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By Dr. Dawn-Elise Snipes
4.7
546546 ratings
The podcast currently has 1,076 episodes available.
Chapters:
00:00:00 - Understanding Pornography and Its Effects
00:05:09 - Reasons for Engaging in Sex and Porn
00:10:37 - Motives for Having Sex
00:15:45 - Negative Consequences of Overusing Porn
00:20:46 - Dysfunction of the HPA Axis and Problematic Use
00:25:29 - The Impact of Pornography on Relationships
00:30:32 - Objectification in Pornography and its Interpersonal Effects
00:36:13 - The Impact of Pornography on Relationships
00:41:30 - Challenges and Perceptions of Sexual Schema
00:46:31 - Promoting Stigma and Shame
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Video Title: Ethics, Counseling Skills Development, Self-Care, and Ongoing Supervision
Presenter: Dr. Dawn-Elise Snipes
1. Introduction to Ethical ImperativesChapters:
00:00:00 - Ethical Imperatives in Counseling
00:07:00 - Exploring Treatment Options
00:14:07 - The Impact of Gut Health on Mood
00:21:19 - Resources for Continuing Education
00:28:48 - Impact of Past Experience on Current Interaction
00:35:47 - Authoritarian leadership and its impact on burnout
00:42:49 - Job Sharing and Work Environment
00:49:49 - Tips for Maintaining Work-Life Balance
00:56:43 - Treatment Plan Reassessments
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Video Title: Managing Depression: Tips and Strategies
Presenter: Dr. Dawn-Elise Snipes
1. Introduction to DepressionChapters:
00:00:00 - Developing Respect
00:06:02 - Valuable qualities and respect inventory
00:11:49 - The Importance of Respect in Relationships
00:18:02 - Communicating Expectations
00:24:11 - Addressing Disrespect in Relationships
00:30:16 - Respecting Personal and Partner's Boundaries
00:36:21 - Respecting Boundaries in Relationships
00:42:12 - Communication and Respecting Boundaries
00:48:11 - Unequally Yoked with Unbelievers?
00:54:05 - Examining Facts and Beliefs in Relationships
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Chapters:
00:00:00 - Differential Diagnosis of Personality Disorders from a Trauma-Informed Perspective
00:06:56 - Characteristics of Paranoid Personality Disorder
00:13:38 - Trauma's effect on mood and libido
00:20:22 - Unusual Perceptions and Magical Thinking
00:27:13 - Characteristics of Dependent Personality Disorder
00:33:59 - Borderline Personality Characteristics
00:40:54 - Differential Diagnosis and Co-occurring Disorders
00:47:27 - Differential Diagnosis of Personality Disorders
00:54:12 - Differentiating Personality Disorders from Other Conditions
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Here is a structured bullet-point summary of the video titled "Restoring Your Marriage with God: Developing Endurance" presented by Dr. Dawn-Elise Snipes:
---
---
Chapters:
00:00:00 - Developing Endurance in Your Marriage
00:04:21 - The Endurance of Mistakes and Fallout
00:08:59 - Endurance in the Bible
00:13:19 - Increasing Motivation for Growth
00:17:29 - Distress Tolerance Skills in Relationships
00:21:51 - Calming Down and Having Productive Discussions
00:26:01 - Overcoming Resistance to Change
00:30:10 - Building Endurance and Courage in Relationships
00:34:08 - Making a Plan and Facing Challenges
00:38:16 - Increasing Endurance through Effective Communication
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### Treatment Planning
- **Importance**: Many clinicians and interns struggle with writing effective treatment plans.
- **Tools**:
- **Integrative Summary**: Provides an executive summary of the patient's story, supports diagnosis, and identifies problems to drive treatment planning.
- **Standardized Instruments**: Used for guiding treatment planning, such as FARS, CANS, ASAM, and LOCUS.
### Integrated Summary
- **Purpose**: Summarizes the patient’s condition, diagnosis, and impacts of identified problems.
- **Use**: Drives treatment planning by connecting symptoms to the diagnosis and planning interventions.
- **Key Components**:
- Summarize presenting problems and evidence of impairments.
- Define the diagnosis and support it with evidence.
- Provide treatment recommendations.
- Include a relapse prevention plan.
### Reassessment
- **Purpose**: Evaluate patient progress, note any changes in their condition, and adjust treatment plans as needed.
- **Frequency**: Recommended to be done at least monthly to ensure up-to-date care.
- **Components**:
- Reassess the patient’s current status.
- Evaluate progress on goals and identify new challenges or strengths.
- Adjust treatment plan accordingly.
### Standardized Instruments
- **FARS (Functional Assessment Rating Scale)**:
- Evaluates various symptoms such as depression, anxiety, and cognitive performance.
- Helps in tracking progress by rating symptoms at regular intervals.
- **CANS (Child and Adolescent Needs and Strengths)**:
- Focused on trauma and development issues in children and adolescents.
- Considers family, developmental needs, trauma, and substance use.
- **LOCUS (Level of Care Utilization System)**:
- Assesses risk of harm, functional status, and recovery environment.
- Used often with clients to determine the appropriate level of care.
- **ASAM (American Society of Addiction Medicine Criteria)**:
- Measures the need for treatment in six dimensions, including substance use and biomedical conditions.
- Broad and effective for evaluating comprehensive needs.
### Effective Treatment Planning
- **Goals**: Set measurable and achievable targets.
- **Client Involvement**: Engage the client in the planning process to ensure motivation and adherence.
- **Reassessment**: Conduct frequent reassessments to monitor progress, identify obstacles, and adjust plans as needed.
### Common Pitfalls in Treatment Planning
- **Lack of Measurable Goals**: Goals should be specific and measurable.
- **Insufficient Client Feedback**: Clients should be involved in their treatment planning process to ensure they are motivated and invested.
- **Failure to Reassess Frequently**: Regular reassessments are critical to adjusting treatment plans and maintaining client motivation.
### Time-Effective Strategies
- **Client Participation**: Involving clients in the treatment planning and documentation process.
- **Use of Worksheets**: Clients fill out treatment planning worksheets at home, focusing on what's important to them and identifying problems.
### Conclusion
- **Empowerment**: When clients participate in the treatment planning process, they are more empowered and motivated.
- **Concurrent Documentation**: Involving clients in documentation during sessions can improve their engagement and understanding of the treatment process.
Chapters:
00:00:00 - Treatment Planning and Reassessment
00:05:21 - Supporting Diagnoses with Evidence
00:10:34 - Integrated Summaries and Reassessments
00:15:45 - Treatment Plan and Family Involvement
00:20:56 - Enhancing Motivation and Reassessing Progress in Treatment
00:26:01 - Identifying Resources and Strengths
00:31:41 - Assessing Presenting Issues and Needs for Treatment
00:37:09 - Addressing Fatigue: Learning and Planning
00:42:37 - Client Participation in Treatment Process
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(Release was delayed, unreleased episode 980)
### Summary of the Video
**Introduction**
- Welcome to Part Three of Interpersonal Skills series.
- Focus on how past impacts present relationships, especially primary attachment relationships.
- Host: Dr. Donell Snipes.
- Objectives: Identify signs of relationship insecurities, explore past relationships' impact on present ones, and identify interventions for addressing relationship insecurities.
**Signs of Relationship Insecurities**
- Difficulty trusting partner.
- Regularly comparing oneself or partner to others.
- Requiring frequent reassurance.
- Anxiety when separated.
- Internalizing negative thoughts and creating self-fulfilling prophecies.
- Feeling of distance or detachment.
- Reading negative into partner’s words or actions.
**Impact of Past Relationships**
- Past relationships, including primary attachment and friendships, influence current relationships.
- Carrying baggage from past relationships can impact new relationships.
- Holding current partners responsible for past hurts.
- Idealizing past relationships and comparing them to present ones.
**Unhealthy Relationship Characteristics**
- Chaos, abuse, neglect, boundary violations, invalidation.
- Appearance-focused rather than genuine connection.
- Role reversals in parent-child dynamics.
- Low self-esteem and feeling inadequate despite best efforts.
- Difficulty trusting people due to past unpredictability.
**Interventions and Activities**
1. **Relationship Inventory:**
- Assess primary attachment relationships and significant adult relationships.
- Identify learned behaviors and characteristics from these relationships.
2. **Brick and Backpack Activity:**
- Write names of past relationships on bricks, carry them in a backpack.
- Reflect on the weight and impact of carrying past relationship baggage.
3. **Venn Diagrams:**
- Compare and contrast past and current relationships to identify unique aspects.
4. **Collage and Advertising Campaign:**
- Create a collage of self-appreciation.
- Develop an advertising campaign highlighting personal strengths.
5. **Thought Stopping and Handling Hecklers:**
- Techniques to manage and redirect negative self-talk.
6. **Heartbreak Pot:**
- Break and reassemble a terracotta pot, symbolizing healing and support systems.
**Embracing Imperfection and Communication**
- Accepting that neither partner will be perfect 100% of the time.
- Importance of open communication and mindfulness.
- Articulating needs and expectations clearly.
- Developing rules for resolving challenges.
- Regular self and relationship maintenance.
**Grieving Past Relationships**
- Understanding the grieving process for past relationships.
- Reviewing messages received about dealing with loss.
- Identifying and processing continuing issues from past relationships.
**Summary**
- Recognizing and addressing insecurities stemming from past relationships.
- Importance of self-awareness, communication, and maintenance in healthy relationships.
- Encouragement to embrace imperfections and work towards synergistic partnerships.
---
### Major Time Codes
0:00 Introduction by Dr. Donell Snipes, overview of session objectives.
3:20 Signs of relationship insecurities, common indicators of problems.
10:15 Impact of past relationships on current dynamics, carrying baggage.
18:45 Unhealthy relationship characteristics, examples and consequences.
26:30 Interventions and activities, practical exercises for addressing issues.
39:00 Embracing imperfection and communication, tips for healthier interactions.
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### Summary
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Understanding triggers and cravings
- Goals: Define triggers and cravings, identify personal triggers, and discuss coping methods
#### Defining Triggers and Cravings
- **Triggers**: Anything prompting a rewarding or survival response.
- Examples: Touch (hot stove), sounds (alarm clock), sights (child's smile), smells (fall air), places (dentist's office), people (reminding you of someone), situations (new job).
- **Cravings**: Repetitive, consuming thoughts or desires caused by triggers.
- Example: Food commercials triggering hunger at night.
#### Components of Triggers
1. **Sensory Awareness**:
- Body perceives a stimulus and sends it to the brain.
- Brain retrieves a schema to interpret and respond to the stimulus.
- Neurochemical release depending on the schema (fight or flight, pleasure).
2. **Cognitive Awareness**:
- Includes flashbacks and intrusive thoughts.
- Brain determines how to handle the situation based on past experiences.
3. **Systemic Awareness**:
- Body notices imbalances (blood sugar, dopamine levels).
- Brain looks for past coping mechanisms to address the imbalance.
#### Coping with Triggers and Cravings
1. **Identify Personal Triggers**:
- Recognize triggers for specific feelings, thoughts, and behaviors.
- Example: Hunger, tiredness, environmental factors (places, times of day).
2. **Developing Awareness**:
- Be mindful of surroundings and internal states.
- Journal recent triggers and analyze early warning signs.
3. **Increase Positive Triggers**:
- Enhance the environment with positive stimuli (pictures, smells, music).
4. **Addressing Negative Triggers**:
- Reduce or manage negative triggers (broken locks, unsafe situations).
- Use coping strategies like deep breathing, meditation, exercise.
#### Practical Strategies
1. **Four Square Breathing**:
- Trigger relaxation response by deep breathing.
2. **Loving Kindness Meditation**:
- Reduce stress response by fostering positive emotions.
3. **Increase Physical Safety**:
- Modify environment to reduce stress (mirrors, locked doors).
4. **Address Comfort and Ergonomics**:
- Improve physical comfort to enhance mood and focus.
5. **Build Positive Relationships**:
- Use assertive communication and manage boundaries to feel secure.
6. **Recondition Responses**:
- Change associations with negative triggers (e.g., payday as positive).
- Make triggers more unpleasant if necessary (e.g., Antabuse for alcohol).
7. **Mindfulness and Journaling**:
- Reflect on triggers and responses to understand and manage them better.
#### Handling Cravings
1. **Stop, Look, Listen, and Feel**:
- Recognize cravings as clues to unmet needs.
2. **Alternative Actions**:
- Identify what is truly needed and find healthier ways to fulfill that need.
3. **Dealing with Persistent Cravings**:
- Understand cravings as similar to a child's tantrum; resisting strengthens resolve.
### Time Codes for Major Points
00:00 Introduction and goals of the video
02:00 Definition and examples of triggers
06:30 Components of triggers (sensory, cognitive, systemic)
10:45 Understanding cravings and their impact
15:30 Identifying personal triggers and increasing awareness
20:00 Developing positive triggers and addressing negative ones
25:45 Practical strategies for coping with triggers
30:00 Handling cravings and alternative actions
35:00 Reflecting on personal experiences and journaling
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### Summary
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Listening without defensiveness
- Goals: Understanding causes of defensiveness, enhancing assertiveness, and reducing defensiveness
#### Understanding Defensiveness
- **Defensiveness**: Indicates a lack of safety; behavior or feeling when feeling unsafe.
- **Causes**:
- Prior negative experiences (verbal/physical aggression, invalidation).
- Low self-esteem leading to fear of rejection.
- Triggering topics related to trauma or powerlessness.
#### Creating Safety
1. **Recognize Emotional State**:
- Defensiveness arises from feeling unsafe or powerless.
- Brain prioritizes fight or flight over processing information.
2. **Criticism vs. Behavior**:
- Separate criticism of behavior from criticism of self.
- Understand that feedback is about actions, not personal worth.
3. **Constructive Feedback**:
- Take useful parts of feedback and leave the rest.
- Consider the intention behind feedback; if it's aggressive, set boundaries.
#### Enhancing Communication
1. **Realistic Expectations**:
- Not everyone will like you or your actions.
- Nurture multiple sources of support.
2. **Set and Maintain Boundaries**:
- Physical, emotional, and cognitive boundaries.
- Communicate discomfort and establish respectful interactions.
3. **Self-Esteem**:
- Confidence reduces defensiveness.
- Respect differing opinions without feeling threatened.
#### Strategies to Reduce Defensiveness
1. **Empathy and Curiosity**:
- Understand differing perspectives.
- Explore underlying reasons behind others' views.
2. **Manage Reactions**:
- Reflect and ground yourself when feeling defensive.
- Validate others' experiences without agreeing.
3. **Objective Language**:
- Use "I" statements to express feelings without blame.
- Avoid vague or accusatory language.
#### Practical Steps
1. **Ground Rules**:
- Establish clear boundaries for interactions.
- Ensure safe environments for discussions.
2. **Avoid Mind Reading**:
- Don't assume intentions behind others' words.
- Focus on one issue at a time during conflicts.
3. **Rehearse and Prepare**:
- Practice conversations to build confidence.
- Identify triggers and prepare responses.
4. **Apologize When Necessary**:
- Acknowledge mistakes to build trust and reduce defensiveness.
5. **Collaborative Solutions**:
- Work towards win-win outcomes.
- Respectfully disagree and find common ground.
### Time Codes for Major Points
00:00 Introduction and goals of the video
02:00 Understanding defensiveness and its causes
05:45 Creating safety in communication
08:30 Criticism vs. behavior and constructive feedback
12:15 Realistic expectations and nurturing support
15:00 Setting and maintaining boundaries
20:00 Enhancing self-esteem and respecting opinions
25:00 Empathy, curiosity, and managing reactions
30:00 Using objective language and practical steps
35:00 Rehearsal and preparation for difficult conversations
38:00 Apologizing and collaborative solutions
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### Summary
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Toxic guilt and shame - signs, causes, and solutions
- Goals: Understanding guilt and shame, their causes, effects, and ways to overcome them
#### Definitions and Differences
- **Guilt**: Anger at oneself for a behavior; feeling you did something wrong.
- **Shame**: Feeling that you are inherently bad; about the person, not just behavior.
- Importance of separating behavior from self-worth.
#### Healthy vs. Toxic Guilt
- **Healthy Guilt**:
- Motivates positive change and learning.
- Anger at oneself for a behavior or omission.
- Helps align actions with values.
- **Toxic Guilt**:
- Drains energy and erodes self-esteem.
- Leads to ongoing self-anger without productive action.
- Often paired with shame.
#### Effects of Toxic Guilt
- Continuous stress response activation.
- Desperate attempts to prove worth.
- Leads to behaviors like fawning or overcompensating.
#### Causes of Toxic Guilt
- Holding onto “shoulds” imposed by others or oneself.
- Feeling responsible for things outside one’s control.
- Survivor’s guilt and guilt over others' feelings.
- Guilt for not being perfect or successful.
- Societal and familial messages about worth and success.
#### Solutions and Strategies
1. **Identify the Source**:
- Determine if the guilt stems from internal values or external pressures.
- Evaluate the “shoulds” and decide if they align with personal values.
2. **Healthy Boundaries**:
- Recognize and assert personal beliefs and values.
- Don’t let others dictate what should make you feel guilty.
3. **Cognitive Restructuring**:
- Write down situations causing guilt.
- Distinguish between controllable and uncontrollable aspects.
- Use energy positively to address controllable factors.
4. **Acceptance and Letting Go**:
- Accept that some things are beyond control.
- Reflect on personal growth and changes over time.
- Practice self-compassion for past mistakes.
5. **Self-Care**:
- Prioritize personal well-being to prevent burnout.
- View self-care as a model for others.
6. **Assertiveness**:
- Stand firm in personal beliefs even when others disagree.
- Practice expressing your values respectfully.
#### Practical Steps
- Write down situations causing guilt.
- Identify controllable and uncontrollable aspects.
- Take action on what you can control.
- Reflect on whether you’ve done all you can.
- Accept powerlessness over some outcomes.
- Practice forgiveness and self-compassion.
- Set and maintain healthy boundaries.
- Model self-care and healthy boundaries for others.
### Time Codes for Major Points
00:00 Introduction and overview of toxic guilt and shame
02:15 Differences between guilt and shame
05:00 Healthy guilt vs. toxic guilt
08:45 Effects of toxic guilt on stress and behavior
12:30 Causes of toxic guilt
18:00 Solutions and strategies for overcoming toxic guilt
25:45 Importance of healthy boundaries
30:00 Cognitive restructuring and acceptance
35:00 Practical steps to manage guilt and promote self-care
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