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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
Blindsided - Page 9


Another of my first clients was a likeable and accomplished young health professional who sought my help after being caught by his wife looking at online pornography. He'd grown up with an alcoholic father whose behavior filled him with quiet rage and embarassment. He learned to keep himself under tight control, maintain distance from his family, and lead a fiercely independent life. His need to be distant and in control interfered with having an open, intimate relationship with his wife, and expressed itself sexually in pursuing gratification in the emotionally safe world of Internet pornography. I saw a "childhood curse" disabling this man from having a successful marriage and family. The stance that broke the spell was the continual assertion that he wasn't responsible for his father's behavior. He didn't have to take on his father's shame and didn't have to hide from or change his father's behavior to be okay. He was free to live his own life. Cursed no more, he's now enjoying his roles as a husband and father to a newborn son.

I'm a person of ordinary temperament who's faced down extraordinary experiences. So when I'm in the therapy room, I carry with me the confidence that my ordinary clients can get through what they are struggling with. Getting past my own suffering has given me courage to go into the depths of other people's suffering without fearing what might get stirred up in them or me.

I work with a middle-aged woman who has a disabling combination of medical and psychological symptoms. A survivor of physical, verbal, and sexual abuse in childhood, this woman was able to integrate multiple personalities in a prior therapy. She came to me devastated and suicidal after being precipitously and mysteriously left by the love of her life, a woman with whom she'd had a multiyear platonic relationship. Suicidal and self-mutilating, she was shoplifting (a survivor response), and had migraine headaches and fibromyalgia. Many times in the early going I dealt with crisis calls and crisis sessions, during which she was convinced that the only solution for her suffering was to kill herself.

Before my own struggles, I don't believe I could have conveyed the confidence and hope that were repeatedly called for at these times. However, knowing from my own experience that ordinary people can get through extraordinary struggles and that she herself had already done that by integrating multiple personalities, I stolidly reassured her that she'd make it. I believed in the woman and her strengths, and believed that she could find her way to a meaningful life and to the love and connectedness that she so desperately desired. Because of my own pain, I was able to sit patiently with her in her pain without having to "fix it."

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