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CBT-GSH for Eating Disorders – Why you need this modality in your toolkit

Presenter: Eva Vall
Updated Date: Tuesday 27 September 2022
3pm New Zealand; 1pm NSW, ACT, VIC, TAS, QLD; 12.30am SA, NT; 11am WA
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Time: 1.00pm AEST (1-hour duration)

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Dr Eva Vall has been working in the eating disorder field for over a decade. Her PhD examined predictors of treatment outcomes in individuals with an eating disorder. Dr Vall has worked in both public and private practice, and treated individuals in both intensive (hospital and day program) and outpatient treatment settings. Dr Vall currently sees individuals across the full spectrum of eating disorder diagnoses in her private practice. Alongside her clinical role, Dr Vall is heavily involved in the training and supervision of clinicians to upskill them in eating disorder assessment, diagnosis and treatment.

Webinar Overview: Guided Self Help (CBT-GSH) is a first-line treatment for adults presenting with non-underweight eating disorders. However, it is often underutilised, especially in private practice. A major benefit of CBT-GSH is that once set-up, it is less intensive to deliver than CBT-E, meaning it can be offered to more clients concurrently. A greater uptake in CBT-GSH could therefore help to address the current systemic delays for those seeking treatment, and help clinicians and services to better manage wait-lists. This Webinar will introduce the modality, describe its content, and provide clear guidelines for how it can be set up and applied across a range of treatment settings.

Webinar organised by Psychodynamic Special Interest Group
(For Psychodynamic SIG Members Only – Free to Attend)

Using Countertransference Reactions to Engage with Eating Disordered Clients with Severe and Chronic Shame and Self-Hatred

Presenter: Sue Austin
Date: Friday 11 November 2022
5pm New Zealand; 3pm NSW, ACT, VIC, TAS, 2:30pm
SA, NT, 2pm QLD; 12pm WA
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Time: 3.00pm AEST (2-hours duration)

Registration Link for this webinar will be posted on the SIG Forums wall.

Sue Austin works in private practice in Sydney and is a training analyst with the Australian and New Zealand Society of Jungian Analysts. She is also ANZAED Credentialled. Sue specialises in working with adults who have severe and chronic eating disorders and/or disorders of the self (i.e., people whose experience of subjectivity is abject) and her practice comprises general analytic work with adults and supervision of clinicians in Australia and internationally. She has run numerous clinical workshops and seminars in Australia, New Zealand, the UK, Europe and the USA. See http://www.sueaustin.net.au/ for further details.

Webinar Overview: The aim of this seminar is to provide a space where participants can sit further back in themselves than is usually possible in the consulting room and observe and think about their countertransference reactions to case material presented by a colleague. Being able to access this space is important because eating disorders can be understood as a pre-verbal / pre-symbolic attempt to express unbearable states of mental and emotional distress. From a psychodynamic perspective a patient can communicate these states by splitting them off and ‘transferring’ them, via their ‘transference’ to their therapist, who experiences their own response to these communications as their ‘countertransference’ reactions, such as feelings of intense frustration or being unable to stay awake. Sometimes this process is relatively transparent to the therapist but when working with people whose eating disorder is accompanied by severe and chronic shame and self-hatred, the therapist’s job of holding and thinking about the feelings and thoughts that have been transferred in this way can be extremely challenging. Developing a language with a patient which can be used to ‘talk towards’ the kind of distress that is communicated in this unconscious, body-to-body way often takes a long time and the therapist’s capacity to observe and think about their countertransference reactions is integral to it.

This seminar starts with two short exercises to: 1) establish a mindful space for reflection and 2) foreground a sensitivity to language and our choice of words. This is followed by the presentation of a case by a colleague. She/he and I will then discuss the case, slowing down and noting our countertransference reactions which we will use to try to imagine some the dynamics which shape this client’s inner life. These imaginings are treated as working hypotheses to be reality-tested against the client’s story and the clinician’s experience of working with them. The aim of working like this is to see if we can use our countertransference reactions to develop some threads of language or imagery which the clinician might, over time, be able to use to support the patient’s development of a sense of self, bearing in mind that this can also be experienced as extremely threatening by the patient.

Trauma and eating disorders: a treatment framework to guide practitioners

Presenter: Sharon Stern
Date: Tuesday 15 November 2022
8pm New Zealand; 6pm NSW, ACT, VIC, TAS, 5:30pm SA,
NT, 5pm QLD; 3pm WA
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Time: 1.00pm AEST (1-hour duration)

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Sharon Stern  is a clinical psychologist who has worked in the public and private sectors for over 20 years, and with people with eating disorders for over 11 years. While working across the spectrum of eating disordered presentations, Sharon became intrigued in the co-occurrence of eating disorders and trauma. Keen to know more, she took a deep dive into the world of complex trauma. Sharon trained in and explored Schema Therapy, DBT, EMDR, Somatic Experiencing, Internal Family Systems, the Theory of Structural Dissociation, Polyvagal Theory,  Relational Psychotherapy and psychedelic assisted therapy whilst building a practice with a specialisation in the treatment of complex trauma and eating disorders. Sharon currently co-chairs the Trauma and Eating Disorders Special Interest Group together with Dr Mandy Goldstein. She is passionate about developing and sharing her understanding of ways to treat complex trauma and eating disorders concurrently.

Webinar Overview: A substantial body of evidence suggests that people with eating disorders are likely to have experienced trauma. While many eating disorder and trauma practitioners acknowledge that this fits with their anecdotal experience, few may really feel confident in their ability to provide comprehensive treatment. This webinar will provide a treatment framework to help clinicians develop person-centred, trauma informed formulations for this population. It will highlight factors that hold special importance for this client group and explain how to prioritise treatment targets. Particular emphasis will be placed on how to ensure that treatment is trauma informed for clients where eating disorder symptoms require attention.

Webinar recordings

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