Cascadia Training for Professional Development

Directive Play Therapy for Struggling Children
2026-04-16 09:00 - 16:30 (America/Los_Angeles) | Zoom
Directive Play Therapy for Struggling Children
Presented by: Kristie Baber, MSW, LICSW, CCTP
When: Thursday, April 16th, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 CEs | $190.00
Virginia Axline has told us that, “Play is the primary and natural medium of communication for children” (1947) and that therapists can provide the opportunity for kids to express their emotions and process their experiences. However, those of us who work with distressed or traumatized children know that sometimes we need to do more than that.
This is a single-day clinical workshop designed to answer the question child therapists ask, “Yes, but how exactly do I do that in session?” This workshop will be focused on the detailed, how-to of directive play therapy with children. We will discuss the clinical frame – from setting up an office to addressing behavioral problems in session – as well as effective interventions within it.
Directive play therapy can be utilized to promote healing from traumatic events, facilitate the expression of emotions, develop more secure attachment patterns, introduce new ways of thinking and behaving, learn problem-solving skills, improve social and communication skills, and support regulation.
This class will give practicing therapists, child welfare professionals, and other pediatric providers working with children aged 0-11 practical tools and ideas to leverage therapeutic change. The workshop will be conducted in a Zoom format.
Teaching modalities will include a mix of clinical discussion, lectures with clinical examples & video illustrations, and individual/group case exercises. (Please note: Workshop will cover clinical applications and interventions for children, not forensic assessment of play for evaluation purposes.)
Objectives:

Explore the brain development, memory systems, attachment needs, and trauma impacts that influence our baseline neurobiology and a child’s capacity for therapeutic growth.
Understand the distinction between directive and non-directive play therapy and the clinical applications for both with children.
Having knowledge of the therapeutic frame, learn to set daily treatment plans and establish the structure of a child’s session.
Consider different categories of play useful for addressing various treatment goals.
Explore options of therapeutic toys, games, and crafts with examples of their use in sessions.
Access provided references and resources for further study.

REGISTER HERE

Guide to Setting Up Your Business as a Solo Practitioner
2026-04-23 09:00 - 12:15 | Zoom
Guide to Setting Up Your Business as a Solo Practitioner
Presented by: Sandy Voit, MS, EdS, LMHC, CDFA
When: Thursday, April 23, 2026 | 9:00 AM – 12:15 PM, Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: No CEs are offered for this workshop | $65.00
There are many reasons to become a private practitioner: autonomy and independence, choosing your clients, flexibility in parenting or caregiving, etc. We will discuss the financial and business sides of opening your own practice.
Topics will include what type of tax structure you might want to use, the various licenses and insurances you may need, taxes (income, state, self-employment, and unemployment), and how to reduce those taxes via optimizing your business deductions.
Other information and discussion topics include establishing a home office, why nepotism (hiring a spouse or children) is good, and start looking at planning for your retirement.
Substantial handouts and resources are provided so you can focus on the discussions and not spend all your time taking notes.
Objectives:

Learn pros and cons of different options of tax structures for your practice.
Develop a financial plan for your practice.
How to optimize your business deductions.
Learn advantages of setting up a home office.
Why, if you are married and/or have children, it is advantageous to hire them.
Start planning for your own retirement.

REGISTER HERE

🆕 BRAND-NEW! AuDHD in Love 🆕
2026-04-24 09:00 - 16:30 | Zoom
🆕BRAND-NEW!🆕
Health Equity, Cultural Competence, or Professional Roles and Boundaries CEs!
AuDHD in Love
Presented by: B Lourenco, MA, LMHC, Stacy Skowronski, PhD, LCSW, CST, and Hannah Tyer, MOTR/L
When: Friday, April 24th, 2026| 9:00 AM – 4:30 PM, Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 Health Equity, Cultural Competence, or Professional Roles and Boundaries CEs | $199.00
Course Description:
As people learn more about Autism and ADHD through lived experience and the Neurodiversity-Affirming movement, we see the layered influence on sexual and romantic relationships. Masking has a profound impact on the development of the “self” and the understanding of relationships, often leading to misunderstandings and confusion in all relational settings. Add in the nuances of differing sensory needs and ways of attending to stimuli, plus experiences of rejection sensitivity and demand avoidance, and the challenges pile up quickly. And we haven’t even talked about relational trauma yet!
Whether people share the same neurotype or not, the impact of neurodivergence is complex and layered. Using a multidisciplinary approach, this workshop is taught by three clinicians with a variety of expertise and experience and will explore how Autism and ADHD affect intra and interpersonal relationships, from platonic to romantic/sexual and everything in-between.
Key objectives
After this course, attendees will be able to:

Define at least three ways the medical model of Autism and ADHD differ from the neurodiversity-affirming model
Describe at least two ways that both ADHD and Autism can impact romantic/sexual relationships
Explain the relational effects of the Double Empathy Problem and Rejection Sensitive Dysphoria
Identify/understand common polarities in neurodivergent couples that impact connection
Describe how differing sensory profiles can impact all types of relationships where people share space
Identify at least two ways to help support healthy, neurodivergent-affirming relationships

Other topics covered:

Attention and Focus
Monotropism
Differing Sensory Profiles
Communication Challenges
Differences in Emotional Expression
Masking in relationships
Masking in sexual encounters

REGISTER HERE

Youth and Adult Suicide: Recognition, Assessment, and Treatment of Suicidality
2026-04-30 09:00 - 16:30 | Zoom
This workshop meets the suicide assessment requirements for re-licensure.
Youth and Adult Suicide: Recognition, Assessment, and Treatment of Suicidality
Presented by: Randi Jensen, MA, LMHC, CCDC
When: Thursday, April 30th, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 CEs | $199.00
This workshop meets the Washington State suicide assessment requirements for re-licensure. The Washington State Department of Health has approved this 6-hour workshop for its 2022 Model List. This workshop also satisfies the continuing education requirements set by the Department of Health related to suicide assessment, management, and treatment.
Historically, mental health treatment for suicidal individuals has involved extensive psychopharmacology, repeated cognitive behavioral therapy, positive psychology methods, stress reduction exercises, and/or deep therapy into family-of-origin issues, all proven individually insufficient for the long-term prevention of suicide and suicidality.
The World Health Organization (2019) reported decreasing trends in suicide mortality in most countries across the world. Unfortunately, the mortality of suicide showed an increasing trend in the United States. Between 2000 and 2018, the suicide rate skyrocketed, increasing by a whopping 35% (CDC, 2020). Interestingly, during the first year of the COVID-19 pandemic, between 2020 and 2021, there was a decrease in suicide rates. This was short-lived, unfortunately, as suicide rates began to increase again by 2% in 2022 (CDC, 2022).
What can we do? As clinicians, we need to understand there are many roads to suicidality — each usually requiring individual intervention.
This workshop presents original concepts in the development of suicidality as an ingenious coping mechanism that develops over time. The brain’s neuroplasticity forms neural pathways that underpin the reinforcing suicidal thought pattern. Brain retraining provides the formation of new healthy neural pathways. The healing process is directed, encouraged, and supported through a specifically designed peer protocol based on existing evidence-based social support.
Research shows that the first suicide attempt is often the first time anyone intervenes. However, it is generally not the first time the danger has been known. Loved ones just don’t know what to do. They take the suicidal individual to a hospital or professional where the treatment protocol has not changed for decades. When the suicidal individual comes home after the attempt, family and friends don’t know how to help prevent the next one. The Jensen Suicide Peer Protocol (JSP3), based on evidence-based principles, is a prescribed method for the family members and concerned others to take an active part in the recovery of their loved one. Randi has used this method for decades and has saved lives.
OBJECTIVES:
• Describe the extent of suicide in the general and special populations, including children, adolescents, and military personnel.
• Distinguish what suicidality is and the difference between self-harm and suicidality
• Explain the psychobiology of suicidality and its progression
• Articulate warning signs and symptoms using simple and effective suicide assessment tools
• Express and practice Motivational Interviewing techniques used in counseling suicidal individuals
• Explain a life-saving peer support protocol and how to implement it
• Describe ethical considerations, documentation, and confidentiality issues.
The Washington State Department of Health has approved this 6-hour workshop for its 2022 Model List. This workshop also satisfies the continuing education requirements set by the Department of Health related to suicide assessment, management, and treatment.
Randi consistently receives excellent evaluations from attendees of her workshops. Here are just a few quotes from past attendees:
* “I took a different class about suicide a few months back. It was so heavy with content and so focused on how to cross every “T” and dot every “I” that I actually left more anxious about treating suicidal clients than before. In contrast, Randi’s workshop gave me a broader general understanding and a way to connect the clinical skills I already have to the treatment of these clients. I feel much more confident and competent working with suicidal clients now.”
* “Ms. Jensen is an extremely competent clinician and presenter. Over my 30+ career in mental health work, this is one of the very best workshops I have attended. Thank you, Cascadia and Randi!”
* “This is the most impactful continuing education class I’ve ever taken!”
REGISTER HERE

Clinical Supervision Training: (Almost) Everything You Need to Know
2026-05-06 09:30 - 2026-05-08 14:30 | Zoom
Meets requirements to become an approved clinical supervisor!
Law & Ethics CEs!
Clinical Supervision Training: (Almost) Everything You Need to Know
Presented by: Eric Ström, PhD, Attorney at Law, LMHC
When: Wednesday, May 6th – Friday, May 8th, 2026 | 9:30 AM – 2:30 PM Pacific Time each day
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 15 CEs (10 Law & Ethics CEs) | $395.00 (see below for payment options)
This workshop meets the training requirement for becoming an Approved Clinical Supervisor.
Providing supervision can be a rewarding addition to a clinical practice. However, many clinicians are reluctant to become supervisors due to legal and ethical liability concerns. These concerns are often increased by a lack of accurate information about the true risks of liability faced by supervisors.
Through direct instructions, presentation of real-life scenarios, and group discussions, participants will understand the fundamentals of supervision best practices to improve their effectiveness and skill as clinical supervisors.
This three-day, 15-hour supervision workshop is designed to meet the training requirements for Washington State Approved Supervisors.
Objectives:
• Identify and assess sources of significant liability in supervision;
• Construct effective strategies for creating a sound supervision agreement;
• Describe key conceptual frameworks for supervision;
• Compare various theoretical approaches to supervision;
• Contrast various types of supervisory relationships;
• Examine the benefits between group and individual supervision settings;
• Summarize the legal and ethical regulation of supervision;
• Maximize supervisor, supervisee, and client success through supervision structure;
• Integrate regulation and practice to provide quality supervision documentation.
Payment Options
Cascadia Training values quality continuing education that is accessible, inclusive, and without barriers to all. We never want the cost of our workshops to be a barrier to attending one of our workshops, particularly our multi-session workshops.
We offer several options to make our workshops cost-inclusive: payment plans and a limited number of discounts for students and early professionals.
For payment plans, you can select paying 50% today and 50% due by May 31st, 2026.
Please email us at hello@cascadiatraining.org to inquire about possible discounts.
REGISTER HERE

Tarot and Therapy: Intuition and Metaphor
2026-05-15 09:00 - 16:30 | Shoreline Center, 18560 1st Ave NE, Shoreline, WA, 98155, United States
Law & Ethics CEs!
Tarot and Therapy: Intuition and Metaphor
Presented by: Rebecca Bloom, LMHC (she/her)
When: Friday, May 15th, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live in-person at the Shoreline Center
Continuing Education Credit Hours: 6 CEs – 3 Law & Ethics CEs | $199.00, which includes $174.00 tuition plus $25.00 for Ephemera Art Supply Packs Created by Rebecca Bloom especially for Cascadia Training Registrants.
Why is Tarot so popular right now? Are your clients coming in talking about the card they pulled before the session and you have no idea what that means? Have you used tarot for years for your own well being and would love to use it with mental health clients but not sure how?
Most clients come into therapy saying that they do not have access to their intuition and are not sure how to trust what the right choices are to make in their lives. Using a single card pulled from a tarot deck, and exploring the client’s meaning of the card, clients can begin to feel connected to their own sense of self, clients can find new ways to safely explore difficult experiences and find ways to test out feeling grounded again.
Starting with the Jungian concepts of Archetypes we will look at how the collective sense of self represents over these twelve types of being. Then we will explore the history and uses of tarot. These seventy-eight cards have been used for hundreds of years. Using the Rider-Waite-Smith deck, from 1909, as a starting place we will look at many of the decks available today and why people turn to them every day or when times get difficult.
We will explore intuition and how to trust our own sense of knowing. In this hands-on workshop, you will make five of your own cards. Exploring the major arcana, and the suits of cups, pentacles, swords and wands we will learn the journeys of each of these sets.
Objectives:

Learn archetypes of Jung and Tarot.
Learn why the creative process soothes the body and the mind.
Find materials you will be comfortable using with your clients.
Use art making for your own self-care.

REGISTER HERE

Becoming a Neurodivergent-Affirming Clinician: Understanding ADHD and Autism through a Strengths-Based, Neurodivergent-Affirming Lens
2026-05-20 10:00 - 2026-06-24 13:15 | Zoom
Law & Ethics, Health Equity,
and Cultural Competence CEs!
Becoming a Neurodivergent-Affirming Clinician: Understanding ADHD and Autism through a Strengths-Based, Neurodivergent-Affirming Lens
Presented by: B Lourenco, MA, LMHC
When: This course will be held for six consecutive Wednesdays: May 20th through June 24th, 2026, from 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern

Wednesday, May 20th, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, May 27th, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, June 3rd, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, June 10th, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, June 17th, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, June 24th, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern

Where: Live on Zoom. You will receive your Zoom link/invitation the week of the event.
18 CEs (12 CEs can be used for Cultural Competence or Health Equity CEs, and 6 can be used for Law & Ethics CEs) | $599.00 *** (see below for payment options)
As technology progresses and education on mental health becomes increasingly more available, the population has become more self-aware. The world is changing quickly, and with it, more and more people realize that their brain works differently than others. Due to the influence of social media and the shift to focusing on lived experience as a legitimate means of diagnosis, we are seeing a sudden increase in clients that identify as Autistic and/or an ADHDer. We find that clients are speaking up and finding validation of what they have always known: their brains operate differently than the brains of their peers, colleagues, friends, and families. As a result, we are seeing a sudden increase in the young adult and middle-aged population who identify as being Neurodivergent in a Neurotypical world.
This workshop series is designed to help clinicians build greater awareness and familiarity with ADHD and Autistic experiences. Participants will come away from this course with a deeper understanding of ADHD and Autism from the Neurodiversity-Affirming Paradigm that focuses on strengths and differences, not diagnoses, disorders, and deficits.
Especially following the Covid pandemic and its sometimes long-term impact on the brain and the immune system’s inflammatory processes, many clients report having different and often challenging sensory processing experiences. We are seeing more adults presenting in our offices with reports that they now have issues not only with taste and smell but with a range of visual, hearing, tactile, balance, and internal bodily sensations they never have before experienced, as well as difficulties with attention and memory. This begs the question: have these brain differences always been there but now have been sensitized or magnified by exposure to Covid and months-long isolation?
Many adults are now recognizing they are not alone and are demanding they not be dismissed or invalidated any longer, often having experienced the continued frustration of providers questioning their own lived experiences and, as a result, having been either undiagnosed or underdiagnosed due to outdated and debunked diagnostic criteria still used by mainstream psychiatrists and physicians. These individuals are finding validation for what they have suspected all along: their brains work differently than those of their peers, families, and friends.
With new research available and an increasingly empowered clientele, we see more than ever the need to remain current in our understanding of–and support for–those who have brain differences. Committed to blending cutting-edge scientific evidence with the lived experiences of our clients, Cascadia Training, is delighted to offer a new workshop series designed to help clinicians build greater awareness and familiarity with ADHD and Autistic experiences.
Upon completion of this series, participants will have a deeper understanding of ADHD and Autism from the Neurodiversity Affirming Paradigm that focuses on strengths and differences, not disorders, diagnoses, and deficits!
Woven throughout the series are the law and ethics of working with neurodivergent clients, including the danger of misdiagnoses, and the harm of using biased, outdated, debunked diagnostic criteria leading to the under-diagnosis of ADHD and Autism spectrum experiences. In addition, participants will learn about and identify pathologizing, stigmatizing, and harmful treatment protocols and clinical interventions still utilized by providers in educational, physical, and mental health professions.
This series uses a system developed explicitly by B Lourenco, an expert on ADHD and Autism. The course focuses to a large degree on the internal, lived experience of neurodiversity. Each of the six weekly sessions will include a didactic portion, an experiential section, and direct case consultation time. All modules will include lecture, video, and experiential segments.
Certificate Program Weekly Modules:
Week One: Sensory Systems – Getting in touch with the sensory system is the most critical step in supporting neurodivergent clients. Sensory information can regulate emotional and physical experiences. In addition, we will focus on using sensory profiles, menus, and diets to support day-to-day quality of life.
Week Two: Communication and Relationships – Understanding how those with Autism and ADHD communicate creates room for therapeutic connection. With this understanding, we will dive into tools for managing meltdowns and shutdowns in an affirming way.
Week Three: Attending and Executive Function – This module will explain why those with Autism and ADHD face challenges attending to their environment by addressing social expectations on perceptions of “functioning.” You will also learn how to use the client’s natural rhythms to support positive functionality.
Week Four: Social Systems and Disability – Understanding how society directly impacts the lives of people with disabilities. We will focus on how clinicians can incorporate advocacy into their practice and tools to unlearn neurotypical values by connecting clients to personal values.
Week Five: Differentials and Comorbidities – This module will teach participants how to rule out or “dial in” on other mental health concerns or diagnoses. We will present comorbidities that exist with your neurodivergent clients and how to effectively support them in a non-stigmatizing way. The role of trauma and grief in the lived experience of clients who identify as neurodivergent will be discussed, as well as the impact of these events on the developing brain. We will process how to best support the grief and disenfranchised losses felt by our autistic and ADHD clients and their families.
Week Six: The Use of Joy As a Tool Against Oppression. Creating celebrations of being neurodivergent and finding joy in everyday life as we partner with our neurodivergent clients. The Neurodivergent-affirming certificate program series will conclude with various celebrations we can share with our clients and the shift to viewing “joy itself as a tool against oppression.” As clinicians, it is important for us to first comprehend–and then share– the ways that society benefits from neurodiversity in general and ADHD and Autism, in particular. We will conclude by learning ways to help our clients celebrate their neurodiversity and see themselves through an affirming, strengths-based lens.
Other topics that will be covered in this practice- and life-altering certificate program series include, but are not limited to:

Alexithymia and Dysthymia
ARFID
Misophonia
Gender and sexuality in the ADHD and Autistic communities
The role of menstruation on ADHD and Autistic brains
Interdependence vs codependence and/or independence
Myths and stigmas about neurodivergent people
Experiences of abuse in neurodivergent people
Pervasive Desire for Autonomy (PDA)

***Payment Options:
Cascadia Training values quality continuing education that is accessible, inclusive, and without barriers to all. We never want the cost of our workshops to be a barrier to attending one of our workshops, particularly our multi-session workshops.
We offer several options to make our workshops cost-inclusive: payment plans, a limited number of full and partial scholarships, discounts for students, and discounts for early professionals. Please email us at hello@cascadiatraining.org for more information.
For payment plans, you can select paying 50% today and 50% due on June 30, 2026.
REGISTER HERE

Motivational Interviewing: Improving Client Outcomes by Increasing Intrinsic Motivation for Change
2026-05-21 09:00 - 16:30 | Zoom
Motivational Interviewing: Improving Client Outcomes by Increasing Intrinsic Motivation for Change
Presented by: Randi Jensen, MA, LMHC, CCDC
When: Thursday, May 21st, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 CEs | $190.00
Motivational Interviewing (MI) is an established evidence-based practice renowned for resolving ambivalence. MI, which originates in substance use disorder treatment, has been shown to enhance client motivation for change and improve treatment outcomes. The spirit of MI complements Self-Determination Theory (SDI), which asserts that people have an intrinsic desire to make life changes congruent with their core values. SDI states that people are more likely to be internally motivated if their actions, beliefs, and core values align. Motivational Interviewing provides the technique to make that happen.
The principles of Motivational Interviewing include providing accurate empathy, building discrepancy, rolling with resistance, and increasing self-efficacy. These supply the basis for building intrinsic motivation for change and can facilitate the resolution of life-threatening ambivalence in suicidality.
Researchers Britton, Williams, and Connor (2008) show how the therapist’s proficiency in Motivational Interviewing can resolve a client’s ambivalence and resistance to change.
This very practical workshop includes learning through lectures, interactive discussions, demonstrations, video role plays, and skill-building through group exercises. These methods combine to provide techniques and interventions that can be applied immediately.
Objectives:
• Describe the principles that underpin Motivational Interviewing and how they promote client autonomy
• Articulate the distinguishing techniques of open-ended questions, affirmations, reflective listening, and summarizations
• Explain the Stages of Change as described by Prochaska and DiClemente (1983)
• Discuss the significance of Self-Determination Theory in coordination with MI
• Distinguish different methods of using MI with specific populations and varied disorders
• Express and practice Motivational Interviewing techniques used in counseling suicidal individuals
• Describe ethical considerations and documentation
• Enumerate necessary therapist qualities that support the efficient use of MI
Randi is an expert in both using and teaching Motivational Interviewing. In addition to her many years of presenting Cascadia Training workshops, she taught Motivational Interviewing courses as an adjunct faculty member at Bastyr University and as Case Management Program Director for Antioch University and Seattle’s Job Initiative. She also uses her expert-level skills in Motivational Interviewing in her private practice, specializing in treating clients with suicidality, suicide ideation, substance use disorders, and more.
REGISTER HERE

Being Neurodivergent in a Neurotypical World
2026-06-05 09:00 - 16:30 | Zoom
Law & Ethics, Cultural Competence, or Health Equity CEs!
Being Neurodivergent in a Neurotypical World
Presented by: B Lourenco, MA, LMHC (she/her)
When: Friday, June 5, 2026 | 9:00 AM – 4:30 PM Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 Law & Ethics, Health Equity, or Cultural Competence CEs | Cost: $199.00
Have you noticed that more and more of your clients have begun to suspect that they are neurodivergent? During the past year-and-a-half of the Covid pandemic, many folks have had time to reflect and learn about themselves and others. That time of learning and increased self-reflection has led to what seems like an explosion of self-diagnosed Autistic and ADHD clients. It seems hard to believe that there are suddenly so many more people who are identifying as being neurodivergent. You may have asked yourself, “What is going on?”
The difference is the shift to using the ethical approach of “centering lived experience” in identifying neurodiversity. Using this term and approach as applied to neurodiversity, this presenter explains the rise in neurodivergent diagnoses, especially among those who have initially those self-identified. The presenter suggests that we have only recently begun to LISTEN to voices of those have had “lived experiences” after being diagnosed in the current mental health field, including countless reports of feeling increased emotional distress and of experiences of marginalization due to being labeled– and subsequently stigmatized– as neurodivergent.
B Lourenco will provide attendees with a “centering lived experience” model of assessing and supporting clients who suspect that they have been living as a neurodivergent person in a neurotypical world. This presenter will support your learning how to incorporate a “centering lived experience” model in your own mental health practices. With this new paradigm, mental health practitioners and educators can shift their focus away from a deficits-based approach to identifying the strengths and adaptive characteristics of those who are neurodivergent, especially those identified as autistic or ADHD.
This workshop will demonstrate how the current model for identifying neurodivergence—particularly those with Autism and ADHD–is considered both outdated and ableist by experts who choose to use the “centering lived experience” approach to assessing clients. This course will outline the ways that the current model harms neurodivergent people, in addition to offering workshop attendees a more client-empowering, more affirming way to identify and interact with this unique population of people.
Utilizing the Neurodiversity paradigm, you’ll leave this workshop with a much better, more strengths-based understanding of Autism and ADHD, as well as gaining effective tools for interacting with and supporting these clients (of which you have, even if you or the client doesn’t know it yet)!
Objectives:

understand the umbrella of neurodivergence, including innate and acquired neurodivergence
have a clearer understanding of Autism and ADHD—as viewed through an ethical, neurodiversity-affirming lens
identify limits of the medical model of neurodivergence
understand ways in which the current medical model is unethical and harmful to neurodivergent people–by its focus on perceived deficits through a neurotypical lens
apply a strengths and differences approach in identifying autism and ADHD
understand and consider using the “centered life experience” model of identifying and supporting neurodivergent clients and populations
gain new skills to better assist Autistic and ADHD clients
possess a clearer understanding of the ethical need to approach clients with an anti-oppression lens in mental health care agencies and private practices
feel empowered to challenge current systems of harm by supporting clients in their preferred methods of processing sensory input and communicating with others in a neurotypical world

After attending this workshop, attendees will be able to:

Discuss the ethical violations that come from employing Applied Behavioral Analysis (ABA) as an intervention with neurodivergent clients/students.
Become familiar with the metaphor of Applied Behavioral Analysis as being the why the “conversion therapy” of the neurodivergent community and the ethical ramifications of continuing to use it in schools and clinics.
Understand that the practice of ABA is based upon a “foundation of compliance, coercion, and behaviorism.”
Identify that current “evidence-based practices” may not be effective with the neurodivergent client.
Comprehend the ethical mandate under cultural competence standards to respect and validate the culture and norms of the neurodivergent population.
Respect the neurodivergent client as a person worthy of respect and individual civil rights legally protected from discrimination under the Americans with Disabilities Act (ADA).
Understand the ethical mandate to assess clients with a culturally competent assessment tool and grasp the ethical violation of using current inadequate or inappropriate assessment tools with neurodivergent clients.
Discuss the widespread misdiagnoses of neurodivergent clients/patients when practitioners use a neurotypical standard of behaviors and development to diagnose a neurodivergent client.

REGISTER HERE

Menopause and Mental Health: Navigating the Challenges from Perimenopause to Post-Menopause
2026-06-19 09:00 - 16:30 | Shoreline Center, 18560 1st Ave NE, Shoreline, WA, 98155, United States
Meets Health Equity or Cultural Competence Continuing Education Requirements!
Menopause and Mental Health: Navigating the Challenges from Perimenopause to Post-Menopause
Presented by Rebecca Bloom, LMHC (she/her)
When: Friday, June 19th, 2026, 2025 | 9:00 am – 4:30 pm Pacific Time
Where: Live in-person at the Shoreline Center
Continuing Education Credit Hours: 6 CEs (meets criteria for Health Equity or Cultural Competence CEs) | Cost: $199.00
The experience of pre-menopause/perimenopause, menopause, and post-menopause is rarely talked about, but thousands of people are diagnosed daily with menopause-related challenges.
It shows up in clinical settings in many ways: if someone has been medically induced and is having many symptoms at once; if the whole family system is under stress because “now Mom is mad all the time;” if a client cannot get a medical doctor to address that all her symptoms are connected; or a client feels sex is just “too painful now” and plans never to have sex again.
As clinicians who may be in perimenopause, menopause, or post-menopause ourselves, do not understand our own bodies anymore and may find our work life more difficult than ever.
You may have a 48-year-old female client referred by a medical doctor. This new client has no history of depression, but suddenly, she cannot get out of bed, she cannot track her thoughts, and her blood pressure is through the roof. In this workshop, you will learn that these are all symptoms of perimenopause or menopause.
In this workshop, you will gain an in-depth knowledge of the 37 most common symptoms of perimenopause and menopause that affect us physically, mentally, emotionally, cognitively, and spiritually.
In addition, you will learn how to talk with your clients about these symptoms and how to help them advocate outside the walls of your office for themselves and the medical care they need. We will also look at how biases and inequalities surrounding race and gender (collectively, we’ll say women, but we mean that in a very inclusive way to include those who identify as a woman, those who are assigned female at birth (AFAB) but are transgender or non-binary but still have female reproductive organs and hormones), LGBTQIA+, socio-economic status, and more impact whether someone receives accessible, affordable, adequate, and effective health care.
We will also explore how the lack of adequate medical care for girls, women, and those AFAB continues throughout their lifespan and greatly impacts all aspects of their lives. This lack of adequate, affirming medical attention leads to this natural hormonal experience negatively impacting “everything” in our lives.
The destabilization and loss process in menopause will be explored from various angles. What does it mean to no longer be of “child-bearing age”? Is that transition cause for celebration? Is it a tremendous loss? What does it currently mean to be a “crone”? We will explore how this role has changed over time and in various cultures.
The latest neuroscience research suggests that the loss of estrogen in the brain has major impacts on many bodily systems. What does it mean to go on Hormone Replacement Therapy (HRT)? Some current research suggests that HRT is safe for up to ten years. We will examine why this protocol changed and what it means for our clients and ourselves.
We will also explore natural options for care and support during the various phases of menopause. “Have your fans at the ready!” Let’s spend the day talking about menopause and learning about what impacts our receiving affirming, effective medical care, including the fact that the average medical doctor receives only one hour– in TOTAL—of formal training on menopause. You will leave this workshop knowing much more than when you arrived, knowledge that will help your clients and you on your journey.
Objectives:

Learn the three stages of menopause.
Learn the 37 most common symptoms of menopause.
Address how to help clients feel more stable in this process.
Learn how culture impacts on menopause.
Address the experience of gender and gender bias across the lifespan.
Destigmatize menopause and encourage authentic, effective discussions.

REGISTER HERE

Retirement for Therapists
2026-06-25 09:00 - 16:30 | Zoom
Law & Ethics CEs
Retirement for Therapists
Presented by: Sandy Voit, MS, EdS, LMHC, CDFA
When: Thursday, June 25th, 2026 | 9:00 AM – 4:30 PM, Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 CEs – 3 are Law & Ethics CEs | $165.00
We are blessed to be in a profession that doesn’t enforce mandatory retirement upon us when we reach a certain age. (The majority of people who are no longer working didn’t stop voluntarily…) Clients see our aging and grey hair as wisdom. We can work as much, or as little, as we choose. There will come a time when you are ready to stop working – and retirement has several issues you must address before you can retire… And there might come a time when circumstances beyond your control – death, disability, illness, incapacity, and/or caregiving – will prohibit you from continuing.
You will do yourself and your family well by planning for this in advance. We will discuss therapeutic issues, notification, records, liability, creating a professional will, and identifying a professional executor. We also will discuss whether or not you are financially prepared for retirement. Substantial handouts and resources are provided so you can focus on the discussions and not spend all your time taking notes.
Objectives:
• Understanding therapeutic aspects of preparing for retirement.
• Preparing a Professional Will and identifying a Professional Executor.
• Understanding your obligations for notification and access to your records.
• Preparing for the Unexpected – what happens if you were to die or become incapacitated?
• Your personal finances in preparation for retirement.
REGISTER HERE

Youth and Adult Suicide: Recognition, Assessment, and Treatment of Suicidality
2026-07-24 09:00 - 16:30 | Zoom
This workshop meets the suicide assessment requirements for re-licensure.
Youth and Adult Suicide: Recognition, Assessment, and Treatment of Suicidality
Presented by: Randi Jensen, MA, LMHC, CCDC
When: Friday, July 24th, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 CEs | $199.00
This workshop meets the Washington State suicide assessment requirements for re-licensure. The Washington State Department of Health has approved this 6-hour workshop for its 2022 Model List. This workshop also satisfies the continuing education requirements set by the Department of Health related to suicide assessment, management, and treatment.
Historically, mental health treatment for suicidal individuals has involved extensive psychopharmacology, repeated cognitive behavioral therapy, positive psychology methods, stress reduction exercises, and/or deep therapy into family-of-origin issues, all proven individually insufficient for the long-term prevention of suicide and suicidality.
The World Health Organization (2019) reported decreasing trends in suicide mortality in most countries across the world. Unfortunately, the mortality of suicide showed an increasing trend in the United States. Between 2000 and 2018, the suicide rate skyrocketed, increasing by a whopping 35% (CDC, 2020). Interestingly, during the first year of the COVID-19 pandemic, between 2020 and 2021, there was a decrease in suicide rates. This was short-lived, unfortunately, as suicide rates began to increase again by 2% in 2022 (CDC, 2022).
What can we do? As clinicians, we need to understand there are many roads to suicidality — each usually requiring individual intervention.
This workshop presents original concepts in the development of suicidality as an ingenious coping mechanism that develops over time. The brain’s neuroplasticity forms neural pathways that underpin the reinforcing suicidal thought pattern. Brain retraining provides the formation of new healthy neural pathways. The healing process is directed, encouraged, and supported through a specifically designed peer protocol based on existing evidence-based social support.
Research shows that the first suicide attempt is often the first time anyone intervenes. However, it is generally not the first time the danger has been known. Loved ones just don’t know what to do. They take the suicidal individual to a hospital or professional where the treatment protocol has not changed for decades. When the suicidal individual comes home after the attempt, family and friends don’t know how to help prevent the next one. The Jensen Suicide Peer Protocol (JSP3), based on evidence-based principles, is a prescribed method for the family members and concerned others to take an active part in the recovery of their loved one. Randi has used this method for decades and has saved lives.
OBJECTIVES:
• Describe the extent of suicide in the general and special populations, including children, adolescents, and military personnel.
• Distinguish what suicidality is and the difference between self-harm and suicidality
• Explain the psychobiology of suicidality and its progression
• Articulate warning signs and symptoms using simple and effective suicide assessment tools
• Express and practice Motivational Interviewing techniques used in counseling suicidal individuals
• Explain a life-saving peer support protocol and how to implement it
• Describe ethical considerations, documentation, and confidentiality issues.
The Washington State Department of Health has approved this 6-hour workshop for its 2022 Model List. This workshop also satisfies the continuing education requirements set by the Department of Health related to suicide assessment, management, and treatment.
Randi consistently receives excellent evaluations from attendees of her workshops. Here are just a few quotes from past attendees:
* “I took a different class about suicide a few months back. It was so heavy with content and so focused on how to cross every “T” and dot every “I” that I actually left more anxious about treating suicidal clients than before. In contrast, Randi’s workshop gave me a broader general understanding and a way to connect the clinical skills I already have to the treatment of these clients. I feel much more confident and competent working with suicidal clients now.”
* “Ms. Jensen is an extremely competent clinician and presenter. Over my 30+ career in mental health work, this is one of the very best workshops I have attended. Thank you, Cascadia and Randi!”
* “This is the most impactful continuing education class I’ve ever taken!”
REGISTER HERE

Tarot and Therapy: Intuition and Metaphor
2026-08-07 09:00 - 16:30 | Zoom
Law & Ethics CEs!
Tarot and Therapy: Intuition and Metaphor
Presented by: Rebecca Bloom, ATR-BC, LMHC (she/her)
When: Friday, August 7th, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credits: CEs: 6 CEs – 3 Law & Ethics CEs | $199.00, which includes $174.00 tuition plus $25.00 for Ephemera Art Supply Packs Created by Rebecca Bloom Especially for Cascadia Training Registrants. Art supply packs will be mailed to registrants in advance of the workshop.
Why is Tarot so popular right now? Are your clients coming in talking about the card they pulled before the session and you have no idea what that means? Have you used tarot for years for your own well being and would love to use it with mental health clients but not sure how?
Most clients come into therapy saying that they do not have access to their intuition and are not sure how to trust what the right choices are to make in their lives. Using a single card pulled from a tarot deck, and exploring the client’s meaning of the card, clients can begin to feel connected to their own sense of self, clients can find new ways to safely explore difficult experiences and find ways to test out feeling grounded again.
Starting with the Jungian concepts of Archetypes we will look at how the collective sense of self represents over these twelve types of being. Then we will explore the history and uses of tarot. These seventy-eight cards have been used for hundreds of years. Using the Rider-Waite-Smith deck, from 1909, as a starting place we will look at many of the decks available today and why people turn to them every day or when times get difficult.
We will explore intuition and how to trust our own sense of knowing. In this hands-on workshop, you will make five of your own cards. Exploring the major arcana, and the suits of cups, pentacles, swords and wands we will learn the journeys of each of these sets.
Objectives:

Learn archetypes of Jung and Tarot.
Learn why the creative process soothes the body and the mind.
Find materials you will be comfortable using with your clients.
Use art making for your own self-care.

REGISTER HERE

Becoming a Neurodivergent-Affirming Clinician: Understanding ADHD and Autism through a Strengths-Based, Neurodivergent-Affirming Lens
2026-08-26 10:00 - 2026-09-30 13:15 | Zoom
Law & Ethics, Health Equity,
and Cultural Competence CEs!
Becoming a Neurodivergent-Affirming Clinician: Understanding ADHD and Autism through a Strengths-Based, Neurodivergent-Affirming Lens
Presented by: B Lourenco, MA, LMHC
When: This course will be held for six consecutive Wednesdays: August 26th through September 30th, 2026, from 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern

Wednesday, August 26th, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, September 2nd, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, September 8th, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, September 16th, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, September 23rd, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern
Wednesday, September 30th, 2026 | 10:00 am – 1:15 pm Pacific / 1:00 pm – 4:15 pm Eastern

Where: Live on Zoom. You will receive your Zoom link/invitation the week of the event.
18 CEs (12 CEs can be used for Cultural Competence or Health Equity CEs, and 6 can be used for Law & Ethics CEs) | $599.00 *** (see below for payment options)
As technology progresses and education on mental health becomes increasingly more available, the population has become more self-aware. The world is changing quickly, and with it, more and more people realize that their brain works differently than others. Due to the influence of social media and the shift to focusing on lived experience as a legitimate means of diagnosis, we are seeing a sudden increase in clients that identify as Autistic and/or an ADHDer. We find that clients are speaking up and finding validation of what they have always known: their brains operate differently than the brains of their peers, colleagues, friends, and families. As a result, we are seeing a sudden increase in the young adult and middle-aged population who identify as being Neurodivergent in a Neurotypical world.
This workshop series is designed to help clinicians build greater awareness and familiarity with ADHD and Autistic experiences. Participants will come away from this course with a deeper understanding of ADHD and Autism from the Neurodiversity-Affirming Paradigm that focuses on strengths and differences, not diagnoses, disorders, and deficits.
Especially following the Covid pandemic and its sometimes long-term impact on the brain and the immune system’s inflammatory processes, many clients report having different and often challenging sensory processing experiences. We are seeing more adults presenting in our offices with reports that they now have issues not only with taste and smell but with a range of visual, hearing, tactile, balance, and internal bodily sensations they never have before experienced, as well as difficulties with attention and memory. This begs the question: have these brain differences always been there but now have been sensitized or magnified by exposure to Covid and months-long isolation?
Many adults are now recognizing they are not alone and are demanding they not be dismissed or invalidated any longer, often having experienced the continued frustration of providers questioning their own lived experiences and, as a result, having been either undiagnosed or underdiagnosed due to outdated and debunked diagnostic criteria still used by mainstream psychiatrists and physicians. These individuals are finding validation for what they have suspected all along: their brains work differently than those of their peers, families, and friends.
With new research available and an increasingly empowered clientele, we see more than ever the need to remain current in our understanding of–and support for–those who have brain differences. Committed to blending cutting-edge scientific evidence with the lived experiences of our clients, Cascadia Training, is delighted to offer a new workshop series designed to help clinicians build greater awareness and familiarity with ADHD and Autistic experiences.
Upon completion of this series, participants will have a deeper understanding of ADHD and Autism from the Neurodiversity Affirming Paradigm that focuses on strengths and differences, not disorders, diagnoses, and deficits!
Woven throughout the series are the law and ethics of working with neurodivergent clients, including the danger of misdiagnoses, and the harm of using biased, outdated, debunked diagnostic criteria leading to the under-diagnosis of ADHD and Autism spectrum experiences. In addition, participants will learn about and identify pathologizing, stigmatizing, and harmful treatment protocols and clinical interventions still utilized by providers in educational, physical, and mental health professions.
This series uses a system developed explicitly by B Lourenco, an expert on ADHD and Autism. The course focuses to a large degree on the internal, lived experience of neurodiversity. Each of the six weekly sessions will include a didactic portion, an experiential section, and direct case consultation time. All modules will include lecture, video, and experiential segments.
Certificate Program Weekly Modules:
Week One: Sensory Systems – Getting in touch with the sensory system is the most critical step in supporting neurodivergent clients. Sensory information can regulate emotional and physical experiences. In addition, we will focus on using sensory profiles, menus, and diets to support day-to-day quality of life.
Week Two: Communication and Relationships – Understanding how those with Autism and ADHD communicate creates room for therapeutic connection. With this understanding, we will dive into tools for managing meltdowns and shutdowns in an affirming way.
Week Three: Attending and Executive Function – This module will explain why those with Autism and ADHD face challenges attending to their environment by addressing social expectations on perceptions of “functioning.” You will also learn how to use the client’s natural rhythms to support positive functionality.
Week Four: Social Systems and Disability – Understanding how society directly impacts the lives of people with disabilities. We will focus on how clinicians can incorporate advocacy into their practice and tools to unlearn neurotypical values by connecting clients to personal values.
Week Five: Differentials and Comorbidities – This module will teach participants how to rule out or “dial in” on other mental health concerns or diagnoses. We will present comorbidities that exist with your neurodivergent clients and how to effectively support them in a non-stigmatizing way. The role of trauma and grief in the lived experience of clients who identify as neurodivergent will be discussed, as well as the impact of these events on the developing brain. We will process how to best support the grief and disenfranchised losses felt by our autistic and ADHD clients and their families.
Week Six: The Use of Joy As a Tool Against Oppression. Creating celebrations of being neurodivergent and finding joy in everyday life as we partner with our neurodivergent clients. The Neurodivergent-affirming certificate program series will conclude with various celebrations we can share with our clients and the shift to viewing “joy itself as a tool against oppression.” As clinicians, it is important for us to first comprehend–and then share– the ways that society benefits from neurodiversity in general and ADHD and Autism, in particular. We will conclude by learning ways to help our clients celebrate their neurodiversity and see themselves through an affirming, strengths-based lens.
Other topics that will be covered in this practice- and life-altering certificate program series include, but are not limited to:

Alexithymia and Dysthymia
ARFID
Misophonia
Gender and sexuality in the ADHD and Autistic communities
The role of menstruation on ADHD and Autistic brains
Interdependence vs codependence and/or independence
Myths and stigmas about neurodivergent people
Experiences of abuse in neurodivergent people
Pervasive Desire for Autonomy (PDA)

***Payment Options:
Cascadia Training values quality continuing education that is accessible, inclusive, and without barriers to all. We never want the cost of our workshops to be a barrier to attending one of our workshops, particularly our multi-session workshops.
We offer several options to make our workshops cost-inclusive: payment plans, a limited number of full and partial scholarships, discounts for students, and discounts for early professionals. Please email us at hello@cascadiatraining.org for more information.
For payment plans, you can select paying 50% today and 50% due on September 30, 2026.
REGISTER HERE

Menopause and Mental Health: Navigating the Challenges from Perimenopause to Post-Menopause
2026-09-18 09:00 - 16:30 | Shoreline Center, 18560 1st Ave NE, Shoreline, WA, 98155, United States
Meets Health Equity or Cultural Competence Continuing Education Requirements!
Menopause and Mental Health: Navigating the Challenges from Perimenopause to Post-Menopause
Presented by Rebecca Bloom, LMHC (she/her)
When: Friday, September 18th, 2026, 2025 | 9:00 am – 4:30 pm Pacific Time
Where: Live in-person at the Shoreline Center
Continuing Education Credit Hours: 6 CEs (meets criteria for Health Equity or Cultural Competence CEs) | Cost: $199.00
The experience of pre-menopause/perimenopause, menopause, and post-menopause is rarely talked about, but thousands of people are diagnosed daily with menopause-related challenges.
It shows up in clinical settings in many ways: if someone has been medically induced and is having many symptoms at once; if the whole family system is under stress because “now Mom is mad all the time;” if a client cannot get a medical doctor to address that all her symptoms are connected; or a client feels sex is just “too painful now” and plans never to have sex again.
As clinicians who may be in perimenopause, menopause, or post-menopause ourselves, do not understand our own bodies anymore and may find our work life more difficult than ever.
You may have a 48-year-old female client referred by a medical doctor. This new client has no history of depression, but suddenly, she cannot get out of bed, she cannot track her thoughts, and her blood pressure is through the roof. In this workshop, you will learn that these are all symptoms of perimenopause or menopause.
In this workshop, you will gain an in-depth knowledge of the 37 most common symptoms of perimenopause and menopause that affect us physically, mentally, emotionally, cognitively, and spiritually.
In addition, you will learn how to talk with your clients about these symptoms and how to help them advocate outside the walls of your office for themselves and the medical care they need. We will also look at how biases and inequalities surrounding race and gender (collectively, we’ll say women, but we mean that in a very inclusive way to include those who identify as a woman, those who are assigned female at birth (AFAB) but are transgender or non-binary but still have female reproductive organs and hormones), LGBTQIA+, socio-economic status, and more impact whether someone receives accessible, affordable, adequate, and effective health care.
We will also explore how the lack of adequate medical care for girls, women, and those AFAB continues throughout their lifespan and greatly impacts all aspects of their lives. This lack of adequate, affirming medical attention leads to this natural hormonal experience negatively impacting “everything” in our lives.
The destabilization and loss process in menopause will be explored from various angles. What does it mean to no longer be of “child-bearing age”? Is that transition cause for celebration? Is it a tremendous loss? What does it currently mean to be a “crone”? We will explore how this role has changed over time and in various cultures.
The latest neuroscience research suggests that the loss of estrogen in the brain has major impacts on many bodily systems. What does it mean to go on Hormone Replacement Therapy (HRT)? Some current research suggests that HRT is safe for up to ten years. We will examine why this protocol changed and what it means for our clients and ourselves.
We will also explore natural options for care and support during the various phases of menopause. “Have your fans at the ready!” Let’s spend the day talking about menopause and learning about what impacts our receiving affirming, effective medical care, including the fact that the average medical doctor receives only one hour– in TOTAL—of formal training on menopause. You will leave this workshop knowing much more than when you arrived, knowledge that will help your clients and you on your journey.
Objectives:

Learn the three stages of menopause.
Learn the 37 most common symptoms of menopause.
Address how to help clients feel more stable in this process.
Learn how culture impacts on menopause.
Address the experience of gender and gender bias across the lifespan.
Destigmatize menopause and encourage authentic, effective discussions.

REGISTER HERE

🆕 BRAND-NEW! Tarot Certificate Program: The Clinical Use of Tarot Card Imagery in Psychotherapy 🆕
2026-09-25 09:00 - 2026-09-27 16:30 | Zoom
🆕Brand-New Certificate Program!🆕
Register before November 30th for Early Bird Pricing of only $499.00. Price increases to $599.00 after that!
Limited Spots Available!
Law & Ethics, Health Equity, Cultural Competence, and Professional Roles & Boundaries CEs!
Tarot Certificate Program: The Clinical Use of Tarot Card Imagery in Psychotherapy
Presented by: Dreya Blume, LCSW
When: Friday, September 25th – Sunday, September 27th, 2026 | 9:00 am – 4:30 pm Pacific Time each of the three days
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 18 CEs, 6 of which are Law and Ethics CEs, 2 of which are Health Equity CEs, 2 of which are Cultural Competence CEs, and 2 of which are Professional Relationships CEs | $499.00 (price includes PDF copies of Dreya’s three-volume book The Clinical Use of Tarot Card Imagery in Psychotherapy (a $40.00 value) – price increases to $599.00 after November 30th.
***see below for payment options
All 2026 Sessions Scheduled (so far…more to come!)

Friday, January 23rd – Sunday, January 25th, 2026 – 3-Day Series | Live via Zoom: MORE INFO & TO REGISTER>>>
Friday, March 6th – Friday, April 17th, 2026 – 6-Week Series | Live via Zoom: MORE INFO & TO REGISTER>>>
Friday, September 25th – Sunday, September 27th, 2026 – 3-Day Series | Live via Zoom: MORE INFO & TO REGISTER>>>

This innovative 18-hour continuing education program invites psychotherapists into a rich and rigorous exploration of tarot as a clinical tool—one that bridges history, psychology, metaphor, and meaning-making. You will discover how tarot card imagery functions as a dynamic visual and symbolic language, uniquely suited to therapeutic conversations. From its historical roots and cultural controversies to its contemporary relevance in the therapy room, this course provides a comprehensive introduction to the clinical applications of tarot.
Tarot is a particularly powerful tool in psychotherapy because it engages both intuition and structured exploration. Its archetypal and narrative richness make tarot an ideal companion for therapists working at the intersection of the unconscious and creative expression. Tarot cards can externalize internal experiences, evoke epiphany, and stimulate insight, allowing clients to access feelings and ideas that may be difficult to articulate in more traditional ways. Whether used for parts work or accessing suppressed emotions, tarot meets clients where they are, supporting both depth and flexibility in the therapeutic process.
In becoming a “tarot-friendly therapist,” you will discover that incorporating tarot into your practice opens up a creative and intuitive space for clients that is rich with possibility. Tarot allows clients to externalize internal experiences, access inner wisdom, and engage in symbolic storytelling that can be both playful and profound. Whether used as a metaphor, visual prompt, or reflective tool, tarot can make therapy feel more accessible, empowering, and emotionally resonant, especially for those who struggle to articulate feelings through words alone. Clients who already have a relationship with tarot (or are simply curious about the cards) will be thrilled to learn that this powerful tool can be integrated into their treatment.
Throughout the course, we will explore the projective potential of tarot through the lenses of Jungian psychology, narrative therapy, psychodrama, and Gestalt practices such as chairwork. We will also examine tarot’s compatibility with modalities such as EMDR, Internal Family Systems, Poetry Therapy, and Acceptance and Commitment Therapy, broadening your understanding of how to integrate tarot into diverse treatment approaches.
With an emphasis on ethical, inclusive practice, you will learn how to introduce tarot imagery to clients in ways that honor spiritual and religious diversity while respecting professional boundaries. The course includes guidance on spiritual competency, clinical documentation, and ethical considerations. This highly experiential training offers ample opportunities to practice, reflect on, and personalize the material. Whether you are an experienced clinician seeking new depth or a newer therapist curious about symbolic tools, this program offers both theoretical grounding and hands-on application: The goal is for you to leave feeling comfortable and confident integrating tarot into your therapy practice. By the end, you will have an expanded toolkit and a new lens through which to view healing, insight, and transformation.
Note: No prior experience with tarot is required.
This course is based on Dreya Blume’s book, The Clinical Use of Tarot Card Imagery in Psychotherapy (2025) (Amazon link)
Exciting News! The tuition for this 18-hour first-of-its-kind certificate program includes your own PDF copy of Dreya Blume’s three-volume book.
Workshop Objectives

Identify various ways in which visual imagery can be used to address mental health issues
Utilize tarot card imagery for creative expression
Analyze the archetypal uses of tarot card imagery
Apply tarot card imagery to inner critic work
Assess which tarot card activities to use depending on client population and issue
Create therapeutic applications of tarot card imagery
Identify how to use tarot card imagery for intuitive work with the subconscious
Utilize tarot card imagery for emotional externalization purposes
Describe how to use tarot card imagery for facilitating emotional expression
Apply tarot card imagery to narrative therapy techniques
Describe how tarot card imagery relates to dialogue work as found in Gestalt Therapy
Demonstrate how tarot card imagery relates to parts work
Develop tarot activities that can be used in core values generation
Explain how tarot card imagery can be ethically introduced to clients
Prepare tarot-based activities for clients that are ethically grounded
Explain the ethics behind processing tarot-based activities with clients
Demonstrate how to create and maintain healthy boundaries between client and counselor in terms of integrating tarot card imagery into session
Identify ways to ensure well-defined roles in the professional relationship
Demonstrate cultural competence in terms of identifying the cultural background of tarot
Demonstrate cultural competence in terms of exploring and then integrating clients’ personal relationship with tarot into counseling

Workshop Breakdown by Day
Day One

The History of Tarot
The Clinical Benefits of Using Tarot Cards
The “Evidence-Based” Bugaboo
Spiritual/Religious Competency in Therapy
Tarot, Creativity and Therapy
Tarot Is/As Metaphor
Beyond Metaphor: Pataphor
Projective Tools in Psychotherapy
Carl Jung: Therapeutic Tarot’s Forefather
Shadow Work
The Hero’s Journey

Day Two

Tarot And/As Visual Imagery in Art Therapy
Narrative Therapy
Psychodrama
EMDR, Visual Imagery and Metaphoric Cards
Inner Critic Work
Introjections
Parts Work
Chairwork
Solution-Focused Therapy

Day Three

Acceptance and Commitment Therapy
Poetry Therapy
Asemic Writing for Healing
Introducing Tarot Cards to a Client
Clinical Documentation
Tarot and Professional Ethics
Marketing oneself as a “tarot-friendly therapist”

***Payment Options:
Cascadia Training values quality continuing education that is accessible, inclusive, and without barriers to all. We never want the cost of our workshops to be a barrier to attending one of our workshops, particularly our multi-session workshops.
We offer several options to make our workshops cost-inclusive: payment plans, a limited number of full and partial scholarships, discounts for students, and discounts for early professionals. Please email us at hello@cascadiatraining.org for more information.
For payment plans, you can select paying 50% today and 50% due on September 30, 2026.
REGISTER HERE

Professional Wills: Why You Need One and How to Create It
2026-10-15 10:00 - 12:00 | Zoom
Law & Ethics CEs!
Professional Wills: Why You Need One and How to Create It
Presented by: Sandy Voit MS, EdS, LMHC, CDFA
When: Thursday, October 15, 2026, 2025 | 10:00 am – 12:00 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credits: CEs: 2 Law & Ethics CEs | $65.00
ARE YOU IN BREACH OF YOUR PROFESSIONAL ETHICS?
You have spent your entire professional career securing and storing medical records and ensuring your clients’ confidentiality. What happens to these records when you retire, become disabled, or die?
Did you know that even if you die, your estate could be held responsible for malpractice complaints and legal actions brought about by your failure to anticipate your demise?
For psychologists, your Code of Ethics dictates that you are expected to “make reasonable efforts to plan for facilitating services in the event that psychological services are interrupted by factors such as the psychologist’s illness, death, unavailability, relocation, or retirement…” The same ethical mandate applies to Mental Health Counselors, Marriage and Family Therapists, and Social Workers.
This workshop provides information and examples of how to prepare for such a situation – creating a Professional Will and identifying a Professional Executor to handle the legal and ethical details necessary to protect yourself and your practice. If something happens to you, you need a similarly licensed professional (not your spouse or child) to deal with your clients/patients, confidential records, office leases, obtain releases, make referrals, etc. In addition, your clients/patients will likely need help in their grieving and necessary transition to another therapist.
REGISTER HERE

Menopause and Mental Health: Navigating the Challenges from Perimenopause to Post-Menopause
2026-11-06 09:00 - 16:30 | Zoom
Meets Health Equity or Cultural Competence Continuing Education Requirements!
Menopause and Mental Health: Navigating the Challenges from Perimenopause to Post-Menopause
Presented by Rebecca Bloom, LMHC (she/her)
When: Friday, November 6th, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 CEs (meets criteria for Health Equity or Cultural Competence CEs) | Cost: $199.00
The experience of pre-menopause/perimenopause, menopause, and post-menopause is rarely talked about, but thousands of people are diagnosed daily with menopause-related challenges.
It shows up in clinical settings in many ways: if someone has been medically induced and is having many symptoms at once; if the whole family system is under stress because “now Mom is mad all the time;” if a client cannot get a medical doctor to address that all her symptoms are connected; or a client feels sex is just “too painful now” and plans never to have sex again.
As clinicians who may be in perimenopause, menopause, or post-menopause ourselves, do not understand our own bodies anymore and may find our work life more difficult than ever.
You may have a 48-year-old female client referred by a medical doctor. This new client has no history of depression, but suddenly, she cannot get out of bed, she cannot track her thoughts, and her blood pressure is through the roof. In this workshop, you will learn that these are all symptoms of perimenopause or menopause.
In this workshop, you will gain an in-depth knowledge of the 37 most common symptoms of perimenopause and menopause that affect us physically, mentally, emotionally, cognitively, and spiritually.
In addition, you will learn how to talk with your clients about these symptoms and how to help them advocate outside the walls of your office for themselves and the medical care they need. We will also look at how biases and inequalities surrounding race and gender (collectively, we’ll say women, but we mean that in a very inclusive way to include those who identify as a woman, those who are assigned female at birth (AFAB) but are transgender or non-binary but still have female reproductive organs and hormones), LGBTQIA+, socio-economic status, and more impact whether someone receives accessible, affordable, adequate, and effective health care.
We will also explore how the lack of adequate medical care for girls, women, and those AFAB continues throughout their lifespan and greatly impacts all aspects of their lives. This lack of adequate, affirming medical attention leads to this natural hormonal experience negatively impacting “everything” in our lives.
The destabilization and loss process in menopause will be explored from various angles. What does it mean to no longer be of “child-bearing age”? Is that transition cause for celebration? Is it a tremendous loss? What does it currently mean to be a “crone”? We will explore how this role has changed over time and in various cultures.
The latest neuroscience research suggests that the loss of estrogen in the brain has major impacts on many bodily systems. What does it mean to go on Hormone Replacement Therapy (HRT)? Some current research suggests that HRT is safe for up to ten years. We will examine why this protocol changed and what it means for our clients and ourselves.
We will also explore natural options for care and support during the various phases of menopause. “Have your fans at the ready!” Let’s spend the day talking about menopause and learning about what impacts our receiving affirming, effective medical care, including the fact that the average medical doctor receives only one hour– in TOTAL—of formal training on menopause. You will leave this workshop knowing much more than when you arrived, knowledge that will help your clients and you on your journey.
Objectives:

Learn the three stages of menopause.
Learn the 37 most common symptoms of menopause.
Address how to help clients feel more stable in this process.
Learn how culture impacts on menopause.
Address the experience of gender and gender bias across the lifespan.
Destigmatize menopause and encourage authentic, effective discussions.

REGISTER HERE

Youth and Adult Suicide: Recognition, Assessment, and Treatment of Suicidality
2026-11-06 09:00 - 16:30 | Zoom
This workshop meets the suicide assessment requirements for re-licensure.
Youth and Adult Suicide: Recognition, Assessment, and Treatment of Suicidality
Presented by: Randi Jensen, MA, LMHC, CCDC
When: Friday, November 6th, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 CEs | $199.00
This workshop meets the Washington State suicide assessment requirements for re-licensure. The Washington State Department of Health has approved this 6-hour workshop for its 2022 Model List. This workshop also satisfies the continuing education requirements set by the Department of Health related to suicide assessment, management, and treatment.
Historically, mental health treatment for suicidal individuals has involved extensive psychopharmacology, repeated cognitive behavioral therapy, positive psychology methods, stress reduction exercises, and/or deep therapy into family-of-origin issues, all proven individually insufficient for the long-term prevention of suicide and suicidality.
The World Health Organization (2019) reported decreasing trends in suicide mortality in most countries across the world. Unfortunately, the mortality of suicide showed an increasing trend in the United States. Between 2000 and 2018, the suicide rate skyrocketed, increasing by a whopping 35% (CDC, 2020). Interestingly, during the first year of the COVID-19 pandemic, between 2020 and 2021, there was a decrease in suicide rates. This was short-lived, unfortunately, as suicide rates began to increase again by 2% in 2022 (CDC, 2022).
What can we do? As clinicians, we need to understand there are many roads to suicidality — each usually requiring individual intervention.
This workshop presents original concepts in the development of suicidality as an ingenious coping mechanism that develops over time. The brain’s neuroplasticity forms neural pathways that underpin the reinforcing suicidal thought pattern. Brain retraining provides the formation of new healthy neural pathways. The healing process is directed, encouraged, and supported through a specifically designed peer protocol based on existing evidence-based social support.
Research shows that the first suicide attempt is often the first time anyone intervenes. However, it is generally not the first time the danger has been known. Loved ones just don’t know what to do. They take the suicidal individual to a hospital or professional where the treatment protocol has not changed for decades. When the suicidal individual comes home after the attempt, family and friends don’t know how to help prevent the next one. The Jensen Suicide Peer Protocol (JSP3), based on evidence-based principles, is a prescribed method for the family members and concerned others to take an active part in the recovery of their loved one. Randi has used this method for decades and has saved lives.
OBJECTIVES:
• Describe the extent of suicide in the general and special populations, including children, adolescents, and military personnel.
• Distinguish what suicidality is and the difference between self-harm and suicidality
• Explain the psychobiology of suicidality and its progression
• Articulate warning signs and symptoms using simple and effective suicide assessment tools
• Express and practice Motivational Interviewing techniques used in counseling suicidal individuals
• Explain a life-saving peer support protocol and how to implement it
• Describe ethical considerations, documentation, and confidentiality issues.
The Washington State Department of Health has approved this 6-hour workshop for its 2022 Model List. This workshop also satisfies the continuing education requirements set by the Department of Health related to suicide assessment, management, and treatment.
Randi consistently receives excellent evaluations from attendees of her workshops. Here are just a few quotes from past attendees:
* “I took a different class about suicide a few months back. It was so heavy with content and so focused on how to cross every “T” and dot every “I” that I actually left more anxious about treating suicidal clients than before. In contrast, Randi’s workshop gave me a broader general understanding and a way to connect the clinical skills I already have to the treatment of these clients. I feel much more confident and competent working with suicidal clients now.”
* “Ms. Jensen is an extremely competent clinician and presenter. Over my 30+ career in mental health work, this is one of the very best workshops I have attended. Thank you, Cascadia and Randi!”
* “This is the most impactful continuing education class I’ve ever taken!”
REGISTER HERE

Tarot and Therapy: Intuition and Metaphor
2026-12-04 09:00 - 16:30 | Zoom
Law & Ethics CEs!
Tarot and Therapy: Intuition and Metaphor
Presented by: Rebecca Bloom, ATR-BC, LMHC (she/her)
When: Friday, December 4, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credits: CEs: 6 CEs – 3 Law & Ethics CEs | $199.00, which includes $174.00 tuition plus $25.00 for Ephemera Art Supply Packs Created by Rebecca Bloom Especially for Cascadia Training Registrants. Art supply packs will be mailed to registrants in advance of the workshop.
Why is Tarot so popular right now? Are your clients coming in talking about the card they pulled before the session and you have no idea what that means? Have you used tarot for years for your own well being and would love to use it with mental health clients but not sure how?
Most clients come into therapy saying that they do not have access to their intuition and are not sure how to trust what the right choices are to make in their lives. Using a single card pulled from a tarot deck, and exploring the client’s meaning of the card, clients can begin to feel connected to their own sense of self, clients can find new ways to safely explore difficult experiences and find ways to test out feeling grounded again.
Starting with the Jungian concepts of Archetypes we will look at how the collective sense of self represents over these twelve types of being. Then we will explore the history and uses of tarot. These seventy-eight cards have been used for hundreds of years. Using the Rider-Waite-Smith deck, from 1909, as a starting place we will look at many of the decks available today and why people turn to them every day or when times get difficult.
We will explore intuition and how to trust our own sense of knowing. In this hands-on workshop, you will make five of your own cards. Exploring the major arcana, and the suits of cups, pentacles, swords and wands we will learn the journeys of each of these sets.
Objectives:

Learn archetypes of Jung and Tarot.
Learn why the creative process soothes the body and the mind.
Find materials you will be comfortable using with your clients.
Use art making for your own self-care.

REGISTER HERE

Motivational Interviewing: Improving Client Outcomes by Increasing Intrinsic Motivation for Change
2026-12-10 09:00 - 16:30 | Zoom
Motivational Interviewing: Improving Client Outcomes by Increasing Intrinsic Motivation for Change
Presented by: Randi Jensen, MA, LMHC, CCDC
When: Thursday, December 10th, 2026 | 9:00 am – 4:30 pm Pacific Time
Where: Live on Zoom. You will receive your Zoom link/invitation the week of the workshop.
Continuing Education Credit Hours: 6 CEs | $190.00
Motivational Interviewing (MI) is an established evidence-based practice renowned for resolving ambivalence. MI, which originates in substance use disorder treatment, has been shown to enhance client motivation for change and improve treatment outcomes. The spirit of MI complements Self-Determination Theory (SDI), which asserts that people have an intrinsic desire to make life changes congruent with their core values. SDI states that people are more likely to be internally motivated if their actions, beliefs, and core values align. Motivational Interviewing provides the technique to make that happen.

The principles of Motivational Interviewing include providing accurate empathy, building discrepancy, rolling with resistance, and increasing self-efficacy. These supply the basis for building intrinsic motivation for change and can facilitate the resolution of life-threatening ambivalence in suicidality.

Researchers Britton, Williams, and Connor (2008) show how the therapist’s proficiency in Motivational Interviewing can resolve a client’s ambivalence and resistance to change.

This very practical workshop includes learning through lectures, interactive discussions, demonstrations, video role plays, and skill-building through group exercises. These methods combine to provide techniques and interventions that can be applied immediately.
Objectives:
• Describe the principles that underpin Motivational Interviewing and how they promote client autonomy

• Articulate the distinguishing techniques of open-ended questions, affirmations, reflective listening, and summarizations

• Explain the Stages of Change as described by Prochaska and DiClemente (1983)

• Discuss the significance of Self-Determination Theory in coordination with MI

• Distinguish different methods of using MI with specific populations and varied disorders

• Express and practice Motivational Interviewing techniques used in counseling suicidal individuals

• Describe ethical considerations and documentation

• Enumerate necessary therapist qualities that support the efficient use of MI

Randi is an expert in both using and teaching Motivational Interviewing. In addition to her many years of presenting Cascadia Training workshops, she taught Motivational Interviewing courses as an adjunct faculty member at Bastyr University and as Case Management Program Director for Antioch University and Seattle’s Job Initiative. She also uses her expert-level skills in Motivational Interviewing in her private practice, specializing in treating clients with suicidality, suicide ideation, substance use disorders, and more.

REGISTER HERE
