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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
Tapping into Strengths - Page 4


As I reviewed this story in my head, I realized I'd stumbled into strength-based territory. "There's a solution," I thought! "They should do more of that."

I stated clearly to the two of them that the behaviors their son was exhibiting wouldn't yield to direct, escalating punishments. Although discipline was certainly a part of the picture, exiling a child with this kind of psychological profile into an empty room for hours at a time was likely to backfire. I asked whether they'd consider the possibility that some part of a solution might lie in "the story with the hedge-clippers." Why did they think that the evening finally ended so well? "We wore him out" "We distracted him," they said. Fair enough, I thought, but I asked Paul, "Do you think anyone but you could have made that happen?" A thoughtful silence was the only response. Then, after a moment, Janet said simply, "Daniel likes spending time with his father."

In doing resilience-informed therapy, the therapist tries to find the family's strength and resilience that's seemingly embedded in—or buried under—a simplistic story of symptoms, problems, and failure. One way of looking for the gem encased in clay is to focus the therapeutic faculty of curiosity. Instead of asking a parent, "How many times did Johnny miss school this week?" ask, "What are your hopes and dreams for Johnny's future?" In this way, the "presenting problem" is subsumed into a broader, more complex family story.

By this time, we'd come to the "treatment recommendation" phase of our consultation. I proposed to the family and their therapist that they focus their future work together on encouraging Janet and Paul's creativity, intuition, and clearheaded devotion. They were to think of Daniel's stealing as a symptom of past events that they couldn't change. Discipline should be clearly defined, time limited, and as dispassionate as possible—such as writing assignments and loss of privileges—with no more family lockdowns or forced isolation. Most important, though, the long-term solution to Daniel's problem, and theirs, would be loving attachment, enacted in more episodes like the evening when Dad and Daniel clipped the hedge by moonlight.

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