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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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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NP0025: Treating Anxiety: Latest Advances

This blog focuses on discussion regarding the course Treating Anxiety: Latest Advances.
 
 

The Neurobiology of Anxiety with Margaret Wehrenberg

 

Treating Anxiety: The Latest Advances: NP0025 – Session 2

Learn how to clearly convey neuroscience information to clients in ways that can have a calming effect and enhance treatment effectiveness. Join Margaret Wehrenberg as she reviews how brain science has allowed therapists to match treatment to the brain structures characterizing anxiety and discusses why it is helpful for clients to have an understanding of neuroscience in treatment.


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.


09.25.2012   Posted In: NP0025: Treating Anxiety: Latest Advances   By Psychotherapy Networker
8
Comments
 

  • Not available avatar Conrad larkin 09.26.2012 10:06
    Any suggestions on how to work with COPD patients who when challenged with getting ox2 go into panic?
    Reply
  • Not available avatar Ruth Cooper 09.28.2012 17:55
    Peggy,

    You described the client who is high in norepinephrine and low in GABA. Do you ever suggest to these clients that they take a GABA supplement? I have read that the pills do not cross the blood-brain barrier, but I have also had clients like this take GABA and find it very helpful--could be placebo effect, of course. Any thoughts?
    Reply
  • 0 avatar edward plimpton 09.30.2012 07:48
    Dr. Werenberg talked about the two sides of the amgdala performing different functions with regard to fear.
    If the right side of the amgdala is not working- what do either animals or humans look like with just the left side working? Perhaps a somewhat academic question, but I am curious about what "subcortical" evaluation of risk might look like.
    Reply
  • Not available avatar Lynda 09.30.2012 13:30
    I am increasingly fascinated with all the neurobiology research and its use in sessions. I have found it very useful in helping to relieve the shame and self blame that clients have around their mental health challenges. Thanks to dr. Wherenberg for helping to legitimize this approach. Rich: great questions as always.
    Reply
  • Not available avatar Renee Segal 09.30.2012 16:58
    I really appreciated the comments about thought replacement and letting the mind wonder to positive thoughts. The metaphors were also helpful about the new grass or picking at a scab.
    Thank you very much,
    Renee
    Reply
  • Not available avatar Carol McDermott 09.30.2012 17:29
    This was a helpful program, particularly the inclusion of persistance and held beliefs. Peg, you can count me in on the number of therapists who have used the knowledge from neuropsychobiology to alleviate the suffering from high drive and rumination. I think your allegories are great and will use them right away. I love thinking about the left and right parts of the amygdyla as talking kindly to each other.
    I have used Rick Hansen's information (about needing 10 to 20 seconds for the brain to hold pleasant experiences in short term memory) to reinforce my teaching to stop and feel the goodness of each completed task.
    Thank you,
    Carol
    Reply
  • Not available avatar Andrew Schwartz 10.01.2012 10:21
    An enjoyable conversation. I liked the metaphor of the grass and the need to allow it to grow. I also liked the formulation, "the less you panic, the less you will panic."

    One observation: it strikes me as imprecise, after watching this interview, to speak of neurobiology "informing" the process of therapy. We do not need neurobiological science to appreciate the importance of self acceptance and the acceptance of a certain portion of reality being out of our control, and we do not need neurobiological science to appreciate the importance of persistence in changing habits. What does seem to be the case is that the language of neurobiology can assist some therapists and clients to appreciate these things, I would imagine by symbolizing them in concrete and realistic imagery (of neurons and brain stems and so on). But the influence on therapy seems to me to be in the provision of metaphors in the form of scientific terminology, rather than in a more basic application of new scientific knowledge.

    I don't necessarily see this as problematic, except insofar as we're unconscious of it, and also insofar as ultimately, we want to move people toward self-affirmation, and avoid strengthening an unhealthy need for institutional approval.

    That being said, I had one question for Dr. Wehrenberg: I'm intrigued that she uses both EMDR and meridian tapping, and I wonder how she would describe the difference between these two in terms of what each accomplishes and when each is appropriate.

    Thanks again for an enjoyable discussion!
    Reply
  • Not available avatar Sharon 10.02.2012 14:49
    I was expecting more on neurobiology and less about how to treat. I was disappointed.
    Reply
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