Overview:
Trauma treatment presents a unique and challenging array of ethical issues, among which is the ethical imperative of clinician self-care. The therapist’s well-being directly impacts clinical outcomes and client satisfaction. Across disciplines, ethical codes recognize that clinician well-being constitutes a salient aspect of beneficence and client care. With the intensity and time demands of trauma treatment, clinician self-care can easily be compromised, leaving the clinician vulnerable to compassion fatigue, burnout, and subsequent ethical errors. Given the rigors of trauma treatment, a clinician self-care plan including a variety of wellness strategies is critical.
This webinar provides a review of related ethics codes, current evidence on clinician self-care, and tools for building the inner reserves essential to therapist well-being. However, while self-care is an essential practice, it is not a substitute for clinical supervision, systemic workplace changes, or professional mental health support. Research indicates that burnout prevention requires both individual self-care strategies and broader organizational interventions to ensure sustainable well-being. The effectiveness of self-care varies among individuals, and overemphasis on personal responsibility may risk self-blame when external factors (e.g., workload, systemic challenges) are also contributors.
This training, led by licensed psychologist Dr. Debra Alvis, will explore the ethics of therapist self-care in trauma treatment through discussion, video clips, and guided strategies.
Objectives:
- List key components of APA and NASW ethical guidelines pertaining to self-care for clinicians specializing in trauma care.
- Illustrate the role of countertransference in trauma treatment and the implications for therapist well-being through discussion of a clinical vignette.
- Demonstrate application of at least three evidence-based techniques/rituals designed to reduce therapist/provider stress and proactively prevent burnout while treating clients experiencing trauma.
Limitations:
This program reflects current research, but findings may require further replication and broader study. Clinicians should stay informed on emerging research and use professional judgment when applying these strategies. Some interventions may exceed the scope of practice for certain professionals; participants are responsible for ensuring compliance with their licensure, ethical standards, and state regulations.
Commercial Disclosure:
Debra Alvis receives a speaking royalties and recording royalties from eCare Behavioral Health Institute. She has no relevant financial relationships with ineligible organizations to disclose.
Course materials are only available to enrolled students.
-
Debra Alvis, Ph. D
Debra Alvis, licensed psychologist, developed the Mind/Body Program at the University of Georgia providing clinician training on the integration of contemplative approaches into psychotherapy. Her work as a professor at the University of Georgia included the supervision of health psychology doctoral students and co-leading a research team investigating mindfulness. She is a Mindfulness Meditation Teacher certified through Tara Brach and Jack Kornfield and is trained as a yoga therapist. Dr. Alvis maintains a private practice and has more than 25 years of clinical experience in treating clients with a variety of conditions by combining mindfulness, somatic, and traditional psychotherapeutic approaches. Her personal contemplative practice of three decades further supports her presentations. Debra lectures and leads retreats around the world. Her trainings have helped thousands of clinicians to integrate the richness of Mindfulness, neuroscience, and somatic psychotherapies with cognitive approaches for greater clinical effectiveness.
National Approvals
eCare BHI, as the accredited and approved sponsor, maintains responsibility for all the programs and must abide by each board’s continuing education guidelines.

Professional Counselors — The National Board for Certified Counselors (NBCC)
E Care Behavioral Health Institute has been approved by NBCC as an approved Continuing Education Provider. ACEP No. 6703. Programs that do not qualify for NBCC are clearly identified. E care Behavioral Health Institute is solely responsible for all aspects of the programs.

Addiction Professionals — NAADAC, the Association for Addiction Professionals (NAADAC)
E Care Behavioral Health Institute is officially on file with NAADAC, the Association for Addiction Professionals (NAADAC) as an Approved Education Provider. They are formally known as NAADAC Provider #139138. Please note that E care Behavioral Health Institute is solely responsible for all aspects of the program.

Social Workers — Association of Social Work Boards (ASWB)
E Care Behavioral Health Institute, #1706, 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. E Care Behavioral Health Institute maintains responsibility for this course.  ACE provider approval period: 06-03-2020 – 06-03-2026.Â

Psychologists — American Psychological Association (APA)
E Care Behavioral Health Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. E Care Behavioral Health Institute maintains responsibility for this program and its content.

CE Broker
CE Broker is a continuing education tracking system in which licensees track their compliance and report their completed CE hours credit (CE Broker Tracking #50-33336)
State Approvals
States that Accept ASWB-ACE Approved Providers |
||||||
Alabama | Alaska | Arizona | Arkansas | California | Colorado | Connecticut |
Delaware | District Of Columbia | Florida | Georgia | Hawaii | Idaho | Illinois |
Indiana | Iowa | Kansas | Kentucky | Louisiana | Maine | Maryland |
Massachusetts | Michigan | Minnesota | Mississippi | Missouri | Montana | Nebraska |
Nevada | New Hampshire | New Jersey | New Mexico | North Carolina | North Dakota | Ohio |
Oklahoma | Oregon | Pennsylvania | Rhode Island | South Carolina | South Dakota | Tennessee |
Texas | Utah | Vermont | Virginia | Washington | West Virginia | Wisconsin |
Wyoming |
States that Accepts NBCC Approved Courses:Â |
||||||
Alabama | Alaska | Arizona | Arkansas | California | Colorado | Connecticut |
Delaware | District Of Columbia | Florida | Georgia | Hawaii | Idaho | Indiana |
Iowa | Maine | Maryland | Massachusetts | Missouri | New Hampshire | New Jersey |
New Mexico | Ohio | Oregon | Pennsylvania | Rhode Island | South Carolina | South Dakota |
Tennessee | Texas | Vermont | Virginia | Washington | Wisconsin |
- Nevada CPC’s and MFT’s accept ASWB-approved training
- North Dakota Board Of Counselor Examiners LAPC and LAPCS accept ASWB approved training
- Rhode Island Board of Mental Health Counselors and Marriage & Family Therapists MHC’s accept ASWB approved training
- Texas Behavioral Health Executive Council LPC and LPCS accept ASWB approved training
- Utah Division of Professional Licensing – CMHC’s accept ASWB approved training
- Washington State Department of Mental Health MHC’s accept ASWB approved training
- Wisconsin Council on Mental Health LPCS accepts ASWB-approved training
States that Accept NAADAC Approved Providers |
||||||
Alabama | Alaska | Arizona | Arkansas | Delaware | Hawaii | Indiana |
Kentucky | Maine | Massachusetts | Minnesota | Montana | Nevada | New Jersey |
New Jersey | New Mexico | North Carolina | North Dakota | Oregon | Rhode Island | Tennessee |
Vermont | Virginia | Washington | West Virginia | Wisconsin | Wisconsin | Wyoming |
States that Accept APA Approved Providers |
||||||
Alabama | Alaska | Arizona | Arkansas | California | Delaware | District Of Columbia |
Florida | Georgia | Idaho | Illinois | Indiana | Iowa | Kansas |
Kentucky | Louisiana | Maryland | Massachusetts | Minnesota | Mississippi | Missouri |
Montana | Nebraska | New Jersey | New Mexico | North Dakota | Ohio | Oklahoma |
Pennsylvania | Rhode Island | South Carolina | Tennessee | Utah | Vermont | Virginia |
Washington | West Virginia | Wisconsin | Wyoming |