The Goal: Fluidity of Spirit

1. Spectrum of Emotions Integrated Mind/Body Treatment Techniques Melissa Engle, MS, LPC, ATR Lakeside BHS Spring Conference Memphis, Tennessee May 15, 2015 The Goal: Fluidity of Spirit

2. MELISSA ENGLE, MS, LPC, ATR 1701 Gateway, Suite 349 Richardson, Texas 75080 Phone: 972-918-9588 Fax: 972-918-9069 e-mail: rossinst@rossinst.com www.rossinst.com

3. CORE CLINICAL ASSUMPTIONS • 1. Un-integrated sense of self • Dissociation between mind and body • Black and white thinking • Inability to recognize and or tolerate affect • Inability to recognize and or tolerate ambivalence • Treatment Focus- Integrative techniques focusing on: mind and body connection, education about feelings, affect management, containment and pacing, and desensitization.

4. CORE CLINICAL ASSUMPTIONS • 2. “It’s all about avoidance” • Dysfunctional affect management/symptom • Push feelings into the body/behaviors • “What problem does this symptom solve?” – not to feel. • Treatment Focus – Integrative techniques focusing on: embracing clients ambivalence, balance between anger and grief, desensitization, challenging treatment objectives and integrative statements.

5. LOC/egocentric thinking Suicidal Ideations Homicidal Ideations Self-Mutilation Medication Confusion Memories/Content Eating or Not Sex Flashbacks cognitive emotional Alter Egos Staying in the past VRP Triangle Externalizing OBJECTIVE – TO FEEL MY FEELINGSAND STAY SAFE WAYS TO AVOID FEELING

6. Fantasy internalizing Dissociation Humor Intellectualizing Somatization Anxiety OCD thinking & behaving Depersonalization Numbness Rage Sadness/Depression Isolation Black & White thinking Magical childlike thinking Terminally Unique OBJECTIVE – TO FEEL MY FEELINGSAND STAY SAFE WAYS TO AVOID FEELING

7. SPECTRUM OF EMOTIONS

8. SPECTRUM OF EMOTIONS