Treating Ego Fragility and Trauma w/ Attachment-Based ISTDP | Dr. Neborsky

This online, video-based therapy training will focus on AB-ISTDP's approach to treating ego fragility and post-traumatic phenomena, including structural dissociation.

Dr. Robert Neborsky will provide detailed video case examples highlighting how to assess, identify, and treat dysregulated forms of anxiety and other defenses which can impair a person's functioning. He'll show in detail how he helps a patient identify and re-channel their anxiety manifestations from cognitive-perceptual disruption and other parasympathetic nervous system manifestations (anxiety too high) into striated muscles and sympathetic nervous system manifestations (anxiety in a tolerable, therapeutic range). This technique which Dr. Neborskly calls "rerouting" will be discussed and compared with other "bracing" techniques in ISTDP.

In addition, Dr. Neborsky will discuss and demonstrate how AB-ISTDP works with post-traumatic phenomena, including aspects of structural dissociation to both process and reintegrate traumatic memories and experiences. One case he will show, called "The Woman Who Lost Herself in Psychoanalysis and Found Herself in ISTDP" involves a patient who recovered a traumatic memory of attempted murder by one of her parents. Attention will also be given to what Stephen Porges calls "freeze" responses: parasympathetic reactions involving immobility or paralysis resulting from experiences of extreme fear and trauma.

Overall, this will be a great opportunity to compare and contrast how AB-ISTDP works relative to other demonstrations of the graded format of ISTDP, as well as other approaches to treating traumatic stress.

Local participants are invited to gather for an in-person reception after the event at 4pm with Dr. Neborsky, Matt, and Tami, at Viewpoint Brewing Company: 2201 San Dieguito Dr., Suite D, Del Mar, CA 92014. This will be a great chance to network with other local ISTDP-interested colleagues. Drinks and food on your own. Space is limited. Please RSVP for the reception by emailing istdpsandiego@gmail.com so we can secure enough spots in the reservation.

This training is exclusively for licensed mental health and registered health professionals, including Psychiatrists, Psychologists, Social Workers, MFTs, Counselors, as well as Physicians, Nurses, Physical Therapists, etc. If you are not a mental health or health professional, you may not attend due to the protection of patient confidentiality. Students and trainees pursuing licensure or registration as a mental health or health professional under supervision are welcome. The course content level is Intermediate level.

6.5 Continuing Education credits are available for this event for an additional $50 (plus eventbrite transaction fees). Participants must have paid tuition fee, logged in and out each day, attended the entire webinar, and completed an evaluation to receive a certificate. Failure to log in or out will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available. There is no conflict of interest or commercial support for this program.

CE Certificates are only available for those who pay the additional CE add-on fee through Eventbrite.

Once the course is completed and attendance confirmed, an evaluation will be sent to you via email from Karen Newell at newell@sonic.net. Please contact her with any questions about CEs.

CUE Management Solutions, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. CUE Management Solutions, LLC maintains responsibility for this program and its content.

CUE Management Solutions, LLC is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0242.

Please Note: Licensing Boards change regulations often and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling.

CE Learning Objectives:

``1. Analyze video of a case of ego fragility and trauma.

2. Identify psychological factors involved in ego fragility and trauma.

3. Demonstrate how AB-ISTDP handles ego fragility and trauma.

4. Identify the curative processes in AB-ISTDP when working with ego fragility and trauma.

5. Apply learned techniques to better address ego fragility and trauma in therapist's own patients.

Schedule (in PST, add 3 hours for EST)

7-8:30am Introduction and didactic presentation

8:30-8:45am Morning break

8:45-10am Case presentation

10-11am Lunch break

11am-12:45pm Case presentation

12:45-1pm Afternoon break

1-2pm Case presentation

2-3pm Questions, reflection, discussion

If you have any questions or concerns, please contact the event organizers, Tami Chelew and Matt Jarvinen, at istdpsandiego@gmail.com.

And if you would like to attend, but need financial assistance, please let us know.

About The Presenter:

Robert J. Neborsky, M.D., is a psychiatrist in private practice in Del Mar, California, and a Clinical Professor of Psychiatry at UCSD School of Medicine as well as UCLA School of Medicine (Hon). He was a founding member on the Editorial Board of the International Journal of Short-Term Dynamic Psychotherapy. He served as guest editor of the Ad Hoc Bulletin of Short-Term Dynamic Psychotherapy. In 2003, Dr. Neborsky was honored by the UCLA School of Medicine clinical faculty association as the Distinguished Psychiatric Lecturer of the year for 2002. He is a graduate of the University of Maryland School of Medicine (1971) where he earned the Jacob Finesinger Award for excellence in Psychiatry. He interned in medicine at Grady Memorial Hospital in Atlanta and performed his Psychiatry Residency at Emory University (72-75) where he earned the Hope Skobba Memorial Award.

He served two years in the United States Navy at Balboa Naval Hospital in San Diego where he eventually oversaw the in-patient psychiatric care unit. While there he completed his research on “High Dose Low Dose Haloperidol Administration in Acute Psychosis” and published this important work win the Archives of General Psychiatry. Upon leaving the Navy, he joined the faculty of UCSD School of Medicine and ran the emergency psychiatric service at the VA Hospital in La Jolla California. Eventually he chaired undergraduate psychiatric education.

In 1981 he left the university for private practice where he helped found Tri City Hospital In Patient Psychiatry Service and later Charter Hospital. As part of his professional activities, he served as Medical Director of the Lifespan Learning Institute in Los Angeles and developed a strong research interest in attachment theory which he combined with his ongoing study and work in Short term Dynamic Psychotherapy with Habib Davanloo, MD.

In 2001, he co-authored Short-Term Therapy for Long Term Change (Norton) and is a contributing author in the 2003 book, Healing Trauma (Norton). In 2011 along with Josette ten Have de Labije he authored Roadmap to the Unconscious: Mastering Intensive Short-Term Dynamic Psychotherapy, Karnac Books (translated and published in Polish in 2017). In 2013 he published Predicting Attachment Status from Observation of a Clinical Intensive Psychotherapy Interview which was nominated for Progress in Psychology as one of the top articles of that year.: Recently the Second edition of The Collected Writings of Robert J. Neborsky was published by Itasca Books. (2018)

Dr. Neborsky’s professional activities include training students in the techniques of his unique Attachment-Based variety of Intensive Short-Term Dynamic Psychotherapy (IS-TDP), presenting at local, national and international symposia and seminars. He is one of the founders of ISTDP-UK (Bristol) and ISTDP-London and currently serves as a senior consultant to their training programs. Currently, along with Sharon Lewis, Psy.D, he is founder of ISTDP Finland in Helsinki, Finland.

His current research interests include examination of the interface between attachment theory, neuroscience, and psychotherapy. He is also exploring the application of ISTDP techniques to enhance recovery from traumatic brain injury and post concussive syndrome associated with post traumatic stress disorder. He is actively engaged in application of new therapies for Treatment Resistant Depression. In addition, he is refining techniques of repairing chronic overuse of the parasympathetic nervous system as a defective anxiety regulatory mechanism.

Most recently, he was a keynote presenter at the Polish Society for Integration of Psychotherapy in Warsaw, Poland in June 5, 2022 where he demonstrated this work. Next, He will be teaching “The Theory and Practice of Attachment Based ISTDP” www.istdp.com in a two day seminar in Helsinki, Finland in June 2023.