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What to Do Now? How to Overcome Resistance in Treatment of Dissociative Children

This course was updated 79 days ago. If you're about to take the exam, you may benefit from reviewing the exam questions listed below before starting on the actual exam.

About the Course:

One of the biggest factors to successful treatment of children with disruptive behaviors and intense emotions is how to overcome resistance to treatment. Resistance is natural when change is required. Yet, underlying resistance is a fear of change and of the unknown that accompanies change. In particular, treating traumatized and dissociative children is an even more delicate and challenging process given the unique dynamics related to the child’s heightened sense of fear, the child’s often chaotic internal system and stress on the family environment. Therefore, a critical goal for the therapist is to be a master of overcoming resistance with children and their parents because that is often a primary cause for treatment failure

This workshop will examine five main factors that can influence resistance in treatment of dissociative children and adolescents: how safe the child feels in therapeutic relationship, how safe the child’s internal system feels toward one another and toward the therapist; how safe the child feels in his/her own environment, and contingent upon that is how open or resistant the parents are to receiving treatment for their own histories of trauma that interfere in the child’s safety, and finally, how the therapist manages countertransference’s to resistance. These obstacles can be narrowed down to emphasizing the goal of healing that can help to mitigate resistances. Many effective interventions and creative solutions will be described throughout the therapeutic process with case examples that will help to overcome the different levels of resistance and emphasize the goal of healing at critical junctures. Artwork and clinical videotapes will illustrate these points.

This course is based on the recorded webinar, What to Do Now? How to Overcome Resistance in Treatment of Dissociative Children created by Frances Waters, MSW, DCSW, LMSW, LMFT and Joyanna Silberg, PhD in 2020.

Publication Date:

May 2020

Course Material Authors

Frances Waters, MSW, DCSW, LMSW, LMFT

Frances S. Waters, DCSW, LMSW, LMFT, is an internationally recognized trainer, consultant, and clinician in the area of childhood trauma, abuse, and dissociation, and has presented extensively in five continents

Ms. Waters is the past President of The International Society for the Study of Trauma & Dissociation (ISSTD) and has served on many committees with ISSD, including currently co-chair of ISSTD’s Child & Adolescent Committee, and Faculty Director of the Child Adolescent Psychotherapy Training Programs. She also serves on Editorial Board of the Journal of Child & Adolescent Trauma, contributing guest editor for the Journal of Trauma and Dissociation, and on the national Advisory Board of the Leadership Council on Child Abuse and Interpersonal Violence.

Ms. Waters is author of Healing the Fracture Child: Diagnosing and Treating Dissociative Youth (2016) and has published many chapters and articles on childhood trauma and dissociation.

Ms. Waters is the executive producer of two training videos, The Traumatized Child: Understanding and Parenting the Traumatized Child, and Trauma & Dissociation in Children specifically geared toward child forensic evaluators and prosecutors.

Ms. Waters received the 2008 Media Award from American Professional Society on Abuse of Children for her production of Trauma and Dissociation in Children, and ISSTD’s Presidential Award for her faculty directorship of ISSTD’s Psychotherapy Training Course on Child & Adolescent Trauma and Dissociation. She is a fellow of ISSTD. She maintains a private practice in Marquette, MI.

Joyanna Silberg, PhD

Joyanna Silberg, Ph.D. is the Senior Consultant for Child and Adolescent Trauma at Sheppard Pratt Health System in Baltimore Maryland and the President of the Leadership Council on Child Abuse & Interpersonal Violence. Her psychotherapy practice specializes in children and adolescents suffering from dissociative symptoms and disorders, and her forensic practice specializes in child sexual abuse
She is past-president of the International Society for the Study of Trauma & Dissociation (ISSTD) and recipient of the 1992 Walter P. Klopfer Award for her research, 1997 Cornelia Wilbur Award for clinical excellence, and the 2011 William Friedrich Award for work on Child Sexual Abuse. Silberg is the editor of The Dissociative Child (Sidran Press) and co-editor of Misinformation Concerning Child Sexual Abuse and Adult Survivors (Haworth Press). She received the Written Media award from ISST-D for her newest book The Child Survivor: Healing Developmental Trauma and Dissociation, which was released by Routledge Press in 2013, new edition, 2020,

Course Creator

Sandi Cardaman

Sandi Cardaman has been a Licensed Mental Health Counselor for more than 15 years. She has worked with eating disorders, domestic violence and clients who are working with the dependency system.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for intermediate levels of knowledge.

Course Objectives:

  1. Describe the dynamics involved in resistance to treatment with dissociative children

  2. Explain strategies to help mediate child’s resistance

  3. Discuss how to manage therapeutic countertransference to child or parent’s resistance to dissociative treatment

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Course Material

This material is available to purchase for $75. For your convenience, CE-Credit.com has arranged with ISSTD to make it available for purchase right here. » More info

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Course Number 102807
3 credit hours
Log in for credit hours relevant to your licensure.

  • Recorded Webinar
Exam Fee: $17.91 No exam fee with a membership package!
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1 member has taken this course