Podcast appearances and mentions of Scott D Miller

I thought it could be helpful to share a list of categories and questions to check in on for your practice on a semi-regular basis.If you've been running your practice on autopilot, or if something hasn't been quite working in your practice but you can't quite pinpoint it, I made this episode with you in mind :)Feel free to add to my list if I missed anything! Here are the steps I named in the episode:1. What are your goals?2. Choose a time frame to evaluate3. Bookkeeping Checkup4. Numbers Checkup5. Marketing Checkup6. Clinical Checkup7. Wellbeing Checkup8. Emotional Checkup9. Choose ONE item to focus onThank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here:https://bit.ly/pps_paubox_spotify*Get $250 off your first year with Paubox with coupon code "SKILLS"*Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals! FREE Guide: Start a Private Practice in Counseling:https://tinyurl.com/y9ek9en8Links Referenced:Video about Marketing: "Not Getting Therapy Clients? Start Here”https://www.youtube.com/watch?v=3_cDyK_K0_cBook: "Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness” by Scott D. Miller, Mark A. Hubble, & Daryl Chow:https://amzn.to/4iM9XNt(This is an affiliate link)LINKS*Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely!

Today we talk with Dr Scott D Miller, the co-founder of the International Center for Clinical Excellence and a leading voice in understanding what works in therapy and how practitioners can get better at doing it. As a practicing psychologist, Scott often provides pro bono services to the financially underprivileged. In this podcast, we discuss Will's average outcomes, how psychotherapy lost its magic, and the role of deliberate practice in highly effective practitioners. Scott provides his views on psychotherapy evidence and why practice-based evidence will always trump evidence-based practice. We will provide links and announcements shortly for the free training in March with Scott Miller (and Will and Dan just kind of hanging out in the background). Contact Us to Join the ATOM Complete the Adventure Therapy Education Survey Useful Links Scott's Website Scott's Amazon Books Page How Psychotherapy Lost Its Magick International Center for Clinical Excellence Scott's Keynote at the Evolution of Psychotherapy Conference Saving Psychotherapy by Ben Caldwell Daryl Chow's Doctoral Research Information on the Gloria Films K Anders Ericsson Wikpedia Page

Scott D. Miller, PhD is the founder of the International Center for Clinical Excellence, a consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health. He conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He has written numerous books and articles, including Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness.In this episode, Bruce talks with Scott about his experience using client feedback to improve his own practice, and why Deliberate Practice is so important if we want to get better as therapistsLearn more about Scott's work at https://www.scottdmiller.com/The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"www.makingtherapybetter.comSponsored By CarePaths EHR and Measurement Based Care

Kathleen Shannon is a Licenced Clinical Mental Health Counselor and Certified Rehabilitation Counselor at Shannon Counseling and Consulting with more than 21 years of experience working as a licensed provider. She has worked with veterans on various issues including anxiety, depression, recovery, and PTSD. Previously, she has worked with Lourdes Behavioral Health, GENEX Services, and the US Department of Veterans Affairs. Kathleen holds a Master of Arts in Rehabilitation and Mental Health Counseling from the University of South Florida. Join us at our next certification course LIVE and ONLINE at: https://worksmarthypnosislive.com/ Kathleen joins me today to discuss positive value changework. She shares the origins of EMDR and its similarities to NLP. We discuss how to navigate situations when clients ask for particular techniques and how she helps her clients work through self-sabotaging values to encourage belief systems and cognitive shifts. We discuss how she conducts screening and works with sleep issues from a semantic point of view. Kathleen highlights tips for mastering conversational hypnosis and explores metaphors and their meaning. We also discuss the homework Kathleen gives to her clients and why you shouldn't assume you still have rapport. "Metaphors are the language of trauma." - Kathleen Shannon The origin story of Eye Movement Desensitization and Reprocessing (EMDR) therapy Handling client requests for specific techniques and whether they are suitable for the client, their values, and the problem An example of client self-sabotage and how to introduce cognitive and behavioral shifts How clients are finding Kathleen and Shannon Counseling and Consulting and the changework areas she works with Getting specific and using the Parts Model, Core Transformation, Holmes Model, and Transforming Yourself Model Why you should not assume you still have rapport and how to use Scott D. Miller's Outcome Rating Scale Resources Mentioned: Psychology Today Quartet Health Scott D. Miller Podcast: Session #320 – Follow-up Success with Stop Smoking Hypnosis Connect with Kathleen Shannon: Shannon Counseling and Consulting NLP Carolinas Shannon Counseling and Consulting on Facebook Kathleen Shannon on LinkedIn Join our next online certification course… wherever you are in the world! https://WorkSmartHypnosisLIVE.com/ Get an all-access pass to Jason's digital library to help you grow your hypnosis business: https://www.hypnoticbusinesssystems.com/ Get instant access to Jason Linett's entire hypnotherapeutic training library: https://www.hypnoticworkers.com/ If you enjoyed today's episode, please send us your valuable feedback! https://www.worksmarthypnosis.com/itunes https://www.facebook.com/worksmarthypnosis/ Join the new WORK SMART HYPNOSIS COMMUNITY on Facebook! https://www.facebook.com/groups/worksmarthypnosis/ Want to work with Jason? Check out: https://www.virginiahypnosis.com/call/

Episode 131: In today's episode, I speak with Scott Miller, Ph.D. about how we can use feedback to improve client outcomes. Scott is one of the developers of Feedback Informed Treatment, or FIT - an "empirically supported, pantheoretical approach for evaluating and improving the quality and effectiveness of behavioral health services. It involves routinely and formally soliciting feedback from clients regarding the therapeutic alliance," client outcomes, and using that information to improve services. You can read a transcript of today's interview at https://socialworkpodcast.blogspot.com/2021/12/FIT.html You can connect with other social workers at the Social Work Podcast Facebook page at http://www.facebook.com/swpodcast, or follow the Twitter feed at http://www.twitter.com/socworkpodcast.

The International Center for Clinical Excellence presents the inaugural episode, "The Book Case" -- a discussion between addiction medicine physician and FIT certified trainer, Dan Lewis, and psychologist Scott D. Miller.In this installment, they discuss two timely yet controversial books on drug use. Is the legalization of marijuana a positive development? Should all drugs be legalized? The two books make the case.1. Tell the Children (https://amzn.to/3lC9Is5)2. Drug Use for Grownups (https://amzn.to/3AgnqHn) Hosted on Acast. See acast.com/privacy for more information.

In this interview, Scott discusses how he came to his work focusing on Feedback Informed Treatment and deliberate practice. He discussed how when working with the Solution Focused Therapy founders, independent research found that the approach was effective, but not so significantly more effective than other approaches. He explained how this was surprising to him, and when he looked into it more, he found this finding was true when applied to all theories and techniques. He discussed his drive to improve as a clinician himself and his work with Michael Lambert and Lynn Johnson in looking at the common factors related to outcome and using client feedback to improve alliance and thus outcome. We discussed how continuing education is often focus on theory and technique, and how if a clinician would like to improve their effectiveness with clients, they need to focus on improving their relationships with clients. He discussed learning about Anders Ericsson's research related to deliberate practice, and how clinicians can use this to improve their work with clients. We discussed how research is often focused on symptoms, but it is actually the individual's functioning that is more important as functioning is often what brings clients into treatment, rather than symptoms. He explained that when working in drug and alcohol treatment, he often wondered why the clients had not sought treatment earlier, and it was often an effect on their functioning (e.g., losing their partner, losing their job) that propelled them into treatment. Scott discusses how often when people consult with him, he always returns to why the client is in therapy and what they want out of it, which many therapists forget about as they turn their attention towards the symptoms. Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Scott conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of "invited faculty" whose work, thinking, and research is featured at the prestigious "Evolution of Psychotherapy Conference." His humorous and engaging presentation style and command of the research literature consistently inspires practitioners, administrators, and policy makers to make effective changes in service delivery. He is the author of numerous articles and co-author of ​Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness, The Heroic Client: A Revolutionary Way to Improve Effectiveness through Client-Directed, Outcome-Informed Therapy, and ​Feedback Informed Treatment in Clinical Practice: Reaching for Excellence.

Read the full transcript here. How can we make psychotherapy more effective? How much confidence should psychotherapists have in the efficacy of their methods? How does deliberate practice differ from mere repetition? How can we overcome confirmation bias, the Dunning-Kruger effect, and other blind spots in our own fields of expertise? What are the most significant predictors of positive outcome achievement for clients in psychotherapy? When a patient has a physical ailment, doctors gather data, diagnose the ailment, and prescribe a particular treatment; but to what extent is psychotherapy similar to that model? To what extent do psychological models reflect the culture in which they're created? Has psychotherapy improved its efficacy over the course of its existence? When the therapeutic relationship seems less than optimal or even difficult, how long should clients stick with a therapist before switching to a different one? What are some meta-analyzers getting wrong when they compare treatment methods?Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of invited faculty whose work, thinking, and research is featured at the prestigious Evolution of Psychotherapy Conference. Email him at info@scottdmiller.com or learn more at scottdmiller.com. [Read more]

Read the full transcriptHow can we make psychotherapy more effective? How much confidence should psychotherapists have in the efficacy of their methods? How does deliberate practice differ from mere repetition? How can we overcome confirmation bias, the Dunning-Kruger effect, and other blind spots in our own fields of expertise? What are the most significant predictors of positive outcome achievement for clients in psychotherapy? When a patient has a physical ailment, doctors gather data, diagnose the ailment, and prescribe a particular treatment; but to what extent is psychotherapy similar to that model? To what extent do psychological models reflect the culture in which they're created? Has psychotherapy improved its efficacy over the course of its existence? When the therapeutic relationship seems less than optimal or even difficult, how long should clients stick with a therapist before switching to a different one? What are some meta-analyzers getting wrong when they compare treatment methods?Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of invited faculty whose work, thinking, and research is featured at the prestigious Evolution of Psychotherapy Conference. Email him at info@scottdmiller.com or learn more at scottdmiller.com.

How can we make psychotherapy more effective? How much confidence should psychotherapists have in the efficacy of their methods? How does deliberate practice differ from mere repetition? How can we overcome confirmation bias, the Dunning-Kruger effect, and other blind spots in our own fields of expertise? What are the most significant predictors of positive outcome achievement for clients in psychotherapy? When a patient has a physical ailment, doctors gather data, diagnose the ailment, and prescribe a particular treatment; but to what extent is psychotherapy similar to that model? To what extent do psychological models reflect the culture in which they're created? Has psychotherapy improved its efficacy over the course of its existence? When the therapeutic relationship seems less than optimal or even difficult, how long should clients stick with a therapist before switching to a different one? What are some meta-analyzers getting wrong when they compare treatment methods? Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of invited faculty whose work, thinking, and research is featured at the prestigious Evolution of Psychotherapy Conference. Email him at info@scottdmiller.com or learn more at scottdmiller.com.

How can we make psychotherapy more effective? How much confidence should psychotherapists have in the efficacy of their methods? How does deliberate practice differ from mere repetition? How can we overcome confirmation bias, the Dunning-Kruger effect, and other blind spots in our own fields of expertise? What are the most significant predictors of positive outcome achievement for clients in psychotherapy? When a patient has a physical ailment, doctors gather data, diagnose the ailment, and prescribe a particular treatment; but to what extent is psychotherapy similar to that model? To what extent do psychological models reflect the culture in which they're created? Has psychotherapy improved its efficacy over the course of its existence? When the therapeutic relationship seems less than optimal or even difficult, how long should clients stick with a therapist before switching to a different one? What are some meta-analyzers getting wrong when they compare treatment methods?Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of invited faculty whose work, thinking, and research is featured at the prestigious Evolution of Psychotherapy Conference. Email him at info@scottdmiller.com or learn more at scottdmiller.com.

"Geðvarpið" er ný sjálfstæð þáttasyrpa innan Hlaðvarps Landspítala. Stjórnandi syrpunnar er hjúkrunarfræðingurinn dr. Helga Sif Friðjónsdóttir. Í þessum fjórða þætti fær Helga Sif til sín Vilborgu G., en hún er geðhjúkrunarfræðingur, fjölskyldufræðingur og handleiðari. Helga Sif og Vilborg ræða bakgrunn hennar og víðtæka reynslu og velta vöngum yfir því hvað gerir okkur að góðum meðferðaraðila, innihaldi og áhrifum meðferðarsambandsins sem og nauðsyn ígrundunar á eigin sjálfi til að geta veitt öðrum meðferð að réttum gæðum. Vilborg útskrifaðist sem hjúkrunarfræðingur 1972 og vann á bæklunarskurðdeild Landspítala til 1984. Síðan lá leiðin í skólahjúkrun á vegum heilsugæslunnar og þar kviknaði óbilandi áhugi hennar á að vinna með börnum og ungmennum og fjölskyldum þeirra. Vilborg fór því í uppeldis og kennslufærði við KHÍ og útskrifaðist þaðan 1991. Samhliða vinnu við skólaheilsugæslu tók Vilborg meðal annars þátt í þróun stuðningsúrræðis á vegum Íþrótta- og tómstundaráðs Reykjavíkur fyrir unglinga sem stóðu höllum fæti.Árið 1994 var Vilborg ráðin framkvæmdastjóri Kvennaathvarfsins og starfaði þar í 4 ár. Á þeim tíma lauk hún einnig diplómanámi í geðhjúkrun og var leiðandi í því að innleiða í Kvennaathvarfið heildræna nálgun geðhjúkrunar í vinnu með konum og börnum sem voru þolendur heimilisofbeldis. Árið 1999 tók Vilborg við sem deildarstjóri unglingageðdeildarinnnar á Barna- og unglingageðdeild Landspítala (BUGL) . Samhliða þeirri vinnu lauk hún námi í handleiðslu við Endurmenntun Háskóla Íslands. Vilborg var deildarstjóri á BUGL til 2017 og tók virkan þátt í miklum breytingum bæði á starfseminni og þjónustunni. Samhliða deildarstjórastarfinu starfaði hún sem handleiðari í Stuðnings- og ráðgjafateymi Landspítala og kynntist þá nokkuð vel bæði starfsemi annarra deilda sem og spítalans í heild. Vilborg hefur einnig tekið að sér handleiðslu bæði á stofu og í hinum ýmsu fyrirtækjum bæði innan og utan heilbrigðiskerfisins. Árið 2017 hóf hún störf á göngudeild BUGL samhliða því að hafa nýlokið námi í fjölskyldumeðferð. Á göngudeildinni starfaði Vilborg við áfalla- og tengslamiðaða fjölskyldumeðferð bæði samkvæmt hugmyndafræði ABFT (Attachment-Based-Family-Therapy) en þjálfun í því líkani stóð til boða á BUGL á tímabili. Auk þess hefur Vilborg markvisst hlotið þjálfun í öðru nokkuð sambærilegu líkani ARC (Attachment-Recilience and Compitence) sem er ætlað fjölskyldum þegar um er að ræða flókinn áfalla- og tengslavanda. Vilborg lauk störfum á Landspítala vegna aldurs í júní 2020. Hún starfar áfram sem handleiðari á stofu og einnig við að handleiða ýmsa fagaðila innan barnaverndarkerfa í tengslamiðuðum stuðningi við fjölskyldur fósturbarna. Hún kemur einnig að handleiðslu fagteyma í einkarekinni þjónustu við börn/unglinga í flóknum og samsettum vanda. Þá hefur Vilborg í vaxandi mæli verið að handleiða lykilstjórnendur í ýmsum stofnunum/fyrirtækjum sem ekki tengjast heilbrigðis- eða félagsþjónustu. Síðastliðinn áratug hefur Vilborg samhliða öðrum störfum handleitt ýmsa fjölfaglega hópa og einstaklinga sem vilja markvisst styrkja og efla faglega og persónulega þróun sína sem meðferðaraðilar með sérstakri áherslu á gæði meðferðarsambandsins. Sá áhugi vaknaði hjá Vilborgu fyrir 15 árum eftir kynni við hugmyndafræði Dr. Scott D. Miller þar sem áherslan er á breytur sem stýra gæðum samtalsmeðferða óháð meðferðarlíkönum. Áhuginn varð að “brennandi áhuga” sem hefur fylgt henni síðan.Hlaðvarp Landspítala er aðgengilegt á vef spítalans og helstu samfélagsmiðlum, en einnig í streymisveitunum Spotify og Apple iTunes, ásamt hlaðvarpsveitum á borð við Simplecast, Pocket Casts og Podcast Addict. Það er samskiptadeild Landspítala sem heldur úti Hlaðvarpi Landspítala og þeim sjálfstæðu þáttasyrpum sem tilheyra hlaðvarpsfjölskyldu spítalans.SIMPLECASThttps://landspitalihladvarp.simplecast.com/episodes/gedvarpid-04

Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of “invited faculty” whose work, thinking, and research is featured at the prestigious “Evolution of Psychotherapy Conference.” His humorous and engaging presentation style and command of the research literature consistently inspires practitioners, administrators, and policy makers to make effective changes in service delivery. He’s also the author of many books, including Escape from Babel: Toward A Unifying Language for Psychotherapy Practice and The Heart and Soul of Change: Finding What Works in Psychotherapy, among others. Sign up for 10% off of Shrink Rap Radio CE credits at the Zur Institute

In the first episode, Alison and Jordan talk about how new therapists can resist imposter syndrome.We'd love to hear from you. Send us an email at connect@edgeofthecouch.com to tell us what you think, ask a question or let us know what type of episode you'd love to hear.  You can even send us a voice note for us to play in a future episode. You can support us by giving us a review on Apple Podcasts, sharing the show with a friend, or supporting us on Patreon.Here are some links to learn more about what was mentioned on the podcast:Scott D Miller, What works in therapy?Esther Perel, Where should we begin podcastMore on Jungian concept of bright shadowAlison McClearywww.alpenglowcounselling.com@alpenglow_counselling on InstagramJordan Pickellwww.jordanpickellcounselling.ca@jordanpickellcounselling on InstagramEdge of the Couchwww.edgeofthecouch.com@edgeofthecouchpod on Instagram

Episode 8: Welcome back to the show the re-re-reboot & a Lesson on Validation & Changing Language!So it turns out that two things happened: FIRST, someone else was using my initials…two someone else's…a television show (we can't get mad at them for having that as a call sign)…but, sadly, also a hate group (BOO!). So the name got he show has been changed to The Solution Focused Podcast! I have upgraded my gear and equipment (also yay!) and I look forward to getting back to our regular production schedule!What is also interesting is that I learned a very important lesson on validation that I think will be important to remember and process for this involved in clinical settings.When I was at a Solution Center we utilized the Outcome Rating Scale created by Scott D. Miller and his team at the International Center for Clinical Excellence (ICCE). This always lead to us being able to ask our patients about their emotions, and validating them - naturally, and without thinking about it!However, moving into a clinical setting, we don't (yet) have time to do that we each patient (scheduled back to back, and eschewing paper) so in dropping that practice, I realized I was missing a key component of my Solution Focused Work: the emotional check in and validation. This was pointed out to me by a colleague when I was covering for her, and some of her patients commented on it (she is almost entirely a DBT practitioner, so very opposite in approach, and very noticeable by her patients).The MOMENT I made a conscientious effort to bring validation as an immediate first step, before what was “What's better this week?”, as part of my regular practice, there was a noticeable change with my patients: sessions became more fluid, patients felt better (their self-report), and items on treatment plans seemed to have gotten resolved quicker, or at least had more progress noted in them. Engagement seemed to be up. This shows us, I think (admittedly without quantitative detail) qualitatively the importance of validation.Secondly is word choice: I found that “what's better this week” no longer fit with my view on trauma informed practice I changed my question to now be “what's happened since last session” and then, from there, I can guide to “have things gotten better, stayed the same, or gotten worse” through a variety of different ways.In Solution Focused Work, we believe that words make all of the difference, and in fact, the therapy happens with the words that are used in session…which is why we have to choose them so precisely.I'll put out an updated conceptual template for case noting later in the week. For now, welcome back, it's good to be back on the air!Thank you for listening. Please tune in again next Sunday (and every time in-between), as we continue forward together down our solutions focused path. Comments, constructive criticism, feedback, and questions can be sent to matt@themattschwartz.net. Yes I'm on Social Media at @TheMattSchwartz on all of the platforms you'd think to look at. I'm Matt Schwartz, and it's a pleasure to be your host.The music you're listening to in the background today is Boston Landing on “Blue Dot Sessions" generously shared through a creative commons license. Please find more of their music at www.sessions.blue, that's w-w-w- dot s-e-s-s-i-o-n-s- dot b-l-u-e. I'll see you next Sunday with more; until then, make good choices.

Dr Scott D. Miller is the founder of the International Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. In this interview Scott chats with Noel Bell about outcome measurement in counselling and psychotherapy and how to boost performance and effectiveness. See more at www.scottdmiller.com and www.noelbell.net

Reigniting Therapy An interview with Dr. Daryl Chow regarding how to do effective therapy. Curt and Katie talk with Dr. Chow about the ways in which therapists can improve clinically – looking at the relationship, the expectations of clients, and what we each uniquely bring to the room. We also discuss deliberate practice, lifelong learning, and the difference between confidence and competence. It’s time to reimagine therapy and what it means to be a therapist. To support you as a whole person and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age. Interview with Daryl Chow, MA, PhD (Psych) Daryl Chow, MA, PhD (Psych) is a practicing psychologist and trainer. He is a senior associate of the International Center for Clinical Excellence (ICCE). He devotes his time to workshops, consultations and researches the development of expertise and highly effective psychotherapists, helping practitioners to achieve better results. Daryl is the author of The First Kiss: Undoing the Intake Model and Igniting First Sessions in Psychotherapy. His work has also appeared in edited books, peer-reviewed journal articles, and he is a co-editor of The Write to Recovery: Personal Stories & Lessons about Recovery from Mental Health Concerns. Daryl’s blog, Frontiers of Psychotherapist Development is aimed at inspiring and sustaining practitioners’ individualized professional development. His highly personalized in-depth online course for supervisors, Reigniting Clinical Supervision, serves as a leading light to help raise the bar of effectiveness in psychotherapy. Currently, Daryl maintains a private practice with a vibrant team at Henry Street Centre, Fremantle, and continues to serve as a senior psychologist at the Institute of Mental Health, Singapore. In this episode we talk about: Chow describing himself as a slow learner The value of deep learning The problems with therapist education Banking versus kindling model of education Learning conversation versus theory The importance of practical learning How we get in the way as therapists How to manage first sessions (what you are gifting, versus what you are taking) Undoing the intake perspective We are not in the business of fast food Trajectory of change, continuity of services 20-30% of people come only for one session “Sufficing” our information rather than deep probing “Information is not transformation” – Dr. Daryl Chow First principles and the hero’s journey Evidence-based therapy versus developing good therapists Deliberate practice as a verb “It is so much easier to buy tools than to get good” What is NOT deliberate practice “Confidence is not competence” We get worse as therapists over time if we don’t practice deliberately The importance of lifelong learning The systemic challenges to maintaining skills and getting better What to work on that has leverage for you – finding your own growth edges Measuring growth versus measuring performance Re-moralizing clinicians through improving efficacy The role of burnout and overwhelm in becoming complacent The importance of feedback and “feeding forward” and making tweaks Continuous calibration approach Our Generous Sponsor: SimplePractice Running a private practice is rewarding, but it can also be demanding. SimplePractice changes that. This practice management solution helps you focus on what's most important—your clients—by simplifying the business side of private practice like billing and scheduling. More than 60,000 professionals use SimplePractice —the leading EHR platform for private practitioners everywhere – to power telehealth sessions, schedule appointments, file insurance claims, communicate with clients, and so much more—all on one HIPAA-compliant platform.  Get your first 2 months of SimplePractice for the price of one when you sign up for an account today. This exclusive offer is valid for new customers only.  Go to www.simplepractice.com/therapyreimagined to learn more.  Resources mentioned: We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! The First Kiss: Undoing the Intake Model by Dr. Daryl Chow Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness by Scott D. Miller  (Author), Mark A. Hubble  (Author), Daryl Chow (Author) Dr. Daryl Chow's Website Daryl's website for therapists: Frontiers in Psychotherapist Development Reigniting Clinical Supervision   Relevant Episodes: Be a Better Therapist Finding Your Blind Spots Person of the Therapist Connect with us! Our Facebook Group – The Modern Therapists Group Get Notified About Therapy Reimagined Conferences  Our consultation services: The Fifty-Minute Hour Who we are: Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, the CFO of the California Association of Marriage and Family Therapists, an Adjunct Professor at Pepperdine University, a former Subject Matter Expert for the California Board of Behavioral Sciences, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We’re working on it. Our guests are also only speaking for themselves and have their own opinions. We aren’t trying to take their voice, and no one speaks for us either. Mostly because they don’t want to, but hey.   Stay in Touch: www.mtsgpodcast.com www.therapyreimagined.com Our Facebook Group – The Modern Therapist’s Group https://www.facebook.com/therapyreimagined/ https://twitter.com/therapymovement https://www.instagram.com/therapyreimagined/   Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/

Daryl Chow has worked with Scott D. Miller, is an author, trainer, supervisor. Daryl provides outpatient and inpatient psychological services, clinical supervision, psychotherapy research, clinical training and workshops. We were able to catch up with Daryl and have a general conversation about psychotherapy and getting better results. For more about Daryl please go to the landing page for this episode HERE.   Please leave a review! (Reviews are fabulously important to us! On your podcast player you should find an option to review at the bottom of the main page for the podcast - after the list of available episodes) - Here's a link for iTunes.   Thanks for listening! Support this show by subscribing to The Science of Psychotherapy (You can support us by subscribing to our magazine for less than a $1/week) Please leave an honest review on iTunes and please subscribe to our show.  You can also find our podcast at: The Science of Psychotherapy Podcast Homepage If you want more great science of Psychotherapy please visit our website thescienceofpsychotherapy.com

Today we talk to Scott D. Miller, Ph.D. about his upcoming book Better Results using Deliberate Practice to Improve Therapeutic Effectiveness. Scott is the founder of the International Center for Clinical Excellence an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of “invited faculty” whose work, thinking, and research is featured at the prestigious “Evolution of Psychotherapy Conference.” His humorous and engaging presentation style and command of the research literature consistently inspires practitioners, administrators, and policy makers to make effective changes in service delivery. For more details go to this episodes landing page HERE.     Please leave a review! (Reviews are fabulously important to us! On your podcast player you should find an option to review at the bottom of the main page for the podcast - after the list of available episodes) - Here's a link for iTunes.   Thanks for listening! Support this show by subscribing to The Science of Psychotherapy (You can support us by subscribing to our magazine for less than a $1/week) Please leave an honest review on iTunes and please subscribe to our show.  You can also find our podcast at: The Science of Psychotherapy Podcast Homepage If you want more great science of Psychotherapy please visit our website thescienceofpsychotherapy.com

On this week’s episode of the Psychiatry and Psychotherapy podcast, I interview Scott D. Miller, Ph.D. and Daryl Chow, Ph.D., authors (along with Mark A. Hubble, Ph.D.) of Better Results. Better Results is a book that sums up thirty years of research to demonstrate what clinicians can reliably do to improve therapy results by personal and professional development. 

Welcome to What’s Better This Week? Episode 2: Starting From the Beginning.   So I’ve put a lot of thought into the best way to show the juxtaposition of Solutions Focused Work in a clinical setting, especially in a New York State, Office of Mental Health Licensed, Outpatient Community Mental Health Clinic.   What I’ve come up with (and we’ll see if it pans out, and if it doesn’t, we’ll change tracks) is to go through (at least for the very start of this program) what our patients experience when connecting to the process by going through the process itself, step by step; so I can show where the potential for clashes with the modality and clinical reality are, and how I address and account for them (where possible) in a solutions focused way, and how I make solutions focused work in all of this in general. Then, after that, each week, we’ll tackle general solutions focused stuff that comes up in the clinical world: advances, techniques, new evidenced based research, how we continue to make it all fit together, and more.   This Podcast probably isn’t the best for those entirely new to Solutions Focused work, though It will be beneficial for students who want to be SFBT clinicians in the field one day (especially in the states). So that said, I’m going to make one big assumption, and that assumption is that you’re already familiar with SFBT, and have a pretty decent handle on how to conduct a session (at least theoretically) or you’re already an SFBT practitioner.   If you don’t or aren't, that’s okay. I think of all of the modalities, SFBT is the modality where we most want to create new practitioners. My suggestion is that if you’re new to this branch of therapy or counseling or coaching (depending on what country you’re listening from) is to get super familiar with it really quick, by reading the works of Insoo Kim Berg, Steve De Shazer, and also watching and reading the works and videos of Scott D. Miller (and there are many more to choose from, and of course, YouTube…which is where I’ve learned everything from how to fix my cars headlights to how to pick a lock, all valuable skills as a former case manager).   That said, I’m going to jump right into the podcast. You are welcome back at any time, or you can stick around, and if you find that it’s not making sense maybe it’s time to hit the pause button, and do some light reading.   Let’s talk terms. In this podcast, I’m going to refer to clinical work to mean outpatient behavioral health care in an environment which requires the acceptance of insurance in order to treat clients or patients who otherwise could not afford mental health care, and I’m going to refer to SFBT or Solutions Focused to mean Solutions Focused Brief Therapy.   So, the first two issues that we run up against in the clinical vs. SFBT divide is that SFBT doesn’t rely on a  diagnosis (in fact, we generally eschew diagnosing patients, and it isn’t necessary for the modality at all)…and, in SFBT we also begin work immediately in the first session, which just doesn’t happen in a clinical setting.   In the United States, and certainly in my practice in New York, I am required to provide a diagnosis at the end of the very first visit (despite the fact that we are trained, almost universally across the board of the helping professions) that diagnosing on the first visit or interaction is the worst practice and shouldn’t be done. Insurance requires it, so we make some ethical leaps and bounds, and et viola, we all do it, because otherwise no one would get care (and none of us have risen up en masse to put the insurance companies in their rightful place...yet).   The second, most noticeable difference is that in “pure SFBT” we begin the session with the patient or client immediately when they are in our office, at their first appointment. Sure, maybe they sign a couple of forms and releases at the front desk (or online if they register through a portal), but as soon as they sit down, we start. Not so in a clinical environment. First, there’s a patient intake process, and confirming insurance (at my clinic patient’s do this in a little phone booth). Then there’s another intake process to get more information in the waiting room (which is done on a clipboard). Then we are required to complete an in person assessment process which takes (up to, and sometimes standardized to) three sessions, where we are required to ask a myriad of questions on an electronic form of which, as a solutions focused counselor, I find unhelpful, unnecessary, and generally useless (all of the information in this assessment will come out, if it’s relevant, during session). However, they’re mandatory…because someone (other than me) has determined that they’re mandatory (oftentimes the state agencies that license our clinics, and are what allow us to provide services to the most marginalized and in need in our communities).   What an incredible difference: In true SFBT practice, we begin our treatment of the patient from the word “go.” In clinical practice we don’t begin treatment until the fifth appointment. That’s because the first three appointments are assessment appointments (which, of course, benefits the clinician and the agency more than they benefit the patient). We also take a urine sample somewhere in there to establish a baseline measure so we can appease the DSM-V’s “rule out substances” clause, and then the fourth visit is when a collaborative treatment plan is made (more on that later, because it becomes incredibly important when we look at solutions focused work in a clinical environment…legally, ethically, and for billing purposes).   So…wow...that’s a month and a week of appointments before we get down to helping a patient help themselves figure out what to do for why they walked in our doors in the first place.   To be fair to my agency, we have been working diligently (across all modalities) to ensure that patients do receive some time in each assessment appointment to talk, or learn coping skills…but they are clearly not therapy sessions.   So besides the fact that this flies in the face of patient centered treatment; and the fact that it’s antithetical to solutions focused treatment, one of the bigger problems is that the statistical mode (the most common number of all sessions a patient or client will have in therapy) is one. This means that we spend a ton of time gathering information, and data (again, usually because a regulatory bureaucrat thinks that it's important) instead of helping patients in what may be their only interaction with a therapist ever.   So, why would I - or why would you, as a solutions focused person, ever want to get involved in this nonsense? It’s not because you want to get your C or your -R credential (editorial note: I’m heavily biased toward Social Work). It’s because it is absolutely vital that marginalized communities (of which these community mental health clinics serve) be given the opportunity to receive this same level of evidence based, person centered, empowering care, that otherwise only those who have extra, disposable income could afford. That’s why. And I’m going to encourage you to stick around with me, and to become experts on making it work…because we have to. Because people need this modality. And we have to be able to offer it to them.   So let’s dive in a bit further: There’s little I can do about the process (right now) before someone gets into my office. However, once someone is in my office, I have a great deal of control…it’s my space.   The first thing that I do when I sit down with a patient, after explaining confidentiality, is I ask them “What brings you in?” and then, after they let me know what brought them in, I ask “how can I be helpful?" (shout how to Denise Krause at the UB School of Social Work for teaching me that question, it’s one of my go to questions, especially when I get stuck. Then I genuinely listen. I don’t listen to respond. I just listen to listen.    Already, the tenor of a typical “assessment” appointment has changed. First, I’m not rapid firing questions at them, and I’m not talking about myself, my philosophy, my agency, or our process. There’s one person that’s important here. The patient (and their needs). Once they have expressed themselves enough to answer this question, I use a Solutions Focused Formulation to share back with them why they’re here.   I then share that I use collaborative documentation in order to take notes (we’ll come back to this - since I don’t use a pad or a computer during anything but the last five minutes of session after this process), and I ask for permission to begin the assessment process. I then wait to receive that permission. (it’s at this point I turn around, and unlock my computer screen). I then take everything that the patient and I have discussed, and - instead of asking it in the form of assessment questions all over again. Type what the patient has already shared with me into the corresponding boxes. I type while speaking out loud what it is that I’m typing, so if I make a mistake the patient can correct me (that’s part of the collaborative documentation part) . I will then ask for filler, or clarifying information as needed. In doing this, I show that I’ve listened to the patient. I then ask an assessment question, in a very solutions focused way.   Instead of asking the question that’s on the assessment (that was added to encourage clinicians to work with patients on some of their needs during the assessment process, which is “what is one thing we can work on today to make you feel hopeful about this and other sessions”), I ask the SFBT question of “so what’s your best hope for Today’s session, so when you leave here today, you’ll know that it wasn’t a waste of time, and that you really got something out of it?” I then make sure that we work on that.   This has, likely, used up around no more than 20 or so minutes of our time (all said and done). Assessment appointments (since they’re billed at a higher reimbursement rate, hence why there’s three of them, because three of them are allowed, and community health clinics are floundering financially as it is…) last an hour. This means that we have another forty minutes together. Within the first session there are certain tabs on our EMR’s intake assessment that must be completed. The biographical tab, the depression screen tab, the lethality tab, and then I always do the safety plan tab because, honestly, it does happen to be a great intervention. The depression tab has to be completed even if the patient has never, ever, ever, ever been depressed a day in their life. Totally antithetical to SFBT. That said, the questions don’t have to be. If a patient is “scoring” (as if it’s a sports match) low or high on the screen, we can still move it into SFBT languages (we cannot change the language of the screening tool…because then it will no longer be the evidenced based screening tool…).   So instead of saying “wow, you’re really depressed!” or “it seems that you’re very depressed!” we can say “wow, that all must be very difficult…how have you been coping?” or “wow, how have you managed, despite things being so difficult, to make sure that you’re mood’s been okay?” The same is true for questions on the lethality tab where we also do risk assessment, and have to ask about things such as past arrests (“That sounds very frightening, how did you get through that?”) or the safety/coping plan (“it seems that you have a lot of supports, and a lot of people who really care about you, how did you develop such a great support network?” or “that seems really difficult, not having many people to rely on, how are you coping right now?”).   So finally, we’ve made it through most of these tabs, and - if everything has gone right…there’s twenty or so minutes to go, where I can say “excellent, so we have twenty or so minutes remaining to talk, thank you so much for bearing through that process, let’s get you scheduled for your next appointment so we can finish out using the remaining time to brainstorm around what brought you in here, in the first place, when you mentioned what your best hopes for today’s session were, what I heard you say was…”   This seems as good a place as any to stop…since it’s where I have to stop with my patients during their first week of the assessment process. Next week, we’ll cover what happens after the patient leaves my office after their first session, as well as the second week of the assessment process. We’ll also go a little more in depth as we explore the notion of diagnosis, what it means to assess for past treatment history, trauma, schizophrenia, mood, eating disorders, gambling disorders, substance use disorders, and more as a solutions focused counselor, and what it looks like to prep the patient for their third assessment appointment.   Thank you for listening. Please tune in again next Sunday, as we continue forward together down our solutions focused path. I’m @TheMattSchwartz, and it’s time for some self care with my cat, Akiva, who is patiently waiting for cuddles while I record this.   The music you’re listening to in the background today is Boston Landing on “Blue Dot Sessions" generously shared through a creative commons license. Please find more of their music at www.sessions.blue, that’s w-w-w- dot s-e-s-s-i-o-n-s- dot b-l-u-e. One day, when I have enough subscribers, I may even purchase one of their pretty cool professional licenses licenses (you should check them out, NPR even uses them, they’re that snazzy). I’ll see you next Sunday with more; until then, make good choices.  

Scott D. Miller about Solution Focus and deliberate practice. In today’s episode, we talk with Scott D. Miller, PH.D., founder of the International Center for Clinical Excellence, author, and promoter of deliberate practice, about how he got in touch with Solution Focus, how he moved to Milwaukee to work at the Brief Family Therapy Center (BFTC) in Milwaukee, what fascinated him with the work at BFTC, and how the way they worked back then has a lot to do with the work he does now. Learn more about how describing Solution Focus to others led to a standardized approach, what led him towards deliberate practice and how those therapists are most effective that measure their results, reflect their practice, and learn from feedback. Check out the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) and how they can help you refine your practice. Scott also talks about how well Solution Focus fits to deliberate practice and how that way of learning could be transferred to other areas where Solution Focus is applied, like e.g. leadership. We furthermore explore the difficulty of measuring outcomes and the questions to ask and the importance of talking the language of our clients or talking about what’s meaningful for them. And check out this week’s challenge of the week: „If you think you are effective, why not find out? Download the measures and begin tracking your outcomes. And see: Are you effective with all your clients? Is it to the degree you thought?" The post SFP 36 – Deliberate Practice: Reflecting Solution Focused Development with Scott D. Miller appeared first on SF on tour.

Manuel lee el ensayo "Reforma del pensamiento y totalitarismo: La psicología del programa de capacitación misional de la iglesia SUD", Por Scott D. Miller. Lea el ensayo completo en formato PDF cliqueando aquí..

Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of “invited faculty” whose work, thinking, and research is featured at the prestigious “Evolution of Psychotherapy Conference.” His humorous and engaging presentation style and command of the research literature consistently inspires practitioners, administrators, and policy makers to make effective changes in service delivery.Resources:scottdmiller.comyoutube.com/watch?v=pI8Hww1xjK4centerforclinicalexcellence.com

For this Mormon Stories Podcast episode a distinguished panel reviews a newly released LDS mission memoir entitled, "The Book of A Mormon," co-written by world renowned psychologists Dr. Scott Miller and Dr. Mark Hubble.  This enjoyable and thoughtful book chronicles Dr. Miller's mission to Sweden in the late 1970s, and is a fascinating and detailed history of correlation-era LDS missionary service. Joining us to review the book are several panelists: Hans Mattsson (former LDS Area Authority from Sweden), Julienna Viegas-Haws (native of Belgium), Jennie Dendy (served mission in Finland), and Kirk Kinsey (Mark's son). We all consider this to be a very important book, and we hope you enjoy reading.

On this episode of the Addicted Mind podcast, our guest is Dr. Scott D. Miller of the International Center of Clinical Excellence in the field of mental health. Dr. Miller has used his decades of experience in the industry to develop outcome measures with the goal of increasing the effectiveness of therapy. These outcomes are not merely “milestones” or objective progress markers, but are more subjective and are focused on the client’s well-being and function. Previous training for therapists had been targeted towards treating the symptoms that the client had, but often even when the symptoms had gone away, the person wasn’t feeling much better. Using the ORS and SRS scales that Dr. Miller developed allows the therapist and the client to maintain an open dialogue regarding the effectiveness of their treatment and their satisfaction with their relationship overall, which is key to the success of the therapy. This practice of consistently tracking and reporting results allows the therapist to adapt their methods for each client, allocating the care and energy necessary to develop a healthy relationship that has proven to be essential for the treatment to be effective. Dr. Miller shares that a significant portion of the population that needs help does not seek it, and the main reason that is cited for this deficit is the misconception that therapy is not effective. However, the average treated person is better off than 80% of people with similar problems who are not receiving any care. Additionally, 80% of people would instead talk to someone about their issues than receive a medication to treat their issues from their general physician. When someone does decide to seek treatment for their issue, the most crucial step is to find the right therapist for them. This therapist is going to be getting to know you very well, so you must make sure that you can develop a trusting relationship with them and know that their advice and methods are for the best. Be prepared to call or visit several therapists to find the right fit for you and do not be discouraged when one does not work out.