Jointly sponsored by
The Greater Philadelphia Society
of Clinical Hypnosis
Philadelphia Society of Clinical Psychologists
American Society of Clinical Hypnosis
BEGINNER/REFRESHER TRAINING: THE FUNDAMENTALS OF CLINICAL
HYPNOSIS
Saturday AND Sunday
October 17 & 18, 2015
20 CE Credits Approved by the American Psychological Association
20 Hours Toward ASCH / GPSCH Membership and Certification
Workshop Faculty:
Judith Berman, MA: Licensed Psychologist; President, Margolis Berman Byrne Health Psychology, P.C.; GPSCH Past President; ASCH Approved
Consultant. Specialty: Chronic pain and illness, PTSD, Dissociative Disorders, teaching clinical hypnosis.
Brenda Byrne, PhD: Licensed Psychologist; Partner, Margolis Berman Byrne Health Psychology, P.C.; GPSCH Past President; Greater Philadelphia
Pain Society - Past President; Research Assistant Professor, Department of Neurology, Jefferson Medical College; Director, Seasonal Affective
Disorder Clinic; ASCH Approved Consultant. Specialty: Pain/stress management, sleep disorders, seasonal affective disorder, hypnosis and EMDR.
Phyllis H Goltra, PhD: Licensed Psychologist; President of Phyllis H Goltra, P.C.; GPSCH Past President; ASCH Approved Consultant; Member
of Greater Philadelphia Pain Society Board; Certified in EMDR; Past Certification in Biofeedback Certification International Alliance; Past License
in Systems Centered Training; Training in Emotional Transformation Therapy and Neurofeedback. Specialty: pain, dissociation, trauma, stress
management and brain trauma.
Michele Lyons-Fadel, MSS, LCSW: Licensed Clinical Social Worker; GPSCH Vice-President 2014-2016; Approved ASCH Consultant; Outpatient
Psychotherapist at Evergreen Counseling and Psychological Assocates; Specialty: Anxiety and Depressive Disorders, PTSD, habit control, smoking
cessation.
Michael Silverman, Ed.D.: Licensed Psychologist in PA and NJ; GPSCH Secretary; Adjunct Faculty-LaSalle University Graduate Psychology.
Specialty: Trauma, Anxiety, Relationships, EMDR, Thought Field Therapy, Hypnosis.
Shyamali Godbole, M.D.: Licensed Medical Doctor in PA and NJ; Director, Developmental Pediatrics, Einstein Medical Center;
Clinical Assoc Professor of Pediatrics, Sidney Kimmell (Jefferson) Medical College 2014-Present; Trained in Hypnosis and Pediatric
Hypnosis 2011-2013; GPSCH Member-at-Large and member Board of Governors GPSCH 2014-2016 Specialty:
Neurodevelopmental assessment of children with developmental disabilities, management of ADHD, and teaching self-Hypnosis to
children with bedwetting, habit disorders, and anxiety.
Workshop Description:
This workshop is geared toward practicing clinicians with no prior training in hypnosis, or those who would like to refresh their skills.
It offers comprehensive instruction in the theory and application of hypnosis in a clinical setting through lectures, demonstrations,
exercises, and small group practice with supervision and feedback.
The workshop enables participants to obtain a foundation of basic knowledge and skills in clinical hypnosis underlying future more
advanced training modules. Topics of instruction include: history, definitions and misconceptions of hypnosis, hypnotic language and
communication, managing resistance, formal induction, deepening, re-alerting techniques, guided imagery, self-hypnosis, treatment
planning and applications in medicine, dentistry and mental health, special populations (e.g. children, pain patients), ethics and
professional conduct, and integration of hypnosis into practice.
After this training, participants can expect to begin using hypnosis with their client population.
Total teaching hours: 20
Supervised small group practice hours: 4
Workshop Location: Thomas Jefferson University – Bluemle Hall 101, Philadelphia, PA 19107. (215) 955-9590.
Visit: www.jeffersonhospital.org for directions.
Learning Objectives:
Upon completion of this workshop, participants should be able to:
1.
2.
3.
4.
5.
6.
Describe and demonstrate three techniques to induce a hypnotic trance.
Describe and demonstrate two deepening and re-alerting techniques.
Describe at least four clinical conditions in which hypnotic techniques may be used.
Name three ethical principles in the use of Clinical Hypnosis.
Name three historical facts pertaining to Hypnosis.
Identify two reasons not to offer hypnosis to a client.
Eligibility: Registrants must hold at least a Masters Degree in a health care discipline deemed appropriate by the ASCH from a college or
university accredited by its appropriate regional accrediting body. In addition, registrants must be licensed or certified in the state in which they
practice.
Students enrolled full-time in a Masters level or better program are eligible to attend at a reduced rate. Students must have completed a minimum
of one full semester of the program and must submit proof of full-time enrollment at an APA-approved institution of higher education on school
letterhead that clearly identifies the individual’s program of study, area of concentration (if applicable), level of degree pursued and date of
intended graduation.
Full-time residents or interns participating in a recognized residency or internship program may also register to attend at a reduced rate.
Residents/interns need to submit correspondence from their supervisor on official letterhead explaining the nature of the residency/internship and
date of intended completion of the program.
Psychology Continuing Education Credits:
Clinical Social Worker, Professional Counselor, Marriage and Family Therapist Continuing Education: As an APAapproved course, the awarded 20 CE credits for full attendance may be submitted to the PA State Board of Social Workers, Professional Counselors,
and Marriage and Family Therapists. For questions call the State Board at 717-783-1389.
ASCH Credit: This 20-hour course is approved by the American Society of Clinical Hypnosis (ASCH) and as such is applicable toward membership
in the Greater Philadelphia Society of Clinical Hypnosis, the American Society of Clinical Hypnosis, the Society for Clinical and Experimental
Hypnosis (SCEH), and toward ASCH Certification requirements.
Workshop Schedule:
Saturday, Oct. 17, 2015
7:30 am -8:00 am
Registration
8:00 – 11:30 am
Morning Session
11:30 – 12:30
Small Group Practice
12.30 – 1.30
Lunch and film
1.30 – 3:15
Afternoon session
3:15-4:15
Small group practice
4:15 – 6:00 pm
Afternoon session
6:00 pm
Adjourn
Sunday, Oct. 18, 2015
8:00 – 11:15 am Morning Session
11:15 – 12:15
Small Group Practice
12.15 – 1.15
Lunch and lecture
1.15 – 3:15
Afternoon session
3:15-4:15
Small group practice
4:15 – 5:45pm
Afternoon session
5:45 - 6:00 pm
Q&A and
Adjourn
Bring Your Own Lunch, AM beverages and AM and PM Snacks provided.
Note: Each day incorporates a break in am and pm sessions; there will be ample time for questions and practice. You must sign in
at each session to receive credit. ASCH certificates will be awarded at the end of the last session on October 18, 2015. APA
Certificates will be mailed to participants.
Americans with Disabilities Act / Special Needs: The Greater Philadelphia Society of Clinical Hypnosis, Philadelphia Society of
Clinical Psychologists and ASCH-ERF are committed to equality of educational opportunity and do not discriminate against
applicants, students, or employees on the basis of race, color, religion, sex, national origin, age, disability, veterans status, or sexual
orientation. If you require reasonable accommodations for a disability in order to participate fully in this continuing education
activity, you must email gpsch@verizon.net no later than October 1, 2015.
Registration Deadline: 10/1/15
REGISTRATION: Full payment must accompany registration form in order to be processed.
Registration fees are not transferable to another workshop.
Receipt of registration does not ensure activity attendance because seating is sometimes limited. Accepted registrations are
confirmed via a receipt or confirmation from GPSCH. GPSCH recommends that you do not make any travel arrangements prior
to receiving a receipt of payment or confirmation. GPSCH, PSCP and ASCH-ERF are not responsible for travel-related costs.
Walk-in registrants will be accommodated if space permits.
Refund Policy: Registration fees may be refunded, less a $50 administrative fee, for participant cancellations received by Oct 1,
2015. No refunds will be issued for cancellations received after Oct 1, 2015. Exceptions will only be granted due to death or severe
illness of participant/immediate family member, or governmental restrictions / legal obligations. Written notification and
appropriate documentation is required.
For additional information, contact:
Suzanne Malik, GPSCH Administrative Director at gpsch@verizon.net.
Registration Form
Name/Degree ____________________________________________________________
Mailing Address (check)
Address ___________________________________________________________________________
Phone _______________________________________
E-Mail Address _______________________________
Graduate of _____________________________________________________________Year__________
Employer_____________________________________________________________________________
Specialty/Profession____________________________________________________________________
Do you want the 20 APA CE credits?
Yes
No
Receipt of registration does not ensure activity attendance because seating is sometimes limited. Accepted registrations are confirmed via email
confirmation by GPSCH.
GPSCH recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation. GPSCH, Philadelphia
Society of Clinical Psychologists and/or ASCH-ERF are not responsible for travel-related costs.
Fees:
50 % Discount for Repeat Attendees!
$450.00
$500.00
$250.00
GPSCH Members
GPSCH Non-Members
Interns/Residents
Students (with proof of status)
Mail your completed Registration Form (above), proof of status (if applicable), signed Acknowledgement and Release Form (see
back) and full payment by check, made payable to “GPSCH” to:
GPSCH
PO Box 551
Berwyn, PA 19312