Come to study and play  


Saturday, November 17, 2018 at 8:30 AM CST
Sunday, November 18, 2018 at 5:00 PM CST

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Tulane University Lavin Bernick Center 

29 McAlister Drive
New Orleans, LA 70118

Driving Directions 


Carol Miles MSW, LCSW 




Integrative Treatment of Complex PTSD and Dissociative States 


Joanne H. Twombly, MSW, LICSW is in private practice in Waltham, MA where she works extensively with people with complex PTSD and Dissociative Disorders. She also provides trainings and consultation in EMDR and IFS. She has had several book chapters published on EMDR, EMDR and Internal Family Systems, and on working with Perpetrator Introjects. Her commitment to providing the optimal space for healing has resulted in her becoming an EMDR Trauma Recovery HAP Facilitator, a certified consultant in EMDR, Internal Family Systems Certified, and an American Society for Clinical Hypnosis Consultant. She is the past president of the New England Society for the Treatment of Trauma and Dissociation, and served on various committees and the board of the International Society for the Treatment of Trauma and Dissociation (ISSTD). ISSTD awarded her their Distinguished Achievement Award in 2010.



Integrative Treatment of Complex PTSD and Dissociative States

A Two-day Workshop with Joanne Twombly, LICSW


Do you have clients who just aren't making progress in traditional treatment and could benefit from more effective approaches that are protective and safe to the internal system?   


We are delighted to announce that Joanne Twombly, LICSW, a recognized expert in the field of complex PTSD and Dissociative, has agreed to come to New Orleans to present on that very subject. PTSD’s characteristic dissociative symptoms of numbing and intrusion vastly develop complexity when people suffer neglect, attachment disordered parenting and multiple childhood traumas. This leads to disorders on the further end of the continuum including PTSD with dissociative features, Borderline Personality Disorder, and Dissociative disorders.


Workshop participants will:

  • Get a quick, practical overview on working with complex PTSD and DDs
  • Learn integrative methods to address complex PTSD and Dissociative disorders, including: EMDR Modifications and Ego State Techniques; and Hypnotic Language 
  • Review challenges such as working with suicidal and perpetrator parts 
  • Learn basics of IFS through using it to deal with countertransference 
  • Learn a protective, controlled protocol for processing traumatic material
  • Earn 13 CEUs 

EMDR trained clinicians will learn important modifications which will add to the standard protocol, protecting clients from decompensating, and enabling EMDR to be used with this population. These techniques can be used with or without EMDR.

“Excellent presentation!  Her humility made it easy for me to learn from her.  This workshop greatly increased my awareness of dissociation and how it impacts my clients.”



“Thank you for sharing so many personal examples of yours as a therapist.”




“Great.  A lot of great learning and resources.  As I am fairly new to EMDR and IFS this gave me a structure to begin to study/train in these areas.”



“Loved her personality and delivery of material.  Provided clear explanations.  Open to questions.”



“ she's so grounded and approachable and human and solid and real and and and.... “



“I would like to share how much your work has helped my practice…”


 “Used your TV/Picture in a Picture protocol with a client who’d been too afraid to process a traumatic event and we resolved it. Thanks so much.”


“I also wanted to thank you again for a really terrific training – easily one of the top several I’ve had in my 15 year clinical career.”


 "Joanne's two-day workshop on Dissociative Disorders was masterful.  My colleagues and I still talk about how much our clinical repertoire grew from attending this workshop. Joanne teaches in a way that makes learning this complicated material digestible and user-friendly. She is generous with her materials and a great role model of empathy and clarity and pacing with dissociative populations."  Karen Alter-Reid, Ph.D., EMDR Trainer and Director, Psychology Seminars for Integrative Care and Treatment


“Joanne  is my go to person when I'm stuck with  a "many moving parts" clinical dilemma involving complex trauma and/or DID.  She has the rare ability to integrate conceptual frameworks, models of intervention( EMDR, IFS, Sensorimotor etc) and hands on clinical experience into a language  that  facilitates clinician and  client in an effective path forward in their work together.”  Cathleen Grant, LICSW



1. Participants will be able to identify dissociative symptoms in PTSD, Eating Disorders, dissociative disorders, and other disorders.


2. Participants will understand how developmental trauma and attachment disorders lead to PTSD and dissociative disorders.

3. Participants will be able to help clients develop collaborative treatment relationships.


Boon, Steele, van der Hart (2011). Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists. Norton and Company.

Courtois, C. A. (1999). Recollections of Sexual Abuse: Treatment Principles and Guidelines. NY: W.W. Norton.


Schwartz, H. L., (1993). The Alchemy of Wolves and Sheep: A Relational Approach to Internalized Perpetration in Complex Trauma Survivors, Routledge.


 Twombly, J.H. (2005).  EMDR for Client’s with Dissociative Identity Disorder,  DDNOS, and Ego States. In R. Shapiro (Ed.), EMDR Solutions:  Pathways to Healing.  New York, NY:  Norton




What You Need to know about successful Treatment of complex PTSD and Dissociative Disorders, with EMDR and Without!

With Joanne H. Twombly, MSW, LICSW


          This two day workshop will provide participants with an overview for diagnosis and treatment of complex PTSD and dissociative disordered (DD) clients. Through lecture and case examples, clarification will be given on how to work effectively and safely with this population, and with clients who might not be making progress in traditional treatment. On day 1: There will be didactic presentation diagnosis, the three phases of Trauma Treatment, followed by didactic on adaptations of resources from the preparation and closure phases of EMDR to facilitate stabilization, orient DD clients to the present, and to decrease negative transferences. Participants will have the opportunity for practicums on stabilization and orienting exercises.

          On Day 2: Didactic material will be presented on a protective format for processing traumatic material that can be used with or without EMDR. Following that, material will be presented on the impact of sadistic abuse, nonverbal communication and the necessity of reenactments in the treatment process. An EMDR protocol for processing ones countertransference reactions will be taught, as well as an Internal Family Systems process. Following a practicum on countertransference reactions, will be time for discussion and case consultation. This workshop is appropriate for EMDR trained clinicians as well as for clinicians with no EMDR training.


*Learning Objectives:

Attendees will be able to:

1)    Identify symptoms of dissociation and complex PTSD and be knowledgeable about diagnostic tests.

2)    Initiate ego state treatment and teach and install affect regulation strategies.

3)    Incorporate EMDR adaptations to facilitate stabilization, orient DD clients to the present, and to decrease negative transferences.

4)   Prepare client for trauma processing using a protective protocol that can be used with or without EMDR.

5)   Identify situations where reenactments and countertransference are occurring, and use EMDR or an IFS process to deal with their countertransference reactions.


Content  and Time Line

Day 1:

8:30-8:45  Introduction

  • Summary of Content
  • Listening to this Workshop
  • Why learn to diagnose and treat?!

8:45 – 9:45 Diagnosis

  • Positive and Negative symptoms, plus normal dissociation
  • BASK symptoms, 5 Core Dissociative Symptoms 
  • Case examples re recognize symptoms during History-taking
  • DES and how to administer 
  • Role Play 
  • Other Diagnostic tests and instruments  
  • Differential Diagnosis 

9:45-10 Overview of 3 Phases of Trauma Treatment and their integration into the 8 Phases of EMDR Treatment

10-10:30 Introduction to Phase One of Treatment: Symptom Reduction, and Stabilization

  • Initial Setting up the therapy: responsibility, boundaries, Saying  No!
  • Treatment Goals:  Past-Present-Future Considerations, Client choices
  • Adjunctive Work, Body work, Alternative Treatments
  • Memory Dynamics

10:30-10:45 Break

10:45- 12-15  Initial Stabilization

  • Client self care: physical, safety in life
  • working with parts/ego states through host/Self, and/or directly
  • Medication

12:15 to 12:30 Hypnotic Language to Maximize RDI and Coping Skills

12:30- 2 Lunch

2-2:15 Protocol for clients with no oriented parts. Video

2:15 – 3:30 Coping skills, affect management skills and orienting parts to the present time. Demo or Video

3:30-3:45 Break

3:45- 4:15 Safe Space Imagary and Container Demo

4:15-4:45 Praticum

4:45-5 Questions, Discussion


Day 2:

8:30- 9:00 Questions about Day 1 and Introduction to Day 2

9-9:30 Difficult parts:

  • Suicidal
  • Perpetrator parts
  • Ritual Abuse, mindcontrol

9:30-10 Sadistic Abuse

10-10:15 Non-verbal communication, projective identification

10:15-10:30 Break

10:30-11 Reenactments, Rupture and Repair

11-12:30 Phase 2: Treatment of Traumatic Memory: Protocols for safe, controlled desensitization of traumatic material

12:30-2 Lunch

2:30-3:15 Dealing with countertransference

  • Using EMDR protocol
  • Using Internal Family Systems

3:15-3:30 break

3:30 to 4:15 Practicum: Using EMDR or IFS with countertransference

4:15-4:30 Phase 3: Integration and Self Development

4:30-4:45 Self Care

4:45-5 Wrap Up

  • Resources and Further Training
  • Questions


This training will be held at the uptown campus of Tulane University in the Lavin Bernick Center.

See for more information on the Lavin Bernick Center. It is located in the center of the Uptown campus off Freret Street. Dining venues for lunch are available on the first floor. Morning and afternoon coffee will be provided with continental breakfast.

           Register Now!                $375

Payments can be made by PayPal at

or by check:

Carol Miles,110 E. 7th Ave, Covington, LA 70433 



More Information

Continuing Education:

Continuing education credit for this event is co-sponsored by The Institute for Continuing Education. The program offers a total of 13.00 contact hours with full daily attendance required. The CE processing fee is $30.00 per person. CE applications will be available on site. CE verification will be mailed to workshop participants following the training. If you have questions regarding this training, continuing education, learning objectives,  or grievance issues, contact The Institute at: e-mail:

 Psychology: The Institute for Continuing Education is an organization approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. The Institute for Continuing Education maintains responsibility for this program and its content.

 Counseling: For counselors seeking continuing education credit, The Institute for Continuing Education has made a co-sponsorship application to the National Board for Certified Counselors

 Social Work: The Institute for Continuing Education is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), though the Approved Continuing Education (ACE) program. The Institute for Continuing Education maintains responsibility for the program. ASWB Provider No. 1007. Licensed social workers should contact their individual state jurisdiction to review current continuing education requirements for license renewal.

Florida Dept. Health, Division Social Work, Provider BAP 255, expiration 03/2017.

 Marriage-Family Therapy: Florida Dept. Health, Division Marriage-Family Therapy, Provider BAP 255, expiration 03/2017.

 EMDRIA: Carol Miles, LCSW, is an EC Provider  #18017 and this program has been approved for 13.00 EMDRIA credits. Eligibility for EMDRIA credits is restricted to those who have completed EMDRIA-Approved Basic EMDR Training.

 Skill Level: This program is appropriate for mental health professionals of all skill levels. 



Tulane has many preferred hotel and bed and breakfast partners that offer discounted rates to the Tulane community, including guests and visitors.  To take advantage of these special rates,  a self-booking tool is now available for the hotels, click on the above site to be directed to where they offer discounts for visitors to Tulane. You may look on Tulane's visitor page ( for information regarding hotels in the area.    

You may wish to try the Best Western on St. Charles with a double room for $229 or Southern Comfort B&B for $209 or $225.  Each only have  few rooms left. 

<Please note the event will be held off Freret Street which is across the campus from the St. Charles street car drop off. Parking on campus is very limited. Carpooling and other forms of riding encouraged such as ride sharing apps and taxis.>


All vehicles parked on the uptown campus between the hours of 8:00am and 5:30pm, Monday-Friday, are required to display a university parking permit or park in a metered space.

1. Visitors may purchase one-day and multi-day parking passes in the Campus Services office in the Lavin-Bernick Center, Suite 107 from 8am to 8pm Monday through Thursday, 8am to 6pm, Friday, 11am to 3:30pm Saturday or online at This option allows you to print your parking pass from anywhere.

2. Visitors have the option to pay to park on the ground level or in one of the numbered spaces on the second floor of the Diboll Complex.

3. Parking meters are located throughout campus in the marked spots on the campus map. Parking permits are not required when visitors park in metered spaces, provided the time limit is obeyed and the parking meter is not expired. Maximum time limits for parking meters are posted on each meter. 

4. Utilizing the ParkMobile app is also an option at metered spaces along with specially marked spaces in the Claiborne Avenue lot.  Consult our parking map for more information.

5. Reserved all hour spaces are clearly marked and should not be used by visitors without prior approval.

Failure to comply with parking rules may result in a citation.  For additional parking information call (504) 865-5441.


EMDR Training Requirements: Full EMDRIA Approved EMDR Therapy training is required to participate in this workshop. 

ADA Statement:  This workshop is held in facilities which are compliant with the Americans with Disabilities Act.  Please contact Carol Miles if special accommodations are required.