underlying trauma underlying triggers Not focusing enough oncalmingthe manipulation questioning hard-to-spot emotional gaslighting clients byInadvertently Pushing for reconciliation orfamilytherapy becauseyou can’treports diagnose NPD) No one’s anarcissist (dismissingclient problematic behaviors) Everyone’s anarcissist (over-pathologizing Potential and Missteps Traps to Avoid narcissistic abuse others, C-PTSD andothereffectsof difficultiestrusting Lack ofself-esteem, sheep, scapegoat, andinvisible child Family oforigin –thegoldenchild, black Friendships andfrenemies Co-parenting vs counter-parenting addiction Romantic/intimate relationships/sex Impacts and Relationships: Dynamics Narcissistic Abuse in Specific neglecting engulfingandignoring/ Subtypes: What isnarcissistic supply? manipulation andcoercion of andothertactics Gaslighting Cycle ofabuseinnarcissistic relationships vs. narcissistic abuse ofperpetratorsGoals ofemotionalabuse Treatment and Detection Impacting Similarities, Differences Tactics and Emotional Abuse: Narcissistic Abuse andGeneral narcissistic behavior anditsconsequences Psychoeducation aboutNPD, for survivors for NPD Narcissistic traits withoutmeetingcriteria ofnarcissisticThe traits spectrum andculturally acquiredSocial definitions Disorder for criteria DSM-5™ Narcissistic Personality Traits ofNarcissistic Spectrum the and Narcissistic A Clinician’s to Guide : Outline Objectives 6. 5. 4. 3. 2. 1. narcissistic abuse. Investigate thecurrent research andtreatment limitations of surrounding work withsurvivors Employ exercises communication ofnarcissistic skills. to abusebuildassertive helpsurvivors Analyze common inthetreatment mistakesmadeby ofnarcissistic practitioners abuse. ofsurvivors behavior in theirlives and recognize theconsequences. Employ in-sessionpsychoeducation approaches to helpclients become aware ofnarcissistic to recognize thesubtle signs that clients may bevictims. Differentiate narcissistic abusefrom otherforms of emotionalabuseto improve your ability relationships, friendships, andfamily relationships can leadto longterm effects for clients. Analyze how abuse from individualswithnarcissistic disorder personality inthecontext ofromantic Research, andtreatment risks limitations EMDR, SE, BSP, Gestalt Specific modalitiesto explore -AEDP, IFS, Is familytherapy advised? wounds childwork toInner healattachment withtheseclients working Trauma –anessential for competency Additional Approaches andConsiderations wishes regarding contact levelsExploring andclients’ ofcontact individual – strategies to helpclients betheirown andindividuation Building assertiveness of-Self Autonomy,Increased Sense- Agencyand Break theCycle through ofAbuse Victims ofNarcissistic Abuse in Therapy: A more detailedscheduleisavailable uponrequest. timesare lunchandbreak atActual thediscretion start ofthespeaker. There willbetwo 15-minbreaks (mid-morning&mid-afternoon). 4:00 11:50-1:00 Lunch 8:00 (Times listed inPacific) Live WebinarSchedule inevitable Coping strategies for is whencontact andsaying boundaries no Processing guilt/shameover setting relationship parameters theychoose to bestprotect themselves withinthe Developing healthy --how boundaries Cultural considerations sensitivity agency attends increasing autonomy and Prepare clientsthat foroften thebacklash cold, cruel, orharsh communication isharmful, assertive Counteract internalized messaging that aggression aggression, assertiveness, andpassive Teach clients to distinguishbetween goals own preferences, interests, desires, and Exercises to helpclients discover their Program begins Program ends Break

Free Infographic Solutions MadeEasy! Health Mental Crisis and Opioid pesi.com/1425infographic at today yours Get • CEhoursavailable • From 5to5000 • Easyremoteaccess • Customizable • ONLINEorin-person Narcissistic Abuse www.pesi.com/inhouse Registration includes FREE on-demand accessBONUS! –Registration for includesFREE on-demand 3months. Empower Clients to Break Free andRecover from Gaslighting, Emotional Manipulation www.pesi.com Group Training for Therapists LIVE Interactive Webinar Friday, 24,2021 September www.pesi.com Email: [email protected] Phone: (800)844-8260 Eau Claire, WI 54702-1000 P.O. Box 1000 PESI Vowles KE, McEntee ML,JulnesPS,Frohe T, NeyJP, ofopioidmisuse, DN.Rates van derGoes inchronic abuse, pain:asystematic andaddiction review anddata synthesis. Pain. 2015;156:569-576. Vivolo-Kantor, P, AM, Seth, Gladden,RM,etal. Vital Signs:Trends Overdoses--United Visits Opioid States, forSuspected 2017.Centers July2016-September for Department inEmergency DiseaseControl andPrevention The TreatmentCenter, Village,Recovery The Patterson, MSCP, NCC, LPC,Eric, Abuse,Retrieved Opiate from: https://drugabuse.com/library/opiate-abuse/#signs-and-symptoms PrescriptionNational Safety Council AbuseEpidemic;Painkillers (NSC), Drug Addiction, Overdose, Driving Retrieved from: http://www.nsc.org/learn/NSC-Initiatives/Pages/prescription-drug-abuse.aspx Crisis, Overdose National onDrugAbuse (NIH),Opioid (2018), Retrieved Institute from: https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis ofPrescriptionNational onDrugAbuse (NIH),Misuse Institute , (2018),Retrieved Drugs from: Blau,Max STAT forecast: could decade nearly500,000Americans Opioids kill inthenext , (2017),Retrieved from: https://www.statnews.com/2017/06/27/opioid-deaths-forecast/ A.Davis,Matthew MPH,PhD, Lewei A.Lin,MD, HaiyinLiu, MA D. andBrian Sites, MD, MS,Prescription UseamongAdults Opioid withMentalHealthDisorders intheUnited States, JAm Board Fam July-August Med 2017 George TP.Kosten TR, Dina Gusovsky, Americans Consume Vast oftheWorld’s Majority , 2016,Retrieved from: Opioids https://www.cnbc.com/2016/04/27/americans-consume-almost-all-of-the-global-opioid-supply.html CrisisFastCNN, Opioid Facts, (2018),Retrieved from: https://www.cnn.com/2017/09/18/health/opioid-crisis-fast-facts/index.html McCray,Chirlane Addiction IsaMentalHealthCrisis, Opioid NotaCrimeWave, (2017),NBCNews Retrieved from:Think, Centers for DiseaseControl andPrevention National (CDC)/NCHS, Vital Statistics System, Mortality. CDC Wonder, CDC;2017.Retrieved from: ofHealthandHumanServices, Atlanta, GA:USDepartment Centers for DiseaseControl Show Rapid, (2018),CDCNewsroom Data Increases Overdoses andPrevention inOpioid Release, Retrieved from: Department Emergency (CDC), Centers for DiseaseControl andPrevention CDCGuidelineforPrescribing (CDC), forChronic Opioids Pain, (2017),Retrieved from: https://www.cdc.gov/drugoverdose/prescribing/guideline.html RESOURCES HOW OPIOIDS WORKHOW Signals to theBrain AbnormalDiminished https://www.thetreatmentcenter.com/blog/understanding-opioid-receptors-the-opioid-system-and-the-risks-for-opioid-addiction/ https://www.drugabuse.gov/publications/research-reports/misuse-prescription-drugs/how-can-prescription-drug-misuse-be-prevented vol. 30no. 4407-417,Retrieved from: http://jabfm.org/content/30/4/407.full https://www.nbcnews.com/think/opinion/opioid-addiction-mental-health-crisis-not-crime-wave-ncna810506 https://wonder.cdc.gov. https://www.cdc.gov/media/releases/2018/p0306-vs-opioids-overdoses.html painkillers reported reported painkillers O 16% to theBrain Normal Signals friends orrelatives getting them from getting themfrom that useopioids Disorders HealthMental Adults that useopioids Disorders HealthMental Adults UseOpioid inAdults 70 Opioid TolerantOpioid Brain Normal Brain Activity of alltheopioidprescriptions intheUnited States of people who who of people have abused prescription prescription without with How theBrain Affect Opiates , Retrieved from: https://www.therecoveryvillage.com/opiate-addiction/how-opiates-affect-brain/#gref The neurobiology ofopioiddependence: implications fortreatment. Pract Sci Perspect, 2002,Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851054/ Understanding Opioid Receptors,Understanding Opioid Addiction System, The, Retrieved forOpioid from: Opioid andtheRisks

benefits and risks beforebenefits and increasing it. prescribing opioids, andthenreassess Begin withthelowest effective dosewhen Lower Doses (usually three days orless). severe enoughfor theiruseandnolonger Only prescribe opioidswhentheREpainis Prescribe Durations for Shorter outweigh therisks. Only prescribe opioidswhenthebenefits Weigh theBenefits opioid overdose. Learn andwatch for thesigns ofan Look for theSigns interactions withthemedication. Learn aboutthepossiblefood anddrug Watch outfor Interactions avoid opioids. Ask your for doctor alternative drugsto Ask for Alternatives (including pain) ofbodysignalsCarrier Neurotransmitters

VER death for Americans under50 Overdoses are now of theleadingcause 0 your continuing education needs. world to discover newtools andstrategies to helpimprove your outcomes practice andmeet one ofourlive seminarsinall50states, andyou anywhere canaccess inthe ourdigital library availablecontinuing for education library mental health,rehab andhealthcare. You canattend acquiring, developingandskills. andenhancingtheirknowledge We maintain themostrobust public , private industries, students andprofessionals andassistthemin As anon-profit , PESI’s missionisto provide education for thegeneral public, SEMINARS •ONLINECOURSES •EDUCATIONAL •PRODUCTS CERTIFICATION PREPARATION ABOUT PESI, INC % Patient Prescribed Opioids Medical ProfessionalsMedical O OPIOID the brain. the body’s signals normal to the opioidreceptors andsend Neurotransmitters to connect referred to asopioidtolerance. drugs justto feel normal. This is in aneedfor more opioid responsive withtime, resulting Opioid receptors become less 5 P overdose intheUnited States People diedin2016from adrug 64 to thebrain the neurotransmitters Forwards signals from ReceptorsOpioid

Opioid ReceptorsOpioid Drugs Opioid Neurotransmitters O 5%

I AND MENTAL HEALTH

O

P 01 20 15 10 I

P D I

O O S R as morphine, codeine andfentanyl. heroin andopium,prescription drugs, such pain. They includerecreational drugs, suchas Opioids

P I E & 236 MILLION D

I 80

O

V

M

I

S

E

D

E

18.7%

T N disorders receive have mental health of Americans who

,

N A

50% A Opioid Effect ontheBrain Effect Opioid

doctors in2016 doctors were by dispensed prescriptionsOpioid

T

T are ofmedicineusedto treat atype B Opioid WithdrawalOpioid Brain to theBrain Withdrawal Signals 000

to theBrain Abnormal Signals

T A

%

U

I

O

I

L S

seek treatment substance abusedisorder 1 outof10

S

E

provider for multipleprescriptions). (patients whomove from provider to misuse, abuse, and “doctor shopping” System (PDMs)to helpidentify drug Use aPrescription DrugMonitoring Talk Community to theMedical of aproblem. medication requests asitmay beasign unscheduled refill requests ornew Watch for patient frequent history Monitor RefillRequests possible interactions. non-medical druguseandconsider Talk withyour patients about Consider Drugs Non-Medical location orflusheddown the toilet. should bedelivered to adrugdrop-off FDA guidelinesstate unusedprescriptions Proper Disposal location. Keep allmedication inasafe andsecure Keep Safe Opioids Never give your medication to anyone else. Do Not Share or lesswithouttheirapproval. nottakemore Do orpharmacist. doctor Follow given thedirections to you by the Follow theDirections

H

N T CRISIS

in theUnited States of opioidsisconsumed of theglobalsupply E I

21-29 prescribed opioids prescribed opioids A C

for chronic pain

L

S misuse them T Approximately

of patients H people withpeople illness (orwithdrawal). depression, physical painand causes symptoms ofanxiety, receptors are activated. This drugs, notalloftheopioid With theremoval oftheopioid signals enter thebrain. of pleasurable andsoothing the neurotransmitters. Aflood opioid receptors andblock Opioid drugsbindto the and Coercion Opioid ReceptorsOpioid Neurotransmitters ReceptorsOpioid the opioidreceptors sizedPerfectly to bindto Drugs Opioid Neurotransmitters ©2018 PESI, Inc., All Rights Reserved ©2018 PESI,Inc., All Rights

%

PESI, Inc. NON-PROFIT ORGANIZATION P.O. Box 1000 U.S. POSTAGE PAID Eau Claire, WI 54702-1000 EAU CLAIRE WI PERMIT NO. 32729 pesi.com/webcast/85614 REGISTER NOW: NOW: REGISTER

A N A • • • • Prepare yourself to work growing witharapidly clientpopulation! o Includes specificstrategies, suggestionsand exercises Teach clients to develop healthy boundariesandbetheirown individual Avoid missteps clinical that could alienate theseclients Recognize thesubtlesignsofthisdevastating form ofabuse Narcissistic Abuse Registration includes FREE on-demand accessBONUS! –Registration for includesFREE on-demand 3months. n -P Empower Clients to Break Free andRecover rofit from Gaslighting, Emotional Manipulation www.pesi.com

O rg for Therapists an iz a tio n Join usonlinefor thislive training! Live Interactive WebinarLive C Recovery Workbook: Healing from Emotional Abuse Author ofthe Amazon best-sellingbookThe Gaslighting Featuring o Friday, 24,2021 September nn e c ti n g K n owledge

Amy Marlow-MaCoy, LPC, and Coercion

with N eed S i nc e 1979 pesi.com/webcast/85614 REGISTER NOW: NOW: REGISTER

Narcissistic Abuse for Therapists: Meet Your Speaker Empower Clients to Break Free and Recover from SIGN UP-TODAY! Gaslighting, Emotional Manipulation and Coercion Amy Marlow-MaCoy, LPC, focuses her practice on treating complex and developmental trauma in adults raised in narcissistic, emotionally immature, and toxic Choose your Learning Experience! You may be working with a victim of narcissistic abuse without even knowing it. families of origin. PESI offers multiple formats to fit your CE needs Clients in your caseload who lack self-esteem, can’t say no, and blame themselves for She is the author of the Amazon best-selling book The Gaslighting Recovery Workbook: Healing everything may have been emotionally manipulated, controlled, and gaslit through a from Emotional Abuse (Callisto Media, 2020), a workbook designed to help individuals identify, narcissistic relationship. understand, and begin to heal from emotional trauma and abuse caused by gaslighting in Register Online at: pesi.com/webcast/85614 But without the right training you could be failing to see the subtle signs, leaving you interpersonal relationships. without a key piece of the puzzle…and keeping them trapped in emotionally damaging Amy has been trained in Level 1 Internal Family Systems therapy. She also provides and often dangerous relationships. Live Interactive Webinar (Option 1) supervision to LPC candidates and regularly consults with other clinicians regarding September 24, 2021 PWZ85613 Now with this one-day training you can get the clinical guidance and tools you need to treatment of adult children of narcissists. She earned her Master of Education in Counseling $219.99 tuition help clients free themselves from the cycle of narcissistic abuse and overcome its toxic Psychology degree from Temple University. 8am Pacific time legacy in therapy! Live Webinar Experience: Speaker Disclosure: • Participate live in real-time while connecting and collaborating with peers Financial: Amy Marlow-MaCoy maintains a private practice. She is an author and receives royalties. She receives a Amy Marlow-MaCoy, LPC has helped hundreds of clients identify, understand, and heal • Ask the presenter your questions from narcissistic abuse from interpersonal relationships. She is the author of the Amazon speaking honorarium from PESI, Inc. Non-financial: Amy Marlow-MaCoy is a member of the American Counseling Association. • Earn a live CE certificate best-selling book The Gaslighting Recovery Workbook: Healing from Emotional Abuse (Callisto FREE BONUS: Replay on-demand access for 90-days after webinar Media, 2020). *Live CE is only available when viewed live Join Amy and get the strong foundational understanding of narcissistic abuse dynamics and Get a Group Discount! Contact us at pesi.com/info to save for groups of 5 or more treatment you need to: Target Audience: • Recognize overt and covert signs of narcissism in a variety of contexts Counselors • Social Workers • Marriage & Family Therapists • Psychologists On-Demand Digital Seminar (Option 2) • Open your clients’ eyes to gaslighting and other manipulative tactics of narcissists Addiction Counselors • Psychiatric Nurses $219.99 POS058260 • Avoid clinical missteps that could alienate these clients Digital Seminar Experience: • Learn at your own pace with 24/7 access from your PESI account • Build assertiveness in clients who can’t say no • Access to the program materials • Teach clients to develop healthy boundaries without guilt • Enjoy lifetime on-demand access • End clients damaging self-blame and help them be their own individual • Earn a self-study CE certificate • and much more! CE CREDITS AVAILABLE FOR LIVE WEBINAR Earn up to CE hours and approvals may vary from live event. Visit www.pesi.com or call 800-844-8260 to check for availability. 6.25 CE This continuing education activity is designed PESI, Inc., #1062, is Don’t miss this chance to help clients break the cycle of narcissistic abuse and regain their approved to offer social Hours for one personal power! to meet state board requirements for the work continuing education low price! DVD (Option 3) following professionals: Counselors, Social by the Association of Social Work Boards $219.99 RNV058260 Register today! (ASWB) Approved Continuing Education Workers, Marriage & Family Therapists, (ACE) program. Organizations, not individual courses, are approved DVD Experience: Psychologists, Physicians, Addiction as ACE providers. State and provincial regulatory boards have the • Self-study CE certificate available P.S. As popular culture continues to shine a spotlight on the problem, more people than final authority to determine whether an individual course may CE hours, approvals and cost of CE Certificates may vary from live event. Visit www.pesi.com or call 800-844-8260 to ever before are seeking therapists well-versed on narcissistic abuse. This training will Counselors, and Nurses. be accepted for continuing education credit. PESI, Inc. maintains check for availability and pricing responsibility for this course. ACE provider approval period: January leave you better positioned to work with this growing client population! For specific credit approvals and details, visit 27, 2020 - January 27, 2023. Social Workers completing this course pesi.com/webcast/85614 receive 6.25 Clinical continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be National CE Credit Approvals For Live Webinar offered for partial attendance. A certificate of attendance will be Recommended Reading: Credits listed are for full attendance at the live webcast only. The awarded at the end of the program to social workers who complete CE certificate can be downloaded/printed after completing the the program . The CBT Toolbox, Second Edition webcast and passing the online post-test evaluation (80% passing Narcissistic Personality Disorder CT 185 Tools To Manage Anxiety, ISFA ION score). Please see schedule for full attendance start and end This activity is pending approval from the National Association of Toolbox AT S Risk Free Purchase! PESI stands by our trainings and times. NOTE: Boards do not allow credit for breaks or lunch. Social Workers. 55 Practical Treatment Techniques for Depression, Anger, Behaviors & Stress we have a 100% satisfaction guarantee. If you are not Clients, Their Partners & Their Children Jeff Riggenbach, PhD satisfied, please contact our customer service team at PESI, Inc. is an NAADAC Approved Provider of continuing Daniel J. Fox, PhD $34.99 $22.99* education. NAADAC Provider #77553. This activity has been www.pesi.com/info or 800-844-8260 and we will make it right. submitted to NAADAC for review. Approval pending. For the $29.99 $22.99* PUB086310 most up-to-date credit information, please go to: PUB085505 https://rehab.pesi.com/events/detail/85614. Self-study credit: To check availability for your profession, go to * Discount Included with purchase of the Webinar www.pesi.com or call 800-844-8260 with your licensing board to PESI, Inc. is accredited by the Accreditation Council verify acceptance of self-study credit for license renewal. for Continuing Medical Education to provide continuing medical education for physicians. PESI Offers Group Discounts! *Content and materials in this course may include interventions and ADA NEEDS modalities that are beyond the authorized practice of your profession. OTHER WAYS TO REGISTER To save on groups of 5 or more, contact us at pesi.com/info! PESI, Inc. is accredited as a provider of nursing continuing As a licensed professional, you are responsible for reviewing the scope We would be happy to accommodate your ADA needs; Please notify of practice, including activities that are defined in law as beyond the Phone: 800-844-8260 us at time of registration. by the American Nurses boundaries of practice in accordance with and in compliance with your Credentialing Center’s Commission on Accreditation. profession’s standards. Fax: 800-554-9775 Nurses in full attendance will earn 6.25 contact hours. QUESTIONS PESI, Inc. offers continuing education programs and products under the Mail: PESI, Inc. Questions? Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info. brand names PESI, PESI Healthcare, PESI Kids, PESI Rehab and Psychotherapy Visit pesi.com/faq or contact us at pesi.com/info Networker. PO Box 1000 TAXES AND SHIPPING Have a seminar idea? A manuscript to publish? The nation’s top speakers and authors Eau Claire, WI 54702-1000 *If mailing/faxing registration, find form at Taxes and shipping apply where applicable, see website contact PESI first. If you are interested in becoming a speaker or have a new topic idea, www.pesi.com/form or call 800-844-8260 for details For all credit approvals and details, visit: www.pesi.com/webcast/85614 ©2021 please contact Ryan Bartholomew at [email protected] or call 715-855-8225.