• International Conference on Trauma and Addiction

    January 17 - 19, 2019
    Scottsdale, AZ

    Conference Host

    • 670x120_themeadows

      The Meadows

    Contributing Sponsors

    Thursday, January 17
    Level of Instruction: All Sessions are Intermediate/Advanced unless otherwise noted.

    8:45–9:00am Opening Welcome
    Pia Mellody

    Senior Clinical Advisor for The Meadows, Pia is an internationally renowned author and lecturer on the childhood origins of emotional dysfunction. Her work in codependence, boundaries, and the effects of childhood trauma on emotional development has profoundly influenced the treatment of addictions and issues around forming and maintaining relationships. As one of the pioneers in the field of recovery, Pia developed theories on the effects of childhood trauma that became the foundation for The Meadows’ programs.

    9:00–10:30am Unspoken Legacy Reverberations of Trauma Within the Addicted Family                                  
    Claudia Black, PhD

    A renowned author, speaker, and trainer, internationally recognized for her pioneering and contemporary work with family systems and addictive disorders, Claudia’s writings and teachings have become a standard in the fields of addiction and trauma. She is one of the original founders and serves on the advisory board of the National Association for Children of Addiction and the advisory counsel for the Moyer Foundation and its development of Camp Mariposa, a camp for children of addiction. Claudia is the clinical architect of the Claudia Black Young Adult Center, and a Senior Fellow of The Meadows. She is the author of over fifteen books, most notably, It Will Never Happen to Me; her latest title being Unspoken Legacy: Addressing the Impact of Trauma and Addiction within the Family.
    When people think of trauma, they often think of acute dramatic situations, such as a natural disaster or car accident. Yet, the majority of people who experience trauma experience a more subtle and chronic form that exists within their own family.  Claudia Black will present a portrait of addiction in the family, offering an overlay of how adverse child experiences are the foundation of emotional dysregulation fueling traumatic responses, including generational repetition. She concludes this presentation offering a 7-step process for healing.

    10:30–11:00am Refreshment Break
    (AM & PM Breaks will be held each day in the Exhibit Area)

    11:00–12:30pm Shame and Dignity
    Peter Levine, PhD

    Developer of Somatic Experiencing® a naturalistic and neurobiological, approach to healing trauma which he has developed during the past 45 years. This work has been taught to 30,000 therapists in 43 countries. Dr. Levine has received the lifetime achievement award from the US Association for Body-Oriented Psychotherapy, and an honorary award as the Reiss-Davis Chair in Los Angeles for his lifetime contribution to infant and child psychiatry. Peter recently received the lifetime achievement (from the Association for Training on Trauma and Attachment in Children) for “his lifelong commitment to healing children through research, education, and outreach.”  He has doctorates, both in biological and medical physics (biophysics) from UC Berkeley and a doctorate in psychology from International University. He is currently a Senior Fellow and consultant at The Meadows Addiction and Trauma Treatment Center.
    Shame is one of the most corrosive and immobilizing emotions. It underlies many issues of addiction and so-called impulse control, certain anxiety states, and other “behavioral” problems. Shame is like a cancer, a tumor that grows from the injury of trauma and the wound of betrayal. This interpersonal trauma becomes deeply lodged in the body-mind, and then “metastasizes,” infecting all aspects of a person’s life. They include a loss of connection with our authentic, spontaneous Self, as well as with our basic sense of “rightness” and belonging in the world. In therapy, it can be difficult to work with shame, as bringing it up often results in more shame and reactive avoidance maneuvers. In addition, when clients begin to access shame, their therapists (because of similar unresolved issues) may subtly deflect or inhibit this exploration.  This is likely to result in an intensification of the impulse to hide and deny.  However, when we understand the neurobiological, developmental, and evolutionary underpinnings of shame and trauma, we can better help our clients (as well as ourselves) move out of shame and restore a core sense of dignity, goodness and self-compassion.

    2:00–3:30pm Sexually Compulsive and Addictive Behavior: The Controversy, Diagnosis, and Implications for Treatment
    Stefanie Carnes, PhD, CSAT-Sm LMFT

    Stefanie Carnes is the president of the International Institute for Trauma and Addiction Professionals, and a Senior Fellow for The Meadows, where she works with sexually addicted clients and their families. Stefanie is the clinical architect for Willow House: Relationship Healing for Women struggling with sex, love and intimacy disorders. Her area of expertise includes working with patients and families struggling with multiple addictions, such as sexual addiction, eating disorders and chemical dependency. Stefanie presents regularly at conferences at both the state and national levels. She is also the author of numerous publications including her books, Mending a Shattered Heart: A Guide for Partners of Sex Addicts, Facing Heartbreak: Steps to Recovery for Partners of Sex Addicts, and Facing Addiction: Starting Recovery from Alcohol and Drugs.
    In recent years, there has been tremendous controversy about sexually compulsive behavior. Researchers and clinicians alike have argued about the best terminology to use, diagnostic criteria, and treatment approaches. In this presentation, Dr. Carnes discusses the concerns about labeling out control sexual behavior and examines the new research and the controversy surrounding the diagnosis. Different perspectives on conceptualization of the disorder and treatment will be discussed.

    4:00–5:30pm Concurrent Workshops
    Treating International Clients: Integrating Culture of Origin and Native Language in the Continuum of Care
    Christophe Sauerwein, MBA, MSc, PgD

    Christophe is an independent psychotherapist based in London, UK. He has been on his journey of recovery from multiple addiction and family of origin relational trauma since 1999.  After a  17-year career in investment banking and private equity, Christophe turned his life over and became a leading therapist in addiction, relational childhood trauma and dysfunctioning relationships. Christophe holds an MSc in Addiction Psychology and Counseling and fully qualified in Childhood Trauma Reduction therapy (PIT/Pia Mellody model), Sex Addiction (Paula Hall Model) and Attachment and Relationship disorders (Pia Mellody model). From a pan-European cultural background, Christophe works with English and continental European patients in English, French, and integrating clients native languages and cultures of origin perspectives. Christophe is academic director of iCAAD, the International Conference on Addiction and Associated Disorders, the largest European conference provider in the field.
    Research around systemic characterization of psychological early life trauma, PTSD, addictive behaviors and mental disorders has gained considerable momentum. Findings have led to the creation of new and innovative recovery treatment models., most of them originating and  implemented in the US. Since English has become the most common second language spoken in adulthood, greater numbers of people are able to access treatment in the US. However, too often solutions shift and the way clients have reconstructed themselves while in treatment becomes falsified or compromised upon return to their country, language and culture of origin. Recovery then collides with underlying multi-generational cultural forces of resistance, which are both internal and interpersonal. This observation applies also when treating first and second generation of migrants. For the last decade Christophe has been actively promoting and facilitating cross border and international implementation of a continuum of care around trauma and addiction. This presentation will pragmatically address the implications of integrating the components of language and culture of origin into the “pre-hab / re-hab /post-hab” continuum of care process and suggest models to prepare clients for reintegration.

    Owning the Right to Exist: Healing for the Adopted Young Child
    Leanne Lemire, MSW, LCSW

    Leanne Lemire is the executive director of the Claudia Black Young Adult Center, an inpatient treatment program tailored to young adults aged 18-26 who struggle with unresolved emotional trauma, addiction, or complex co-occurring conditions. She received her master’s in clinical social work from Smith College School for Social Work and has previously worked as a primary counselor at The Meadows and Claudia Black Center prior to becoming clinical director and now Executive Director. Leanne’s specialty focus is on trauma resolution, addictive disorders, and complex psychiatric disorders among young adults.
    The attachment disruption that stems from adoption can lead to a deep sense of abandonment, rejection, loss, confusion, identity issues, and shame. Often experienced in early childhood without conscious awareness, recognition or vocabulary, by the time the adopted child becomes a young adult, the effects are still felt on a very profound level, coupled with present day emotional dysregulation and relational difficulties. Left untreated, this underlying trauma fuels addictions, mood disorders, risk-taking behaviors, self-sabotage, expectations of further abandonments and chronic suicidality. The young adult often maintains the shamed-based belief that he/she does not have the right to exist. Leanne will discuss the various traumas experienced by the adopted young adult and what differentiates them from the non-adopted young adult. Leanne will also describe treatment interventions used to assist the client in recognizing the impact adoption has had on their development, challenging shame-based beliefs, and beginning to heal layers of delayed grief.

    Healing Trauma—The Pathway to Authenticity and Authentic Connections
    Barbara Nosal, PhD, LMFT, LAADC

    Barbara Nosal has worked in the mental health and addiction treatment field with adolescents and their families for over 20 years. She has held managerial and clinical positions in a variety of treatment settings, including a private practice in Newport Beach, CA.  Barb holds a doctorate in transpersonal psychology and dual master’s degrees in human services and counseling psychology, is a licensed Marriage Family Therapist and licensed Alcohol and Drug Counselor.  She is the founding clinical director, and currently chief clinical officer of Newport Academy, where she oversees the treatment of adolescents, ages 12-20, and their families in their residential and outpatient programs.
    This presentation incorporates attachment-based therapies to identify how attachment ruptures from early childhood often interferes with achieving health, happiness, and emotional well-being—particularly for those with mental health and addiction issues. Relational trauma forms disempowering core beliefs, which define the sense of self, resulting in life-long emotional and relational patterns. Healing relational trauma minimizes triggers and reduces emotional dysregulation in the present. Gaining self-awareness of what often is deeply rooted and unconscious, frees us from the past and the need to act out in self-defeating behaviors.  This presentation not only assists clinicians in their therapeutic process with individuals and families, but is critical for treatment providers to understand the impact in their own lives.

    Increasing Creativity in Your Practice with Experiential Exercises
    Jean Collins-Stuckert, LCSW, LISAC, CSAT

    Jean Collins-Stuckert is the executive director of workshops at the Rio Retreat Center at The Meadows. Jean is licensed in the state of Arizona as a clinical social worker and substance abuse counselor, and is also a certified sex addiction therapist. She received her master’s degree in social work at Arizona State University. Jean has been in the behavioral health field for over 20 years. Twelve of those years, she has been employed at The Meadows as a family and primary counselor, a workshop facilitator, intake Interventionist, and program and clinical director of workshops. Jean also owned a successful private practice in Phoenix for a decade.
    Experiential techniques are ancient, powerful tools used to generate and enhance the healing process, yielding excellent results. This presentation will highlight the power of the experiential modality through examples and experiencing them firsthand.

    7:00–8:30pm Evening Program         
    Developmental Trauma, Attachment, and Addictive Disorders
    Jon Caldwell, DO, PhD

    Dr. Jon G. Caldwell is a board certified psychiatrist who specializes in the treatment of adults who have experienced relational trauma and addictive behaviors. He is chief of psychiatry at The Meadows treatment center. His theoretical perspectives are heavily influenced by his PhD training at the University of California at Davis, where he began researching how early childhood maltreatment and insecure attachment relationships affect cognitive, emotional and social functioning. Jon’s clinical approach has become increasingly flavored by contemplative psychology and by the practice of mindfulness and self-compassion. He has published a number of articles on child maltreatment, attachment theory, emotion regulation and mindfulness and he is a noted international speaker and trainer on these and other topics
    Childhood maltreatment can profoundly influence human development, resulting in a variety of mental, emotional, and social challenges – including addictive disorders. Attachment theory is a useful framework for understanding how early relational experiences can have far-reaching effects. Developmental trauma and attachment disturbances can lead to deficits in nervous system regulation.  Addictive behaviors can be seen as an attempt at short-term regulation, with long-term consequences. This presentation will explore the scientific linkages between trauma, attachment, and addiction, and will offer ideas on how to help clients restore the capacity to self-regulate in healthy ways.

    9:00–10:30am  The Body Keeps the Score: Trauma, Attachment, and Neuroscience
    Bessel van der Kolk, MD

    A Senior Fellow of Meadows Behavioral Healthcare, Bessel van der Kolk is one of the world’s foremost authorities on post-traumatic stress disorder and other related disorders. He has researched the psychobiology of trauma, traumatic memory, the effectiveness of EMDR and the effects of trauma on human development. He is a professor of psychiatry at Boston University School of Medicine and founder of the Trauma Center at the Justice Resource Institute in Brookline, MA. Dr. van der Kolk is the past president of the International Society for Traumatic Stress Studies. He has taught at universities and hospitals across the United States and globally. Dr. van der Kolk has written extensively on the impact of trauma on development, borderline personalities, self-mutilation, cognitive development in traumatized children and adults, and the psychobiology of trauma. His books include Psychological Trauma, Traumatic Stress and The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma
    Renowned trauma expert Bessel van der Kolk has spent over three decades working with survivors. Join him in this transformational presentation, and leave with a new understanding of traumatic stress. Learn how trauma can literally rearrange the brain’s wiring—specifically areas dedicated to pleasure, engagement, control, and trust. This presentation will show how trauma affects the developing mind and brain, and teach how trauma affects self-awareness and self-regulation. We will focus on the fundamental difference between trauma de-sensitization vs. integration and growth, and look at the difference between disrupted attachment and traumatic stress. We will examine the role of interpersonal rhythms and attunement in establishing a sense of self and community. This regulate one’s emotions, learning to trust other human beings with shameful and horrific details of one’s life, processing traumatic memories, learning to be fully alive in the present.

    11:00–12:30pm Healing the Fragmented Selves of Trauma Survivors                                   
    Janina Fisher, PhD

    Janina Fisher, Ph.D. is the Assistant Educational Director of the Sensorimotor Psychotherapy Institute, an EMDRIA-approved Consultant, former president of the New England Society for the Treatment of Trauma and Dissociation, and a former instructor, Harvard Medical School.  An international expert on the treatment of trauma, she is co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma (2015) and author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Internal Self-Alienation (2017) and the forthcoming book, Working with the Neurobiological Legacy of Trauma (in press). Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of research and treatment and how to introduce these newer trauma treatment paradigms in traditional therapeutic approaches
    In the face of trauma, preserving self-esteem, attachment to family, and hope for the future requires that we disown that “bad child” to whom bad things happen and hold some sense of ourselves as “good,” disconnected from how we have been treated. But to ensure that the rejected, abused child is “not me” requires reliance on dissociation, addiction, or self-hatred to keep that child at a distance. In the end, we have survived at the cost of disowning our most wounded selves. While longing to be loved, safe, and welcome, traumatized clients find themselves in conflict: alternating between clinging to others and pushing them away, hatred for themselves and hostility toward others, yearning to be seen and yet yearning to be invisible. Years later, they present in therapy with addictive disorders and/or symptoms of anxiety, depression, and low self-esteem or diagnoses such as Bipolar and Borderline Personality Disorder. This workshop integrates theoretical material on trauma, dissociation, neurobiology, and attachment with a practical hand’s on approach that utilizes “right brain-to-right brain” treatment methods to help clients connect emotionally and somatically to their disowned selves.

    12:30–2:15pm  Conference Luncheon
    Medications for the Treatment of Opioid Use Disorders: Myths and Misconceptions
    Michael Frost, MD, FACP, FASAM and Kevin McCauley, MD

    Michael Frost is a nationally recognized specialist in the field of addiction medicine. He is a fellow of both The American Society of Addiction Medicine and The American College of Physicians. Dr. Frost is the president and medical director of The Frost Medical Group in Conshohocken, PA, and currently serves as Medical Advisor for Meadows Behavioral Health. He has served as medical director for several inpatient treatment facilities and MAT programs and is actively involved in clinical research and new treatment development. He has provided guidance to the FDA, Centers for Medicare/Medicaid, and Health Canada. Dr. Frost lectures internationally and provides consulting services to numerous healthcare organizations, treatment facilities, and the media.
    Kevin McCauley, MD, is a Senior Fellow for Meadows Behavioral Healthcare. He first became interested in the treatment of substance use disorders while serving as a naval Flight surgeon, where he observed the U.S. Navy’s policy of treating addiction as a safety (not moral) issue and returning treated pilots to flight status under careful monitoring. Dr. McCauley wrote and directed two films: “Memo to Self,” about the concepts of recovery management, and “Pleasure Unwoven,” about the neuroscience of addiction, which won the 2010 Michael Q. Ford Award for Journalism from the National Association of Addiction Treatment Providers.
    This presentation will examine some of the common challenges and misconceptions surrounding the use of maintenance medication for the treatment of opioid use disorder. Evidence-based material will be presented to inform the audience about current thinking regarding medication use and ways to mitigate commonly encountered clinical challenges.

    2:15–3:15pm  Nutritional Needs and Challenges for Adolescents and Young Adults
    Kristin Kirkpatrick, MS, RDN

    Kristin Kirkpatrick is the Lead Dietitian and manager of Wellness Nutrition Services at the Cleveland Clinic Wellness Institute in Cleveland, Ohio, and is a Senior Fellow of Meadows Behavioral Healthcare. She is a best-selling author Skinny Liver: A Proven Program to Prevent and Reverse the New Silent Epidemic—Fatty Liver Disease, and an award winning dietitian. Kristin has been featured on shows such as the TODAY Show, NBC Nightly News, and the Dr. Oz Show, and has contributed to several national newspapers and magazines. Her show The New Rules of Food aired nationally on PBS in December 2017. Kristin writes for TODAY.com, the Huffington Post, and US News and World Report, and is a featured expert on Cleveland Clinic’s Health Essentials. Kristin has over 17 years of experience in health management
    This presentation will focus on the most up-to-date research on trends and nutritional needs of adolescents and young adults. The following issues will be discussed: current nutritional challenges of adolescents; current nutritional challenges of young adults; nutritional guidelines for both groups; deficiencies and risk factors; warning signs of malnutrition; engaging young people in a discussion on good nutrition; and how to implement in treatment programs.

    3:45–4:45pm  Embitterment and Addiction: Keys to Resilience and Addiction Recovery  
    Patrick Carnes, PhD, CAS

    With over 30 years experience in the addiction field, Dr. Carnes is in high demand as a speaker, presenter, and interview subject, and continues to be the leading voice in the field of sex addiction. Dr. Carnes’ assessment tools related to sex addiction and trauma offer therapists a proven means to begin the treatment process with clients. He is the primary architect of the Gentle Path treatment program for the treatment of sexual and multiple addictive disorders;  pioneered the founding of the International Institute for Trauma and Addiction Professionals (IITAP) and Gentle Path Press. From 1996 until 2004, Dr. Carnes was Clinical Director for Sexual Disorder Services at The Meadows, where he is currently a Senior Fellow. His achievements include the Lifetime Achievement Award from the Society for the Advancement of Sexual Health (SASH), where they present an annual “Carnes Award” to researchers and clinicians who have made exceptional contributions to the field of sexual health. He is the author of several books, including the landmark bestseller,  Out of the Shadows: Understanding Sexual Addiction.
    To change the brain of addicts requires a fundamental change in their story. Narrative therapy combines well with the lenses of post-traumatic embitterment and traumatic bonding to reveal the primary driving paradigms of addictive behavior. Successful treatment requires strategies for disrupting and rewriting the grievance story paradigms. Brain change involves a matrix of genetics, neuronal pathways, attachment, and the core processes the brain uses to restore and enhance brain function. For therapists, it means a rewrite of how we perceive and use inpatient, intensive outpatient, outpatient, and extended care services. We live in an era where the woes of public figures and addiction are portrayed every day. These tragic dramas are but the canaries in the cage, distracting us versus warning us. Addiction is our number one public health problem and it is crushing our medical and health delivery systems. And it all starts with the right story and the right genes.

    Evening Concurrent Workshops

    Sensorimotor Psychotherapy and Trauma-Informed Stabilization Treatment: An integrated Body-Centered and Neurobiological Approach to Working with Addicted Trauma Survivors
    Maren Masimo, MS

    Maren A. Masino is an American sensorimotor psychotherapist, with a background in addictions treatment, eating disorders, dissociative disorders, PTSD, and attachment-related injuries.  She has her M.S. in clinical and counseling psychology in addictions studies and a B.A. in Theatre. Maren has worked for several treatment centers, including Breakthrough at Caron Treatment Centers, CAST Recovery in Los Angeles, and Khiron House Trauma Clinic in the UK under the supervision of Dr. Janina Fisher and Dr. Bessel Van der Kolk. Maren strives to deliver a personalized, hybrid, creatively dynamic approach to therapy, utilizing and drawing from: sensorimotor psychotherapy, Dr. Janina Fisher’s Trauma-Informed Stabilization Treatment, Psychodrama, IFS, Mindfulness, the comprehensive resource model, theatre, animals, play, and structural dissociation.
    Maren Masino brings nearly a decade of treating trauma and addiction to the cutting edge of modern clinical modalities. In sharing the methods used to recover regulation to the nervous system, she shows that such recovery assists in reducing symptoms and supporting sobriety. Maren utilizes an integrated approach of Sensorimotor Psychotherapy and Dr. Janina Fisher’s Trauma-Informed Stabilization Treatment to address trauma-related symptoms alongside Addictive Disorders. Participants will leave with both an understanding of the premises behind this work and some simple tools to begin to integrate into their own practice in supporting trauma and addiction.

    Eating Disorders, Trauma, and PTSD: A Personal Journey
    Jenni Schaefer

    Jenni Schaefer is an internationally known speaker, eating disorder advocate, bestselling author, and accomplished singer/songwriter. She has appeared on shows like “Today,” “Dr. Oz,” and “Dr. Phil,” as well as in publications ranging from Cosmopolitan to The New York Times. Her books include Life Without Ed; Goodbye Ed, Hello Me; and Almost Anorexic, a collaboration about subclinical eating disorders with Harvard Medical School. Currently, Jenni is at work on a book about fighting through PTSD. A Senior Fellow with Meadows Behavioral Healthcare, Jenni lives in Austin, Texas,
    Weaving science with a personal story of healing, this unique workshop explores the intersection of eating disorders, trauma, and post-traumatic stress disorder. Research suggests that 37-45% of adults with bulimia nervosa and 22-26% of those with binge eating disorder have a lifetime prevalence of PTSD—compared to 5-12% without an eating disorder. In this presentation, bestselling author Jenni Schaefer, a recovered patient with a history of an eating disorder and PTSD, shares her experience, one that encompasses misdiagnosis, uninformed treatment methods, and, ultimately, the significance of evidence-based as well as alternative approaches. Through research, vignettes, humor, and even music, Jenni shares the practical tools and nuggets of wisdom—focusing on mind, body, and spirit—that facilitated her recovery, and, importantly, that can enhance your healing practice.

    Food and Mood: The Role of Nutrition and Diet in Emotional Well-Being
    Kristin Kirkpatrick, MS, RDN

    Issues that will be addressed in this presentation will include the link between dietary deficiencies and depression; how specific foods (both healthy and unhealthy) respond to neurotransmitter activity; the role of caffeine; emotional eating and sugar/carb cravings; the role of sleep and appetite; and the role of exercise on mood.

    9:00–10:30am Understanding and Treating Complex Trauma in Adolescents and Young Adults
    John Briere, PhD   
    Associate Professor Psychiatry at the Keck School of Medicine, University of Southern California, and Director of the USC Adolescent Trauma Training Center of the National Child Traumatic Stress Network. He is recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology from the American Psychological Association. Author of numerous books including Principles of Trauma Therapy: A Guide to Symptoms, Evaluation and Treatment. His new release is titled Treating Risky and Compulsive Behavior in Trauma Survivors.
    Complex trauma usually involves a combination of early and late-onset adverse events, often including not only recent violence or maltreatment, but also childhood sexual, physical, and/or psychological abuse, sometimes compounded by emotional neglect. Empirically and phenomenologically-informed treatment of trauma in adolescents and young adults will be introduced, providing cutting-edge information on the integration of various modern treatment approaches to provide a “customized” approach for each individual youth.

    11:00–12:30pm What We Have Learned: Four Decades of Addiction, Neurobiology, and Treatment Research
    Mark S. Gold, MD

    Mark Gold is a translational researcher, author and inventor best known for his work on the brain systems underlying the effects of opiate drugs, cocaine and food. He has published over 1000 peer reviewed scientific articles, texts, and practice guidelines, including citation classics in cocaine neurobiology, opioid addiction neurobiology and treatment, food and process addictions. Dr. Gold has been called a groundbreaking researcher, father of medication assisted recovery, the first to translate rat experiments into theory and treatments for human addicts. He is currently Chairman of Rivermend Health’s Scientific Advisory Boards. Dr. Gold was a Professor, Eminent Scholar, Distinguished Professor, Distinguished Alumni Professor, Emeritus Eminent Scholar, and Chairman during his 25 years at the University of Florida. He is currently Adjunct professor at Washington University. He is the recipient of the John P McGovern Lifetime Achievement Award.
    Drug use, abuse, and dependence has been easier to study than most psychiatric diseases because of advances in neuroscience. There is ample evidence that first use may be voluntary but that addiction is a disease of the brain. Similarities between the brains of rodents, non-human primates and man has allowed us to discover where in the brain drugs go, how they interact with the brain’s reinforcement system, how they produce physical dependence, how they cause withdrawal and other major findings. The noradrenergic theory of opioid withdrawal will be discussed. We developed treatments for opioid withdrawal that were non-opioids. Cocaine dependence, without prominent abstinence syndromes, made it reasonable to study how behaviors like eating and gambling, and gaming and sex could be addicting. The dopamine hypothesis born in the ‘80s would eventually be tested in animals and man. Translational science gave us medically assisted treatments for cigarette smoking, opioids, alcohol and other addictions. Alcohol dependence treatment saw an integration of pharmacological and traditional treatments. The post-addiction state was often imperiled by hyperphagia, weight gain, hypersexuality, depression, anhedonia, craving, and relapse. Getting brain or neurons to regenerate or recover is complicated but time in treatment, exercise, diet, and brain stimulation appear to be very useful.

    1:45–3:15pm Dual Keynotes
    Relationship Trauma Repair (RTR): An Experiential Model for Treating Childhood Trauma and PTSD
    Tian Dayton, MA, PhD, TEP

    Tian Dayton is a Senior Fellow of The Meadows and the director of The New York Psychodrama Training Institute, where she runs training groups in psychodrama, sociometry, and experiential group therapy. She served as Caron’s director of program development for eight years and Breathe’s for four. She was also a professor at NYU for eight years teaching psychodrama and currently sits on the scientific advisory board for the National Association for Children of Alcoholics. She is a fellow of the American Society of Psychodrama, Sociometry and Group Psychotherapy (ASGPP), and is the winner of their scholar’s award and the president’s award. She has served as editor-in-chief of the Journal of Psychodrama, Sociometry and Group Psychotherapy for ten years and as an executive editor for eight, in addition to sitting on the professional standards committee. She is also the winner of The Mona Mansell Award and The Ackermann Black Award for her contributions to the field of addiction. Tian is the author of fifteen books including, Neuropsychodrama in the Treatment of Relational Trauma. She is also a Huffington Post blogger and a Thrive Global blogger.
    Research in neurobiology has made clear that our emotions are experienced and processed by the body, as well as the mind, and that that healing from the kind of trauma that living with addiction engenders requires a mind/body approach. Psychodrama and sociometry allow the body to participate in the therapeutic milieu. Sociometry allows for many small connections with self and others. Working in small and incremental moments of connection and repair can help clients to move in and out of their own freeze state without becoming overwhelmed and stuck. This process can also help clients to chunk down and regulate overwhelming emotions without becoming flooded. RTR is designed to facilitate moment after moment of connection and repair. There are many moments of sharing in dyads and clusters so that we strengthen skills of opening up, reaching out, sharing, and then listening to others do the same. RTR is an integration of sociometry and up-to-date research in trauma, attachment, and grief. It is a psychoeducational model designed to fit into treatment programs and outpatient settings. RTR is a multi-sensory model that uses psychodrama, sociometry, journaling, and guided imagery in the treatment of trauma-related issues.

    Hungry for Love
    Alan Downs, PhD

    A clinical psychologist and the bestselling author of seven books Alan’s work is acclaimed internationally and has been published in over 27 languages. He is a sought-after conference speaker, workshop leader, and frequent media commentator on the psychology of gay men. He has more than 25 years of experience in working with individuals from all walks of life, and is currently the Executive Director of the Desert Palms Treatment Center in Palm Springs, California. In addition to his expertise in working with gay men, he is an intensively trained Dialectical Behavior Therapy (DBT) therapist who has worked with individuals, as well as therapists, who are seeking to learn the mindfulness, emotion regulation, and distress tolerance skills which are so effectively taught within the DBT therapeutic framework.
    A functional and content life is partly defined by the craving, fulfillment, and regulation of appetites.One of the most powerful appetites at the center of our lives is that of validation—the process of seeking information from our environment to confirm our internal beliefs about reality. The craving and fulfillment of the appetite for validation is critical to healthy functioning and is what keeps us from slowly spinning into the increasingly strange and dysfunctional realm of neurosis and, eventually, even psychosis. Adverse childhood experiences, such as excessive exposure to shame or prolonged invalidation from significant adults in a child’s life, results in an adult who fails to develop the necessary skills to regulate the appetite for validation. Given prolonged exposure to biological, familial, and societal invalidation in childhood, many of LGBTQ individuals struggle with regulating the appetite for validation, and, as a result, often demonstrate great difficulty in creating and maintaining long term, stable, and loving relationships. While in treatment for addiction and/or mental health issues, the healthy evolution of these individuals often takes them through a 3-stage model progressive development of skills to effectively regulate the hunger for validation. As a result, as these individuals become sober and healthier, the behaviors associated with excessively seeking validation diminish. This often causes existing relationships to fail, and ultimately leads to the formation of new stable and loving relationships, which are based on mutuality and loving support.

    3:30–5:00pm Concurrent Workshops
    Risky Business: Working with Compulsive and Self-Endangering Behavior in Trauma Survivors
    John Briere, PhD

    Survivors of trauma and early attachment disturbance are at elevated risk of a variety of risky behaviors, ranging from suicidality and self-injury to substance abuse, indiscriminate sexual activities, and binge eating. Calling on his upcoming book, Treating Risky and Compulsive Behavior in Trauma Survivors, John Briere presents an integrated approach to self-endangering behavior, with techniques and approaches such as mindfulness, metacognitive awareness, emotion “surfing,” sequential memory processing, in vivo treatment of implicit memory activations, harm reduction, and trigger management.

    The Social Atom
    Tian Dayton, MA, PhD, TEP

    The social atom is a fluid, user friendly, diagnostic instrument that provides significant information about the family structure. The social atom, which influenced the genogram, reveals not only family relationships, but more complete networks, including friends, groups, etc., along with their underlying features of relatedness. This expansiveness makes it an ideal instrument for treatment, hovering somewhere between a genogram and a family map. The social atom can be used on paper in one-to-one or group settings, to assess/focus and be a springboard for discussion, or it can be moved into sculpturing and/or psychodramatic enactment. In this experiential workshop, we will learn how to create a social atom, how to use it as a paper and pencil instrument, and how to move it into a family sculpture/psychodrama.

    Imitation Intimacy: Hook-ups and the Rise of Depression Among Gay Men
    Alan Downs, PhD

    Rates of depression and addiction among gay men in the United States have steadily increased and primary relationship tenure has decreased over past decade. During this same period of time, gay marriage was legalized and the “hub” of social interaction moved from the traditional gay bar to cell phone apps. The widespread use of cell phone apps as a social outlet for the majority of gay men has changed the structure of the gay community in significant ways, and has resulted in the development of virtual intimacy and community. While the virtual versions of intimacy and community do seem to satisfy the immediate need for social interaction and support, they are often temporary and lacking in stability over time. In addition, they have given rise to a new form of relational trauma called “ghosting,” where one party of a virtual relationship completely disappears (using such processes known as “blocking” and “profile switching”), often with no explanation and little warning. In turn, there has been a marked increase in the belief among many gay men that relationships are strictly “transactional,” which subsequently causes a failure to form healthy, strong, and stable attachments to others.

    Participants will be able:
    1. To identify state of the art treatment approaches for successfully treating trauma, disrupted attachment and bonding, intimacy and relationship complications, addictive disorders and other psychological and behavioral issues.
    2. To identify symptoms and characteristics manifested in these disorders and to diminish/correct their negative impact on the client’s interpersonal and family relationships.
    3. To identify the key implications of neuroscience research as it applies to trauma, addictive disorders and other critical problem areas of psychotherapy.
    4. To identify the relationship and impact of trauma to addictive and compulsive processes with treatment considerations.

    Program Focus
    This International Conference on Trauma and Addiction brings together world-renowned researchers, authors, clinicians and trainers to review and discuss the interaction between trauma, chemical and behavioral addictions, and psychiatric illnesses. In a series of of plenary sessions, along with focused in-depth workshops, this gathering of health professionals —- hosted by Meadows Behavioral Healthcare in Scottsdale, Arizona — will focus on the interaction of attachments, neurobiology, and the developmental aspects of trauma’s effects on people. Experts will review what have learned about the ways the brain is shaped by traumatic experiences, how traumatic stress is a response of the entire organism, and how that knowledge needs to be integrated into healing practices.

    Who Should Attend?
    The training will be valuable for those working in the areas of:
    • Mental Health
    • Addictions Counseling
    • Marriage and Family Therapy
    • Psychology
    • School Counseling
    • Registered Nursing
    • Courts and Corrections
    • Prevention
    • EmployeeAssistance
    • And Others Fields

    Conference Site

    DoubleTree Resort by Hilton Hotel Paradise Valley - Scottsdale
    5401 N. Scottsdale Rd., Scottsdale, Arizona, 85250-7090

    Located minutes from downtown Scottsdale, Arizona and 12 miles from Phoenix Sky Harbor International Airport, the newly renovated DoubleTree Resort by Hilton Paradise Valley – Scottsdale offers a warm welcome and comfortable stay in tranquil surroundings. The property is beautifully landscaped and surrounded by lavish courtyards, cacti and palm trees.

    Guests can enjoy a range of amenities at the resort without any resort fees. Attendees can swim in one of two outdoor pools, work out in the health club or enjoy a game of tennis or basketball. This property offers a prime location in the heart of the city. Just steps from the hotel are great dining, nightlife and shopping options in Old Town.

    US Journal has reserved a block of rooms for registrants until December 15, 2018. There is a strong possibility that the room block will fill prior to that date. Room rates at the DoubleTree by Hilton Paradise Valley, Scottsdale are $199.00 single/double (plus tax). Reservations must be guaranteed with a credit card. For reservations call (866) 866-8107. To receive the conference rate mention US Journal Training or hotel code UJT. Please be aware of hotel’s cancellation policy.


     Getting to Scottsdale
    From Sky Harbor Airport: The Super Shuttle transportation for the DoubleTree by Hilton Paradise Valley,  Scottsdale is currently $16.00 one-way or $30.00 round trip if booked online. Prices are subject to change. Call (800) 258-3826 or (602) 232-4610 to make reservations or you may also make reservations online at www.supershuttle.com (24 hour advance notice is required for return to airport). Taxis are also available.

    Claudia Black, PhD
    Clinical architect of the Claudia Black Young Adult Center at The Meadows. She works with their team assessing and enhancing the quality of the program. She is a Senior Fellow and a clinical consultant at The Meadows Treatment Center in Arizona since 1998. Her seminal work with children impacted by
    John Briere, PhD
    Associate Professor Psychiatry at the Keck School of Medicine, University of Southern California, and Director of the USC Adolescent Trauma Training Center of the National Child Traumatic Stress Network. He is recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology f
    Jon Caldwell, DO, PhD
    Board certified psychiatrist who specializes in the treatment of adults who have experienced relational trauma and addictive behaviors. He currently works full-time as a psychiatrist at The Meadows treatment center in Wickenberg, Arizona.
    Patrick Carnes, PhD
    Founder of Gentle Path at The Meadows, Patrick Carnes is a world-renowned speaker and author on sex addiction and treatment. Dr. Carnes pioneered the founding of the International Institute for Trauma and Addiction Professionals (IITAP), which specializes in training Certified Sex Addiction Therapis
    Stefanie Carnes, PhD
    A licensed marriage and family therapist and an AAMFT-approved supervisor, Dr. Carnes' area of expertise includes working with patients and families struggling with multiple addictions such as sexual addiction, eating disorders and chemical dependency. Dr. Carnes is also a certified sex addiction th
    Tian Dayton, PhD, TEP
    Tian Dayton, PhD, TEP, is a senior fellow at The Meadows Treatment Center and a national speaker on the subjects of psychodrama, trauma, and addiction. Dr. Dayton is the author of sixteen books, including The ACoA Trauma Syndrome, Emotional Sobriety, Trauma and Addiction, Forgiving and Moving On, Ne
    Janina Fisher, PhD
    Licensed Clinical Psychologist and Instructor at the Trauma Center, an outpatient clinic and research center founded by Bessel van der Kolk. Known for her expertise as both a clinician and consultant, she is also past president of the New England Society for the Treatment of Trauma and Dissociation,
    Mark Gold, MD
    Mark Gold is a translational researcher, author and inventor best known for his work on the brain systems underlying the effects of opiate drugs, cocaine and food. He has published over 1000 peer reviewed scientific articles, texts, and practice guidelines, including citation classics in cocaine
    Kristin Kirkpatrick , MS, RDN
    The Lead dietitian and manager of Wellness Nutrition Services at the Cleveland Clinic Wellness Institute in Cleveland, Ohio.  She is a best-selling author, an experienced presenter, and an award winning Dietitian.  Kristin has been seen on both local and national shows such as the TODAY show, NB
    Leanne Lemire, MSW, LCSW
    Clinical Director of the Claudia Black Young Adult Center. Her specialty focus is with trauma resolution, addictive disorder, and complex psychiatric disorders among young adults. Her training includes: Pia Mellody’s Post Induction Training, Sensorimotor Psychotherapy, Somatic Experiencing, Low and
    Peter Levine, PhD
    Developer of Somatic Experiencing® a naturalistic and neurobiological, approach to healing trauma which he has developed during the past 45 years. This work has been taught to 30,000 therapists in 43 countries. Dr. Levine has received the Lifetime Achievement award from the US Association for Bo
    Kevin McCauley, MD
    Dr. McCauley is the Director of Clinical Services, New Roads Treatment Centers, Sandy, Utah.
    Barbara Nosal, PhD, LMFT, LAADC
    Barbara Nosal has worked in the mental health and addiction treatment field with adolescents and their families for over 20 years. She has held managerial and clinical positions in a variety of treatment settings, including a private practice in Newport Beach. She holds a doctorate in Transpersonal

    Board Approvals

     21 HOURS Full Time Conference January 17–19
    (6 Hours for Th, F, S and 1.5 optional evening hours for Thursday and  1.5 optional evening hours for Friday)


    American Psychological Association (APA)
    US Journal Training, Inc., is approved by the American Psychological Association (APA) to sponsor Continuing Education for psychologists. US Journal Training, Inc. maintains responsibility for this program and its content. 

    Association of Social Work Boards Approved Continuing Education (ACE)
    US Journal Training, Inc., #1143 is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org through the Approved Continuing Education (ACE) Program. US Journal Training, Inc., maintains responsibility for the program. ASWB approval period: 12/5/16-12/5/19. Social workers should contact their regulatory board to determine course approval for continuing education credits.

    California Association of Marriage and Family Therapists
    Provider #56349 U.S. Journal Training is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LCSWs, LPCCs and/or LEPs. U.S. Journal Training maintains responsibility for this program/course and its content. Course meet qualifications for up to 21 hours of continuing education credit for LMFTs, LCSWs, LPCCs and/or LEPs as required by the California Board of Behavioral Sciences.

    California Board of Registered Nursing (CBRN)
    California Board of Registered Nursing (CBRN). Provider #10512.

    California Consortium of Addiction Programs and Professionals (CCAPP-E1)
    California Consortium of Addiction Programs and Professionals, Provider approved by CCAPP-E1. Provider number OS-86-057-0518 FOR 21CEHs.

    Canadian Addiction Counselors Certification Federation (CACCF)
    Canadian Addiction Counselors Certification Federation (CACCF).

    Certification Board for Addiction Professionals of Florida (No. 17A)

    EAP Association/EACC-Program
    EAP Association/EACC-Program Approved

    Florida Board of Nursing
    Florida Board of Nursing. Provider #50-2076

    Florida Board of Clinical Social Work, Marriage/Family Therapy and Mental Health Counseling
    State of Florida Agency for Health Care Administration for Mental Health Counselors, Clinical Social Workers and Marriage/Family Therapists. Provider #50-2076.

    National Association of Alcoholism and Drug Abuse Counselors (NAADAC)
    National Association of Alcoholism and Drug Abuse Counselors (NAADAC). Approved Education Provider Program #10069.

    National Board for Certified Counselors (NBCC), ACEP No. 5130
    U.S. Journal Training, Inc. has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5130. Programs that do not qualify for NBCC credit are clearly identified. US Journal Training Inc. is solely responsible for all aspects of the programs.

    Full-Time conference attendees who complete all required evaluation and attendance documentation are eligible to receive the maximum number of contact hours. Daily registrants can receive credit for each day in attendance.

    Note: If you are seeking continuing education credit for a specialty not listed above, it is your responsibility to contact your licensing/certification board directly to determine eligibility of this training to meet your CEU requirement.

    ADA accommodations will be made in accordance with the law. If you require ADA accommodations, please indicate your needs by December 12, 2018. We cannot ensure the availability of appropriate accommodations without prior notification.

    Full-Time Registration (January 17-19, 2019)
    up to 22 hours
    Tuition: $495.00 Register by midnight (EST) December 10, 2018 for: $445.00
    Register Now Group Registration

    Daily Registration Thur., January 17, 2019
    6 core CEs
    Tuition: $175.00 Register by midnight (EST) December 10, 2018 for: $160.00
    Register Now Group Registration

    Daily Registration Fri., January 18, 2019
    6 core CEs
    Tuition: $175.00 Register by midnight (EST) December 10, 2018 for: $160.00
    Register Now Group Registration

    Daily Registration Sat., January 19, 2019
    6 core CEs
    Tuition: $175.00 Register by midnight (EST) December 10, 2018 for: $160.00
    Register Now Group Registration

    Early Registration Rate:

    Registrations received or processed by midnight (EST) December 12, 2018 will qualify for the early rate.

    Group Discount:

    Groups of TWO or MORE registrations, entered on one order, receive a 10% Discount per registration! This offer applies to conference registrations only and cannot be combined with other discounts/coupon offers.


    All registration fees are refundable, less a $50.00 processing fee, when requests for cancellation are submitted in writing and postmarked by December 27. No refunds are available after December 27.

    Other ways to register:

    By Phone: 800-441-5569 or 954-360-0909. Please have your MC/Visa/AMEX number ready. (Business Hours are M-F, 8:30 am - 5:00 pm ET) 


    By FAX: 954-360-0034. You must first print out our Registration Form.  To do this, click on the Brochure Tab and print out the Registration form. Please make sure to include MC/Visa, AMEX number, exp. date, security code and signature.


    By Mail: Registration by mail requires check, credit card information or agency purchase order accompanied by a completed registration form. To get the Registration Form, click on the Brochure Tab and print out the form. If paying by credit card, please make sure to include MC/Visa, AMEX number, exp. date, security code and signature. If paying by check, please make check payable to: U.S. Journal Training, Inc.

    Mail to:
    U .S. Journal Training/Scottsdale
    3201 SW 15th St
    Deerfield Beach, FL 33442-8190

    When you provide a check for payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day you make your payment, and you will not receive your check back from your financial institution. For inquiries please call 954-360-0909.

    Your name and address will be added to our mailing list unless otherwise requested.

    ADA accommodation will be made in accordance with the law. If you require ADA accommodations, please indicate your needs no later than 5 weeks prior to the conference start date, USJT phone 800-851-9100. We cannot ensure the availability of appropriate accommodations without prior notification.

  • Conference Host

    Contributing Sponsor