Course Description

This workshop will delve into the factors families contend with when faced with a potential decision to terminate a pregnancy for medical reasons. Legal, sociological, interpersonal, medical, and emotional aspects make this experience unique, and perinatal therapists benefit from a deep understanding of these multi-dimensional and intersecting factors.


Using case examples and both small and large group discussions, the three instructors, each experts in this particular type of loss, will guide participants as they expand their understanding of the losses and potential for trauma for families on this journey.  Treatment approaches and frameworks will also be addressed.


CE credits are calculated based on total video content hours. Readings are supplemental and are not calculated towards CE credit. This workshop was held and recorded in 2025. A course quiz is required in order to obtain CEs. Passing score is 70%.


For more information on our work at The Touchstone Institute, visit our website.

Course Overview

  • Asynchronous Workshop on Zoom

  • Prerequisites

    This training is open to mental health professionals working with perinatal clients

  • CE Credits

    Participants are eligible to receive 12 CE credits for this training (see more details below)

Note on Accessibility:

We include captions in all of our live and self-paced trainings. If there is anything else you need to make our trainings accessible to you, please reach out to us at [email protected]. We recognize that every person has access needs and we are happy to do everything we can to meet yours.

Instructor

Mara Stein, PsyD, PMH-C

Instructor

Mara Tesler Stein, Psy.D., PMH-C is a clinical psychologist practicing in the United States and Israel. She is the founder and director of The Touchstone Institute for Psychotherapy and Training where she offers both EMDR Foundational trainings for perinatal specialists & advanced EMDR workshops which take a deeper dive into the intersections and applications of EMDR and perinatal mental health. Dr. Stein is a staunch advocate for trauma-focused care and is trained and certified in a range of integrative trauma therapies. A certified EMDR therapist, EMDRIA Approved Consultant and Trainer, Dr. Stein is also certified in Emotion-Focused Family and Couple Therapy, is a Gottman Certified Therapist, and continues to pursue training in Clinical Hypnosis, Yoga-Informed treatment, Advanced applications of EMDR, Brainspotting, and Ego-State therapies.

Julie Bindeman, PsyD

Instructor

I love working with people who are new to EMDR and helping them discover their passion and technique for this incredible modality. In terms of my clinical focus, my specialty is anything that falls under the umbrella of "Reproductive Health" with an interest in third party reproduction, abortion, terminations for medical reasons, and pregnancy losses.

Leslie Pertz, LMSW, PMH-C, NIC

Instructor

Leslie began her professional career as an HR manager, recruiter and regional trainer for a big box retail store, then shifted to learning American Sign Language and worked for many years as a nationally certified freelance ASL-English interpreter, some days getting to meet Barack Obama or His Holiness the Dalai Lama, and other days working around horses in a horse barn. She then attended graduate school in social work at Michigan State University, and later worked in hospital/medical settings including NICU, labor/delivery, pediatrics, inpatient rehabilitation, ICU, dialysis, and primary care. She worked for many years at Michigan Medicine and helped start the Deaf Health Clinic at that institution. She has been in private practice since 2016 and specializes in reproductive psychotherapy, and is a certified perinatal mental health clinician through Postpartum Support International. Leslie’s current clinical focus is primarily on women and birth givers who have experienced birth trauma, pregnancy/ infant loss, infertility, and postpartum anxiety. She additionally sees people who are in recovery from substance abuse, and complex trauma. Leslie learned EMDR in 2016 after experiencing the healing treatment herself, and has continued the journey through certification and becoming an approved consultant and trainer with Mara Tesler Stein. She has additional training in Sensorimotor Psychotherapy, clinical hypnosis, CBT, DBT, Motivational Interviewing, ACT, TF-CBT, and many advanced topics in EMDR. Leslie is currently planning to start her own group psychotherapy practice that will incorporate somatic and adjunct healing modalities, she is a reiki master, and is in training to become a yoga instructor. Leslie enjoys consulting individually and with groups who are in the midst of basic training, or those seeking ongoing certification, or those who just wish to improve their skills in the powerful modality of EMDR. Leslie has co-presented at EMDR Canada on EMDR for TMFR (termination for medical reasons), has facilitated basic training for the last several years, and has consultees from across North America and from around the globe. Leslie lives with her spouse and two bichon frises (Alexis Rose and Keeley Jones) in Ann Arbor, MI, and when she is not working she enjoys cross stitching, being at Lake Michigan, cross country skiing, yoga, and binging any serialized television available.

Course Curriculum

    1. Suggested Readings: Making Peace with Agonizing Decisions

    2. Suggested Readings: Therapeutic Approaches and Interventions

    3. Suggested Readings: Couples and Family

    4. Suggested Readings: Grief

    5. Suggested Readings: The Next Chapter

    6. Course Slides

    7. Additional Resources

    8. Colorado Collective for Medical Decisions

    9. Holding Space: Neonatal Palliative Care

    10. Veiled Language in the NICU

    1. Day 1

    2. Day 2

    3. Course Quiz

    1. Receiving your CE certificate

    2. Course Evaluation

    3. CE Certificate Request Form

About this course

  • $400 - $550
  • On-Demand
  • 12 CEs (see below for specific approvals)

Tiered pricing options for this course:

Questions? See our FAQ below.

More about our pricing:

We offer tiered pricing for all of our trainings in order to make our courses accessible to as many practitioners as possible. If you are unsure which tier of payment is right for your financial situation, please read through our FAQ section below or visit our website.


Please reach out to us at [email protected] if you are interested in a multi-month payment plan. We are always happy to create a custom payment plan to make it more feasible for everyone to participate in our courses.

Course Outline

  1. Introduction to the workshop and presenters

    • Introduce ourselves

    • Show course itinerary

  2. Conceptual Framework: The Three Core Tasks and the Impact of Loss, Trauma, and Medical Decision-Making 

    • Parental Identity

    • Managing Emotions

    • Managing Relationships

  3. What is TFMR? We’re also going to discuss broader life and death medical decision-making in perinatal care

    • Pregnancy interruption

    • Abortion

    • TFMR

    • Life and Death Decision Making

      • At birth

      • In the NICU (or PICU)

  4. Ethical Decision Making in Perinatal Care

    • Frameworks

    • Across the lifespan

    • Who makes the decision?

    • When the decision is made for you.

    • We make decisions all the time in pregnancy and parenting

      • Vaccination

      • testing/screening

      • Birthing choices

  5. A Violation of Expectations: Arriving in the land of decision making

    • Diagnostics

      • Fetus

      • Pregnancy

      • Pregnant person

      • Higher Order Multiples in Pregnancy

        • One fetus with anomalies

        • Too many fetuses

    • How people might terminate

      • Medication

      • D&C

      • D&E

      • L&D

    • What happens at the hospital?

    • Hospital Mourning

      • Memory boxes

      • Bereavement photography

      • Holding baby (even after D&E)

    • Termination after Infertility

    • Access Barriers

    • Terminating more than once

      • Same dx

      • Different dx

  6. When Termination isn’t available

    • Hidden Abortions

    • Multiple Reduction

    • Selective Reduction

    • Ectopic Pregnancy

    • International trends around abortion access

  7. Documentation and Duties of Clinicians

    • Documentation

    • Legal issues

  8. Self-as-Therapist in this work (I think we should move this earlier)

    • Clinician bias

    • Countertransference

  9. The Emotional Journey

    • Termination Grief

    • Trauma

    • Community Reactions

      • Managing relationships

      • Community care

    • Religious Community and pregnancy termination

    • Meaning Making

      • Parental Identity

      • Creating a family narrative

    • Managing decision-making as a couple (managing relationships)

      • Being on the same (or different) pages

      • Parental Identity

    • Trying Again

  10. Perinatal and Pediatric Palliative Care

    • Perinatal Hospice

      • Supporting live vs. prolonging dying

      • End of life care

      • Perinatal palliative care

      • Abelism in the face of disability and medical fragility

    • Decision-making in the NICU

      • Stakeholders

      • Hospital Resources

      • Decision leaders

      • Host and Guest

  11. Clinical Approaches to supporting families

    • Assessment

    • Stabilization

    • Addressing Trauma

    • Supporting healthy grieving

    • Integrating this experience

Learning Objectives

Upon completion of this workshop, participants will be able to:

  • Describe the decision-making that is involved with terminating a pregnancy for medical reasons.
  • Identify the nuances of terminating for medical reasons that differ from other types of perinatal losses.
  • Describe the Three Core Tasks parents face during a perinatal crisis and their implications during this kind of crisis. 
  • Critique the myths that surround abortion broadly.
  • Compile a list of various reasons for why terminations might occur.
  • Analyze the complexity if healthcare treatment is not available after receiving a poor-prenatal diagnosis.
  • Demonstrate how grief might differ as well as be similar to other types of perinatal losses.

Continuing Education Credits

Submission of a course evaluation and quiz is required to receive a CE certificate for this course. The course evaluation and quiz are made available after all lectures have been completed within the course portal. After completing the evaluation and quiz, participants will be able to submit a request for their CE certificate. This training offers 12 CE credits.

  • It is your responsibility to verify CE coverage in your State or Province.

  • The Touchstone Institute for Perinatal Training is approved by the American Psychological Association to sponsor continuing education for psychologists. The Touchstone Institute for Perinatal Training maintains responsibility for this program and its content.

  • The Touchstone Institute for Perinatal Training, Inc. has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7346. Programs that do not qualify for NBCC credit are clearly identified. Touchstone Institute for Perinatal Training, Inc. is solely responsible for all aspects of the programs.

  • The Touchstone Institute for Perinatal Training, [provider number 1876], is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: [1/19/25-1/19/28]. Social workers completing this course receive 12 continuing education credits.

  • This course is approved by Postpartum Support International (PSI) for continuing education towards maintaining the PMH-C.

  • This course is approved by the EMDR International Association (EMDRIA). The Touchstone Institute is an approved training provider with EMDRIA: approval #22021.

Frequently Asked Questions

  • Is the Generative Access tier right for me?

    Select this tier if you: Own the home you live in (even with a mortgage); live in a two-income household; have investments, retirement accounts, or inherited money; travel recreationally; have access to family money and resources in times of need; work part-time by choice, etc.

  • Is the Sustaining Access tier right for me?

    Select this tier if you: Have income available for recreational activities (going out to dinner, movies, concerts etc.); have consistent work compensated at a median income rate based on your region; pay rent that is not more than 25% of your monthly household income; do not own your own home, etc.

  • Is the Supported Access tier right for me?

    Select this tier if you: Are a graduate student paying tuition; have major medical expenses not covered by insurance; have been denied work, or experience discrimination related to ableism, racism, sexism, gender discrimination or other forms of oppression; are eligible for public assistance; have immigration-related expenses; have ever been denied work due to incarceration history; are supporting adult children, extended family members in need or have other adult dependents; are an elder with limited financial support; are primarily working in a setting with under-resourced populations and your income reflects this work, etc.

  • Are there payment plan options available?

    Yes! We are happy to work with you to create a payment plan that fits your needs. Please reach out to us over email with a brief description of the length of the plan that you are interested in using to pay for this course: [email protected].

  • How can I learn more about your pricing?

    Please visit our website for more information on our approach to pricing our trainings: www.touchstoneinstitute.org/pricing.

  • What is your refund policy?

    More than 14 days notice is required for a full refund minus 7% administrative fee. Cancellations made within 14 days of training are eligible for a 50% refund or full transfer to another training within The Touchstone Institute. Only 1 transfer to another training is allowed. If you can not attend the transferred training your fee will be forfeited. No-shows are not eligible for a refund or transfer. Exceptions to this policy are limited to medically documented circumstances or family bereavements. Failure to attend without prior notification (no-shows) will not qualify for a refund.

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  • $100.00

    $100.00EMDR and Complex Trauma with Perinatal Clients (AUG 2025)

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Join our growing community of perinatal providers