The Series

The Recovery Transformation Series

Cardwell C. Nuckols, PhD

The Recovery Transformation Series consists of individual but highly integrated trainings. These skills training events are divided into two categories-THE SCIENCE AND PSYCHOLOGY SERIES and THE SPIRITUAL HEALING SERIES. All trainings can be presented in plenary, breakout or one to five day skills training events. Detailed descriptions with objectives are available upon request.

EMPHASIS PLACED UPON:

  • HANDS ON” TECHNIQUE

  • RESEARCH TO PRACTICE

THE SCIENCE AND PSYCHOLOGY SERIES

MIND ALTERING…SYNTHETIC (DESIGNER) AND NATURALLY OCCURING…DRUGS (NEW)

Keeping up with the ever-expanding number of substances that alter mood is a very difficult job. By slightly altering the chemical structure of one euphoria producing drug, another can be created. By the time one such drug falls into the FDA’s watch list, another of equal or greater potency is already being produced.

This skills-training event will introduce participants to the current world of designer drugs and also to the naturally occurring substances used to alter mind. Emphasis will be placed on the cannabinoids (example-“Spice”), stimulant “bath salts” (example- “Bonsai Grow”), psychedelics (example-“Europa”), naturally occurring depressant/stimulant/opioid (example-“Kratom”) and mixtures such as the opioid-like “Krokodil”. This training will give participants an understanding of the subjective, toxic and withdrawal effects of the drugs and other issues important to treatment and prevention.

TREATING MORAL INJURY (NEW)

The neurobiology, goals for treatment and therapeutic approaches are different for moral injury as compared to Post-traumatic Stress Disorder (PTSD). Although there is overlap in symptoms, moral injury may present with reexperiencing and avoidance symptoms but not the hyperarousal symptoms observed when a real or perceived life-threating situation is encountered. Extinction is not the goal in the treatment of moral injury.

This skills-training event will provide clinicians with a treatment model and rationale for managing those suffering the guilt and shame of moral injury. Moral injury is different than PTSD and needs to be approached using a cognitive-behavioral framework with spiritual interventions.

NOTE: Moral Injury treatment can be integrated into “PTSD and mTBI in the Returning Veteran Population. Many clinicians are using behavioral exposure (extinction) strategies to treat moral injury. This practice may harm the client.

DSM V: FOR ADDICTION, MENTAL HEALTH AND CORRECTIONS CLINICANS

In May of 2013 DSM V becomes the new standard for diagnosis of psychiatric problems. These changes will greatly impact the way clinician’s understand, communicate about and diagnose their clinical findings. This skills training event will assist the helping professional in implementing these changes into their current system of practice. For example, the multi-axial (Axis I-V) system will be truncated into a single axis and there will be no distinction made between a medical and a psychiatric illness.

THE SCIENCE OF RECOVERY: APPLYING NEUROPSYCHOLOGY AND NEUROSCIENCE TO YOUR PRACTICE

This skills training event will give the participant an understanding of the neuroscience and neuropsychology of recovery from addictive disorders. From this profound understanding, psychotherapeutic and pharmacological techniques will be described that can assist the participant while working with clients in early recovery. This assistance is in the areas of cognitive enhancement, increased motivation and management of craving. Emphasis will be placed on the cognitive-behavioral treatment of craving.

THE SCIENCE OF RECOVERY: AN ADVANCED CLINICAL SEMINAR ON ADDICTION AND RECOVERY

Neurobiology and neuropsychology are teaching us more and more about addiction. This understanding is revealing new aids for recovery, as well as, confirming traditional approaches. For example, new research is correlating client prefrontal cortical availability with relapse episodes.

This skills building seminar will give participants a “state of the art” understanding of addiction and how this understanding shapes an evidence-based approach to clinical care. This is an advanced skill training presentation integrating psychotherapy, pharmacotherapy and wellness approaches to recovery. The goal is to give patients the best possible tools for successful personal recovery. Emphasis is placed on a neurobiological understanding of addiction and how this affects clinical application.

NEUROBIOLOGY: FOR MENTAL HEALTH AND ADDICTIONS PROFESSIONALS

This practical training will assist clinicians in their understanding of brain origin and faulty circuits involved in commonly treated disorders such as ADDICTION, PTSD, ADHD, ASPD, OCD and DEPRESSION. From this understanding, the clinician can better understand how wellness, psychotherapy and pharmacotherapy aid in their clients’ recovery.

Also of importance is the understanding of unconscious and conscious brain processes and how problems of development such as early life developmental trauma and early alcohol and drug usage contribute to personality development sometimes referred to as “personality immaturity.”

Emphasis will be placed on the importance of utilization of the brains ability to change. Neuroplasticity is the key to neurobiological change. All clinicians are neuroplasticians.

TREATING THE MULTI-SYSTEM, MULTI-PROBLEM CLIENT: HABILITATION OR REHABILITATION?

 

Over the last 20 years, emerging populations of younger and more chronic individuals have been entering the addiction, criminal justice and mental health treatment settings. Often called “young chronic” or “multi-system, multi-problem” clients, these individuals are difficult to understand and to treat. Often in need of habilitation, they present with personality immaturity, early alcohol/drug usage histories and a high incidence of early life developmental trauma.

This skills training event will help the clinician not only understand the client’s needs but also look at current treatment technology and community based trends (including “wrap around” services) helpful in the habilitation of these clients.

MANAGING THE ANGRY, AGGRESSIVE CLIENT:

Most of us have very strong reactions to a client, employee, etc. demonstrating angry emotion and potentially out-of-control behavior. Sometimes our reactions become part of the problem instead of the solution. This presentation can help change these uncomfortable scenarios into potentially positive experiences.

This skills training event will describe the latest neurobiological understanding of this group of clients. Emphasis will be placed on verbal management, behavioral and pharmacological stabilization along with the demonstration of empirically proven clinical strategies such as cognitive, behavioral (cognitive-behavioral) and the relaxation response.

TREATING EARLY LIFE DEVELOPMENTAL TRAUMA: COMPLEX POST-TRAUMATIC STRESS DISORDER

Take a look at the population you treat. No matter whether it is a criminal justice, alcohol and drug or mental health population, the recidivists will have a high incidence of early life trauma. Research is teaching us more and more about this population. However, research is only useful when it can be translated into clinically effective technique.

This skills training event will focus on the treatment of early life developmental trauma (COMPLEX OR COMPLICATED PTSD OR DESNOS). Emphasis will be placed on the understanding of current research from such disciplines as neurobiology, neuropsychology and attachment theory. Participants can expect to hear what the research tells us about this population and how this evidence can be used to help. Practical treatment techniques translated from the research will give participants hands-on skills that can be used to better client understanding and clinical outcomes. Patient stabilization and trauma resolution (extinction) strategies will be imparted.

POST- TRAUMATIC STRESS DISORDER and TRAUMATIC BRAIN INJURY IN THE RETURNING VETERAN POPULATION

Building on our understanding of PTSD and what is known about the effects of percussion and other forms of head injury, this skills training presentation will give the participant understanding and “state of the art” approaches to helping those returning from war. There are multiple forms of injury that must be addressed. Psychological and physical injury is somewhat understood but the clinician needs an understanding of “moral” injury to be helpful with this population.

Participants can expect to receive tools allowing for understanding of the various forms of injury, as well as, tools to help the veteran as they work to regain a greater understanding of the potential of their lives. Neuroplasticity, psychoeducation, behavioral exposure and spiritual and moral counseling techniques will be highlighted within a treatment framework.

THE EVIDENCE-BASED TREATMENT OF CO-OCCURRING DISORDERS

The field of behavioral medicine is robust with new data and research that needs to be translated into useful information for the benefit of the front-line clinician. The ultimate goal of this translation is to empower the clinician with the best information and technique available to assist those suffering from addiction and other psychiatric disorders.

This skills-training event will give clinician’s the latest research on the interface between Addictive Disorders and other DSM-V Axis I and Axis II entities. Participants can expect to learn how the research translates into actual work with clients. Empirically based psychotherapeutic and pharmacological interventions will be the focus. Case vignettes will be utilized to demonstrate application of technique.

ADVANCED CLINICAL SEMINAR: CO-OCCURRING DISORDERS

This advanced clinical skills training will assist participants in the neurobiological understanding and the neuroplastic (psychotherapeutic and pharmacological) treatment of addictions (DSM V includes Pathological Gambling) co-occurring with other common psychiatric disorders including Major Depressive Disorder, Obsessive-Compulsive Disorders, Post-traumatic Stress Disorder (early life and later life occurrences such as combat related) and Personality Disorder Types (DSM V) Antisocial (merged with Conduct Disorder) and Borderline.

NOTE: THE EMPHASIS OF THIS TRAINING IS TO TAKE CERTAIN CO-OCCURRING SCENARIOS COMMON TO CLINICAL PRACTICE AND TO DELVE AS DEEPLY INTO THEM AS TIME ALLOWS. THIS IS NOT AN OVERVIEW COURSE. ATTENDEES MIGHT CONSIDER BRINGING A DSM (DIAGNOSTIC AND STATISTICAL MANUAL OF THE APA) ALONG TO REFERENCE SYMPTOMATOLOGY AND DIAGNOSTIC CRITERIA.

 

MANAGING IMPULSIVE AND LACK OF EMPATHY PERSONALITY DISORDERS: BORDERLINE, ANTISOCIAL AND NARCISSISTIC PERSONALITY DISORDERS

The dramatic and erratic Personality Disorders (Narcissistic, Borderline and Antisocial) are among the most difficult to treat clinical presentations. Based on over 30 years of clinical experience with this population, the facilitator will give the participant clinical protocols helpful in treating (managing) these clients. This advanced skills development training presents “hands on” technique and the neurobiological research that supports the approach.

UNDERSTANDING AND TREATING THE SUICIDAL CLIENT

More than 30,000 people in the United States die by suicide every year. It is this country’s 11th leading cause of death, and the third leading cause of death among people ages 15-24. Suicide is not about wanting to die, but about a powerful need for pain to end. People choose suicide because they feel unable to cope with feelings of pain, hopelessness, helplessness, isolation, and uncertainties. Studies indicate that the best way to prevent suicide is through the early recognition and treatment of depression and other illnesses such as addiction that lead to suicidal tendencies.

This skills training event will help clinicians sharpen their skills in the areas of identification, prediction and assessment. Emphasis will be placed on clinical prevention strategies. In cases where suicide has occurred, the method for a post-review or psychological autopsy will be discussed.

 

 

THE SPIRITUAL HEALING SERIES

THERE ARE CERTAIN PROBLEMS ATTRIBUTABLE TO CHRONIC ILLNESS THAT PHARMACOTHERAPY AND PSYCHOTHERAPY FAIL TO AMELIORATE. SPIRITUAL TOOLS ARE REQUIRED.

FROM DISCOVERY TO RECOVERY: SPIRITUALITY AND 12-STEP FACILITATED RECOVERY

The presentation of well-established and time-honored spiritual principles will give the participant an evidence-based (Alcoholics Anonymous is an evidence-based psychosocial intervention) look at how a 12-step facilitated approach enhances client recovery opportunities. Emphasis will be placed on the utilization of spiritual tools such as forgiveness, humility, surrender, acceptance, etc. and their role in healing guilt, hopelessness, fear and egoic character defects such as pride, jealousy and greed.

THE ART AND SCIENCE OF HEALING

At its inception, medicine was an art utilizing science as a tool (“the healing art”). Today practitioners are overwhelmed with science with little or no attention to the art. The talk is of treatment and management often with a goal of symptom reduction or tolerable recovery. The words “to heal” speak not of reduction or abstinence but of a freedom to fully experience life in the present moment.

This skills building experience is designed to give the clinician the science that creates a bridge into the nonlinear realm of healing and how this science can contribute to the “art” of clinical treatment. New research from affective neurobiology will highlight how the nonverbal hemispheres of both client and therapist communicate to promote healing of attachment difficulties.

PSYCHOLOGY, SPIRITUALITY AND TRUE HAPPINESS

This personal and professional enhancement training utilizes integrated multiple pathways leading one toward true happiness. This powerful approach incorporates current understandings of developmental psychology, neurobiology and contemplative spiritual approaches to permanently dissolve aspects of the false-self (ego). This dissolution or emptying of self (through the elimination of “unconscious programs for happiness” and the secondary gain of the ego-resentments) opens one up to spiritual healing. This realization is the key to serenity and selfless service-sources of true happiness and peace.

REMOVING DEFECTS OF CHARACTER

Character defects are a source of suffering and can lead to relapse and other self-defeating behaviors. At the root of these defects are narcissistic beliefs about the self (I, me and mine) and a distorted self-image. Defects of character respond poorly to psychotherapy and pharmacotherapy and are more amenable to change utilizing spiritual tools such as humility, honesty, acceptance and surrender.

This skills-training event will teach clinician’s how to assist clients in the removal of these defects including pride, greed, jealousy and envy. Understanding that “I am jealous and I will change” is an illusion and the fact that change occurs in the “moment” will be at the heart of this transformation.

EGOLESS

This is the most advanced of the spiritual trainings. It is based on sacred spiritual teachings and approaches a philosophy of the mind (ego) and moving beyond the mind using negation.

Psychological time is the source of all conflict. The ego (thought, mind) is time-bound to the past and future. It does not have access to truth. By staying in the silence of the moment one comes face to face with truth-the energy of transformation. This space has no words, no center and no “me”. When the mind is still, tranquil, not seeking any answer or solution, neither resting nor avoiding-it is only then there can be regeneration because the mind is capable of perceiving what is true and it is truth that liberates you and not your effort to be free.

OTHER POPULAR TRAININGS (DESCRIPTIONS AND OBJECTIVES FURNISHED UPON REQUEST)

  • MOTIVATIONAL INTERVIEWING UTILIZING A STAGES OF CHANGE MODEL

  • SCIENCE BASED TREATMENT OF ADOLESCENT DISRUPTIVE BEHAVIOR DISORDERS (CONDUCT DISORDER, ADHD, ETC.)

  • EVIDENCE-BASED TREATMENT OF OPIOID ADDICTION (includes prescription pain pill addiction)

  • EVIDENCE-BASED TREATMENT OF STIMULANT ADDICTION (METHAMPHETAMINE AND/OR COCAINE ADDICTION)
  • EVIDENCE-BASED TREATMENT OF MARIJAUNA ABUSE AND ADDICTION

  • EVIDENCE-BASED TREATMENT OF ALCOHOL DEPENDENCE

WALK AWAY ENERGIZED WITH NEW SKILLS TO AID IN YOUR CLIENT’S RECOVERY”

Cardwell C. Nuckols MA, PhD

cnuckols@elitecorp1.com

www.cnuckols.com

(407) 758-1536