One-day workshop offered in collaboration with TATC. Exploring the application of Dance/Movement Therapy in Trauma Informed Care.

1. Trauma and the Body: Dance/MovementTherapy,
Trauma Informed Care, and Healing
Sara R. van Koningsveld, MA
BC-DMT, LPCC, GL-CMA, RYT 200

2. Learning Objectives
Attendees will develop an enhanced understanding of trauma informed care,
working with diverse populations (and pathologies) in trauma work,
dance/movement therapy and counseling approaches to healing and
resilience.
Attendees will increase self/other body awareness, through Laban-Bartenieff
Movement Studies language, Polyvagal and neuro-psychology theory, and
application of various dance/movement therapy (DMT) techniques (creative/
improvisational movement, use of Effort-Shape, etc.).
Attendees will integrate theoretical understanding of terminology relevant to
DMT and trauma work, including body-based transference and
countertransference, window of tolerance, ACEs, et.al.
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

3. Models
Trauma
Informed
Care
Safety
Trustworthiness
[Peer Support]
Collaboration
Empowerment
Humility
Trauma Informed Care
Trauma-Focused
Cognitive-BehavioralTherapy
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

4. Trauma-Focused Cognitive-Behavioral
Therapy (TF-CBT)
Components-based treatment that is trauma-sensitive
Children/adolescents, ages 5-18
Addresses: cognition, behavior, family and humanistic principles
A-PRACTICE
Integrative and flexible
Client-centered timeline
Typically, 15-25 sessions
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

5. A • Assessment (and
Engagement)
P • Psychoeducation
/ Parenting
(caregiver)
R • Relaxation
A • Affect
modulation
C • Cognitive coping
T • Trauma narrative
I • In-vivo exposure
C • Conjoint trauma
narrative
E •Enhancing
safety
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

6. Facilitating Safety
Using language within the DMT space

7. Language of Safety
Invitational
Consider…
I invite you to…
Feel free to…
You may choose to…
Emphasize sensations
Prioritize the inner experience.
Promote self-exploration and awareness.
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

8. Trauma
DefiningTerms

9. DefiningTrauma
A deeply distressing, overwhelming, and/or disturbing experience.
Single event
Complex
Prolonged
Intergenerational
Big “T” and Little “t”
Trauma:
Event
Meaning
[Existing Neural] Landscape
Inescapability
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

10. Individual
Interpersonal
Community
Systemic
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

11. Key Assumptions
Realize Recognize Respond
Resist re-
traumatization
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

12. The Practice
Trauma
Informed
Care
Safety
Trustworthiness
[Peer Support]
Collaboration
Empowerment
Humility
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

13. Creating Safe Environments
Become aware of triggering environments, situations, and stimuli.
Establish and maintain clear boundaries.
Communicate expectations, limitations.
Be consistent.
Develop a trusting working alliance.
Empower the client
Individualize care
Maintain a strengths-based lens
Recognize your triggers and attend to personal needs.
Work collaboratively, and/or seek support/mentorship/supervision.
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

14. ImpactsofTrauma
Body-Mind-Soul/Self

15. Adverse Childhood Experience (ACE) Study
One of the largest investigations on childhood abuse, neglect, and early
life challenges and later-life health and well-being.
Originally conducted from 1995-1997, collecting data from over 17,000
persons in Kaiser Permanente (KP) care.
KP continues to collect longitudinal data, as well as new data sets, to
explore the interconnectedness of ACE and health outcomes.
Over 2/3 of those surveyed experienced at least ONE ACE.
As the number of ACEs increases so does the risk for negative outcomes.
ACEs include witnessing, experiencing, and other exposure to events.
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

16. https://www.cdc.gov/violenceprevention/aces/about.html

17. https://intjem.biomedcentral.com/articles/10.1186/s12245-023-00509-w

18. Body-Mind-Soul/Self
Stress response activation
Autonomic nervous system
Release of cortisol
Flight, Fight, Freeze (Fawn)
Emotional dysregulation
Cognitive challenges
Behavioral implications
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

19. https://www.nicabm.com/trauma-how-to-help-your-clients-understand-their-window-of-tolerance/

20. https://www.washoeschools.net/cms/lib/NV01912265/Centricity/Domain/202/Secondary%20Trauma%20-
%20April%202021%20-%20Final.pdf

21. TraumaInformedCare
The Practice

22. The Practice
Trauma
Informed
Care
Safety
Trustworthiness
[Peer Support]
Collaboration
Empowerment
Humility
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

23. https://www.pacesconnection.com/g/lancaster-county-pa-aces-and-resilience-
connection/fileSendAction/fcType/5/fcOid/514314756212044367/fodoid/514314756212044363/T101_Online_PPT
%20Handout_Module%203.pdf

24. ProcessTerms
Whole person
Acting-in/ Acting-out
Re-enacting
Coping
Temporary relief
Healing
Prevention
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

25. TraumaandResilience
Healing theWhole

26. Resilience
Stress: positive and negative
Autonomic Nervous System
Amygdala: implicit memory
Hippocampus: explicit memory
Exertion vs. recuperation
Factors of resilience:
positive attitude/ optimism
emotional intelligence and regulation
failure as feedback

27. https://www.pacesconnection.com/g/lancaster-county-pa-aces-and-resilience-
connection/fileSendAction/fcType/5/fcOid/514314756212044367/fodoid/514314756212044363/T101_Online_PPT
%20Handout_Module%203.pdf

28. Wounded Healer
Archetype concept by Carl Jung
Examining where we can grow, recognizing areas where we need
support, and doing our own healing work allows us to be more
effective in our work.
If we are not conscious of our own wounds, we might
unconsciously bring the pain/suffering into the space with a client.
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

29. Healing the Healer
SecondaryTrauma
VicariousTrauma
Compassion satisfaction
Social and collegial support
Self-efficacy
Mindfulness
Self-compassion
Sara R. van Koningsveld, MA, BC-DMT, LPCC, GL-CMA, RYT 200 -- Trauma and the Body, December 2023

30. Self-Care andWell-Being
Mindfulness
Tune in with yourself (and your body)
Recognize shifts in mood, behavior, thought
Acknowledged when you are becoming depleted
Planned vs. unplanned
Hobbies
Movement/exercise
Nature
Alone time
Connection
Boundaries and transitions

31. General Resources
Lodha, P. (2021). Burnout,VicariousTrauma and the Challenge of Care.
http://healthcollective.in/2021/04/burnout-vicarious-trauma-and-the-challenge-of-care/
SAMHSA’s Concept ofTrauma and Guidance for aTrauma-InformedApproach. (July 2014)
https://store.samhsa.gov/sites/default/files/sma14-4884.pdf
Sweeney, S. What isTrauma? https://www.onlinehypnotherapyclinic.com/what-is-trauma.html
Trauma Focused CBT A-PRACTICEChecklist. https://depts.washington.edu/uwhatc/wp-
content/uploads/2022/07/TF-CBT-Components-Rationale-Methods-Worksheet.pdf
Sara’s GlobalAutism Project: https://give.globalautismproject.org/fundraiser/4990089
Autism/Neurodiversity terms: https://saravdmt.com/skillcorps-2024