Unmitigated Communion:Â Managing
Over-Care and Self-Neglect
Live Online 3hr CPD Workshop for Mental Health Professionals
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Course Overview
This 3-hour interactive workshop supports practitioners to work effectively with clients who present as highly caring, self-sacrificing, conflict-avoidant, or unable to prioritise their own needs.
Rather than mislabelling over-giving as compliance or lack of motivation, this training introduces a psychologically informed framework that understands unmitigated communion as a threat-based protection response.
Youâll learn how guilt, fear of rejection, and relational sensitivity drive self-neglect and resistance to change. The focus is practical and clinically grounded â helping you recognise early signs of overextension, prevent burnout, and support sustainable care without triggering guilt.
What will this training give you?Â
Clear understanding of over-care and self-neglect patterns
Practical ways to reduce guilt-based resistance
Confidence working with self-sacrificing clients
Skills to validate care without reinforcing self-neglect
Tools to reframe self-care as sustaining care
A framework to differentiate healthy compassion from overextension
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Learning Objectives
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Identify unmitigated communion as a coping strategy
Recognise key behavioural and relational indicators of over-care and boundary erosion
Assess how guilt, attachment, and fear of rejection influence client behaviour
Apply values-aligned communication to reduce resistance and increase engagement
Demonstrate boundary-supportive and guilt-sensitive language in-session
Integrate sustainability-focused approaches into clinical practice
Assessment / Evidence of Learning
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Learning is evidenced through active participation in guided reflection activities, clinical discussion, and practical exercises during this live workshop.
Participants demonstrate learning through:
Identification of coping patterns in vignette material
Appropriate formulation of over-care and self-neglect dynamics
Use of values-aligned, guilt-sensitive language in role-play
Demonstration of boundary-supportive communication skills
Participants receive a statement of attendance for 3 CPD hours.
About the Presenter
Karen Bartle is a postgraduate in Health Psychology, Advanced Clinical Hypnotherapist, clinical supervisor, co-founder of the Academy of Advanced Changework, founder of HealthTalk Psychology, and co-author of The Advanced Hypnotherapist.
With 25+ yearsâ experience, Karen supports practitioners working with complex behavioural and relational patterns. She is known for translating psychological depth into practical, usable clinical skills.
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Who is this course for?
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Practitioners working with clients who:
Prioritise others over themselves
Experience guilt when self-focused
Struggle with boundaries
Present with burnout or depletion
Engage in people-pleasing patterns
Especially relevant for work with caregivers, health professionals, burnout, chronic illness, and relational coping styles.Â
Course Feedback
"I've really enjoyed your training, and how you present the topics. Very Professional, calm and insightful."
"I really enjoyed the workshop and have two coworkers attending your next one!"
"The training was rich in content and strategies, was also interactive which is always good. I enjoyed it and found it beneficial."
"Thank you Karen, I really enjoyed your workshop đ"
"Thankyou for such an amazing webinar. It was extremely helpful and informative."Â
âThanks so much for the workshop. I really enjoyed it. I got a lot of great tips and skills to useâ
"An interesting presenter and gentle presentation and that in itself taught me something about her values and how to be with clients. I was reminded of the care that is needed to assist vulnerable clients hoping for some changes."
âI really enjoyed learning more about this topic of creating a safe space for clients. It allowed me to reflect upon the clients I have worked with as a therapist, also as a client myself - working with therapists who were not safe, and who also broke rapport with me.â
"Thankyou, Karen. This session was excellent!"
âThe quality of content, course organisation, course documents, and ability to sustain my interest were all great.â
âAn interesting and thought-provoking sessionâ
âThe course developed my skillsâŚand the quality of communications and explanation of what was expected were very goodâ
"Thank you for your authentic presentation, affirming discussions and inclusive time with this group. Beautiful values and ideas presented today and modelling of what a safe and genuinely person-centred therapist is like."
âClients can feel gaslit that it was somehow their âfaultâ things didnât work with their therapist. Clients come to therapists for help, and the gravity of this shone through with this cpd.â
"I genuinely enjoyed the speaker and appreciated the material, thank you."
"Practical, relatable and immediately applicable. This training has transformed the way I work with clients who seem 'checked out'."
âTutor approachability was very good and I felt valued during the workshopâ
âI enjoyed learning about and reflecting on all the reasons why clients are âresistantâ (which I see now can be a brilliant subconscious protection mechanism) âŚand how I cannot control all of these reasons, but I can remember the importance of creating a safeherapy space.â
"I learned the importance of your own regulation and the ability to sit in the stillness and silence."
"I feel I know how to recognise this now and that I .have so many things I can say (or not say!?)"
"I learned the importance of helping them stay safe."
"I feel I know how to recognise this now and that I have so many things I can say (or not say!?)"
"I learned to remember to reaffirm autonomy"
"I recognise that silence is not always a bad thing"
"I'll remember to not to worry if we go slow & the client stops talking."
"Love the idea of lowering urgency in a session to rebuild trust."
"Not to be in a rush to ease their discomfort but always make them feel safe"
"Use some non-threatening phrases rather than questions to move the session along"
Debbie Hill
Paul and Karen operate their business with sincerity and integrity. They are professional, warm, embracing, fun and brave individuals with a wealth of shared training, education and therapeutic experience.
Kirstie Nicholson
I can't speak highly enough of both Karen and Paul. They're very experienced, knowledgeable and SO supportive.
Clare Longstaffe
Karen and Paul have a down to earth, friendly approach and are experts in their field. Their work is infused with professional integrity and I can thoroughly recommend their courses to those interested in this path.