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Stealthy Change, Healthy Change

Three Ways to Practice Presence

Donald Altman

By Donald Altman - Helping clients make changes isn't always easy. How can we stealthily introduce change through mindfulness? It may not be as daunting as it sounds. Here are three easy-to-use practices for getting started.

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Is Antidepressant Ketamine a Game-Changer?

Despite Its Growing Popularity, Some Therapists are Cautious

Chris Lyford

By Chris Lyford - In just a few years, the number of clinics administering ketamine, an anesthetic-turned-antidepressant, has spiked rapidly. After about six ketamine infusions, 70 to 80 percent of participants with treatment-resistant depression no longer experience symptoms, and usually within hours. But despite the hype, some therapists are recommending caution.

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The Cure Myth

We Need to Start Treating Anxiety and Depression as Chronic Conditions

Margaret Wehrenberg

By Margaret Wehrenberg - I’ve begun to put aside my idealized view that unless people overcome their difficulties once and for all, therapy is somehow a failure. That perspective seems simplistic and disconnected from the realities of what psychotherapy can actually provide. Evidence continues to accumulate that many people who have anxiety and depression suffer bouts of it all their lives, even after a good response to therapy.

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What Can We Do to Stem the Suicide Spike?

An Interview with Psychiatry Professor and Author Kay Redfield Jamison

Ryan Howes

By Ryan Howes - Helping suicidal clients is one of the most important interventions we can make as therapists, and it’s one of the scariest aspects of our work. Kay Redfield Jamison, psychiatry professor and bestselling author, shares her thoughts on how the fields of medicine and psychology can work to better understand and treat severe mood disorders and suicidality.

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The "Marbling" Approach to Treating Depression

Three Simple Methods for Joining Depressed Clients While Still Inviting Possibility

Bill O'Hanlon

By Bill O'Hanlon - Repeating patterns can "groove" the brain; that is, your brain gets better and faster at doing whatever you do over and over again. This includes "doing" depression, feeling depressed feelings, and talking about depression. To counter this effect, I like to use a method I call "marbling," going back and forth between investigations of depressed and non-depressed experiences and times.

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Beyond Beige

Surviving a Battle with Severe Depression

Martha Manning

By Martha Manning - Depression hits you where you live, annihilating even the basic functions, and graduating to the most complex. At its worst, depression extinguishes the pilot light, depriving you of the substrate that makes you feel real.

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The Healing Power of Taking Baby Steps

Hope Follows Action, Not the Other Way Around

Yvonne Dolan

By Yvonne Dolan - Favoring positive emotions and subtly trying to subdue negative ones can sometimes backfire. Though focusing on mundane tasks in the present can seem impossibly beside the point for someone who has suffered a life-shattering event, it can help build, inch by inch and then yard by yard, a pathway out of despair and into the fullness of life.

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How to Develop a Safety Plan with Suicidal Clients

A Process of Inquiry That Promotes Empathic Connection

Douglas Flemons

By Douglas Flemons - Suicide assessment is a high-stakes process infused with uncertainty. However, even the best scales can be unreliable when they’re completed in the midst of an emotional crisis. Rather than outsourcing your decision-making to an instrument, it's important that therapists learn how to conduct a conversational evaluation that builds on their therapeutic skills.

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How Mindfulness Can Boost Your Self-Esteem

Cultivating Self-Compassion with Your Inner Critic

Tim Desmond

By Tim Desmond - Buddhist practices hold potential for helping clients, particularly those suffering from low self-esteem. One of the main goals of Buddhist meditation is cultivating compassion and love. Here are several techniques that focus on developing these qualities toward oneself.

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Is Mood Science a New Way to Treat Depression In Therapy?

What Low Mood Can Teach Us About Treating Depression

Jonathan Rottenberg

Depression has been a tough nut to crack, but we haven’t focused much on what’s at the center of that nut: mood. Understanding the forces that are seeding low mood in the depression epidemic can help us better understand how to achieve better therapeutic outcomes.

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