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Achieving Positive Treatment Outcomes with Difficult Clients: 
An Integrated Approach to Dealing with Resistant Symptom Sets

with Dr. Jeff Riggenbach, PhD

Jeff Riggenbach.jpg

Online Workshop via Zoom
Bonus: receive 60-day access to the recording when you register!



$110 CAD + tax

$99 USD

Saturday, January 20th, 2024

11:00 AM to 3:15 PM Eastern 8:00 AM - 12:15 PM Pacific CA/USA 9:00 AM - 1:15 PM Mountain CA/USA 4:00 PM - 8:15 PM London, UK 5:00 PM - 9:15 PM Madrid, Spain 5:00 PM - 9:15 PM Berlin, Germany 5:00 PM - 9:15 PM Copenhagen, Denmark 6:00 PM - 10:15 PM Helsinki, Finland

Live Online via Zoom

Video via Home Study 

(60 days access)


Introductory/ Intermediate


$110 CAD + tax

$99 USD


Psychologists, Social Workers, Psychotherapists, MFTs, LPCs, graduate-level Counselors, any other mental health professionals/providers.

Workshop Description

There are times when traditional psychotherapy doesn’t work with certain populations. Some clients don’t respond to standard protocols and some even seem to have aversive reactions to the tools that we have become used to using regularly that so many clients find helpful. These clients can leave clinicians feeling frustrated, stressed out, and sometimes even defeated.


There is hope! Join award-winning author and international expert in the field of personality dysfunction, Dr. Jeff Riggenbach, for this refreshing look at how personality and addiction issues complicate treatment, undermining client outcomes, and learn what you can do about it.


Incorporate motivational exercises, dialectical behavior therapy strategies, and schema modification interventions into your work that will equip you to help individuals struggling with addictions, paranoia, aggression, lack of empathy and other dysregulated emotions, not only get well but stay well. Leave this enjoyable, information packed 4-hour course feeling invigorated to help your stuck clients take meaningful steps towards creating their life worth living.

Learning Objectives 

Participants will be able to:

  1. List at least five (5) characteristics that make clients “difficult”.

  2. Describe five (5) key factors to incorporate into your approach with more resistant clients.

  3. Identify three (3) maladaptive coping response styles.

  4. Utilize case conceptualization skills necessary for relevant agenda setting, robust treatment planning, and driving effective treatment.

  5. Describe three (3) strategies for restructuring extreme cognitions.

  6. Identify the three (3) modes present in narcissistic personality disorder.

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.

60 Days access:  Can't attend live?  Watch later. 60 days of access to the workshop recording and materials and receive a certificate with CEs for home study learning. *Exception applies, see CE section below


Workshop Schedule - Eastern Time (ET) 

11:00 am - 11:30 am

What Makes a Client “Difficult”?

  • Easily Triggered

  • Extreme Thinking (manifested by gaslighting, perfectionism, discounting, avoiding outbursts)

  • Intense Emotions

  • Inflexible or Impulsive/Unpredictable Behavior

  • Poor Insight 

Fundamentals of Treatment

  • The therapeutic relationship

  • Eliciting buy-in early

  • Harnessing cognitive leverage

  • Deeper level intervention

  • Consistency over time

11:30 am - 12:45 pm

Motivational Strategies 

  • Stages of change

  • Expressions of concern

  • Cost-benefit analysis

  • Leveraging significant others

Addictive Behavior Disorders 

  • Awareness of triggers

  • Managing urges

  • Complex chain analysis

  • Schema-based letter writing

12:45 pm - 1:00 pm


1:00 pm - 1:10 pm

Q & A

1:10 pm - 2:00 pm

Individuals with Narcissistic Traits 

  • Why narcissists present for treatment

  • Types of narcissists and implications for effective treatment

  • Modes in narcissism

  • Empathic confrontation

Individuals with Paranoia

  • Decreasing aggression

  • Building trust

  • Considering alternative explanations

2:00 pm - 3:00 pm

Other Emotionally Dysregulated Clients 

  • Easily Triggered

  • Extreme Thinking (manifested by gaslighting, perfectionism, discounting, avoiding outbursts)

  • Intense Emotions

  • Inflexible or Impulsive/Unpredictable Behavior

  • Poor Insight

Disarming Resistance with Schema-Based Validation 

  • What Validation is NOT

  • Levels of Validation

  • “Talking to the Belief”

  • Harnessing mirror neurons

  • Stopping them in their tracks with step-by-step schema feeding statements

3:00 pm - 3:15 pm

Q & A 

Jeff Riggenbach.jpg

About Dr. Jeff Riggenbach, PhD 

Jeff Riggenbach, PhD is a best-selling and award-winning author who has earned a reputation as an international expert in cognitive approaches to treating personality disorders. Over a 20-year period, he has developed and overseen integrated cognitive based treatment programs for mood disorders, anxiety disorders, addictive behavior disorders and personality disorders at two different psychiatric hospitals and clinics serving over 3,000 clients at multiple levels of care. Dr. Riggenbach trained at the Beck Institute of Cognitive Therapy and Research in Philadelphia, is a Diplomat of the Academy of Cognitive Therapy, and is a certified cognitive therapist. He has trained over 20,000 professionals worldwide including audiences in all 50 United States, The UK, Canada, Mexico, South Africa, Australia, New Zealand, Ireland, and Malta. Dr. Riggenbach is the author of seven publications and is known for bridging the gap between academia, research findings, and day-to-day clinical practice, and his work has earned him the reputation for being “the practical tools guy.” His seminars on CBT, DBT, and Schema-Focused Cognitive Therapy routinely receive the highest evaluations from conference participants in terms of clinical utility as well as entertainment value.


Continuing Education (CE) Credits:
4 CE credits/contact hours awarded
*CE credits also available for the home study version!
See our FAQ section below for more information

American Psychological Association (APA) 

Envision Counselling & Consulting, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. Envision Counselling & Consulting, Inc. maintains responsibility for this program and its content.


National Board for Certified Counselors 

Envision Counselling and Consulting has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7241. Programs that do not qualify  for NBCC credit are clearly identified. Envision Counselling and Consulting is solely responsible for all aspects of the programs.

Canadian Psychological Association (CPA)  

Envision Counselling & Consulting, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. Envision Counselling & Consulting, Inc. maintains responsibility for the program.  

Canadian Counselling and Psychotherapy Association (CCPA) 

CCPA has reviewed and approved the content of this workshop for 4 CEC.

The BC Association of Clinical Counsellors (BCACC) 

This workshop is eligible for 4 CE Credits.

Please ensure to check with your individual state boards/regulatory body to verify Continuing Education Credit Hours requirements and if the workshop you are planning to take qualifies. Licensing Boards change regulations often and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about a specific course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling.


Dec 15CE credit



What are the requirements for obtaining CEs?

Participants must have paid the tuition fee, logged in at the start of the live interactive webinar and logged out at the end, and attended the entire webinar to receive a certificate. Failure to log in or out will result in forfeiture of credit for the entire webinar. No exceptions will be made. Partial credit is not available. Certificates will be available following webinar completion. If participants watch the recording (home study) version of the presentation, they will have access to Self-Study CE credits after completion of a short quiz.

Do I have to pay extra for CE credits?

No. The cost of CE credits is included with your workshop registration fee.​

If I cannot attend live, can I still get CE credits?

Yes. You can access the recording in the home study version, watch it in its entirety, and then pass a quiz with a score of 75% or higher. After taking the quiz, you will be able to download a certificate as proof of completion.

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: 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 60 days to review the recording. The recording will be made available approximately five (5) business days after the live workshop.

What is the refund policy?

Refunds on purchased tickets are available up until 15 days before the date of the live workshop. There is no refund after this date. Refunds will include the ticket price less a $50 processing fee for all refunds/price adjustments. *Prices subject to change. Refunds within 15 days of workshops will be in the form of a workshop credit. These credits do not expire. Please email if cancellation is required.

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

Email 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 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?

Jeff Riggenbach 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

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