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Seminar Detail

Guilt, Shame & The Trauma Survivor: Integrated Modalities to Move Therapy Forward

Monday, March 2, 2020 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

Guilt is about what somebody has done. Shame is about who somebody is. Clients with sexual and physical abuse have two problems: who they are, and what they have done. Wouldn’t most of people feel hopeless at that point? Wouldn’t most clinicians feel overwhelmed?

Resolving these two pervasive, paralyzing issues absolutely move therapy forward but require a host of psychotherapeutic interventions.

Join Lisa Ferentz to learn cognitive, emotional, somatic, expressive, and psychoeducational techniques all used at key moments in therapy to have the fullest impact on resolving these pivotal issues. As a trauma therapist, author and international presenter, Lisa Ferentz has spent 35 years working with the deepest levels of shame and guilt, honing integrated practices specific to the client’s readiness to address these intense emotions.

Case examples are weaved throughout the day to help you learn how guilt and shame surround unmetabolized traumatic experiences including sexual abuse and the profound and confusing dynamic of pleasure that occurs in many instances for male and female victims. The training day will include crafting psychoeducation with practical cognitive techniques, self-compassion, and even expressive modalities – in addition to experiential activities to help you create a treatment plan adapted to your specific clients and trauma treatment modality.

  1. Describe the differences between guilt and shame and why shame impedes healing in trauma therapy work.
  2. Identify at least three specific dynamics of trauma and early childhood coping strategies that promote and sustain shame.
  3. Identify four indirect benefits that clients receive from retaining guilt and shame emotions.
  4. Explain the role of the Inner Critic and Internal Family Systems as a therapy model that promotes shame reduction.
  5. Describe the role that attunement and the therapeutic relationship play in helping clients process shame.
  6. Implement at least two creative strategies to enhance client curiosity and self-compassion in therapy.
  7. Design a treatment plan that incorporates three creative strategies that promote shame healing that helps to move trauma therapy forward.

Guilt, Shame and Common Client Misconceptions
  • The nature of abuse specific to your client
  • Common misconceptions of guilt
  • Life experiences that manifest as guilt
  • The caretaker as perpetrator
  • Attachment and abuse
  • ”Participation” guilt in sexual trauma
  • Case study: when Susan believed the abuse was her fault
Psychoeducation: Navigating Guilt
  • Assess and identify the presence of guilt and shame
  • The meaning and function of both guilt and shame as adaptive for survival
  • Finding ways to make guilt productive and reparative
  • Self-destructive coping behaviors
  • From paralyzed to taking extraordinary action
  • Reframe symptoms
  • Cognitive reframing & behavioral strategies
  • Case study: Janet and survivor guilt
Shame: The Root of Who I Am
  • The mistakes of using guilt and shame interchangeably: for clinician and client
  • Pervasive and debilitating: intractability of shame emotions
  • When your client presents as “hopeless”
  • The trauma survivors’ DSM: dirty, crazy weird, abnormal
  • Case study: Alex’s inner critic and its impact on self-worth
Treatment Planning: Techniques from Internal Family Systems (Schwartz)
  • Working with parts, the language and clinical benefit
  • The Inner Critic: the protector part for future survival
  • Exploring the secondary gain of shame and why letting go is complicated
Cognitive and Emotional Antidotes to Shame in the Clinical Setting
  • Leading the client to curiosity
  • Working with attachment and familial loyalty
  • Self-compassion: transformational skills that evoke empathy
  • The impact of self-talk
  • Writing experiential: the crossroad of a thought
Integrating Creative Modalities to Process Guilt & Shame
  • Using art therapeutically – processing clients’ artwork
  • Experiential: Body Mapping
  • Accessing somatic resources that help reduce guilt and shame
  • Experiential: Two-handed writing to increase compassion between parts
  • Exploring spirituality and religious observance
Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Case Managers
  • Addiction Counselors
  • Therapists
  • Marriage & Family Therapists
  • Nurses
  • Other Mental Health Professionals


Lisa Ferentz, LCSW-C, DAPA, is a recognized expert in the strengths-based, de-pathologized treatment of trauma and has been in private practice for over 35 years. She presents workshops and keynote addresses nationally and internationally, and is a clinical consultant to practitioners and mental health agencies in the United States, Canada, the UK and Ireland.

She has been an adjunct faculty member at several Universities, and is the Founder of “The Ferentz Institute,” now in its 11th year of providing continuing education to mental health professionals and graduating over 1,200 clinicians from her two certificate programs in Advanced Trauma Treatment.

In 2009 she was voted the “Social Worker of Year” by the Maryland Society for Clinical Social Work. Lisa is the author of Treating Self-Destructive Behaviors in Trauma Survivors: A Clinician’s Guide, 2nd Edition (Routledge, 2014), Letting Go of Self-Destructive Behaviors: A Workbook of Hope and Healing (Routledge, 2014), and Finding Your Ruby Slippers: Transformative Life Lessons From the Therapist’s Couch (PESI, 2017). Lisa also hosted a weekly radio talk show, writes blogs and articles for websites on self-harm and self-care, and teaches on many webinars.

Speaker Disclosures:

Speaker Disclosures: Financial: Lisa Ferentz is in private practice. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Lisa Ferentz is a member of the National Association of Social Workers; and the American Psychotherapy Association.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact or 800-844-8260 before the event.

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.

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

Addiction Counselors
This 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.

This intermediate 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.

Georgia Counselors: CE credit is available. 6.25 Core hours of continuing education have been approved by the Licensed Professional Counselors Association of Georgia, (LPCA CE Approval #8736-0320M). Full attendance is required; no partial credits will be offered for partial attendance.

Marriage & Family Therapists
This activity consists of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. You should save this course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

Georgia Marriage & Family Therapists: This activity has been submitted to the Georgia Association for Marriage and Family Therapy. Credit pending.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists
American Nurses Credentialing Center Logo
PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.

This activity consists of 6.0 clock hours of continuing education instruction. The following state psychologist boards recognize activities sponsored by PESI, Inc. as an approved ACCME provider: Alaska, Arkansas, California, Colorado, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, Oklahoma, Pennsylvania, South Carolina and Wisconsin. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit.

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Georgia Psychologists: CE credit is available. This course consists of 6.0 continuing education credit hours for Georgia Psychologists. The Rules and Regulations of the State of Georgia, Chapter 510-8, Section 3 confirms acceptance of continuing education programs relevant to psychology from providers approved by the American Medical Association (AMA). This program is certified for a maximum of 6.0 AMA PRA Category 1 Credits™ by PESI as an accredited ACCME provider authorized to award credit by the AMA. PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Social Workers
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, 2020 - January 27, 2023. Social Workers completing this course receive 6.25 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Other Professions
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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