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How Therapy Enhances Psychopharmacology

Frank Anderson On The Process That Gets A Client’s Body On Board

NP0038: Who’s Afraid of Couples Therapy?

Welcome to our “Who’s Afraid of Couples Therapy?” This exciting series, back by popular demand, is based on our November/December 2011 issue on this topic and will explore the challenges of couples work. What are the most effective strategies in working with couples? How can therapists structure therapy—particularly in the early sessions—so that couples leave with a sense of hope, rather than frustration? Can working with individuals who have serious issues in their relationships actually be detrimental to them? Find out the answers to these questions and much more. In this first session with expert couples therapists Ellyn Bader and Peter Pearson, the creators of the Developmental Model of Couples Therapy, you’ll find out why clinicians often avoid working with couples and how you can better prepare yourself for couples therapy work. How can therapists most effectively work with emotion in the consulting room—particularly when it comes to couples therapy? Learn with internationally known couples therapist Hedy Schleifer how to help create a nourishing connection between partners, define a role as therapist-as-guide, and much more. Schleifer, who’s pioneered the training of Imago Relationship therapists internationally, will go into how to use this theory in practice and how to best work with emotions. What happens when partners in couples therapy have two different agendas in mind? Hear from expert William Doherty on this little spoken about topic. Learn how Discernment Counseling, an approach that helps couples clarify their feelings about the next step in their relationship, can help both clients and therapists. Is it possible to rebuild trust and intimacy in a couple’s relationship after a partner has had an affair? How can therapists help? Hear from Esther Perel, author of the international bestseller Mating in Captivity: Unlocking Erotic Intelligence, on how to help couples after an infidelity and the role that cultural perspectives have in this emotional situation. Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon. Learn more about what’s behind the feelings of anger and the behavior of withdrawing, and how clinicians can more effectively work with shame and fear of disconnection. Hear an unconventional perspective on couples therapy from David Schnarch, who believes that the best way to help couples is to challenge partners to change their individual behaviors and attitudes. Schnarch’s direct, upfront approach to helping clients will illustrate a different viewpoint on effective couples therapy. Join Marty Klein, a marriage and family therapist and certified sex therapist, us for a candid discussion about the assumptions that both clients and therapists often share that can get in the way of improving couples’ sexual relationships. Discover with Kathryn Rheem how to respond effectively when clients express strong feelings in session. Based on Emotionally Focused Therapy, you’ll explore attunement and how to use your own emotions to help clients move beyond attachment injuries. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Whole Psychiatry: Alternatives to Conventional Psychopharmacology with Robert Hedaya

Meds: Myths and Realities: NP0035 – Session 4

Is psychopharmacology is a 'go-to' in your practice? Join Robert Hedaya as he discusses how to treat the bodily systems that underlay many mental health issues while avoiding medication. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Treating the Mixed-Agenda Couple

Bill Doherty On An Approach For Unaligned Relationships

Tough Customers: Is It Them or Us?

Tough CustomersBy Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people!
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NP007 The Road to Clinical Excellence

This blog focuses on discussion regarding the course NP007 The Road to Clinical Excellence.
 
 

NP007, Excellence, Session 4, Michael Lambert

 

In this fourth presentation of The Road to Clinical Excellence, learn how to incorporate measures of change in session with Michael Lambert. Lambert, a researcher in the areas of psychotherapy outcome, process, and the measurement of change, will discuss how to include these measures in symptoms, interpersonal problems, social-role functioning, and quality of life in your work. He’ll explain how to determine a client’s progress between sessions, and when to use clinical support tools with the client if interventions have been ineffective.

We invite you to take a few minutes after this session to comment on what you’ve learned from this presentation, and from the course as a whole.What was new, or most interesting, or most relevant to you? What questions do you have? As always, if you ever have any technical issues, just email support@psychotherapynetworker.org for help!


07.28.2011   Posted In: NP007 The Road to Clinical Excellence   By Psychotherapy Networker
10
Comments
 

  • 0 avatar James Venneear 08.02.2011 13:25
    When you talk about"supershrinks" are you thinking of using micro-analysis to discover what the "supershrinks" do that is more client focused than what the average therapist does? Or are you thinking of another technique?
    Reply
  • Not available avatar Tim DeMott 08.02.2011 13:27
    What I found most interesting about Michael's research was it's robustness in the number of cases involved in his studies and the replication. The findings were quite interesting as well. The fact that he was unable to determine what the therapists were doing to improve but via the process there was consistent and significant improvement I find to be quite fascinating. Opens the door as he mentioned in the end to pursue what is working through further research. Just think about how much data could be generated for research towards improving our treatment if even a small fraction of the practicing therapists would buy into using this system. Thank you again for providing this most thought provoking and interesting webnar.
    Reply
  • 0 avatar Ronald Warner 08.02.2011 13:57
    If I understood you correctly- 40-60% of clients do not benefit from therapy. That is way lower than the studies I am familiar with -could you comment/

    You mentioned that with bi-polar meds are required -is that still a strongly held view based on the evidence?
    Reply
  • 0 avatar Merrilee Gibson 08.02.2011 16:55
    Thank you for expanding my horizons. It seems clear that I have much to learn, but when Michael Lambert says that in the end the patients benefit from the practices he describes, I as a therapist must learn more of this. I need time to digest this, and to read more, look at the slides, check the website, etc. This presentation offers exciting possibilities for the future if we who are in practice can get and apply the message.
    In short, thank you for a very thought-provoking presentation. I want to learn more.
    Reply
  • Not available avatar Dean Barley 08.05.2011 12:13
    Thanks so much for the summary of your work. Two questions: 1. Given the findings, for efficiency would you recommend not tracking those who are initially close to normal, since the biggest benefit is for those who are very disturbed and fall off track? 2. Can you clarify how developing more specialized clinical support tools for highly disturbed signal cases is different from seeking empirically supported treatments? thanks!
    Reply
  • Not available avatar denise horton 08.06.2011 17:20
    I am working for a DJJ residential program. They recently started implimenting the Columbia and SSaSSi instruments, which I mainly think tell if one has a mental health or substance abuse issue. What instruments are there to judge progress of these youth in this kind of program. I did start asking for client feedback and they say I did a 10 out of 10. I believe they are being kind and not honest. I enjoyed the past webcasts and did show one of them to the counselors I supervise. i had technical difficulties with other-(mainly my difficulty). Any help is welcome.
    Reply
    • 0 avatar Psychotherapy Networker 08.08.2011 10:17
      Hi Denise. Thanks for your participation and for your comment. Please feel free to e-mail support@psychotherapynetworker.org and detail your technical difficulties; someone from our Support Team will be sure to e-mail or call you back as soon as possible with help.
      Reply
  • Not available avatar Susan Miller 08.07.2011 13:35
    I felt confused after this seminar given Dr. Lambert's findings are quite different from those discussed by Scott Miller and Barry Duncan -- specifically with respect to the therapeutic alliance. On the other hand, I have worked in prison populations where the ct's/pt's motivation for therapy (or possibly the actual inability to change b/c of physiological and/or psychological issues)certainly contributed to minimal if any therapeutic change. I was surprised to hear from Dr. Lambert that 'Evidenced Based Practice' isn't successful... Prior to hearing Dr. Lambert, my 'take' was to improve in receiving consistent feedback from cts/pts, respond effectively to the feedback -- while using evidenced based practices... Both establishing an alliance w/and learning more effective tx methods for (medication as well as psychological intervention)'off track'cases seems important. My guess is the aforementioned will be addressed in future research. Again, thanks for providing ongoing exposure to research that makes me think!
    Reply
  • Not available avatar Carol Mc dermott 08.08.2011 20:13
    Dr.Lambert,
    Thankyou for your work. I was reminded that the most helpful for me in my work was undergoing my own therapy, first with the idea that it was vital as a learning tool and required in the Freudian model (the 1st model), second with developing my own psyche. It is always upsetting to me to have clients stop therapy (I work for a psychiatrist and all the appt's are handled by the staff, so sometimes I don't get feedback from them) or just don't improve. I am excited about all the tools that are coming our way from clinicians like you via our new technology. Also impressed by your connection to the basics.
    Love,
    Carol
    Reply
    • Not available avatar Michael Lambert 08.12.2011 12:37
      Thanks carol, I am really quite amazed about the degree to which these methods are helping at-risk clients. I hope such methods become a standard of care
      Reply
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