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In their book Nurturing Resilience, Kathy Kain and Stephen Terrell explore the impact of preverbal and prememory trauma on developmental physiology and adaptive responses. What makes this book significant is how the authors synthesize findings from attachment theory, polyvagal theory, brain development, and trauma physiology into a unified conceptualization of how to heal from trauma. In this training, we will do a deep dive into the world of neuroscience and trauma, and learn practical ways to deepen our practices as trauma-informed clinicians who can then best assist our clients in building their resilience.

Upon completion of this training, participants will be able to:

  • Discuss the impact of early traumatic experiences on the nervous system
  • Identify the importance of somatic work on healing from trauma
  • Review how attachment theory, polyvagal theory, and brain development are connected to adaptive responses to trauma
  • Discuss how to build resilience after trauma
  • Understand how to assist clients in creating a sense of safety and regulation

Syllabus:

Objective #1: Foundations of Developmental Trauma

  • Define developmental trauma as distinct from shock trauma
  • Understand the long-term impact of early adverse experiences on the nervous system
  • Explore trauma through a neurodevelopmental and attachment-based lens
  • Recognize how childhood adaptations shape adult functioning and relational styles

Objective #2: Attachment, Regulation, and Early Development

  • Review attachment theory and the essential conditions for secure bonding
  • Understand the role of co-regulation in developing emotional self-regulation
  • Identify how attachment ruptures and caregiver inconsistency lead to dysregulation
  • Examine how early relationships form the foundation for resilience and self-concept

Objective #3: Interoception, Exteroception, and Neuroception

  • Define interoception as awareness of internal bodily states
  • Define exteroception as awareness of the external environment
  • Define neuroception as the subconscious scanning for cues of safety or danger
  • Explore how trauma distorts these systems, leading to chronic threat perception

Objective #4: Polyvagal Theory and the Nervous System

  • Review the sympathetic, dorsal vagal, and ventral vagal branches of the autonomic nervous system
  • Identify how trauma creates chronic activation of survival states
  • Understand the developmental timeline of vagus nerve maturation and co-regulation needs
  • Examine how nervous system imbalances affect behavior, cognition, and social engagement

Objective #5: Defensive Accommodations and Survival Physiology

  • Define defensive accommodations as adaptations to overwhelming environments
  • Identify common patterns including dissociation, repression, intellectualization, and denial
  • Explore the connection between trauma and the creation of a “faux” window of tolerance
  • Understand the energetic cost and emotional limitations of these protective responses

Objective #6: Locus of Control and Somatic Imprints

  • Explore how early caregiving influences internal versus external locus of control
  • Recognize how trauma limits perceived agency and fuels defensive behaviors
  • Understand how nonverbal trauma imprints create neural templates for future experiences
  • Link early helplessness to adult beliefs about control, safety, and responsibility

Objective #7: Clinical Implications and Regulation Work

  • Emphasize regulation as the core of developmental trauma treatment
  • Provide co-regulation through presence, attunement, and predictable boundaries
  • Support clients in recognizing somatic signals of safety and danger
  • Foster interoceptive awareness and somatic vocabulary for safety, connection, and pleasure
  • Use incremental challenges to expand the client’s true window of tolerance

Objective #8: Healing through Relationship and Touch

  • Use therapeutic presence to offer a secure base and safe haven
  • Consider the ethical and effective application of touch when appropriate
  • Recognize the power of attuned, regulated clinician responses to promote healing
  • Engage somatic-based psychotherapies such as Somatic Experiencing

Objective #9: Repairing Attachment and Building Resilience

  • Focus on long-term work to restore self-regulation and relational trust
  • Encourage new neural pathways through safe, responsive relationships
  • Help clients reclaim agency, meaning, and connectedness
  • Recognize that what didn’t happen in infancy can begin to happen in therapy

Social workers completing this course receive 3 Clinical asynchronous continuing education credits.

For other board approvals, this course qualifies for 3 Clinical continuing education training.

Instructor: Dreya Blume, LCSW

Recording Date:  1/26/2024

CEUS On-Demand, LLC, provider #2274, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/7/2026 - 08/6/2027. Social workers completing this course receive 3hrs Clinical continuing education credits.  

CEUs On-Demand, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7091. Programs that do not qualify for NBCC credit are clearly identified. CEUs On-Demand, LLC is solely responsible for all aspects of the programs.

System Requirements: Firefox, Chrome, Brave, Safari, Edge on any modern operating system (Windows, MacOS, Linux, Android, iOS). A desktop browser is recommended. We do not provide support resources for issues encountered using a mobile device.

Request for Special Accommodations: Learners can request special accommodations by contacting the administrative team at admin@ceus-ondemand.com


Course Instructor: Dreya Blume is a licensed clinical social worker, with her MSW from Radford University and an MA in anthropology from the University of Hawaii. Dreya has twenty years of experience working in mental health, from case management to intensive in-home services to leading groups for addicts in recovery. Dreya began a part-time counseling practice in 2004, and as a psychotherapist, her focus has been on serving the LGBTQ+ community. Dreya also has been a teacher for thirty years. Prior to her career in social work, she taught English in places such as Japan, Thailand, Australia, and Hawaii. Since 2010, Dreya has been an adjunct professor for Virginia Western Community College, preparing future social workers for the field. In her spare time, Dreya loves to write. She is the author of a number of books (published under her former name, Andy Matzner), including “Everyone Has a Story: Using the Hero’s Journey and Narrative Therapy to Reframe the Struggle of Mental Illness,” “The Tarot Activity Book: A Collection of Creative and Therapeutic Ideas for the Cards,” and “The Buddha Diet: A Guide to Creating a Positive Relationship with Food and Eating.”

Course Content

Helping Clients Move Forward from Developmental Trauma
Online Training Evaluation For Asynchronous