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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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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NP0024 The Latest Advances in Trauma Treatment: New Perspectives on PTSD

This blog focuses on discussion regarding the course NP0024 The Latest Advances in Trauma Treatment: New Perspectives on PTSD.
 
 

The Five Essential Ingredients of Effective Trauma Treatment with Mary Jo Barrett

 

The Latest Advances in Trauma Treatment: NP0024 – Session 1

Welcome to "The Latest Advances in Trauma Treatment: New Perspectives on PTSD." This series will explore the clinical implications of the latest advances from attachment, development, and neurobiological research and how to effectively apply them with clients. What’s the best way to structure treatment with trauma clients? How can therapists help clients reshape their trauma narrative? How can clinicians effectively tailor therapy to meet clients’ needs in the context of trauma? Discover the answers to these questions and much more.

In this first session with Mary Jo Barrett, the founder and director of the Center for Contextual Change, she’ll explain what she’s identified as the five essential ingredients to effective trauma work, through the lens of a structured, collaborative method of working with clients.

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.


08.22.2012   Posted In: NP0024 The Latest Advances in Trauma Treatment: New Perspectives on PTSD   By Psychotherapy Networker
22
Comments
 

  • 0 avatar jane mizrahi 08.23.2012 12:10
    I can't get on to the webinar...anyone else??
    Reply
  • Not available avatar PN Support 08.23.2012 12:31
    If you are having trouble accessing the webinar, please email support@psychotherapynetworker.org.
    Reply
    • 0 avatar Wendy Amey 08.24.2012 09:06
      Hi - I'm registered for the free post session access, commencing today, Friday, 24 August - but cannot find a link - please advise. I hope it will be there long enough for me to access it. Regards Wendy
      Reply
  • 0 avatar Patricia Lavelle 08.23.2012 12:35
    I hope we are going to get to the five essential ingredients of trauma treatment. We have only one half hour left.
    Reply
  • Not available avatar Edie Mannion 08.23.2012 13:04
    Thank you!! So helpful!!!
    Reply
  • Not available avatar Lois Mitchell 08.23.2012 13:12
    I appreciated the emphasis on being organized and creating predictability in each session and saw this clearly in your presentation.
    Reply
  • Not available avatar Colleen M. Crary, M.A. 08.23.2012 13:16

    At last, at last, at last the trauma patient is being treated as an active participant in their recovery!

    After three decades of struggling with PTS, and "firing" over 27 therapists who didn't listen to me, misdiagnosed me and missed-treatmented me, I am so happy to see the psych community change.

    Now that I have 'recovered' and got my Masters in Forensic Psych, and now I am going for my psychology doctorate. Looks like it's "safe" for people like me to get a PhD or PsyD in a field that is moving forward in trauma treatment. I had been putting off my doctorate because I was so tired of the rigid academia in psych studies...now I'm full steam ahead!

    In 2009 I started a nonprofit to do the very things that you spoke of...It helps if great clinicians like you advocate a flexible, collaborative individual-based treatment.

    Thank you Mary Jo! \o/
    Reply
  • 0.1 avatar diane steeg 08.23.2012 13:21
    Thank You!! I will be placing a card on my desk with the 5 essentials as well as the three stages as a reminder to self.
    Really appreciate the mention of "touch" as I am a licensed therapist and certified bodyworker. Touch is a natural and helpful way to connect and stay connected if appropriate. The client feeling "safe" is paramount!
    Reply
  • Not available avatar Harvey Wolf 08.23.2012 13:28
    Very helpful. I work primarily with individuals facing chronic and life threatening illness,traumatic death,war vets. I learned many new things and also had what I do reinforced/validated which is important as the work does require tremendous energy and constant learning and growth. I look forward to the next sessions in this series....SIDE NOTE Very difficult to log on with my PC. Couldn't. I used my Apple laptop. Don't know if that was the difference as I had everything recommended in place on the PC...not sure what happened. Thanks for a great experience. Harvey Wolf,Psy,D,CSC
    Reply
  • Not available avatar Stephen Woods 08.24.2012 19:17
    Hello- I like the outline and stage orientation as guided work. I have a question I would live to have some feedback in. I do ED evaluations for commitment into hospitals. This is needed, but often uses a different action than therapy, there are times the pt does not want to go to a hospital but if they are not determined safe they get the forced option of going. This has been since I have been doing it contrary to therapy modalities in general and not something I will ever be comfortable with. What insight or action can you recommend concerning people's sense of betrayal if they do not want to be commited and are? Often we have people for a day and transfer them out so there is little chance for working on this. I do outline what happens, the general length of stay and services rendered- but is is still a forced option and can be traumatizing in and of itself. Any input or studies etc you can point me to will be greatly appreciated.
    Stephen Woods, MDiv, LPC
    Reply
  • Not available avatar Laura Bender 08.27.2012 10:56
    Would Mary Jo please say how she divides each therapy session into three parts and roughly what time allotment is given to each?
    Reply
  • Not available avatar sharron 08.27.2012 12:40
    Just wanted to say thanks, the concept of retraumatizing folks with our interventions was great.
    Reply
  • 0 avatar kim kmetz 08.27.2012 14:16
    excellent model of stages and essential ingredients.
    can you (MJB) please say more about how you stage and navigate issues of termination (read by the trauma survivor as abandonment) even when you have structured, organized, visioned, etc. i'm finding that even well-deserved strengths-focus congratulations about progress can trigger fears of loss.
    Reply
  • Not available avatar Andrew Schwartz 08.27.2012 23:32
    Woah! That was excellent! Indeed I'd like to listen to this about ten times, great material here. Thank you.
    Reply
  • Not available avatar Sneha Nikam 08.28.2012 09:44
    Really loved the presentation, very insightful and great learning. Thanks to both Rich Sir & Mary Ma'am.
    Reply
  • Not available avatar Martha Gunzburg 08.28.2012 10:22
    I enjoyed the presentation. it reinforced for me the importance of structure and predictability and the value of different modalities. In the interest of collaborative feedback, I am unclear about the term contextual treatment and would love to hear that explained. Also the subject of touching which was dealt with tangentially is so important. Rich, how about some articles and/or webinars devoted to this topic. I'm trained analytically, traditionally that has been a no-no. If and when used, I believe the therapist has to be clear about it as a planned intervention, knowing the client.
    Reply
  • Not available avatar Catherine White 08.28.2012 12:35
    Thanks Rich and Mary Jo for this. I found this inspiring and, well, energizing. Some of the ideas are familiar from previous trauma training (TREM) - specifically the idea that clients need to have the opportunity to state what is safe and not safe, and have their boundaries negotiated. the idea that "stage 1" could take 6-18 months is also helpful, and I certainly have seen this in my practice. I will be definitely make a card with the "five essentials" as a starting point....I wonder if anyone else feels challenged to integrate the numerous models and 'brands" to which we are exposed as therapists? Any thoughts about this?
    Reply
  • Not available avatar Robin 08.28.2012 12:40
    I particularly liked the breakdown of the first stage: explaining very clearly to the client what therapy will look like. So often we assume that the client will just know somehow! The statement that the trauma happened to the client and that we need to not have the therapy also happen to the client was very powerful. Thank you.
    Reply
  • Not available avatar jane mizrahi 08.29.2012 20:07
    Hi, Mary Jo..that was a wonderful presentation.
    I am an LCSW in residential treatment with teen girls who have experienced profound abuse and neglect.
    Working with teenagers is different for so many reasons...can you recommend specific resources?

    thanks again, love your energy. Jane
    Reply
  • Not available avatar Ann 08.29.2012 22:38
    Darn, I misunderstood the timing of the free broadcast. Is there any way I can see this first session now?
    Reply
  • Not available avatar Ruth Ann Harnisch 08.31.2012 15:19
    Plato is alleged to have said, "Be kind, for everyone you meet is fighting a hard battle." In my experience, most coaching clients appreciate Mary Jo's suggested "Collaboration and Predictability."
    Clients also appreciate when a coach conveys confidence and assurance that a prescribed course of action always creates a shift.
    Coaching is also future-focused, not past-looking, so this aspect of Mary Jo's framing is very useful for coaches.
    And EVERYBODY wants to feel safe, so I will begin new coaching relationships by asking in the first minutes what it will take for the client to feel SAFE.
    Thanks for a session with immediately applicable concepts.
    Reply
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