Beyond Stress: Difficulty, Unease And The Foster-Care Experience


Joseph Arpaia

Speaker: Joseph Arpaia, MD

Joe has had a solo private practice in psychiatry and addiction medicine for over 20 years in Eugene, OR. He has focused on treating stress-related conditions and in doing so has developed a powerful and effective model of stress. He has found the model helpful in treating a wide variety of psychiatric conditions including PTSD, mood disorders, and behavioral disorders. He also uses the model when working with couples and families. Joe is the co-author of Real Meditation in Minutes a Day which describes meditation as a set of methods for training the mind and applies those methods to improving health, performance, relationships and spirituality. The book received a foreword from the Dalai Lama. Joe is part of an international team training police officers with law enforcement organizations in Europe, Canada, and the United States to reduce use of force errors. He works as a consultant for the University of Toronto and is a volunteer faculty member at the University of Oregon.

In this workshop, I will introduce clinicians to a simple and powerful model of stress. I will focus on two components of stress: difficulty and unease. I will contrast the effects of these on the neuroendocrine system, behaviors, and learning. I will then explain how children who are in foster care or adults who have been in foster care are likely to suffer specific negative effects. We will then look at how the model of stress can help us use the clinical tools we already know with greater precision and effectiveness when working with current or former foster-care individuals.

Participants are encouraged to read the reference for the workshop: The Unease Modulation Model: An Experiential Model of Stress with Implications for Health, Stress-Management and Public Policy, Arpaia, and Andersen, Frontiers in Psychiatry. The article is open access and can be found here.


Learning objectives:

  1. Distinguish the two components of stress (difficulty and unease) and contrast their physical, emotional, cognitive, and behavioral effects.
  2. Identify specific characteristics of the foster-care experience that are likely to increase unease.
  3. Predict the effect of specific interventions used in therapy based on how they affect difficulty and unease.
We're sorry, but A Home Within cannot currently offer CE credits to Psychologists for homestudy/asynchronous learning (i.e. watching our recordings at home). Psychologists can earn CE credits for attendance at live AHW CE events. We are working with APA to secure the necessary approval to again offer homestudy CEs to Psychologists beginning spring 2022.
LCSWs and MFTs can earn CE credits either by attending live events or watching the recordings at home.

These events are free, and registration is available up until 24 hours prior to the start of the event. There is no penalty for cancellations. Content level is suitable for working mental health professionals with advanced degrees. There will be no breaks during the programs.

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Credit is calculated by the hours of the event (1 hour = 1 credit, 2 hours = 2 credits, etc.). The time it takes to complete the course evaluation and/or the posttest does not count toward CE credits. 

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