Schema Therapy: A Theoretical Introduction and Clinical Application in a Tr...

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Dilworth Center

2240 Park Road

Charlotte, NC 28203

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= = = WORKSHOP Overview Part One = = =

Schema Therapy: A Theoretical Introduction and Clinical Application in a Treatment Setting

Learn how Schema Therapy can help patients identify and address their core issues within a limited time frame and how Schema Therapy can be applied to 12 Step work going forward in recovery. Schemas are unhealthy patterns developed primarily in childhood, which persist into adulthood and negatively influence decision-making processes. They were developed by Dr. Jeffrey Young and Dr. Janet Klosko out of the cognitive behavioral school of psychology, built on a foundation established by Dr. Aaron Beck. Officially, their use in treatment is known as Schema-Focused Cognitive Therapy, and they combine elements of behavioral, experiential, interpersonal and psychoanalytic therapies into a single, unified model. Schema therapy is an effective tool for dealing with the emotional trauma in every addict’s life that remains once the drugs and/or alcohol are removed.

LEARNING OBJECTIVES:

  • What are Schemas (pronounced skee-mahs) and how they originate
  • The Difference between Unconditional and Conditional Schemas
  • The Schema Domains
  • Maladaptive Coping Styles: Surrender, Escape/Avoid, Counterattack
  • How Schemas relate to an inability to achieve/maintain sobriety and affect interpersonal relationships
  • How Schemas can be helpful in 12 Step work going forward


= = = WORKSHOP Overview Part Two = = =

A Family Sculpture: An Interactive Look at the Roles in a Dysfunctional Family System

A dysfunctional family is a family in which conflict, misbehavior, and often child neglect or abuse by the parents occurs continually and regularly, leading other family members to accommodate such actions. In the 1970’s, there were two therapists (Claudia Black, LCSW, Ph.D. and Sharon Wegschieder, MFCC) in different parts of the country, both working with children and conducting research. They, unknowingly, were making similar observations while working with children in therapy. They noticed that a lot of the children that they were seeing in therapy had one trait in common: an alcoholic parent. These two therapists later coined the phrase: Children of Alcoholics. This term applies not only to children of alcoholics/addicts, but also to children who grow up in the presence of any terminally ill, chronically ill, or psychiatrically ill parent or guardian. A Family Sculpture will educate and inform the audience on the roles found to be typical in families of Children of Alcoholics. We will discuss the role of The Addict, The Codependent, The Hero, The Hidden Child, and The Rebel. We will also learn how to identify these familial roles within the lives of our clients and how to help our clients implement healthy coping skills to facilitate change. This is an interactive lecture in which members of the audience will be asked to participate.

Learning Objectives:

  • Understand how Family Systems Theory relates to family roles in dysfunctional families
  • Recognize the importance of homeostasis in family dynamics and the resistance to change unhealthy patterns
  • Identify the generalized traits of each role in a dysfunctional family system
  • Explore ways in which these roles might be helpful in therapeutic practice with clients and their families



= = = WORKSHOP AGENDA = = =

8:30 am – 9:00 am | Check-in & Registration

9:00 am – 10:15 am | Schema Therapy

10:15 am – 10:30 am | BREAK

10:30 am – 11:30 am | Schema Therapy Continued

11:30 am – 1:00 pm | LUNCH ON YOUR OWN

1:00 pm – 2:45 pm | A Family Sculpture

2:45 pm – 3:00 pm | Workshop Wrap-up


We have applied to the NC Substance Abuse

Professional Practice Board (NCSAPPB) for

approval of 4 substance abuse specific credits.


About the presenters:

Ann “Nan” LaVecchia (SAP, LADAC II, NCAC I, CPRS, BA)

Nan LaVecchia has been part of the Cornerstone family for nearly a decade and has worked diligently to treat every patient seeking help and recovery with dignity and compassion. Nan worked her way up through the ranks of the Cornerstone therapeutic team, serving a variety of different programs while putting in the hours necessary to earn a number of credentials and licensures. Today, she’s a Licensed Alcohol and Drug Addiction Counselor (LADAC), a Substance Abuse Professional (SAP), a National Certified Addiction Counselor (NCAC), and a Certified Peer Recovery Specialist (CPRS), Nan currently serves as a Residential Program Coordinator for all participants in the Women’s Program, the Young Adult Program and the Recovery Renewal (Relapse) Program.

Nan also serves as the Aviation Program Coordinator for all aviation patients in the Residential and Intensive Outpatient Programs. She oversees clinical directives and patient care while keeping referral sources up to date on the progress of patients, ensuring all paperwork is filed properly, scheduling and participating in discharge calls, coordinating referral source visits, and addressing Aviation Program patient needs as they arise. Cornerstone has been one of the few drug and alcohol treatment centers in the nation that offers a program specifically for pilots, flight attendants air traffic controllers, mechanics and ground security coordinators, because the safety-sensitive nature of those jobs requires so much more than just rehabilitation.

A graduate of the College of Charleston, a mother, a former business owner in the private sector, and a person in recovery herself, Nan strives to provide a treatment experience which truly addresses the “whole” person by attending to the scope of emotional, physical, and spiritual needs often devastated by addiction. After beginning her own personal journey of recovery and being an alumnus of Cornerstone, Nan has remained passionate about helping individuals and families suffering from the disease of addiction to find recovery and witnessing the transformation in others.

Rachel Brown, LMSW

Rachel Brown, LMSW is a native of East Tennessee. She was raised in a loving environment that was also riddled with uncertainty and chaos, an often confusing combination. For years, Rachel struggled to find her identity, which lead down a path of substance abuse. After finding recovery in 2008, Rachel began her exploration of how the family dynamics she encountered as a child and adolescent influenced her as an adult. Rachel began working in the substance abuse field as a Residential Counselor in 2010. After working for several years in this position, Rachel decided to further her education and learn more about how family environments shape human beings. Rachel graduated with a Master’s Degree from The University of Tennessee College of Social Work in 2016. Currently Rachel provides therapy to patients in a dual-diagnosis residential treatment setting. Rachel’s primary theoretical approach is informed by an integration of Interpersonal Psychotherapy, Family Systems Theory, and Dialectical Behavioral Therapy (DBT). Rachel recognizes the impact of family roles and dynamics in her personal life, allowing her to help patients and their families recognize these roles in their own lives. Rachel interacts with patients in several ways, including conducting individual, group, and family psychotherapy sessions and leading a DBT Skills group. Rachel believes that learning about how family dynamics shape us can lead to acceptance and subsequent change of our current situation.


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Dilworth Center

2240 Park Road

Charlotte, NC 28203

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