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Book: COLLABORATIVE BRIEF THERAPY WITH CHILDREN
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Conference: First World Conference of Brief Strategic and Systemic Therapy
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Workshop: Pre-congress workshop with Giorgio Nardone
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Symposium: When the Times Say Pull Back, We Say Break Through: Psychotherapy Networker Symposium 2010
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Book: THE ADOLESCENT AND YOUNG ADULT SELF-HARMING TREATMENT MANUAL
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PODCAST: Adolescent Self-Harming Behavior
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THERAPEUTIC MOMENTS THAT COUNT
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WORKSHOPS >>
 
PATHWAYS TO SOLUTIONS WITH SELF–DESTRUCTIVE ADOLESCENTS:
A COLLABORATIVE STRENGTHS–BASED THERAPY APPROACH

In today’s highly toxic digital era of extremes, economic upheaval, and high stress, we are seeing increasingly more adolescents in our practice settings presenting with multiple self–destructive behaviors like self–injury combined with substance abuse, bingeing and purging or overeating, and excessive Internet use, for violent on and offline gaming and gambling, and cyber–sex, all or in any combination can contribute to their experiencing serious psychological, physical, family, school performance consequences. However, since these self–destructive habits are emotionally and physically rewarding and serve many functions for adolescents, they will protect their habits at all costs, making it quite difficult for us to engage and retain them in treatment.

To further complicate matters, these high risk youth attract multiple helping professionals from larger systems like a magnet. Often, these helping professionals not only do not regularly communicate with one another but they may not see eye–to–eye regarding problem views, the best treatment methods to pursue, and may end up establishing highly unrealistic treatment goals and expectations that are unattainable for these high risk youth and their families to achieve. Thus, family–helping systems knots develop, which further perpetuates the adolescent’s difficulties.

In this hands-on, practice–oriented workshop, participants will learn a collaborative eco–systemic approach that harnesses the strengths and resources of adolescents, their family members, concerned resource people from their social networks, and involved helping professionals to co–create a context for change. As a result of attending this workshop, participants will be able to apply the following skills with their most challenging clients:

  • Use research–informed effective strategies for engaging and retaining in treatment self–destructive adolescents and their families
  • Understand the key brain systems involved and neurochemistry of self–destructive habits
  • Determine with adolescents the unique meanings of their self–destructive habits and the multiple functions they serve
  • Use the blueprint for change plan with adolescents and their families to identify their key strengths, past successes, establish realistic goals, determine at what systems levels to target interventions and what key resource people from their social networks and helping professionals to collaborate with and include in future sessions
  • Use mindfulness meditation and related multi–sensory tools and strategies to help the adolescent find inner peace
  • Guidelines for transforming self–destructive habits into meaningful and constructive actions
  • Construct, select, and tailor–fit therapeutic experiments and rituals with the unique needs and characteristics of the adolescent and his or her family
  • Establish successful collaborative partnerships with concerned members of the client’s social network and involved helping professionals from larger systems
  • Use a one–person collaborative strengths-based therapy approach when parents are not available in school and residential treatment settings or when family therapy is contraindicated

The workshop format will include didactic presentation on the latest research on and treatment of adolescent self-destructive behaviors, extensive use of videotape examples of major therapeutic tools and strategies, skill-building exercises, and a live family therapy case consultation.

Workshop Description
9:00 AM Adolescent self–destructive behaviors in the digital age of extremes and quick fix solutions
Habits as gifts and resources: There unique meanings and multiple functions
The self–destructive habit loop: A framework for understanding how habits develop and are maintained
Doing what works: Key research findings that can informour clinical practices wit self–destructive clients
Serendipitous practices, epiphanies, and self–change: Clients as active self–healers
10:30 AM COFFEE BREAK
10:50 AM The relationship of choice: Effective engagement and alliance–building strategies with reluctant self–destructive adolescents and their family members
Transforming self–destructive habits into meaningful and constructive actions: A collaborative strengths–based brief therapy approach
The blueprint for change plan: Clients as lead authors of their roadmaps for treatment success
Interviewing for possibilities: Co-creating compelling future realities with self-destructive adolescents and their families
12 Noon: LUNCH
1:15 PM Practicing on the creative edge: Use of humor, absurdity, and drama outside of our comfort zones
The Mind as a Guest House: The use of mindfulness meditation, visualization, and other multi–sensory tools and strategies
Engaging and fostering cooperative relationships with challenging parents
Solution–oriented parenting management tools and strategies
Guidelines for constructing, selecting, and tailor–fitting therapeutic experiments and rituals with clients’ unique characteristics
Adventures in time traveling: Six uses of the imaginary time machine
Use of art, expressive writing, and drama therapy experiments
Family rituals that facilitate connection–building
2:45 PM COFFEE BREAK
3:00 PM Co–morbidity and trauma: Special treatment considerations for overcoming barriers to change
Taking clients where they are at one step at a time: Reducing life consequences through the use of harm–reduction methods
Covering the back door: Effective family relapse prevention tools and strategies
Conducting solution–generating conversations with involved helpers from larger systems and key resource people from clients’ social networks
Strategies for working with families with multiple habit dependent and symptomatic family members
The Stress–Busters’ Leadership Group
Trouble–shooting guidelines for getting unstuck with complicated and resistant adolescents and their families
4:30 PM ADJOURN