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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!

Does This Kid Need Medication? with Ron Taffel

Meds: Myths and Realities: NP0035 – Session 3

Do you feel like you could be a more effective therapist with your younger clients? Do you find it hard to determine when interventions--psychological and pharmacological--might be needed? Join Ron Taffel and learn to identify key diagnostic signs that indicate medications could be helpful when dealing with depression, anxiety, AD/HD, and affective disorders. 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.
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  • 0 NP0015 21st-Century Trauma TreatmentNP0015, Trauma, Session 4, Ken Hardy 02.29.2012 14:11
    Excellent. Thank you immensely!
  • 0 NETWORKER EXCHANGEThe Decline of Big Pharma and the Rediscovering of Psychotherapy 12.28.2010 14:05
    Then perhaps those clients were not diagnosed properly. For if one is truly clinically depressed, medication will not "numb you up", in fact, if you don't need it, it won't do much of anything at all---even if anxiety-disordered, if the right medication and dose is prescribed, it will not "numb you up"---and for those who have ADHD (and here I will speak about adults with ADHD), it can severely impact their professional lives and also personal lives. Why would medication be withheld? Why would it not be tried first thing unless the patient doesn't want it? When a person with adult ADHD is given meds for ADHD (if they will take medication) they will NOT respond as if on speed. IF they do, they've been incorrectly diagnosed. An adult with ADHD will find the right med (and dose) to be soothing (NOT stimulating) and will be able to focus in a consistent way, even if the task is something they do not like (ie, a task at work that must be done that they would have much difficulty with otherwise.)

    To say that "no medication can provide that" and (re: skills so "they can learn to live again" seems to miss the point I made earlier---the brain is just as "medical" as the knee, as the heart, as the kidney, liver, etc.--it's the executive center!

    Who would tell a person who has a severed ACL in their knee to cope with it by walking more slowly, by avoiding sports, never skiing again, etc? For that's what it would take and this could be done. If someone is adamantly opposed to surgery they can limit themselves and NOT have an ACL reconstruction. If an ACL replacement IS done (which involves surgery which we all know is high risk--surgery always is) then all of the activities that were done previously can be done again---there need not be coping skills "taught" where a person has to learn how to live again with a ruptured ACL in their knee. I watched my husband at age 40 try to do just this as his doctor said...that he was too "old" to require an ACL reconstruction (ie, he was not a professional athlete, etc.) This was all bunk. My husband had an ACL reconstruction with PT after and within a year could do anything he could do before, to include running, skiing, tennis, etc. without his knee going out on him.

    I think we sell our patients short (or border on malpractice) when we don't give them the option of medication when the medication will treat a medical mental illness. This said, I think there are many therapies and a reason for that. But we do best to be wise and not married to any one pet theory or treatment---or we might treat our patients poorly and short-change them.
    Again, I fear that diagnostics are not being taught in an integrative way anymore. Clinical major depression, unipolar and bipolar depression are NOT "sadness"or coping problems, and are not due to a "lack of coping skills"---clinical depression is a medical illness and deserves the right to be recognized as such! If you get pneumonia you don't want to be instructed in "how to breathe."
  • 0 NETWORKER EXCHANGEThe Decline of Big Pharma and the Rediscovering of Psychotherapy 12.24.2010 18:18
    Back in the day when practices actually had an integrative approach (with psychiatrists, clinical social workers, psychologists, family therapists, etc. all in the same practice)---things were far different than today. I see the mental health system today as fragmented and often doing a disservice to clients and to practitioners.

    Re: depression---if it is clinical (chemical) then medication can be extremely helpful (or if it is major depression with psychotic features then why would meds be withheld?) And why would meds be withheld except in the worst case scenarios? Sometimes meds are pretty much all that's needed (after education about these meds and the clinical depression is discussed--short term supportive therapy), sometimes meds and a lot of psychotherapy are both needed, sometimes meds and CBT are the ticket, or psychotherapy alone, etc.

    If the diagnostics are off, then the treatment will be also. What bothers me today is that with the fragmentation of care, I think the diagnostics are quite often off. Then it doesn't matter what is done, it won't be of help in the way it can be.
    Just tossing scripts at patients can be a problem, doing only psychotherapy (and being married to that position) or only CBT can all be problematic, I think.
    I've seen unipolar and bipolar depression be misdiagnosed as schizophrenia or borderline, I've seen meds given when they weren't needed and another type treatment was, I've seen CBT used only when the practitioner is versed just in that treatment or mainly in that treatment, I've seen patients in psychotherapy who were classic ADHD who did need meds go without them for far too long, spending too much time and money in psychotherapy.
    The bottom line to me is being a top-rate diagnostician first and foremost. If that not gotten right, then forget the whole thing. If the diagnostics are right (or close as they can be at this time) and an integrative approach is taken, then we all do better.

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