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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
In Consultation: The Motherhood Marathon - Page 4

 

Address the psychological consequences of motherhood. For many women, the intensity of making a family worsens preexisting problems and raises new issues, such as feeling torn between home and work. Besides using relatively generic approaches for these (e.g., shoring up temperamental vulnerabilities to maternal stress and cognitive skills for thoughts of inadequacy), I've seen the benefits of adding more "mother-specific" elements:

- Prime the pump. Many of my clients are sprinting their way through the marathon of motherhood, so they benefit from finding ways to slow down and get more refueling. These might include getting more help from their partner or others, scheduling (and protecting) some down time, or resuming self-nurturing activities (e.g., crafts, meditation).

-Explore "ghosts in the nursery." Developing more coherent narratives about one's childhood both promotes well-being and fosters better parenting. So I'll help my clients reflect about their upbringing and how it shapes their reactions to being a mother today.

- Emphasize stress-relief skills. I routinely teach methods like diaphragm breathing, soothing imagery, and recalling pleasant feelings, and we'll discuss how a client could use them during a hectic day.

- Take in positive experiences. Unlike negative experiences, positive ones usually must be held in awareness for many seconds to become stored in emotional memory. But mothers routinely zip from activity to activity without "soaking in" good experiences that could become resources for resilience and self-worth. So I'll often review a simple, four-step method: turn a positive moment into a positive experience, savor it, sense it sinking in, and imagine it replacing old negative experiences.

- Consider medication, with caution. Psychotropic meds must be evaluated carefully for breastfeeding and pregnant women, with referrals to psychiatrists who have real expertise with mothers.

 

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