AEDP ‘9+1’ Affective Change Processes: The scaffolding for AEDP clinical practice and transformational theory
Presented by Diana Fosha, PhD
Choose from two live online options:
Full Course: Full Course: Friday – Monday | November 13 – 16, 2026
Seminar Only: Friday + Sunday | November 13 + November 15, 2026
AEDP affective change processes provide the scaffolding for AEDP clinical practice and transformational theory.
Training Descrption
AEDP has always been a multifaceted transformational therapy. Naturally occurring, adaptive, affective change processes have always been at the heart of AEDP Psychotherapy’s healing oriented, radically relational, dyadically experiential transformational practice. These discrete AEDP affective change processes provide the scaffolding for AEDP clinical practice and transformational theory. They in essence operationalize and account for how change takes place in AEDP Psychotherapy. Furthermore the clinical, practice-based theory of AEDP has also grown: It has expanded, deepened and been put to the test hundreds of thousands of times in transformational moments between patients and us, their AEDP therapists, worldwide.
With the advent of empirical research into AEDP Psychotherapy effectiveness (DiCorcia et al., 2022; Iwakabe et al, 2020; Iwakabe et al., 2022; Notsu et al., 2022), the need to systematize, codify and measure outcome and process in AEDP psychotherapy has led to the development of what we have come to call The Magnificent 9 +1 Affective Change Processes Scale. This scale, also evolving, attempts to capture what makes AEDP so effective for so many patients.
This course explores 9 affective change processes specific to AEDP, as well as the mystery factor, the “+1”. The 9 affective change processes are: i. Transformance detection & affirmation of the self; ii. Noticing & seizing a moment of emergence; iii. Undoing aloneness; iv. Experiential focus; v. Disarming defenses; vi. working to regulate dysregulated experience; vii. Experientially processing core affective experience, aiming toward a corrective emotional experience; viii. The broadening & building of transformational experience, i.e., metatherapeutic processing; ix. Expanding core state experiences and the integration of transformation into self.
This year’s course will also explore in some depth the 5 different subcategories of affective change process #VII, Experientially processing core affective experience: In addition to (a) the experiential processing of emotional experience; (b) experiential work with the experience of attachment in the here-and-now of the therapeutic relationship and (c) the experiential processing of intrarelational experience, we will attend to a couple of newcomers: (d) experiential work with SELF experience; and (e) work with dynamically significant autobiographical unfolding.
This Advanced Skills training is in keeping with the AEDP model: from experience comes insight and meaning. Insight and meaning are incredibly important and indeed transformational, however, understanding follows from experience. This is an opportunity to reflect and integrate and experience (via the realization affects) that a new and deeper understanding has the potential to re-organize everything that came before it, and thus can lead to more rounds of the transformational spiral.
Choose Your Format
Seminar Only
2 half-days
- Didactic seminar only
Seminar:
Focuses on specialized learning through didactic instruction only, strengthening your clinical skills while connecting with our vibrant community. This format is Ideal for those who prefer learning without the experiential practice component.
Does not count toward certification
Full Course
4 half-days
- 2 half-days of didactic seminar
- 2 half-days of small group experiential work
- Counts toward certification, however you don’t need to be pursuing certification to attend.
Full Course:
Offers a rich blend of specialized learning through expert-led instruction and extensive experiential practice with peers to help you refine and master AEDP interventions. Completing five full courses advances you toward Level 3 certification.
Prerequisites
Advanced Skills Full Course is open to all licensed mental health practitioners who are AEDP Level 2+ (Essential Skills graduates).
Advanced Skills Seminar is open to all licensed mental health practitioners who are AEDP Level 1+ (Immersion graduates). See here for detailed eligibility requirements.
Course Overview
Click for objectives
OBJECTIVES
- Analyze how AEDP’s transformational theory is operationalized through each component of the Magnificent 9 + 1 Affective Change Processes Scale.
- Apply the definitions of all nine affective change processes and the “+1” factor to the conceptualization of clinical material.
- Demonstrate at least one change-process specific intervention for each of the nine affective change processes.
- Evaluate how empirical research into AEDP psychotherapy effectiveness has shaped the development and clinical application of the Magnificent 9 + 1 Affective Change Processes Scale.
- Differentiate among the five subcategories of affective change process #VII, with particular attention to experiential work with SELF experience and dynamically significant autobiographical unfolding.
- Apply change-process specific interventions in clinical role play, using the 9 + 1 Scale to organize and guide therapeutic decision-making.
- Evaluate their own clinical work using the Magnificent 9 + 1 Affective Change Processes Scale to identify areas of strength and targets for further skill development.
- Demonstrate how metatherapeutic processing can be used to deepen transformation and facilitate the integration of new experience into the patient’s sense of self.
- Construct a personal plan for integrating the Magnificent 9 + 1 Affective Change Processes Scale into their ongoing clinical practice with AEDP patients.
Day 1
- I: Course Overview and Orientation
- II: AEDP Psychotherapy’s Transformational Theory; The 9+1 Affective Change Processes Scale
- III: The use of the 9+1 Affective Change Processes Scale in AEDP empirical research
- IV: Break
- V: The 9 affective change processes
- a. Definitions
- b. Key interventions for each affective change process
- c. Clinical illustration of each of the nine affective change processes
- VI: Large Group Discussion, Q&A and preparing for the next day’s experiential exercises.
Day 2
- I: Review prior day learning; Q & A
- II: Large Group Instructions for Experiential Exercises (role play)
- III: Experiential Group Orientation to Experiential Exercises in your small groups.
- IV: Experiential Exercises
- Practicing Change-Process Specific Interventions
- Practice using the AEDP 9 + 1 Affective Change Processes Scale. This scale is a valuable tool for helping you to:
- apply and organize AEDP theory and concepts in the therapy process
- assess areas of strength and areas where you would like to develop further your use of specific AEDP skills and transformance-driven strategies.
- V: Break
- VI: Large Group Discussion and reviewing participants’ experience of using the 9+1 Affective Change Process Scale to guide their clinical work
Day 3
- I: Review prior day learning, Q & A
- II: Transformance detection, undoing aloneness, defense work and the regulation of anxiety and affective dys regulation with clinical illustrations.
- III: The experiential processing of core affective experience; The experiential processing of relational experience with clinical illustrations.
- IV: Break
- V: Metatherapeutic processing of transformational experience; the integration of new experience into self with clinical illustrations.
- VI: Group discussion and preparing for the next day’s experiential exercises.
Day 4
VI: Large Group Discussion the day and reviewing participants’ experience of using the 9+1 Affective Change Process Scale to guide their clinical work. Discussion of how applicants will use and apply the learning of this course to their clinical practices.
I: Review prior day learning, Q & A
II: Large Group Instructions for Experiential Exercises (role play)
III: Experiential Group Orientation to Experiential Exercises in small groups.
IV: Experiential Exercises | Practice using the AEDP 9 + 1 Change Processes Scale. This scale is a valuable tool for helping you to:
apply and organize AEDP theory and concepts in the therapy process
assess areas of strength and areas where you would like to develop further your use of specific AEDP skills and transformance-driven strategies
V: Break
Day 1
VI: Large Group Discussion, Q&A and preparing for the next day’s experiential exercises.
I: Course Overview and Orientation
II: AEDP Psychotherapy’s Transformational Theory; The 9+1 Affective Change Processes Scale
III: The use of the 9+1 Affective Change Processes Scale in AEDP empirical research
IV: Break
V: The 9 affective change processes
a. Definitions
b. Key interventions for each affective change process
c. Clinical illustration of each of the nine affective change processes
Day 2
I: Review prior day learning, Q & A
II: Large Group Instructions for Experiential Exercises (role play)
III: Experiential Group Orientation to Experiential Exercises in small groups.
IV: Experiential Exercises | Practice using the AEDP 9 + 1 Change Processes Scale. This scale is a valuable tool for helping you to:
apply and organize AEDP theory and concepts in the therapy process
assess areas of strength and areas where you would like to develop further your use of specific AEDP skills and transformance-driven strategies
V: Break
VI: Large Group Discussion the day and reviewing participants’ experience of using the 9+1 Affective Change Process Scale to guide their clinical work. Discussion of how applicants will use and apply the learning of this course to their clinical practices.
The Full Course is eligible for 17 Continuing Education Hours
The Seminar Only is eligible for 8.5 CE hours
AEDP Works, LLC offers continuing education (CE) credits upon completion of the following requirements—(a) perfect attendance and (b) submission of the online program evaluation.
Please note that it is the responsibility of the licensee to check with their individual state board to verify CE requirements for their state and reciprocal approvals.
Continuing education applications may be underway for various national and state-level boards and agencies. Please email admin@aedpinstitute.org with questions.
Disclosure
All planners and presenters have disclosed that they have no relevant financial relationships with ineligible companies. There is no commercial support for this program nor are there any relationships between AEDP Institute, the presenter, program content, research, grants, or other funding that could reasonably be construed as conflicts of interest.
PSYCHOLOGISTS
New York
AEDP Works, LLC is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0256.
SOCIAL WORKERS:
New York LMSWs and LCSWs
AEDP Works, LLC is recognized by the New York State Education department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0805.
PROFESSIONAL COUNSELORS & MENTAL HEALTH COUNSELORS
Counselors except NY and MFTs in all states except NY and MA
National Board for Certified Counselors (NBCC)
AEDP Works, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7622. AEDP Works, LLC is solely responsible for all aspects of the progr
This program was developed for:
Licensed and pre-licensed mental health professionals who are practicing under the supervision of a qualified, licensed clinician. Participants typically hold (or are actively working toward) one of the following credentials:
Graduate students enrolled in accredited mental health training programs practicing under a licensed Supervisor
Psychologists (PhD, PsyD, EdD)
Psychiatrists (MD, DO)
Licensed Clinical Social Workers (LCSW, LICSW, MSW)
Licensed Marriage and Family Therapists (LMFT)
Licensed Professional Counselors (LPC, LPCC, LCPC, etc.)
Licensed Mental Health Counselors (LMHC)
Psychiatric Nurse Practitioners (PMHNP, APRN)
Registered Psychotherapists (as recognized regionally)
Occupational Therapists with training in mental health
Licensed or registered art, music, or dance/movement therapists
The AEDP® Model of Psychotherapy
The following statements describe the empirical foundation, accuracy, utility, scope, limitations, and clinical considerations relevant to the content presented in AEDP Courses.
Empirical Basis
AEDP® Psychotherapy is supported by peer-reviewed empirical research published in established scholarly journals. Effectiveness studies conducted within a practice research network demonstrate significant symptom reduction (e.g., depression, maladaptive negative cognitions, interpersonal functioning, experiential avoidance) and significant increases in positive indices of mental health (e.g., self-compassion, flourishing) across diagnostic presentations (Iwakabe et al., 2020), with longitudinal follow-up findings indicating maintenance of gains at six and twelve months (Iwakabe et al., 2022). These outcome studies evaluated a 16-session AEDP treatment protocol.
Additional empirical investigations examine therapeutic process variables associated with flourishing and metatherapeutic processing (Fosha & Thoma, 2020; Fosha, Thoma, & Yeung, 2019), as well as psychometric validation of measures assessing positive affective transformation, including the Moments of Flourishing Experience Scale (Fosha et al., 2024). Collectively, this body of outcome and process research provides empirical support for the clinical principles and interventions taught in AEDP Courses.
Accuracy, Utility, Scope and Limitations
AEDP is a transdiagnostic, transformation-oriented model of psychotherapy practiced with clients experiencing a wide range of psychological difficulties. Developed and primarily taught for individual psychotherapy, the model may be adapted by trained clinicians for work with couples, families, children, and groups when clinically appropriate; however, formal empirical research has focused primarily on its application in individual treatment.
AEDP was developed to address affective, relational, trauma-related, and depressive symptom presentations within an attachment-based, experiential framework. The empirical base is strongest for these domains, and findings from the 16-session research protocol should not be assumed to generalize automatically to all treatment formats, durations, or to individuals with severe or unstable psychiatric conditions.
AEDP was not designed as a first-line or stand-alone treatment for active psychotic disorders, bipolar disorder that is not medically stabilized, or active substance use disorders. In such cases, clinicians should ensure appropriate stabilization and integration with disorder-specific and medically coordinated care. As with all clinical models, effective application requires sound professional judgment, adherence to ethical standards, and practice within one’s scope of competence.
Ongoing Research
Current research continues to investigate the therapeutic processes and specific AEDP interventions associated with transformational change. In addition, AEDP-informed psychotherapy is being studied in collaboration with the Icahn School of Medicine at Mount Sinai within randomized controlled trials (RCTs) of psychedelic-assisted psychotherapy.
Risks and Clinical Considerations
As with all experiential and trauma-focused psychotherapies, potential risks include temporary increases in emotional distress, activation of traumatic memories, heightened affective arousal, interpersonal sensitivity, or destabilization if interventions are misapplied or insufficiently titrated. Severe risks are uncommon but may include significant dysregulation in vulnerable individuals if adequate screening, stabilization, and monitoring are not conducted. The model emphasizes careful attunement, pacing, and ongoing assessment to mitigate these risks.
Meet the Presenter: Diana Fosha, PhD
Diana Fosha, PhD, is the developer of AEDP™ psychotherapy, a healing-based, transformation-oriented treatment model. And she is Founder and Director of the AEDP Institute. For the last 20 years, Diana has been active in promoting a scientific basis for a healing-oriented, attachment-emotion-transformation focused trauma treatment model. Fosha’s work focuses on integrating positive neuroplasticity, recognition science and developmental dyadic research into experiential and transformational clinical work with patients. Her most recent work focuses on promoting flourishing as a seamless part of the AEDP therapeutic process of transforming emotional suffering. Drawing on affective neuroscience, attachment theory, mother-infant developmental research, and research documenting the undreamed-of plasticity in the adult brain, AEDP is an experiential clinical practice which reflects the integration of science,research and practice in psychotherapy.
read more>>>
Financial: Diana Fosha has no financial relationships with ineligible organizations. She receives a speaking honorarium from AEDP Institute, AEDP Works, LLC.
Dates, Times & Setting
Please check all dates and times closely for conflicts with local holidays, religious holidays, etc.
All time are Eastern Standard Time (New York): Please double check the meeting time in your local time zone by visiting here.
Dates
Full Course: Friday – Monday | November 13 – 16, 2026
Didactic Seminar: Friday + Sunday | November 13 + November 15, 2026
Times
11:00- 3:30 PM EST
11:00- 3:30 PM EST
Setting
Live Online and Highly Interactive.
You will need a private space with a reliable Internet connection.
Click here for the AEDP Live, Online Learning Requirements & FAQ’s.
Registration, Fees & Scholarships
Non-Member
Registration
$679 USD
Full course registration
closes November 6, 2026
Non- Member
Registration
$399 USD
Seminar registration
closes November 12, 2026
Scholarships
Limited scholarships available. If a Consider a payment plan instead: email Admin for details.
To be Eligible to Attend
Full Course : Must be Level 2: a graduate of Essential Skills with the licensing credentials listed below.
Seminar: Must be Level 1: a graduate of Immersion with the licensing credentials listed below. Note that those who have also completed Essential Skills may find it easier to grasp the more advanced AEDP content.
Licensing Credentials
North America: Licensed mental health practitioners as well as therapists practicing under the license of a supervising professional.
Beyond North America: Mental health professionals who hold licensure equivalent to North American standards including ongoing affiliation with an organization responsible for issuing and overseeing mental health credentials in their country or region.
Important Notes:
Coaching and other non-psychotherapy specific licenses are not eligible.
If you’re unsure about the relevance of this course for you, or your eligibility, please contact admin@aedpinstitute.org with your credentials before registering.
Attendance and Make-up Policy
Institute Sponsored Courses Including Immersion, Essential Skills, Advanced Skill Modules, Seminars/Webinars and Institute Sponsored Core Trainings
The Institute provides handouts from missed hours or days but does not offer make-ups for missed course days.
Why? Group dynamics developed during a course are essential to the course’s success; so someone coming into a course for a short period of time is – regardless of their best intentions – disruptive to other participants and the course’s overall success.
CE credit: Full attendance is required to earn CE; partial credit is not available.
AEDP Level credit: if a participant attends 80% or more of a certification course (Immersion, Essential Skills or Advanced Skills), the Institute will apply the course towards AEDP Level advancement.
Refunds and Cancellations
Program Cancellation/ChangesProgram Cancellation/Changes
The AEDP Institute reserves the right to cancel a training/ program prior to its start, in which case full refunds will be issued to participants for any tuition fees paid for the program. The AEDP Institute is not responsible for participant expenses including travel, childcare, missed practice sessions, etc.
In the rare situation that the AEDP Institute makes changes to advertised presenter(s), tuition fees will not be refunded.
By adhering to these policies, we aim to ensure a fair and consistent approach to cancellations, refunds, and transfer requests.
Cancelling 16 or More Days Before a Course or Seminar:
- Refund: 85% of your course fee.
Cancelling 1-15 Days Before a Course or Seminar:
- No Refund
- An Institute credit of 85% of your course fee will be provided for use towards a future course.
Cancelling / Withdrawing / No Show on the 1st Day or During a Course or Seminar:
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- No credit
Transfer Requests Made 45+ Days Before Course Start:
- Requests will be accommodated wherever possible without financial penalty.
Transfer Requests Made 44-1 Days Before Course Start:
- $200 Transfer fee Applied to new course
Participants in Multi-Module Essential Skills (ES1) Courses:
- Requests to transfer from one ES1 course series to another are highly disruptive and rarely possible.
- Exception: In rare and extreme circumstances where an exception is made, a $200 transfer fee will be charged
Refund Policy for Institute Sponsored On Demand (recorded) Seminars
If for any reason you are unsatisfied with an Institute sponsored (recorded) On Demand Seminar, please email admin@aedpinstitute.org with an explanation of why you are dissatisfied. We will offer, one time per person, a credit for your payment, less a 15% banking and administrative fee that you may apply to a different (recorded) On Demand seminar.
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Grievance Policy and Process
AEDP Institute Grievance Policy & Process
Overview and Commitment
AEDP Institute is fully committed to conducting all activities in compliance with all legal and ethical responsibilities in promotional activities, program content and in the treatment of program participants and the community. This policy sets out the procedure for receiving, reviewing, and responding to grievances.
While the Institute strives to provide fair and equitable treatment for all participants in its events and activities and makes every effort to anticipate potential concerns, it acknowledges that grievances may still occur.
We are committed to resolving grievances in a timely way, and in alignment with our Participant Agreement.
Grievance Submission Process
Grievances should be submitted online at aedpinstitute.org/complaint or mailed using this form. To make an anonymous suggestion, or grievance click here – this anonymous system allows you to engage with the Institute, back and forth, anonymously.
Note that Social Workers should indicate in their grievance that they are a social worker so the AEDP Social Work Consultant can be appropriately involved in the grievance resolution process.
Mailed forms should be sent to:
AEDP Institute
225 Broadway, Suite 3400
New York, NY 10007
Review and Resolution Process
Initial Review and Response Timeline
Grievances will be forwarded to the Lead Administrator who will review the matter and issue a decision or resolution in a timely manner (usually within 30 days).
Special Considerations for Speaker/Presentation Complaints
If the grievance concerns course content, the speaker, facilities, non-receipt of certificates and other miscellaneous occurrences, the Lead Administrator will pass on the comments to the speaker or other relevant party(ies), assuring the confidentiality of the aggrieved individual.
Confidentiality
The confidentiality of the aggrieved individual will be maintained except when disclosure is required by law, necessary to prevent imminent harm, or authorized by the individual. All confidential information will be shared only with authorized personnel involved in the complaint process.
Appeal Process – Filing an Appeal
If the individual who submitted the grievance is not satisfied with the Lead Administrator’s decision or resolution, they may submit an appeal to the AEDP Steering Committee.
Final Decision
The appeal will be reviewed in consultation with the AEDP Institute Steering Committee who may decide to bring in a third party consultant. A final decision will be made jointly by the the committee and the Lead Administrator. Once this final decision is issued, the grievance process will be considered complete.
Additional Feedback Opportunities
In addition to the procedure above, participants are given an opportunity to voice comments, concerns and general feedback in a survey that is provided at the completion of each course; the link to our anonymous grievance platform is included in this survey.
ADA
Disability Access: If you require ADA accommodations please contact Marilia Rodriguez, admin@aedpinstitute.org or call 813-553-1294 thirty days or more before the event so we can be sure to do our best to accommodate you.
More Questions? Contact Us
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Marilia Rodriguez
admin@aedpinstitute.org
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