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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
The Worry Hill - Page 10


After the RIDE

Parents and children need to be prepared for the reality that OCD "slips" or relapses can happen, particularly at times of stress and transition. When prepared, they're likely to have an organized and productive response, and less likely to become demoralized. Relapse-recovery training involves having realistic expectations about the future, recognizing the early signs of relapse, keeping things in perspective, and intervening immediately. I helped Maria and her parents think about relapse recovery in the context of the Worry Hill metaphor: "When you fall off your bicycle, you pick yourself up. If you made no attempt to get up, you wouldn't get anywhere. If you want to move on, you get up, dust yourself off, survey the damage, attend to it, and get right back on that bicycle."

Therapy sessions were tapered off to once every other week and then to once a month for the next four months. These booster sessions were described as "tune-ups" for the bicycle ride, to make sure everything was still working well. We focused on nipping OCD symptoms in the bud. Maria and her parents discussed any symptoms that were present, and we'd repeat the ERP process for each of them.

Maria maintained treatment gains well for about a year before she experienced a "slip" at the beginning of the school year, when she began to have obsessive thoughts about getting AIDS. But she was back on track within two weeks, because both she and her parents were prepared for it, knew that times of transition or stress might trigger a relapse, and were prepared to ride up the Worry Hill again without getting unduly demoralized. Maria went through ERP exercises similar to those she undertook about hepatitis a year earlier. Her parents were careful not to enable her this time, and instead of giving her mindless reassurances, challenged her to face her fears and ride the Worry Hill, which she did successfully again.

It's been four years, and Maria is now 15 years old. She's successfully transitioned to high school. She reports occasional symptoms and "quirky" rituals, which she's been able to nip in the bud. She's doing well and looking forward to becoming a journalist when she grows up. She says she'd like to write some articles to tell others how she conquered OCD, to bring hope and optimism to the many children who are still struggling.

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