Psychiatrists review the CRM

alistair-hull-univ-dundeeThroughout a long career spent attending psychotherapy workshops and training events, only two have changed my clinical practice, one specifically with chronic depression the other for individuals living with the persistent and insidious sequelae of complex trauma and attachment disruption; the work that accounts for my day to day clinical psychotherapy practice.

The latter training has been led by Lisa Schwarz, originator of the Comprehensive Resource Model (CRM) for complex PTSD.

CRM is, in my opinion a “game changer” for complex reactions to traumatic events allowing specific and effective neurobiological resourcing of individuals whom previously made little progress with other clinical models and approaches. My clinical caseload comprises people with chronic, complex, treatment-resistant and usually comorbid conditions.

CRM has allowed the highly effective treatment of people previously responding in a limited fashion to psychotherapy. Moreover CRM is supported meaningfully by underpinning neurobiology. Lisa Schwarz is a fabulous trainer bringing a unique blend of enthusiasm, experience, creativity and energy to her training. Her practical demonstrations of CRM are testimony both to her exceptional clinical skills and to CRM itself. I thoroughly recommend learning CRM from Lisa herself; like many others you will most likely find CRM will change your practice.

Dr Alastair M Hull, MBChB., MD., FRCPsych.,
DipCBP (Distinction) Consultant Psychiatrist in Psychotherapy,
Multidisciplinary Adult Psychotherapy Service (MAPS) & Tayside Veterans Service Perth Royal Infirmary,
Perth, Scotland
Honorary Senior Lecturer, Department of Psychiatry
University of Dundee, Ninewells Hospital & Medical School,
Dundee Scotland
From the perspective of a General Adult Psychiatrist working in a Community Mental Health Team with psychiatric in-patients and outpatients, it is striking how often the presence of significant trauma is of central aetiological significance.

The treatment of patients with a history of significant or complex trauma and /or dissociation is often challenging, and while therapeutic approaches such as EMDR (which I had used enthusiastically alongside relational psychotherapy as well as other trauma focused modalities for many years) which involve the ‘processing’ of past trauma can be very effective, this effectiveness can often be hampered by the emotional dysregulation which can so easily occur when traumatic memories are re-experienced.

Lisa Schwarz’s CRM is built on a deep understanding of the imperative of providing adequate ‘resourcing’ for such patients, in order to help them avoid such emotional dysregulation, and to stay grounded and ‘present’ during therapeutic work.

CRM is a richly integrated approach which draws in a uniquely creative manner on many important strands of trauma work, such as somatic resourcing and Ego State Therapy, and from my clinical experience I can attest that it provides highly successful response to this central challenge when working with significant trauma and dissociation. The training was exciting and rewarding, and had an immediate impact on my therapeutic work with this patient group. Highly recommended and definitely not to be missed!

Gordon Barclay
Honorary Clinical Senior Lecturer,
School of Medicine, Glasgow University.
MA(Edin), MBChB(Glas),
DRCOG, MRCGP, MRCP, MPhil, MRCPsych,

Post-graduate Diploma in CAT (Cognitive Analytic Therapy)
Consultant Psychiatrist (Kintyre and Islay)
Argyll, Scotland


 

Many of the difficult-to-treat patients encountered in general psychiatry suffer from clinical disorders that have at their root a history of complex trauma. Treatment of these disorders may be effective at a symptomatic level but for many patients that is not enough and trauma- based psychotherapy is required. The risks of overwhelming experience, increased dysregulation and symptomatic deterioration often inhibit such approaches. The Comprehensive Resource Model (CRM) offers a careful, structured approach which promotes healing from traumatic experience within a context of resources to maintain adequate emotional regulation.

The aim of the CRM is the safe and effective healing from past events that have left a clinical residue. In my practice I use the CRM regularly with patients whose syndromes have otherwise been difficult to treat and I am very grateful to have trained with Lisa Schwarz who brings her energy, enthusiasm and creativity to the training. I would highly recommend the CRM training to any general psychiatrist with an interest in the psychotherapy of complex clinical presentations.

Frank Corrigan, MD, FRCPsych.
Co-author of “Neurobiology and Treatment of Traumatic Dissociation”
Springer, New York, 2014

deaton-rodAfter having spent four days in Lisa’s Intensive, I can only say one “word”, compound as it is: Life-Changing. CRM is, without a doubt, the best method – or perhaps better put, the best “therapeutic way of relating” – that I’ve learned AND LIVED in thirty years of practice. In my work with combat veterans, CRM has proven to be not just effective, but even more to be healing and hope giving. I cannot recommend CRM highly enough and I cannot thank Lisa enough for her wisdom, her passion, and her commitment to the highest healing for all.
From Rodney B Deaton, RD, JD,
]Medical Director, Warrior Wellness Unit, Madison, TN
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