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Angry Women, Withdrawn Men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 - Page 9


I helped Maria through the tougher exposures by reminding her of her previous successes, continually encouraging her efforts and urging her to "stick it out." Frequent Fearmometer ratings helped her acutely experience her anxiety escalate during exposure—cognitively, behaviorally, and physiologically—and then dissipate during habituation, which gave her powerful, tangible feedback about how fears can be extinguished. With repeated practices, these difficult exposures became easier, until she was able to complete them successfully. She and her parents were overjoyed to be able to hug again!

At home, Maria practiced the same exercises she'd completed in session. These exercises were discussed with her parents, so that they could make the time and be encouraging as she tackled her daily practices. She wrote in her diary what she practiced each day and how it went.

Within six sessions, Maria was able to ride the Worry Hill confidently and successfully. Now, it was time for her parents to stop enabling her. With Maria's consent, a "weaning plan" was developed to gradually extricate her mother from her entwinement in her daughter's rituals. In the next two sessions, I coached Maria's parents about how to carry out this plan. They gradually decreased the number of reminders, the physical assistance, and the extra checking they provided for their daughter. When she sought reassurance, they redirected her rather than providing answers reflexively. "Is that you asking, or is it OCD? Do you want us to help you or help the OCD? What do you think you need to do with that OCD thought?" They helped her remember that the uncomfortable feeling would pass if she just waited it out.

When she got distressed, they had to stick it out too, until their own anxiety passed. Maria's parents had to climb their own Worry Hill. It was a good experience for them to be in her shoes briefly and see how hard it can be to withstand anxiety. Although challenging at the beginning, the weaning gradually became easier because it was planned and discussed ahead of time, and Maria had already experienced success with ERP. They celebrated their successes together. After eight weekly sessions of CBT, Maria and her parents reported an 80-percent improvement in her symptoms. OCD worries were now passing thoughts rather than paralyzing fears.

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