4 Elements & 5 Senses

This arts-informed protocol has been adapted throughout the pandemic to help with grounding, anchoring, being in the present moment, and regulating emotions. The current version will be part of our Ghost Ranch retreat in Nov. 2021.

4 Elements & 5 Senses (original version)

On pieces of paper, even sticky notes, write down the 5 senses: taste, smell, touch, healing, and sight (any order; one paper/sense); write down the 4 elements: water, air, earth, and fire (any order; one paper/sense); We are working bottom up so starting with the ground/touch. We will incorporate butterfly tapping/hug (optional).

Earth/ground/touch: with this element and sense combined, I would like for you to sit comfortably either in chair or on the ground, take your shoes off (socks are great), sense the contact points, press into the ground, release your muscles (several times); 10 butterfly taps. Hold, touch, caress a rock, shell or natural object that may have a symbolic meaning to you or has a tactile quality that complements sitting on the ground. Allow a gesture or movement to emerge from this experience. Express this movement unilaterally or bilaterally in the air; duplicate this experience in a drawing/painting material of choice (vertical or horizontal surface); 10 butterfly taps; write down 4 adjectives about this experience (noun re: earth/and “sense verb” touch); Using clay or comparable medium, explore the movement/gesture/rhythm that emerged from your drawing/painting process, consider a sound that may be connected with this experience. Notice any body sensations and be curious with it. While moving your hands across your clay piece, use an “I statement” to express a property or characteristic. 10 butterfly taps.  Identify a property/characteristic that stands out to you and combine this with an adjective from your list of 4 adjectives (sticky notes). End with 10 butterfly taps. 

Air/hearing: with this element and sense, take a minute to listen and feel the air entering and leaving in a 6-3-9 pattern.  Complete 10 butterfly taps. We will do this two times to reinforce a of state relaxation. We are using paper for this experiential so be sure to have an assortment in front of you to cut or tear.  Explore sound and movement with paper bilaterally; you can stack papers or create a form with paper only. Take a look at your form and butterfly tap.  In response to process, write down 4 gerunds and circle the one that stands out to you (sticky notes).

Water/smell/taste: we are focusing on self-regulation (water) and relaxation response (smell/taste), take a couple of sips of cold water and write down a one-word response, imagine eating or literally bite into a piece of fruit and write down a one word response, smell a favorite scent at a comfortable distance and write down a one word response.  Using fluid medium of choice, create an image (bilateral) of your response to water, smell, and taste. Butterfly tap 10. Write down one work response to image (sticky notes).

Fire/sight: Reflecting on all 4 senses and 3 elements, “light the fire of your imagination”(adapted from Elan Shapiro’s 4 elements) by creating an assemblage of your imagery/art forms/artwork into a combined piece. Reflect back on your written response work (sticky notes) and arrange a poem or phrase, include additional words if needed.

Copyright 2021 Elizabeth Warson

Sunkawakan ta Wounspe: Teachings from the Horse

(Posting a series of unfunded research grants, unpublished manuscripts, grant proposals, summaries from projects, and misc. resources)

I discovered this proposal for equine therapy archived in my email; full-circle experience as I am focusing my practice on equine-assisted expressive arts therapy.

Our proposal is an extension of a summer arts-informed equine therapy program held during the summer of 2011 with children, adults, and elders from the Oglala Sioux Tribe of Pine Ridge Indian Reservation. Partnering with Lakota equine therapist and ranch owner Morris Brewer, 27 members from the community participated in 10 arts-informed equine therapy workshops held over a two-week period. A team of equine therapists and a licensed professional counselor co-lead the groups with assistance from 9 students from The Graduate Art Therapy Program at The George Washington University. The outcome of this program resulted in the development of a culturally-relevant workshop format, which we are proposing to implement in this follow-up program. This format is centered in Lakota spirituality through opening and closing prayer ceremonies involving horse and human participants. Through nonverbal means, participants engage in their own healing process through “calling” their horse (lesson of connection), grooming their horse (lesson of nurturance), painting personal and cultural symbols on their horse (lesson of communication), and creating a sacred practice to give thanks to horse for his/her healing (lesson of making sacred). The “witnesses” to this healing process offer their story of the participant interactions observed in follow-up story-sharing circles. In response to these shared stories, participants create a sculpture out of clay and natural materials, giving visual and verbal expression to their experience that day. The focus on story sharing often elicits a Lakota horse story from one of the elders to convey a parting message to the participants. Through the repetition of this workshop format, we have discovered a deepening of the healing process, moving past initial fears to processing grief responses. We are proposing a 10-day immersion experience in arts-informed equine therapy with a support team of certified equine therapists, Lakota Spiritual Leaders, licensed professional counselors, and graduate counseling students. This inter-disciplinary team approach is needed to provide a safe healing environment during this immersion process. The outcome of the program will be further evaluated using Appreciative Inquiry, an assets-based approach to interviewing. Appreciative Inquiry attempts to use ways of asking questions to foster positive relationships instead of focusing on problem-solving around “deficits,” and thereby build on the present potential. Appreciative Inquiry utilizes a cycle of 4 processes:
DISCOVER: The identification of processes that are effective and in this instance, culturally relevant.
DREAM: The envisioning of processes that would work well in the future for example, replicating an effective workshop format.
DESIGN: Planning and prioritizing processes that would work well through collaboration and community involvement.
DESTINY: Implementing what has been envisioned.
This method of strengths-based evaluation reinforces the Lakota values of generosity, courage, respect, and wisdom, which is at the core of all relationships. The results of the Appreciative Inquiry will be integral in the development of a Lakota-focused curriculum for equine therapy, incorporating expressive modalities, such as art therapy and storytelling. The curriculum will be an outcome supporting the efficacy of the program, providing a means to sustain the program.

Unpublished Service Learning Submission

(Posting a series of unpublished manuscripts, grants submissions, and resources.)

I discovered this submission in my mother’s email (she was a gifted writer/editor) asking her to help me revise a summary from a GWU Summer Institute Program.

The American Indian Art Therapy program is an extension of the work faculty director Elizabeth Warson has been conducting in tribal communities beginning in the early 90s.  Since 2004, Dr. Warson has collaborated with her graduate art therapy students on research focusing on art-based stress reduction workshops for tribal communities throughout North Carolina.  Her research inspired her to co-collaborate on developing culturally-relevant programs for the Oglala tribe of Pine Ridge Indian reservation in South Dakota and the Fond du Lac tribe of northern, Minnesota.  Because of these collaborative relationships, a summer institute program was proposed to the Oglala tribe, primarily because this is an underserved reservation with 85% unemployment, high suicide rate, and chronic health issues.  The aim of this program is to provide culturally-relevant art therapy services geared toward fostering self-esteem, providing an outlet for expression of feeling, and promote the benefits of artmaking as coping strategy.  Our collaborative approach spanned the reservation from settings as varied as a horse ranch, where we conducted equine and art therapy sessions; the Sun Dance grounds, where the Sun Dancers requested that we provide art therapy services for their children; Wounded Knee School, where we conducted individual and group art therapy sessions for underserved children; the Pine Ridge playground, where we collaborated with a Kid’s Club in a mural project.  Our graduate art therapy/counseling students volunteered their time in the field for up to 10 hours per day providing services that extended beyond the healing arts, addressing needs such as computer instruction, serving food at community events, and participating in Lakota spiritual practices. 



During our last evening together, our guest speaker Virgil Bush asked my students “Why my reservation?  What made you all come out to our reservation? We are the poorest Indian reservation.”  This was the sentiment expressed throughout the reservation.  Why should we care so much about this community?  Programs come and go throughout the summer months on Pine Ridge.  Most are geared toward repairing homes and providing community meals.  Our American Indian Art Therapy program was unique:  We brought our art supplies, enthusiasm for the healing arts, and an awareness of the culture.  Eleven graduate art therapy/counseling students teamed up for this 18-day immersion program each bringing a “gift” to share with the community.  Becca, a certified equine therapist, took the lead role in our equine/art therapy program;  Ricardo brought his knowledge of indigenous flutes and integrated this practice in all our programs (the horses were even soothed).  Anna and Colette became our resident experts on Lakota culture.  Sara, Cassie, Kristen, and Patti took the lead on developing culturally-relevant art projects; Diana shared her knowledge of computers with the Red Cloud family who produce quill work full-time.  Sue Anne drew upon her knowledge and experience with the healing arts at the Sun Dance; and Song shared her South Korean culture with many attentive children. 

With only two sites confirmed upon our arrival, we announced our program location and dates on the American Indian-owned KILI radio station.  This started the chain reaction of requests for art therapy services throughout the reservation (this approach is also the norm for this community).  Students provided three groups a day at different locations throughout this expansive reservation.  It was not uncommon for us to end the day with an invitation to attend a ceremony, cultural event, or even dinner.  Time became a secondary focus as we adopted a Native way of being in the moment.  Many of us learned to drop our agendas and go with the flow.  This was critical when working with many of the underserved youth in the community.  Creativity was also key in terms of how we approached each site:

Pine Ridge Kid’s Club: Upon our arrival we soon learned that this program lost part of its funding and were struggling to locate supplies and food for the kids.  Our focus for this program was to provide a sense of community through the visual arts.  This was achieved through murals created on portable canvas banners.  Our approach empowered the older youth to become leaders for each team and help organize a theme for each mural.  Once completed, the murals were attached to the fencing around the playground to provide an aesthetically pleasing environment reflecting the creativity of the youth.  Five murals in total were produced and will be displayed in the tribal office.

Wounded Knee School: This school is open during the summer months for community members to have a safe environment to go to.  The area where this school is located is referred to as “murder town” by locals.  During the daylight hours, the school is a friendly environment for the children, and many Christian groups provide supportive services there as well.  The resource room provided with ample space, tables, and chairs, and we were able to conduct individual and dyad sessions.  Many of the children in this environment are at-risk for suicide and our goal was to focus on art therapy projects to boost self-esteem and personal strengths.  We achieved this through spirit dolls and maskmaking. We also introduced novel art processes such as feltmaking and handmade books. Our culminating project entailed the creation of individual quilt squares, in keeping with their quilting tradition, which is now proudly on display in the school’s front office.

Brewer Ranch: Equine and art therapy sessions were held during the evening hours.  Our co-facilitator was Morris Brewer, counselor and equine therapist, who acclimated us Lakota customs and practices such as smudging the group participants and horses with smoke emanating from dried sage.  Art therapy became an integral component to equine therapy from a Lakota perspective, encompassing painted images on the horse (tempera paints) reflecting Lakota symbols such as hailstones, lightning bolts, and hand prints.  Sculptural pieces from natural materials were created in response to the trust exercises, nonverbal communication, and Lakota stories and prayers.  Our participants ranged from adults from a recovery program to adolescents in residential treatment.  Community members, therapists, and parole officers also joined us to participate in this unique collaboration of art and equine therapy. 

Sun Dance: We were invited to take part in six days of Sun Dance ceremony.  This was one of the unexpected events that we did not account for.  Between art therapy sessions and late into the evening hours, as well as during weekends, our students not only participated in these ancient traditions, they provided community service by assisting with the preparation of meals.  Invitations were extended to sleep in a tipi on the Sun Dance grounds to hear stories of stars constellations.  Art therapy became part of the Sun Dance experience for the dancers’ children and relations.  Images of the Sun Dance were spontaneously created on handmade pieces of paper reminiscent of buckskin.  The Holy man Rickie Grey Grass commented that the drawings were a good learning tool and was encouraged by the children’s desire to depict ceremonial imagery. 

Computers: Since 2010, GW has been donating computers for distribution on Indian reservations.  We brought out several computers for the students to assist community members with creating websites, uploading digital photographs, and navigating social networking websites. 


Collaboration with Lakota spiritual leaders, counselors, elders, ranchers, equine therapists, was key to the success of our program.  Through funding from the Service Learning program at GW, we were able to acquire art supplies to conduct sessions and to gift at the end of the program.  This practice of gifting supplies is not only culturally respectful but encourages sustained artmaking.  The equine therapy program was funded by donations from the equine community, spearheaded by Thinline, Inc. who disseminated requests through their blog and listservs.  Two outside physicians joined us during the program to learn more about equine therapy.  Their individual donations assisted with the success of the equine therapy program.  An equine therapist from Tasmania learned about our program and was able to arrange her travel plans in the US to assist with co-facilitating sessions.  Lastly, the computers from GW were provided through the IT department in the Graduate Art Therapy Program.  Thus far, this department has gathered approximately 60 computers for this ongoing initiative.

The community support was essential to the success of the program.  This relationship has been fostered over time through the efforts of the faculty director, who is American Indian and actively involved in research and program development with the Oglala (Lakota), Fond du Lac, and North Carolina tribes.  This community-based participatory approach involved the guidance of traditional Lakota spiritual leaders, Lakota mental health professionals, Lakota horse people, the Native American Church (Sun Dancers), extended Lakota families (Red Cloud, Loud Hawk, Yellow Boy, Grey Grass, Brewer, Black Elk, Standing Elk, White Plume).


All the evaluative tools in the world could not have captured the gratitude that was expressed throughout the reservation.  Four weeks later, I am still receiving letters, emails, and text messages of appreciation and multiple requests to return.  Our Lakota collaborators have literally planned out our next trip, urging us to camp in tipis and cook in outdoor kitchens on their lands.  This is the way of life on the reservation during high ceremonies such as the Sun Dance and powwow time.  This is also a gesture of acceptance. 

Pine Ridge Kid’s Club:  The tribe will be hanging the murals in their offices, reflecting their gratitude for our time with this group of underserved children.  Requests to continue art therapy projects to enhance the aesthetic environment of the playground have been discussed.  The children’s hugs spoke the loudest with respect to their appreciation.

Wounded Knee School:  The faculty director met regularly with the principal Marnie White Wolf and her teachers to discuss the art therapy projects, objectives, and results.  The staff was receptive to the therapeutic implications of creating spirit dolls, masks, creating handmade books, and creating group projects.  The culminating paper quilt was well received and its placement in the staff office spoke volumes about their appreciation and support.  A culturally relevant art therapy curriculum is being developed with oversight from the school and our graduate students to be implemented next summer.  Our anticipated goal is to pilot this curriculum next summer and eventually disseminate a guide to surrounding school systems on Pine Ridge Indian reservation. 

Equine Therapy: Becca and our collaborator from Tasmania will be co-writing a grant with the faculty director to develop a culturally-relevant art-based equine program for next summer.  We are presently reviewing the pilot data from last summer and focusing on interventions that incorporating Lakota spiritual practices. The grant will also follow a community-based participatory approach and include a traditional Lakota speaker, a spiritual leader to conduct ceremonial opening and closing prayers, and members from the Lakota mental health community.  Morris Brewer, who runs the equine therapy program is shifting into a full-time operation by April of 2012 and is eager to continue our collaborative efforts. 

Sun Dance:  Our participation in this sacred week-long ceremony was the most unexpected outcome.  In fact, it wasn’t even on our itinerary. We became part of this community providing support art therapy services for the children, assisting with the preparation of meals, and sleeping under the stars in tipis. Our presence was welcomed throughout all the ceremonies and invitations to return were extended.  Art therapy was a valued component to the Sun Dance ceremonies based on the recommendation that we set up our own studio in a tipi next year. 

Computer initiative: The majority of Lakota people on the reservation do not have access to computers outside of educational settings.  Since 2010, GW has been donating computers to send out to Indian reservations.  This has been a welcomed gift to the community and the students last summer took it to a new level by providing hands-on instruction.  Further community service along these lines will be pursued during follow-up trips.

Sweet Grass Project: Since our return, I have received emails from this organization stating they had met with some of our Lakota collaborators and heard about the impact of our program. The Sweet Grass Project is a suicide prevention program for Pine Ridge that started up two years ago in response to a wave of suicides in their community.  During our 18-day program, there were 9 suicide attempts reported in this small community.  Recognizing the need of suicide prevention in this community, we are teaming up with this organization to provide training sessions for counselors, volunteers, and professionals to discuss art-based interventions.  The faculty director, licensed professional counselor, will be developing the curriculum with input from our Lakota collaborators and GW graduate students. 

Wicosani Community Project: During our last few days in this community, we met Lakota activist Christinia Eala who directs a sustainable housing project to “re-cultivate traditional Native American values of environment stewardship and ecological balance.” Christinia works with volunteers on a national and international level to build eco-villages for members of her community.  We are discussing a possible collaboration for next summer with our students.

Our students were forever impacted by this experience and their sense of social advocacy grew as a result of each encounter.  Their initial responses to the devastating poverty changed over time from “why don’t they move off the reservation?” to an awareness of the important of sustainable practices as a means of preserving Lakota values, practices, and beliefs. In his presentation to the students, Alex White Plume aptly described what it’s like living between two worlds, comparing this experience to that of a “whirl wind of confusion.”  As part of their oral tradition, storysharing was a focal element of all our gatherings, typically occurring on the open prairie. This level of immersion promoted a sense of competency in working with indigenous communities, having implications for working with other diverse settings. 

Since our trip, Ricardo has initiated an internship in Pine Ridge for spring of 2012, Sue Anne and Anna are collaborating with Arlette Loud Hawk on a project involving the Lakota Creation Story, Colette plans to attend the next Sun Dance, and Becca is collaborating on a grant to continue equine/art therapy services in Pine Ridge.  These are just a few specific examples of the impact of the trip. 


Through the support of the Lakota people, this program has the potential to grow.  It is the aim of the faculty director to continue the program over successive summers through our collaborative relationships.  This program has the capacity to be adopted at other institutions through collaboration with the Lakota and preparatory coursework.  The success of this program was a result of the online Social and Cultural Diversity course, designed to immerse students daily over the duration of 6 weeks.

Equine-Assisted Expressive Arts Therapy Level 1 Certificate Program

The Equine-Assisted Expressive Arts Therapy Level 1 (E-A EATx) certificate training through the Trauma-Informed Practices and Expressive Arts Therapy Institute comprises 20 hours of therapeutic horsemanship and experiential learning through an established 6-unit curriculum and corresponding expressive arts exercises (Sykes & Warson, 2021). Attendees will receive a copy of the equine-assisted expressive arts therapy curriculum on site. This training is limited to 15 eligible participants will be held at Legacy Stables in Fort Collins, Colorado. The equine experiential learning curriculum entails: 

1. Predator vs. Prey: Size/body language, vocabulary, humbleness, position in the world, and brain functioning

2. Dependency / Yours/ Theirs: Expectations of roles and importance of self vs. others 

3. Work Together / Non-aggressive: How-when to move to control

4. Mean It / Don’t Be Mean / Set Limits: Healthy limits, safety vs. need vs. want

5. Fear / We All Have It: Using the neocortex to make choices

6. Bring It Together / Control: Round pen/line work to demonstrate 

The expressive arts component will be woven into curriculum combining bilateral gestures and artmaking; visual journaling exercises; fiber arts, nature art; sound, music; breath; and storytelling (lesson plans provided as part of the curriculum). 

The facilitators Elizabeth Warson and Dawn Sykes have been collaborators since 2016 as therapeutic riding instructors for Colorado Division of Youth Corrections, Crime Victim Compensation, individual/family clients, and school-based groups. Both facilitators have a lifetime of work with horses and share a passion for fabric/fiber arts.

Application Link 

Felting the Senses

Contemporary feltmakers have long recognized not only a primal connection with natural fibers but also a multi-sensory experience involved in the felting process: smell/texture of dry wool, sensation of felting with soapy warm water, and the fulling process (throwing wet felt). This kind of sensory work has implications for self-soothing for all age groups, from simple felted balls to step-oriented layered pieces.  The therapeutic benefits of feltmaking are beginning to emerge in occupational therapy and now in art therapy. Applicable to all ages, feltmaking is a non-toxic and safe process that only requires wool, water, and soap. Feltmaking can be done individually or within a group and is process oriented: involving repetitive compression and agitation to the wool, which moves the individual fibers together forming a felted surface. From an art therapist’s perspective, the tactile process of feltmaking addresses the  Kinesthetic/Sensory (K/S) level of Lusebrink’s (1990) Expressive Therapies Continuum (ETC). Further, the neurological mechanisms of the haptic sense of feltmaking have the ability to stimulate emotion and memory; this positions feltmaking as a viable option when working with people with Alzheimer’s, brain damage, dementia, and developmental disabilities. Therapeutic experiences in feltmaking are emerging in geriatric and pediatric populations and in substance abuse counseling, centering on stress reduction, strengthening self-perception, and sensory engagement.

Equine-Assisted Expressive Arts Therapy

As an avid rider and a descendent of horse and mule trainers, I know first hand the healing power of a horse and herd behavior. However, my journey as an equine specialist, and now an equine-assisted psychotherapist, evolved from the expressive arts. This combination of equine and expressive arts is a healing art in itself culminating in a co- and self-regulatory sensorimotor practice, resulting in transformational meaning making experiences. My own drawing practice as child–literally on any surface–signaled to my artist, writer, and horse-riding grandmother that art would be a pathway to my career as an expressive arts therapist. What has unfolded in my practice, since 1997, is the integration of expressive arts and therapeutic riding for residential treatment centers in the form of process groups; the use of phototherapy techniques to create personal narratives from therapeutic riding/groundwork experiences with youth offenders, individuals diagnosed with TBI, sensory processing disorders, acute stress disorder, ASD, and PTSD. However, for me, equine-assisted expressive arts therapy as an embodied “felt sense” experience emerged from our collaborative programs that were “situated” in indigenous communities: this approach reaffirmed the healing aspects of “bottom up” interventions. As a result, sensorimotor exploration and hemispheric integration across the midline (bilateral stimulation) comprise the foci of the equine-assisted expressive arts therapy approach with respect to regulatory processes, for example, response artwork (painting, clay, nature art), mindfulness-based and bilateral movement, visual journaling exercises, fiber art (felting, weaving), and sound (humming, drumming, singing).

How exactly do we operationalize Equine-Assisted Expressive Arts Therapy?

(Initial Thoughts)

Equine-Assisted Expressive Arts Therapy incorporates all five disciplines of the expressive arts (visual, dance/movement, music, drama/theater, and writing/poetry) with equine-assisted psychotherapy. This multimodal, sensorimotor-based approach interweaves the healing power of the expressive arts with established equine-assisted models to provide a dynamically oriented approach to therapy.  

Visual Journaling Ideas

The following is a list of visual journaling exercises from our previous collaborative research and community-based programs in indigenous communities. These were “situated” within a particular community so please build from these ideas to create context and meaning for your own community.

  • Create a symbol of how you feel in the present moment and write one word to describe this feeling.
  • Create a symbol of your day and write one word to describe your day.
  • If you are having a not so good day, draw or trace a circle. Using lines, shapes, and colors create a symbol of this feeling in the circle.  Write down words that describe this feeling.  You can take this drawing out of your journal if you choose to.
  • Create a drawing of your favorite place. Share this place with someone.
  • Create a symbol of tension and write down a word to describe this state of being. Starting at your feet, focus on tensing up each muscle and then releasing it. Do this until you reach the top of your head. Create a symbol of relaxation and write down a word to describe this state of being.
  • Create a circle of wellness. Draw or trace your circle and divide your circle into 4 sections and include symbols of physical, emotional, spiritual, and mental activities. Label each activity and share your wellness circle with someone.
  • Create a circle of family and friends. Draw or trace a circle. Paste copies of pictures (or magazine images) of family and friends (past and present) who have been a source of support.  Be sure to include a picture of you.  Share stories about each person.
  • Look at a favorite plant, vegetable, or fruit and create a symbol of it.  Share a story about why it is your favorite.

Visual Journaling

Visual Journal from the Healing Pathways study, Coharie Tribe, NC

There are a number of proven health benefits correlated with artmaking. For instance, engaging in brief artmaking has been shown to enhance immunity and decrease cortisol levels (Lorance & Warson, 2012; Hayes et al., unpublished raw data).  Although, many of these benefits can be transferred to the effects of the visual journaling process, research on the specific effects of visual journaling demonstrated a decrease in anxiety levels and negative affect (Mercer, Warson, & Zhao, 2010). As a result, there is growing evidence for visual journaling as a promising intervention for stress reduction.

For maximum benefit, choose a consistent time of day to work in your journal.  Keep a small container of favorite art supplies close by in addition to a small travel case.  Health benefits such as increased dopamine and serotonin production can be achieved after 5 min. of sustained visual journaling. 

Research on visual journaling has demonstrated that a self-directed approach is just as beneficial as using specific cues (Mercer et al., 2010). Create your own approach and vary it as your awareness grows. For example, visual journaling in response to a specific open-ended theme over a period of time can elicit new themes to emerge. Themes could be as broad as your depiction of wellness. Mindfulness-based practices are a natural fit with visual journaling. 

In a 2012 study with southeastern tribal elders, visual journaling was sustained over a two-month period with a 95% response rate among 26 participants (Warson, 2012; Warson et al., unpublished raw data). Preliminary data analysis indicated a preference for depicting every-day life events such as picking peas in the garden, designing quilt patterns, as well as references to family and spirituality. These preliminary findings suggest that mindfulness-based awareness was evident in the re-experiencing of important daily tasks and events.

Why combine images with words?  In a comparative study on the efficacy of art and writing therapy on stress reduction, Pizarro (2004) noted that the combined effects of art therapy and writing demonstrated more significant positive changes in terms of perceived levels of stress than writing alone.

3 Days of Trauma-Informed Expressive Arts Therapy, Anchorage Alaska, August 19-20-21, 2015! Join us at the BP Center, Anchorage AK [limited to 60 participants]


Faculty: Cathy Malchiodi, PhD & Elizabeth Warson, PhD

Join us at the beautiful BP Center in Anchorage Alaska for this three-day course presenting the foundations of trauma-informed practice and the latest research and approaches to expressive arts and play, stress reduction and resilience. Participants will learn art therapy and expressive arts therapy strategies and applications to increase their understanding of trauma-informed approaches, enhance resilience in various client populations and reduce stress responses to trauma and loss. Participants will engage in a variety of hands-on experiences using mind-body, mindfulness, wellness and strength-based best practices grounded in emerging research. The essential practices presented in this course can be applied to individuals of all ages and families, groups and communities from a culturally-responsive, trauma-informed approach. By attending the entire three days, participants will learn:

1)    the five components of trauma-informed practice;

2)    at least five arts-based methods used in culturally responsive, trauma-informed intervention;

3)    at least three reasons why sensory-based, arts interventions are essential to reducing the body’s response to stress;

4)    at least five aspects that enhance resilience through culturally responsive, trauma informed intervention;

5)    at least seven ways to apply course material to work with families, groups or communities that have experienced acute trauma, chronic trauma or intergenerational trauma.

Therapist Networking & Training

Community Sundance Flag

Community Sundance Flag

Mark Your Calendars: Connections Counseling TNT meeting , April 24th,  8 to 9:30am.

Light breakfast snacks will be served :o)

Presenter:  Elizabeth Warson, PhD, ATR-BC, LPC, NCC

Topic:  Woapiye Ocanku: Discovering Healing Pathways among the Oglala (Lakota).

Objective: Dialogue about how integrated programs, combining traditional Oglala healing practices and Western counseling/art therapy approaches, are benefiting the Pine Ridge community.

Location: Touchstone Health Partners Building

After a long hiatus Connections is bringing back our training forum and it has a new name. The meeting will now be known as TNT, Therapist Networking and Training.  They will be high powered and impactful! The former group was known as TLC. The forum will remain the same for recruiting presenters. All of you have such varied expertise and practices, that combined, you present a wealth of information and the ability to share it. With that in mind please feel free to e-mail eleetham@healthdistrict.org, if you would like to present at one of the meetings. We will also enlist trainers form the community. (Emily Leetham)