How Desensitization Works: The HPA Axis in Treatment for Trauma and Anxiety
There is a way of explaining the stress response that leaves a client worse off. You describe the hypothalamus, the pituitary, the adrenal cortex, the cascade, the feedback loop, and what the client takes away is that their body does this, it has always done this, and that is simply how they are built. Accurate, and useless. It hands them a mechanism and no way in.
Leo DeBroeck puts that first and treats everything else as subordinate to it. The purpose of teaching a client the HPA axis is to increase their sense of control over their own reactions, and if the explanation does not do that, it has failed regardless of how correct it was. So he teaches the science and then, deliberately, the delivery: the analogies, the visuals and the handouts that turn a physiological explanation into something a person can use on themselves.
One hour, and it is genuinely one hour of content rather than a padded seminar. He takes each part of the axis in turn, including what more recent research says about how each affects functioning, then the interaction between them, and particularly the negative feedback mechanism, which is the part that explains why the system sometimes does not switch off. He is candid that the difficulty is that the subject is detailed and nuanced, and that the two usual failure modes are oversimplifying it into meaninglessness or explaining it so thoroughly that nobody follows.
You’ll walk away with
- The function of each part of the HPA axis, with the newer research on how each one affects a client’s functioning
- How the three interact, including the negative feedback mechanism and what happens when it does not do its job
- The connection between the axis and the emotions, behaviour and thoughts a client actually reports
- Analogies that make the mechanism land, including the gatekeeper framing he uses for the hypothalamus
- Visual formats and handouts for explaining it, for clients who will not follow a verbal account
- Psychoeducation that increases a client’s sense of control rather than confirming their powerlessness
- Why the explanation is a therapeutic act rather than a preamble to one
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CPD Information For Mental Health Professionals
Enjoy complete flexibility with 100% self-paced learning you can access anytime, anywhere, and on any device. This course is included with your Tatra Training membership, along with every other course in the library.
Course Duration: 1 learning hour
Certificate and CPD hours: On completion you’ll receive a Certificate of Completion to support your CPD records. Your certificates are yours to keep.
Assessment: Complete a short quiz at the end (80% pass mark), which you can resit as many times as needed.
Revisit Anytime: Come back to the course as often as you like while your membership is active, whenever you want a refresher for practice.
CPD Eligibility: This program may be suitable for CPD for professionals such as:
- Psychologists
- Counsellors and Psychotherapists
- Social Workers
- Community Workers
- Mental Health Nurses
- General Practitioners (GPs)
- Occupational Therapists
CPD requirements vary between professional bodies, so please check with your association or credentialing body to confirm you can claim CPD hours/OPD points for this program and what evidence they require.
Course Content
Meet Your Instructor
Children and adolescents experiencing suicidal ideation, complex trauma, and severe behavioral challenges - and the practitioners who work with them - can need more than generic therapeutic approaches to navigate these high-risk situations successfully. Leo DeBroeck has dedicated his career to developing practical, evidence-based interventions for the most vulnerable young people, becoming an internationally recognised expert who has worked across every level of care from intensive inpatient settings to school-based services.
As President and Founder of Counselor's Choice Award LLC and Licensed Mental Health Counselor with Child Mental Health Specialist credentials, DeBroeck brings unique expertise that bridges clinical practice with professional education and product development. His MS in Clinical Psychology with thesis research on suicide factors, combined with his CBT Plus certification from the University of Washington and Harborview Sexual Assault and Traumatic Stress Center, demonstrates his commitment to understanding the complex factors that put young people at risk. His published children's therapy books and scientific research on suicidality in young adults reflect his ability to create practical resources that help both clinicians and families navigate difficult conversations about mental health.
DeBroeck's expertise spans child and adolescent mental health, suicide prevention and assessment, trauma therapy, ADHD treatment, codependency, abusive relationships, grief counseling, and addiction counseling. His approach recognises that effective work with high-risk youth requires understanding family systems, school environments, and community resources while maintaining safety as the primary concern. He specialises in cases requiring intensive intervention, situations where standard outpatient therapy hasn't been sufficient, and training practitioners to work confidently with suicidal and severely traumatised children and adolescents.
What sets his training apart is real-world crisis experience combined with practical resource development. DeBroeck doesn't just teach theory - he shows practitioners exactly what to do and say in high-risk situations, drawing from years of intensive inpatient work and wraparound services. His development of therapeutic tools and children's therapy books demonstrates his understanding that effective intervention often requires creative, engaging approaches that meet young clients where they are.
For your practice, expect to gain specific suicide assessment techniques, tools for engaging resistant adolescents, and frameworks for coordinating care across multiple levels of intervention. His approach particularly benefits clinicians working with high-risk youth, those needing confidence in crisis situations, or practitioners wanting to develop expertise in intensive mental health services.
Quick Win: DeBroeck's "safety scaling" technique helps practitioners quickly assess suicide risk while building therapeutic rapport with adolescents - which helps create a foundation for honest communication about difficult topics while maintaining appropriate clinical vigilance.
Qualifications
- MS, Clinical Psychology (thesis: factors in suicide)
- Licensed Mental Health Counselor (LMHC), Washington State
- Child Mental Health Specialist (CMHS), Washington State
- Mental Health Professional (MHP)
- CBT Plus Certified, University of Washington and Harborview Sexual Assault and Traumatic Stress Center
Leadership & Business
- President & Founder, Counselor's Choice Award LLC, Washington State, current
- Continuing Education Course Provider, USA, Australia, Canada, UK, current
- Product reviewer for counseling and therapeutic tools
- International trainer and course developer
Professional Experience
- Mental Health Therapist, Community health center, Washington State (full-time with Licensed Marriage and Family Therapists team)
- Therapist, Intensive inpatient program, Spokane, Washington (children and adolescents focus, several years)
- Experience across multiple levels of care: long-term inpatient care, WISe wraparound intensive services, school-based therapy services, outpatient clinical settings
Clinical Specialties
- Child and adolescent mental health across all levels of care
- Suicide prevention, assessment, and intervention
- Complex trauma therapy for children and adolescents
- ADHD treatment and symptom management
- Codependency and relationship abuse recovery
- Grief counseling and loss processing
- Addiction counseling for adolescents and families
- Neglect and abuse recovery interventions
- Self-confidence building and resilience development
Ready to work confidently with high-risk children and adolescents while developing the crisis intervention skills essential for intensive mental health practice? Discover how Leo DeBroeck's evidence-based, practical methods can help you provide effective care across all levels of treatment intensity while maintaining safety and building genuine therapeutic relationships.
Feedback & Reviews
This course includes:
- Lessons 1
- Topics 0
- Duration 1 hour
- Quizzes 1
- Language English