NICABM – How to Ease the Pain of Trauma-Induced Shame

Practical Strategies to Help You Treat Shame with Greater Skill and Efficacy

When it comes to treating trauma, shame is often the last and most difficult issue for clients to resolve.

That’s because it can spawn an unrelenting inner-critic and leave clients feeling like they’re bad or even “poisonous” at a core level – a challenging combination that can render many of our trauma interventions ineffective.

So to help clients release the painful weight of trauma-induced shame, we need to:

• Understand the neurobiological factors that allow shame to flourish in the aftermath of trauma
• Address the subtle and hidden ways that shame can present
• Overcome the barriers that can prevent clients (and sometimes practitioners) from working through shame
• Implement approaches that can help clients safely process shame (without inadvertently reinforcing it)

That’s why we brought together 16 of the world’s top experts to get their best strategies for helping clients overcome deeply ingrained feelings of shame that stem from trauma.

What You’ll Learn In How to Ease the Pain of Trauma-Induced Shame

How to Ease the Pain of Trauma-Induced Shame

Expert Approaches to Help Clients Process Shame in a Safe and Healthy Way
Bessel van der Kolk, MD   Peter Levine, PhD   Stephen Porges, PhD
Janina Fisher, PhD   Pat Ogden, PhD   Deb Dana, LCSW
Martha Sweezy, PhD, LICSW

• A Polyvagal Approach to Working with Shame
• Working with Shameful Parts from an Internal Family Systems Perspective
• Body-Based Exercises That Can Help Clients Who Struggle to Verbalize Shame
• How to Help Clients Uncover Impulses Buried Underneath Shame
• One Powerful Way to Normalize a Client’s Experience of Shame

Strategies to Skillfully Detect Trauma-Induced Shame
Thema Bryant, PhD   Pat Ogden, PhD   Kathy Steele, MN, CS

• How to Recognize Shame Even When Clients Don’t Think It’s a Problem
• Four Defenses Clients Use to Manage Shame
• How Shame Can Appear in a Client’s Relationship Patterns
• Specific Behaviors That Can Indicate the Presence of Shame
• How Shame Can Disguise Itself as Self-Sabotage

The Neurobiology of Trauma-Induced Shame
Bessel van der Kolk, MD   Peter Levine, PhD   Janina Fisher, PhD
Pat Ogden, PhD   Kathy Steele, MN, CS   Thema Bryant, PhD
Martha Sweezy, PhD, LICSW

• An Important First Step to Treating Shame
• Recent Findings on the Neurobiology of Shame
• Two Factors That Make Shame Especially Debilitating (and Difficult to Treat)
• The Protective Purpose of Shame – and How That Can Impact Treatment

How to Work with Trauma-Induced Shame That Leads to Self-Harm
Ruth Lanius, MD, PhD   Pat Ogden, PhD
Janina Fisher, PhD   Deb Dana, LCSW

• How to Pinpoint a Client’s Urge to Self-Harm
• A Subtle Form of Self-Harm (and How to Work with It)
• How to Help Clients Manage Their Urge to Self-Harm
• Strategies to Overcome the Challenges of Working with a Client Who Self-Harms

Common Mistakes That Can Derail Treatment
Bessel van der Kolk, MD   Janina Fisher, PhD   Richard Schwartz, PhD
Thema Bryant, PhD   Kathy Steele, MN, CS   Martha Sweezy, PhD, LICSW

• How Cognitive Approaches to Shame Can Backfire (and What to Try Instead)
• Why a Client’s Trauma History Can Distract from Treatment
• One Counterintuitive Goal of Treating Shame
• Why Helping Clients Practice Self-Forgiveness Can Sometimes Deepen Shame

How to Work with the Shame of Moral Injury
William Nash, MD   Bessel van der Kolk, MD   Pat Ogden, PhD
Janina Fisher, PhD   Deb Dana, LCSW   Ruth Lanius, MD, PhD

• Why Moral Injury Can Lead to Debilitating Shame
• Strategies to Help Clients Reconcile Past Actions and Begin to Move Forward
• Why Some Clients Are Triggered by Positive Emotions (and How to Safely Help Clients Experience Them)
• Specific Factors That Make Some Clients More Susceptible to Moral Injury

About NICABM

We proudly provide continuing education for practitioners who are dedicated to being the best in their craft. Our goal is to develop programs that connect you with the top experts and the latest strategies in the field, to help you achieve better outcomes, more quickly with each of your clients.

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