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Kathy Steele

About me

Trauma-Related Dissociation:
Integrating Top-Down and Bottom-Up
Strategies into Your EMDR Practice

with Kathy Steele, MN, CS, APRN

Online Workshop via Zoom
Bonus: receive 1 YEAR access to the recording when you register!

 

Kathy Steele

Friday, May 8th, 2026

10:00 AM to 12:30 PM Eastern 7:00 AM - 9:30 AM Pacific CA/USA 3:00 PM - 5:30 PM London, UK 4:00 PM - 6:30 PM Madrid, Spain 4:00 PM - 6:30 PM Berlin, Germany 4:00 PM - 6:30 PM Copenhagen, Denmark 5:00 PM - 7:30 PM Helsinki, Finland

Virtual Workshops

100 % online via Zoom

1 YEAR access to the recording

Develop your skills from the comfort of your home office.

Schedule
Target Audience

Psychologists, Social Workers, Psychotherapists, MFTs, LPCs, graduate-level Counselors

*Completion of an EMDRIA approved Basic EMDR training is required to attend this program

​​Workshop Description

This clinically focused workshop provides therapists with practical, immediately applicable interventions

for working with trauma-related dissociation and EMDR Therapy.

 

Trauma-related dissociation can significantly complicate EMDR therapy, often disrupting processing, limiting access to affect, or leading to destabilization if not properly addressed. This workshop is designed to help EMDR clinicians recognize, assess, and effectively work with dissociation across all eight phases of EMDR therapy, while intentionally integrating top-down and bottom-up strategies (somatic, sensory, and nervous system–informed). 

 

Participants will learn to recognize dissociative responses as they emerge throughout the 8 phases of EMDR, differentiate dissociation from resistance or disengagement, and adapt clinical communication through pacing, grounding, and explicit interventions. Emphasis is placed on phase-oriented, trauma-informed decision-making and flexibly shifting strategies between top-down and bottom-up approaches based on moment-to-moment assessment of client readiness, capacities needed, and nervous system cues. Recognizing and understanding these signals is essential to strengthening the therapeutic alliance and supporting integration.

During this workshop, Kathy Steele will discuss the following:

 

  1. History Taking – Identifying trauma-related dissociation and treatment readiness.

  2. Preparation – Strengthening stabilization, resourcing, and nervous system regulation using both top-down and bottom-up approaches.

  3. Assessment – Modifying target selection and negative/positive cognitions when dissociation is present.

  4. Desensitization – Maintaining dual attention and preventing shutdown or flooding during bilateral stimulation.

  5. Installation – Supporting integration of adaptive beliefs when parts or dissociative barriers interfere.

  6. Body Scan – Working somatically with dissociative responses and incomplete processing.

  7. Closure – Ensuring containment, grounding, and client stability at session end.

  8. Reevaluation – Assessing integration, dissociative symptoms, and treatment progression over time.

Learning Objectives


Participants will be able to:

  • Explain how dissociative processes may present across the eight phases of EMDR therapy.

  • Compare between top-down and bottom-up interventions and explain the clinical rationale for integrating both approaches when working with dissociative clients.

  • Apply at least three (3) phase-specific modifications to the EMDR protocol to enhance safety, stabilization, and dual awareness for clients experiencing dissociation.

  • Demonstrate at least two (2) strategies for maintaining engagement and preventing shutdown, flooding, or fragmentation during desensitization and body-based processing.

The Envision Difference

100 % online:  Develop your skills from the comfort of your home or office via Zoom.

Live Q & A:  Ask questions during the live Q & A with the presenter and participants.

1 YEAR access:  Can't attend live?  Watch later. 1 YEAR of access to the workshop recording and materials and receive a certificate of attendance for home study learning. 

How To Reserve Your Spot:

Please read the following information carefully
 

We are pleased to offer two registration options for this workshop: 
Please select the option that best fits your availability when completing your registration
***Only select one (1) option.

Option 1: Live Worrkshop + 1-Year Recording Access

Participate in the live, interactive session and receive one year of access to the full workshop recording and materials

Please register for the live workshop only if you are able to attend in real time as live attendance is limited and spaces are reserved
for participants who are available to attend live via Zoom on May 8th, 2026.

Option 2: Recording-Only Access

If you are unable to attend the live session, you may register for recording-only access. This option provides one year of on-demand
access to the full workshop recording and materials including a certificate of completion.

Schedule

Workshop Schedule - 10 am to 12:30 pm Eastern Time (ET) 

10:00 am - 11:15 pm

Brief overview of trauma-related dissociation and its impact on EMDR therapy.

  • Outline of top-down vs. bottom-up approaches.

Phase 1: History Taking

  • Assessing treatment readiness.

  • Recognizing dissociative patterns in clinical interviews.

Phase 2: Preparation

  • Stabilization strategies: resourcing, grounding, and affect regulation.

  • Nervous system regulation techniques: top-down (cognitive) and bottom-up (somatic/sensory).

Phase 3: Assessment 

  • Modifying target selection.

11:15 pm - 11:30 am

Break

11:30 am - 12:30 pm

Phase 4: Desensitization​

  • Desensitization of defenses and phobic avoidance.

  • Maintaining dual attention and preventing shutdown or flooding during bilateral stimulation.

  • Identifying and responding to dissociative responses during processing.

Phase 5: Installation

  • Supporting integration of adaptive beliefs when parts or dissociative barriers interfere.

Phase 6: Body Scan​

  • How to adjust the body scan for clients who are phobic of sensory experiences.

Phase 7: Closure

  • Ensuring containment, grounding, and client stability at session end.

  • Adapting closure strategies for dissociative clients.

Phase 8: Re-evaluation

  • Assessing integration, dissociative symptoms, and treatment progress over time.

  • Adjusting ongoing EMDR treatment plans for dissociation.​

Kathy Steele

About Kathy Steele, MN, CS, APRN

Kathy Steele has been in private practice since 1985, and with Metropolitan Psychotherapy Associates in Atlanta, Georgia since 1988. She was Clinical Director of Metropolitan Counseling Services, a non- profit psychotherapy and training center until 2016. She is a Past President and Fellow of the International Society for the Study of Trauma and Dissociation (ISSTD), and has also served two terms on the Board of the International Society for Traumatic Stress Studies (ISTSS). Kathy served on the International Task Force that developed treatment guidelines for Dissociative Disorders, and on the Joint International Task Force that has developed treatment guidelines for Complex Posttraumatic Stress Disorder. She has received a number of awards for her work, including the Lifetime Achievement Award from ISSTD, an Emory University Distinguished Alumni Award, and the Cornelia B. Wilbur Award for Outstanding Clinical Contributions from ISSTD. Kathy has (co) authored numerous book chapters, peer reviewed journal articles, and three books with her colleagues.

BIO
5CE credit

Continuing Education (CE) Credits:
0 CE credits/contact hours awarded
*A certificate of attendance without CEs will be provided. 

REGISTER

FAQ

Do I need to have completed an EMDRIA approved EMDR Basic Training to attend this workshop?

Completion of an EMDRIA approved Basic EMDR training is required to attend this program

How do I access the home study version when it becomes available?

You will be emailed five (5) business days after the live event with instructions on how you can access Envision's online learning platform. Sign in to your online account: Locate the email and click on your personal sign-in link to set your password. You cannot locate the email we sent? Login directly through the platform. Copy and paste the link below into your web browser: https://on-demand.envisionworkshops.com/pages/home-page To login, use the email address you provided when you registered for the workshop. To create your password, click on "Forgot Password" and set up a password for your account. If you already have an account and password, use those credentials to login.

How long do I have to review the recording?

You will have 1 YEAR to review the recording. The recording will be made available approximately five (5) business days after the live workshop.

If I have special needs or require accommodations, what do I do?

Email registration@envisionservices.ca at least five (5) business days prior to the live workshop to request accommodations or discuss your needs. Envision cannot ensure accommodations without adequate prior notification.

If I have a complaint or grievance, who do I contact?

Please email registration@envisionservices.ca. All grievances must be in writing and will be replied to within 5 - 10 business days.

Is there commercial support or a conflict of interest for this presentation?

Kathy Steele receives a speaking honorarium from Envision. There are no known conflicts of interests for this program. Envision does not receive any financial support for this presentation. Literature may be referred to during the presentation. Envision will not receive any book royalties and was not offered any financial incentives for the mention of those books. Please note that authors of these books will get a royalty from any sale made of their books as per their agreement with the publishing company. For more information on any potential conflict of interest or financial support, attendees may email Envision at registration@envisionservices.ca.

What are the course interaction and system requirements? 

This live workshop is fully interactive. Attendees may ask questions throughout the presentation and participate in instructor-led discussions. System requirements: • Operating Systems: Windows XP or higher, MacOS 9 or higher, Android 4.0 or higher • Internet Browser: Internet Explorer 9.0 or higher, Google Chrome, Firefox 10.0 or higher • Broadband Internet connection: Cable, High-speed DSL & any other medium that is internet accessible

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