Therapy Show

Dr. Patricia Resick is a Professor of Psychiatry and Behavioral Sciences at Duke University Medical Center. Dr. Resick's specialty is in understanding and treating the effects of traumatic events, particularly Post-Traumatic Stress Disorder. In 1988, she developed Cognitive Processing Therapy for PTSD, a brief evidence-based treatment and has overseen multiple clinical trials. CPT is considered a first line therapy for PTSD. The treatment manual for CPT has been translated into 12 languages and has been disseminated throughout the Department of Veterans Affairs in the US, Canada, Australia, and currently the Democratic Republic of Congo. Dr. Resick has written extensively on PTSD and is a co-author of the primary text in the field Cognitive Processing Therapy: A Comprehensive Manual.

Cognitive Processing Therapy, which is also referred to as CPT, is a cognitive-behavioral therapy (treatment that focuses on thoughts and feelings) for Posttraumatic Stress Disorder, or PTSD, and related conditions. PTSD can develop when an individual experiences a traumatic event such as physical and sexual abuse or assault, accidents, threats, military combat, or being a witness to violence or death. CPT focuses on the connections between thoughts, feelings, behavior and bodily sensations. CPT is an evidenced-based therapy which means that it has been proven to be effective through rigorous scientific research.

CPT provides a way to understand why recovery from traumatic events is difficult and how symptoms of PTSD affect daily life. The focus is on identifying how traumatic experiences change thoughts and beliefs, and how thoughts influence current feelings and behaviors. An important part of the treatment is addressing ways of thinking that might keep individuals "stuck" and get in the way of recovery from symptoms of PTSD and other problems.

Twitter @PatriciaResick

For more information, click on CPTforPTSD.com.

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Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.

Dr. Molyn Leszcz is a Professor in the Department of Psychiatry at the University of Toronto. Dr Leszcz served as Psychiatrist-in-Chief at Sinai Health System from 2006-2017 and as Vice Chair, Clinical for Department of Psychiatry, University of Toronto, from 2010-2017, his academic and clinical work has focused on improving integration in psychiatric care and broadening the application of psychotherapy within psychiatry. HIs research has focused on group psychotherapy for individuals with cancer, and genetic or familial predisposition to cancer; group psychotherapy for patients with schizophrenia; evidence-based approaches to group therapy and modified interpersonal group psychotherapy for patients with substance abuse; and the application of psychological interventions to improve health care workers' wellness. Dr. Leszcz co-authored with Irvin Yalom, Theory and Practice of Group Psychotherapy, the 6th edition was recently released in 2020. He also co-authored the book in the Psychotherapy Essentials to Go series, Achieving Psychotherapy Effectiveness, was published in 2015. Dr. Leszcz was awarded the Anne Alonso Award for Outstanding Contributions to Psychodynamic Group Therapy and also was awarded Distinguished Fellowship in the American Group Psychotherapy Association, has been the recipient of a number of teaching awards at the University of Toronto and is a Fellow of The Canadian Group Psychotherapy Association. Dr. Leszcz is the President of the American Group Psychotherapy Association and is a member of the International Board for Certification of Group Psychotherapists as well as the Editorial Committee of the International Journal of Group Psychotherapy.

Group Therapy is a form of psychotherapy that involves one or more therapists working with several clients at the same time When facilitated with evidenced-based theory, Group Therapy can help individuals make profound and lasting changes in their lives. Group Therapy is often the main type of modality used in intensive outpatient programs, partial hospitalization programs, inpatient psychiatric units and residential treatment centers, and is commonly integrated into a comprehensive treatment plan that also includes individual therapy and medication. Groups can be as small as three or four people; however, group therapy sessions typically involve around seven to twelve individuals. The precise manner in which the session is conducted depends largely on the goals of the group and the style of the therapist. Some therapists might encourage a more free-form style of dialogue, where each member participates as he or she sees fit. Other therapists instead have a specific plan for each session that might include having clients practice new skills with other members of the group.

Re-released from Therapy Show Podcast #10

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AGPA on Twitter: @agpa01

Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.

Dr. John Norcross is Distinguished Professor of Psychology at the University of Scranton and author of the acclaimed self-help book Changeology. He has authored over 400 publications and written many books on the field of psychotherapy, including the APA Handbook of Clinical Psychology and the Systems of Psychotherapy which currently in its 9th edition. Dr. Norcross has received many awards, including Pennsylvania Professor of the Year from the Carnegie Foundation, the Distinguished Contributions to Education & Training Award from APA, Fellow status in multiple associations, and election to National Academies of Practice.

Individual Therapy refers to psychotherapy with an individual client. Often, a person enters individual therapy with the goal of reducing psychiatric symptoms and improving functioning. Additionally, they may also want to address situational stressors, family relations, life span issues or substance use disorders. It is important to keep in mind that engaging in individual therapy may bring to the surface painful emotions, traumatic memories, and latent parts of oneself. However, with a skilled and attuned therapist, individual therapy has the potential to help overcome obstacles to wellbeing, increase positive feelings, learn new skills for coping with difficult situations, improve decision making, and help reach goals of symptom reduction and improved functioning. Interestingly, some individuals go to therapy simply for continued self-growth, even after their acute symptoms have subsided.

Re-released from Therapy Show Podcast #1

Dr. John Norcross on Twitter: @JohnCNorcross

Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.

Dr. Judith Beck is President of Beck Institute for Cognitive Behavior Therapy, a nonprofit organization which provides training and certification in CBT to health and mental health professionals around the world. Dr. Beck divides her time between teaching, clinical work, program development, research, and writing. Dr. Beck is also Clinical Professor of Psychology in Psychiatry at the University of Pennsylvania. She is the author of the primary text in the field, Cognitive Behavior Therapy: Basics and Beyond, which is now in its third edition and has been translated into 20 languages. Dr. Beck's other books include Cognitive Therapy for Challenging Problems, Cognitive Therapy for Personality Disorders, the Oxford Textbook of Psychotherapy, and The Diet Trap Solution. The online CBT courses she has developed at the Beck Institute have been taken by people in 130 countries.

Cognitive Behavior Therapy is a cognitive therapy focused on identifying and modifying thoughts, feelings and behavior. Based on the cognitive model, CBT is a psychotherapy approach that recognizes that an individual's reactions, either emotionally or behaviorally, are a result of how they perceive a given situation. One important part of CBT therapy is helping clients notice their automatic thoughts in order to change their unhelpful thinking and behavior. Once clients become aware of their automatic thoughts and how those thoughts lead to negative emotions and behavior, they can begin to experience lasting improvements in their mood and functioning.

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Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.

Dr. Patrick Corrigan is a Distinguished Professor of Psychology at the Illinois Institute of Technology and a leading expert on the topic of Stigma. Dr. Corrigan has written more than 400 peer-reviewed journal articles, is Editor Emeritus of the American Journal of Psychiatric Rehabilitation, and Editor of Stigma and Health, a new journal published by the American Psychological Association. Dr. Corrigan is the author of many books, including The Stigma Effect: Unintended Consequences of Mental Health Campaigns, The Stigma of Disease and Disability: Understanding Causes and Overcoming Injustices, and is part of the team that developed the Honest, Open, Proud series which aims to reduce the stigma of mental illness.

The lives of people with mental illness are worsened by stigma, thus leading to public prejudice, loss of self-worth, and negative implications for mental health and well-being. Stigma and discrimination can also worsen someone's mental health problems, and delay or impede their getting help which can impact their recovery. Social isolation, poor housing, unemployment and poverty are all linked to mental illness. Therefore, stigma and discrimination can exacerbate the cycle of mental illness.

The National Consortium on Stigma and Empowerment (NCSE) is a research group meant to promote recovery by understanding stigma and promoting empowerment. The Consortium is located at the Illinois Institute of Technology with a collection of researchers at Yale University, the University of Pennsylvania, Rutgers University, Temple University, the University of Wisconsin, Illinois State University, and the University of Chicago.

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Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.

Dr. Lawrence Shulman is Professor Emeritus and former Dean of the University at Buffalo's School of Social Work. As a social work practitioner-educator for more than 40 years, Dr. Shulman has done extensive research on the core helping skills that are used in social work practice, child welfare, school violence and supervision best practices. Dr. Shulman is the co-founder and co-chair of the International and Interdisciplinary Conference on Clinical Supervision sponsored by the National Institutes of Health and the Haworth Press. Recognized for his dedication to excellence in scholarship and research, pedagogy and curriculum development, and organizational leadership, Dr. Shulman is a recipient of the 2014 Significant Lifetime Achievement in Social Work Education Award, conferred on him by the Council on Social Work Education. Dr. Shulman has published numerous journal articles on the topic of direct practice and is the author of many books including the Enhanced Eighth Edition of the Empowerment Series: The Skills of Helping Individuals, Families, Groups, and Communities, the Dynamics and Skills of Group Counseling and the fourth edition of the seminal book Interactional Supervision.

Parallel Process makes clear that the role of the supervisor and the purpose of supervision are quite different from counseling and therapy. However, there are striking parallels in the dynamics and skills. The core dynamics and skills of the supervisor-practitioner working relationship which include rapport, trust, and caring are similar to those skills used to develop a working alliance in psychotherapy.

There are also four phases in the supervisory relationship which include the preliminary, beginning, middle and ending/transition phase, which shape the supervisory relationship over time. The use of certain communication, relationship and problem-solving skills by the supervisor can influence the development of a positive working relationship with the supervisee, and that this working relationship is the medium through which the supervisor influences the practitioner.

Dr. Shulman puts emphasis on the word "influence" because a central assumption of this approach is that both supervision and direct practice are interactional in nature and that the supervisor and the supervisee each play a part in the process. The outcome of supervision is the result of how well each contributes to the process. Dr. Shulman's suggests that "more is caught than taught" and that our supervisees watch their supervisors very closely. Whether we like it or not, whether we are aware of it or not, our supervisees learn more about practice from the way we work with them than from what we say about their actual practice. Supervision is not therapy, and, in fact, Dr. Shulman believes that supervisors who are seduced into a therapeutic relationship with their supervisees actually model poor practice, since they lose sight of the true purpose of clinical supervision and their role in the process.

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Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.

Dr. Vibh Forsythe Cox is a consultant and trainer for Behavioral Tech, the training company founded by DBT treatment developer Dr. Marsha Linehan. Dr. Forsythe Cox is a Licensed Clinical Psychologist in Washington State, and a DBT-Linehan board of certification certified clinician. She is the Training and Content Development Specialist at Behavioral Tech and was a primary content developer for Behavioral Tech's Comprehensive Online Training which is an online training resource for therapists interested in being trained in Dialectical Behavioral Therapy.

DBT aims to teach people how to live in the moment, cope healthily with stress, regulate emotions, and improve relationships with others. DBT provides individuals with new skills to process painful emotions and reduce conflict in their relationships. The term "dialectical" comes from the idea that bringing together two opposites in therapy—acceptance and change—can produce more positive results than either of these concepts alone. Clients can reach their goals when they work with a therapist to synthesize these two opposites.

What is the "D" in DBT?

The "D" means "dialectical." A dialectic is a synthesis or integration of opposites. In DBT, dialectical strategies help both the therapist and the client get unstuck from extreme positions. In this video, learn how dialectical strategies keep the therapy in balance and help clients reach their ultimate goals as quickly as possible.

What is the "B" in DBT?

The "B" stands for "behavioral." DBT requires a behavioral approach. This means that we assess the situations and target behaviors that are relevant to our clients' goals in order to figure out how to solve the problems in their lives. Learn how DBT provides you a path to get the change that your clients so desperately need to see (BehavioralTech.org).

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Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.

Dr. Gary Sachs is Clinical Vice President at Signant Health and the founder of Massachusetts General Hospital's Bipolar Clinic and Research Program. He is also an Associate Clinical Professor in Psychiatry at Harvard Medical School and was the Principal Investigator of the National Institute of Mental Health's Systematic Treatment Enhancement Program for Bipolar disorder. Dr. Sachs is a Distinguished Fellow of the American Psychiatric Association. He chairs the Scientific Advisory Committee of the Depression and Bipolar Support Alliance (DBSA) also serves on DBSA board of directors. In March of 2020, he became president elect of the International Society for CNS Clinical Trial Methodology (ISCTM) Dr. Sachs has authored over 200 peer reviewed articles and is a contributor to the seminal book Managing Bipolar Disorder: A Cognitive Behavior Treatment Program Therapist Guide (Treatments That Work) which addresses the management of bipolar disorder. In March of 2020, he became President Elect of the International Society for CNS Clinical Trial Methodology. Dr Sachs is an award-winning teacher and is recognized as a "Top Doctor" by US News and World Report, and by Reuters as among the world's 100 most influential Psychiatrists, Neurologists and Neuroscientists.

Bipolar disorders are mood episodes that affect a person's ability to function, and where a person experiences an intrusive mood episode such as mania, hypomania, or depression. These changes in mood can appear as intense highs and lows and can last for days at a time or longer. They are generally well demarcated changes in mood that interrupt previous functioning, which is to be distinguished from volatile behavior that is better explained by poor characterological temperament or the psychological effects of substance abuse.

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Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.

Dr. Myrna Weissman is a Professor of Epidemiology and Psychiatry, Vagelos College of Physicians and Surgeons and the Mailman School of Public Health at Columbia University and Chief of the Division of Translational Epidemiology at New York State Psychiatric Institute. Dr. Weissman, along with her late husband Dr. Gerald Klerman, founded the therapeutic model of Interpersonal Psychotherapy. She is the author or a co-author of over 600 scientific articles and chapters and 12 books. Her most recent book is The Guide to Interpersonal Psychotherapy, which was published with her late husband Gerald Klerman, as well as John Markowitz.

Interpersonal Psychotherapy focuses on social roles and relationships and is a time-limited course of treatment for depression and other mental disorders, which strengthens relationships and social supports in order to improve an individual's mood and functioning. IPT generally lasts 12–16 weeks, with the timeframe agreed upon by therapist and client at the beginning of the treatment. IPT addresses swiftly the following problem areas in order to reduce symptoms: interpersonal disputes, role transitions, grief and loss, and interpersonal sensitivities (or deficits).

Interpersonal Psychotherapy on Twitter: @ipt_is

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Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.

Sean Cullen is a Licensed Professional Counselor and was one of my first interviews last year before I graduated with my doctorate from Rutgers School of Social Work. So, if the sound is less than perfect, please forgive those imperfections. I wanted to release this podcast because Sean discusses how to effectively work with law enforcement in dealing with mobile psychiatric crisis situations in the community. This requires extensive training, but when done right, it can be an extremely beneficial and life-saving service.

Sean is extensively trained and has over 19 years of experience working in emergency community settings as a Mobile Crisis Screener in Morris County, New Jersey. Sean is also a Medical and Psychiatric Clinician at one New Jersey's best hospital systems, and actually took over for me when I left this hospital to pursue my doctoral work.

Mobile Crisis is the provision of emergency mental health services in the home. If you are concerned about yourself, a family member, or a friend who is experiencing a psychiatric crisis, you can request a Mobile Crisis team to provide mental health intervention and support in the home to help overcome resistance to treatment (Goldman, 2015). Mobile crisis teams can provide mental health engagement, intervention and follow-up support to help overcome resistance to treatment.

Depending on what a person is willing to accept, the teams may offer a range of services, including: Assessment, Crisis intervention, Supportive counseling, Information and referrals, including to community-based mental health services, and Transport to Psychiatric Emergency Room.

If a mobile crisis team determines that a person in crisis needs further psychiatric or medical assessment, they can transport that person to a hospital psychiatric emergency room. Mobile crisis teams may direct police to take a person to an emergency room against their will only if they have a mental illness (or the appearance of mental illness) and are a danger to themselves or others.

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Disclaimer: The information shared in this podcast is not a substitute for getting help from a mental health professional.