All Webinars

In the field of counseling/psychotherapy, there are few topics that are more pervasively misunderstood than the nature of emotions and their significance to human health. Even the founders of many influential approaches (i.e., Aaron Beck, Albert Ellis) believed that emotions are best controlled - rather than deeply experienced, reflected upon (processed), and communicated; fields such as affective neuroscience have demonstrated that this is simply false. Just as thoughts can be accurate/adaptive or inaccurate/maladaptive, emotions can be “on target” or “off-base”; they can also be primary or secondary (the latter is often an emotional defense of the primary emotion). Moreover, all human beings—and especially therapy clients—use defenses to avoid experiencing and dealing with their emotions. Most therapists are not taught basic knowledge of emotions and defenses. Rather, they are often taught to simply “follow the client’s feelings.” However, many feelings are actually defenses against the underlying (primary, true) feeling (i.e., sadness covering anger). If a therapist does not recognize which emotions are primary and which are defensive/secondary emotions, then one may be encouraging a client to heighten their defenses, which is almost always anti-therapeutic. Clients who defend against their emotions lose the important information that emotions can provide. This webinar will teach you how to bypass your clients’ defenses and to work directly with their emotions, because emotions are fundamental sources of information and knowledge about one’s self and the world around them.

In the field of counseling/psychotherapy, there are few topics that are more pervasively misunderstood than the nature of emotions and their significance to human health. Even the founders of many influential approaches (i.e., Aaron Beck, Albert Ellis) believed that emotions are best controlled - rather than deeply experienced, reflected upon (processed), and communicated; fields such as affective neuroscience have demonstrated that this is simply false. Just as thoughts can be accurate/adaptive or inaccurate/maladaptive, emotions can be “on target” or “off-base”; they can also be primary or secondary (the latter is often an emotional defense of the primary emotion). Moreover, all human beings—and especially therapy clients—use defenses to avoid experiencing and dealing with their emotions. Most therapists are not taught basic knowledge of emotions and defenses. Rather, they are often taught to simply “follow the client’s feelings.” However, many feelings are actually defenses against the underlying (primary, true) feeling (i.e., sadness covering anger). If a therapist does not recognize which emotions are primary and which are defensive/secondary emotions, then one may be encouraging a client to heighten their defenses, which is almost always anti-therapeutic. Clients who defend against their emotions lose the important information that emotions can provide. This webinar will teach you how to bypass your clients’ defenses and to work directly with their emotions, because emotions are fundamental sources of information and knowledge about one’s self and the world around them.

When we joined the ranks of helping professionals, one of the last things that probably crossed our minds was what, if any, risk we would face in our careers. Would our forensic patient who had killed their parents ever corner us in a room and try to assault us? Would our inpatient teenager ever cyber-stalk us online? Would our outpatient client ever try to kill us in our office? Daunting questions to think about; however, these are the very questions that we should be addressing while also helping our client population in need. This course looks back over the past decades to review where mental health treatment has come and what about those shifts may contribute to our vulnerability in our professions; it helps identify the vulnerabilities we should be addressing; and it offers suggestions of actions we can take to protect our work, our clients, our livelihood, and our lives. In addition to receiving the training and education we need to make us the best helping professionals we can be, we also need training such as this to help protect ourselves from any harm that could come in the course of our work.

“The instructor was excellent! She was compassionate, listened well and was attentive to questions. I got so much more out of this webinar than I have from the in person seminars I've attended! I will watch for her other seminars! I learned how to more effectively work with trauma. I used one of the techniques taught in the session I had immediately after the seminar.”-Eve S., Professional Counselor, Alabama

After clients are stable enough to begin delving into traumatic memories, many clinicians struggle with determining which method to use for trauma processing. This webinar will specifically focus on the second phase of trauma recovery, processing and integrating traumatic memories in trauma treatment. Dr. Fatter will review the nature of traumatic memory and how it differs from non-traumatic memory. The two “gold standards” evidence-based models for trauma exposure therapy will be presented: prolonged exposure therapy and cognitive processing therapy. In addition, eye movement desensitization and reprocessing (EMDR) and internal family systems, two research-supported models, will also be discussed. This webinar will describe how each model differs in its conceptualization of trauma and specific treatment approach in integrating traumatic memories. Clinical considerations including strategies to know your client is or is not ready for trauma processing will be presented in addition to ways to determine your client is “done” with the trauma processing stage of treatment. Cultural considerations and culturally adapted models will be reviewed. Common transference and counter-transference issues that arise in trauma treatment will be described. Vicarious trauma, clinician burn out and what clinicians need to watch out for in absorbing traumatic stress from their clients will be addressed.

“Very good presenter.  Very well-organized.  Very personable in responding to questions from participants.  Adept at integrating Power Point slides with his verbal presentation. Clearly knowledgeable in this field - both theoretically and clinically.  Gracious with his time in being willing to stay online afterward to answer questions.”-Shirley R., Professional Counselor and Psychotherapist, Alabama

Non-prescribing therapists are crucial to the effective and safe use of psychiatric medications by their clients.  In contrast to clinicians who focus primarily on medications, therapists generally spend more time with their clients and are more familiar with their history and current situation. They also tend to develop a greater rapport. And  considering that most clients diagnosed with depression, anxiety, psychosis, posttraumatic stress disorder, and virtually every other psychiatric disorder receive pharmacological interventions, the non-prescribing therapist needs to understand how psychiatric medications work, their limitations and side effects, and how to help their clients maximize gains through increasing medication compliance.   This course is designed to present the non-prescribing mental health practitioner with a review of basic concepts in clinical psychopharmacology and the effective use of common psychiatric medications in the treatment of mental health conditions.  Effective medication strategies for treating depression, bipolar disorder, anxiety, psychosis, sleep disorders, and other common psychiatric conditions are covered in detail. Basic general pharmacological concepts such as pharmacodynamics and pharmacokinetics are reviewed as are more specific concepts such as drug absorption, distribution, metabolism, and elimination.  You will also become aware of common medication treatment errors to avoid and learn tips for helping your clients become more educated about the medications they take as well as help them manage their side effects.

This webinar will satisfy your ethics requirement.

Mental health professionals are affected by the fact that we live in an age of litigation; if  clients are dissatisfied with the outcome of an evaluation or treatment , they may file an ethics complaint or a law suit with increased frequency compared to  the past. Malpractice insurance premiums have increased by more than a factor of 10 over the past few decades.  As a result, many practitioners are “running scared”, fearful of complaints.  In point of fact, very few of these legal actions are successful; while going through them is unpleasant, if a mental health practitioner adheres to a few basic principles of risk management, the likelihood of a successful suit is vastly diminished.  This webinar will present these basic principles within a framework of the fundamental legal concepts involved,and how these concepts may be easily incorporated into practice guidelines.  Special attention will be paid to confidentiality and privilege, the nature of malpractice claims,informed consent, documentation, consultation,the most frequent areas of litigation, and concrete steps to take to minimize the risk of litigation.

"Excellent content - very knowledgeable and experienced presenter Greater understanding of instruments - research on just how limited our ability to predict violence is, and the ethical/scientific issues with sex violent predator laws/dynamics."-Kevin D., Psychologist, California

The ability to predict  future violent behavior has long been an issue for mental health professionals.  Initially it was merely assumed that we could make such predictions accurately based on our clinical skills alone.  Many decisions in the judicial system hinge on an accurate assessment of violence, such as  bond, probation, and parole decisions, committment to and release from psychiatric facilities, and even whether or not a defendant should be sentenced to death.

Recent research has demonstrated however that such predictions are not as accurate as once assumed and that the methodology used was sadly lacking in  validity.   A tremendous amount of research has gone into risk assessment for future  violence ; still,,  the accuracy remains in question even to this day; nevertheless, judicial decisions are continually made which ignore our limited ability to assess violent behavior.

This webinar will explore  the factors necessary to do competent work in this area and demonstrate the ways that risk assessment can become more precise.

Across behavioral health professions, there is a workforce shortage of psychotherapists trained to provide evidence-based mental health services to aging individuals. Cognitive-behavioral conceptualizations and therapy strategies have been effectively used with culturally diverse middle-aged and older adults. This webinar is aimed at psychotherapists who already have some knowledge of and experience providing CBT. You will develop an understanding of typical adjustments to CBT sessions with aging individuals, with CBT strategies for later life depression used as examples. The presentation will also include resources for clinical practice with middle-aged and older adults and recommendations for further professional development.

There are several types of digital platforms and devices that can optimize treatment and are easily added to our clinical toolbox. Many of these devices can be used as clinician extenders by expanding therapeutic reach and augmenting treatment outside the office. While some of these technologies have been available for decades, they are now easier to use and are also cost effective. The trend in health care is increasingly digitally based and data driven, being fed by advances in digital platforms and innovative devices. Video technology and internet capacity have reached the point where they are reliable and advanced enough to make tele-mental health quite accessible to utilize. While there are still many people who have only tenuous links with the digital world, even those in rural and underserved populations may have access to care not previously available using new tools. In response to the COVID-19 pandemic, mental health clinicians by necessity have begun using telehealth platforms to continue to provide much needed services. The use of teletherapy affords clinicians opportunities to effectively broaden their scope of practice and deliver high quality treatment while doing so. The provision of telehealth has both pros and cons that need to be considered when using this technology. Smartphone applications (Apps) that can track mood, anxiety, and sleep (and provide feedback to clinicians) are rapidly developing and are widely available. Devices that can directly address brain and emotional states such as Heart Rate Variability Biofeedback (HRV), Cranial Electrotherapy Stimulation (CES), and Neurofeedback (NFB) can be incorporated into one’s practice at a reasonable cost. Many of these devices can be used by patients between sessions to retrain their “brain states” by monitoring physiological arousal and increasing vagal tone to maximize treatment effect. This seminar provides you with an overview and introduction to technology-based aids to mental health practice.