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Risky Business: Working with Compulsive and Self-endangering Behaviours with Trauma Survivors

Presented by John Briere, Ph.D.

Thursday, November 14, 2019 – Friday, November 15, 2019  |  Richmond, bc

!  Important Notice:

Online registration is now CLOSED for this event. You can arrive up to one hour early to register for this event at the door.

Date & Location

Thursday, November 14, 2019 – Friday, November 15, 2019

9:00am – 4:00pm

Executive Hotel Vancouver Airport

7311 Westminster Hwy

Richmond, BC V6X 1A3

phone:  604.278.5555

website:  www.executivehotels.net/vancouver-airport-hotel/

 Full map & directions

Workshop Description

Survivors of trauma and early attachment disturbance are at elevated risk of a variety compulsive and self-endangering behaviors, ranging from suicidality and self-injury to substance abuse, indiscriminate sexual activities, and binge eating. Many of these difficulties are seen as symptoms of a personality disorder, behavioural addiction, or impulse control disorder. However, emerging research indicates that they are more accurately understood as coping/homeostatic responses to triggered childhood memories and inadequate emotional regulation capacities.

Calling on his upcoming book Triggered: An Integrated Approach to Trauma, Attachment Disturbance, and Risky Behavior (Guilford), John Briere presents an innovative, integrated approach to self-endangering behaviour, the compensatory avoidance model. Drawing on new research on memory reconsolidation, implicit processing, and revisions to habituation theory, this treatment system directly targets the memory/dysregulation dynamic, with interventions such as emotional regulation training; mindfulness, metacognitive awareness, and emotion surfing procedures; sequential memory processing; in vivo treatment of implicit memory activations; and harm reduction.

A new treatment component, trigger management, increases client autonomy, resilience, and problem-solving. Approaches to three risky behaviours will be presented in detail: self-injury, risky sexual behaviour, and bingeing and purging. Attendees will be provided with newly developed worksheets and assessment instruments that organize and inform the treatment process.

Recommended Reading


Workshop Topics:

Agenda & Learning Objectives

Day 1

Why self-endangering behaviour

  • Traditional models
  • Borderline Personality disorder, impulse control disorder(s), and behavioural addictions
  • Another (evidence-based) view: The Compensatory Avoidance Model (CAM)
  • Effects of childhood trauma and attachment disturbance
  • Fear structures, trauma schema, and conditioned emotional responses
  • Emotional dysregulation
  • Functions of Distress Reduction Behaviours (DRBs)

An overview of specific DRBs

  • Self-injury, risky sexual behaviour, bingeing and purging, reactive aggression, triggered suicidal behaviour, problem gambling, compulsive stealing, problematic internet use, compulsive buying, fire setting, hair pulling and skin picking
  • Non-DRBs that nevertheless involve maladaptive coping

Assessing DRB in context

  • Immediate risks and comorbidities
  • New assessment tools
  • Review of Distress Reduction Behaviours (R-DRB)
  • Function of Distress Reduction Behaviours (F-DRB)

Memories-to-Triggers Worksheet (MTW)

Safety, stabilization, and harm reduction

  • Environmental safety and stability
  • Safety from self-harm
  • Reducing the destabilizing effects of triggered states
  • Proactive resilience
  • Mitigating triggered distress
  • Harm reduction strategies

Acceptance and mindfulness

  • Settling, metacognitive awareness, and letting go
  • Urge and emotion surfing
  • Mindfulness applications of DRBs
  • A hybrid approach

Day 2

Trigger Management

  • Psychoeducation on triggers
  • Identification: Direct and indirect
  • Trigger linkage
  • Intervening in triggered states
  • Actions that immediately address triggered responses
  • Positive self-talk and metacognitive statements
  • Counter-behaviours
  • Pre-and post-trigger activities that decrease reactivity

RAINing for DRBs

  • Recognize
  • Allow
  • Investigate
  • Non-identify

Processing trauma-and-attachment-related memories

  • Emotional processing
  • Fear structure and trauma schema
  • What happened to habituation and how does this change?
  • Counter-conditioning
  • Implications of new reconsolidation research
  • Multiple memory targets: Sequential processing
  • Processing explicit versus implicit memories
  • Explicit → implicit
  • Direct implicit
  • In vivo processing of implicit memory
  • Steps of processing
  • Pre briefing
  • Exposure
  • Activation
  • Disparity/new information
  • Counter-conditioning/extinction
  • Debriefing/closure

Intervening in three forms of compensatory avoidance

  • Self-injury
  • Risky sexual behaviour
  • Food bingeing and purging

Learning Objectives

  1. Describe the Compensatory Avoidance Model (CAM)
  2. List four different distress reduction behaviours
  3. Outline the central components of trigger management
  4. Discuss the limitations of prolonged exposure and habituation
  5. Describe two ways in which implicit processing occurs in CAM-based therapy

Continuing Education Credits

This workshop has been formally approved by the following associations:
  • Canadian Addiction Counsellors Certification Federation (CACCF)
  • Canadian College of Professional Counsellors and Psychotherapists (CCPCP)
  • Canadian Counselling and Psychotherapy Association (CCPA)
  • Canadian Professional Counsellors Association (CPCA)
  • Canadian Psychological Association (CPA)
  • Employee Assistance Certification Commission (EACC)
  • Indigenous Certification Board of Canada (ICBOC)
  • Medical Psychotherapy Association Canada (MDPAC)
  • Ontario Association of Consultants, Counsellors, Psychometrists and Psychotherapists (OACCPP)
  • Ontario Expressive Arts Therapy Association (OEATA)

† The Alberta College of Social Workers (ACSW) and the Newfoundland and Labrador Association of Social Workers (NLASW) accept CPA-approved CEUs.

* Participants will receive a certificate of completion after every workshop. Workshops are pre-approved for 5.5 or 6 credits per day unless otherwise specified.

This workshop may be may be eligible for CEUs from the following associations:  Show more
  • Canadian Association of Social Workers (CASW)
  • Canadian Centre for Accreditation (CCA)
  • Canadian College of Professional Counsellor & Psychotherapists (CCPCP)
  • College of Registered Psychotherapists of Ontario (CRPO)
  • Ontario Association for Marriage and Family Therapy (OAMFT)
  • Ontario Association of Child and Youth Care (OACYC)
  • Ontario Association of Consultants, Counsellors, Psychometrists and Psychotherapists (OACCPP)
  • Ontario College of Social Workers and Social Service Workers (OCSWSSW)
  • Ontario Society of Psychotherapists (OSP)

* Please contact your accrediting body for more information on individual association requirements.

Your Presenter(s)

John Briere, Ph.D.

John Briere, Ph.D., is an Associate Professor of Psychiatry and Psychology at the Keck School of Medicine, University of Southern California, and Director of the USC Adolescent Trauma Training Center of the National Child Traumatic Stress Network.  A past president of the International Society for Traumatic Stress Studies, he is recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology from the American Psychological Association, the Robert S. Laufer Memorial Award for Scientific Achievement from ISTSS, and the William N. Friedrich Award for Outstanding Contribution to the Field of Child Psychology, from the Mayo Clinic.  He is author or co-author of over 120 articles and chapters, 15 books, and 9 trauma-related psychological tests. At USC, he teaches and consults in the burn unit, inpatient psychiatry, and emergency services.



“Dr. Briere engages very well with diverse audiences. John’s presentation skills are exceptional and I am grateful that he draws on stories, humour & everyday clinical experiences to connect with clinicians taking this workshop.”
– Dr. Jassal | Vancouver, BC | May 29-30, 2017


“Dr. Briere is an easy-to-listen to speaker. His knowledge is wide and he conveys it well. Humour helps a sometimes difficult topic. I am very glad I came to this workshop! Thank you.”
– Leana Brady-Algor | Vancouver, BC | May 29-30, 2017


“Very knowledgeable speaker, relatable with a great presence. I’m leaving this workshop with an understanding/working knowledge of complex trauma. More focus/time on strategies @ the end would have been helpful.”
– Edmonton, AB | May 31-June 1, 2017


Who Should Attend

Clinical Professionals: All mental health professionals including, but not limited to Clinical Counsellors, Psychologists, Psychotherapists, Social Workers, Nurses, Occupational Therapists, Hospice and Palliative Care Workers, School Counsellors, Youth Workers, Mental Health Workers, Addiction Specialists, Marital & Family Therapists, Speech Language Pathologists, Vocational Rehabilitation Consultants and all professionals looking to enhance their therapeutic skills.

Recommended Accommodation

Executive Hotel Vancouver Airport

7311 Westminster Hwy

Richmond, BC V6X 1A3

phone:  604.278.5555

website:  www.executivehotels.net/vancouver-airport-hotel/

 Full map & directions

Our rates:

For reservations, guests may call locally at 604-278-5555 or toll free at 1-800-663-2878 by mentioning the group name “Jack Hirose & Associates” or the group codes as follows:
Oct 23 – 25 … Event ID 81102
Nov 13 – 15 … Event ID 79484
Nov 25 – 26 … Event ID 79486
Nov 27 – 29 … Event ID 81272
Dec 2 – 4 … Event ID 83736

Room Type & Prices
Plaza / Courtyard Room- a queen bed or 2 double beds, mini-fridge
One-bedroom Condo Suite – a queen bed in master bedroom and a pullout sofa bed in living room, with full kitchen and in-room washer/dryer

October 23 – 25
Plaza – $189
Condo – $209

Plaza – $149
Condo – $179

December 2 – 4
Plaza – $159
Condo – $189


*please note, room reservations are subject to availability*

When booking hotel rooms, ask for the Jack Hirose and Associates corporate rate. To receive our corporate rate, rooms must be booked one month prior to the workshop date. Please keep in mind hotel rates may fluctuate.

Registration & Fees

Registration Early bird Fee Regular Fee
TRAUMA & ATTACHMENT Presented by Eboni Webb, Ph.D.
Individual Enrollment $249 $269
Group 3-7 $234 $254
Group 8-14 $219 $239
Group 15+ $204 $224
Full-Time Student $204 $224
Individual Enrollment $449 $469
Group 3-7 $429 $449
Group 8-14 $409 $429
Group 15+ $389 $409
Full-Time Student $389 $409
Attend Both Trauma Workshops and SAVE!
Individual Enrollment $619 $639
Group 3-7 $599 $619
Group 8-14 $579 $599
Group 15+ $559 $579
Full-Time Student $559 $579

All fees are in Canadian dollars ($CAD).

Fees do not include applicable taxes (5% GST).

Early bird cutoff date: November 11, 2019
The early bird date has passed. Regular rates apply.

Please review our Registration Terms and Conditions for information on our cancellation policy, payment policies, rebates, and more. You must agree to our Terms and Conditions to register for a workshop or conference.

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