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An Introduction to MI, CBT, ACT & Polyvagal Theory for Pain Clinicians

An Introduction to MI, CBT, ACT & Polyvagal Theory for Pain Clinicians

An Introduction to MI, CBT, ACT & Polyvagal Theory for Pain Clinicians

Part of a bundle
This course includes
5:36:55 of Course Material (View)
1 Year access after purchase
Certificate of completion
This course was recorded in May 2022


We are raised in a model where we are challenged to fix our clients’ problems.

But what if in order to truly step into a Biopsychosocial Framework, we need to let go of the drive to “fix” and embrace a different approach?

When it comes to the science of psychology and behaviour change, we know that education alone and attempts at convincing people to change their thinking or behaviour are largely ineffective. We also know that treating psychology and unhelpful behaviours as “problems” to be solved can be harmful.

We see much more success in shifting psychology and behaviour for the better when we can take a stance of compassionate curiosity. When we step into the role of facilitator, our clients have a partner on their side as opposed to another “expert” who may or may not have the answers to solve their problems.

In the facilitator role, we can support our clients to build self-awareness, experiment with new and flexible responses to challenging situations or symptoms, integrate new learning, and stay squarely in the driver’s seat of their recovery. 

This course, taught by Lara Desrosiers, is the perfect introduction to building a psychologically-informed practice.

We will draw on principles from Motivational Interviewing, Cognitive Behavioral Therapy, and Acceptance and Commitment Therapy in order to provide you with a 4 pillar framework for moving from “Fixer” to “Facilitator”


Learning Objectives 

You will walk away with a better understanding of the psychology and practical tools for developing the 4 pillars of effective facilitation in the treatment room:

  1. PRESENCE – learn specific strategies for practicing the art of being present in the evolving relationship that exists in the treatment room

  2. GENUINE CURIOSITY – learn how to notice the urge to offer our own explanations or narratives and choose questions or intentional language that guide reflection and encourage our clients to draw their own conclusions

  3. EXPERIMENTATION– learn how to create experiential opportunities and provide individuals with the space to integrate new learning in ways that challenge fear, promote flexibility and bolster self-efficacy

  4. SELF-DETERMINATION – Learn how to create collaborative goals and action plans with clients when prescriptive programs are falling short



This course is developed for ALL manual therapists - physiotherapists, occupational therapists, osteopaths, massage therapists, chiropractors, and others who treat musculoskeletal pain.


Course Bundle

This online course is a part of THE Biopsychosocial Bundle - a very special learning opportunity for all healthcare professionals. 

This course can only be purchased with the whole bundle (not as an individual course).


THE Biopsychosocial Bundle is a carefully designed learning experience that includes 6 different courses by 6 experts in their respective fields. These courses have been carefully selected and constructed for clinicians who wish to excel in a biopsychosocial framework.

Learn more about THE Biopsychosocial Bundle by clicking here!

The instructors
Lara Desrosiers
Occupational Therapist

Lara Desrosiers is an Occupational Therapist who has worked in community mental health settings since graduating from McMaster University in 2009. She has a passion for mental health and several years of experience addressing mental illness, trauma, and addiction using occupational therapy frameworks, Cognitive Behavioral Therapy and other psychotherapeutic strategies.

While navigating her own journey with pelvic floor dysfunction, Lara realized the value of applying these strategies in the field of pelvic health and discovered the abundant evidence supporting this application.

Currently, Lara is an Occupational Therapist at Homewood Health Centre where she is an advocate for integrating pain education and programming into mental health care. Lara also operates a private practice (Pelvic Resilience) with a mission of supporting individuals experiencing pelvic floor dysfunction and/or persistent pain to address symptoms, manage distress, and navigate each unique experience in a way that promotes whole-person wellness.

Reframe Rehab
Online Teaching Company

We are a passionate group of highly trained clinicians who champion virtual, live online education courses to develop a biopsychosocial framework for your clinical practice. Our mission is to break down the silos in clinical practice between musculoskeletal pain, pelvic pain, pain neuroscience education, and psychology by providing timely, cost-effective, live online learning opportunities from the world's leading clinical educators on these topics.

Interested in learning more about Reframe Rehab or taking a course with us? Check us out on Instagram @reframerehab or visit our website to view all our course offerings.

Course Material included in this course
  • Welcome and Resources
  • Welcome!
  • 2-Month Free Trial on Embodia + Resource Packages
  • Slides (3 Per Page)
  • Living Well with Chronic Pain: A Classical Grounded Theory
  • Course Resources
  • References
  • Slides (2 slides Per Page)
  • Day 1 Introduction
  • Introduction
  • Fixer vs. Facilitator: Key Differences & Challenges
  • The Facilitation Onion
  • Quiz!
  • Feedback
  • Presence: The Science
  • Obstacles to Presence
  • The Science of Presence: Polyvagal Theory
  • The Polyvagal Ladder
  • Neuroception
  • Cognition In & Out of Presence
  • Mission 1 - Track Your Nervous System
  • Quiz!
  • Feedback
  • Presence: The Art
  • Climbing Your Ladder
  • Mission 2 - Sooth Your Nervous System
  • Helping Clients to Make Sense of Their Ladders
  • Transparency & Choice
  • Balance
  • Quiz!
  • Feedback
  • Curiosity
  • Tracking Our Clients’ Nervous Systems
  • Being an Effective Co-Regulator
  • Discussion - Polyvagal Theory Nuances & Connections
  • Quiz!
  • Feedback
  • Day 2 Introduction
  • Introduction
  • Reflections
  • Perceptions
  • Curiosity About our Client’s Beliefs: The Lay of the Land
  • Intentional Conversations: Introducing CBT, Empathy, & Motivational Interviewing
  • Decisional Balance
  • Socratic Questioning & Balanced Perspectives
  • Working Through Socratic Questioning Together - When Things Don’t Go to Plan!
  • Quiz!
  • Feedback
  • Behaviour
  • Let’s Experiment!
  • Behavioural Experiment: Case Example - Fred
  • Behavioural Experiment: Case Example - Suzanne
  • Behavioural Experiment: Case Example - Gabby
  • 2 Key Questions
  • Quiz!
  • Feedback
  • Self Determination
  • Establishing Living Life Goals
  • Goals: Pain Resolution vs. Flexibly Persisting with Pain?
  • Collaborative Goal Setting
  • Quiz!
  • Feedback
  • Conclusion
  • Final Thoughts & Final Missions
  • Congrats and what's next!

Click on the 'Buy Bundle' button. On the first payment page, there is a spot to put in your coupon code!

Each course purchase is for a single viewer only, and may not be shared. This provides each participant with their own copy of the course bundle to review at their pace and their own certificates of completion.

For clinics/groups of 3 or more clinicians, we offer a Buy 2 get the 3rd bundle free. If you are a clinic with a membership on Embodia, the clinic manager can purchase the bundles on behalf of staff and contact us to receive the coupon code for the free bundle! If you are a clinic that does not have a paid membership on Embodia, you can contact us with the information of the 2 accounts that have purchased the bundle and we will assist you.

If you are a large group/clinic, please contact us at to arrange a coupon code specifically for your group.

This course has been approved for 6 CPD units by the South Africa Society of Physiotherapists (SASP). If you are a physiotherapist in South Africa and would like the number of approved CPDs to appear on your certificate of completion, please follow the steps outlined in this help article. 

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