NCAMFT 2015 Annual Conference February 26 February 28, 2015 Embassy Suites 5400 John Q Hammons Dr. NW Concord, North Carolina

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1 NCAMFT 2015 Annual Conference February 26 February 28, 2015 Embassy Suites 5400 John Q Hammons Dr. NW Concord, North Carolina Conference Schedule Thursday, February 26, 2015 Pre-Conference Institutes (extra fees apply) 8:00 9:00 am Pre-Conference Registration Full Day Options: 9:00 12:00 and 1:30 3:30 (lunch on your own) 100 Supervision Refresher Course (ends at 3:30 pm) 9:00 12:00 noon Morning Sessions 101 Beyond Forgiveness in Couple Therapy: Repairing Broken Bonds and Rebuilding Trust with Emotionally Focused Therapy 102 Ethical Challenges Associated with Client-Therapist Sexual Attraction: Strategies and Tools for Clinicians and Supervisors 103 A Case Study: Using Emotionally Focused Therapy for the Treatment of Couples Presenting with Trauma and in the Process of Recovery from Addiction 104 Adolescent Non-Suicidal Self Injury (NSSI) 12:00 1:30 pm Lunch on your own 1:30 4:30 pm Afternoon Sessions 105 Getting up to Speed on the Revised Code of Ethics 106 Weighty Matters: Attachment-based Family Interventions for Childhood Obesity 107 From Trauma to Transformation: Symphonic Themes for Clinicians Treating Infidelity 108 Families at War: Helping Military Families Survive Deployment 109 Beyond the Pain: Treating Emotional, Physical and Cyber-Infidelity 4:30 5:30 pm Early Conference Registration 6:00 10:00 pm Board Meeting (open to all members) Tracy Todd, Executive Director, AAMFT will be presenting on the restructuring of AAMFT

2 Thursday, February 26 Pre-Conference Options Full Day Options 100 Supervision Refresher Course Jeff Krepps, PhD, LMFT, AAMFT Approved Supervisor This course will cover a review of the supervision literature from the past five years; ethical principles and dilemmas that frequently arise in supervision; the development of supervision contracts; discussion of cultural, gender, and socioeconomic issues in therapy and supervision; and a review of the responsibilities and potential liabilities for supervision mentoring. This course has been pre-approved by AAMFT to meet the requirement of mandatory continuing education for approved supervisors. Required Reading: Approved Supervisor Designation Standards and Responsibilities Handbook Available from AAMFT online at: AAMFT Code of Ethics Available from AAMFT online at: Morning 3 Hour Options 101 Beyond Forgiveness in Couple Therapy: Repairing Broken Bonds and Rebuilding Trust with Emotionally Focused Therapy Lorrie Brubacher, MEd, LMFT, RMFT (Canada) Safety and trust can be shattered in a moment of injury. Wounds of infidelity block the repair of distressed couple relationships and create an impass to restoring trust. One of the best validated and most effective approaches to changing distressed couple relationships into secure, trusting bonds is Emotionally Focused Therapy (EFT), which is grounded in the science of love as supported by attachment theory and current neuroscience. Over 30 years of scientific research validates the success rate of EFT and shows its relapse rate is low compared to other couple therapies. In the ongoing development of EFT, practitioners discovered that specific kinds of wounds blocked the repair of distressed relationships and created an impass, where one partner absolutely refused to totally trust their partner again. In response, Dr. Sue Johnson together with Dr. Judy Makinen and colleagues developed a model for forgiveness and resolution. The Emotionally Focused Therapy Attachment Injury Resolution Model (AIRM) is empirically validated and effective in a three year follow-up study. Workshop participants will engage with adult love as an attachment bond via video clips and exercises. To set the stage for the EFT model of forgiveness, they will be guided kinesthetically through the EFT Hand-dance of relationship distress and repair. Previews of an interactive video training program developed to train therapists in the EFT AIRM, with sessions of real couples devastated by betrayal, exercises and fun songs, will give opportunity to follow and interact with the EFT process of moving beyond forgiveness to restoring trust. Learning objectives: 1. Define adult love as an attachment bond. 2. Identify how a betrayal of human connection shatters an attachment bond. 3. Explicitly track a negative cycle of interaction that set the stage for betrayal and that blocks re-building trust 4. Identify the steps in the EFT process of forgiveness and restoration of trust. 5. Use EFT interventions to: a. Facilitate increasingly deeper levels of experiencing b. Shape enactments that create forgiveness and reconciliation

3 102 Ethical Challenges Associated with Client Therapist Sexual Attraction: Strategies and Tools for Clinicians and Supervisors Michael D Howard, EdD, LPCS, LPC, LMFT, NCC, CCMHC, MAC, CSAT-S, CMAT-S What happens to the therapeutic process when a client is romantically or sexually attracted to their therapist? What if the therapist is romantically or sexually attracted to the client? This workshop will explore the ethical challenges of clienttherapist romantic and sexual attraction from the standpoint of the ethical guidelines of the AAMFT; as well as from the perspective of human sexual development, attachment theory, and personal vulnerability. This workshop will equip participants with tools that will enable them to develop increased self-awareness - to identify situations and individual characteristics that could make them more vulnerable to the ethical traps associated with attraction. This workshop will teach participants how to implement and enforce boundaries designed to protect them from the ethical minefield of romantic and sexual attraction in the clinical setting. With growing interest in issues related to social media and electronic communication, this workshop will unravel the pitfalls of client-therapist romantic and sexual attraction in the fast-paced world of modern technology. Through the use of case studies, participants will explore and discuss the different specific ethical challenges presented by clinical modalities such as individual therapy as opposed to couple, family, or group therapy. 1. Participants will gain a thorough understanding of ethical issues surrounding therapist-client sexual relationships as outlined in the various code of ethics 2. Participants will develop self-awareness of personal factors that could contribute to the likelihood of a therapist engaging in a sexual relationship with a client 3. Considering the physical, emotional, and spiritual aspects of sexual attraction, participants will develop a personal prevention plan designed to minimize the likelihood of a therapist-client sexual relationship occurring 4. Participants will explore and develop increased awareness of challenges of client-therapist romantic and sexual attraction as it relates to electronic communication and social media 5. Utilizing case studies, participants will develop an understanding of potential sexual attraction factors based on modality of therapy (individual, couple, family, and group) 103 A Case Study: Using Emotionally Focused Therapy for the Treatment of Couples Presenting with Trauma and in the Process of Recovery from Addiction Jessee Eppley, LMFTA, CSAT Candidate Emotionally focused therapy has been shown to be highly effective in working with couples struggling with high levels of trauma. It has also been shown to be contraindicative when working with couples where active addiction is present. In my experience working with couples around addiction and trauma, I have noticed an interesting dichotomy to the effectiveness of EFT with couples experiencing active addiction versus those who have an Addicted spouse who is in recovery. Due to the fact that the experience of discovering and living with the knowledge of having an addicted spouse can in itself be traumatizing, I believe that when a couple presents with one partner struggling with addiction there will quite often be another partner experiencing trauma.this presentation will demonstrate the benefits and challenges of using EFT when working with couples in recovery and particularly for couples experiencing both trauma and the realities of addiction. 1. Participants will gain an understanding of the effect of mixing trauma and addiction on a couple's relational cycle 2. Participants will be able to better distinguish between a couple in recovery versus those in active addiction, and the clinical implications for both. 3. Participants will gain knowledge around the benefit of the use of EFT with couples in recovery.

4 104 Adolescent Non-Suicidal Self Injury (NSSI) Michelle Parrom, MBA, LMFT, LPC Clinical Intern Self-harm is an outward expression of psychological distress to seek relief from a terrible state of mind. Non-Suicidal Self Injury (NSSI) is defined as self injurious behaviors including cutting, embedding objects under the skin, burning and hitting. This behavior is found among adolescents from ages 12 to 19 who are struggling with self-identity, peer pressures and social conformity. The etiology, prevalence and risk factors will be explored including social contagion, parental and family dysfunction, isolation, emotional dysregulation, and self-criticism. Social media s role in contributing to NSSI will also be briefly evaluated. DSM 5 criteria for NNSI will be reviewed as well as the poignant factors differentiating NSSI from suicidal ideation. Motivations for engaging in NNSI will be explored, together with potential single and co-morbid mental health diagnosis including, depression, bipolar, anxiety, borderline personality disorder, conduct disorder, PTSD and substance abuse. Common myths regarding NSSI will be debunked and empirical data shared. Therapeutic models including Dialectical Behavior Therapy (DBT) and Gestalt will be examined along with specific interventions and techniques along with their benefits. Individual and group therapy using mindfulness based exercises to create and enhance self-awareness with a focus on using a non-judgmental and accepting stance is paramount to therapeutic healing. Experiential group therapy will be reviewed using Gestalt techniques, and if time permits a group demonstration will be conducted. Recognizing the signs and risk factors of NSSI Differentiating between NSSI and Suicidal Ideation DSM 5 criteria for diagnosing NSSI Common mental health diagnosis that can accompany NSSI Effective therapeutic interventions for treating self injurious adolescents Benefits and risks of group therapy Afternoon 3 Hour Options 105 Getting up to Speed on the Revised Code of Ethics Laura Bryan, PhD, LMFT Susan Wilkie, PhD, LMFT, LPCS, NCSC This preconference institute will examine the recently revised AAMFT Code of Ethics, which goes into effect on January 1, There are a number of changes of which MFTs should be aware. In the first hour, participants will learn about the new additions to the Preamble, specifically the core values of AAMFT. Although these core values are intended to be aspirational and applicable to the professional organization, they are also intended to inform all the varieties of practice and service in which marriage and family therapists engage. Participants will have the opportunity to discuss these values and how they can expect to be applied in their own practice. During the second hour, participants will learn about the new Principle VI: Technology-Assisted Professional Services. Through lecture, discussion, and applied scenarios, participants will explore the ethical implications of using various electronic platforms. During the final hour of the preconference institute, participants will learn about the new Principle VII: Professional Evaluations. Through lecture, discussion, and application scenarios, participants will explore the ethical implications of providing testimony in various aspects of the legal system (e.g., forensic services, custody evaluation, etc.). Learning Objectives 1. Participants will learn about the addition of core values of AAMFT in the Preamble to the Revised Code of Ethics. 2. Participants will learn about the new Principle VI Technology-Assisted Professional Services in the Revised Code of Ethics. 3. Participants will learn about the new Principle VII Professional Evaluations in the Revised Code of Ethics.

5 106 Weighty Matters: Attachment-Based Family Interventions for Childhood Obesity Andrew Brimhall, PhD, LMFT, AAMFT Approved Supervisor Ashley Maag, MS Karen Vajda, BS Obesity and overweight in children and adolescents has been declared a worldwide epidemic and a public health crisis. Despite the pervasiveness of pediatric obesity, current treatment options are insufficient, as they do not attend to psychosocial and familial influences and/or consequences. Recently, researchers have found two important ingredients to successful pediatric obesity interventions: 1) early intervention, and 2) including family members, particularly the parents. Interventions that focus on family variables in the treatment of childhood obesity are few, and are only recently gaining attention. These recent studies that are considering family factors, have led to some interesting conclusions about the role of parent and child attachment styles in pediatric obesity development and treatment. Given that attachment style may have a significant impact on treatment outcomes, supplementing current pediatric obesity treatment with an attachmentbased intervention could promote more successful outcomes. One such attachment-based model of therapy, filial therapy, is specifically designed to address many of the needs outlined in the obesity literature. Filial therapy aims to enhance secure attachment, includes a relational/family component, and is specifically tailored for treating young children. Additionally, filial therapy is easily adapted to a wide variety of settings, is evidence-based, and is well-supported in the literature as an effective treatment with culturally diverse populations and low-income families. This workshop will present research examining pediatric obesity and family dynamics, explain the importance of attending to attachment styles and family dynamics when treating pediatric obesity, and will provide an overview of research, theory, and practice of filial therapy. 1. Participants will understand the main principles of attachment theory and how they are related to obesity in children and adolescents. 2. Participants will understand how family dynamics interface with, and often times reinforce, pediatric obesity 3. Participants will be introduced to Filial Therapy, an attachment -based intervention that has been empirically supported with several clinical and non-clinical populations across gender and ages. 107 From Trauma to Transformation: Symphonic Themes for Clinicians Treating Infidelity Carol Cullen, LMFT Christian Charette, LMFTA Everyone seems to agree, some of the most difficult cases a marriage and family therapist treats, are cases that involve infidelity in couple relationships. Sifting through the peer reviewed literature, reflecting on case experiences, and employing thematically the movements of a symphony, clinicians Carole Cullen, LMFT and Christian Charette, LMFTA reflectively offer a backdrop and a clinical reframe for approaching the treatment of infidelity. Perel (2010) found that five years after an affair, couple who both received treatment and also stayed together were either 1) stuck in the past and living a vengeful present or 2) living a bullish and avoidant life because of perceived commitments or 3) had used the affair as a catalyst to a transformed and satisfying relationship. Starting with these outcomes in mind, Cullen and Charlette offer a non-chronological and creative methodology for attending to the contextual needs of both partners, while avoiding the pitfalls of a victim mentality that so pervades the clinical literature and treatments of infidelity (Abrahamson et al., 2012). The combined presentation of fluidity and therapeutic movements, contextualizations, and challenging both the clinical biases and cultural assumptions, offers clinicians inspiration to observe closely and infuse with confidence their own therapist voice, while gaining creative confidence in their treatment choices. 1. Attending clinicians will be able to incorporate presentation themes into current and future cases dealing with infidelity. 2. Attending clinicians will be able to reflect on personal biases, assumptions and cultural contexts of both partners dealing with infidelity 3. Attending clinicians will increase their confidence level when treatment planning and treating couples with infidelity as their primary presenting problem.

6 108 Families at War: Helping Military Families Survive Deployment Stanley Hall, PhD, LMFT James L Machado Workman, MDiv, BCC Eric Jordan In the face of extended war, record high divorces, and combat stress, professionals need answers and directions for helping military families survive at home. Families in the military need clinicians who can talk them through gearing up for deployment, enduring the loneliness of being in-country, and adjusting to extreme changes after deployment. Clinicians who can walk families through the painful separation of deployment and brace them for challenges ahead may be the factor that helps the family stay together. Learn in this session what deployment stressors are most likely to impact military families, and what strategies clinicians can use to create a positive experience for the service members, spouses, children, and extended family. Using the most recent research, this session will discuss common issues like PTSD, TBI, depression, alcoholism, suicidality, isolation, and financial strain; but less known factors like moral injury, survivor s guilt, and adjusting to civilian life will also be addressed. Participants will be able to describe important factors that impact military families as they gear up for deployment, are deployed, and return from deployment. Participants will understand basic therapeutic strategies for helping non-deployed family members cope with the pains of pre-deployment, during-deployment, and post-deployment stress. Participants will be able to identify resources to help military families adjust after deployment. 109 Beyond the Pain: Treating Emotional, Physical and Cyber-Infidelity Michael Howard, EdD, LPCS, LPC, LMFT, NCC, CCMHC, MAC, CSAT-S, CMAT-S It is estimated that as many as 60% of all married men and 40% of all married women have had a physical or emotional affair. Given these statistics, it is likely that therapists will encounter couples in their clinical practice struggling with the physical, emotional, and spiritual aspects of these issues. Making treatment of infidelity even more difficult is the fact that approximately one in ten adults in America are addicted to sexual behavior. Some couples struggling with the pain of infidelity may actually be dealing with compulsive or addictive sexual behavior without even recognizing it as such. This workshop will explore the theoretical and conceptual aspects of both infidelity and sexual addiction. Specifically, it will examine the definition of infidelity and implications for couples in various types of committed relationships. Differences in the experience and treatment of emotional and physical infidelity will be explored, particularly as they relate to pornography, the internet, and technology. Variations in the perceived betrayal of each type of infidelity will also be explored, as well as the potential physical, emotional, and spiritual consequences resulting from them. Assessment considerations and accepted models for treatment of infidelity will be presented. 1. Participants will gain a deeper understanding of the similarities and differences between traditional and online infidelity, and the potential emotional impact of each. 2. Participants will gain a greater knowledge of the role sex addiction can play in online infidelity, including assessment and treatment issues. 3. Participants will gain a greater understanding of how different counseling modalities can be used to maximize recovery from online infidelity. 4. Participants will be able to gain a detailed understanding of clinical issues and treatment planning with clients recovering from betrayal.

7 NCAMFT 2014 Annual Conference February 28 March 1, 2014 Schedule Turning off the Turn On: Relational Therapies for Sexual Addictive and Compulsivity Friday, February 7, :30 8:30 am Registration Coffee & Juice (Hotel guests enjoy complimentary breakfast) 8:30 10:15 am Session I 10:15 10:30 am Break 10:30 12:15 pm Session II 12:15 1:30 pm Awards Luncheon 1:30 3:15 pm Session III 3:15 3:30 pm Break 3:30 5:15 pm Session IV Saturday, February 28, :30 8:30 am Registration Coffee & Juice (Hotel guests enjoy complimentary Breakfast) 8:30 10:15 am Session V 10:15 10:30 am Break 10:30 12:15 pm Session VI 12:15 1:30 pm Membership Meeting 1:30 3:15 pm Session VII 3:15 3:30 pm Break 3:30 5:15 pm Session VIII

8 Stefanie Carnes, PhD, became president of IITAP in November, She is a licensed marriage and family therapist and an AAMFT approved supervisor and speaks regularly at national conferences. Her area of expertise is working with patients and families struggling with multiple addictions, such as sexual addiction, eating disorders and chemical dependency. Dr. Carnes is also a certified sex addiction therapist and supervisor, specializing in therapy for couples and families struggling with sexual addiction. In the past, Dr. Carnes has served as the director of several residential addiction treatment programs, and has also served as a faculty member at numerous universities, including the University of San Diego. She is the author of numerous research articles and publications, including her books, Mending a Shattered Heart: A Guide for Partners of Sex Addicts and Facing Addiction: Starting Recovery from Alcohol and Drugs.

9 Miscellaneous Information Hotel Information All events will be held at the Embassy Suites in Concord, North Carolina. The Embassy has a block of rooms available for attendees at the rate of $ single/double. Room reservations must be made by January 26, 2015 by calling the Hotel directly at Individuals must identify themselves as being with the NCAMFT 2015 Conference at the time the reservation is made in order to receive the group rate. After this date rates and availability cannot be guaranteed. Book Sales General Book Sale featuring professional books of general interest. Used Book Sale all books will be sold for $5.00 each and all proceeds will go to NCAMFT. If you are interested in donating books for this sale, please contact the NCAMFT office at or cathywomack@customassociation.com. Continuing Education Information Thursday: A possibility of 6 hours can be earned depending on what sessions you choose. Friday and Saturday will give you an opportunity to earn up to 7 per day. You will get credit for any you attend. You must attend the entire day to get the maximum number of hours offered. You will be awarded the hours you attend. NBCC approval has been applied for. Please contact the office if you have any questions cathywomack@customassociation.com Refund Policy All requests for refunds must be sent in writing, by February 13, 2015, and are subject to a $30 cancellation fee. No refunds will be made after February 13, 2015 for any reason due to hotel meeting guarantees. For Additional Information Please Contact NCAMFT P O Box Raleigh, NC Phone: or toll free at cathywomack@customassociation.com Web Site:

10 NCAMFT 2015 Conference Registration Form PLEASE register online at Name (as you want it to appear on your badge PLEASE PRINT) Complete Address Preferred Phone Special Accommodations/Dietary Needs: Pre-Conference Institutes (February 26) All Day Session (Approved Supervisor Review) Postmarked by 2/1 After 2/1 Your Payment NCAMFT/AAMFT Clinical Fellow or Member $110 $120 $ Non-Members $125 $135 $ 3-Hour Sessions (indicate which session am pm ) NCAMFT/AAMFT Clinical Fellow or Member $55 each $60 each $ Non-Members $60 each $65 each $ Pre-Clinical Fellow/Associate Member $45 each $50 each $ Student Member $25 each $30 each $ Non-Member Student $30 each $35 each $ Conference Registration (Friday and Saturday, February 27 February 28) Postmarked by 2/1 After 2/1 Your Payment NCAMFT/AAMFT Clinical Fellow or Member r $220 $250 $ Non-Member $265 $295 $ Pre-Clinical Fellow/Associate Member $150 $180 $ Student Member $90 $120 $ Non-Member Student $110 $130 $ One Day Registration (please indicate Friday Saturday ) NCAMFT/AAMFT Clinical Fellow or Member $110 $140 $ Non-Members $135 $165 $ Pre-Clinical Fellow/Associate Member $75 $105 $ Student Member $45 $55 $ Non-Member Student $55 $65 $ Special Considerations Your Payment Sponsor-A-Student (send a student to the conference) $90 $ TOTAL PAID $ Make Check payable to: NCAMFT and mail to: P O Box 98073, Raleigh, NC Pay by Credit Card: (MasterCard or Visa) Card # Exp. Date Signature: 3-Digit security code: Billing Address is different than above: