Intensive Training: Effective Management of Complex Presentations (PTSD, C-PTSD & BPD)

Brisbane Intensive Training commencing June 2018!

Please complete this application form and pay the $190 application fee for entry into the Brisbane Intensive Training! Applicants will be contacted within 72 hours to discuss their application. Please check the information about CBT credentialing to review the professional requirements of this course and credentialing.

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* 1. Your Details

Name *

Company

Address *

Address 2 *

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 2. Have you attended a CMHE CPD opportunity previously?

Yes

Not sure

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* 3. Please identify your profession from one or more of the options below?

Counsellor

Mental Health Nurse

Mental Health OT

Psychiatrist

Psychologist

Psychotherapist

Social Worker

GP/Medical Officer

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* 4. How many years post registration experience do you have?

Less than 1 year

1-3 years experieince

4-9 years experieince

10-15 years experience

15-30 years experieince

More than 31 years experience

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* 5. Which qualifications do you hold?

PhD

Doctorate

Masters

Graduate Diploma

Graduate Certificate

Bachelor Degree

Advanced Diploma

Diploma

Advanced Certificate

Certificate

Intensive Training in DBT, SE, CBT or other

Other (please specify)

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* 6. Which therapeutic approaches do you use in clinical practice?

CBT

MBT

DBT

EMDR

Somatic Experieincing

Somatic Trauma Therapy

Mindfulness Based Approaches

Psychodynamic/Psychoanalytic Approaches

Narrative Therapy

Psychoeducation

Solution Based Therapy

Client Centred Approaches

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* 7. How many client contact hours do you have each week (on average)?

less than 4

5 - 10 hours

11 - 15 hours

16 - 20 hours

21 - 25 hours

26 - 30 hours

31 -35 hours

36 - 40 hours

41 or more hours

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* 8. How many CPD workshops do you attend annually?

7 or less hours (1 Day)

8-14 hours (2 Days)

15-21 hours (3 Days)

22-35 hours (4-5 Days)

36-56 hours (6-8 days)

57 or more hours (9+ days)

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* 9. In your own words, what are the areas that you would most like to improve your clinical practice by attending the Intensive Training: Effective Management of Complex Presentations (PTSD, C-PTSD & BPD)?