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The Impact of Chronic Misattunement on Self-Organization: A Psychobiological Approach to Understanding Anxiety in Adolescents


This course was held on July 17, 2024


Mike Giresi, CAC, CTP, ICADC, NMP, Chief Clinical Officer at Family First Adolescent Services with Dina Nunziato, PhD, LCSW from Anxiety Institute

This presentation offers a unique perspective on the experience and treatment of anxiety in adolescents.

When a young child’s needs/emotions are chronically unmet due to abuse, neglect, and/or misattunement, children foreclose on those very needs/emotions in favor of adapting to what’s available to them rather than what they need. Attendees will learn how to conceptualize psychobiological adaptations to misattunement and its connection to anxiety through the lens of attachment theory, interpersonal neurobiology, and developmental affective neuroscience. Attendees will also learn how to apply clinical skills specifically oriented to addressing adaptive patterns that are often at the root of adolescent turmoil.

Learning Objectives

  • Define chronic, early childhood misattunement and its relevance in the context of adolescent development.
  • Describe at least 2 psychobiological mechanisms linking misattunement and anxiety.
  • Apply at least 2 evidence-based interventions addressing the effects of chronic mis-attunement in adolescence.

Training Refund and Cancellation Policies

Virtual Courses and Webinars

  • If you are unable to attend an online course or webinar, Anxiety Institute offers a 100% money-back guarantee, if you notify us at least 24-hours prior to the scheduled start date.  For a multi-session course, cancellation must be received 24-hours prior to the first session.
  • If you are unable to attend a course session/webinar due to extenuating circumstances, a recording of the session will be available for viewing for two weeks after the live session date.
  • If Anxiety Institute cancels the availability of a course or webinar for any reason, participants will be notified via email. Though we would not do so without good reason, we reserve this right, as well as the right to reschedule courses and webinars and/or substitute presenters. In the case of a cancelled or rescheduled course, you may request a full refund of course/webinar fees paid.
  • If you wish to cancel your course registration, notification must be sent to at least 24-hours prior to the scheduled start date.

Anxiety Institute, LLC disclaims any liability for any losses or damages, direct or indirect, arising from a training cancellation.

To receive CE credits, clinicians must attend the course sessions in real time, not via recorded sessions. All CE Certification fees are non-refundable.

Mike Giresi, CAC, CTP, ICADC, NMP

Chief Clinical Officer at Family First Adolescent Services

Mike found his passion for helping others through his own healing journey. He began his career supporting adults with complex trauma, PTSD, and addictions. Mike is a Florida Certified Addiction Counselor and an Internationally Certified Alcohol and Drug Counselor through the IC&RC. He is also a nationally Certified Trauma Professional and a NARM® Practitioner, having assisted in teaching NARM® principles for working with complex trauma to professionals around the world and consulting on their application to adolescent treatment.

Mike currently serves as Chief Clinical Officer for Family First Adolescent Services, a premier residential treatment center in South Florida. He uses his extensive training in trauma, somatic psychology, interpersonal neurobiology, and addiction treatment to develop individual, group, and family programming for clients and families. Additionally, Mike is a national speaker, educator, and consultant on developmental trauma, addiction, and adolescent treatment.

Co-Hosted By

Questions regarding this course?

Kyrsten Bravo

Phone: (203) 570-9623