
Treatment of Severe and Persistent Mental Illness: working with Challenging Populations
February 10, 2023 @ 9:00 am - 12:00 pm
Treatment of Severe and Persistent Mental Illness: working with Challenging Populations
Friday, February 10, 2023
Registration 8:30am Program 9am to 12pm
Presented By: Steve S. Shapiro, Ph.D.
Location: Online Workshop
3 CE Credits
This webinar will focus on those who carry diagnoses such as chronic PTSD, severe personality disorder and severe/persistent mental illness. Participants will learn distinct skills to be able to intercede from the initial session to help create the safety and alliance necessary for patients to begin to risk connection. Participants will learn specific skills to restructure less mature defenses, regulate anxiety, increase emotional tolerance, improve reality testing, and develop a better capacity for self-observation.
The majority of teaching will be done using actual patient video demonstrations with ongoing narration from the presenter, microanalysis/discussion and question/answer periods to enhance practical skill building. While this type of work is difficult, with the right understanding and clinical toolkit, it can be extremely rewarding. These clients often have a long history of inpatient and outpatient treatment failures. Typically, they have been misunderstood, underserved, marginalized, blamed and abandoned. This webinar will focus on how to alleviate such suffering.
Objectives:
- List three indicators that anxiety is too high when working with patients with a trauma history.
- Identify three methods for regulating anxiety when it is too high.
- Identify when defenses reflect repression or splitting/projection.
- Describe three modified or graded techniques for restructuring defenses in those with a history of trauma

For 16 years, Dr. Shapiro was the Director of Psychology and Education at Montgomery County Emergency Service (MCES), an emergency psychiatric hospital, where he worked with a range of severe disorders and those committed involuntarily to treatment. This intensive experience has helped inform his approach to transforming resistance with challenging patients who have a history of trauma, a high degree of resistance, or excessive anxiety and dysregulation.
PSCP: The Psychology Network is approved by the American Psychological Association to sponsor continuing education for psychologists. PSCP: The Psychology network maintains responsibility for this program and its content.