Learner Objectives Analyze the Intrapsychic Roots of Addiction: Participants will learn to identify the unconscious thoughts and emotions related to gender identity and internalized transphobia that often drive self-destructive substance use patterns. Evaluate Ego Splitting and Fragmentation: Examine the psychoanalytic concept of ego splitting—specifically between the "persecuted body-self" and the "mind-self"—as a defensive strategy in transgender patients, and learn how to foster self-cohesion in recovery. Manage the Therapeutic Relationship: Transference and countertransference. Presenter Dr. Crystal Rose Garrison is a Licensed Psychotherapist and Master Addictions Counselor (MAC) with nearly 40 years of experience as a psychoanalytic clinician. As a transgender woman holding doctorates in Counseling Psychology and Clinical Psychoanalysis, she brings profound lived and professional insight into substance use disorders and complex trauma. Dr. Garrison specializes in gender-affirming care, moving beyond surface-level relief toward true symptom resolution. A nationally board-certified supervisor, she blends modern psychoanalytic rigor with deep empathy. She currently operates a remote online practice serving Maine, while residing in Costa Rica. Nursing CE This event is approved for Nursing CE with the California Board of Nursing. Valid through 16-June-2027.