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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
Confronting the New Anxiety - Page 11

 

Fifteen year-old Nick was in therapy because he had such a hard time making friends, and didn't know that his imperious demands turned people off. At lunch, for example, he'd go to a table full of classmates and shove his way into a seat, saying something MTV-ish, like "move your ass!" The kids at the table weren't impressed; they'd tell him to get lost. So, time and again, Nick's anxiety about his lack of friends would spike.

I quickly began to understand why he had difficulty making friends, because Nick acted the same way with me, demanding, "Where's my food?" After a few times of grudgingly going along, I told him, "You know, usually I look forward to these snacks. But I don't feel like eating with you when you talk like that." Looking deeply puzzled, he said, "But that's just the way I always talk."

"And what do the other kids say when you start telling them, 'do this, do that?'" I asked.

Nick paused and thought. He wasn't defensive--when I ask these kinds of questions, kids often aren't. They're just surprised; it hasn't occurred to them that an adult might have feelings about what they do and that there may be a reason why peers don't find them inviting. Over the course of several months, he developed a little more self-awareness. At school, Nick gradually learned when and how to ask if he could sit with others. Slowly, he was accepted at the outer edges of the "nonloser" table--not the highest rung on the adolescent social ladder, to be sure, but better than before.

Mandy was a sweet girl of 15, who "mysteriously" alienated other kids. After a few sessions, it became clear why. Mandy got so wound up telling me a story that she'd repeatedly leave her chair and stand directly in front of me, completely lost in the details of her experience. I felt myself shrinking back in my chair. Mentally pushing aside the neat diagnosis of "nonverbal learning disorder," I decided to respond in the moment, saying, "Please, Mandy, move back a little and tell me from a little farther away. I can't concentrate with you practically on top of me."

She stopped, looked surprised, and said, "You mean I'm making you nervous?"

"Yes," I said, "I really feel pushed."

She looked taken aback.

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