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Angry Women, Withdrawn Men

Jette Simon on Breaking Through in Couples Therapy

PP0004: Treating Anxiety: The Latest Advances

Dramatically shorten treatment time and improve clinical effectiveness with a new powerful motivational approach to anxiety and other presenting problems. Join David Burns as he uncovers and dispels resistance to treatment and enhances collaboration between therapist and client. 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. Expand your understanding of the sources for different kinds of anxiety along with your repertoire of interventions. Join Danie Beaulieu as she explores what metaphors, visual images, and multisensory messages you can use to more fully engage clients and achieve greater impact than is possible with purely word-bound communication. Learn techniques drawn from Neuro-Linguistic Programming that target the auditory and visual representations that clients make. Join Steve Andreas as he brings about immediate and enduring changes in clients perceptions and feelings as they deal with anxiety. Learn the 3-step program to help parents and children deal with anxiety. Join Lynn Lyons as she teaches exercises that help normalize anxiety (de-catastrophize it), externalize it (turn the internal state into external metaphors that can be dealt with more readily), and experiment with it (find innovative, playful ways to deal with it). Join Reid Wilson as he explores a step-by-step approach that helps clients shift their relationship with panic so they can overcome their anxiety. By gradually learning to approach, exaggerate, personify, and caricature panic, the client is able override the responses that perpetuate anxiety. 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.

Creating Multiple Streams of Income with Casey Truffo

Expand Your Practice: NP0037 – Session 3

Learn how to leverage your time and energy by distinguishing between having a job and running a business. Join Casey Truffo as she discusses how to increase your income, include new offerings in your practice, and still deliver your therapeutic services. 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.

Whatever Happened to Parental Authority?

Parental AuthorityBy Rich Simon It seems astonishing that even just two or three decades ago, parents not only pretty much knew what was expected of them to turn their offspring into civilized adults, but they could actually count on society to back them up. Even more astounding, kids seemed to understand this, too. Even if they rebelled against, yelled about, or sullenly resented how “unfair” adults were, they seemed to acknowledge adult authority and realize that they would just have to wait until they turned 18 to get for themselves the keys to the kingdom of grown-up independence.

Why Clients Will Pay More For An Intensive Session

Casey Truffo On Structuring A Therapeutic Intensive

The Worry Hill

 

The Worry Hill

A Child-friendly Approach to OCD

By Aureen Pinto Wagner

Maria was 9 years old when she heard a TV news item about an outbreak of hepatitis that originated at a local bakery. Long after the alarm had subsided, she couldn't stop worrying about it. At first, she feared that she might have contracted hepatitis and began washing her hands with increasing frequency. Then she began to worry that she herself could spread hepatitis and be responsible for the deaths of others. She refused to touch or hug anyone, including her parents. This was followed by a constant fear that she'd contaminate the seats on which she sat at home, at school, and on the bus. Maria began wiping herself clean to the point that she was chafed and bleeding. By the time she came in for treatment a year later, she was spending 45 minutes in the shower, 30 minutes at the sink each time she washed her hands, and 45 minutes cleaning up after each time she used the toilet. She barely made it to school most days. Maria's mother felt compelled to assist her daughter with her cleansing rituals and to provide endless reassurance that she wouldn't get hepatitis. If she didn't do so, Maria could be in the bathroom for four to six hours, and definitely wouldn't make it to school that day.

Maria has obsessive-compulsive disorder (OCD), an often debilitating condition that affects from one to three percent of children in the U.S. A growing body of evidence suggests that neuropsychiatric, genetic, immunologic, behavioral and cognitive factors may all play a role in the development and maintenance of OCD. Over the past 15 years, the literature has repeatedly shown that OCD in children can be successfully treated with cognitive-behavioral therapy (CBT)—specifically, exposure and ritual prevention (ERP). CBT has a 65- to 80-percent success rate with youngsters, similar to the success rate with adults. ERP involves gradually facing one's fears to test their reality while refraining from rituals. It helps people with OCD realize that their obsessive fears don't come true and that the anxiety they experience subsides as a result of autonomic habituation.

But while CBT is widely considered the treatment of choice for children with OCD, effectiveness is contingent on overcoming a formidable obstacle: children's reluctance to engage in ERP because they think that facing their fears without performing rituals will be too scary and impossible. The therapist and the children's families must find a way to help the children get past the discomfort of giving up rituals that seem to protect them against overwhelming fears. To do that, I've devised a CBT treatment approach tailored to the special needs and cognitive capabilities of children. It's aimed at thoughtfully cultivating treatment readiness before embarking on ERP.

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