Addictions, Compulsions, and Self-Sabotage: A Multi-level Approach to Trauma's Legacy

Presented by Dusty Miller, EdD on 11-07-2008 at 9 a.m. Pacific to 10:30 a.m. Pacific (1:30 p.m. Eastern)

How do we help people in therapy whose old ghosts lurk beneath the current challenges of addictions, compulsions and self-sabotage? Survivors of traumatic experience, neglect, and loss often develop patterns of addiction, compulsive behavior, and self-sabotage. Their attempts to mediate chronic distress and loneliness generate new cycles of self-harm, impacting their biochemistry, cognitive functioning and relational connectedness. Too often, this person becomes a "hot potato," shuttled back and forth among frustrated clinicians, addiction specialists, psychopharmacology experts, medical personnel, and alternative healers. Those seeking treatment and helpers alike become increasingly helpless and hopeless.

This presentation offers new assessment tools and successful intervention strategies to address the complications of co-occurring disorders. Participants will learn how to integrate their current skills and perspectives with new constructs and intervention tools designed to address the problems generated by complex trauma, loss and childhood neglect. Participants will be enabled to develop new intervention plans to use with very challenging clients. The seminar will introduce participants to the ATRIUM model, a cognitive behavioral and relational approach to addiction and trauma recovery, and the ARC model for working with relationship problems. Participants will also learn new methods to enhance their own resilience in response to demanding treatment challenges.

If you have any questions about this web conference, or would like more information, please contact us here.

Continuing Education (CE) Information

1.5 CE credits will be provided by for attending this web conference in its entirety. is also an Approved Education Provider by NAADAC, The Association for Addiction Professionals (provider #135463). Of the eight counselor skill groups ascribed to by NAADAC, this course is classified within counseling services. is an NBCC-Approved Continuing Education Provider (ACEPTM) and may offer NBCC-approved clock hours for events that meet NBCC requirements., SW CPE is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #0395.

To receive CE credit hours for an archived event, you will need to complete a survey as well as a 12 or 15-question exam, verifying that you listened to or watched the event in its entirety. Archived CE events generally are considered "homestudy" by licensing boards.

Registration Information

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Mental health professionals who are not members can attend this live web conference for $30.95 or access the homestudy recording for $15.50. Sign up here to purchase this CE course and earn a CE certificate.

If the event is canceled by GoodTherapy, registrants who purchased the event will be notified and the charge for the event will be refunded

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Meet the Presenter

Dusty Miller, EdD

Dusty Miller, EdD

Dusty Miller, EdD is a psychologist, consultant, and writer. She is the Director of the ATRIUM institute in Belchertown, Massachusetts and the author of the pioneering book for therapists and consumers on self harm and trauma, Women Who Hurt Themselves (1994; Tenth Anniversary Edition, 2005). Dr. Miller's other books include:

  • Addictions and Trauma Recovery: Healing the Body, Mind and Spirit (2001, co-authored with Dr. Laurie Guidry)
  • Your Surviving Spirit: A Workbook of Spiritual Resources for Coping with Trauma (2003)
  • Stop Running From Love: 3 Steps to Overcoming Emotional Distancing & Fear of Intimacy (2008)

She is also the author of numerous journal articles on addictions and trauma, including featured articles in Psychiatric Quarterly and Psychotherapy Networker.

Dusty Miller's approach to addictions, compulsions, and self-sabotage has been successfully implemented in a variety of settings, including community centers, hospitals, outpatient clinics, correctional systems, and private practice. Dr. Miller provides training in the U.S. and Canada in trauma and addiction programs. Dr. Miller's presentations have been hosted by The Hazelden Foundation, The Renfrew Center Foundation conferences, The Annual Psychotherapy Networker Symposium, The New England Institute for Learning Seminars (Cape Cod & Santa Fe), and Leading Edge Seminars.

Continuing Education Provider Approvals

  • Logo has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6380. Programs that do not qualify for NBCC credit are clearly identified. is solely responsible for all aspects of the programs.
  • Logo This course has been approved by, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #135463. is responsible for all aspects of their programming.
  •, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0395.
  •, LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0022 and for licensed mental health counselors #MHC-0031.

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