The Institute for Chronically Traumatized Children

The Institute for Chronically Traumatized Children (ICTC), located in Agnes Water Queensland, Australia, provides training, supervision, consultation, and research on the treatment of chronically traumatized children and their families. The ICTC provides fly-in-fly-out trauma treatment for chronically traumatized children in Australia and New Zealand.
The director of the ICTC, Arianne Struik, developed the Sleeping Dogs® method, an award-winning treatment to engage resistant children who are not motivated and difficult to engage. The Sleeping Dogs method is described in Treating Chronically Traumatized Children (Struik, 2019).
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The second edition of Treating Chronically Traumatized Children has lots of new materials, free download. Some are translated into Danish and Swedish.

The Sleeping Dogs method is a treatment to engage resistant and not motivated children into trauma-focused treatment. It consists of tools to analyse the child’s circumstances and possible barriers to treatment. The customised treatment plan consists of practical interventions to overcome the identified barriers, support trauma processing and integration. Sleeping Dogs treatment can consist of work with the child’s biological family, caregivers, residential staff, foster care workers, the child protection worker and therapists. Sessions with the child are reduced to the minimum. Order now via Amazon

Training Calendar
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By Samkrafter trainers
in collaboration with Arianne Struik.

Description
This workshop is presented by trainers from Samkrafter in collaboration with Arianne struik. In this workshop participants will learn how to understand contact between children in out of home care and their biological parents from a trauma lens and improve the safety and quality of this contact and make decisions on increasing or reducing contact.

Collaboration
In the training we from the Samkrafter team, will discuss our approach to establishing and strengthening the collaboration between CPS and families of children in out of home care. We will explain several tools we developed to support that. Participants will practise with the use of these tools with cases of children in foster care. Sometimes when working with children in foster care and their families we meet resistance or conflict. When this happens, it is even more important to gather everyone who is involved to gather and set up a meeting. When these situations occur, there’s a need for an open approach and tools to support that approach. In the training we will therefore also look into how to do “mapping” and solution focused questioning, components that originate from Signs of Safety and Partnering for Safety.

The impact of trauma
To understand children and parents from a trauma perspective, Arianne Struik will explain how abuse and neglect can impact on a child’s development, attachment and traumatization in children can be recognised.
Many children suffer from intergenerational abuse and their parents have been traumatized as well. That can create difficulties in collaboration with the parents. Arianne Struik will outline ways of working with traumatized parents, to improve collaboration and self-regulation and how the parents can contribute greatly to the child’s healing process.

Tools to strengthened collaboration with parents
When we meet children and parents, it can be helpful with certain concrete tools but also an approach that strengthens and facilitates collaboration. During the training, we will discuss this together and you will get to try out some of the tools that are useful in contact. Part of the work with children in out of home care is about creating predictability and clarity - both for the children, the biological parents and the foster families Tool such as word & picture stories and profiles can be a support, which are some of the tools we will go through. In our work with children in out of home care and their families, we will of course also face resistance and conflicts can arise. When this happens, the need is even greater to improve collaboration with the parents. In such situations, both a transparent approach and tools are required that support such an attitude. We will therefore also practice mapping with solution-focused querying, components that originate in Signs of Safety and Partnering for Safety.

Understanding contact between child and parents from a trauma and developmental perspective
Arianne Struik will discuss the different aspects of contact between child and parents from a trauma and developmental perspective, such as: When is contact safe, pros and cons of not having contact of very minimal, how can contact improve the child’s attachment relationships with the parents and caregivers, how to understand the child’s reactions after,

Trauma treatment and preparation
Arianne Struik will discuss different trauma treatment methods and the potential benefits of treatment. Arianne will provide a brief outline of the reasons why children are reluctant to talk about their trauma, such as secrecy, threats, no permission, loyalty. Then we will continue to practise how to work on safe ways of establishing contact with cases. How to reduce the impact of contact after and before, how can parents contribute to the child’s healing process during contact, what can help traumatized parents during contact.

Managing trauma reactions
She will explain how the child’s trauma reactions and triggering can be reduced, how loyalty conflicts can be addressed and shame and guilt can be reduced. Then she will discuss interventions to provide psychoeducation about trauma reactions to caregivers and children, with for example the window of tolerance, the volcano metaphors and interventions to improve self-regulation, such as the safe deposit box and the here and now exercise. We will practise how to use these tools, such as the Window of tolerance and the Volcano in roleplay.

Participants will get an assignment to practise with their cases. On the third day the homework will be discussed participants will practise further with cases and in roleplay.

In this workshop questions will be answered such as:
• How does a lack of contact affect a child's development?
• How can we understand children's reactions before, during and after contact?
• How do we help traumatized children to heal?
• How do we get a better collaboration with parents when a child is placed in out of home care?

Participants
This workshop is for participants who work with children in out of home care and who would like to improve their knowledge and skills in collaboration with parents and foster parents and improving safe contact arrangement.

Practical details
Dates: 27, 28 October and 6 December 9.00-1600 Stockholm, European time online
Language: English. During the training, it will be possible to ask questions in both English and Swedish, and where the trainer will translate if necessary.
Costs: 6900 Swedish Krone (680 Euro/1100 AUD) including the book Treating Chronically Traumatized Childeren. The Sleeping Dogs method (Struik, 2019).
More information and registration: http://www.samkrafter.se/arianne and email:

Samkrafter
The trainers from Samkrafter are social workers with many years of experience of working with children in out of home care and child protection. We train and supervise Child Protection Services, Foster Care organisations and managers in how to facilitate change in families and how to assess new foster carers and provides consultation to Child Protection Services in different areas.

Arianne StruikArianne Struik is a clinical psychologist, family therapist and EMDR consultant, originally from the Netherlands. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director with children living at home, in foster care and residential care. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides specialized trauma treatment in remote areas, as well as workshops, training, supervision and research. She developed the award-winning Sleeping Dogs method, described in the book Treating Chronically Traumatized Children and teaches internationally on the treatment of trauma and dissociation in children. She is member of the ESTD Child and Adolescent Committee and the Australian Psychological Society EMDR Interest Group national committee.

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28 October and 7 December 2021 Supervision group EMDR and Sleeping Dogs for children | Online

This 2-hour supervision group focuses on how to prepare and motivate complex traumatized children and adolescents for EMDR therapy and how to use the EMDR Child protocol with this target group. The maximum number of participants is 8-10. At the start we make an inventory of who has questions and cases and we make a schedule to discuss these.

Practical issues
Dates: 28th of October and 7th of December 2021 11.00-13.00 Brisbane QLD time online. Please remember the time may change if your location has daylight savings time.
Costs: 130 AUD (ex GST for Australian participants only). This amount is for the total of 4 hours group supervision.
Accreditation: Arianne Struik is an EMDR consultant for adults, children and adolescents accredited by EMDRAA, EMDRNZ & EMDR Europe. For participants that are trained by and EMDR Institute trainer, these case consultation hours cannot be used for the required hours between weekend I and II of an EMDR Institute training.

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Arianne StruikArianne Struik is a clinical psychologist, family therapist and EMDR consultant, originally from the Netherlands. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director with children living at home, in foster care and residential care. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides specialized trauma treatment in remote areas, as well as workshops, training, supervision and research. She developed the award-winning Sleeping Dogs method, described in the book Treating Chronically Traumatized Children and teaches internationally on the treatment of trauma and dissociation in children. She is member of the ESTD Child and Adolescent Committee and the Australian Psychological Society EMDR Interest Group national committee.

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16 th of November 2021 online

Sleeping DogsWorkshop: Treating Chronically Traumatized Children. The Sleeping Dogs method
By Arianne Struik

Description
The Sleeping Dogs method is a trauma treatment for children who were severely and chronically traumatized in early childhood. Many chronically traumatized children do not receive adequate treatment. They can refuse to participate in therapy or become very aggressive, avoidant or dissociate when the trauma is mentioned. Some children just never talk about is and it seems they have forgotten. It is difficult to know where to start, often it is advised to focus on symptom management and behaviour, rather than trying to address the trauma, out of fear to ‘wake up sleeping dogs’ and dysregulate or upset the child. It is thought the child will start talking about his traumatic memories when he is ready, but children rarely do without help, and if the trauma is not addressed, these ‘sleeping dogs’ (traumatic memories) damage the child’s development in all areas.

These children, who are called ‘resistant’ or ‘not motivated’ usually have good reasons not to engage, such as unsafety, instability in daily life, unsafe attachment relationships, lack of emotion regulation skills and negative core beliefs. The Sleeping Dogs method analyses these barriers systematically and then provides a structure to address and remove these barriers so the child becomes able to engage in a form of trauma processing such as EMDR or TF-CBT. The Sleeping Dogs method describes interventions to support the child and prevent it from dropping out and afterwards address the consequences of developmental trauma. Interventions can be done with the child, caregivers or biological parents and because the child is reluctant to engage, the caregivers, residential staff, parents, foster care workers, or child protection workers are also part of treatment in trying to engage the child. The structure of the Sleeping Dogs method can also guide decision-making by child protection services around disclosures, safety, contact arrangements with biological parents, contact between foster parents and biological parents, and reunification.

In this practical one-day workshop the Sleeping Dogs method is explained and illustrated with case examples and video material. The theory will be explained in straightforward language and participants practice the use of the method their own cases.

Who is this workshop for?
Professionals, psychologists, family therapists, social workers, residential staff, foster care workers and caseworkers in child protection, who work with chronically traumatized children and their families.

Practical issues
Date: 16 th of November 2021 9.00-4.00 pm Amsterdam/Copenhagen/Stockholm time online
Costs: 260 AUD (170 euro) including the book Treating Chronically Traumatized Children (Struik, 2019) in English or Danish

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The ICTC uses Tickettailor for registration and payment. Multiple participants can be registered. After payment you will receive an email with your receipt.You can pay with creditcard via Stripe or Paypal, and with Applepay. You can also pay with IDEAL via Paypal. You will have to setup a free Paypay account and verify this account.
English link for paypal


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Introduction video Treating chronical traumatized children The Sleeping Dogs method


Arianne StruikArianne Struik is a clinical psychologist, family therapist and EMDR consultant, originally from the Netherlands. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director with children living at home, in foster care and residential care. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides specialized trauma treatment in remote areas, as well as workshops, training, supervision and research. She developed the award-winning Sleeping Dogs method, described in the book Treating Chronically Traumatized Children and teaches internationally on the treatment of trauma and dissociation in children. She is member of the ESTD Child and Adolescent Committee and the Australian Psychological Society EMDR Interest Group national committee.

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3-4 and 10-11 March 2022 Online

EMDR Child Training

What is EMDR?
EMDR is internationally widely used and recommended in international guidelines as one of the evidence-based treatments for traumatized children with PTSD. EMDR can be used for consequences of single event trauma, but also for chronic traumatization like domestic violence, (sexual) abuse, neglect, drug- and alcohol-abuse by parents, attachment-issues, parents with mental health issues and medical trauma. EMDR can be used when bad memories from the past are linked to present symptoms, like depression, anxiety or a negative self-image. Since EMDR requires very little verbal abilities, it can be used also for (Indigenous) children for whom English is a second language, children with an intellectual disability, FASD and for young children (0-6).

The use of EMDR with children
Therapists who have been trained in EMDR for adults lack information on adaptations, necessary for using EMDR with children. In the Netherlands, the EMDR Europe accredited Child & Adolescent Trainers Carlijn de Roos and Renee Beer offer child level l trainings, competency-based consultation and child level ll trainings. Since 2000 Carlijn and Renee have trained many child therapists successfully. In New Zealand and Australia there is a great need of specialized training for EMDR therapists working with children. After having organized five successful EMDR Child trainings in Australia and New Zealand, the Institute for Chronically Traumatized Children (ICTC) is organizing another Child level I training in New Zealand.

Program EMDR Child Training
In this two-day training program, Carlijn de Roos will teach the modifications to the standard EMDR-protocol for all age groups (0-3, 4-5, 6-11, 12-18) and the treatment of preverbal trauma, illustrated with video fragments. Participants will practice with the Child Protocol. After this training therapists will be able and (hopefully) confident enough to use EMDR with children of all ages with PTSD related symptoms. This training is EMDRAA and EMDRNZ accredited.
EMDR-consultation by an accredited EMDR Child Consultant afterwards for over a period of a year is strongly recommended to build on skills and confidence in dealing with complex situations.

Carlijn de Roos is a clinical psychologist/psychotherapist and an EMDR Europe approved Child & Adolescent Trainer. Together with Renée Beer she developed the Child & Adolescent EMDR training in the Netherlands. Carlijn is specialised in the treatment of infants, children, adolescents and adults with trauma-related and somatoform disorders. She conducted and participated in several RCT’s to investigate the efficacy and efficiency of EMDR and CBT for traumatized patients and has published on these topics. Furthermore, she was president of the Dutch EMDR Association and is currently chair of the Child and Adolescent Committee EMDR Europe.

Applicants
Participants need to work with children in Australia or New Zealand and need to have done minimal EMDR weekend I. For the use of EMDR within a phased treatment with complex traumatized and dissociative children, often in foster or residential care, it is recommended to attend the workshop Treating Chronically Traumatized Children or view the online recording of this workshop prior to the EMDR training. In this workshop the Sleeping Dogs method (Struik, 2019) is used to work on for example issues around resistance, lack of motivation, safety, stability in daily life, attachment, denial or lack of acknowledgement from the parents.

Practical issues
Dates: 3-4 and 10-11 March 2022 (8.30 am -12.00 NZ time, four half days) online via Zoom. This training is not recorded so participants have to attend all four half days.
Costs: 740 AUD including materials.

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register Customers from other countries (no GST)

The ICTC uses Tickettailor for registration and payment. Multiple participants can be registered. After payment you will receive an email with your receipt.You can pay with creditcard via Stripe or Paypal, and with Applepay. You can also pay with IDEAL via Paypal. You will have to setup a free Paypay account and verify this account.
English link for paypal

Information:

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Recorded Webinar April

Treating Chronically Traumatized Children.
The Sleeping Dogs method
By Arianne Struik


Who should attend?

This workshop is intended for mental health professionals who work with children and their family (private practitioners or clinicians working in organizations, child protection workers, residential staff or foster care workers). This workshop can assist organizations such as residential facilities, Foster Care, Child Protection or Mental Health Services with implementing trauma-informed and trauma-focused treatment. Although the use of EMDR (Eye Movement Desensitization and Reprocessing) therapy will be discussed, training in EMDR is not required. Other forms of therapy to use with this method will also be discussed (play therapy, CBT, art therapy,....).

Workshop Description
The Sleeping Dogs method is a trauma treatment for children ages zero to 18 who were severely and chronically traumatized in early childhood, for whom ‘standard’ trauma treatment is not possible and every other therapy fails or the child refuses to participate or is not motivated. The Sleeping Dogs method is always combined with a treatment to process traumatic memories such as EMDR or TF-CBT.

Many chronically traumatized children do not receive adequate treatment. They can refuse to participate in therapy or become very aggressive or dissociate when the trauma is mentioned. Clinicians do not know where to start because the child is so severe and chronically traumatized. It is often then advised to focus on symptom management and behaviour but to wait until the child starts talking about his traumatic memories out of fear to ‘wake up sleeping dogs’. However, children rarely do and the child’s ‘sleeping dogs’ (traumatic memories) damage the child’s development in all areas.

These children, who are called ‘resistant’ or ‘not motivated’ usually have good reasons not to engage, such as unsafety, instability in daily life, unsafe attachment relationships, lack of emotion regulation skills and negative core beliefs. The Sleeping Dogs method analyses these barriers systematically and then draw up a treatment plan with interventions to remove these barriers so the child becomes able to engage in EMDR or TF-CBT. The Sleeping Dogs method describes interventions to support the child and prevent it from dropping out and afterwards address the consequences of developmental trauma. Interventions can be done with the child, caregivers or biological parents and because the child is reluctant to engage, the interventions can even be done by caregivers, residential staff, parents, foster care workers, or child protection workers to try and engage the child.

The Sleeping Dogs methods also guides decision-making by child protection services around disclosures, safety, contact arrangements with biological parents, contact between foster parents and biological parents, and reunification. Child protection or youth care workers can assess the child’s development, health and wellbeing and plan interventions for improvement with the Sleeping Dogs method.

In this practical workshop the Sleeping Dogs method is explained and illustrated with case examples and video material. The theory will be explained in straightforward language and participants practice the use of the method their own cases.

Learning Objectives
Participants will learn about the Sleeping Dogs Method and will be able to apply it to their clinical cases.
Participants will be able to identify when the use of the Sleeping Dogs Method is appropriate.
Participants will be able to identify all potential barriers for chronically traumatized children to commence with therapy.
Participants will be able to make a structured assessment of the potential barriers for their cases with the Sleeping Dogs method.
Participants will learn to analyze cases by using the Barriers Form to discover possible reasons why the child is resistant.
Participants will be able to identify the necessary elements of the treatment plan to overcome the barriers for their cases.
Participants will learn how to stabilize children and adolescents as quickly as possible so they can start processing those traumatic memories.
Participants will learn how to involve family members, even when they have abused or neglected the child and may have little or no contact with them, and when reunification is no option.

Practical things
Duration:
10 hours
Costs: 250 AUD ex GST including the e-book Treating Chronically Traumatized Children (Struik, 2019)

ticket Australian customers (with GST)

ticket Customers from other countries (no GST) For US and Canada see Envision

The ICTC uses Tickettailor for registration and payment. You can pay via Stripe or Paypal and with Applepay. Multiple participants can be registerd at the same time. After payment you will receive a receipt and a link to the recording and handouts that is valid for two months.
You can also pay with IDEAL via Paypal. You will have to setup a free Paypay account and verify this account.
English link for paypal


Information/inquiries:

Arianne Struik is a clinical psychologist, family therapist and EMDR practitioner and consultant, originally from the Netherlands. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides specialized trauma treatment in remote areas, as well as workshops, training, supervision and research. She developed the award-winning Sleeping Dogs method, described in the second edition of the book Treating Chronically Traumatized Children (Struik, 2019) and teaches internationally on the treatment of trauma and dissociation in children. She is member of the European ISSTD Child and Adolescent Committee and convener of the Australian Psychological Society EMDR Interest Group

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Recorded Webinar (October 2020)
Treating preverbal trauma in infants, children and adults with EMDR
By Arianne Struik

Who should attend?
This webinar is intended for clinicians who are trained in EMDR, experiences in the use of the EMDR basis protocol and have knowledge of the Storytelling EMDR protocol.

Workshop Description
To process traumatic memories with the EMDR basic protocol clients need to be able to tell you about their experiences. However, clients can also experience traumatizing situations at a very young age, such as abuse, domestic violence, sexual abuse, neglect but also painful medical procedures, hospitalization, accidents. Those traumatizing experiences are then stored in a different way and can be expressed in physical and sensory sensations, feelings, sounds, smells or images. When these experiences cannot be consciously recalled and verbalized, this is called preverbal trauma. Also, clients with an intellectual disability, who function at a lower developmental level, can store trauma preverbally.

Clients who experienced preverbal trauma can display symptoms, such as anger, oppositional behavior, depression, emptiness, anxiety and hypervigilance, pain, sexualized behavior, and dissociation. Young children and infants can have problems with sleeping or eating or their attachment can be disturbed.

These symptoms can be related to those preverbal experiences and when that is suspected, those experiences need to be processed in order to overcome those symptoms. In 1999 Joan Lovett developed the Storytelling protocol to access and process these preverbal memories with EMDR. Over the years Storytelling has been widely used and further developed. Arianne Struik has been using EMDR with infants, children and adults for twenty years and she will share her experiences in this workshop.

This workshop will address the use of EMDR with preverbal trauma in infants and young children, in older children and in adults. Arianne Struik will discuss topics such as:

  • What is known about preverbal trauma and about the use of EMDR?
  • What is the impact of preverbal trauma?
  • How to decide whether to use EMDR for preverbal traumatic memories and deal with dilemma’s?
  • What are prerequisites for this treatment?
  • How to structure the sessions, who is present?
  • How can EMDR be used with very young children and infants with preverbal trauma and how can parents become co-therapists
  • Can this be done online?
  • How to choose a target and process chronic preverbal trauma
  • How to develop the narrative and what if it is unclear what the client has experienced?
  • Which form of bilateral stimulation can be used?
  • How to assess if the preverbal trauma is activated, what to expect?
  • What to do when clients have strong (physical) abreactions or dissociate?
  • How often is the same narrative used?
  • How can understanding the steps from the basic EMDR protocol be helpful in processing preverbal trauma in clients?

This webinar is an interactive presentation and participants are encouraged to ask questions and share topics for discussion.

Learning Objectives

  • Participants will have an understanding of the state of the art on preverbal trauma
  • Participants will be able to identify potential preverbal trauma in clients
  • Participants will be able to process preverbal trauma with EMDR
  • Participants will learn to handle situations where clients have strong (physical) abreactions or dissociate?

Practical things
Duration:
5,5 hours
Costs: 100 AUD ex GST

ticket Australian customers (with GST)

ticket Customers from other countries (no GST) For US and Canada see Envision

The ICTC uses Tickettailor for registration and payment. You can pay via Stripe or Paypal and with Applepay. Multiple participants can be registerd at the same time.
After payment you will receive a receipt and a link to the recording and handouts that is valid for two months.

You can also pay with IDEAL via Paypal. You will have to setup a free Paypay account and verify this account.
English link for paypal


Information/inquiries:

Arianne Struik is a clinical psychologist, family therapist and EMDR practitioner and consultant, originally from the Netherlands. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides specialized trauma treatment in remote areas, as well as workshops, training, supervision and research. She developed the award-winning Sleeping Dogs method, described in the second edition of the book Treating Chronically Traumatized Children (Struik, 2019) and teaches internationally on the treatment of trauma and dissociation in children. She is member of the European ISSTD Child and Adolescent Committee and the Australian Psychological Society EMDR Interest Group.

Recorded webinar
Troubleshooting when using EMDR online
From 21 April 2020

 

Webinar description
In the past months many clinicians have been trying to deliver EMDR therapy from home and online. Many webinars have covered the basics of how to do that, but the reality can be more challenging. This webinar addresses more advanced questions such as: What if a client does not want to continue with EMDR online, how can I convince them? What to do when a client has an abreaction? How to manage risk of dissociation during EMDR? How can we do EMDR online with children? Can we do EMDR with preverbal trauma and very young children and infants online? The presentation is illustrated with video’s demonstrating EMDR online.

Arianne Struik is a clinical psychologist, family therapist and EMDR practitioner and consultant, originally from the Netherlands. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides specialized trauma treatment in remote areas, as well as workshops, training, supervision and research.

She developed the award-winning Sleeping Dogs method, described in the second edition of the book Treating Chronically Traumatized Children (Struik, 2019) and teaches internationally on the treatment of trauma and dissociation in children. She is member of the European ISSTD Child and Adolescent Committee and a member of the Australian Psychological Society EMDR Interest Group national committee.

Practical things
Duration:
2 hours
Costs:
49,99 AUD ex GST

ticket Australian customers (with GST)

ticket Customers from other countries (no GST) For US and Canada see Envision

The ICTC uses Tickettailor for registration and payment. You can pay via Stripe or Paypal and with Applepay. Multiple participants can be registerd at the same time. After payment you will receive a receipt and a link to the recording and handouts that is valid for two months.
You can also pay with IDEAL via Paypal. You will have to setup a free Paypay account and verify this account.
English link for paypal


Information/inquiries:

Results of implementation Sleeping Dogs
Kompaan and de Bocht 2016

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