Latest / The Trauma Therapist / Episode 821: The Complex Trauma Training Center with Brad Kammer, LMFT
Transcript
- 0:00Trauma Therapist Podcast. Plus listeners can listen to episodes early and ad free right
- 0:04now. Become a Plus listener by going to Apple Podcasts searching for the Trauma
- 0:09Therapist Podcast and signing up today. All right, welcome back to the Trauma
- 0:24Thepist podcast. My name is Gamiferson. My mission is to help trauma therapist
- 0:29be their incredible selves, to be human, to be real, not just
- 0:33a clinician. I'm a big believer in who we are is more important than
- 0:37what we know, and this requires cultivating authenticity, genuineness, and vulnerability,
- 0:42and that requires intention. Can learn more about my courses and workshops by going
- 0:47to the Trauma Therapist project dot com. That's the Trauma Therapist Project dot com.
- 0:53Let's get started. I'm ready, Let's do it all right, So
- 0:55five four, three, two and one, our folks willcome back to the
- 1:00podcast. Very excited to have back Brad camera. Brad, welcome back.
- 1:04Thank you guys, So happy to be back and connecting with you again.
- 1:07Awesome. So Brad is a California licensed marriage and family therapist and professional clinical
- 1:14counselor. He's trained as a sematic psychotherapist and has worked in the field of
- 1:18trauma for over twenty years, specializing in working with adverse childhood experiences and complex
- 1:25post traumatic stress disorder. Brad began his career as a humanitarian aid worker in
- 1:30Asia, which introduced him to personal and collective trauma. He's now the director
- 1:34of the Complex Trauma Training Center that provides training, consultation, and community for
- 1:40mental health professionals working with complex trauma. He's also a senior trainer in the
- 1:45Neuroeffective Relational Model and provides armed trainings through CTTC. Finally, he's a co
- 1:51author of the Practical Guide for Healing Developmental Trauma and also the executive producer of
- 1:56the podcast Transforming Trauma. Brad, Welcome going on there. That's right,
- 2:01I've been busy recently, so before we get going here, reminder listeners where
- 2:06you're from originally and where you are currently well. Originally, I grew up
- 2:10mostly in Ohio, although I bounced around a lot when I was really young.
- 2:15But I went to elementary school, middle school, high school in Ohio
- 2:20and then did a lot of different international travel and living abroad in different periods
- 2:24of my early adult life. And then I've been in Northern California for almost
- 2:29twenty years. Now. So. I live about two hours north of San
- 2:31Francisco in small town in Mendocino County. Nice. Nice so brand new training
- 2:38center. Yeah, how did this come about? What's going on? Let
- 2:43let our listeners know. Yeah, it's super exciting for me. February first
- 2:47was our official launch date, and I've been the training director at the ARM
- 2:53Training Institute since we started that out. I've had a really great fortune in
- 2:58my professional life to have great mentors, including doctor Lawrence Heller, who created
- 3:02the Neuroffactor Relational Model NORM, and we ended up partnering and creating this institute
- 3:08that we were bringing trainings ARM trainings to all over the world even before COVID
- 3:14hit. We were doing online trainings and also in person trainings. And then
- 3:19over the last couple of years at the phase of doctor Heller's career now,
- 3:23he's been moving much more in the direction of getting NORM much more out into
- 3:27the public awareness. So he's working on a couple movie projects, documentary projects,
- 3:32he's working with different residential centers, doing a lot of online teaching to
- 3:38general public and conferences. And me and my two colleagues, the other two
- 3:44faculty members, we really wanted to continue focusing on clinical development and really getting
- 3:50this work into the hands of more clinicians. And so it became apparent that
- 3:54in this very small organization that it was time to make some changes. And
- 4:00so it's really going to free both Larry's direction up and also our direction to
- 4:04create a new center that's really focused on doing this deeper support of clinicians through
- 4:10the Complex Trauma Training Center. So we will be continuing to do arm trainings
- 4:14through our center, which is really exciting, and we're developing new programs that
- 4:18will be supporting the inner development of therapists so that they can stay healthy and
- 4:24stay effective in their work. So let's talk more specifically about that. Talk
- 4:30to us about the philosophy of your center, what you're going to be teaching
- 4:35specifically, how are the therapist is going to benefit, what can they learn?
- 4:41Yeah, thank you for the question. It's you know, I've taught
- 4:45intro psychology at colleges for many years and I'm like kind of a nerd about
- 4:48the history of psychotherapy. I just love learning about it. And you know,
- 4:54one of the things that happened very early before psychoanalysis was really even a
- 4:59very formulated is that the Freud used to have these Wednesday evening get togethers at
- 5:03eight thirty. He was very kind of strict about time, so he would
- 5:06invite folks over at eight thirty at night and they would sit in his you
- 5:12know, in his family room or whatever, and they would start coming up
- 5:15with these ideas about what later became psychoanalysis. And these were the earliest meetings
- 5:21that then turned into the Vienna Psychoanalytic Institute or society, and then you know,
- 5:27in different countries and all around the world they started developing these psychoanalytic institutes
- 5:35that had a number of different functions. It was to train clinicians, it
- 5:41was to do research, it was to promote advocacy, to get the work
- 5:44out into the world. More it was social connection, developing community because it
- 5:48was still a very new profession, and that lasted up until the forties,
- 5:53fifties into the sixties. Are there also, there are still some left.
- 5:58But in the sixties, fifty sixties, seventies, as people stop getting trained
- 6:01so much in psychoanalysis, graduate school started to kind of really replace a lot
- 6:06of that, where people were getting more introduced to different models. And so,
- 6:12you know, what I've observed in the twenty five years that I've been
- 6:15in the field is that there's really kind of three holes that happen when clinicians
- 6:20come out of graduate school. One is that they just haven't developed a lot
- 6:24of clinical training. It's amazing, actually how little clinical training a lot of
- 6:30people graduating from graduate school or even finishing their internship receive. So clinical training
- 6:35is why so many people are searching out for models like NARM or IFS or
- 6:40somatic experience in MDR. So that's one of the holes. The other whole
- 6:45the second hole is ongoing support. Most states in the United States don't require
- 6:50clinicians to get any kind of supervision once they've completed their license. I myself
- 6:57think that's highly unethical in this profession, you know, particularly when you're working
- 7:02with trauma. It's just evoking so much inside of us. I mean,
- 7:06so many of your guests talk about that, and I think it's really important
- 7:12that we get some kind of ongoing support to take care of our own inner
- 7:16world, but also to be more effective with our clients. And then the
- 7:19third hole that I see is really the community aspect. Many people end up
- 7:26working in private practice and don't even know the other people in their building.
- 7:31Often don't have much real in person community. Maybe they have a little online
- 7:36community. And then even people that work at centers or clinics, they have
- 7:41other clinical staff around them, but they often don't share kind of the same
- 7:46perspectives or understanding. At some centers, you have to adhere to the framework
- 7:49that they use, and so people kind of are afraid to be creative or
- 7:54afraid to be authentic in themselves. And so developing a community of professionals that
- 7:59can come together to support each other, not just for networking and for business,
- 8:03but also for emotional support in this field since we can't bring it home
- 8:07to our spouses or to our friends, because it's all confidential, all of
- 8:11that feels so critical in the era we're living in with such fragmentation. Wow.
- 8:18Yeah, I mean, as I'm listening to you enumerate these these different
- 8:24pillars, I'm thinking to myself, you know, I haven't really heard people
- 8:30talk about within this context the uh real need for consultation. Yes, people
- 8:39talk about, but when you hear it, it's it's always an add on,
- 8:43you know. I mean, you're talking about the necessity the it's it's
- 8:48integral. Oh yeah, yeah, So how how is this going to work.
- 8:54This is on we're talking about an online platform you're providing. Yeah,
- 8:58yeah, we do do some in person trainings, but most of our program
- 9:03offerings are all online. So I'll just take you through the three different kind
- 9:07of levels that we've talked about. So clinical trainings, we're focusing on norm
- 9:09trainings on the neurofestor relational model, and again most of those are online,
- 9:15though we do have some that are in person, and you know that that
- 9:18is clinical development. So we do a lot of both theory, but also
- 9:24half of the training is really supporting them with individualized support, which we call
- 9:31active coaching. So we sit with a therapist who's who's working with a client,
- 9:35and we we really break down the whole clinical process, which again is
- 9:37not something that people are really getting a lot of when they become therapists,
- 9:43so we do clinical trainings. The second part about ongoing support is we offer
- 9:50monthly console groups. We don't call them supervision because it's kind of a different
- 9:54relationship, but ongoing console groups. We do these ongoing active coaching groups,
- 9:58which is that people come together online and we will choose a therapist and a
- 10:03client and one of the teachers will work with the therapist while they're working with
- 10:09a client and allow us to really deconstruct and look at all the different choice
- 10:13points. And so people really like getting that active coaching. And then we
- 10:20you know, we also do webinars, we do demo demonstration groups, so
- 10:26we have different ways that people can plug in as much or as little as
- 10:30they'd like to on an ongoing basis so that they can get support for you
- 10:35know, to bring back to their to their practice. And then the third
- 10:39level of community is you know, developing community events, whether those are retreats
- 10:45or their workshops that people are requesting, or we've had like musicians come on
- 10:50and we'll get the community together and the musician we'll talk about how trauma has
- 10:56impacted them and the art that they've developed. I mean, you know,
- 10:58all kinds of different things that we can stay to connected, and of course
- 11:03all the different Facebook groups and all that stuff as well. So who specifically
- 11:09is this for? What kind of clinician, therapists, mental health provider?
- 11:13Yeah, I mean the title is Complex Trauma Training Center, So you know,
- 11:18I think probably the target market would be therapists who are working with clients
- 11:24with complex trauma, which I think is pretty much everyone, right, I
- 11:30mean it depends. You know, there's a lot of debate, as you
- 11:31know, in the field of trauma, where some people think we're defining it
- 11:35too broadly, some think we're defining it too narrowly. So, you know,
- 11:39a lot of it is for helping people understand how we work with the
- 11:43impact of adverse childhood experiences and complex trauma, developmental trauma, cultural trauma,
- 11:50intergenerational trauma. So yeah, therapists that are looking for further training or a
- 11:56community or ongoing support graduates, students that you know are eager to learn more
- 12:01about trauma. I think both you and I were eager at early in our
- 12:05career to learn about it. Interns bringing it to so they don't have to
- 12:09be licensed, No, no, exactly, yep. Okay, Now,
- 12:15I think a lot of people here maybe don't know or aren't familiar with with
- 12:20NORM and it's trainings. Can you just give us like a thumbnail sketch of
- 12:24what is NORM. How is it differentiated from you mentioned sematic experiencing or sensory
- 12:28motor psychotherapy. Yeah, yeah, Well, obviously there's a lot of overlap
- 12:33on those three that you mentioned because they all have kind of a common lineage.
- 12:39They all have roots in somatic psychology, so Pat ogg And who created
- 12:45sensory motor psychotherapy, Peter Levine, who created sematic experiencing in Lawrence Heller,
- 12:48who created no arm they all kind of actually all of them lived in Colorado
- 12:52in the seventies and eighties, so they literally come from the same lineage of
- 12:56what was happening in the Denver Boulder area then. But yeah, so NORM
- 13:03is really specifically designed for working with complex PTSD. And I know we've talked
- 13:07about this in other times we've met, but there's really three main categories that
- 13:13they've added to the original PTSD diagnosis, and the three categories have to do
- 13:20with affect this regulation, interpersonal difficulties, and negative self concept. And so
- 13:28these are the three differentiating factors from what we often call shock trauma, which
- 13:33is PTSD, And of course most of our clients have an intersection of both
- 13:39shock trauma and complex trauma. So it's great to be trained in models that
- 13:43are specifically designed for shock trauma and models that can work with complex PTSD.
- 13:50And as far as we're aware, I mean, NORM is one of the
- 13:54first models that specifically designed through this lens of working with CPTSD. The diagnosis
- 14:01hasn't even been officially recognized in North America yet, so you know, we're
- 14:05ahead of head of the game in a certain way. So NARM really works
- 14:09with these adaptive patterns that we carry forth mainly through childhood, although you know,
- 14:16of course trauma can happen at any stage of our life, but often
- 14:20through these developmental patterns, these relational patterns that then we carry into adolescence into
- 14:26adulthood, and they impact all aspects of our life. They impact our relationships,
- 14:31they impact how we feel about ourselfs and the way we regulate ourselves in
- 14:35our life. And so NARMA is what we often call a top down,
- 14:39bottom up model. We're working both with somatic elements and how people are experiencing
- 14:45dysregulation, but we're also working with elements of identity and how people are organizing
- 14:50themselves that are keeping themselves stuck in different ways. And then of course the
- 14:56R and RM is the relational aspect that there's you know, from our perspective,
- 15:00if you're working with relational trauma, we have to bring in the relational
- 15:03elements that are happening between the therapists and the client as well. So people
- 15:09who let's say are interested in joining the Complex Trauma Training Center, They're going
- 15:15to come in and how do they enter? How do they join? What
- 15:20are they going to do? Are they going to have a choice of how
- 15:24they interact? Talk a little bit more about that. Yeah, many pathways,
- 15:28and again people can be as engaged or as little engage as they want
- 15:33to. I mean that's an important thing for us. A lot of trainings,
- 15:37you know, are these huge commitments. I have a colleague and friend
- 15:39who just went to study young in work and she is now studying in Switzerland.
- 15:45It's a six year program, I mean a six year intensive program.
- 15:48Right. Not many people can can do that as adults in our society.
- 15:54So you know, we're trying to make it that you don't have to sign
- 15:56up and give your life over to you know, one particular training. So
- 16:03there's different pathways or different on ramps. People can just come in and be
- 16:07part of our console groups, or people can come in. We do these
- 16:11webinars and so for example, the next webinar we'll be doing in May is
- 16:15about complex trauma and eating disordered patterns. We did one last month on complex
- 16:22trauma and dissociate identity. Disorder. So these are on ramps that people who
- 16:26don't even have any training or further engagement with us can enter in. A
- 16:30lot of people come in because they are seeking training in NORM. They've heard
- 16:36about it in different ways, and so that is a lot of how people
- 16:40do. They sometimes will take one of our workshops first to kind of learn
- 16:45a little bit about NORM, and then they'll sign up for one of our
- 16:47one year trainings and then they can go further from that point if they choose
- 16:51to. But so there's oh and then the podcast. Of course, there's
- 16:53many different on ramps that people can come and engage with us. No I
- 16:59know before, but you're obviously so passionate about this. How the heck do
- 17:06you keep your interest and passion alive in this work? Yeah? I love
- 17:12that question. I mean, it's my own relationship to my own trauma,
- 17:18you know, And I was doing things before I even understood the word trauma
- 17:23that we're all about, trying to regulate myself or trying to learn to grow
- 17:29and shift these patterns, and you know, I just feel very committed to
- 17:33doing that, both for myself and also helping people that are interested in doing
- 17:37that both for themselves. And also if they're therapists or clinicians to help their
- 17:41clients do that. And the cool thing about this field is that it's just
- 17:45really still very and it's much in its infancy. I mean, like we
- 17:51talked about before, CPTSD hasn't even become officially recognized yet. So I just
- 17:56find it really exciting. And you know, over the five or ten years,
- 18:00it has been interesting to see trauma becoming much more of a household name,
- 18:04and you know, TikTok and all this stuff. Bessel vand Kolk's book
- 18:07has been on the Amazon bestseller for ten years now, I believe, and
- 18:12I'm a strong advocate for continuing to get this work out there, and I
- 18:18know there's pushback in different ways. There's the number one book I just read
- 18:22this morning on Amazon is a book called Bad Therapy, which is about I
- 18:29don't want to not do justice to it because I haven't read the book,
- 18:32but I did listen to the podcast, and it's basically kind of an attack
- 18:36on some of the trauma informed movement and therapy, you know, over therapizing
- 18:41people in our society. And I just have a very different perspective that I
- 18:45think that we are a very non self reflective society, which is why we
- 18:49act out our inner stuff all over the place. And the more we can
- 18:55help both adults and children learn to look inward and deal with some of the
- 19:02unresolved material inside, we can make the world a better place. And so
- 19:07for me, you know, I'm not so much. When I was younger
- 19:11in my life, I was much more kind of politically out there and trying
- 19:14to change larger systems. And now I really believe in the ripple effect of
- 19:18working with clients and changing it from the ground up. I love that.
- 19:23So when you work with people with let's say you work with people who haven't
- 19:32really done a lot of education around learning about trauma and so forth, what
- 19:36do you see in a lot of the maybe the younger therapists or people who
- 19:41are just learning. What do you see when they come to you for education
- 19:45and so forth. Yeah, well, first of all, I see people
- 19:49that are also very passionate. I mean, our field is just I mean,
- 19:52as you know more than I do. I mean, we just have
- 19:56some incredible people in our field that have dedicated them their lives to helping others
- 20:00heal. And you know, this isn't a big money making business for the
- 20:04most part. I mean, we're just doing the best we can to help
- 20:08people, and I just find it very inspiring that people are willing to make
- 20:14these commitments to develop themselves and to bring this work to other people. I
- 20:18would say I do have some critiques. I mean, I think we you
- 20:22know, it's like anything, pendulum shift, and I think that there was
- 20:26a really important movement that happened in the sixties and seventies and still today that
- 20:33we became much more empathic as therapist and started, you know, stopped kind
- 20:37of interpreting other people's experiences and started to like bring more understanding and compassion and
- 20:44care. And in NARM we talk about something called unmanaged empathy that you know,
- 20:51a lot of therapists can actually be using empathy as part of an adaptive
- 20:56strategy. For example, many of us who become therapists kind of played that
- 21:00role in our younger life. We were taking care of people, and that's
- 21:04why we're so good at it as we get older. But it also has
- 21:08some cost, both costs because unmanaged empathy can burn ourselves out very quickly,
- 21:14and also because it can lead us to acting out even with the best of
- 21:17intentions. We can choose sides in people's lives and ways that might not be
- 21:22supportive. We can get very pulled into enactments. I'm very passionate about helping
- 21:29therapists learn more about therapeutic enactments that are happening between them and clients that are
- 21:33often pretty unconscious. Give us an example of that. What does that look
- 21:37like? Yeah, Mac, we talk a lot about two different kinds of
- 21:41enactments. One has to do with kind of counter transference transference patterns. So
- 21:48you know, a therapist, a client is expecting us to be a rejecting
- 21:53person because they've had all these experiences of rejection. I mean, you know,
- 21:56we get clients who I've been to twenty five therapists and they fired me,
- 22:00and you know, I'm getting fired from jobs and you know, and
- 22:03relationships, and so there's a way that then we can get pulled in in
- 22:08both or either directions, either to become like the rewarding kind of surrogate that
- 22:15is going to make sure that we're going to be the savior and help this
- 22:18client no matter what, which often has a lot of costs to us,
- 22:22or we kind of start to resonate with the part that is kind of rejecting
- 22:27of the client, and we can start to become cynical or resentful, or
- 22:30we look at our schedule and we have that dread of seeing that client that
- 22:34day. I think a lot of us have had that, So you know,
- 22:38there's a lot of different forms of enactment that. And I always say
- 22:42it takes two to be an enactment, which means that clients will always be
- 22:45coming in and inviting us to walk into an enactment, and it's on us.
- 22:49We can't change our clients, so it's on us to figure out what
- 22:55where our hooks are and getting pulled in. And like for my personal example,
- 23:00I talk about, like a lot of therapists struggle with clients who have
- 23:03addictive disorders. And because I didn't grow up with that, that wasn't part
- 23:08of my history growing up, that there's very little hooks for me around addiction.
- 23:15But my joke here is that if you put a narcissistic client in front
- 23:18of me, I got hooks all over the place. It's like I'm in
- 23:21a field of land mines because I had you know, I grew up with
- 23:23a lot of narcissism. So we all have different kind of hooks and getting
- 23:29to know those and then just the last enactment we talk about. The second
- 23:33nactment we talked about is parallel process, which is, for example, let's
- 23:36say you know your best friend has been going through chemotherapy for the last couple
- 23:41of years, You've been by their side, and they just passed away in
- 23:42the last you know, month or two, and you're you know, you're
- 23:45still grieving the process. And then you get a client that's coming to you
- 23:48who's in the middle of chemotherapy. You know that's very likely going to kind
- 23:55of evoke difficulty for you to really stay present both for your with the client.
- 24:00And so how do we work with these parallel process or I was I'm
- 24:07working on a class that I'm teaching next week, and the example I give
- 24:10is a client's just found out that their partner cheated on them, and the
- 24:15therapist has had a recent infidelity in their relationship as well, and it can
- 24:19be very difficult to hold neutrality and openness and curiosity when you're getting activated in
- 24:26a very similar way that your client is. And that's just so rich and
- 24:30it's not really clinical. There's not really a clinical model for that. It's
- 24:36really more about this inner, inner landscape of us getting to know more about
- 24:41ourselves so that we can see these patterns more clearly and where we're getting hooked
- 24:45into them. Yeah. I love all that, and of course that is
- 24:51not easy for a lot of us. No, it's you know, self
- 24:56awareness and you know, do your work, your work and you can we
- 25:02always use those phrases. But how freaking hard and challenging is that to do
- 25:07exactly and to be able to be in the moment when you're working with a
- 25:11client. No, exactly. I always thought, like, you know,
- 25:15you learn these different models, and often the clinical model will start with something
- 25:21like this. They'll say something like, you know, once the relational attunmant
- 25:25is set up, then you start doing this, this and this, and
- 25:26how I always like, well, like, you can't just do that,
- 25:30you can't just say that, right. I assume that the relationship is going
- 25:33to be built, and I think that we haven't. I mean, I
- 25:37know there's been a lot of talk from Rogers on about like what really helps
- 25:41in a therapeutic relationship, But I think a lot of therapists here's another critique
- 25:47here of mine. A lot of therapists we assume that because we're so empathic.
- 25:52We're really good relationally and empathy is just one aspect of relationship. I
- 25:56think there's a lot of aspects to it that we really need to deconstruct,
- 26:00and some of them were we are really good at, and some of them
- 26:04we need to strengthen and we need to get better at. And I think
- 26:08that that's part of what's getting missed a lot as we move towards models that
- 26:14are, you know, more evidence based and less relationally oriented. Love it,
- 26:21Love it. So the Complex Trauma Training Center, how do people find
- 26:26out about this? Yeah, well, of course the easiest way is the
- 26:30website, Complex Trauma Trainingcenter dot com. We're really proud of our podcasts.
- 26:36I've told Guy this before for all those listening to me for the first time,
- 26:40but I've modeled in some ways our podcasts on your podcast because I just
- 26:45find it to be incredible how you've created this and the content and the people.
- 26:51So, you know, we've tried to kind of capture a similar spirit
- 26:53trum. It's called Transforming Trauma. And we also have presence on Facebook and
- 27:00Instagram and YouTube. We put all of our podcasts up there and we have
- 27:06some other videos up there, and also you know the book that Larry and
- 27:11I created that came out in twenty at twenty two called The Practical Guide for
- 27:17Healing Developmental Trauma for anyone that specifically wants to learn about ARM, that that
- 27:22book and the book that came before that called Healing Developmental Trauma would also be
- 27:26good specifically for learning more about ARM. Awesome, Okay, We'll have each
- 27:32of those linked up here at the show notes page at the Trauma theaprispodcast dot
- 27:36com. Brad Man, super inspiring, dude. I'm so excited. Really,
- 27:41I'm so excited for this new training center and I can't think of a
- 27:48better person to have at the HELM than you. Yeah. I'm excited to
- 27:56help support you in any way I can and look forward to talking to you
- 28:00again. Yeah, well you already have. And yes, thank you so
- 28:03much. That really touches me so great, brother, checting with you.
- 28:06Yeah all right, take care, Thanks you too,