Psychotherapy and Addictions Series
Psych Garden is pleased to announce that we are offering a monthly training series on Psychotherapy and Addiction. The series will include a variety of presenters and topics, as well as give fellow professionals the opportunity to obtain CE’s/Continuing Education hours. The following information is applicable to each of the 8 seminars we are currently offering.
Location: Psych Garden – 25 Flanders Rd Belmont, MA 02478
Cost: $25.00 per Seminar
Deadlines for cancellations/refunds: 1 business day before the seminar you are signed up to attend.
Target Audience: Social Workers, Psychologists, Licensed Marriage and Family Therapists, Licensed Professional Counselors/Licensed Mental Health Counselors
Level: Beginning, Intermediate, and Advanced
Number of CE’s/Continuing Education Hours Per Series: 1.5 per Seminar
Continuing Education Credit has been approved through the Commonwealth Educational Seminars (CES) for the following professions: Social Workers, Psychologists, Licensed Marriage and Family Therapists, Licensed Professional Counselors/Licensed Mental Health Counselors. For further information about CE credits, please scroll down to the bottom of the page.
September 18, 2019 from 6:00 pm – 7:30 pm
Harm Reduction Psychotherapy
Harm Reduction used to be controversial but is now embraced as an essential approach that saves lives and collaboratively engages ambivalent and marginalized clients in recovery processes. By eschewing the abstinence-only stance, and integrating behavioral, motivational, and experiential techniques, Harm Reduction reduces shame and catalyzes positive change. Even though many therapists find an abstinence focus clashes with their contextual appraisal of the patient, they lack a frame to assist a shift from the abstinence orientation. This workshop will update clinicians in Harm reduction Philosophy and teach direct application to psychotherapy.
Harm Reduction frames a suite of psychotherapy practices – setting the treatment contract, building the alliance, working with ambivalence, teaching safer use and moderation approaches, guiding families, and more. Harm reduction is not synonymous with relieving anxiety or doing whatever it takes to keep the client. It involves identifying and partnering in goals that reduce harm and suffering.
Content and Methods: Brief didactic introducing the theme with a discussion of Harm Reduction and gradualistic philosophies and psychotherapies; the role of affect and attachment in addiction; the assumption that patient is trying to do accomplish self-protective and specific with the drug; that there is meaning in attending to the patient’s deep experience in a therapeutic relationship. Experiential exercise to learn ‘unwrapping the urge’, examining and embracing ambivalence and feeling emotions that underlie distinct schemas and goals. Presentation of videotaped session illustrating: working with a patient with strong ambivalence, showing softening of defenses, deepening of affect and transformation of shame to self-compassion and consequently increased motivation and the development of ideal use plan. Discussion of video.
i. Describe how the Harm Reduction approach frames engagement, motivation and therapy.
Ii. Apply mindfulness and experiential techniques to tolerate, identify and deepen emotions.
Iii. Apply moderation techniques in their own practice.
October 16, 2019 from 6:00 pm – 7:30 pm
Evidence-Based Family Approaches to Addictions (CRAFT)
Community Reinforcement And Family Training (CRAFT) is scientifically supported, evidence-based, clinically proven approach to helping families of substance abusers and loved ones who refused help. CRAFT provides tools and teaching to families so they can effect change.
CRAFT has 3 goals: To teach families skills to take care of themselves and reduce stress; to reduce behaviors that are more likely to drive or trigger use or avoidance, and to teach skills that motivate and support positive change.
CRAFT is behavioral in that it employs strategies for real-world, observable change. CRAFT is also motivational, drawing from its strength from collaboration and kindness rather than confrontation and conflict.
i. To apply and be able to teach positive reinforcement approaches in your practice
ii. To utilize techniques that reduce punishment and enabling
iii. To apply a frame that enables the de-escalation of anxiety and affects and enhance effective motivational communication.
November 20, 2019 from 6:00 pm – 7:30 pm
An IFS Approach to Addictions
Addictions seldom exist without comorbidities, and for better or worse, they are also seldom treated with individual therapy alone. In this presentation we will use an IFS approach to map out the many parts of treatment that, when integrated, may influence complex internal and external systems that carry co-occurring conditions.
Following this workshop, participants will be able to:
i. Convey a basic outline of the Internal Family Systems model of individual therapy
ii. Use Internal Family Systems model to describe the addicted system.
iii. Describe in terms of the IFS model how external family members may be included to aid the addicted system.
iv. Explain how medication interventions can be integrated into the process of IFS therapy in treatment of co-occurring conditions.
January 15, 2020 from 6:00 pm – 7:30 pm
Emotion Focused Therapy for Couples with Addictions
Emotionally Focused Couple Therapy (EFT) was formulated in the early 1980s by Drs. Susan Johnson and Les Greenberg. It is usually a short-term, structured approach to couples treatment. EFT is empirically validated and shows that approximately 90% of treated couples report improvement and 70-73% are recovered from distress at follow-up. In a two year follow-up on very stressed couples in relationship distress, depression and parental distress results were stable. EFT is integrative and looks both within and between people, integrating an intrapsychic and interpersonal focus in the treatment. Understanding the personal experience and the process of interaction is key for the therapist as she attempts to guide the distressed couple toward greater flexibility and sensitivity, key components of a secure attachment between people. The EFT therapist must also have an understanding of attachment theory. Knowledge of attachment theory is the EFT therapist’s backdrop for understanding why couples experience the emotional distress they do. Without this, the therapist would have little understanding or language to help couples identify why it is they continue to miss one another at key moments. With attachment theory as our overlay to treatment, it offers the EFT therapist a roadmap to the territory of distress in relationships. As Sue Johnson puts it, It is the therapists “compass to the internal emotional moments and interpersonal dramas, a picture of transforming moves and moments in the process of the shaping of a secure bond and a goal for therapy, not just a conflict containment.”
i. Describe the nature and causes of marital distress.
ii. Describe basic Attachment Theory and how it informs working with couples in EFT.
iii. Identify the Three Stages and Nine Steps of EFT.
February 19, 2020 from 6:00 pm – 7:30 pm
ISTDP: Working with Resistance and Anxiety in Dual Disorders
Intensive Short-Term Dynamic Psychotherapy is a relatively brief model of psychodynamic psychotherapy that has been shown to be effective in a variety of disorders, including anxiety disorders (Lilliengren et al.2017; Solbakken & Abbass, 2017), treatment-resistant depression (Town et al., 2017), personality disorders (Town et al, 2011; Abbass et al., 2011; Abbass et al. 2008), medically unexplained symptoms (Town et al., 2017), addictions (Frederickson & DenDooven, forthcoming), and more. ISTDP has its own metapsychology and diagnostic system that helps clinicians work precisely and collaboratively with patients
at their highest levels of capacity. Interventions include anxiety regulation, restructuring of maladaptive coping mechanisms or ‘defenses,’ and connection with deep and core affects to create transformational healing. This presentation will give an overview of ISTDP and discuss its application to patients with addictions and dual disorders.
Instructional methodology will include didactics, video presentation, and discussion.
i. Participants will be able to identify which disorders are appropriate for ISTDP therapy and which type of ISTDP therapy (standard, restructuring, or graded) is appropriate for treating patients with addictions
ii. Participants will be able to describe the metapsychology and technique of ISTDP therapy in working with patients with addictions
iii. Participants will be able to identify the three different channels of anxiety according to ISTDP
metapsychology and assess their own patients’ functioning within this framework and plan interventions accordingly
March 18, 2020 from 6:00 pm – 7:30 pm
Medication Assisted Therapies in Addiction
Medications have helped people achieve control in addictions for over a hundred years. However, for decades, people have been denied access, mainly because of stigma, ignorance and limited resources. An abstinence-only orientation mistakenly confuses morals and recovery, making perfect the enemy of the good and hampering research. This talk will give an overview of medications available for the treatment of addictions, a framework for incorporating them into harm reduction and abstinence-oriented treatments. We will discuss evidence-based and anecdotal treatments for alcohol, cocaine, opiates, gambling, sex, and
other compulsive conditions; as well as other medications that can improve recovery more indirectly through relief of insomnia, anxiety, and impulsivity; and what does not work. The presentation is geared to the therapist so that they might help their clients and client’s families become informed advocates.
i. Critique the abstinence orientation paradigm that can be averse to medication assistance and
ii. Identify myths, stigma, and ignorance in families and clients that impede medication utilization
iii. Identify key medication strategies to augment recovery
April 15, 2020 from 6:00 pm – 7:30 pm
Treating the Relational World of Addictions
This presentation will offer a relational frame for understanding the context of addiction and the work involved in recovering from and treating addictions. What is the nature of an addictive relationship with a substance or activity? What is the impact of that all-consuming relationship on other relationships, in particular with one’s self?
These questions will be addressed in the exploration of the process of addiction and recovery through a relational lens. We will examine “relationships” as the organizing principle and perspective for the work with individuals struggling with addiction. We will also examine the implication of this relational frame on the actual work of recovery from addiction in practical terms as well as the impact on the therapeutic alliance. Interventions, strategies, and useful approaches will be shared to increase both comfort and effectiveness in working with an addicted population.
i. Be able to summarize the relational context for understanding the process of addiction and recovery.
ii. Be able to name three ways a relational frame can have a significant positive impact on treatment
iii. Identify at least three new interventions and/or approaches for providing effective treatment to individuals struggling with addiction.
May 20, 2020 from 6:00 pm – 7:30 pm
Principles and Practices of Psychedelic Psychotherapy
Psychedelic assisted psychotherapy [PAP] is being actively researched, and may be approved by the DEA and FDA in the next few years. Many patients are taking psychedelics for therapeutic goals in ‘underground’ settings. MDMA-assisted therapy for PTSD is in phase 3 trials; Psilocybin-assisted treatment of depression, addictions and trauma is under investigation; Ketamine is approved for use is depression and is being used for a wide range of conditions; Cannabis-assisted therapy is provided in Colorado and may become more commonplace here. We will review PAP’s historical emergence, a consolidation of its cohering principles, and the current manifestations of its practice. We will look at the PAP model in terms of both its novelty and alignment with other psychotherapeutic modalities. We will address the therapeutic potential of non-ordinary states, including those facilitated by Psilocybin, MDMA, Ketamine, and Cannabis. Indications, contra-indications, and current clinical research will be outlined and referenced.
i. Participants will be able to explain the four guiding principles of set, setting, substance, and skills.
ii. Participants will be able to compare similarities and differences between psychedelic-assisted and other therapies.
iii. Participants will be able to identify the potential benefits, risks and risks of four different assisting psychedelic substances.
Meet the Presenters
Mark graduated (UK version of) cum laude in Neurobiology and then completed his medical degree at University College London. He came over to NYC for his Psychiatry residency then and Addictions fellowship (Payne Whitney Clinic, New York Presbyterian Hospital, Cornell Medical Center), and later conducted research in the neurobiology of addictions at Rockefeller University. He’s been on Faculty at Cornell (Asst. Prof), Vermont (Asst. Prof), and Harvard (Instructor) Medical Schools. He is dually boarded by the American Board of Psychiatry and Neurology in both general psychiatry and addictions.
Since graduating in 1999, Mark has set up & run addiction treatment programs (NYC, Vermont), directed supreme evidence-based dual disorders programs, overhauled national addictions and pain programs (Kaiser Permanente, Colorado) and treated thousands of patients.
Mark is an expert psychotherapist. He is trained in many modalities: psychoanalytic, cognitive behavioral, solution-focused, motivational, hypnosis, and others. He’s currently receiving training in Accelerated Experiential Dynamic Psychotherapy. Dr. Green’s therapy approach is relational, pragmatic, structured, direct, and emotionally vivid.
He is an expert psychopharmacologist, remaining cutting edge without taking undue risks with you, using what’s tried and tested, and imaginatively minimizing side effects. He often helps people get off med cocktails they’ve been stuck on for years. He sees medications as facilitating psychotherapeutic change.
He has written many articles in neurobiology, psychiatry and addictions, and lectured at major conferences nationwide.
Jonathan Entis is a licensed psychologist providing psychotherapy to adults across the age span. His areas of interest are anxiety, depression and other mood disorders, relationship and personality difficulties, addictions, trauma and major mental illness. He has particular expertise in treating individuals who have found other forms of treatment unhelpful or ineffective.
While his training has involved a range of therapeutic models, he approaches each person as a partner in therapy and tailors his approach to the unique needs of the individual. He tends to work from an Intensive Short-Term Dynamic Psychotherapy (ISTDP) approach. This model involves an active and concentrated focus on emotions and the ways in which blocking or avoiding them contributes to suffering. ISTDP can be challenging but aims to produce rapid and profound change from the beginning of treatment. It helps individuals take an honest look at the feelings and experiences that they have not been able to shed so that they can finally move beyond them and live the life they want.
Jonathan is on the faculty of Harvard Medical School, where he supervises and lectures. He did most of his clinical training there as well, including a doctoral internship at Cambridge Health Alliance and a placement at Massachusetts Mental Health Center, and a post-doc at Tufts University. He holds a PhD from Northeastern University, an MA from Boston College, and a BA from the University of Michigan.
In addition to his clinical work, he maintains an active academic career and has published a number of papers on topics covering severe mental illness, ethics, neuroscience, and psychotherapy. He has taught graduate and undergraduate level courses at universities across Greater Boston, including Northeastern University, Boston University, and Boston College. He currently teaches at Harvard Medical School/Cambridge Health Alliance.
Danielle received her MSW from Columbia University in 1993 and completed 5 years of further specialist training in couples and family therapy at the Ackerman Institute for the Family, in New York City. She worked and taught at Cornell Medical Center for 10 years before relocating to Boston to serve as Clinical and Training Director of the Couple and Family Therapy Program, at the Cambridge Health Alliance, Harvard Medical School. There, she trained social workers, psychiatrists and psychologists, and taught throughout the Harvard system. Danielle was certified as an EFT (Emotionally Focused Therapy) therapist in 2010 and as a certified supervisor in 2011. She has studied AEDP and trauma work with Janina Fisher and has recently embarked on studying Peter Levine’s work on Somatic Experiencing. Her areas of specialty are distressed relationships, and relational crises such as affairs. Danielle helps couples develop skills to restore trust, communicate and express feelings effectively, understand and resolve differences to create a secure and lasting bond with those who matter the most. Danielle also offers supervision to advanced practitioners. Danielle has been married for 20 years and has three children; so she is able to relate to the ups and downs of long-term relationships and parenting. Danielle also founded and works at the New England Center for Couples and Family .
Drew Welch is a licensed registered nurse & therapist with over 20 years of experience working with individuals with co-occurring disorders as well as their families. He has extensive training in evidence-based practices including motivational interviewing, cognitive behavioral therapies, family therapy, vocational rehabilitation and integrated dual disorders treatment and has supervised and taught others these skills.
Drew was at WestBridge Community Services for 7 years as their nurse care manager, team leader and national wellness coordinator. Prior to that he was the Nurse Manager for the Co-occurring Disorders Unit at Bournewood Hospital.
Drew has more than 20 years of sobriety. He understands how impossible recovery can seem and that no single path works for all. He knows the importance of education, support and hope. These days he uses all his training, experience and passion to help others feel freer, prouder and more connected. Sometimes 12 step approaches help, sometimes CBT, sometimes a focus on exercise and diet (Drew recently completed his first triathlon). Side-by-side coaching can be invaluable to rebuild the self-confidence withered by addictions and psychiatric illness; so he’ll do that too.
Darren has over 10 years experience working on complex psychiatric and addictions issues. His ability to partner with clients and families that have struggled to bond with other therapists is informed by his warmth coupled with deep experience with many evidence-based modalities, honed at Ellenhorn LLC, where he worked for a decade. Darren has trained in several family therapies including CRA-FT and Open Dialogue; and in individual modalities including CBT, Narrative and Mentalization-Based Therapy. He is currently working towards certification in Emotionally Focused Therapy for Couples.
Darren earned his Masters in Counseling Psychology from Boston College. Prior to becoming a therapist he spent a decade working as an educator in Boston-area high schools. Darren loves his son and daughter, finding abounding joy, intermittent bewilderment and perpetual wonderment. He is originally from Dundalk, Ireland.
Kate Dare-Winters is an LICSW with a Masters in Social Work from Simmons College and a Masters in Divinity from the Church Divinity of the Pacific who has over 20 years experience working with individuals and their families who experience addiction and co-occurring psychiatric issues. She has trained and worked at Cambridge Health Alliance and has been a Teaching Associate and Supervisor through the Harvard Medical School since 1996.
Kate is a compassionate therapist who brings to her work an open heart and mind. Her approach and presence contributes to creating a space that allows each person to do the work they are ready to do towards greater health and wellness in mind, body, and spirit.
Kate has extensive training and experience in various evidence-based modalities including CBT, Mindfulness, DBT, and IFS. She has interest and expertise in working with trauma, spiritual concerns and resources, and LGBTQ issues.
Outside of her professional life Kate is a visual artist and works in mixed media. She enjoys Improv and all kinds of movement.
Percy Ballard, MD is a psychiatrist who graduated from Stanford University and then Harvard Medical School and completed general psychiatry residency training at Harvard Medical School/Cambridge Health Alliance. He is an expert of psychopharmacology and therapy and has, for 10 years, worked in LGBTQ community programs, private practice and therapy collaboratives.
He is Level 1, 2 and 3 trained in Internal Family Systems (IFS) therapy, and uses it regularly in conjunction with medication management. He regularly teaches and presents on the topic of IFS, including several workshops with the founding developer of the model Richard Schwartz, Ph.D. He develops and co-teaches workshops on implicit bias, and co-hosts a YouTube channel on the psychology and spirituality of love and dating. He is LGBTQ friendly, Kink friendly and Polyamory friendly.
Outside of his career-life, Percy is an avid meditator in the Indo-Tibetan Buddhist traditions, a competitive martial artist of several East Asian systems, and an enthusiastic dancer whenever the opportunity arises.
Grievance Policy: Commonwealth Educational Seminars (CES) seeks to ensure equitable treatment of every person and to make every attempt to resolve grievances in a fair manner. Please submit a written grievance to: Jonathan Entis, Jonathane@psychgarden.com, and (857) 598-2808. Grievances would receive, to the best of our ability, corrective action in order to prevent further problems.
Accommodations for the Differently Abled: Psych Garden training facilities are handicap accessible. Individuals needing special accommodations, please contact: Jonathan Entis, Jonathane@psychgarden.com, (857) 598-2808.
Continuing Education Credit is provided by Commonwealth Educational Seminars for the following professions.
Commonwealth Educational Seminars is approved by the American Psychological Association to sponsor continuing education for psychologists. Commonwealth Educational Seminars maintains responsibility for these programs and their content.
Licensed Professional Counselors/Licensed Mental Health Counselors:
Commonwealth Educational Seminars (CES) is entitled to award continuing education credit for Licensed Professional Counselors/Licensed Mental Health Counselors. Please visit CES CE CREDIT to see all states that are covered for LPCs/LMHCs. CES maintains responsibility for this program and its content.
Commonwealth Educational Seminars (CES) is entitled to award continuing education credit for Social Workers. Please visit CES CE CREDIT to see all states that are covered for Social Workers. CES maintains responsibility for this program and its content.
If applicable: Social Workers – New York State
Commonwealth Educational Seminars is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers. #SW-0444.
Licensed Marriage & Family Therapists:
Commonwealth Educational Seminars (CES) is entitled to award continuing education credit for Licensed Marriage & Family Therapists. Please visit CES CE CREDIT to see all states that are covered for LMFTs. CES maintains responsibility for this program and its content.