Course Description

If you are already somewhat familiar with understanding and assessing dissociative symptoms, and/or have previously attended the 3-hour introductory course Introduction to Dissociation and the MID, this workshop is for you!

This workshop offers updated and expanded clinical application and differential diagnosis material based upon recent research, literature, and the presenters’ experience in consultation focused on the MID with hundreds of clinicians world-wide. Many therapies focused on trauma resolution require screening and/or assessment for pathological dissociation as a prerequisite or preparatory step to accessing and activation of traumatic memory material. Since the development of EMDR in the early 1990s, a large body of research has shown that it is efficacious for PTSD. Clinicians and researchers have found positive treatment effects beyond PTSD for more complicated conditions. Unfortunately, clinicians soon discovered that EMDR seemed to move complex trauma patients into dysregulated states rather than towards the expected, adaptive resolution of targeted traumatic memories. Therapists new to EMDR gain a powerful tool, yet they are frequently caught unprepared to recognize dissociative features, conceptualize treatment in terms of dissociation, or modify treatment when dissociative symptoms pose a treatment challenge. The Multidimensional Inventory of Dissociation (MID) has become a valuable assessment tool for trauma-focused clinicians--and EMDR practitioners in particular--both to determine the presence of pathological dissociation and to develop more fine-grained interventions for preparation and successful trauma accessing/reprocessing. The MID is a 218-item, self-administered instrument with 168 dissociation items and 50 validity items developed by Paul F. Dell, PhD (2006, 2011). The MID reliably differentiates and offers a diagnostic impression for Post-Traumatic Stress Disorder, Otherwise Specified Dissociative Disorder, Dissociative Identity Disorder, Functional Neurological Symptom Disorder and Borderline Personality Disorder. Participants will be introduced to the MID in this ‘walk-through,’ during which they will learn to administer and score the MID; navigate the MID Analysis to enter data, interpret results, and conduct a follow-up interview; and begin to understand how the information offered up by the MID Report may influence treatment. Vignettes will assist clinicians to connect MID impressions with what clinicians may see (or have already seen) in client sessions. Case examples will be discussed, with particular attention paid to how certain clusters of dissociative symptoms could influence clinician’s decisions regarding the use of specific kinds of preparation and trauma accessing methods. Implications for stabilization and potential markers for readiness for trauma accessing, particularly in an EMDR therapy frame, but also more generally, will be offered.

Content & Timeline

This course is presented in four 90-minute segments.

  • Part 1

    Introduction • Review Basic introduction, MID Mindset, and 23 symptoms of the MID • Administering the MID • Scoring the MID • Exploring The MID Report

  • Part 2

    Contextualizing The MID Report • Reading and Understanding the MID Report Line and Bar Graphs • Making sense of the initial MID results • The Extended MID Report

  • Part 3

    FAQs from our consultation experience • Case Example • Preparing for the follow-up interview • Conducting and concluding the follow-up interview

  • Part 4

    Simpler differential diagnosis • Complex differential diagnosis • Establishing a context • Beyond clinical diagnosis: practical applications of the MID

Learning Objectives

  • 1) Define dissociative symptoms based upon the phenomenological model of dissociation, upon which the MID is based.

  • 2) Complete administration, scoring, and navigation of the MID Analysis to input test-taker response and view results.

  • 3) Interpret results of the MID Report, and identify keys areas of focus for the follow-up interview.

  • 4) Describe and identify key indicators that an individual’s MID results may require complex differential diagnosis due to factors such as response bias and false-positive diagnosis.

  • 5) Complete a clinical interview to clarify MID results, inform differential diagnosis, and inform the direction of treatment.

  • 6) Describe several unique applications of the MID Report, based on case examples, and how the MID can be used to clarify diagnosis and guide treatment planning in both clinical and consultation roles.

Content Overview

    1. Integrating the MID into Clinical Practice, slide handout 1 of 2 (January, 2023)

    2. Integrating the MID Into Clinical Practice (Supplemental Handout, 2023)

    1. Content & Timeline

    2. Integrating the MID into Clinical Practice, Part 1 of 4

    1. Content & Timeline

    2. Integrating the MID into Clinical Practice, Part 2 of 4

    1. Content & Timeline

    2. Integrating the MID into Clinical Practice, slide handout 2 of 2 (January, 2023)

    3. Integrating the MID into Clinical Practice, Part 3 of 4

    1. Content & Timeline

    2. Integrating the MID into Clinical Practice, Part 4 of 4

    3. Completion message

  • $160.00
  • 17 lessons
  • 6 hours of video content


  • EMDRIA Credit

    D & JAM Trainings is an EC Provider (#20001) and this program (#20001-DL09) is approved for 6 EMDRIA Credits. Eligibility for EMDRIA Credits is restricted to those who have completed an EMDRIA-Approved Basic EMDR Training. Certificates will be available to eligible participants upon completion of the course and learning assessment. Please select the appropriate add-on at registration.

  • CE Credit

    This program offers 6.0 hours of CE credit. D & JAM Trainings has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7284. Programs that do not qualify for NBCC credit are clearly identified. D & JAM Trainings is solely responsible for all aspects of the programs.

  • EMDR Training Level

    No EMDR Training Required. This workshop is open to clinicians with no prior EMDR training or are partially trained in EMDR therapy, and is not an EMDR basic training. Completion of an accredited Basic EMDR Training is considered fundamental knowledge required in order to apply the EMDR protocol. Only those who have completed an EMDRIA-Approved Basic EMDR Training are eligible to receive EMDRIA Credits.

  • Level of Content

    Intermediate – attendance of a previous introductory workshop by the presenters or prior familiarity with the MID and key concepts of pathological dissociation is strongly recommended.

  • Duration of Access

    This is an on-demand course. Upon registration, you will receive access to the course and its content for 90 days from that date. Learning assessments and course evaluations must be completed within that time in order to receive credit for completing this course.

  • Target Audience

    Psychologists, Psychiatrists, Social Workers, Marriage and Family Therapists, Counselors, Substance Abuse Counselors

  • Discounts

    Residents of World Bank Tier 2-6 countries may request a discount code by emailing [email protected]. (Note: United States/Canada/Australia/New Zealand/UK are all Tier 1 countries.)

  • Policies

    Courses are for individual use only. Course purchases are non-refundable and access will expire 90 days after purchase • The course must be completed by the expiration date. Extensions will not be granted • Other questions or grievances, please contact [email protected]

  • Disclosures

    There is no conflict of interest or commercial support for this program.

Registration Fees

Select your registration level based upon your level of training. Certificates of credit are available for an additional fee (EMDRIA Credit - $10. NBCC Credit - $20).