Hidden Wounds of Trauma
Hidden Wounds of Trauma
Hidden Wounds of Trauma
WELCOME!
Connecting Knowledge With Need is our mission. Thank you for joining us today!
We’d love to hear where you are and what you’re learning. Share your photos by tagging us
and using #PESISeminar and/or #LearningWithPESI. You’ll receive a special offer each time!
And be sure to follow us for FREE tips, tools, and techniques.
@PESIinc www.pinterest.com/pesiinc
Rehab Kids
ZNM096328
11/23
Copyright © 2023
PESI, INC.
PO Box 1000
3839 White Ave.
Eau Claire, Wisconsin 54702
PESI, Inc. strives to obtain knowledgeable authors and faculty for its publications and
seminars. The clinical recommendations contained herein are the result of extensive
author research and review. Obviously, any recommendations for client care must be
held up against individual circumstances at hand. To the best of our knowledge any
recommendations included by the author reflect currently accepted practice. However,
these recommendations cannot be considered universal and complete. The authors
and publisher repudiate any responsibility for unfavorable effects that result from
information, recommendations, undetected omissions or errors. Professionals using
this publication should research other original sources of authority as well.
All members of the PESI, Inc. planning committee have provided disclosures of financial
relationships (including relevant 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 in activity advertising.
PESI, Inc. offers continuing education programs and products under the
brand names PESI HealthCare, PESI Rehab, PESI Kids, PESI Publishing,
PESI UK, PESI AU, and Psychotherapy Networker.
US Brands: www.pesi.com | (800) 844-8260
PESI UK: pesi.co.uk | 01235 847393
PESI AU: pesi.com.au | 1300 887 622
18pp
11/23
Rehab Kids
MATERIALS PROVIDED BY
For speaker disclosures, please see the faculty biography in activity advertising.
Materials that are included in this course may include interventions and modalities that are beyond the
authorized practice of certain 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 profession’s standards.
As required by several accrediting boards, speaker and
activity planning committee conflicts of interest
(including financial relationships with ineligible
organizations) were disclosed prior to the start of this
activity. To view disclosure information, please see
activity advertising.
Agenda
PART I: PART 4:
Existentialism and its unique contribution A step by step guide to treating self-loss
to psychotherapy in clients
PART 2: PART 5:
Self-loss– A hidden source of suffering Risks and Limitations
PART 3: PART 6:
Making sense of the Self Discussion; Q+A
1
Existential
Psychotherapy
Jean-Paul Sartre
(1905-1980)
“Man is condemned to be free; because
once thrown into the world, he is
responsible for everything he does.”
2
Albert Camus
(1913-1960)
“But in the end one needs more
courage to live than to kill himself.”
Freedom
What is Death
existential
therapy?
Meaninglessness
3
“Now, in logotherapy the
patient may remain sitting
erect, but he must hear things
which sometimes are very
disagreeable to hear.”
– Viktro Frankl, Man’s Search For Meaning
4
Dr. Sara Kuburic
10
5
What Makes
it Unique?
11
12
6
1. I am here; but can I truly be? Can I exist?
Am I privy to conditions and context that offer me safety,
support, space, and protection? Do I trust myself and the
world around me? Am I provided with basic human needs
that allow me to live? Can I accept my conditions?
13
Page 02
What or – more
accurately – who
are w e treating in
our sessions?
20
22
14
7
What is the "Self"
"Many of us waste our life never knowing who we are. We
constantly speak or act on behalf of the the “Self,” yet most of
us do not know our Self intimately enough to do so.
-- It's On Me, Sara Kuburic
20
22
15
Page 07
Three key
Freedom
ingredients
Responsibilty
of the "Self"
Choice
20
22
16
8
AUTHENTIC INAUTHENTIC
17
What is Self
loss?
18
9
PERSONAL EXPERIENCE
19
3 MAJOR CAUSES
OF SELF-LOSS 1 Life- altering events
Modelled behaviour
2
and family rules
3 Self- betrayal
20
10
Dr. Sara Kuburic
TRAUMA, ANXIETY,
AND DEPRESSION:
SELF-LOSS–CHICKEN
OR T H E EGG
21
Outer
pole
22
11
ROLE PLAY
How do our clients
participate in their self-
loss?
1. ictim
2. agent
3. both
23
24
12
Therapy: The relationship
between two Selves
The "Self" of the therapist
20
22
25
3 prerequisites
of the "Self"
26
13
What h a p p en s to the
Self during mental
health struggles?
1. Existential Crisis
2. Distress/adjustment
3. Limited autonomy/freedom
4. Disowning (potential self-loss)
20
22
27
How to spot
self-loss
narratives
patterns
reactions
28
14
Necessary skill set
(for clients)
self-awareness
honesty
safety
29
MENTAL DECLUTTERING
Three
EMOTIONAL AWARNESS
Treatment
Strategies BODY CONNECTION
30
15
BOUNDARY BOUNDARY
SETTING FOR SETTING FOR
PROTECTION CONNECTION
31
32
16
Case Study
Trauma, anxiety and self-loss
Identifying info: 28 y.o. Latino cis-male. American, first-
gen, first to go to college. Highly successful, lawyer at a
prestigious law firm in a large US city.
Presenting concern: Anxiety, interfering with work-
persistent worry about messing up, angering his boss,
pressure to out-perform other junior associates. Works
long hours, never gets enough sleep, not seeing friends,
distant from gf even though they live together.
Everything but work feels like an interference
Trauma hx: Strict household, punishments for small
infractions were severe and often physical
33
The work around identity is difficult and #1 challenge for therapists is not to If the therapist struggles with their own
often involves the process of impose their own values, beliefs, and sense of authenticity it might be
perception of who the client “should” difficult to guide others, or they may
deconstruction as well as reconstruction.
be. It’s our job to highlight for them the even get triggered by the process.
Depending on the client, there is a risk of freedom, responsibility, and choices
anxiety, depression, or potential they have and allow them to take
retraumatization. ownership.
34
17
LIMITATIONS IN THE STUDY OF SELF-LOSS
Q& A
36
18
NOTES
NOTES