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1. Justify why differentiating Pathological Love Relationships and narcissistic abuse from other domestic violence, addictive, co-dependent, or dysfunctional relationships is important to effective trauma treatment.
2. Analyze the unique relational dynamics generated from the pathology and the traumatic impact to intimate partners.
3. Investigate the five stages of a Pathological Love Relationship (narcissistic abuse).
4. Apply the DSM5 Alternative Model personality disorder ‘four impairments’ to predict relational deficits in narcissistic abuse.
5. Investigate co-morbid and intensification factors related to behavior of the narcissistic abuser.
6. Assess the role of chronic and pervasive Cognitive Dissonance in survivor symptomology.

Pathological Love Relationships

• Pathological Love Relationship (PLR) definition
• PLR theory and its influences from other fields and disciplines
• Differentiating these relationships and abusers from others
• Research and treatment limitations

Personality Disorders and Their Application to Pathological Love Relationships

• How to spot a Pathological Love Relationship
• Identifying Pathological Love Relationships through personality and personality disorders
• The DSM Alternative Model about personality disorders and interpersonal risk
• Significance of partner pathology as ‘pervasive’ and the relevance to survivor’s understanding
• Problems identifying Pathological Love Relationships
• How to identify relational pathology from the DSM-5 four impairments

Relational Dynamics and Stages of PLRs

• DSM descriptions used as one of the identifiers in spotting a Pathological Love Relationship
• Stages of Pathological Love Relationships
• Pre-Stage— trolling, luring and predatory targeting tactics
• Early Stage— manufactured intensity and reflective relational tactics
• Mid-Phase —when the mask slips
• End relationship dynamics

Survivor Personalities and Targeted Traits:
Critical Considerations for Prevention, Intervention, and Treatment

• Who these survivors are NOT
• Survivor personality super trait elevations and its importance in targeting and recovery
  • Agreeableness and cooperation: the relationship investment trait
  • Conscientiousness and self-directedness: the integrity-oriented life traits
• Misidentification/misdiagnosis of personality ‘Super Traits’
• Codependency, dependent PD, borderline PD, empaths

Trauma Symptoms and the Aftermath of Narcissistic Abuse:
Atypical Presentations of Trauma and Keys to Treating the Survivor

• How these survivor’s symptoms can be different
• ‘Atypical’ trauma and misdiagnosis
• Cognitive dissonance and its presentation in survivors
• Difference in chronic and persistent CD— not your college understanding
• Cognitive dissonance and its connection to PTSD intensification
• Trauma treatment and further treatment issues

Sandra L. Brown, MA, has worked with narcissistic abuse survivors for over 30 years and is often referred to as the pioneer in the field of pathological love relationships (relationships with partners who have narcissism or psychopathy). Her seminal work and research helped launch the ‘Narcissistic and Psychopathic Abuse’ field. She is an author of hundreds of articles for survivors on narcissistic abuse and her books include the highly popular How to Spot a Dangerous Man Before You Get Involved (Hunter House, 2005), the award-winning Women Who Love Psychopaths: Inside the Relationships of Inevitable Harm With Psychopaths, Sociopaths & Narcissists (Mask Publishing, 2018), as well as the clinically-relevant Counseling Victims of Violence (American Counseling Association, 1991). She is the current president of The Association for NPD/Psychopathy Survivor Treatment, Research & Education, and the CEO of The Institute for Relational Harm Reduction and Public Pathology Education.

Speaker Disclosures:
Financial: Sandra Brown has employment relationships with the Institute for Relational Harm Reduction & Public Pathology Education and the Assn for NPD/Psychopathy Survivor Treatment, Research & Education. She receives royalties as a published author. Sandra Brown receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations
Non-financial: Sandra Brown has no relevant non-financial relationships.

Claudia Paradise, LCSW-R, has been in private practice since 1995 and specializes in in Cluster B Personality Disorders and relationship abuse. She is an analytically trained, psychodynamic psychotherapist, who also integrates CBT, DBT & EMDR into her work with adults, couples, and children.

Claudia is a board member of the Association for NPD/Psychopathy Survivor Treatment, Research & Education and serves on the executive committee of The Institute for Contemporary Psychotherapy’s?Center for the Study of Anorexia and Bulimia. In addition to her writing and public speaking on the wide-reaching effects of narcissism and sociopathy on the individual, the family, and the environment she also provides supervision and teaches professionals at an institute level on the treatment, and prevention of self-harm and narcissistic abuse. Claudia earned her MSW in Clinical Social Work from the NYU Silver School of Social Work.

Speaker Disclosures:
Financial: Claudia Paradise has an employment relationship with the Association for NPD/Psychopathy Survivor Treatment, Research & Education and serves on the executive board for Center for the Study of Anorexia & Bulimia. She maintains a private practice and is a contributing writer and clinician for LoveFraud.com. Claudia Paradise receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Claudia Paradise has no relevant non-financial relationships.

Bill Brennan, M.Ed., LMHC, CAP, is a psychotherapist who is a Certified Addictions Professional, Trauma Professional, and is EMDR certified with experience in inpatient, outpatient, and private practice levels of treatment. He has worked with survivors of Pathological Relationships for the last ten years and has co-facilitated narcissistic abuse recovery in individual, group, and retreat formats. Bill is a board member of the Association for NPD/Psychopathy Survivor Treatment, Research & Education and holds a master’s degree in Counseling Education from Florida Atlantic University.

Speaker Disclosures:

Financial: William Brennan maintains a private practice. He is a member of the board for the Association for NPD/Psychopathy Survivor Treatment, Research & Education. Mr. Brennan receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: William Brennan has no relevant non-financial relationship to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

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Addiction Counselors

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.

California Alcoholism & Drug Abuse Counselors (CCAPP): PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: 0S-03-036-1025. This self-study activity meets the qualifications for 6.0 CEH's (continuing education hours).

California Alcoholism & Drug Abuse Counselors (CADTP): PESI, Inc. is an approved provider by the CADTP, Provider #: 201. This Category H activity meets the qualifications for 6.0 CEU's (continuing education hours).

Connecticut Addiction Counselors: Provider #120924. This course has been approved as a CCB approved training and has been awarded 6.25 hours by the Connecticut Certification Board.

Ohio Chemical Dependency Professionals: PESI, Inc. is an approved provider with the Ohio Chemical Dependency Professionals Board. Provider Number 50-399. This self-study course qualifies for a total of 6.25 ceus in the area(s) of C2 - 6.25 hrs.

Oklahoma Alcohol & Drug Counselors: PESI, Inc. is an Oklahoma Board of Licensed Alcohol and Drug Counselors approved provider #20240032. This self-study activity consists of 6.25 clock hours of continuing education instruction.

New York Creative Art Therapists: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Creative Art Therapists. #CAT-0087. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

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Counselors
This intermediate self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

California Counselors: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This Intermediate level self-study activity consists of 6.0 clock hours of continuing education instruction.

Florida Social Mental Health Counselors: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 6.25 continuing education credits.

Illinois Counselors: This intermediate self-study activity consists of 6.0 clock hours of continuing education instruction. Per the IDFPR: Social Work Continuing Education Sponsors approved by the Division in accordance with the rules for the administration of Clinical Social Work and Social Work Practice Act (225 ILCS 201), 68 Ill. Adm. Code 1470.95; PESI, Inc. is a registered social work continuing education sponsor wtih the Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154.A certificate of attendance will be awarded at the end of the program to participants who are in full attendance, pass a post-test, and who complete the program evaluation.

Kentucky Counselors: CE credit is available. This self-study course consists of 7.5 continuing education credit hours for Kentucky Counselors. The Continuing Education Requirements for the Kentucky Board of Licensed Professional Counselors (201 KAR 36:030 Section 2) state continuing education programs from providers sponsored or approved by a state counseling licensure board shall be approved without further review by the board. PESI, Inc. is approved by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540. PESI maintains responsibility for this program and its contents.

Missouri Counselors: CE credit is available. This self-study course consists of 6.25 continuing education clock hours for Missouri Counselors. The Missouri Committee for Professional Counselors accepts continuing education programs relevant to counseling that are provided by organizations recognized by national social worker associations. PESI, Inc. is recognized by a national social worker association. Please see social work approvals for this program.

Montana Counselors: The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 6.25 clock hours of instruction.

Nevada Counselors: PESI, Inc. is an approved CEU provider with the State of Nevada Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors. This self-study activity qualifies for 6.25 contact hours. Approved Provider # NVCEP2006.

New York Counselors: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

Ohio Counselors: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 6.25 clock hours of general continuing education. Tracking number: 20-TBD

Oklahoma Counselors: CE credit is available. PESI, Inc. is recognized as a Board Approved Continuing Education Provider by the Oklahoma State Board of Behavioral Health Licensure (BBHL). This home study program qualifies for 6.25 continuing education hours.

Pennsylvania Counselors: The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This intermediate self-study activity consists of 6.25 clock hours of continuing education instruction.

South Carolina Counselors: This self-study program has been approved for 6.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.

Texas Counselors: This self-study activity consists of 6.0 clock hours of continuing education instruction. Texas State Board of Examiners of Professional Counselors no longer approves programs or providers. PESI activities meet the continuing education requirements as listed in Title 22 Texas Administrative Code, Chapter 681, Subchapter J, Section 681.142 Acceptable Continuing Education. Please retain the certificate of completion that you receive and use as proof of completion when required.

Oklahoma Marital & Family Therapists: CE credit is available. PESI, Inc. is recognized as a Board Approved Continuing Education Provider by the Oklahoma State Board of Behavioral Health Licensure (BBHL). This home study program qualifies for 6.25 continuing education hours.

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Marriage & Family Therapists
This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

California Marriage & Family Therapists: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This Intermediate level self-study activity consists of 6.0 clock hours of continuing education instruction.

Florida Marriage & Family Therapists: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 6.25 continuing education credits.

Illinois Marriage & Family Therapists: PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. Provider #: 168-000156. Full attendance at this self-study activity qualifies for 6.0 credits.

Montana Marriage & Family Therapists: The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 6.25 clock hours of instruction.

Nevada Marriage & Family Therapists: PESI, Inc. is an approved CEU provider with the State of Nevada Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors. This self-study activity qualifies for 6.25 contact hours. Approved Provider # NVCEP2006.

New York Marriage & Family Therapists: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0024. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

Pennsylvania Marriage & Family Therapists: The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This Intermediate self-study activity consists of 6.25 clock hours of continuing education instruction.

South Carolina Marriage & Family Therapists: This self-study program has been approved for 6.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.

Texas Marriage & Family Therapists: This self-study activity consists of 6.0 clock hours of continuing education instruction. Texas State Board of Examiners of Marriage and Family Therapists no longer approves programs or providers. PESI activities meet the continuing education requirements as listed in Title 22 of the Texas Administrative Code, Chapter 801, Subchapter K, Section 801.264 Types of Acceptable Continuing Education. Please retain the certificate of completion that you receive and use as proof of completion when required.

Ohio Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 6.25 clock hours of general continuing education. Tracking number: 20-TBD

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.25 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

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Psychologists
This course is for informational purposes only. No continuing education credit is available.

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Social Workers - National ASWB ACE
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2023 - January 27, 2026. Social workers completing this course receive 6.25 Clinical continuing education credits.

Course Level: Intermediate Format: Recorded asynchronous distance. Full attendance is required; no partial credits will be offered for partial attendance.

Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.

California Social Workers: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This Intermediate level self-study activity consists of 6.0 clock hours of continuing education instruction.

Colorado Social Workers: PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 6.3 continuing education hours.

Florida Social Workers: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 6.25 continuing education credits.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.

Kansas Social Workers: PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 6.0 continuing education hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 6.0 continuing education hours. A certificate will be issued upon successful completion of a post-test.

Montana Social Workers: The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 6.25 clock hours of instruction.

New York Social Workers: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

Ohio Social Workers: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 6.25 clock hours of general continuing education. Tracking number: 20-TBD

Pennsylvania Social Workers: The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This intermediate self-study activity consists of 6.25 clock hours of continuing education instruction.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Marriage & Family Therapists
• Counselors
• Social Workers
• Physicians
• Addiction Counselors
• Psychiatric Nurses