Therapy Show

Dr. Richard Schwartz earned his Ph.D. in Marriage and Family Therapy from Purdue University and is the founder of the therapeutic modality Internal Family Systems. Dr. Schwartz is also the founder of The Center for Self Leadership where professionals and the general public can attend workshops and trainings. Dr. Schwartz is the author of Family Therapy: Concepts and Methods, the most widely used family therapy text in the US. Dr. Schwartz is also the author of Introduction to the Internal Family Systems Model. Dr. Schwartz has also released a new audiobook, Greater Than the Sum of Our Parts: Discovering Your True Self Through Internal Family Systems Therapy.

IFS model of psychotherapy offers a clear, non-pathologizing, and empowering method of understanding human problems. IFS uses family systems theory—the idea that individuals cannot be fully understood in isolation from the family unit—to develop techniques and strategies to effectively address issues within a person's internal family. This evidence-based approach assumes that each individual possesses a variety of sub-personalities or parts, with each part serving a particular role. Often, these internal parts are produced by the individual psyche in response to traumatic experience.

These parts attempt to control and protect from the pain of the wounded parts and are often in conflict with each other and with one's core Self. This undamaged core Self is the essence of the Self and represents the seat of consciousness with many positive qualities such as calmness, compassion, consecutiveness, confidence and leadership. For example, in alcoholic families, children often take on protective roles because of the dysfunction in the family. Some children may also take on maladaptive roles, such as the mascot, lost child, or scapegoat. In all of these cases, these roles are not the true nature of the children. These children are adapting to the chaos and upheaval that is common in the alcoholic family. A similar process occurs with internal families, where internal parts take on extreme roles caused by traumatic experiences. IFS can help transform these parts into positive internal family members.

There are three distinct types of parts in the IFS model:

Managers are responsible for warding off painful experiences and emotions in order to function in everyday life.

Exiles are often in a state of pain or trauma, which result from childhood experiences. Managers and firefighters exile these parts and prevent them from reaching the conscious level.

Firefighters distract the mind when exiles can no longer be suppressed. In order to protect from feeling the pain of the exiles, firefighters make a person act impulsively and engage in behaviors such as addictive, abusive or self-harming such as alcohol, drugs, sex, or even work.

Managers and Firefighters play the Protectors role, while Exiles are the parts needing protection.

Re-released from 2019

Dr. Richard Schwartz on Twitter: @DickSchwartzCSL

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Dr. DuWayne Battle is an Associate Professor of Teaching, Director of the Baccalaureate Program, and Course Coordinator of the Diversity & Oppression courses for the Rutgers School of Social Work graduate and undergraduate programs. Under his leadership the undergraduate social work program has more than quadrupled, making it one of the largest and most diverse in New Jersey. Ranked number 2 and 3 of the best US undergraduate social work programs by College Factual and U. S. Today respectively. Dr. Battle is the past president of the Association of Baccalaureate Program Social Work Directors, the National Association of Social Workers – NJ Chapter, and the Southwestern Social Work Association. Currently, he is the campus coordinator of the Baccalaureate Child Welfare Education Program (BCWEP), a consortium of all of New Jersey's schools and departments of social work. He is also a member of the New Jersey Baccalaureate Social Work Educators Association (NJBSWEA), member of the NASW-NJ Continuing Education Program Committee, and serves on several other boards and committees. His most recent work has been related to COVID-19 and racial justice. "COVID-19 and the death of Black Clergy," "I can't breathe," and "How do we keep the homeless safe during this crisis?" He had a BBC interview on "The disproportionate impact of the Coronavirus on the African American community," and he has an article in press entitled, "Examining the Social Justice Implications of Physical Distancing and the Economic Stimulus Plans." His co-authored article, entitled, Measuring student learning in social justice courses: The Diversity and Oppression Scale, provides an important instrument to evaluate courses on diversity, oppression, and social justice in schools of social work. Dr. Battle has been an advocate for open and affordable textbooks, increasing accessibility for people with disabilities, and he has led an effort to raise awareness about domestic violence and more than $200k for the Krystal Skinner Memorial Scholarship Endowment Fund and the Phi Alpha National Honor Society Scholarship Endowment Fund.

A look into the diversity and oppression course at Rutgers School of Social Work which explores a range of diverse populations by race, ethnicity, gender, sexual orientation, and physical differences. Additionally, students examine the role, function, and effects of oppression in society as it relates to social, economic, and environmental justice. Students investigate the many assumptions that underlie theory and research methodologies from which basic constructs of human behavior are drawn. Students also seek to understand how power and other dynamics work together to sustain oppression at the individual and institutional levels. Also, of interest in this course is how oppression affects social work practice service delivery at micro and macro levels, with particular emphasis on social policies and strategic planning which drive the shape of services. This course, required of all MSW students as part of the Professional Foundation Year, introduces those concepts about diversity and oppression considered essential foundation knowledge for social work, and provides the basis of subsequent and more extensive exploration of related issues in other classes and the field practicum. The Code of Ethics of the National Association of Social Workers (2017, standard 1.05,(c) mandates that "social workers should obtain education about and seek to understand the nature of social diversity and oppression with respect to race, ethnicity, national origin, color, sex, sexual orientation, gender identity or expression, age, marital status, political belief, religion, immigration status, and mental or physical ability." As a result of this course, students are expected to begin a career-long process of learning and incorporating an understanding of culture and oppression into their practice.

The Code of Ethics of the National Association of Social Workers (1999, standard 1.05, p.9) mandates that social workers pursue knowledge about effective micro and macro practice with diverse and oppressed clients and the social systems with which they interact. As a result of this course, students are expected to begin a career-long process of learning and incorporating an understanding of culture and oppression into their practice.

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Dr. Sue Johnson is a clinical psychologist, researcher, professor, and a leading innovator in the field of couple's therapy and adult attachment. Dr. Johnson is the founder of Emotionally Focused Couples and Family Therapy, which is backed by over 30 years of peer-reviewed clinical research. Dr. Johnson is founding Director of the International Centre for Excellence in Emotionally Focused Therapy (ICEEFT) and Distinguished Research Professor at Alliant University in San Diego, California, as well as Professor Emeritus, Clinical Psychology, at the University of Ottawa, Canada. Dr. Johnson is the author of many books, including Hold Me Tight, Love Sense, and Created for Connection.

Emotionally Focused Therapy builds on the idea that adult relationships are complex, and it gives therapists a guide to help their clients in couples therapy. EFT seeks to help the couple bond and become a secure base for each other. EFT is a short-term and structured therapeutic approach, which teaches couples how to change negative communication patterns so they can feel closer and more connected to each other. The emerging research on neuroscience validates the importance of healthy attachments. When there is a breakdown in our relationships, our brains interpret this as danger, which leads to a fight-or-flight response. EFT seeks to help a couple bond and become a secure base for each other. Rebroadcasted from August, 2019.

Twitter @drsuejohnson

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Dr. Anna Lembke is an associate professor in the department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine. She is Medical Director of Stanford Addiction Medicine, Program Director for the Stanford Addiction Medicine Fellowship, and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. Dr. Lembke was one of the first in the medical community to sound the alarm regarding opioid overprescribing and the opioid epidemic. In 2016, she published her best-selling book on the prescription drug epidemic, Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop. Her book was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic.

Substance Use Disorder is a syndrome where a person compulsively uses substances despite many negative experiences and harmful consequences. Individuals who experience severe substance use disorder symptoms have an intense desire to use certain substances like alcohol or drugs, regardless of the problems that come about by consuming them. Gambling Disorder is new to the DSM-5 and is characterized by repeated gambling despite extremely negative consequences affecting the whole family.

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Dr. Linda Carpenter is a Professor of Psychiatry in the Alpert Medical School of Brown University and Director of the Transcranial Magnetic Stimulation (TMS) at Butler Hospital. Dr. Carpenter completed her undergraduate degree at the University of Michigan, her M.D. from the University of Pennsylvania, and internship in internal medicine, a residency program in psychiatry, and a clinical neuroscience research fellowship at Yale University. She joined the faculty at Brown in 1997 and has continued her path as a physician-scientist investigating the neurobiology of, and new treatments for, major depression and other mood and anxiety disorders. Dr. Carpenter has conducted a number of randomized clinical trials sponsored by industry and the National Institute of Health, including Deep Brain Stimulation (DBS), Transcranial Magnetic Stimulation (TMS) and transcranial Direct Current Stimulation (tDCS). She is the founding Director of the Butler Hospital TMS Clinic and Neuromodulation Research Facility where she treats patients with pharmacoresistant depression and works with a variety of Brown-based research faculty who incorporate noninvasive brain stimulation techniques into their clinical research. Dr. Carpenter's current research projects involve using imaging and EEG biomarkers to optimize and individually customize TMS therapy for depression.

Transcranial Magnetic Stimulation (TMS) is a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain in order to improve symptoms of neuropsychiatric disorders. It is currently FDA approved for Major Depressive Disorder and Obsessive-Compulsive Disorder. TMS is typically used when other treatments have been ineffective. TMS is a technique that applies magnetic pulses to the brain delivered by a coil which is placed on the patient's head. The pulsed magnetic field induces an electrical current in the brain and causes activity in brain cells called neurons. Different coil types are used to induce different magnetic field patterns and how fast the pulses are delivered can determine how the brain changes in response. Stimulation pulses are typically applied at an intensity level that is customized for each individual patient.

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Dr. Walter Kaye is a Professor in the Department of Psychiatry and the Founder & Executive Director of the Eating Disorders Program at the Eating Disorders Center for Treatment and Research at UC San Diego. Dr Kay is a leading expert in Eating Disorders and is a co-editor in the Clinical Handbook of Complex and Atypical Eating Disorders and the Behavioral Neurobiology of Eating Disorders. Dr. Kaye's current research is focused on exploring the relationship between brain and behavior using brain imaging and genetics and developing and applying new treatments for anorexia and bulimia nervosa.

Eating Disorders are severe disturbances in eating behaviors, thoughts and emotions. Many who suffer with eating disorders are preoccupied with both food and their weight. They can have severe body image dissatisfaction and a need for perfection. Even though eating disorders are grouped together in the DSM-5, they are distinct illnesses. Anorexia Nervosa symptoms include a distorted body image and a belief in being overweight despite being dangerously underweight. There are two types of anorexia nervosa, one restrictive and one binge-purge type. Bulimia Nervosa is characterized by eating excessive amounts of food in short period of time, and then purging the food using compensatory behaviors like vomiting and laxatives. Binge Eating Disorder is engaging in episodes of excessive eating, but unlike bulimia, there is not purging of the food or calories. Eating disorders affect people from all racial and ethnic backgrounds on many psychosocial levels. They can cause serious medical problems, and a multidisciplinary approach to care is needed.

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Dr. John Oldham is the Distinguished Emeritus Professor of Psychiatry in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine. Dr. Oldham specializes in the field of personality disorders and is recognized internationally as a leader in psychiatric medicine receiving numerous awards and honors. Nationally, he has served psychiatric organizations in many capacities during his career, including as past president of the American Psychiatric Association and past president of the American College of Psychiatrists. A prolific writer and educator, Dr. Oldham is the author of The New Personality Self-Portrait: Why You Think, Work, Love and Act the Way You Do. He is also the Senior Editor of the second edition Textbook of Personality Disorders, the editor of the Journal of Personality Disorders and joint editor-in-chief of Borderline Personality Disorder and Emotion Dysregulation.

Your personality is the distinctive pattern of your psychological functioning–the way you think, feel, and behave–that makes you definitely you. Styles are your built-in roadmap for coping with life's challenges. Personality styles are flexible; they can change, though usually not without effort and motivation. This adaptability makes a variety of life experiences and outcomes possible. People suffering from personality disorders, however, commonly find themselves locked into rigid and inflexible life trajectories. They may feel bored, empty, lonely, or angry, and they may be in disruptive relationships. These patterns may persist throughout their lives. Personality is dimensional: as with height or weight, people come in all shapes and sizes and personality variations. What's the difference between self-confidence and self-aggrandizement? Between liking to do things well and demanding perfection? Somewhere along a continuum, personality traits range from adaptable to rigid and extreme (NPSP25 Personality Styles and Personality Disorders).

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Dr. Arthur Becker-Weidman is the Director of the Center for Family Development with offices in Western New York and New York City. He is an internationally acclaimed speaker and workshop leader and consults with therapists and organizations throughout the US and internationally about the evaluation and treatment of disorders of attachment, attachment-focused treatment, and prenatal exposure to alcohol. He has achieved Diplomate Status in Child Psychology and Forensic Psychology from the American Board of Psychological Specialties, and is a Certified Therapist, Consultant, and Trainer by the Attachment-Focused Treatment Institute and by the Dyadic Developmental Psychotherapy Institute. Dr. Becker-Weidman was Vice President on the Board of Directors of the Association for the Treatment and Training in the Attachment of Children and was the founder and first president of the Board of the Dyadic Developmental Psychotherapy Institute. He is an adjunct Clinical Professor at the State University of New York at Buffalo and The Academy for Human Development in Singapore, and Medellie College. Dr. Becker-Weidman has published many papers and research reports in peer-reviewed professional journals. He is the author and co-editor of seven books including Attachment Parenting: Developing Connections and Healing Children and The Attachment Therapy Companion: Key Practices for Treating Children & Families, as well as four training DVD's and many articles in professional peer-reviewed journals.

Attachment-Focused Treatment is grounded in attachment theory and the neurobiology of interpersonal experience. This therapy approach uses methods and principles from Dyadic Developmental Psychotherapy (DDP) in order to effectively treat children and adults. DDP is an evidence-based, effective, and empirically validated treatment that is grounded in current thinking and research on the etiology and treatment of Complex Trauma or Developmental Trauma Disorder and disorders of attachment. It is now recognized as a general approach to treatment.

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Husseini Manji, M.D., FRCPC is the Global Therapeutic Head of Neuroscience at Janssen Research and Development, LLC, one of the Johnson & Johnson pharmaceutical companies. Dr. Manji is also a Visiting Professor in Psychiatry and Behavioral Sciences at Duke University School of Medicine. Dr. Manji was previously Chief of the Laboratory of Molecular Pathophysiology & Experimental Therapeutics at the National Institutes of Health (NIH) and Director of the NIH Mood and Anxiety Disorders Program, the largest program of its kind in the world. Dr. Manji has received a number of prestigious awards, including the National Institute of Mental Health Director's Career Award for Significant Scientific Achievement, the Depression and Bipolar Support Alliance Klerman Senior Distinguished Researcher Award, the PhRMA's Research & Hope Award for Excellence in Biopharmaceutical Research and has been recognized as one of 14 inaugural "Health Heroes" by Oprah magazine. Dr. Manji has published extensively on the molecular and cellular neurobiology of severe neuropsychiatric disorders and the development of novel therapeutics, with over 300 publications in peer-reviewed journals, and is the author of Bipolar Depression, Molecular Neurobiology, Clinical Diagnosis, and Pharmacotherapy which is currently in its second edition.

Major Depressive Disorder includes depressed mood or loss of interest in activities that used to bring pleasure. In addition to feelings like dread or apathy, anger or remorse, many people suffering with depression also experience physical symptoms such as problems with eating, sleeping, mustering energy, and concentrating. Some medical conditions can also cause depressive symptoms, so considering possible underlying medical problems is important. Depression is a very common disorder, as many as one in six people experience depressive symptoms in their lifetime. Depression is differentiated from sadness and grief by the severity and duration of depressive symptoms. It is important for anyone experiencing a Depressive Disorder to seek help from a licensed clinician to be evaluated for safety.

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Thomas R. lnsel, M.D. is a psychiatrist and neuroscientist and a national leader in mental health research, policy, and technology. From 2002-2015, Dr. Insel served as Director of the National Institute of Mental Health (NIMH), the component of the National Institutes of Health (NIH) committed to research on mental disorders. Prior to serving as NIMH Director, Dr. lnsel was Professor of Psychiatry at Emory University where he was founding director of the Center for Behavioral Neuroscience in Atlanta. More recently (2015 – 2017), he led the Mental Health Team at Verily (formerly Google Life Sciences) in South San Francisco, CA. In 2017 he co-founded Mindstrong Health, a Silicon Valley start-up building tools for people with serious mental illness. In 2020, he co-founded NEST Health, a global therapeutic online community for recovery. Since May of 2019, he has been a special advisor to California Governor Gavin Newsom and Chair of the Board of the Steinberg Institute in Sacramento, California. Dr. Insel is a member of the National Academy of Medicine and has received numerous national and international awards including honorary degrees in the United States and Europe.

​Lara Gregorio is a Licensed Clinical Social Worker and co-founder and CEO of NEST Health. With 20+ years in the behavioral health space, in settings ranging from inpatient to community mental health and private practice, Lara has a commitment to empowering consumers, scaling compassion, and providing care when, how, and where it is needed. Innovating and designing programs in the digital mental health space since 2013, she has built telehealth programs and designed online therapy and mental health community platforms.

NEST Health is online community where people can access stepped care from peer support to individual psychotherapy.

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