Therapy Show

Dr. Eric Yarbrough's career has been mostly focused on the LGBTQ population, serving as both President of The Association of LGBTQ Psychiatrists and Director of Psychiatry at Callen-Lorde Community Health Center, one of the largest LGBTQ Medical Centers in the world. Dr. Yarbrough is also Board Certified in Addiction Medicine and is the author of Transgender Mental Health, a book which seeks to educate mental health clinicians on how to address the needs of the transgender, non-conforming community and thus increase their access to mental health care.

LGBTQ+ Therapy focuses on mental health issues related to an individual's sexual or gender identity and addresses mental distress caused by the oppression, marginalization, and discrimination that may occur when coming out to family members, adjusting to a person's authentic identity, and dealing with family pressures and expectations. A LGBTQ+ informed therapist can help reduce symptoms of depression, anxiety, and substance use. According to the research, youth who identify as LGBTQ+ have an increased risk of self-harm and suicidal ideation, especially when they are faced with discrimination. In school, students who identify as LGBTQ+ are bullied, victimized, and rejected by their peers, which can lead to mental distress. LGBTQ+ adults may also experience similar persecution at their workplace, schools, and housing. These stressors may be the catalyst for LGBTQ+ individuals to seek mental health treatment.

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

Dr. William R. Miller is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico, with over forty years of experience in teaching. He is a co-founder of the therapeutic model of Motivational Interviewing. Dr. Miller's many books include Motivational Interviewing: Helping People Change and Quantum Change: When Epiphanies and Sudden Insights Transform Ordinary Lives. Dr. Miller's latest book, Listening Well: The Art of Empathic Understanding, was released in January 2019.

Motivational Interviewing is a collaborative conversation that strengthens a person's own motivation for and commitment to change. It is a client-centered therapy that addresses the common problem of uncertainty around change. It focuses on exploring and working through ambivalence and centers on motivational processes within the individual that help to process the change. This method differs from more externally-driven methods for motivating change as it does not impose change. Rather, Motivational Interviewing supports change in a way that is congruent with the personal own values and concerns. Having conflicted feeling about behavior change is considered a normal part of the change process. Motivational Interviewing is an interpersonal style, not at all restricted to formal counseling settings. It is a subtle balance of directive and client-centered components shaped by a guiding philosophy and understanding of what triggers change.

TherapyShow.com/Podcasts

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

Dr. Sharon Inouye is a Professor of Medicine and the Milton and Shirley F. Levy Family Chair at Harvard Medical School, and Director of the Aging Brain Center in the Institute for Aging Research at Hebrew Senior Life. Dr. Inouye is one of the world's leading researchers in the field of geriatric care and has developed a widely used validated assessment tool to identify delirium called the Confusion Assessment Method. Dr. Inouye is also known for creating the Hospital Elder Life Program which is commonly referred to as HELP. The mission of HELP is to prevent delirium in hospitalized patients.

Geriatric Therapists specialize in the diagnosis and treatment of mental health issues that occur more commonly in older patients, such as delirium, dementia, depression, anxiety, late life addiction disorders. Geriatric Therapists focus on the aging process and related psychological and biological issues and may look for the psychological effects of a chronic or acute physical illness. A geriatric therapist's evaluation will take into consideration a geriatric patient's needs and perhaps modify their treatment plan to accommodate the aging person. They often will want to focus on prevention, environment, and social supports as a way to improve psychiatric symptoms and improve functioning and may even look to reduce or change medications depending upon the patient's needs.

Dr. Sharon Inouye on Twitter: @sharon_inouye

Dr. Molyn Leszcz is a Professor in the Department of Psychiatry at the University of Toronto and his academic and clinical work has focused on improving integration in psychiatric care and broadening the application of psychotherapy within psychiatry. Dr. Leszcz co-authored with Irvin Yalom, the 5th edition of the Theory and Practice of Group Psychotherapy (6th edition to be released in 2020), and also co-authored the book in the Psychotherapy Essentials to Go series, Achieving Psychotherapy Effectiveness. Dr. Leszcz is President-Elect 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.

AGPA on Twitter: @agpa01

Dr. Steven Hayes is Nevada Foundation Professor at the Department of Psychology at the University of Nevada and the developer of a new approach to human thought called Relational Frame Theory. He has guided ACT's extension to Acceptance and Commitment Therapy (ACT) a popular evidence-based form of psychotherapy that is now practiced by tens of thousands of clinicians all around the world. Dr. Hayes was listed by the Institute of Scientific Information as the 30th "highest impact" psychologist in the world. Dr. Hayes is the author of many seminal books including Acceptance and Commitment Therapy and my favorite Acceptance & Mindfulness Treatments for Children & Adolescents: A Practioner's Guide. In August, Dr. Hayes released his new book A Liberated Mind. Whether you are a client or therapist, I encourage you to read his new book.

ACT uses mindfulness and acceptance skills to help individuals respond to uncontrollable experiences with behavior that is more consistent with their personal values and goals. A therapy model where clients learn to accept their inner thoughts, emotions and sensations and begin to practice psychological flexibility which is demonstrated by more adaptive behaviors. ACT teaches individuals to deal with their emotional and mental struggles through a balance of acceptance of their problems and encouraging them to move toward more adaptive change. In contrast to most Western psychotherapy which is based on a medical model, ACT does not have symptom reduction as a primary goal. This is based on the belief that the attempt to get rid of symptoms can actually cause a clinical disorder. As soon as individual's experience is labeled a symptom, they begin to fight against that symptom in order to eradicate it. In ACT therapy, a person would look to have a new relationship with their difficult thoughts and feelings, change their perspective on them as harmless, albeit uncomfortable, transient psychological experiences. It is through this process that clients utilizing an ACT modality actually achieves a reduction in their psychiatric symptoms.

Dr. Steven Hayes on Twitter: @StevenCHayes

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.

Dr. Sue Johnson on Twitter: @Dr_SueJohnson

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 also the co-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.

The Internal Family Systems 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.

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.

Dr. Richard Schwartz on Twitter: @DickSchwartzCSL

Sean Cullen, LPC, has over 17 years of experience working in emergency community settings as a Mobile Crisis Screener in New Jersey. Sean is also a Medpsych Clinician at one New Jersey's best hospital systems.

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. Mobile crisis teams can provide mental health engagement, intervention and follow-up support to help overcome resistance to treatment. 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.

Justin Capote, MD is Board Certified in both adult psychiatry and consultation-liaison psychiatry and was appointed to the American Health Council Board of Physicians for his outstanding contributions to improving mental health. Dr. Capote has extensive experience working in hospital, community, and emergency room settings. He has expertise in treating conditions related to medication overuse and misuse, withdrawal syndromes, age-related comorbidities, and common psychiatric symptoms, such as anxiety, anger, and depression. Dr. Capote is a graduate of Rutgers New Jersey Medical School and a member of the Academy of Consultation-Liaison Psychiatry.

Detox is time-limited treatment to assist with withdrawal from substance use. A medical intervention designed to assist with withdrawal from the physiological and psychological effects of alcohol and drugs. Withdrawal treatment can be performed in an inpatient, residential, or ambulatory setting and provides medically safe, professional, and supportive care, while also preparing and motivating individuals to continue treatment in an outpatient setting. Withdrawing from alcohol can be uncomfortable and, in certain cases, cause serious health risks. There are several detox options which include pharmacological and psychological treatment under the supervision of both medical and mental health professionals. Detox can be performed in outpatient, hospital or residential setting, but is only the first step. Relapse is a very real possibility unless armed with the tools to stay on the path of recovery. Motivational Interviewing is an excellent therapy modality to explore once detox is completed.

Justin Capote, MD is Board Certified in both adult psychiatry and consultation-liaison psychiatry and was appointed to the American Health Council Board of Physicians for his outstanding contributions to improving mental health. Dr. Capote has extensive experience working in hospital, community, and emergency room settings. He has expertise in treating conditions related to medication overuse and misuse, withdrawal syndromes, age-related comorbidities, and common psychiatric symptoms, such as anxiety, anger, and depression. Dr. Capote is a graduate of Rutgers New Jersey Medical School and a member of the Academy of Consultation-Liaison Psychiatry.

Crisis Intervention provides immediate stabilization of acute symptoms of mental illness. A part of the emergency department in a hospital, where an individual experiencing a psychiatric crisis can receive immediate treatment for mental and emotional distress, substance use disorders, trauma, and psychosocial stressors. Crisis Intervention offers psychiatric evaluation and referral to either a higher level of care within the hospital system or appropriate outpatient services when needed. Crisis intervention has several purposes. First, it aims to reduce the intensity of emotional, mental, physical and behavioral reactions to a crisis. Another purpose is to help an individual return to their level of functioning before they experienced the crisis. Functioning may be improved by developing new coping skills such as withdrawal, isolation and substance use. In this way, the individual is better equipped to cope with future difficulties. Through talking about what happened, and the feelings about what happened, while developing new skills and ways to cope and solve problems, crisis intervention aims to assist the individual in recovering from the crisis and to prevent serious long-term problems from developing.