Shame and Self-Loathing in the Treatment of Trauma

Dr. Janina Fisher
This program has limited CE approval, on a per session basis, for Live CE hours for the following:
CE Request Deadline
**CES MUST BE REQUESTED NO LATER THAN 30 DAYS AFTER THE LAST LIVE CALL (JULY 9th, 2023)**
- Session 1Apr 21, 20232 CEs
- Session 2May 5, 20232 CEs
- Session 3May 18, 20232 CEs
- Session 4May 26, 20232 CEs
- Session 5Jun 9, 20232 CEs
**YOU CAN ONLY EARN CES FOR THE CALLS YOU ATTEND LIVE FOR THE ENTIRE 2 HOUR DURATION.**
Continuing education credit is awarded on a session-by-session basis, with full attendance required for the sessions attended. The CE processing fee is $40.00, and may be paid with registration.
It is the participant’s responsibility to check if their state is approved for CEs. No refunds will be given on CE purchases for failure to check state approval. Please click on the Specific CE Information link below for more details.
Course Details

Janina Fisher, Ph.D. is a licensed Clinical Psychologist and Instructor at the Trauma Center, an outpatient clinic and research center founded by Bessel van der Kolk. Known for her expertise as both a therapist and consultant, she is also a past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, a faculty member of the Sensorimotor Psychotherapy Institute, and a former Instructor, Harvard Medical School. Dr. Fisher has been an invited speaker at the Cape Cod Institute, Harvard Medical School Conference Series, the EMDR International Association Annual Conference, University of Wisconsin, University of Westminster in London, the Psychotraumatology Institute of Europe, and the Esalen Institute. Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of research and treatment and how to introduce these newer trauma treatment paradigms in traditional therapeutic approaches.
Shame and Self-Loathing in the Treatment of Trauma
The traumatic legacy of shame prevents many clients from achieving full recovery and relief. Their feelings of worthlessness and inadequacy interfere with taking in any positive experiences, leaving only hopelessness. Attempts to increase their ability for self-assertion get undermined by beliefs that they do not deserve respect or care. Progress in the treatment or greater success in life often stimulate more shame rather than pride in their hard work. The client repeatedly takes two steps forward, then one step back.
This webinar series will introduce participants to understanding shame from a trauma perspective-as a survival strategy driving somatic responses of “total submission,” disconnection, and numbing. Therapists can help clients learn to relate to their shame with curiosity rather than self-hatred. Understanding the role of shame in surviving trauma opens up new treatment possibilities and interventions. When traditional psychodyanamic and cognitive-behavioral techniques are integrated with somatic interventions and a parts perspective, issues of shame can become an avenue to transformation rather than a source of stuckness in treatment.
IN THE TREATMENT OF TRAUMA
with Dr. Janina Fisher
Course Agenda
Live Online Zoom Session 1: Understanding Shame in the Context of Trauma – Friday, April 21, 2023 – 9-11am PDT – 2 CEs
Trauma-related shame is often a barrier to progress and resolution, evoked as much by positive experiences as by embarrassing ones. In a traumatic environment, shame is often an important component of the submission response and necessary for women and children who are powerless to defend themselves. Understanding shame as adaptive can begin to change a client’s relationship to shame responses.
Live Online Zoom Session 2: Shame, Cognitive Schemas, and the Body – Friday, May 5, 2023 – 9-11am PDT – 2 CEs
Human beings habitually attach words and meaning to their emotional and physical responses. The meaning attached to shame experiences reflect the trauma, resulting in cognitive schemas focused on worthlessness and defectiveness. Treating shame requires attention to both the physiological and the cognitive aspects.
Live Online Zoom Session 3: Mindfulness in the Treatment of Shame – Thursday, May 18, 2023- 9-11am PDT – 2 CEs
Mindful attention enhances clients’ ability to relate differently to both the physical and cognitive effects of shame. Research demonstrates that increased activity in the medial prefrontal cortex is associated with reduced activity in the amygdala, thereby regulating trauma responses. Helping clients learn to notice shame responses with interest and curiosity helps to regulate their intensity.
Live Online Zoom Session 4: Addressing Shame as a Child Part of the Self – Friday, May 26, 2023 – 9-11am PDT – 2 CEs
Another approach to shame is to treat it as a dissociative issue. Using the Structural Dissociation model (Van der Hart et al, 2006), the experience of shame can be understood as representing an internal conflict between an accusative judgmental part and an ashamed part, usually a traumatized child. By differentiating the intrusive negative thoughts from the painful emotional experience and by humanizing both parts, clients are better able to access compassion.
Live Online Zoom Session 5: Shame and Attachment – Friday, June 9, 2023 – 9-11am PDT – 2 CEs
Because shame responses originate in the context of traumatic attachment and are subcortical in nature, talking about a client’s shame often has little to no effect. Instead, a neurobiologically-informed approach emphasizes techniques drawn from the work of Allen Schore (2010) and Stephen Porges (2011). Implicit right brain exchanges are more helpful to shame clients than words of reassurance or clarification. Use of the social engagement system often has a beneficial effect on reducing shame.
Shame and Self-Loathing in the Treatment of Trauma
with Dr. Janina Fisher
Learning Objectives
Live Online Zoom Session 1: Understanding Shame in the Context of Trauma – Friday, April 21, 2023 – 9-11am PDT – 2 CEs
- Describe the biological role of shame and self-loathing in traumatic environments
- Identify the benefits of re-interpreting shame as a defensive response
- Utilize cognitive restructuring techniques to challenge habitual shame responses
Live Online Zoom Session 2: Shame, Cognitive Schemas, and the Body – Friday, May 5, 2023 – 9-11am PDT – 2 CEs
- Differentiate physiological shame responses from cognitive schemas
- Identify two mindfulness techniques for shifting shame-based beliefs
- Describe two Sensorimotor interventions for shifting shame states somatically
Live Online Zoom Session 3: Mindfulness in the Treatment of Shame – Thursday, May 18, 2023- 9-11am PDT – 2 CEs
- Identify the functions of the medial prefrontal cortex and effects of its activation
- Differentiate client thoughts, feelings, and physical reactions
- Describe two mindfulness-based techniques for regulating shame
Live Online Zoom Session 4: Addressing Shame as a Child Part of the Self – Friday, May 26, 2023 – 9-11am PDT – 2 CEs
- Define and describe the Structural Dissociation trauma model
- Identify two trauma-related parts that stimulate shame responses
- Articulate interventions for increasing client self-compassion
Live Online Zoom Session 5: Shame and Attachment – Friday, June 9, 2023 – 9-11am PDT – 2 CEs
- Define and describe ‘right brain to right brain communication’
- Articulate the polyvagal concept of social engagement
- Identify two techniques that increase social engagement responses
For beginner, intermediate or advanced mental health professionals including Social Workers, LPCs, and LMFTs.
Continuing Education
This program is co-sponsored by Academy of Therapy Wisdom and The Institute for Continuing Education. This five-part series offers 10.00 hrs. (2.00 hrs. per session).
Continuing education credit is awarded on a session-by-session basis, with full attendance required for the sessions attended. The CE processing fee is $40.00, and may be paid with registration. Application forms and other required CE materials will be available to participants by the Academy of Therapy Wisdom. If you have questions regarding the program, continuing education learning objectives, presenter bios, or grievance issues, contact The Institute at: 800-557-1950 / email: instconted@aol.com
NOTE: To receive continuing education credit, applicants must complete all CE materials comply with attendance regulations, and submit an evaluation form for the sessions attended.
NOTE: It is the responsibility of the attendee to determine if CE credit offered by The Institute for Continuing Education meets the regulations of their state licensing/certification board.
Psychology: Not offered for this training.
Counseling: The Institute for Continuing Education and the Academy of Therapy Wisdom are co-sponsors of this event. This co-sponsorship has been approved by NBCC. The Institute for Continuing Education is an NBCC approved continuing education provider, ACEP 5643. The Institute for Continuing Education is solely responsible for this program, including the awarding of NBCC credit.
New York: The Institute for Continuing Education is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. Provider MHC-0016.
Ohio Board Counseling/ Social Work: Ohio Board of Counseling and Social Work Board, Provider RCS 030001.
Social Work: This program has been approved for 2.00 hours per session for social work re-licensure, in accordance with 258 CMR, NASW-MA Chapter CE Approving Program.
New York: The Institute for Continuing Education is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers, Provider SW-0025.
Illinois Department Professional Regulation, Provider 159-6006.
Florida Dept. Health, Division Social work, Counseling, MFT, Provider BAP 255.
Ohio Board Counseling/ Social Work: Ohio Board of Counseling and Social Work Board, Provider RCS 030001.
New Jersey: This program has NOT been submitted for pre-approval to N. Jersey Board Social Work,
Marriage/Family Therapy: The Institute for Continuing Education is a recognized provider of continuing education by the Florida Department of Health, Division of Social Work, Counseling, MFT, Provider BAP 255, expiration 03/2025
New York The Institute for Continuing Education is recognized by the New York State Education Department’s State Board for Marriage-Family Therapy as an approved provider of continuing education for licensed MFTs, Provider MH-0012.
OHIO Board MFT, Provider: RTX 100501.
Illinois Board MFT, Provider: 168-000108.
California Professionals: The Institute for Continuing Education, Provider 56590, is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LCSWs, LPCCs. The Institute for Continuing Education maintains responsibility for this program and its content. This Course meets the qualifications for 2.00 hours of continuing education credit per session for LMFTs, LCSWs, LPCC, as required by the California Board of Behavioral Sciences.
Non-U.S. Professionals: The Institute for Continuing Education holds no CE provider status with any Canadian or other Non-U.S. licensing/certification boards. It is your responsibility to check the regulations of your licensing/certification board to determine CE requirements for training activities.
This course is $327. You can purchase it here.
CancellationIf you for some reason are not satisfied with the course you have 7 days from the first live call or your purchase date, whichever is later, to request a cancellation and refund. Please reach out to support@therapywisdom.com for help with any cancellations.
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This program is provided solely by the Academy of Therapy Wisdom and its teachers. There is no conflict of interest for this program.
Disability Access
If you require ADA accommodations please contact our office 30 days or more before the event. We cannot ensure accommodations without adequate prior notification.
Cancellation Policy
You may request a refund up to 7 days after your date of purchase. Please contact support@therapywisdom.com if you wish to cancel your purchase.
After 7 days from your date of purchase, you will no longer be eligible for a refund and will be responsible for the payment in full.
Grievance Policy
Grievances shall be submitted via the form found here and acknowledgement of receipt sent within 24 hours. The Program Administrator will review the grievance and respond back to the participant within 2 business days. Please use this form if you would like to submit a grievance with Academy of Therapy Wisdom for any of the following reasons:
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Additional Policies
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CE Expiration Date
The Live CEs will be available until 30 days after the last live call (through July 9th, 2023).
