Product Detail

The Advanced Mindfulness Toolbox Seminar + Book Bundle
Package - Video & Book
$329.98 USD
$304.99
Currently Unavailable
Product Details
Format:
Package - Video & Book
Author:
DONALD ALTMAN, MA, LPC
Publisher:
PESI Inc.
Copyright:
6/1/2017
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
RVKIT053315
Objectives
[+] [-] 048090 - The Advanced Mindfulness Toolbox for Rewiring the Brain: Intensive 2-Day Mindfulness Training
  1. Integrate and define mindfulness in a more broad way for the client.
  2. Analyze the basics lessons of Interpersonal Neurobiology and how mindfulness can rewire the brain.
  3. Evaluate the effects of stress and cortisol, and how diaphragmatic breathing turns on the parasympathetic nervous system.
  4. Articulate how to use stories as a way to shift awareness, enhance relationships, and recognize strengths.
  5. Compile key mindful body practices that lead to better self-care and cognitive brain function.
  6. Formulate multiple evidence-based methods for shifting attention that produce greater positive emotions moment by moment.
  7. Specify the difference between ‘good’ and ‘bad’ stress, and the 4-methods for reducing stress.
  8. Communicate the damaging effects of stress at cellular level and how lifestyle changes can alter these.
  9. Model stress-reducing transition skills through movement and walking.
  10. Teach how to use guided meditations designed to help clients to better accept, reframe and manage pain.
  11. Implement the practice of constructive distancing to help clients get a broader perspective on any situation.
  12. Prepare affirmations and methods for developing self-compassion and feelings of safety, trust, and forgiveness.

Outline
[+] [-] 048090 - The Advanced Mindfulness Toolbox for Rewiring the Brain: Intensive 2-Day Mindfulness Training

Mindfulness and Cutting Edge Research

  • Mindfulness as a metacognitive skill
  • Negative effects of a wandering mind
  • Breathing reduces rumination and anxiety
  • Useful (and free) web resources

Introduce Mindfulness to Your Clients

  • Expand Your Mindfulness Vocabulary
    • Help clients understand mindfulness
    • Find the right metaphor
    • Using clients’ learning styles
  • Practice: Get into the Present Moment

The Power of Sense Grounding

  • Anxiety reduction with sense grounding
    • Mindfulness for transitioning between activities
    • Physical grounding method of dropping into the body
    • Integrates progressive muscle relaxation
    • Good for spatial, visual, hands-on learning styles
  • Practice: Palm the Present Moment

Brain Basics, Metacognition, and Interpersonal Neurobiology

  • Emotional Regulation for Depression and Anxiety
    • Balance the brain’s default survival mode
    • Effects of cortisol on learning and immune system
    • Visual Brain Model for clients
    • The brain’s mindfulness module
    • Train the brain for calm response and metacognition
    • Navy Seals, arousal control & parasympathetic nervous system
    • Heart rate variability & relaxation response
  • Practice: The Power of Breath
    • Enhance effectiveness of a breathing practice
  • Practice: Ask Clients the 3-Minute Question

The Behavioral Side of Mindfulness

  • Core lifestyle skills awareness training
    • Sleep hygiene
    • Managing sleep
    • Sleep rituals and strategies
    • Healthy eating/nutrition
    • Caffeine, protein, neurotransmitters and the brain
    • Exercise
    • Manage technology
    • How weapons of mass distraction may be rewiring the brain
  • Practice: Assessment of Technology and Time
    • Focus the mind (useful for ADHD)
    • Integrate breath with a word/image
  • Practice: Be the Pebble

Mindful Laughter for Depression and Grief

  • Tools for the” terminally serious”
    • Research on laughter and mood
    • Biochemistry of laughter & human laughter response
    • Laughter yoga and laughter in therapy
  • Practice: The Lightness of Laughter

The Uplifting Power of Storytelling

  • Storytelling to overcome depression and build relationships
    • Fredrickson’s Broaden and Build Theory of Positive Emotions
    • Broaden attention; find resilience
    • Stories are fundamental to attachment
    • Build relationships through a story of strengths
  • Practice: Identify Strengths & Strengths Journal

Manage Moods through Attention and Selective Memory

  • Master attention and memories
    • Savor the present moment
  • Practice: Here and Now Pleasantness
    • Use selective memory to savor the past and future
  • Practice: Savor Success: Past, Present, and Future

Harness Gratitude to Increase Positive Emotions

  • Manage depression with gratitude
    • Gratitude research
    • Four psychological reasons for gratitude
    • Techniques that make gratitude interpersonal
    • and enhance supportive social networks
  • Practice: The G.L.A.D. Technique

Heal Emotional Pain through Acceptance, Forgiveness, and Compassion

  • Forgiveness for moving forward from trauma
    • Forgiveness is a skill
    • Research on compassion practice
    • Changes in brain function
    • Security priming for feelings of safety and trust
    • Develop positive emotions and resources
  • Practice: Loving-Kindness Affirmation

The Truth About Stress

  • Biological markers of stress: telomeres and aging
  • Identify and assess client stress levels
    • Perceived Stress Scale
    • Epstein Stress-Management Inventory
  • Practice: Be a Smart Stress-Avoider

Mindfulness for Addictive Cravings

  • Emotional Regulation for Cravings
    • Impulse control and craving control use grounding
  • Practice: S-T-O-P Grounding Technique

Change the Perception of Pain

  • Mindfulness for Chronic Pain
    • Introduction to the body scan practice
    • Demonstrates how to pay attention
    • non-judgmentally
    • Powerful grounding method; applications
  • Practice: Surf the Body (The Body Scan)

The Power of Sense Grounding Trauma

  • Constructively distance from PTSD and negativity
    • Three kinds of sense grounding
  • Practice: Focusing on Favorites

Reduce Anxiety by Mindfully Managing Transitions

  • Manage transitions through movement and nature
    • Process orientation vs. outcome orientation
    • Attention Restoration Theory
    • Effects of nature on focus, moods, & healing
    • Slowing down with nature to get present
  • Integrated Tools—
    • Practice: Ground-Surfing (Mindful Walking)
    • Practice: Turning Down the Volume with Nature

Re-Envision and Refocus

  • Working with difficult, unresolved life situations
    • Metacognition as a path to insight
  • Practice: Bear Meditation

Putting It All Together

  • Create a mindfulness roadmap for clients: Bundling practices together
    • Engage through learning styles
    • Maintain skills
    • Follow-up and reinforcement


Author

DONALD ALTMAN, MA, LPC

Donald Altman, M.A., LPC, is a psychotherapist, award-winning writer, former Buddhist monk, teacher and an adjunct professor at Lewis and Clark Graduate School of Education and Counseling. He is also a faculty member of the Interpersonal Neurobiology program at Portland State University and teaches various classes blending mindfulness and Interpersonal Neurobiology.

A prolific writer whose career spans more than 25 years, Donald has authored several pioneering books on mindfulness, beginning with his 1998 Art of the Inner Meal. (HarperOne, 1999). His book, The Mindfulness Code (New World Library, 2010) was named as “One of the Best Spiritual Books of 2010.” He has also authored The Mindfulness Toolbox for Relationships: 50 Practical Tips, Tools & Handouts for Building Compassionate Connections (PESI, 2018), Stay Mindful & Color: Find Calm, Clarity and Happiness (PESI, 2016), Meal By Meal (New World Library, 2004), Living Kindness (Moon Lake Media, 2009), One Minute Mindfulness (New World Library, 2011), The Joy Compass (New Harbinger, 2012), The Mindfulness Toolbox: 50 Practical Tips, Tools & Handouts for Anxiety, Depression, Stress & Pain (PESI, 2014) and, 101 Mindful Ways to Build Resilience: Cultivate Calm, Clarity, Optimism & Happiness Each Day (PESI, 2015).

In addition to his books, Donald was a staff writer for an EMMY-Award winning children’s television show (“The Magic Door”, CBS Chicago), won an American Medical Writer’s Association award, co-created the first interactive comic strip on America Online, and has had articles appear in New Age Journal, the Los Angeles Times, and Independent Business Magazine, among others.

Donald reaches out to the professional community by serving as the vice president of The Center for Mindful Eating. Donald works extensively with mindful meditation in his own life, as well as offering these tools to others through his books and classes. He teaches mindfulness and spiritual values around the country. He is dedicated to bringing these ancient practices in tune with modern living and to invite wellness into our stress-filled lives. Donald is also a member of the Burma Buddhist Association. An avid motorcyclist, he enjoys riding his motorcycle along the beautiful Oregon coast.

Speaker Disclosures:

Speaker Disclosures: Financial: Donald Altman is in private practice. He is an Adjunct Faculty member of the Interpersonal Neurobiology Program at Portland State University. Mr. Altman receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: Donald Altman has no relevant non-financial relationship to disclose.
Continuing Education Credits
Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant per program. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. This self-study package may include multiple product formats. To receive full credit, please submit the CE test for each format that has self-study materials included. To access these documents, play disc #1 in your computer.

Certificates of Successful Completion will be emailed, faxed or mailed to participants completing the post-test(s)/evaluation(s) and paying the CE fee(s).

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.


Addiction Counselors
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This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 12.5 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.

Connecticut Addiction Counselors: Provider #120924. This course has been approved as a CCB approved training and has been awarded 12.5 hours by the Connecticut Certification Board.

New York Addictions Professionals: This self-study course has been approved by OASAS for 12.5 clock hours toward Initial Credentialing for CPP Section # 1 or CPS Section # 1 or Renewal for CASAC, or CPP or CPS. Board required certificates will be sent after the program.


Counselors
This intermediate self-study activity consists of 12.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

New York Counselors: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This self-study activity will qualify for 15 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists: This program has been approved for 12.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.

Texas Counselors: PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 12.5 continuing education credits.


Marriage & Family Therapists
This self-study activity consists of 12.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

Illinois Marriage & Family Therapists: PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. Provider #: 168-000156. Full attendance at this self-study activity qualifies for 12.5 credits.

New York Marriage & Family Therapists: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0024. This self-study activity will qualify for 15 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

Texas Marriage & Family Therapists: PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider #: 503. This self-study activity qualifies for 12.5 continuing education credits.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This intermediate activity consists of 12.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 12.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses:
Florida
PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 12.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 12.6 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant:
Florida
PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 12.6 continuing education credits.


Psychologists
This course is for informational purposes only. No continuing education credit is available.


Social Workers
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PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 12.5 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Canadian Social Workers: PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 12.5 Clinical continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.

Colorado Social Workers: PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 12.6 continuing education hours.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 12.5 contact hours.

Kansas Social Workers: PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 12.5 continuing education hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 12.5 continuing education hours. A certificate will be issued upon successful completion of a post-test.

New York Social Workers: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 15 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

California Social Workers/ Counselors/Marriage & Family Therapists/Licensed Educational Psychologists: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level activity consists of 12 clock hours of continuing education instruction.

Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors:
Florida
PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 12.5 continuing education credits.

Ohio Social Workers, Counselors, and Marriage & Family Therapists:
Florida
PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 12.5 clock hours of continuing education credit.

Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: This intermediate activity consists of 12.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board.


Other Professions
This self-study activity qualifies for 12.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.


Audience
Addiction Counselors, Case Managers, Marriage & Family Therapists, Nurses, Occupational Therapists & Occupational Therapy Assistants, Psychologists, Social Workers, and other Mental Health Professionals
Reviews
[+] [-] 082210 - The Mindfulness Toolbox


PRAISE FOR THE MINDFULNESS TOOLBOX:

“The ceaselessly creative Donald Altman, in his never-ending quest to make mindfulness practice accessible to anyone motivated to learn it, has once again broached new ground in elaborating simple, useful techniques for applying mindfulness in everyday life.  The Mindfulness Toolbox is a veritable wonderland of user-friendly implements of mindfulness practice, all laid out to maximize a new (and maybe not-so-new) practitioner's ability to effectively use applied mindfulness.  The Mindfulness Toolbox will be a tremendous aid and benefit to all people who practice and teach mindfulness.”

~ Jeffrey M. Schwartz, M.D., author of Brain Lock and You Are Not Your Brain


“There is an old Russian fable about a swan, a pike and a crawfish pulling a horse cart in three different directions, with a predictable result: the cart is hopelessly stuck. Sometimes I think of the field of psychotherapy as too being pulled in all kinds of different directions. Each school of thought, each wave of thinking, each clinical breakthrough not only moves the field along some relative continuum of evolution, but also asunder. The novelty junkies that we all are, we don’t miss a beat: we rush to update and to upgrade our clinical software with each CEU we earn. Clinician-authors such Donald Altman pull the field back together. They hold it grounded and unified around such ancient centers of therapeutic gravity as awareness and mindfulness. Altman’s collection of tips and tools on how to introduce clients to the know-how of mindfulness has a powerfully anchoring force of field-tested clinical wisdom. Each of Altman’s 50 mindfulness tips is a spoke on a wheel of wellbeing. Roll with it, clinician, if you feel professionally stuck.”

~ Pavel Somov, Ph.D., author of Anger Management Jumpstart, Present Perfect and Eating the Moment


"Much like any healing prescription, The Mindfulness Toolbox skillfully reduces pain and fosters balance by getting to the root cause of the symptoms. If you want to expand your mindfulness repertoire, you won’t find a more complete and practical set of key techniques, handouts, and ideas. You’ll even be guided as to which tools fit together, such as tools for sensing the body, tools for meditation, and tools for getting into the present moment. With a large dose of awareness, clarity, precision, simplicity, and insight, Donald Altman has given us a potent and worthwhile medicine for inviting well-being, acceptance, and inner peace."

~ Paul Harrison, creator and producer of The Mindfulness Movie, and author of Where's My Zen? and The Ten Paradoxes: The Science of Where's My Zen?


“Mindfulness has swept through the mental health profession in the past several decades and plays a major role in important modalities such as DBT, ACT, Mindfulness-Based Cognitive Therapy for Depression, Mindfulness-Based Relapse Prevention and others. Whether or not you are trained in any of these modalities, The Mindfulness Toolbox by Donald Altman is the resource you need to strengthen your use of mindfulness with a wide variety of clients. Altman is an experienced and loving guide to lead you through the mindfulness landscape. His new book presents a comprehensive set of highly practical, effective techniques, tools and handouts that will enable you to skillfully utilize mindfulness in your clinical work. The easy-to-use interventions for anxiety, depression, stress and pain are described in clear language that reflects the kindness and beauty of mindfulness. The Mindfulness Toolbox will not only improve your effectiveness with clients, it will also enable you to more fully integrate into your personal life the emotional, psychological and spiritual wealth offered by mindfulness practice. If you have any interest in mindfulness, you should have The Mindfulness Toolbox as a resource.”

~ Terry Fralich, LPC, JD, author of The Five Core Skills of Mindfulness and Cultivating Lasting Happiness


“Donald Altman’s newest book, The Mindfulness Toolbox, is an important work for how it will reduce emotional and physical suffering in the world. Highly practical and well-organized, the book tackles the key areas of stress, anxiety, depression, and pain. The evident care and attention given to the guided scripts and handouts will help build the therapeutic relationship with patients—all the while guiding them gently and persistently toward a more expansive awareness and a deepened sense of self-compassion and self-acceptance. I highly recommend it."

~ Christopher Kennedy Lawford, best-selling author, Symptoms of Withdrawal, Recover to Live, and What Addicts Know


"In an era of high popularity for anything labeled with the word "Mindfulness", Altman has written a user-friendly and practical book that is as fun to read as it is helpful. He provides great handouts and suggestions for how to describe mindfulness to clients so that they can gain peace of mind when feeling anxious and optimism in the face of depression. Highly recommended."

~ John B. Arden, Ph.D., author of the Brain Bible


"This is a must-have book for every therapist using mindfulness approaches with clients.  From the 10 'Tips' thru the 40 'Tools', Donald Altman shares his considerable wisdom, along with the sense of respect for both the client -- and the therapist.  At the same time, the material is presented in a light and very usable style, from the clear outlines to the many client handouts."

~ Jean L. Kristeller, Ph.D., research and clinical psychologist, and developer of Mindfulness-Based Eating Awareness Training (MB-EAT)

[+] [-] 048090 - The Advanced Mindfulness Toolbox for Rewiring the Brain: Intensive 2-Day Mindfulness Training
Mr. Altman's workshop was superb, wonderfully experiential, and filled with both excellent research and useful tools. Thank you!
- Richard, LCMHC (Burlington, VT)

Thank you! Program was comprehensive and provided ideas of thought for self-improvement/nourishment for self-care & also tangible suggestions to utilize with clients.
- Susan, OT (Fairbanks, AK)

Fantastic teacher. Real, practical, usable.
- Elizabeth, MSW (Raymond, NH)

Mind opening – so many things are taken for granted.
- Maura, LSCSW (Lawrence, KS)

GREAT information and I would recommend it to others.
- Tina, Counselor (Saco, ME)

Excellent & knowledgeable instructor with and important message.
- Michael, LPC (Anchorage, AK)

Excellent presenter & material.
- Roy, Psychotherapist (St. Louis, MO)

Outstanding.
- Louise, OT and Nutritionist (Piermont, NH)