- Interpersonal Trauma and its Impact on Attachments
- Intrusion – if needed, distance is not required
- Stealth Therapy – therapy without calling it therapy
- Crisis of connection – therapeutic relationship threatens closeness
- Fawns in Gorilla Suits – vulnerability and protection
- Termination challenges
- Grief – longing for the missed attachment
- Case Study: 2 sisters, ages 5 and 11 confronting attachment trauma in early life
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Attachment Ruptures and Repair in Children & Adolescents
Attachments are not easily made by those who experience disrupted early attachments, and typically only develop after significant struggle, ambivalence, and taking tentative steps towards connection - as not to alienate.
Of course, the other side of the coin is that once making such hard-earned connections, giving them up at termination is another significant therapeutic challenge (Gil & Crenshaw, 2017).
Join David Crenshaw, PhD, RPT-S, as he teaches you how to…
- Use an invitational approach to attachment trauma in youth
- The Concept of Relational Trauma (Allan Schore, 2012) and its contribution to potential cumulative deprivation throughout life
- Adopt Stealth Therapy in work with these reluctant youth
- Plan for and work through the Crisis of Connection
- Utilize the analogy of Fawns in Gorilla Suits in therapeutic work with youth and caregivers, teachers, and families
- Prepare for and work through grief and loss issues at termination
Here's What You'll Learn
Everything You're Getting
- More than 1 hour of content
- CE information to come
- Handouts and resources
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Meet Your Experts
David Crenshaw, PhD, ABPP, RPT-S™
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David A. Crenshaw, PhD, ABPP, RPT-S™, is Clinical Director of the Children’s Home of Poughkeepsie. He is Past-President of the New York Association for Play Therapy, a Board-Certified Clinical Psychologist; a Fellow of the American Psychological Association, Division of Child and Adolescent Psychology, and a Registered Play Therapy Supervisor. Dr. Crenshaw has taught graduate courses in play therapy at Columbia University and Johns Hopkins University. He was honored with the Excellence in Psychology Award in 2009, and a Lifetime Achievement Award in 2012 by the Hudson Valley Psychological Association. In 2018, he was awarded a Lifetime Achievement Award by the NY Association for Play and in 2021 was awarded a Lifetime Achievement Award by the NY Association for Play Therapy. The author/editor/co-editor of 17 books, numerous book chapters, and journal articles on child aggression, play therapy and child trauma, his latest book co-edited with Cathy Malchiodi is What to Do When Children Clam-Up in Psychotherapy and a book co-written with Eliana Gil titled Termination Challenges in Child Psychotherapy.
Financial: David Crenshaw is the founder and director of Rhinebeck Child and Family Center LLC. He receives royalties as a published author. David Crenshaw receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: David Crenshaw is a member of the American Psychological Association, the Association for Play Therapy, and the New York Association for Play Therapy, Los Angeles County Psychological Association, and the California Association of Marriage and Family Therapists.
Clair Mellenthin, PhD, LCSW, RPT-S™
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Clair Mellenthin, PhD, LCSW, RPT-S™, is an international speaker, author, psychologist, and Registered Play Therapist Supervisor. Throughout her career, she has specialized in providing play therapy to children, teens, and their families. She is currently the Director of Child & Adolescents at Wasatch Family Therapy. Ms. Mellenthin frequently presents professional play therapy and family therapy trainings on Attachment-Centered Play Therapy, Family, and Trauma issues both nationally and internationally.
Ms. Mellenthin is a sought-after supervisor, training graduate students and interns in play therapy, and an adjunct faculty member at the University of Southern California MSW program. She is the past-president of the Utah Association for Play Therapy and remains an active member on the Board of Directors. She is the author of the books Attachment Centered Play Therapy; Play Therapy: Engaging & Powerful Techniques for the Treatment of Childhood Disorders; My Many Colors of Me Workbookand has authored several chapters and articles. In addition to being an experienced play therapist and professor, Ms. Mellenthin also appears on local and national TV and radio as an expert on children and family issues. She holds a master’s degree in Social Work from the University of Southern California.
Speaker Disclosures:
Financial: Clair Mellenthin has an employment relationship with Wasatch Family Therapy. She is a published author and receives royalties. Clair Mellenthin receives a speaking honorarium, recording royalties, and book royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Clair Mellenthin is a member of the National Association of Social Workers, the Association for Marriage and Family Therapy, the American Psychological Association, and the Association for Play Therapy.
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- Media Type:
- DVD
- Also Available:
- Digital Seminar
- Product Code:
- RNV058070
- Duration:
- 1 hour, 32 minutes
- Copyright:
- May 06, 2021
- Publisher:
- PESI Inc.
Credit Notes:
* Credit Note - ****
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Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.
**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards. For Planning Committee disclosures, please see above. For speaker disclosures, please see the faculty biography. A small portion of the material for this CE activity was developed with limited assistance from generative AI. All AI-generated information was reviewed for accuracy by the instructor, an independent content reviewer, or PESI staff. Evergreen Certifications is owned by PESI, Inc. Counselors please note: This activity is not offered for NBCC CE hours.
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Counselors
Counselors
This self-study activity consists of 1.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements. This activity is not offered for NBCC CE hours.
Florida Counselors
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Kentucky Counselors
CE credit is available. This self-study course consists of 1.75 continuing education credit hours for Kentucky Counselors. The Continuing Education Requirements for the Kentucky Board of Licensed Professional Counselors (201 KAR 36:030 Section 2) state continuing education programs from providers sponsored or approved by a state counseling licensure board shall be approved without further review by the board. PESI, Inc. is approved by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540. PESI maintains responsibility for this program and its contents.
Montana Counselors
The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 1.5 clock hours of instruction.
Nevada Counselors
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Ohio Counselors
PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance in this self-study course meets the qualifications for 1.5 clock hours of continuing education credit.
South Carolina Counselors
This self-study program has been approved for 1.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.
Texas Counselors
This self-study activity consists of 1.5 clock hours of continuing education instruction. Texas State Board of Examiners of Professional Counselors no longer approves programs or providers. PESI activities meet the continuing education requirements as listed in Title 22 Texas Administrative Code, Chapter 681, Subchapter J, Section 681.142 Acceptable Continuing Education. Please retain the certificate of completion that you receive and use as proof of completion when required.
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Florida Social Workers
PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 1.5 continuing education credits.
Illinois Social Workers
PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 1.5 contact hours.
Minnesota Social Workers
PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 1.5 continuing education hours. This certificate has been issued upon successful completion of a post-test.
Montana Social Workers
The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 1.5 clock hours of instruction.
New York Social Workers
PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 1.75 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.
Ohio Social Workers
PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance in this self-study course meets the qualifications for 1.5 clock hours of continuing education credit.
Psychologists
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Florida Psychologists

PESI, Inc., is an approved provider with the Florida Board of Psychology.Provider Number #50-399.This product qualifies for 1.5 self-study continuing education credits.
Illinois Psychologists
PESI, Inc is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 268.000102. Full attendance at this self-study course qualifies for 1.5 contact hours.
Kentucky Psychologists
PESI, Inc. is approved by the Kentucky Board of Examiners of Psychology to offer continuing education for psychologists, approved provider #202411I. PESI maintains responsibility for this program and its content. This self-study activity will qualify for 1.5 contact hours.
New York Psychologists
PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0014. This self-study activity will qualify for 1.75 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.
Ohio Psychologists
PESI, Inc. is approved by the Ohio Psychological Association, Provider #263896894, to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for this program and its content. PESI is offering this self-study activity for 1.5 Standard hours of continuing education credit.
Pennsylvania Psychologists
PESI, Inc. is approved by the Pennsylvania State Board of Psychology to offer continuing education for psychologists. Provider #PSY000211. PESI maintains responsibility for the program(s). This self-study program qualifies for 1.5 continuing education hours.
Marriage & Family Therapists
Marriage & Family Therapists
This self-study activity consists of 1.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save this course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.
Florida Marriage & Family Therapists
PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 1.5 continuing education credits.
Illinois Marriage & Family Therapists
PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #:168-000156. Full attendance at this self-study activity qualifies for 1.5 credits.
Montana Marriage & Family Therapists
The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 1.5 clock hours of instruction.
Nevada Marriage & Family Therapists
PESI, Inc. is an approved CEU provider with the State of Nevada Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors. This self-study activity qualifies for 1.5 contact hours. Approved Provider # NVCEP2006.
New York Marriage & Family Therapists
PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0024. This self-study activity will qualify for 1.75 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.
Ohio Marriage & Family Therapists
PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance in this self-study course meets the qualifications for 1.5 clock hours of continuing education credit.
South Carolina Marriage & Family Therapists
This self-study program has been approved for 1.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.
Texas Marriage & Family Therapists
This self-study activity consists of 1.5 clock hours of continuing education instruction. Texas State Board of Examiners of Marriage and Family Therapists no longer approves programs or providers. PESI activities meet the continuing education requirements as listed in Title 22 of the Texas Administrative Code, Chapter 801, Subchapter K, Section 801.264 Types of Acceptable Continuing Education. Please retain the certificate of completion that you receive and use as proof of completion when required.
Occupational Therapists
Florida Occupational Therapists & Occupational Therapy Assistants
PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 1.5 self-study continuing education credits.

Educators, Teachers & School Professionals
South Carolina Psycho-Educational Specialists
This self-study program has been approved for 1.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.
Other / No Jurisdiction
Other Professions
This self-study activity qualifies for 1.5 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.
- Analyze the concept of relational trauma.
- Distinguish the link between interpersonal trauma and attachment wounds.
- Determine 3 ways the "Crisis of Connection" can manifest in the course of therapy.
- Utilize the analogy of “fawns in gorilla suits” and three ways it can be used in therapy with youth and family.
- Determine three unique challenges of termination with youth experiencing attachment trauma.
- Interpersonal Trauma and its Impact on Attachments
- Intrusion – if needed, distance is not required
- Stealth Therapy – therapy without calling it therapy
- Crisis of connection – therapeutic relationship threatens closeness
- Fawns in Gorilla Suits – vulnerability and protection
- Termination challenges
- Grief – longing for the missed attachment
- Case Study: 2 sisters, ages 5 and 11 confronting attachment trauma in early life
- Counselors
- Social workers
- Psychologists
- Marriage & family therapists
- Occupational therapists
- Speech-language pathologists
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