Friday

Conference_2019_Webpage_Home_Header.png

Friday , June 26

All times are in Eastern time.

11:00 - 12:00 AM Breakout Session 1
 Neuroscience Track | Addiction Track 
Building Approach Motivation: Enhancing Wanting, Liking and Reward Learning
Presented by Gary G. Gintner, Ph.D., LPC-S, NCC
The brain has two major motivation systems with associated neural substrates: an approach motivation system designed to seek out reward and linked to positive emotions and an avoidance-motivation system aimed at responding to danger and associated with negative emotions. A range of disorders including anxiety disorders, depression, substance use disorders, schizophrenia and bipolar disorder show dysregulation in both of these systems which results in high levels of negative affect as well as dysregulated approach motivation (e.g., anhedonia, mania and substance use). While our current treatments do a good job of addressing negative emotions and avoidant coping, these treatments show minimal impact upon improving positive emotions and indices of approach motivation. This may be why treatment effects show poor durability over time. Guided by affective neuroscience, several treatment protocols have been tested that target components of approach motivation such as reward seeking (wanting), reward enjoyment (liking), and reward learning. The program reviews these treatments and discusses cognitive, behavioral and experiential techniques for cultivating reward sensitivity, enjoyment and engagement in rewarding experiences. Case examples are used to illustrate applications with clinical populations.
 Diversity Track | Couples & Family Track | Child & Adolescent Track
Empowering Transgender Youths and Their Families
Presented by April Megginson, PhD
Research indicates that transgender youths that are supported by family and/or school have a tremendous impact on their mental health (Reisner, 2015; Russell 2018). Transgender youth are far more likely than their non-transgender peers to experience depression at nearly four times the risk (Reisner, 2015). Understanding the unique needs of transgender youths can help mental health counselors effectively work with them and their families. The use of a chosen name being used in multiple contexts (school, home, work, & friends) led to a 29% decrease in suicidal ideation, and a 56% decrease in suicidal behavior (Russell, 2018). Yet, only 26 % of LGBTQ youth feel safe at school (Human Rights Campaign, 2018). For many transgender youth and their families the conflict between safety and living a genuine life is a central dilemma (Kreiger, 2017). Assisting transgender youths and their parents advocate for their needs at the school level can one of the most important treatment goals.
 Ethics Track | Technology Assisted Counseling Track
Engaged and Ethical Blogging for the Modern Counselor
Presented by Michele Kerulis, EdD and Jennifer Robertson
Mainstream media recognition of mental health issues has become more visible over the last few years. Celebrities, athletes, the British Royal Family, and popular news sites have a strong online presence and advocate for mental health awareness. Blogging has become a popular way for mental health professionals to share their ideas with the intention of helping people understand that they are not alone and to decrease stigma related to discussing mental health. The impact of topics like wellness, suicide prevention, relationships, violence, bullying, and aging have appeared online. Many counselors want to blog but are not sure how to start. In this interactive workshop, participants will learn from fellow counselors and an award-winning blogger and media specialist who will help them develop an outline of their first (or 10th!) blog. Steps to ethical blogging will be presented, including highlighting ethics codes, using peer reviewed references, and understanding your audience. Participants will also learn how to pitch ideas to media. Counselors who sign up will receive a download with additional tips that build on the information in the presentation. Come to this active workshop with your creativity and leave with a plan for your new blogging strategy.
 Integration Track
Interprofessional Education: Suicide Prevention in Integrated Care Settings
Presented by Amanda C. La Guardia, PhD, LPCC-S and Michael D. Brubaker, LICDC-CS and Benjamin Hearn, LPC
Health professions are rapidly shifting to competency-based models of training (e.g., Frank et al., 2010; Puntil, et al. 2013) wherein competencies are commonly characterized by specific quantifiable skills (Rodolfa et al., 2005, 2014). Competency-based training tends to focus on improvement of three domains: (1) factual knowledge, (2) attitudes, and (3) skill acquisition (as reflected by self-rated confidence/efficacy or expert-rated performance; Cramer et al., 2016; Frank et al., 2010; Rose, 2013). Several studies have examined preliminary effectiveness of competency-based training in suicide risk among psychology and psychiatry trainees. Two studies (McNiel et al., 2008; Hung et al. 2012) collectively evaluated workshop and standardized patient exercise modalities of training among psychiatric residents. McNiel et al. (2008) demonstrated resident improvement in documentation and learner confidence in working with suicidal patients. The rationale for suicide prevention training in the health professions is multifaceted. First, working with suicidal patients or clients is both common and potentially traumatic to health professionals (e.g., Baruch et al., 2013; Blau et al., 2013). Because the volume of suicides has steadily increased, all 50 states have adopted suicide prevention plans, resulting in suicide prevention programs in a variety of settings where a range of healthcare workers are employed, including educational, medical, mental health, and family service agencies (American Foundation for Suicide Prevention, AFSP, 2016). From a policy perspective, suicide prevention training is increasingly becoming a requirement for licensure or continuing education for many health professionals. The recent AFSP (2016) review of state laws concerning health professional suicide prevention training requirements show that six states currently require such training, with three others recommending it. Beyond legislative initiatives, many health and behavioral health training programs are integrating interprofessional education and training into coursework requirements. Overall, there is a clear and growing trend requiring interprofessional education in mental health and suicide prevention training for aspiring health professionals. This presentation will include current and relevant interdisciplinary research on competency-based training effectiveness regarding suicide prevention. Research results from institutional and community competency-based trainings will be integrated to highlight how interprofessional education can promote competency and professional self-efficacy in integrated care environments.
 Trauma Track | Integration Track
Sleeping with the Enemy: Identifying and Treating Trauma-Related Sleep Problems
Presented by David Engstrom, Ph.D., ABPP, DMHCS
Disturbed sleep, especially insomnia, is a major contributing factor to physical and mental illness. Sleep deprivation results in numerous costs to the individual and society. The components of "normal" sleep will be detailed, as well as definitions of insomnia and statistics regarding disturbed sleep in the US. The relationship between stress and insomnia will be discussed and connected to how overproduction of cortisol can disturb sleep, due to its physiologically arousing properties. It is reported that between 70-91% of clients with PTSD experience chronic insomnia, primarily due to their state of chronic arousal. Research has indicated that insomnia often arises in clients with a history of childhood maltreatment and trauma. Childhood maltreatment has been associated with elevated cortisol levels. One study shows that frequent experience of physical and/or emotional abuse led to clinically relevant sleep pathology over 200% higher than in those who reported no abuse. The prevalence of childhood abuse will be described and current assessment techniques will be explained, including the ACEs evaluation. Several sleep assessment tools will be provided to attendees including a basic Sleep Log or diary for clients to self-report their sleep patterns and the Pittsburgh Sleep Quality Index for more intensive evaluation of sleep problems. Ten basic rules of sleep hygiene will be outlined and reviewed in detail, with guidance for clients. The landmark "three P's" of treatment of insomnia will be presented for evaluation: Predisposing factors, Precipitating events and Perpetuating mechanisms. The question of whether to treat the insomnia directly or the traumatic experiences first will be discussed, with emphasis on the possibility that both can be treated simultaneously. Finally, several therapeutic techniques will be described and applied, including Cognitive Behavior Therapy for Insomnia (CBT-I), mindfulness-based treatment for insomnia, Trauma-Focused CBT (TF-CBT) and Dialectical Behavior Therapy for posttraumatic stress disorder related to childhood sexual abuse.
 Geriatric Track | Specialized Clinical Assessment
How to Become an Effective Clinical Mental Health Counselor in Geriatrics and Create a Successful Specialized Practice
Presented by Greggus Yahr, PhD, DCMHS
(This is built on in an extra session during the Friday keynote presentation from 1:00 - 2:30pm. It is not essential to attend both.)

What Are the Differences Between Alzheimer’s, Depression, Grief, and Normal Aging and does this matter, the simple answer is yes. The mental health of older Americans has been identified as a priority by the Healthy People 2010 objectives (1), the 2005 White House Conference on Aging (2), and the 1999 Surgeon General’s report on mental health (3). It is estimated that 20% of people age 55 years or older experience some type of mental health concern. Yet, as noted by the Geriatric Mental Health Foundations (4), the number of mental health providers skilled in geriatrics, even the rudimentary awareness of the differences between dementia's and other mental health issues, is significantly deficient to meet the needs of this rapidly expanding population. The most common conditions among seniors include anxiety, severe cognitive impairment, and mood disorders (i.e. depression or bipolar disorder) . Although the rate of older adults with depressive symptoms tends to increase with age, depression is not automatically a normal part of growing older, and its symptomology is often mistaken for early signs of Alzheimer’s or dementia by concerned family members, caregivers, & providers not skilled in "senior care" (5). The fear, the angst, the family distress that results from this too often quick jump into thinking their loved one is in the early stages leading to dementia is easily avoided with better training and more clinicians skilled in these areas. That is purpose of this presentation - to assist the mental health professional in being able to identify the basic differences between dementia(s), depression, and the typical grief and transition reactions by knowing: a) the key differences between them b) learning the relevant questions to ask in order to flesh out those core differences c) have a list of available resources to better serve the client and their families. (1) U.S. Department of Health and Human Services (2000). Healthy People 2010. Available at: http://www.health.gov/healthypeople. (2) U.S. Department of Health and Human Services (2006). 2005 White House Conference on Aging. Available at: http://www.whcoa.gov/index.asp . (3) U.S. Department of Health and Human Services (1999). Older Adults and Mental Health. In: Mental Health: A Report of the Surgeon General. Available at: http://www.surgeongeneral.gov/library/mentalhealth/chapter5/sec1.html (4) Geriatric Mental Health Foundation (2008). Depression in late life: not a natural part of aging. Available at: http://www.gmhfonline.org/gmhf/consumer/factsheets/depression_latelife.html (5) American Association of Geriatric Psychiatry (2008). Geriatrics and mental health—the facts. Available at: http://www.aagponline.org/prof/facts_mh.asp
1:00 - 2:30 PM Extra Session
 Geriatric Track | Specialized Clinical Assessment
What Are The Differences Between Alzheimer's, Aging, Depression & Grief
Presented by Greggus Yahr, PhD, DCMHS
(This session coincides with a keynote presentation. This extra session builds on the Breakout #1 session from 11:00am - 12:00pm. It is not essential to attend both.)

What Are the Differences Between Alzheimer’s, Depression, Grief, and Normal Aging and does this matter, the simple answer is yes. The mental health of older Americans has been identified as a priority by the Healthy People 2010 objectives (1), the 2005 White House Conference on Aging (2), and the 1999 Surgeon General’s report on mental health (3). It is estimated that 20% of people age 55 years or older experience some type of mental health concern. Yet, as noted by the Geriatric Mental Health Foundations (4), the number of mental health providers skilled in geriatrics, even the rudimentary awareness of the differences between dementia's and other mental health issues, is significantly deficient to meet the needs of this rapidly expanding population. The most common conditions among seniors include anxiety, severe cognitive impairment, and mood disorders (i.e. depression or bipolar disorder) . Although the rate of older adults with depressive symptoms tends to increase with age, depression is not automatically a normal part of growing older, and its symptomology is often mistaken for early signs of Alzheimer’s or dementia by concerned family members, caregivers, & providers not skilled in "senior care" (5). The fear, the angst, the family distress that results from this too often quick jump into thinking their loved one is in the early stages leading to dementia is easily avoided with better training and more clinicians skilled in these areas. That is purpose of this presentation - to assist the mental health professional in being able to identify the basic differences between dementia(s), depression, and the typical grief and transition reactions by knowing: a) the key differences between them b) learning the relevant questions to ask in order to flesh out those core differences c) have a list of available resources to better serve the client and their families. (1) U.S. Department of Health and Human Services (2000). Healthy People 2010. Available at: http://www.health.gov/healthypeople. (2) U.S. Department of Health and Human Services (2006). 2005 White House Conference on Aging. Available at: http://www.whcoa.gov/index.asp . (3) U.S. Department of Health and Human Services (1999). Older Adults and Mental Health. In: Mental Health: A Report of the Surgeon General. Available at: http://www.surgeongeneral.gov/library/mentalhealth/chapter5/sec1.html (4) Geriatric Mental Health Foundation (2008). Depression in late life: not a natural part of aging. Available at: http://www.gmhfonline.org/gmhf/consumer/factsheets/depression_latelife.html (5) American Association of Geriatric Psychiatry (2008). Geriatrics and mental health—the facts. Available at: http://www.aagponline.org/prof/facts_mh.asp
3:00 - 4:15 PM Breakout Session Number 2
 Couples & Family Track 
Building GREAT Relationships, A Dynamic Counseling Paradigm for Couples and Families
Presented by Gray Otis, PhD, LCMHC and Sandi Williams, MA, MS, LMFT
Clinical mental health counselors often deal with family issues that arise from couples' problematic patterns of interactions. These patterns often arise from each individual’s self-beliefs and traumatic reenactment. Underlying traumas cannot be resolved by simply improving the couple's communications. Counselors need to have a comprehensive approach to understand, diagnose, and treat underlying schemas. This program provides an approach to assess individual’s levels of distress that are reenacted in their relationships. The program offers an easily applied, quantitative assessment that measures five qualitative factors of relational effectiveness. This GREAT appraisal also becomes the basis for improving relationship quality. When combined with trauma resolution and emotional self-awareness skill building, couples can build on a foundation of empathic understanding that leads to greater personal and interpersonal satisfaction. This same template can also be used to improve parent-child relationships, extended family concerns, and effective workplace interactions. When individuals resolve past distress and learn how to be more interpersonally effective, every aspect of their heath and emotional wellbeing improves. Clinical mental health counselors who can demonstrate how to achieve these outcomes develop greater counseling skills that can be applied in virtually any counseling setting.
 Supervision Track 
Developing Resiliency in Counselors and Counselor Trainees
Presented by Lotes Nelson, PhD., LPC, ACS, NCC and Damion Cummins
Resilience is the ability to overcome adverse experiences (Rudzinski, McDonough, Strike, & Gartner, n.d.). Part of being a counselor is modeling and teaching resilience to clients, however, the query remains as to the helper’s ability to develop resiliency themselves. Resiliency is an integral concept in the role of mental health counselors. Counselor resiliency is important because of the emotional enormity of the work that counselors encounter on a daily basis. The purpose of this presentation is to discuss the relationship between resiliency, self-efficacy, and longevity of mental health counselors. The presenters will review the relationship between counselor well-being, self-care practices and burnout level. Likewise, the neglect in developing counselor resiliency will be explored. Counselors have the responsibility to evaluate their own capacity to effectively care for their clients and seek necessary assistance to build resilience. This session will review the implications for a strength-based approach as a necessity to remain effective in one’s role as a counselor. Consequently, when counselors fail to emphasize the strategies to increase their resilience level, their clients can be negatively affected by this negligence. Learning Objectives 1. This session will examine the relationship between counselors' resiliency and levels of burnout at different phases throughout their career 2. Session attendees will discuss and learn the common challenges that counselors’ experience in their clinical practice 3. Session attendees will engage in a self-care assessment to evaluate their current self-care practices 4. Begin to recognize signs of burnout and develop a self-care plan 5. Learn to effectively incorporate the concept of resiliency into their professional practice in working with clients..
 Diversity Track
Multicultural Orientation: Empowering Clients and Improving Outcomes
Presented by Sidney Shaw, EdD
This training will provide a brief review of research literature on multicultural counseling outcomes, review some strengths and limitations of Multicultural Counseling Competencies, and teach participants about Multicultural Orientation (MCO) and how to enact MCO in daily counseling practice. MCO consists of 3 pillars including cultural humility, cultural opportunities, and cultural comfort and several recent studies have shown MCO to be a good predictor of counseling outcomes (Hook et al., 2011; Owen et al., 2014; Owen et al., 2016). In this session, participants will learn hands-on strategies for increasing MCOs in their work with clients, increasing awareness of and reducing frequency of microaggressions in counseling, creating a culture of feedback, and improving their overall counseling effectiveness.
3:00 - 6:30 PM PLEASE NOTE: These breakouts span two sessions (3:00pm - 4:15pm and 5:00pm - 6:30pm). You must attend both sessions to receive full 2.75 CE credit.

 Addictions Track | Specialized Clinical Assessment Track
How to Use the Clinical Mental Health Counselor's Decision Matrix for Medical Marijuana
Presented by Aaron Norton, MA, LMHC, LMFT, MCAP, CRC, CFMHE, DCMHS
In the United States, medical marijuana is now broadly or partially legalized in 31 states, though it remains illegal under federal law. Variation in state and local laws can create confusion for mental health counselors. Additionally, many counselors were trained to be attuned to the dangers and drawbacks of potentially addictive substances such as marijuana, yet we also sometimes work with clients suffering from debilitating biomedical conditions who might benefit from medical marijuana. This training was designed to provide counselors with a decision tree for choosing an appropriate course of action when working with clients presenting with medical marijuana cards. PLEASE NOTE: This breakout spans two sessions (3:00pm - 4:15pm and 5:00pm - 6:30pm). You must attend both sessions to receive full 2.75 CE credit.

 Child & Adolescent Track
Mindfulness With Teens
Presented by David Flack, LMHC, SUDP
Research shows that practicing mindfulness can be extremely helpful to those challenged by depression, anxiety, trauma, substance use disorders, and more. In fact, mindfulness is an essential component of evidence-based practices such as Dialectical Behavior Therapy, Acceptance and Commitment Therapy, and Mindfulness Based Cognitive Therapy. However, the abstract nature of mindfulness can make it challenging to teach in ways that are meaningful and translate into the daily lives of many teen clients. In fact, those clients who would find mindfulness the most difficult to practice — due to significant impulse control issues, extreme hyper-vigilance, or chronic chaos-making behaviors — are generally the ones who would most benefit from it! Our task as helpers, then, is to present mindfulness in ways that are concrete, accessible, and provide obvious value. This workshop will focus on strategies for doing just that. Along the way, we’ll explore practical ideas for teaching mindfulness to teens, participate in several field-tested activities that make mindfulness concrete, review the evidence supporting clinical applications of mindfulness, and develop practical skills for integrating mindfulness into our own work as professional helpers. PLEASE NOTE: This breakout spans two sessions (3:00pm - 4:15pm and 5:00pm - 6:30pm). You must attend both sessions to receive full 2.75 CE credit.

 Trauma Track | Couples & Family Track
Trauma and Eating Disorders: Interventions Utilizing EMDR and Art Therapy Techniques
Presented by Marie Rothman, LPC-S
The presentation titled Trauma and Eating Disorders: Interventions Utilizing EMDR and Art Therapy Techniques, will explore the role that trauma plays in the formation and continuation of Eating Disorders, will provide an outline of the major types of eating disorders (as well as other DSM-V indicated Eating Disorders), will instruct clinicians on how they can assess for each disorder with clients, and will provide knowledge and skills required for clinicians to implement EMDR and Art Therapy technique interventions. The application of art therapy techniques and the extended resourcing in EMDR interventions enables the art created by clients to act as an intervention for body image issues by installing their positive beliefs portrayed in their artwork. Moreover, in managing negative beliefs, the clinician can desensitize the negative beliefs with another creative art technique called Storytelling. The client can draw a series of pictures surrounding the onset of the eating disorder with the emotional experiences and negative beliefs associated with that period of time to be desensitized and reprocessed through the EMDR model of therapy intervention. This presentation will show how this work can be used to assist in treating individuals, families, and couples. Included in this presentation is a practicum section for the clinicians/participants to acquire and strengthen skills learned that can be used when working with their clients who have experienced trauma and resulting Eating Disorders or body image issues. PLEASE NOTE: This breakout spans two sessions (3:00pm - 4:15pm and 5:00pm - 6:30pm). You must attend both sessions to receive full 2.75 CE credit.

5:00 - 6:30 PM Breakout Session 3

 Diversity Track | Trauma Track
"Why They Don't Come Back": Understanding and Challenging Barriers to Treatment When Counseling Minority Clients
Presented by Portia X. Allie-Turco, MS., LMHC, NCC
Studies indicate that fewer than half of all racial minority adults in the U.S. who experience a mental health disorder receive treatment. Within those racial minority individuals who do seek treatment between 50-60% terminate therapy after the first session even though the rate of need for services is higher. Historical, cultural and environmental factors that create barriers include: Inability to recognize and accept mental health problems; reluctance to discuss psychological distress; social stigma against mental illness; the relationship between the client and mental health provider; insensitivity about historical trauma; lack of clinical skills or awareness of dominant cultural messages, and implicit bias towards minority clients. This presentation will focus on historical, political and cultural barriers impacting access to mental health services for minority clients with a deeper exploration of how traditional counseling theories and concepts in mental health may be culturally incongruent and may promote early attrition by minorities. Mental health providers will evaluate their competencies and learn evidence-based strategies to deliver culturally sensitive care.

 Couples & Family Track
Infidelity: An Occupational Hazard
Presented by Talal H. Alsaleem, Psy.D, LMFT

The unique demands of certain occupations as well as the specific workplace culture can be a contributing factor to infidelity behavior. This workshop was created to explore the relationship between occupational stressors and the etiology of infidelity. The talk will also explore the role of socioeconomic factors such as education, income, level, and place of residence on the etiology of infidelity. Special attention will be dedicated to occupations that have high exposure to trauma. Completing this workshop will expand your understanding of the socioenvironmental factors that contribute to the etiology of infidelity and impact it’s treatment.
 Ethics Track | Technology Assisted Counseling Track
Innovation in Process: The Ethical Use of Social Media in Mental Health Counseling
Presented by Rebecca K. Rucker, MA, LPC-S, LMFT
Social networking is offering a number of new clinical and ethical challenges for mental health counselors. These challenges include extra-therapeutic contacts between counselors and their clients, questions of what distinguishes personal and professional activities online, and an evolving set of policies related to counselors’ online behaviors and interactions. This workshop offers an introduction to digital ethics and social networking sites and activities. The presenter provides guidelines for how to manage the concerns that may arise for mental health counselors who are using social media sites, especially Facebook and LinkedIn. Applicable ethical standards for professional counselors, marriage and family therapists, and social workers will be addressed. Participants will gain a keen understanding of how to ethically participate with social media in their practices. Program Goals: 1. Participants will become able to distinguish between one's personal and professional activities on the Internet. 2. Participants will identify the ethical challenges that may arise from engaging in activities on the Internet. 3. Participants will identify and describe social media sites and learn best practices for the use of two popular social media sites - Facebook and LinkedIn. 4. Participants will develop strategies for minimizing the risk of ethical violations on the Internet. 5. Participants will learn the relevant ethical issues that pertain to therapists' web sites and social networking profiles. Method of Presentation: The presenter provides didactic information about online transparency between counselors and clients in the digital age. Information is provided and participants engage in an exercise about the difference between digital natives and digital immigrants when delivering and promoting counseling services via the internet. Guidelines for the best practice approach to the use of the internet and social media services, especially Facebook and LinkedIn, are provided. Participants engage in an exercise to explore their own digital footprints on the Internet and are encouraged to discuss how this awareness informs their use of the internet and social media with their clients. The AMHCA ethical code and specific ethical best practice standards are discussed. Best practice guidelines are provided to increase the counselors' informed use of the internet and social media.