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A review of the DSM across the decades reveals a complicated history of the inclusion and exclusion of grief-related emotional difficulties for bereft clients. Starting with the DSM-III, uncomplicated bereavement was introduced as a condition that may be the focus of clinical attention. As research on complicated grief progressed, changes in subsequent DSMs has led to controversy, extended research, and, eventually, the inclusion of prolonged grief disorder in the upcoming release of the DSM-5-TR in mid-2021. This 3 hour presentation explores the history of how bereavement has been addressed in previous and current DSMs and the ICD, an examination of the bereavement exclusion in major depressive disorder and adjustment disorder, the development and inclusion of persistent complex bereavement disorder in the DSM-5, and the diagnostic criteria for prolonged grief disorder in the DSM-5-TR and the ICD-11. Additionally, the presentation will explore differential diagnosing so the practitioner will be skilled in making sound clinical judgment in treatment planning.
Guilt, regret, and shame are common emotions experienced after a personal or collective loss or traumatic event. These unique and complicated components are often a challenge to work with as they are regularly integrated with the already complex grieving process. At times, guilt, regret, and shame are ways in which a client maintains a sense of connection to the lost loved one, hence making the relinquishment of those feelings even more difficult to navigate in treatment. This training will assist your work to aid clients managing the “should’s” and “if only’s” of regret, end self-blame and shame, and overcome the profound sense of survivor’s guilt they may feel because loved ones succumbed to collective losses.
For many bereaved individuals, faith, religion, and spirituality can prove to be a supportive and comforting resource following the loss of anyone or anything that leaves a sense of deprivation and yearning. However, for some who are grieving, the relationship to their higher power or spiritual community is painfully wounded, leading to the secondary loss of his/her/their spiritual resources, connections, and spiritual crisis.
The painful religious and spiritual losses are referred to as complicated spiritual grief (CSG). CSG has been shown to exacerbate the bereavement experience for some religious and spiritually inclined grievers. Clinicians are confronted with religious and spiritual topics in psychotherapy, especially when working with bereft clients. Therefore, knowing how to identify the impact of CSG in the grieving process is imperative. Clinicians will be able to recognize the impact of CSG on the bereaved’s grieving process, increasing skills in conducting a comprehensive clinical assessment and development of effective treatment plans. As a result, grief therapy will more effectively identify and treat all domains of the client’s functioning following or anticipating a loss.
Mental health and healthcare professionals are faced with the often misunderstood and misdiagnosed symptoms of normative and prolonged grief. Formal education rarely, if ever, provides extensive enough training to accurately identify and treat those who are grieving. Unfortunately, grieving clients are diagnosed incorrectly because symptoms can mimic normative or prolonged grief. The grieving process is often pathologized, or misdiagnosed, resulting in potential exacerbation of the presenting issues because inappropriate interventions are utilized. As a result, those who are grieving are often inadvertently disenfranchised by providers, which can make the professional support they sought to reconstruct their previously shattered identities and worldviews ineffective, and even, at time, exacerbate other mental health difficulties. It is essential to be versed in identifying grief related constructs that may underlie, or even cause, mental health and behavior associated problems.
This presentation aims to provide current, research based information on the grieving process, clarify misconceptions of outdated theories, and differentiate between normative and prolonged grief. It also examines the changes in conceptualization, differential diagnosing, and effective, clinically proven interventions that may be utilized with grieving individuals and families. Attendees will leave with an improved clinical skill set they can immediately apply to identify and treat their clients.
The incidence of youth suicide requires that schools and communities collaborate and increase suicide prevention efforts and that they be prepared to respond if a suicide occurs in order to reduce suicide contagion. This presentation will help school and community mental health personnel increase their understanding of the most common factors in youth suicide. Participants will learn effective strategies to prevent youth suicide and lessons from the aftermath of numerous suicides.
“I really enjoyed the expertise of the presenter. He had so much useful knowledge to share. The case studies really went deeper into my personal knowledge and helped me to process and analyze situations differently.”-Kristie C., Social Worker, New York
It is essential that that schools and communities know the incidence of school violence and be up to date on the best safety and prevention practices. This presentation will review numerous state and national initiatives that have focused on school safety and the recommendations from a variety of foundations started by parents who lost their in tragic school shootings. Many school shooters died by suicide and this presentation will outline the major theory of murder suicide. The presenter has a wealth of practical experience responding to school crises and participants, whether they are parents, school personnel or community members will learn many lessons from school tragedies and practical strategies to prevent future school violence.
