Complex cases do not always arrive with clean presenting problems. A client disclosing financial infidelity may also be describing compulsive behavior, relationship trauma, and a years-long pattern of secrecy. A partner of a sex addict may present with what looks like an anxiety disorder but is living through betrayal trauma. These cases reward therapists who have seen the territory before.
Clinical consultation is an opportunity to gain additional perspective about difficult cases and to sharpen skills for case conceptualization, and transference/countertransference. It is professional development for licensed clinicians who want to work more effectively in this specialty.
Topics for consultation
- Compulsive sexual behavior and sex addiction — differential assessment, treatment planning, relapse, disclosure
- Partner and betrayal trauma — distinguishing PTSD presentation from prior attachment wounds
- Financial infidelity and financial exploitation — identifying clinical dimensions, working with couples
- Sex, money, and power dynamics in high-conflict couples
- EMDR application in addiction and complex trauma cases
- Therapist countertransference in sex addiction and financial betrayal work
Format
Consultation is available as single sessions or in an ongoing arrangement. Debra works with licensed clinicians across the US and internationally.
