dr. Tsao joined the Center for the Treatment and Study of Anxiety at the University of Pennsylvania where he most recently served as the Clinic Director. Dr. Tsao also served as the Assistant Clinical Director at Rogers Behavioral Health-Philadelphia, where he helped launch and oversee the delivery of evidence-based treatment for anxiety and mood disorders in an intensive day treatment setting.
David Yusko, Psy.D.: Dr. Yusko is nationally recognized as an expert in prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD) and is a certified PE therapist and supervisor by Dr. Edna Foa. Dr. Yusko is also an expert in anxiety disorders with particular expertise in obsessive compulsive disorder (OCD), panic disorder, social phobia, generalized anxiety disorder, and specific phobias. He is also certified as an exposure and response prevention (EXRP) therapist and supervisor for OCD by Dr. Edna Foa. He received his Psy.D. in clinical psychology from the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey. As a graduate student, Dr. Yusko was supported by a National Institute on Alcohol Abuse and Alcoholism training grant under the expert mentorship of Dr. Barbara McCrady, a national leader in the field of alcohol use disorders. Dr. Yusko completed his predoctoral internship training at Montefiore Medical Center, a part of Albert Einstein School of Medicine. Upon completing his doctoral studies, Dr. Yusko joined The Center for the Treatment and Study of Anxiety (CTSA) in the Perelman School of Medicine at the University of Pennsylvania. Dr. Yusko joined CTSA in order to coordinate a National Institute on Alcohol Abuse and Alcoholism funded clinical trial examining the sequential versus concurrent treatment of PTSD and alcohol dependence. Dr. Yusko is one of a handful of experts in the world on the concurrent treatment of PTSD and substance use disorders. Dr. Yusko is also a treating clinician for the National Football League for players that violate the league’s substances of abuse rules. He was trained in sports psychology by Dr. Charlie Maher, sports psychologist for the Cleveland Indians baseball organization, and continues to work with athletes of all levels. Dr. Yusko has presented on issues associated with OCD and PTSD at local and national professional organizations, he has appeared on television and been interviewed by multiple media outlets. 
Christina DiChiara, Psy.D.: Dr. DiChiara is an expert in evidence-based treatments for trauma, anxiety, and obsessive-compulsive disorders. She joined the Center for Anxiety & Behavior Therapy in 2016 and currently serves as the Director of Education, overseeing the local and international training and dissemination of evidence-based treatments for Obsessive-Compulsive Disorder (OCD) and Posttraumatic Stress Disorder (PTSD). Dr. DiChiara has extensive experience with Prolonged Exposure (PE) therapy for PTSD, and is a certified PE therapist and PE supervisor by Dr. Edna Foa, the developer of PE. She is similarly experienced in Cognitive Processing Therapy (CPT) for PTSD, is a certified CPT therapist by the Veteran's Administration (VA), and is a co-investigator in ongoing CPT research at the VA in Philadelphia. Dr. DiChiara developed her expertise in Exposure and Response Prevention (ERP) for OCD during her training, research, and practice at the Center for the Treatment and Study of Anxiety at the University of Pennsylvania. She also specializes in cognitive-behavioral and exposure therapies for a broad range of anxiety disorders and obsessive-compulsive related disorders. In addition to her work at CABT, Dr. DiChiara served the veteran population through the VA in Philadelphia, both as a psychologist on the PTSD Clinical Team, as well as the Military Sexual Trauma (MST) Coordinator, the Evidence-Based Psychotherapy (EBP) Coordinator, and as Telemental Health Champion. She has been dedicated to the training and supervision of psychology trainees and licensed mental health professionals worldwide through individual and group supervision and consultation. She received a master’s degree in Counseling and Clinical Health Psychology, as well as her doctoral degree in Clinical Psychology, from the Philadelphia College of Osteopathic Medicine.
Dr. Murphy is a licensed clinical psychologist in private practice at the Center for Anxiety & Behavior Therapy. She has extensive training and experience in evidence-based treatments for OCD, PTSD, and anxiety-related disorders. Her specialty in this area developed during her doctoral training at Temple University where she trained in the Adult Anxiety Clinic of Temple (AACT), under the mentorship of Dr. Richard Heimberg, as well as in the Center for the Treatment and Study of Anxiety (CTSA) in the Perelman School of Medicine at the University of Pennsylvania under Dr. Edna Foa.She completed her pre-doctoral internship at VA Boston Healthcare System in the PTSD and Women’s Trauma Recovery clinics, during which time she became certified in Cognitive Processing Therapy (CPT) for PTSD. She is also a certified therapist in Prolonged Exposure (PE) for PTSD and Exposure and Response Prevention (ERP) for OCD through CTSA. Course bibliography:
American Psychological Association (2017). Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. https://www.apa.org/ptsd-guideline
Acierno, R., Jaffe, A. E., Gilmore, A. K., Birks, A., Denier, C., Muzzy, W., Lopez, C. M., Tuerk, P., & Grubaugh, A. L. (2021). A randomized clinical trial of in-person vs. Home-based telemedicine delivery of prolonged exposure for PTSD in military sexual trauma survivors. Journal of Anxiety Disorders, 83, Article 102461. https://doi.org/10.1016/j.janxdis.2021.102461
Fina, B. A., Wright, E. C., Rauch, S. A., Norman, S. B., Acierno, R., Cuccurullo, L. A. J., ... & Foa, E. B. (2021). Conducting prolonged exposure for PTSD during the COVID-19 pandemic: considerations for treatment. Cognitive and behavioral practice, 28(4), 532-542.
Foa, E. B., Hembree, E. A., Rothbaum, B. O., & Rauch, S. A. M. (2019). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences: Therapist guide, 2nd ed. Oxford University Press. https://doi.org/10.1093/med-psych/9780190926939.001.0001
Foa, E. B., Bredemeier, K., Acierno, R., Rosenfield, D., Muzzy, W., Tuerk, P. W., ... & McLean, C. P. (2022). The efficacy of 90-min versus 60-min sessions of prolonged exposure for PTSD: A randomized controlled trial in active-duty military personnel. Journal of consulting and clinical psychology, 90(6), 503.
McLean, C. P., & Foa, E. B. (2024). State of the Science: Prolonged exposure therapy for the treatment of posttraumatic stress disorder. Journal of Traumatic Stress.
Schnurr, P. P., Chard, K. M., Ruzek, J. I., Chow, B. K., Resick, P. A., Foa, E. B., Marx, B. P., Friedman, M. J., Bovin, M. J., Caudle, K. L., Castillo, D., Curry, K. T., Hollifield, M., Huang, G. D., Chee, C. L., Astin, M. C., Dickstein, B., Renner, K., Clancy, C. P., Collie, C., ... Shih, M. C. (2022). Comparison of Prolonged Exposure vs Cognitive Processing Therapy for Treatment of Posttraumatic Stress Disorder Among US Veterans: A Randomized Clinical Trial. JAMA network open, 5(1), e2136921. https://doi.org/10.1001/jamanetworkopen.2021.36921
Schein, J., Houle, C., Urganus, A., Cloutier, M., Patterson-Lomba, O., Wang, Y., King, S., Levinson, W., Guérin, A., Lefebvre, P., & Davis, L. L. (2021). Prevalence of post-traumatic stress disorder in the United 2 States: a systematic literature review. Current medical research and opinion, 37(12), 2151–2161. https://doi.org/10.1080/03007995.2021.1978417
Wells, S. Y., Morland, L. A., Wilhite, E. R., Grubbs, K. M., Rauch, S., Acierno, R., & McLean, C. P. (2020). Delivering Prolonged Exposure Therapy via Videoconferencing During the COVID-19 Pandemic: An Overview of the Research and Special Considerations for Providers. Journal of traumatic stress, 33(4), 380–390. https://doi.org/10.1002/jts.22573
Approvals:
Cognitive Behavior Institute, #1771, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 06/30/2022-06/30/2025. Social workers completing this course receive 13 clinical continuing education credits.
Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0098 and the State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0646 and the State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0216.
Cognitive Behavior Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7117. Programs that do not qualify for NBCC credit are clearly identified. Cognitive Behavior Institute is solely responsible for all aspects of the programs.
Cognitive Behavior Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Cognitive Behavior Institute maintains responsibility for content of this program.
Social workers, marriage and family therapists, and professional counselors in Pennsylvania can receive continuing education from providers approved by the American Psychological Association. Since CBI is approved by the American Psychological Association to sponsor continuing education, licensed social workers, licensed marriage and family therapists, and licensed professional counselors in Pennsylvania will be able to fulfill their continuing education requirements by attending CBI continuing education programs. For professionals outside the state of Pennsylvania, you must confirm with your specific State Board that APA approved CE's are accepted towards your licensure requirements. The Association of Social Work Boards (ASWB) has a process for approving individual programs or providers for continuing education through their Approved Continuing Education (ACE) program. ACE approved providers and individual courses approved by ASWB are not accepted by every state and regulatory board for continuing education credits for social workers. Every US state other than New York accepts ACE approval for social workers in some capacity: New Jersey only accepts individually approved courses for social workers, rather than courses from approved providers. The West Virginia board requires board approval for live courses, but accepts ASWB ACE approval for other courses for social workers. For more information, please see https://www.aswb.org/ace/ace-jurisdiction-map/. Whether or not boards accept ASWB ACE approved continuing education for other professionals such as licensed professional counselors or licensed marriage and family therapists varies by jurisdiction. To determine if a course can be accepted by your licensing board, please review your board’s regulations or contact them. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.
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Process for Receiving Continuing Education Credit:
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