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  October 2016

 
  The Professional Exchange - IE-CAMFT Newsletter
 

October 28, 2016 Featured Seminar


Taking the FEAR out of Working with Eating Disorders

Gina Holmes, LMFT


Many therapists’ experience working with eating disorder clients has been fraught with anxiety, especially if they got caught up in the client’s circular--seemingly delusional--reasoning and/or began to personally identify with the obsessional torment ED clients can live in 24/7.  As statistically more people die from eating disorders than any other psychological disorder, some fear in treating this population is based in reality, and when a client’s eating disorder is threatening her or his life, you have to be more directive, which can be difficult for some therapists.

Eating Disorder clients are usually very sensitive and may not be pursuing treatment because they want help, but because a significant other is encouraging them to do so. To prevent triangulation between the client and the significant other/s and/or the eating disorder, the therapist must have a solid sense of self because ED clients can sense the incongruence and will use it to undermine their treatment, which they may have not wanted in the first place.  Being aware of this possibility can prevent over-investment and burnout, which is a common problem with clinicians working with eating disorders. 

Because ED clients tend to be very adept at reading others and will pick up on any insecurity you may have about their treatment and use it as an excuse to believe in the terminal uniqueness that can accompany an eating disorder, the therapist must enter the treatment process confident in their skills as well as their understanding of eating disorders, the available medical and therapeutic support teams, and specific treatment plan options.

In this seminar, Ms. Holmes will address the fear many clinicians feel when working with this population and offer constructive ways to deal with it through self-examination, genuineness, and congruency with one’s core beliefs and theoretical orientation, balanced with continuing education in the treatment of eating disorders.  If you work with Anxiety Disorders, Depression, Substance Abuse, OCD, PTSD and other traumas, you have skills you have developed that can be transferred to working with clients with eating disorders.  We will look at some of the specific interventions you already use with those clients which can also help your eating disorder clients. 

In addition to providing specific therapeutic techniques and skill sets for working with eating disorder clients, in this seminar we will discuss when to treat in private practice and when to refer out.  We will also discuss treatment contracts and forms you may want to have clients sign for their understanding and your protection.  You will also be given the APA Guidelines for the treatment levels of clients with eating disorders, so you can feel confident in your referrals.  

Seminar participants will take away the following objectives:

1. How to use the somewhat pervasive fear of working with ED clients positively, in part through confidence in the skills they already possess.   

2. Commonalities and differences between Anorexia and Bulimia and their treatment, utilizing the DSM V and common terms in the field of ED treatment

3. Knowledge of the various levels of care for the treatment of eating disorders and knowing when to treat in private practice and when to refer out with confidence that treatment referrals meet the APA Guidelines.

4. Resources for effective management of eating disorders.

Gina Holmes, LMFT has had extensive experience in working with eating disorder clients in the Inland Empire since 2005 where she has worked as a Clinical Therapist, Loma Linda University Behavioral Medical Center, Redlands, CA providing group, individual, and family therapy to both adolescents and adults in the Eating Disorder Partial Hospitalization Program.  It was in this program that she worked with Kaiser psychiatrists contracted with the University who recruited her to come to Kaiser to start their Eating Disorder Intensive Outpatient Program. 

As Program Developer and Manager, Adult Eating Disorder Program, Kaiser Permanente Department of Psychiatry, Fontana, CA, she has co-developed a leading outpatient eating disorder program within Kaiser Permanente’s Southern California region, and a complimentary Eating Disorder Intensive Outpatient Program, which has been fully developed by 2009, and which has been the blueprint other Kaisers are using to develop their own eating disorder programs. The Fontana program regularly hosts observation visits from Kaisers throughout Southern California and provides guidance throughout their program development.

In addition to the EDIOP responsibilities, she also provides individual and family therapeutic services to adults with all types of diagnoses with an eclectic orientation and specialties in family of origin, inner child, and trauma issues. She has a strong working knowledge of 1) APA Guidelines regarding the Standard of Care for the treatment of Eating Disorders, and 2) local and state laws.

MAP


Inland Empire Chapter of CAMFT is a CAMFT Approved CEU Provider Agency  Provider # 62278

CEU Hours: This course meets the qualifications for 2 hours of continuing education credit for LMFTs, LCSWs, LPCCs, and LEPs as required by the California Board of Behavioral Sciences

Certificates: Completion certificates will be awarded at the conclusion of the training and upon participant’s submission of his or her completed evaluation.

Refund Policy:  If a participant is unable to attend and notifies IE-CAMFT 24 hours in advance of the training, full reimbursement will be sent within ten (10) working days.

Grievance:  If any aspect of the training is not to the full satisfaction of any participant, please notify the coordinator, CEU committee chair, or another IE-CAMFT board member.  We hope to resolve any issue immediately on-site.  If not resolved, the full IE-CAMFT board will review and resolve the issue.

IE-CAMFT wishes all participants to have an excellent learning experience.  Please notify the coordinator or other board member if you need special accommodations.  If possible, call Garry Raley at (951) 640-5899 in advance.


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ANNOUNCEMENTS:


  • Inland 3000 Club:  Next meeting October 15 , 2016 from 11:00 AM-1:00 PM. The 3000 Club meets on the 3rd Saturday (not Friday). Please check the Facebook page for subject content
  • Don't forget to update your profile on the website when you change your position, location, contact info., specialty area, etc. so that it is reflected in the therapist and member directories
  • Remember all IE-CAMFT Members get a free classified ad on our monthly ad bulletin and on the website ad page! Don't forget to also take advantage of the ad field in your listing in the Therapist and Member directories!



This issue:

  October Seminar

Announcements

  At Our Last Meeting

  Welcome New Members!

  President's Message

 Upcoming Events
 
AT OUR LAST MEETING . . .


Triaging Cyberbullying: Protection, Intervention, & Prevention

Holli Kenley, LMFT

 

 “…cyber bullying concerns the interruption to and breakdown of ordinary relationships, not just those of bully or victim.”  (Spears, Slee, Owens, & Johnson, 2009)

“Technology is never the problem or the solution…behavior is.” (Hinduja & Patchin, 2012)

“…cyber bullying is a symptom of being out of balance with technology.” (Trolley & Hanel, 2010)

“Children experience a loss of empathy for others or lack of human regard for one another…” (Ang & Goh, 2010)

 “Cyber bullies and situations are rarely being assessed or therapeutically addressed…Children and youth are taught that their behavior is wrong, but their psychological needs go unmet...cyber bullies were frequently once victims of bullying…to help the bully work though the issues helps to stop the cycle." (Trolley & Hanel, 2010)


Our children are growing up on a diet of technology with immediate access to world-wide social connections. Because it has become such a normative behavior in our society for our children to have a cell phone, laptop, iPhone or iPad, etc., parents/guardians sometimes forget about the window of danger that is open to them. Typically, it is not until victims have experienced extreme humiliation through cyberbullying attacks or until the perpetrators have been identified that some action, if any, is taken. By the time clinicians and therapists see the victims or perpetrators and their parents/guardians, we are confronted with many challenges and complexities. Based on current literature as well as the most recently published works on cyber bullying, this workshop described a three part comprehensive, practical and effective approach to assessment and treatment - Protection, Intervention, and Prevention – and delineated specific strategies and tools to implement within each.

Goals and Learning Objectives:

Goal One: To acquire methods and strategies in protection from cyber bullying, the participants:

1. explored the necessary safety measure to implement with technology.

2. examined specific practices to utilize in the parenting of a high tech generation.

3. familiarized themselves with educational awareness of a cyber bullying culture and the roles/responsibilities of each individual.

 

Goal Two: To acquire methods and strategies of intervention with cyber bullying, the participants:

1. explored crisis interventions to implement with cyber victims, cyber bullies, and cyber bully victims.

2. examined avenues of intervention with specific strategies for each.

3. reviewed the “System’s” approach (or team approach) as well as the “Holistic” approach as it applies to treatment of cyber bullies, victims, and bully victims.

4. reviewed the role of support systems as they apply to effective intervention.

 

Goal Three: To acquire methods and strategies in the prevention of cyber bullying, the participants:

1. examined practices to implement in our relationships with technology.

2. investigated practices to implement with our families and to incorporate in our relationships with others

 

Holli Kenley is a California Licensed Marriage and Family Therapist and a California State Licensed Teacher. She holds a Master’s Degree in Psychology with an emphasis in Marriage, Family, and Child Counseling. She has worked in a variety of settings: a women’s shelter, a counseling center, and in private practice. Counseling with adolescents, teens, young and older adults, Holli’s areas of specialized training and experience include sexual trauma, abuse, addiction, codependency, domestic violence, betrayal, and cyber bullying.

Holli is the author of five recovery books including “Breaking through Betrayal: And Recovering the Peace Within” (2010); “Cyberbullying No More: Parenting a High Tech Generation” (2011); and her powerful memoir “Mountain Air: Relapsing and Finding the Way Back…One Breath at a Time” (2013).  Holli’s first novel, “Another Way” (2015) offers tweens to teens (and their parents/guardians) an empowering message of discovering, defining, and determining self-worth.  New, in her Second Edition of “Breaking through Betrayal” (January 2016), Holli addresses relapse as an issue of self-betrayal with a healing process for self-discovery.  

In addition to her work as a therapist and an author, Holli enjoys speaking at workshops and conferences. Over the past six years, Holli has been a five-time peer presenter at the California Association of Marriage and Family Therapists’ Annual Conferences speaking on the topics of betrayal, relapse, cyberbullying and sexual abuse recovery.  Holli Kenley has been a guest on over 100 podcasts as well as on Arizona’s TV show Morning Scramble speaking on issues of wellness.  Prior to and during her career as a therapist, Holli taught for thirty years in public education.

Welcome New Members!

Jessica Oakes, Ronena Summers, Liberty Wyman, Monica Smith, Sabrina Thakur, Mary Rivas
 

President's Message:


Our Therapist Tribe: Connecting & Cultivating Leaders

 

Happy Halloween everyone!

In my neighborhood, the pumpkins, skeletons, and goblins are popping up; if it wasn’t 101 degrees outside I would think that Fall was coming. That’s the funny thing about living in Southern California--we have such strange weather. But the heat does not make me really want to cook my fall soups or pumpkin bread. We are not alone in our strange weather, however; my East Coast friends have informed me that their normal fall leaves are not colorful this year as in other years. I guess we learn to adapt. A few weekends ago, I was in North Lake Tahoe with 9 other fantastic therapists working to make the world a better place. It was hot there too come to think of it; no Fall yet. These great therapists are all in different niches and working on various projects such as online classes, books, speaking engagements, teen groups, blogging, court process, and infant depression groups.

We were all there working on our own projects, sharing insight, help, and a positive push, whether helping to select photos for a website, watching videos on anger, and sometimes giving each other encouragement when we were in doubt.  We were all there cheering each other on and helping each other from the perspective of a potential client. We shared laughs, meals, walks in the woods, and by the shore. We shared stories, disappointments, successes, and dreams. Seth Godin in his book, “Tribes” states, “A tribe is any group of people, large or small, who are connected to one another, a leader, and an idea.”  Further, he says “there is a leader living inside each of us. It is up to us to live up to the calling of leadership and to realize that we can lead the change we want to see in each of our corners of the world.”

I see this fantastic leadership in our IE-CAMFT organization and in the many therapists I know. I would encourage you to network with other therapists in our community. Share with them your successes and joys, struggles, and disappointments. As that is the way we learn by connecting to each other and our humanity.  I truly believe in the power of abundance and that we are greater when we work together.

In that spirit, I wanted to tell you of a wonderful therapist, Sharon Martin, LCSW. She helps other therapists with blogging. She is a regular contributor to Psych Central, the Good Men Project, About.com, Bustle and The Parenting Skills just to name a few. Sharon supervises many MFTI and she is a huge supporter of CAMFT Bay Area. Sharon is a down-to-earth person that can help build your confidence to write and have your voice stand out to new clients. She helps you become seen in your community. Her online class starts October 17th.  You can find more information at SocialWorkCoaching.com. This class will be worth your time.  Also in keeping with this theme, be sure to sign up for our upcoming November seminar on life coaching.

 

Here is hoping for cooler weather,

 

Sherry Shockey-Pope, IE-CAMFT President


 
Upcoming Events: (NOTE DATES!)

What is Life Coaching Anyway & How Does it Differ from Therapy? - November 18, 2016

Holiday Party - December 10, 2016

 “But she just had a baby!” The Myths and Lies of Motherhood - January 27, 2017

“Shh, its Confidential”: Confidentiality of Mental Health Information Under California and HIPAA Laws - February 10, 2017


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