Podcasts about Therapeutic relationship

Stalking is disturbingly common, yet often misunderstood by wider society. Professor Troy McEwan from the Swinburne University of Technology is a forensic psychologist specialising in understanding, assessing, and treating stalking behaviour. In this episode with former Crime Insiders Forensics host, Kathryn Fox, hear about the 5 different types of stalkers, and gain insights into their problematic behaviours. If you or someone you know is experiencing, or at risk of experiencing, domestic, family or sexual violence, call 1800RESPECT on 1800 737 732, text 0458 737 732 or visit 1800RESPECT.org.au for online chat and video call services.See omnystudio.com/listener for privacy information.

In episode 485 I chat with Jonny Say. Jonny is a UK based therapist and co-director at The Integrative Centre for OCD Therapy.  We discuss the importance of the therapeutic relationship, the benefits of it to outcomes, functional analytic psychotherapy (FAP), how compulsions can get in the way of the therapeutic relationship, how a good therapeutic relationship can help acceptance and commitment therapy (ACT) and exposure and response prevention therapy (ERP), the therapeutic relationship as a way of dealing with shame, rupture and repair, Jonny and I share our own experiences from therapeutic relationships, and much more. Hope it helps.  Show notes: https://theocdstories.com/episode/jonny-485 The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://learn.nocd.com/theocdstories  FAP training for therapists: https://www.integrativecentreforocd.co.uk/live-trainings-therapists/fap-for-ocd  Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter   Thanks to all our patrons for supporting our work. To sign up to our Patreon and to check out the benefits you'll receive as a Patron, visit: https://www.patreon.com/theocdstoriespodcast 

Send us your questions for Fishbowl 6!Craig sits down with Colorado-based psychotherapist and Enneagram expert Joy Gribble (Elemental Psychedelics; Reflective Healing) to explore how the Enneagram can predict the strengths, fears, and blind spots of both the therapist and the client/patient in the complex dynamics of therapy.Joy Gribble https://www.reflectivehealing.com/about-joy-gribble-fort-collinsBFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

You've probably heard that the therapeutic relationship involves things like rapport building and empathy, but what else is there, and what IS a 'therapeutic relationship' anyway??

Josh provides tips and strategies for how to navigate client friction within the therapeutic relationship. Episode Show Notes: kayladas.com/episode107 Free Boosting Business Community: facebook.com/groups/exclusiveprivatepracticecommunity Trust Driven Care: trustdrivencare.com Free Boosting Business Community: facebook.com/groups/exclusiveprivatepracticecommunity Private Practice Stages Quiz: kayladas.com/privatepracticestages Snap SEO: snapseo.ca Credits & Disclaimers Music by ItsWatR from Pixabay The Designer Practice Podcast and Evaspare Inc. has an affiliate and/or sponsorship relationship for advertisements in our podcast episodes. We receive commission or monetary compensation, at no extra cost to you, when you use our promotional codes and/or check out advertisement links.

In this enlightening episode of We Heart Therapy, host Dr. Anabelle Bugatti, PhD, LMFT, Certified EFT Supervisor & Therapist, and author of *Using Relentless Empathy in the Therapeutic Relationship*, engages in a compelling discussion with Sex Educator and best-selling author Emily Nagoski, Ph.D., on "The Importance of Playfulness." Together, they delve into how incorporating playfulness can enhance emotional connections and is essential to overall health and well-being. Emily Nagoski is an award-winning author and renowned sex educator with a Ph.D. in Health Behavior and a minor in Human Sexuality from Indiana University. She began her career as a peer health educator at the University of Delaware and has served as the Director of Wellness Education at Smith College. Emily is dedicated to teaching women to live with confidence and joy inside their bodies, combining sex education and stress education in her work. Her notable publications include the New York Times bestseller Come As You Are and *Burnout: The Secret to Unlocking the Stress Cycle*, co-authored with her sister, Amelia Nagoski. Her latest book, *Come Together: The Science (and Art!) of Creating Lasting Sexual Connections*, was published in January 2024. Learn more about Emily Nagoski and her work: Official Website: [https://www.emilynagoski.com](https://www.emilynagoski.com) Explore Emily's acclaimed books: Come As You Are: The Surprising New Science That Will Transform Your Sex Life Purchase: [https://www.amazon.com/Come-As-You-Ar...](https://www.amazon.com/Come-As-You-Ar...) Audiobook: [https://www.audible.com/pd/Come-As-Yo...](https://www.audible.com/pd/Come-As-Yo...) Burnout: The Secret to Unlocking the Stress Cycle Purchase: [https://www.amazon.com/Burnout-Secret...](https://www.amazon.com/Burnout-Secret...) Come Together: The Science (and Art!) of Creating Lasting Sexual Connections Purchase: [https://www.penguinrandomhouse.com/bo...](https://www.penguinrandomhouse.com/bo...) *Discover Dr. Anabelle Bugatti's work:* Using Relentless Empathy in the Therapeutic Relationship: Connecting with Challenging and Resistant Clients Purchase: [https://www.amazon.com/Using-Relentle...](https://www.amazon.com/Using-Relentle...) *Visit Dr. Belle's (Anabelle Bugatti) websites:* We Heart Therapy: [https://www.wehearttherapy.com](https://www.wehearttherapy.com) Dr. Belle's Professional Site: [https://www.drbelle.com](https://www.drbelle.com) -Work with Dr. Belle: https://www.LasVegasMarriageCounselin... For EFT Training and Information please visit: https://www.iceeft.com https://www.drsuejohnson.com https://www.snveft.com Don't miss this opportunity to gain valuable insights into the role of playfulness in fostering deeper relationships and personal growth.

Can AI ever replace the human connection at the heart of therapy, or are we losing something essential in the process?   I'm sitting down with my friend and colleague Dr. Sue Varma to talk about something that's been on my mind. Artificial intelligence is making its way into mental health, offering quick answers and structured advice. But can it truly replace the depth of human interaction? Sue shares why the connection between a therapist and client isn't just helpful. It's the foundation of real change.   We also dig into some common misconceptions about therapy. Many people think it's just talking instead of an active process of insight and growth. Sue introduces her “four M's of mental health”—mindfulness, movement, meaningful engagement, and mastery. These simple habits help us stay grounded in an increasingly digital world.   As AI continues to reshape mental health care, how do we embrace new tools without losing what makes therapy work? Let's get into it.   Episode Breakdown: 00:00 Introduction  03:09 Dr. Sue Varma's Background and Book 04:21 AI in Mental Health: Introduction 05:04 Positives of AI in Mental Health 08:18 Concerns About AI and Human Connection 09:11 Cultural Sensitivity in AI Responses 11:12 Importance of Patient History in Therapy 14:02 Physical and Behavioral Observations in Therapy 17:02 Challenges of AI in Diagnosing Personality Disorders 20:02 Therapeutic Relationship and Rapport 23:10 Misconceptions About Therapy 26:03 Future of AI in Psychiatry and Psychology 27:06 Staying Grounded and Optimistic Amidst AI Advances 28:53 Four M's of Mental Health 31:09 Closing   Links Connect with Dr. Sue Varma: IG, FB, Twitter: @doctorsuevarma https://www.instagram.com/doctorsuevarma/ Website: www.doctorsuevarma.com Practical Optimism https://amzn.to/4hQdrxT   Connect with Dr. Z: https://www.drjaimezuckerman.com/ https://www.zgrouptherapy.com/ https://www.instagram.com/dr.z_psychologist/ https://www.tiktok.com/@dr.z_psychologist https://www.youtube.com/@DrJaimeZuckerman   Get my FREE breathing exercise here: http://www.drjaimezuckerman.com/newsletter Register for my on demand virtual courses here: http://www.drjaimezuckerman.com/workshops Order my workbooks! *Find Your Calm / Find Good Habits* http://www.drjaimezuckerman.com/books Shop my new Mindfully Messy hoodie here: http://www.drjaimezuckerman.com/apparel Podcast production and show notes provided by HiveCast.fm

In this episode of The Paul Taylor Podcast, I sit down with Dr Jenny Brockis, lifestyle medicine physician and author of "The Natural Advantage", to explore how nature could be our most powerful yet underutilised medicine in today's screen-dominated world. Through fascinating research and personal experience, Dr Brockis reveals how our disconnection from nature is contributing to rising rates of anxiety, burnout, and chronic disease—and more importantly, how reconnecting with the natural world can dramatically improve our physical and mental wellbeing. From the surprising science of 'earthing' to practical strategies for both rural and city dwellers, this conversation is packed with evidence-based insights on leveraging nature's healing power. Whether you're battling screen addiction, struggling with anxiety, or simply seeking to optimise your health, this episode offers a compelling roadmap for using nature as your daily medicine. Key Topics: Lifestyle Medicine and Healthcare System Critique: From reactive treatment to preventive lifestyle medicine The Therapeutic Relationship in Healthcare: The vital role of strong patient-doctor relationships in effective healthcare Nature's Impact on Mental Health: Nature’s therapeutic benefits for mental wellbeing Digital Wellness and Screen Addiction: detrimental impact of screen addiction on modern life Urban Planning and Nature Integration: importance of integrating natural spaces in urban environments Physiological Benefits of Nature Exposure: scientifically proven health benefits of connecting with nature Practical Nature Integration Strategies: Techniques for incorporating nature into daily routines Professional Applications and Resources: Development opportunities in nature-based wellness Key Takeaways: Combat screen addiction by implementing regular "nature breaks" throughout your day - step outside for even brief periods to reset your attention and improve cognitive function. Engage all your senses when in nature by consciously noticing sights, sounds, smells, and textures, rather than just passively being present outdoors. Make direct physical contact with natural surfaces (like walking barefoot on grass or sand) for at least 30 minutes daily to benefit from grounding's effects on inflammation and stress reduction. Get adequate sunlight exposure in the morning hours to optimize vitamin D production and regulate your circadian rhythm, while being mindful of safe sun practices. Create dedicated screen-free times and spaces in your daily routine, particularly during nature exposure and social interactions, to enhance mindfulness and human connection. Bring nature indoors through houseplants, natural materials, and nature sounds/views when outdoor access is limited, especially for city dwellers. Start each morning with an intentional nature connection ritual - even if it's just sitting by a window with your morning beverage and observing the natural world for a few minutes. Connect with Dr Jenny Brockis:Learn more about Dr Jenny BrockisDr Jenny Brockis on LinkedInDr Jenny Brockis on InstagramDr Jenny Brockis on FacebookDr Jenny Brockis on PinterestConnect with Paul Taylor:Learn more about Paul TaylorPaul Taylor on LinkedInPaul Taylor on InstagramPaul Taylor on YouTube Support the Podcast:If you found this episode valuable, please consider subscribing, rating, and leaving a review on your preferred podcast platform. Your support helps us reach more people with important conversations like this one. Share this episode with someone who might benefit from hearing it—emotional eating is more common than we think, and this conversation could make a difference in someone's life.See omnystudio.com/listener for privacy information.

Why? It’s the question that draws so many of us to true crime. Why would someone kill? What drives a person to stalk? Are some people truly evil? Are good people capable of terrible things? We grapple with these questions, trying to make sense of the unimaginable. Is it their childhood? Their biology? Or something more complex? These aren’t just the questions we ask. Detectives, forensic psychologists, and criminal behaviour analysts have spent lifetimes trying to understand the minds of those who commit the unthinkable. In this episode, you'll hear from these experts. Crime Insiders is hosted by Brent Sanders and Kathryn Fox. Guests in this episode include Ricky Hennessy, Professor Troy McEwan, and Julia Cowley. If you or anyone you know needs help: Lifeline (Crisis support and suicide prevention) 13 11 14 1800 Respect (National sexual assault, family and domestic violence counselling line) 1800 737 732 Men's Referral Service (National counselling, information and referral service for men looking to change their behaviour) 1300 766 491 Full Stop Australia (National violence and abuse trauma counselling and recovery Service) 1800 385 578 See omnystudio.com/listener for privacy information.

In this episode of the Play Therapy Podcast, I answer two thoughtful questions from Mikayla, a graduate student and new play therapist in Illinois. Mikayla asks whether child-centered play therapy (CCPT) will still work if she doesn't have a fully stocked playroom and whether the approach can be effective even when she feels she's still learning. I reassure her that while having a variety of toys is helpful, children will use whatever materials are available to express themselves and work through their issues. It's the therapeutic relationship, not the toys, that is the heart of CCPT. I also address her concerns about technical application, emphasizing that none of us apply the CCPT model perfectly all the time — and that's okay! The most important element is maintaining the child-centered relationship and trusting the process. If you focus on being present, using reflective responses, and practicing the core be-with attitudes, you are on the right path. Play Therapy Podcast Livestream!  Jan. 3rd @ 2pm EST Register here (100 attendee limit): https://playtherapypodcast.com/livestream Sign up for my exclusive newsletter at playtherapynow.com. Stay ahead with the latest CCPT CEU courses, personalized coaching opportunities and other opportunities you need to thrive in your CCPT practice! If you would like to ask me questions directly, check out www.ccptcollective.com, where I host two weekly Zoom calls filled with advanced CCPT case studies and session reviews, as well as member Q&A. You can take advantage of the two-week free trial to see if the CCPT Collective is right for you. Ask Me Questions: Call ‪(813) 812-5525‬, or email: brenna@thekidcounselor.com Brenna's CCPT Hub: https://www.playtherapynow.com CCPT Collective (online community exclusively for CCPTs): https://www.ccptcollective.com Podcast HQ: https://www.playtherapypodcast.com APT Approved Play Therapy CE courses: https://childcenteredtraining.com Twitter: @thekidcounselor https://twitter.com/thekidcounselor Facebook: https://facebook.com/playtherapypodcast Common References: Cochran, N., Nordling, W., & Cochran, J. (2010). Child-Centered Play Therapy (1st ed.). Wiley. VanFleet, R., Sywulak, A. E., & Sniscak, C. C. (2010). Child-centered play therapy. Guilford Press. Landreth, G.L. (2023). Play Therapy: The Art of the Relationship (4th ed.). Routledge. Bratton, S. C., Landreth, G. L., Kellam, T., & Blackard, S. R. (2006). Child parent relationship therapy (CPRT) treatment manual: A 10-session filial therapy model for training parents. Routledge/Taylor & Francis Group. Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.

In this incredible interview episode, Drew & Garden System dive into the therapeutic relationship with Kelly Caniglia, a Somatically focused Licensed Clinical Mental Health Counselor in North Carolina, a Licensed Mental Health Counselor in FL, a Clinical supervisor in both states as well as Certified Clinical Trauma Professional. Kelly specializes in working with Dissociative Identity Disorder and the plural community. Kelly was first introduced to the DID community, in 2012, through advocacy work as a Clinical intern with An Infinite Mind, and international nonprofit focused on the education and advocacy for individuals living with DID. Immediately, Kelly knew this was the population she wanted to work with for the duration of her career. Since then, Kelly has remained involved with An Infinite Mind, serving as their Intern Coordinator, then added to the Board of Directors, and now as their Director of Marketing and Events. Professionally, Kelly focuses on clinical work with people living with systems through two DID focused group practices located in North Carolina. Kelly is a passionate advocate dedicated to continuing to educate and hopes to ultimately influence educational curriculums for up and coming mental health workers.If you enjoyed this episode please leave us a review! You can visit our website at: acoupleofmultiples.com. Remember, every system is unique and your experiences may be different from ours. And that's okay! You matter and are loved for being all of yous.You can sign up for a four hour System Mapping workshop here:  https://calendly.com/mindfulmultiplicity/system-mapping-workshop, presented to you by A Couple of Multiples!Our amazing Season 3 sponsors:The Institute for Creative Mindfulness, one of the largest EMDR Therapy training programs in North America is directed by Dr. Jamie+ Marich, the only EMDR therapy trainer who is “out” as a plural and offers the full EMDR Therapy basic training in a way that honors lived experience and destigmatizes dissociation in clinical work. We felt so validated when we were able to authentically participate in this training as Garden System! Go to www.instituteforcreativemindfulness.com for a full list of upcoming trainings, both online and in-person, offered by Dr. Jamie and her selected network of EMDR trainers.Dr. Wendy Aporta, with Bearings Therapy, is a marriage and family therapist specializing in military and first responder individuals, families, and couples.  She is proficient with clients experiencing PTSD, CPTSD, and dissociative disorders. For her, helping those with traumatic experiences is not just a job, it is a vocation. She is experienced in multiple modalities, and utilizes whatever is best for her client's needs. She stays abreast of the latest research and treatments to provide the best possible outcomes for her clients. Call Bearings Therapy today: 214-892-2158As a certified Internal Family Systems licensed therapist, Tiffany Morgan, owner of Holistic Self-Healing Psychotherapy, specializes in working with dissociative identities through IFS and sculpting. Known affectionately as 'Ocean,' she brings lived experience with dissociative identities and anorexia. Offering consulting, psychotherapy, training, and authoring a book on personal and professional experiences in these areas. Visit www.tiffanycobbmorgan.com  or call (520) 582-9313 for more information.Send us a text

Ben, Roe, & Roane discuss the complexities of therapy, focusing on the importance of confronting and handling offensive feedback. They emphasize that growth requires resistance and that therapists should balance honesty with sensitivity. Men, in particular, struggle with receiving honest feedback, often shutting down or reacting defensively. The conversation highlights the need for therapists to create a safe space where clients can be challenged without feeling threatened. They also touch on cultural norms around discomfort and death, suggesting that embracing discomfort is essential for personal growth. They stress the value of community and time in processing and integrating difficult truths.To learn more about the Sex, God, & Chaos team, click the link below: www.sexgodchaos.com Looking for help? Book an appointment with LifeWorks Counseling today: www.lifeworks.ms You can purchase your copy of Sex, God, & Chaos here: www.amazon.com

There's a universal truth that goes something like this: To get where we're going, it's a good idea to examine where we've been. I'll add that it's also in our best interest to chat up the elders. Charlotte Sills, MA, MSc, is a psychotherapist in private practice in the UK and also an elder with intelligence and foresight to spare, literal textbooks worth of knowledge, as her conversation with co-host Anne Remy demonstrates. Charlotte and Anne occupy opposite ends of the age spectrum. Still, they're committed to learning from each other and working together to realize dreams for our profession (less racism, more connection) and humanity (less hurt, more healing). GUEST BIO Charlotte Sills (she/her) is a psychotherapist, coach, supervisor, and trainer in private practice in London UK, and on the teaching faculty of Metanoia Institute and Ashridge Hult Business School, UK. She is also Professor of Coaching at Ashridge and on the Steering Committee of the International Association of Relational Transactional Analysis. She has published widely in the field of therapy and coaching. Authentic Leaders Group  Are you a therapist stepping into leadership for the first time?  Or maybe you've been in a leadership position for a while, but are bumping up against new struggles? Our Authentic Leadership Group is here to help you become the authentic and wholehearted leader you aspire to be. And we believe this journey is best undertaken with the guidance of experienced mentors alongside fellow learners. Next cohort starts November 2024!  Join Sarah in this journey of self-discovery and leadership mastery, where you'll enhance your leadership skills and forge meaningful connections with fellow therapists who are committed to their own growth and the betterment of the therapy field. Register now at https://www.headheartbiztherapy.com/authentic-leaders-group SUPPORT THE SHOW Conversations With a Wounded Healer Merch Join our Patreon for gifts & perks Shop our Bookshop.org store and support local booksellers Share a rating & review on Apple Podcasts *** Let's be friends! You can find us in the following places… Sarah's Website: www.headheartbiztherapy.com/podcast Facebook: https://www.facebook.com/HeadHeartBizTherapy/ Instagram: @headheartbiztherapy Anne's Website: www.spareroomwellness.com Instagram: @spareroomwellness  

Dr Julien Tempone-Wiltshire is a senior lecturer in counselling and psychotherapy, who also works as a psychotherapist specialising in complex trauma. Julien holds a PhD in Philosophy and Literature, a Master of Social Work, a Bachelors of Psychotherapy and a Bachelor of Philosophy and Science (1st Honours, ANU). He has previously worked as a lecturer in social work and integrative psychotherapy. He is also a published author with academic research interests concerning grief, trauma and contemplative studies, indigenous philosophy, psychological practice, philosophy of mind and cognitive science, amongst other subjects. *** The Mind Mate podcast provides listeners with tools and ideas to get to know themselves. Psychology-based with an existential twist, the podcast delves into topics ranging from philosophy, spirituality, creativity, psychedelia and, of course, the meaning of life! Your host Tom is a counsellor and psychotherapist who specialises in existential concerns and relationships. He is also a writer who enjoys exploring the ideas that emerge in therapy to help people live meaningful lives. Find out more here: https://ahern.blog/

Today, we have the pleasure of exploring the concept of balance through the transformative power of dance movement therapy, guided by the incredible Keli Laverty. In this episode, we are joined by Keli Laverty, founder of Be Rooted and the Be With Body Experience. Keli, a board-certified dance movement therapist with over 20 years of experience, shares her journey from childhood dancer to a pioneering therapist helping women reconnect with their bodies through movement. "Dance became my safety place, became the way that I really felt the most myself."

Many therapists are conflicted about how to show up with their clients. While there is lots of training to be highly emotionally engaged with clients, there is also training that therapists should be more distant in sessions to avoid possible countertransference––which is the evoking of emotions and reactions within the therapist. What if, instead of attempting to be overly engaged or maintaining a distancing demeanor, therapists learned how to honor their humanness within their therapeutic role?  On this episode of Transforming Trauma, host Emily Ruth welcomes Karen J. Maroda, PhD., noted psychoanalyst and author, to discuss her fascinating research on countertransference.  About Karen J. Maroda: Karen J. Maroda, PhD., is a psychologist/psychoanalyst practicing in Milwaukee, WI. She is also an Assistant Professor of Psychiatry at the Medical College of Wisconsin, and sits on the editorial boards of The Journal of the American Psychoanalytic Association, Psychoanalytic Psychology, and Contemporary Psychoanalysis. The author of four books, her most recent one, titled "The Analyst's Vulnerability: Impact on theory and practice," has received wide recognition across theoretical originations because it focuses on the early childhood experiences of all psychotherapists.  Learn More: Website LinkedIn Amazon To read the full show notes and discover more resources, visit https://complextraumatrainingcenter.com/transformingtrauma *** The Complex Trauma Training Center: https://complextraumatrainingcenter.com View upcoming trainings: https://complextraumatrainingcenter.com/schedule/ The Complex Trauma Training Center (CTTC) is a professional organization providing clinical training, education, consultation, and mentorship for psychotherapists and mental health professionals working with individuals and communities impacted by Adverse Childhood Experiences (ACEs) and Complex Trauma (C-PTSD). CTTC provides NARM® Therapist and NARM® Master Therapist Training programs, as well as ongoing monthly groups in support of those learning NARM. CTTC offers a depth-oriented professional community for those seeking a supportive network of therapists focused on three levels of shared human experience: personal, interpersonal & transpersonal.  The Transforming Trauma podcast embodies the spirit of CTTC – best described by its three keywords: depth, connection, and heart - and offers guidance to those interested in effective, transformational trauma-informed care. We want to connect with you! Facebook @complextraumatrainingcenter YouTube Instagram @cttc_training_center      

New episodes every Monday! Do you want to be a guest?! Apply to be interviewed for the show, no matter what you do, at our website, where you can also see transcripts, buy merch and buy us a coffee! Pull back the curtain with these short, anonymous and lighthearted insights into the lives of working people to help you understand their attitudes to careers, desires for work/life balance, where they've come from and where they are going to in their employment lives. These professionals are from all parts of the world and all walks of life, but they are not your careers advisor or employment agency and they won't help you understand everything about a job. Hell, they won't even tell you what their title is! This is all about entertaining you with a bitesized, off-centre glance at all of the weird, wonderful and woeful ways to make money in this world, as we present random people asking themselves, What The Hell Is My Job?! Music by DJ Mood Lighting Are you looking for a new job or new career? Are you looking for a a seasonal or temp employment or are you looking for a career change? Or are you just one of those weird curious people who can get into anything especially if it's in podcast form, like we are? Then this is for you! We're not just about employment, money and careers. We look at global work life stories that are inspiring, funny and candid. Other podcasts we like: 99% Invisible  Articles Of Interest If Books Could Kill Hanging Out With Audiophiles  You're Wrong About Queer As Fact Decoder Ring Growing Up With Gal-Dem Twenty Thousand Hertz Stuff The British Stole  

In this conversation, Megan interviews Arielle Pinkston, a licensed marriage and family therapist, about the concept of the 'good girl' and the challenges and experiences associated with it. They discuss the characteristics of the 'good girl' role, including people-pleasing, conflict avoidance, and high standards. The conversation highlights the importance of self-compassion and explores the root causes of perfectionism and anxiety. The therapists also share their experiences as mothers and how they navigate parenting while prioritizing emotional well-being.  Takeaways Clients with the 'good girl' role may have defenses around protecting their parents and avoiding discomfort. Strategies for working with clients in the 'good girl' role can include building awareness, exploring the function of behaviors, and balancing practical tools with sitting with discomfort. Self-compassion and exploring the root causes of perfectionism and anxiety are critical. Recognizing the need for help is a sign of strength and self-awareness. Parenting with a focus on emotional well-being involves creating a safe and loving environment for children to express their feelings.   More about Arielle: Arielle Pinkston, LMFT is a therapist who specializes in anxiety, with a particular focus on helping women who struggle with people-pleasing and perfectionism. She's a firm believer in a holistic approach to mental health and loves creating a supportive environment for healing and growth. When she's not being a therapist, she's a mom to an amazing little guy and a dog. Arielle loves being able to help women feel less anxious and lean into their favorite version of themselves. You can follow her at the links below: instagram.com/thatssowell instagram.com/motherhoodandmatcha thatssowell.com Follow Megan on IG: https://www.instagram.com/connectwithmegan/ Head to Megan's website to learn more: https://connect-with-megan.com/ 

We discuss the challenges people face when needing to find a new psychiatrist, therapist, or support group, emphasizing that while people often underestimate the difficulty of this process, it's a crucial step in managing a long-term mental illness. We highlight that a solid patient-provider relationship is vital and can take time to replace a trusted professional. Dr. Nicole Washington advises on the importance of maintaining an updated medical history and being active in transitioning to a new clinician to ensure continuity of care.  Gabe Howard and Dr. Washington also emphasize the effect of suddenly losing a medical professional due to retirement, relocation, or other reasons and offer guidance on smoothly transitioning to a new clinician, reassuring listeners that it's normal to experience a range of emotions during this process. You wouldn't consider your psychiatrist your friend, your therapist, your friend, but it very much feels like you've lost someone very important. Someone who was very valuable in your journey with your bipolar disorder. And all of a sudden now they're gone. You can feel just as much grief as if you lost a loved one, because you've poured so much into that person and that relationship. These are deep relationships, so don't feel silly about why am I so sad? Don't minimize the importance and the value that relationship brings to you. So take the time to grieve that loss. ~Dr. Nicole Washington To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Stalking is disturbingly common, yet often misunderstood by wider society.  Professor Troy McEwan from the Swinburne University of Technology is a forensic psychologist specialising in understanding, assessing, and treating stalking behaviour. In this episode with Kathryn Fox, hear about the 5 different types of stalkers, and gain insights into their problematic behaviours.  This episode is part 1 of 2.  If you or someone you know is experiencing, or at risk of experiencing, domestic, family or sexual violence, call 1800RESPECT on 1800 737 732, text 0458 737 732 or visit 1800RESPECT.org.au for online chat and video call services.See omnystudio.com/listener for privacy information.

Neathery Falchuk, (they/them), LCSW-S, CGP, is the founder of Ample and Rooted, a psychotherapy and training practice specializing in eating disorders and body liberation. Our hosts sat down with Neathery at The Renfrew Center Foundation Conference for Professionals to discuss body trust and what that means to align with our own inherent wisdom that comes from our bodies. This conversation is inspiring, empowering, and motivating to discover our true selves in a society where biases exist all around. We highlight key insights from Neathery's compelling presentation titled: Embodied Presence: Fostering Body Trust in the Therapeutic Alliance.   If you enjoy our show, please rate, review, subscribe, and tell your friends and colleagues!   Interested in being a guest on All Bodies. All Foods.? Email podcast@renfrewcenter.com for a chance to be featured.   All Bodies. All Foods. is a podcast by The Renfrew Center. Visit us at: https://renfrewcenter.com/

In this episode, Megan interviews Carly Caprioli, a fellow music psychotherapist specializing in analytical music therapy. They discuss the concept of analytical music therapy and how it differs from other forms of music therapy. They also explore the importance of the therapeutic relationship and the role of music in facilitating emotional expression and healing. In this conversation, Megan and Carly discuss the concepts of transference and countertransference in therapy, particularly in the context of music therapy. They emphasize the importance of self-awareness for therapists and the role of music in facilitating healing and connection. The conversation highlights the power of Beyonce's muisc of course, as well as the overarching power of music and its ability to validate, support, and nurture individuals. More about Carly: Carly Caprioli, MS, LCAT, MT-BC (she/her/hers) specializes in music psychotherapy and works as a creative arts therapist in a group private practice. Carly also specializes in Analytical Music Therapy (AMT), which is a specific approach to music psychotherapy through exploring the symbolic use of music and therapeutic relationship. She has nine years of experience working with children, teens, and adults of various populations and settings, spending majority of her career working as a pediatric music therapist. Carly also serves as an adjunct professor at Molloy University's undergraduate music therapy program.   Follow Carly here: https://www.instagram.com/tonal_centered_mtbc    Follow Megan on IG: https://www.instagram.com/connectwithmegan/ Head to Megan's website to learn more: https://connect-with-megan.com/ 

Elizabeth redefines the way we use self-disclosure in therapeutic relationships so that it doesn't have to be so taboo. Episode Show Notes: kayladas.com/episode52 Elizabeth's book, Soaring with Wings: Lessons in Love, Life, Laughter, and Surviving Unimaginable Loss: kayladas.com/elizabethmuhlebook Free Boosting Business Community: facebook.com/groups/exclusiveprivatepracticecommunity Convertkit first 1000 subscribers free: kayladas.com/convertkit PESI Trainings: kayladas.com/pesi Credits & Disclaimers Music by ItsWatR from Pixabay The Designer Practice Podcast and Evaspare Inc. has an affiliate and/or sponsorship relationship for advertisements in our podcast episodes. We receive commission or monetary compensation, at no extra cost to you, when you use our promotional codes and/or check out advertisement links.

This amazing conversation comes as an excerpt from a course on Polyvagal Theory and Therapeutic Yoga that Marlsya, Amy and Stephen created together for the Polyvagal Institute. There is still time to join us this fall, and we will be offering it again very soon. Also, we are celebrating 2.5 years and 100,000 downloads with our amazing Yoga Therapy Hour Community. We are sharing this extra episode to say thank you!Guests: Dr. Steven Porges & Marlysa Sullivan Key Takeaways:Definition of "Safety" in Polyvagal Theory:Safety is more than the absence of threat. It encompasses a feeling of connection, belonging, and an internal sense of well-being.Importance of Safety:The foundation of any therapeutic relationship.Influences the outcome of therapy.Defines the quality of interactions and connections.Understanding Internal Safety:The role of the autonomic nervous system.Transitioning from a state of threat to a place of safety.Signs & Signals of Safety:Voice and Intonation: The calming effect of a soothing voice.Facial Expressions: The importance of the upper face, especially the orbital muscle around the eyes.Muscle Tension: How the body communicates its state of being.Hearing and the Vagal System:The middle ear muscle's role.How our nervous system determines what we hear.Finding Mutual Safety:The therapeutic dance between the caretaker and care seeker.Enhancing therapy outcomes through mutual feelings of safety.Why Some Relationships Feel Safer:Recognizing the cues that foster connection or fear.Understanding intuitive feelings of safety or discomfort with certain individuals. Join the Full Course on Therapeutic Yoga and Polyvagal Theory with Amy, Marlysa and Stephen:Dive deeper into the blend of polyvagal theory and therapeutic yoga.www.PolyvagalInstitute.org Connect with us:www.PolyvagalInstitute.orgwww.MarlysaSullivan.comwww.amywheeler.comwww.TheOptimalState.com

 What if understanding the unspoken language of therapy could revolutionize your healing process? In this reverse episode,  your guides, Lisa Mustard, from the podcast "The Therapy Show" , and I take you on a fascinating journey through the world of therapy. Our candid conversations aim to demystify the intricacies of therapy, from recognizing your gut instinct when choosing a therapist to the potent impact of unconditional positive regard in a therapeutic relationship. We dissect how discomfort can be an essential part of growth and how shame can facilitate vital dialogues with your therapist.Therapy is not a one-size-fits-all process, and we delve into the importance of a therapist who can tailor their approach to your unique needs. We'll also debunk the myth of quick fixes and emphasize the value of consistent, patient work in therapy. Together, we explore the transformational power of the therapeutic relationship and the profound personal growth that can come from being truly seen and heard by a therapist. We also discuss the intriguing dynamic of therapist-client relationships and how they can offer mutual benefit.As an added bonus, we talk about the importance of surrounding yourself with good friendships and nurturing therapeutic relationships for personal growth. We also explore the Atomic Habits approach of tracking accomplishments, providing you with actionable insights to apply in your own life. We'll also introduce you to a 30-day journal, Empower Your Mind, designed to guide you on your journey to mental clarity. Finally, I share some exciting news about an upcoming documentary on first responders in crisis situations, shedding light on their crucial role. Join us for this transformative episode, as we illuminate the path to emotional healing and personal growth. You won't want to miss it!YouTube Channel For The PodcastCoaching Program

This weeks conversation is with physical turned manual therapist, Walt Fritz. Having been in practice since 1985, Walt has gone on to create an effective and novel approach to manual therapy which seeks to incorporate clients into a process of shared decision making for their treatment plan. In this dialogue, we explore the healing properties of a therapeutic relationship and the effect our stories have on our experience of pain.  Show Topics - Following Evidence Based Practice - The Power of Placebo and Nocebo - How the Therapeutic Relationship Creates Change - Shared Decision Making in a Therapeutic Setting - Is Pain Neurological or Structural? - Touch and Emotions - Why Being an 'Expert' Might Not Be Ideal - The Benefits of Not Knowing in a Therapeutic Setting waltfritz.com

Join Lisa to talk about attunement and how it is such an important part of the therapeutic relationship. But why is it that important you might ask … In our play therapy sessions, we can follow the script, say the right words, go down the therapeutic checklist, but if we are not attuned to our clients (or ourselves), our clients will walk away likely feeling not seen, not felt, and not met by us. So attunement is really the heart of the therapeutic exchange between us and our clients! (...by the way, the same is true in the parent-child dynamic) Join Lisa in a conversation and …  Expand your understanding of what attunement is and what it is not; Find out what gets in the way of us being attuned to our clients; Learn how to develop attunement at a deeper level for your clients (...to create an experience for your client where they feel energetically and emotionally met by us); and How to “explain” the felt-sense experience of attunement with a parent or caregiver Lisa shares a really beautiful experience she had at a play therapist training where she was role playing with another therapist and how she might have missed a really critical piece of the play therapist's experience if it wasn't for the power of attunement.  A final message - Thank you for being on the receiving end of the conversation today; for feeling with Lisa today; and allowing yourself to learn ways to bring in attunement more into your play therapy sessions so your clients can feel deeply seen, deeply met, and deeply heard by you.  Podcast Resources:  Synergetic Play Therapy Institute Synergetic Play Therapy Learning Website FREE Resources to support you on your play therapy journey  Aggression in Play Therapy: A Neurobiological Approach to Integrating Intensity * If you enjoy this podcast, please give us a five-star rating and review on Apple Podcast, subscribe wherever you listen to podcasts, and invite your friends/fellow colleagues to join us.

Dr. Lauren Lipner on the therapeutic alliance (relationship), tips to find the right therapist for you, what to do if you feel uncomfortable with your therapist, how therapists can build a stronger alliance with their patients and much more... Dr. Lauren Lipner is an Assistant Professor in the Clinical Psychology Doctoral Program at Long Island University Post. Lauren's research interests focus on the therapeutic alliance and therapeutic ruptures. Lauren completed her pre-doctoral internship at Pennsylvania Hospital and her research postdoctoral fellowship at Adelphi University. Chapters 0:25 Show Intro 2:55 What is the Therapeutic Alliance? 7:48 Importance of the Therapeutic Alliance 11:00 Finding the right Therapist for you 22:05 Therapeutic Ruptures 31:55 Communicating your needs in Therapy 37:05 Therapist skills for a better alliance Further resources mentioned in this episode: "Clients' perceptions of their psychotherapists' multicultural orientation" by Owens et. al. (2011) "Racial/ethnic matching of clients and therapists in mental health services: A meta-analytic review of preferences, perceptions and outcomes" by Cabral and Smith (2011) Center for Alliance-Focused Training- https://www.therapeutic-alliance.org/ For more on Lauren's research https://www.researchgate.net/profile/Lauren-Lipner

Welcome to Strange Rare Peculiar, a weekly podcast with Denise Straiges and Alastair Gray of the Academy of Homeopathy Education discussing everything you REALLY need to know about homeopathy. We'll look at philosophy, practice, research, and education–all with a little bit of history. If you want to know why we still can't get enough homeopathy after a combined 50+ years of study and practice, we invite you to join the conversation! Please help us spread the word by sharing this with someone in your life who would like to learn more about homeopathy. In this episode, we talk about:  Maximizing the therapeutic relationship. Four core competencies needed to be an effective helper in someone's healing process. The importance of a person-centered approach to case taking. Why therapeutic relationships are something to be cultivated. Yet another reason why we need to see lots of cases during the learning process of becoming a homeopath.   Strange Rare Peculiar is  a weekly podcast with Denise Straiges and Alastair Gray discussing everything you REALLY need to know about homeopathy. We'll look at philosophy, practice, research, and education–all with a little bit of history. If you want to know why we still can't get enough homeopathy after a combined 50+ years of study and practice, we invite you to join the conversation! Please help us spread the word by sharing this with someone in your life who would like to learn more about homeopathy.  If you'd like to study homeopathy, visit: ⁠https://academyofhomeopathyeducation.com/⁠ To support homeopathy research and help make homeopathy accessible to all, visit: ⁠https://hohmfoundation.org/⁠ For accessible homeopathy care, visit:  ⁠https://homeopathyhelpnow.com/⁠ About Denise Straiges: Denise Straiges CCH, RSHom(NA), PCH is fiercely committed to raising the bar in academic and clinical training for all Homeopaths. She is the President and Clinical Director of The Academy of Homeopathy Education (AHE) and established HOHM Foundation, whose initiatives include the Homeopathy Help Network, a not-for-profit, research-based initiative focused on delivering high-quality, affordable Homeopathy care to all. Under her leadership, AHE was named the preferred educational provider for the American Institute of Homeopathy (AIH), the oldest medical society in the US Denise has taught for numerous homeopathy schools in the US and abroad and has been an invited speaker at conferences around the world in homeopathy, integrative wellness, and spirituality in medicine. She is currently pursuing graduate studies at Johns Hopkins University School of Medicine. Her work includes original, primary research focused on the origins of homeopathy, in particular, Hahnemann's influences in The Chronic Diseases and the evolution of potency. She is writing a practical, in-depth compendium on Case Analysis.     About Alastair Gray Alastair Gray has a Ph.D. in Public Health. More specifically he is an expert in the field of Complementary Medicine education. Much of his research has a focus on technologies in the field of CM and learning technologies in the education of future practitioners. He teaches at and heads the academic, operations, and research at the Academy of Homeopathy Education. In addition, he holds various consulting roles: academic (College of Health and Homeopathy, NZ), educational (National Centre for Integrative Medicine, UK), as well as consulting to many organizations on homeopathic provings and e-learning worldwide. A regular seminar and conference presenter worldwide and having spent a decade in the higher education arena in Australia, he is the author of 23 books and numerous articles on primary research in natural medicine. Originally educated as a historian, he teaches the history of health, healing, and medicine at schools, colleges, and universities in multiple countries. Alastair has been in practice for more than 30 years. --- Send in a voice message: https://podcasters.spotify.com/pod/show/srp-podcast/message

As mental health clinicians and couples therapists, having an effective map to help clients navigate their emotional pain and problems is essential. As EFT Therapists, we all learn EFT at different paces, and sometimes, as we get more complex cases and our own development in the model grows, we can sometimes forget some of the basics. Join We Heart Therapy host Anabelle Bugatti, Ph.D./LMFT/Certified EFT Supervisor & Therapist, and special guest EFT Trainer and LMFT Debi Scimeca-Diaz from the Center for EFT in New Jersey as we discuss going back to the basic fundamentals in EFT, Emotionally Focused Therapy, Founded by Susan M Johnson. For more information on EFT Emotionally Focused Therapy, and to get trained in EFT or to find an EFT Therapist in your area, please visit: https://www.iceeft.com or https://www.drsuejohnson.com For more information on EFT Trainer Debi Scimeca-Diaz, or the Center for EFT in NJ, click below: http://www.CouplesTherapyNJ.com http://www.EFTCNJ.com For more information on your host, Anabelle Bugatti, Ph.D./LMFT, click below: http://www.DrBelle.com http://www.WeHeartTherapy.com https://www.snveft.com For information on Dr. Belle's book, using Relentless Empathy in the Therapeutic Relationship, Connecting with Challenging and Difficult Clients, visit: https://a.co/d/cwZ0tFN

The magic of psychotherapy is that it brings forth transference— the patient's most important and formative relationships, typically with early caregivers, are unconsciously re-enacted in the therapy room. And this transference necessarily creates countertransference, the therapist's unconscious reactions to the transference. Alexandria came to Dr. H originally due to her severe harm OCD. But over time, it became clear to him, and eventually to her, that she was increasingly, and unconsciously, trying to put him in the role of the abandoner, the critic, the emotional abuser. This process is called projective identification, and as you will hear, it played out very dramatically between them, and was a major factor in her plans to die.BFTA on Instagram. @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/Ten Percent Happier with Dan Harris Dan Harris is a fidgety, skeptical journalist who had a panic attack on...Listen on: Apple Podcasts Spotify

What's the Antidepressant Myth? Have We Been Scammed?     Today, Rhonda and I interview one of our heroes, Dr. Irving Kirsch, who is a giant in depression research and a fun, down-to-earth human being at the same time! Dr. Kirsch is Associate Director of the Program in Placebo Studies and the Therapeutic Relationship, and a lecturer on medicine at the Harvard Medical School (Beth Israel Deaconess Medical Center). He is also Emeritus Professor of Psychology at the University of Hull (UK) and the University of Connecticut (USA). Dr. Kirsch has published 10 books, more than 250 scientific journal articles and 40 book chapters on placebo effects, antidepressant medication, hypnosis, and suggestion. He originated the concept of response expectancy. This is the expectation that people have that a given treatment or intervention will be helpful. Kirsch's 2002 meta-analysis on the efficacy of antidepressants influenced official guidelines for the treatment of depression in the United Kingdom. His 2008 meta-analysis was covered extensively in the international media and listed by the British Psychological Society as one of the “10 most controversial psychology studies ever published.” His book, The Emperor's New Drugs: Exploding the Antidepressant Myth, has been published in English, French, Italian, Japanese, Turkish, and Polish, and was shortlisted for the prestigious “Mind Book of the Year” award. It was also the topic of a 60 Minutes segment on CBS and a 5-page cover story in Newsweek. In 2015, the University of Basel (Switzerland) awarded Irving Kirsch an Honorary Doctorate in Psychology. In 2019, the Society for Clinical and Experimental Hypnosis honored him with their “Living Human Treasure Award.” In today's podcast, we cover a wide range of topics, including a patient-level reanalysis of all of the data on the effects of antidepressant medications versus placebos submitted to the FDA. This analysis included more than 70,000 depressed individuals and indicated something troubling and surprising. The difference in improvement between individuals treated with antidepressants and individuals receiving antidepressant medications was only 1.8 points on the Hamilton Rating Scale for Depression. This test can range from 0 to 50, and a difference of 1.8 points is not clinically significant. In addition, the beneficial antidepressant effects observed in both the placebo and “antidepressant” groups are large, with reductions of around 10 points or so on the Hamilton Scale. These were the shocking discoveries that led to his popular book, The Emperor's New Drugs (LINK), and to his appearance on the Sunday evening 60 Minutes TV show. In addition, Dr. Kirsch agreed that tiny difference between the “effects” of antidepressants vs placebos could be the result of problems in the experimental design used by drug companies. Because they give patients in the placebo groups pills with inactive ingredients, there are no side effects in the placebo groups. This makes it fairly easy for individuals to guess what group they were assigned to—the “real” antidepressant group or the placebo group. This might account for the differences in the groups, since many individuals in the medication groups may think, “Hey, I'm getting some side effects. I must be in the antidepressant group. That's terrific!” This thought would be expected to trigger some mood elevation, but it's the thought, and not the pill, that causes this. In contrast, some individual in the placebo groups may have the thought, “Hey, I'm not getting any of the side effects they described. I must be in the placebo group!” And this thought may trigger disappointment, and a worsening of depression. This would contribute to differences between the drug and placebo groups in drug company outcome studies with new chemicals that they hope to get approved as “antidepressants.” This problem could easily be corrected by the use of active placebos, like atropine, which produces dry mouth, a side effect of many antidepressants and has been used as an active placebo in a small number of trials. Most of the studies using active placebos have failed to show any significant effect of the antidepressant over the active placebo. Drug companies have been reluctant to implement this change in their research designs, perhaps due to the fear that it will “erase” the tiny differences that they have been reporting. This would be of potential concern since billions of dollars are at stake if the FDA gives you permission to call your new chemical an “antidepressant.” We also discussed Dr. Kirsch's unlikely journey to Harvard. When he was in England, planning to return to the United States, he asked a colleague at Harvard if it would be possible for him to get a library card so he'd have access to articles in research journals. His colleague told him that it was difficult to obtain a library card for people not affiliated with Harvard. However, they were willing to offer him a position as Instructor on Medicine, given that he was the Associate Director of the  Program in Placebo Studies and the Therapeutic Relationship, which was hosted at one of the Harvard teaching hospitals. That's a wow! But certainly deserved, and a most fortunate affiliation with unanticipated and highly positive consequences that have led to many important discoveries on how the placebo effect actually works. The placebo effect is not a bad thing, and has been one of the doctor's best “medicines” for hundreds if not thousands of years. On the podcast, we also discussed the confusion—for patients, doctors, and researchers alike—caused by the placebo effect. For example, many people who receive antidepressants do improve, and some recover completely. They will SWEAR by antidepressants, and may feel hurt or disappointed by the results of Dr. Kirsch's research. But in fact, there is no discernable difference between the effects of placebos and so-called “real” effects. And one of the downsides of the confusion about placebos is that people who take antidepressants and improve have improved because of changes in their thinking, and not from the antidepressant. But they wrongly give credit to the pills they took, whereas they deserve the real credit for overcoming their feelings of depression. We discussed many other topics, including pushback he has received from the psychiatric community and some in the general public as well who have not taken kindly to his findings. I, too, have experienced that when I have summarized the data in the Food and Drug Administration, and have had to be very careful in how I present this information, because none of us want to discourage anyone who is depressed. We have also invited Dr. Kirsch to consult with us on the research design we use in our beta testing of the Feeling Good App, and have developed tests of “expectations” (the so-called placebo effect) that we will use in our latest beta test as well. We want to “walk the walk” and not just “talk the talk” and find out how much the improvement we see in beta testers might be due to a placebo, or “mega-placebo” effect. Rhonda and I were honored and thrilled to have this chance to interview Dr. Irving Kirsch, a friend and research giant for sure! Thanks so much for listening to today's podcast! Irving, Rhonda, and David

I got to sit down and have a warm and honest chat with Therapeutic Relationship and Confidence Coach Pascale Lane. Pascale explains how we can create our own blocks that prevent us from living a more fulfilled life and how she how she helps her clients live the life they deserve by removing the negative dialogue. Pascales Details Facebook https://www.youfulfilled.co.uk/Support this podcast at — https://redcircle.com/mummy-warriors-podcast/donations

There is power in connection and that power is displayed beautifully in therapy through the therapeutic connection between client and therapist. It is a safe space to be vulnerable, empowered and compassionate, it is even a safe space to feel and process strong emotions like fear, anger and despair.

Hello, everyone! Exciting news. My new book, 500 Questions for Dating, Relationships, Romance, and More is out! I talk more about it at the beginning of the epidode, but I really think that it will serve as a useful resource to many of you. Orders are shipping quickly right now, so there is plenty of time to get it before the holidays if you're into that kind of thing. Anyways, I have an awesome Q&A episode for you today featuring the following listener questions: Is it weird to be turned on and want to masturbate after therapy? How can I get therapy moving faster? Does it make sense to give a new therapist a document of information? As always, you can send me questions for the show to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode329 This episode of Hardcore Self Help is sponsored by Uncommon Goods and Roman Swipes. Uncommon Goods is here to make your holiday shopping stress-free by scouring the globe for the most remarkable and truly unique gifts for everyone on your list. To get 15% off your next gift, go to uncommongoods.com/duff. Roman Swipes are convenient, over-the-counter wipes that are clinically proven to help you last longer in bed. Try Swipes today with a special offer just for listeners of the Hardcore Self Help Podcast with 20% off your first order. Visit getroman.com/DUFF or 20% off.  

Dr. Belle and I dig into what it takes to have relentless empathy in the therapeutic relationship. With some clients, empathy comes easily and others challenge our ability to maintain compassion. Dr. Belle and I have an open and honest discussion about working with clients the world defines as “difficult”. Dr. Belle is also a well known business and executive success coach, helping therapists, entrepreneurs and leaders reach their full potential in business and relationships. In addition to her private practice, Dr. Belle is President and Director of the Southern Nevada Community for Emotionally Focused Therapy, helping to train & supervise local therapists in excellence in EFT, the Gold Standard of Couples counseling.Dr. Belle has authored two books, the most recent being, Using Relentless Empathy in Therapeutic Relationships, Connecting with Challenging and Difficult Clients. OFFERS & HELPFUL LINKS:Dr. Belle's Summer Camp for Therapists RetreatCounseling Community TikTokJennifer Agee coaching pageCounseling Community Facebook communityCounseling Community InstagramAlaskan Cruise: Experiential Therapeutic Intervention Training for Therapists June 3-10, 2023Portugal Marketing Retreat October 2-7, 2023

In this episode we ask the hard-hitting questions, like if you could only pick 5 albums to listen to for the rest of your life what would you choose? Seriously though, we discuss if music impacts people's behaviors. I give you all an update on my internship. And we discuss tools to strengthen the therapeutic relationship.

On this episode Nic's attitude is way better, we talk fantasy football, funeral parades, royalty, how great our production is and then slide into our main topic of how we handle therapeutic relationships when they start to fail us. We finish with our top 5 tailgating essentials, have fun! #bratstraws

We are officially back! Welcome to season 2 of Finding Middle Path, a podcast that explores all things DBT (Dialectical Behavioral Therapy) and the resources around it. We are excited to be back and to continue to explore resources. The Therapeutic Relationship and Alliance is a vital part of therapy. Music : Journey by Atch https://www.youtube.com/watch?v=sIaZg9d6mjg --- Send in a voice message: https://anchor.fm/rachael-k-julstrom/message

Podcast 289: A Case of Social Anxiety: Featuring David with Dr. Stirling Moorey (Part 1 of 2) Today, David is joined by one of his first students, Dr. Stirling Moorey, for co-therapy with Anita, a woman struggling with social anxiety. You may remember Stirling from Podcast 280. Stirling was one of David's first cognitive therapy students, and they spend a month doing cotherapy tether in 1979 and again in 1980. David described the magic of their work together in his first book, Feeling Good, and today they are reunited as a therapy team again for the first time in  more than 40 years! I, David, am super excited about working with Stirling again, and hope you enjoy our work with Anita. Rhonda, Stirling, and I are very grateful for Anita's courage and generosity in letting us share this very personal and real session with you! Anita is a member of the Wednesday International TEAM Training group run by Rhonda and Richard Lam, LMFT.  She lives in Nairobi, Kenya, and has a Master's Degree in Counseling. Here is how she introduces herself: I am Anita Awuor from Nairobi, Kenya.  I have worked as a therapist for 20 years but only recently been introduced to the TEAM Model which has changed the way I work. I work with couples, individuals and families. And recently I worked with an NGO part time.  It's an honor for me to be here to work with David, Rhonda and Stirling. Dr. Stirling Moorey had the good fortune to be trained by two founders of Cognitive Behavioral Therapy, Dr. Aaron Beck, and our own, Dr. David Burns. Stirling and David worked together in 1979, when Stirling was in medical school in London and came to Pennsylvania for an elective with Dr. Beck. Once he arrived, Dr. Beck asked David if he would work with Stirling, and then, history was made as David created the 5-Secrets of Effective Communication after watching Stirling provide deep empathy to the patients they worked with together. Stirling is currently a Consultant Psychiatrist in Cognitive Behavioral Therapy and was the Professional Head of Psychiatry for the So. London & Maudsley Trust from 2005-2013. He is currently the visiting senior lecturer at the Institute of Psychiatry, Psychology and Neuroscience in London. He is the co-author, with Steven Greer of The Oxford Guide to CBT for People with Cancer, and co-edited the book, The Therapeutic Relationship in CBT, published by Sage Publishing. T = Testing If you click here, you can take a look at Anita's initial Brief Mood Survey, which was completed just prior to her session with Stirling and David. As you can see, her depression and anxiety scores were in the moderate to severe range, but her anger score was minimal, only 1 on a scale from 0 to 20. Her Happiness score was extremely low, and here marital satisfaction score was fairly good, but with some room for improvement, especially in the category of “resolving conflicts. E = Empathy You can take a look at the first of two Daily Mood Logs that Anita sent to us just prior to the session. It describes her anxiety while driving to a support group. As you can see, her suffering was intense. She also brought in a second Daily Mood Log which described her feelings after receiving a poor evaluation from one of her supervisors at work. The supervision did not involve her clinical work but some management work she was doing. Stirling, with backup from David, did explored and summarized Anita's feelings. She explained that “Sadness has been a part of my life. I'm sad more often than I'm happy. Sometimes, the negative feelings are hard to live with. . . Problems in relationships often trigger my negative feelings, especially when others criticize me, and I've been down the last several days because of a poor evaluation I received from one of my supervisors at work. . . I don't like criticisms or conflicts, and sometimes I tell myself that I'll never be comfortable in groups.” Stirling asked about Anita's negative thoughts when criticized: I'll never be good enough. What's wrong with me? It's all my fault. She described a sequence where her negative thoughts about the situation lead on to more general self critical thoughts like “I'll never be comfortable in groups” and she then ruminates about her perceived shortcomings. She said, “when I have these kinds of thoughts, the feelings of sadness, anxiety and worthlessness get very high.” David read her two Daily Mood Logs (LINK) and she described the criticisms she received from her supervisor, who suggested that Anita's efforts had not been helpful. Anita felt hurt and angry, especially since this was the first time she'd received criticisms from her supervisor. Anita added that when she goes into a negative spiral, everything becomes ‘huge,” and she also tells herself, “I'm a bad mom.” Stirling asked what she does to cope when she's in pain: “I cry a lot. I beat myself up. And sometimes I share my feelings with my husband, but sometimes I just hold it all inside. Sometimes sharing with my husband helps, but sometimes it doesn't.” David asked Anita how she was feeling now, and she said that her anxiety had already gone down a lot. To bring closure to the Empathy phase of the session, David asked Anita to grade us on Empathy and she gave us As, and Rhonda had the same idea, scoring us as A +. I commented on the idea that Stirling's superb empathy skills were based, in part, on the "nothing technique." He systematically, skillfully, and compassionately summarized her words and acknowledged the pain they conveyed, without trying to make interpretations, and without trying to help or rescue. In other words, he gave her nothing but tremendous listening, which was exactly what she needed! Although this sounds simple, and nearly all therapists will think, "Oh, I do that, too," in my experience, this skill is actually quite rare. it can be taught, and that's on eo the goals of our two free weekly training groups for therapists. But learning genuine and effective use of the Five Secrets of Effective communication requires tremendous humility, dedication, and hard work on the part of the therapists who hopes to learn. End of Part 1. Next week, you will hear the exciting conclusion of the live therapy session with Anita!  

Do you have FUN at work? For many of us, a playful work environment is the epitome of an oxymoron. Our Therapeutic Perspective Podcast guest Dr. Heather Walker is on a mission to change that. Founder of Lead with Levity, Dr. Walker discusses evidence-based ways both clinicians and their clients can learn to thrive, not just survive, in the workplace. Drawing on her expertise as a leadership and levity researcher, she shares practical tools to expand resilience through humor, play, and yes, even fun, in our work and overall in our lives.

Anger is perhaps one of the more misunderstood emotions and is commonly more challenging dynamic therapists work directly with when it comes alive in therapy sessions. Join EFT Supervisor/Therapist Dr. Belle, Ph.D. LMFT and special guest ICEEFT Certified EFT Trainer George Faller, LMFT, EFT Trainer/Supervisor and President of the NY Center for EFT as they discuss how to understand and work with Anger effectively using Emotionally Focused Therapy.   To purchase a copy of Dr. Belle's Book, Using Relentless Empathy in the Therapeutic Relationship, on Amazon: https://read.amazon.com/kp/embed?asin...   For information and research on EFT pioneered by Sue Johnson, visit: http://www.iceeft.com https://www.drsuejohnson.com   For more information on special guest George Faller, visit: Learn tactical strategies for helping your couples at- https://www.successinvulernability.com http://www.GeorgeFaller.com or https://www.SuccessInVulernability.com http://www.nyceft.com Check out George's podcast Foreplay Radio at: https://www.foreplayrst.com/ Visit your host EFT Supervisor and Therapist, Anabelle Bugatti Ph, LMFT at: https://www.drbelle.com https://www.LasVegasMarriageCounselin... https://www.WeHeartTherapy.com https://www.snveft.com

Now Modern Therapists Need to Document Every F*cking Thing in Our Progress Notes?!? Curt and Katie discuss a recent citation from the California Board of Behavioral Sciences (BBS) to a therapist for cursing while in session. We explore: How do we document ruptures during the therapy session? Is the BBS over-reaching by controlling what therapists document? What are the best practices for note taking? All of this and more in the episode. In this podcast episode we talk about appropriate documentation practices for modern therapists As therapists it's important that we take accurate notes. But what is important to include in the notes, and how much should we really be documenting? Wait – Is it alright to use curse words in session? Therapists should be first and foremost aware of the client and their potential reaction. Note the therapeutic relationship with the client, their history, and how the client empowers themself when making language selections. If considering using casual language, consider the client's vernacular. Follow the client's lead when it comes to their language in session, including cursing. The BBS has no specific statute related to cursing or swearing. “If things aren't written down, they did still happen – but now it's open to interpretation.” - Curt Widhalm What should modern therapists document in clinical notes? It is important to document any bold interventions or ruptures in the therapeutic relationship and repair attempts for ruptures. In note taking, it is important to follow the clinical loop: assessment, diagnosis, treatment plan, intervention, use of intervention, and the client's reaction and progress. Your notes will be a balance of covering your liability and creating notes that help you remember the session. Therapists should consider documenting the use of any language that could be deemed not clinically appropriate, even positive statements like “I'm proud of you,” or “Yes, my dear.” “I think any rupture in the treatment relationship is worthy to document because it's potentially clinically rich, but also a point of liability.” – Katie Vernoy Does the California Board of Behavioral Sciences (BBS) outline what we should say in our notes? In the 300-page PDF outlining the statutes for LPCCs, LMFTs, LCSWs, and Educational Psychologists, notes are only mentioned 10 times. There is no mention in the statutes of what can be said and what can't be said in notes. Some agencies and institutions will stress writing very little to ensure protection from liability, but as this citation showcases, this might not be best practice. The BBS wants to ensure the protection of clients and you might need to justify your words, just as you would justify the use of an intervention. This is a reminder that the BBS can and do look at therapist's notes. Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: Dr. Tequilla Hill The practice of psychotherapy is unique, creative, and multifaceted. However, combining a more demanding schedule and handling our own pandemic related stresses can give rise to experiencing compassion, fatigue, and the dreaded burnout. Unfortunately, many therapists struggle silently with prioritizing their own wellness across their professional journey. If you are tired of going in and out of the burnout cycle and you desire to optimize your wellness, Dr. Tequilla Hill a mindful entrepreneur, yoga, and somatic meditation teacher has curated How to Stay Well While You Work Therapist Wellness Guide to support providers that are struggling to manage your own self-care.  Subscribe to Dr. Hill's Stay Well While You Work! Therapist Wellness Guide and you can find many of the inspiring offerings from Dr. Hill's 17 years as a practice leader, supervisor, mentor, human systems consultant and wellness enthusiast. Support The Modern Therapist's Survival Guide on Patreon! If you love our content and would like to bring the conversations deeper, please support us on our Patreon. For as little as $2 per month we're able to bring you more content, exclusive offerings, and more opportunities to engage in our growing modern therapist community. These contributions help us to expand our offerings for continuing education events and a whole lot more. If you don't think you can make a monthly contribution – no worries – we also have a buy me a coffee profile for one-time donations support us at whatever level you can today it really helps us out. You can find us at patreon.com/mtsgpodcast or buymeacoffee.com/moderntherapist. Thanks everyone. Resources for Modern Therapists mentioned in this Podcast Episode: 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! Statutes and Regulations Relating to the Practices of Professional Clinical Counseling, Marriage and Family Therapy, Educational Psychology, and Clinical Social Work The Case for Cursing Client's Experiences and Perceptions of the Therapist's use of Swear Words and the Resulting Impact on the Therapeutic Alliance in the Context of the Therapeutic Relationship by HollyAnne Giffin Swearing as a Response to Pain: Assessing Hypoalgesic Effects of Novel “Swear” Words by Richard Stephens and Olly Robertson Relevant Episodes of MTSG Podcast: Do Therapists Curse in Session? Make Your Paperwork Meaningful: An Interview with Dr. Maelisa McCaffrey Hall of QA Prep Noteworthy Documentation: An Interview with Dr. Ben Caldwell, PsyD, LMFT CAMFT Ethics Code Updates Bad Business Practices Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, 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, LMFT 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 a former 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 with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/ Transcript for this episode of the Modern Therapist's Survival Guide podcast (Autogenerated): Curt Widhalm  00:00 This episode of The Modern Therapist's Survival Guide is brought to you by Dr. Tequilla Hill.   Katie Vernoy  00:05 The practice of psychotherapy is unique, creative and multifaceted. However, combining a more demanding schedule and handling our own pandemic related stresses can give rise to experiencing compassion fatigue, and the dreaded burnout. Unfortunately, many therapists struggle silently with prioritizing their own wellness across their professional journey.   Curt Widhalm  00:26 Dr. Tequilla Hill with mindful entrepreneur, yoga and somatic meditation teacher has curated how to stay well while you work therapist wellness guide to support providers that are struggling to manage your own self care. Stay tuned at the end of the episode to learn more.   Katie Vernoy  00:41 Hey everyone, before we get started with the episode Curt and I wanted to make sure you were aware that we have opportunities for you to support us for as little as $2 a month.   Curt Widhalm  00:50 Whether you want to make that monthly contribution at patreon.com/MTSGpodcast or a one time donation over at buymeacoffee.com/moderntherapist. Every donation helps us out and continues to help us bring great content to you. Listen at the end of the episode for more information.   Announcer  01:12 You're listening to The Modern Therapist's Survival Guide where therapists live, breathe and practice as human beings to support you as a whole person and a therapist. Here are your hosts, Curt Widhalm and Katie Vernoy.   Curt Widhalm  01:30 Welcome back modern therapists. This is The Modern Therapist's Survival Guide. I'm Curt Widhalm with Katie Vernoy. And this is the podcast for therapists about all of the things that therapists should worry about. And this is part two of an episode that we started last week about a citation from the California Board of Behavioral Sciences to a therapist about using a curse word in session. And if you haven't listened to last week's episodes, we talked a little bit about, we talked a lot about using curse words and sessions. And today, we're gonna focus on a different part of the citation. In the citation, it talks about the therapist not documenting about their decision to use a curse word, how it fits within the treatment, what the client's response to it was, and this being a part of why the therapist was being investigated and wanting to do a dive into: what are we actually supposed to put in our notes? We've had a couple of episodes in the past. So one with Dr. Melissa Hall and one with Dr. Ben Caldwell about what you need to put in your notes. We'll link to those in our show notes over at MTSGpodcast.com. We're not talking about SOAP Notes or structure, that kind of stuff. Today we're talking about legitimately, what do you need to put in your notes? And what is this signal by the California BBS really mean for the rest of us here? So, Katie, what needs to go in our notes?   Katie Vernoy  03:11 Well, I think just for folks that want a quick primer, because I when they can go over to both of those episodes and get stuff I'll say something and kind of lead into the rest of this. The documentation for services should follow the clinical loop. Dr. Melissa McCaffrey Hall is someone who talked about it really well and meaningful documentation. But you start with an assessment that leads to a diagnosis that then has a treatment plan, that then on a weekly or a session by session basis, you talk about the interventions that you're putting forward to help the client to meet their treatment goals that's on the treatment plan. And that's a clinical loop, you know, diagnosis, treatment plan, session notes - comes back, and hopefully you're addressing the diagnosis. In this situation. Again, we talked about the cursing before, it seems like there is a discussion around were all of the interventions put into the note. And I don't know if we have to include all interventions. I think there's a lot of mirroring and reflection and active listening and all of those things. But I think potentially you can put some of those things in the notes, but I don't think every single micro intervention needs to go in notes. But I think big interventions probably do, especially ones that are truly impactful to our clients, as well as the responses to those interventions and an even like group notes or SOAP Notes or any of the notes. There is an idea, pretty established, that we must put down the interventions that we're using and the client response.   Curt Widhalm  04:55 So in the very nature of this you're bringing up intervention is there are planned interventions, and then there are also the ones that just kind of slip out. And I think it's important for us to read from this citation. So that way, our audience here has the same knowledge of what's going on here. So I'm going to quote, I'm going to quote from the citation. And once again, we're not releasing the name of the therapists themselves, due to respecting their privacy on this, but I think that this is a key indicator of looking at how our licensing boards are enforcing stuff Yeah, and, and potentially looking at their their overreach here. So jumping into the middle of this, we talked in last week's episode about the therapists use of a curse words towards a minor in session, and quoting from the citation, regarding the record keeping a portion of your notes which you had handwritten are illegible. Additionally, your notes failed to identify which minor you had confronted during the session. Furthermore, your notes do not document either your decision to use a curse word as part of your description of the minor clients behavior. What's your rationale was for doing so what the minor client's response was to your description of his behavior, or that you would apologized to the minor client regarding the wording you had to use to describe his behavior. End quote.   Katie Vernoy  06:25 I think that there are pieces of that that are fair. And I feel like there's still information that we don't know to identify at the word that you used as overreach. I think that the level of policing around our documentation seems surprising to me. But I don't know if I particularly disagree with any of their statements. It sounds like you do, though.   Curt Widhalm  06:49 My reaction on this is, if this is in fact used as an intervention within the the treatment session, which by all accounts seems to be what this therapist and the therapist attorney justified that no other ways of reaching this client really made any sort of emphasis. That doing something big and bold in session in order to try and get through a client does seem to be a maybe very on the spot decision as an intervention to kind of disrupt and shake things up a little bit. That maybe not planned as a intervention strategy. You know, I think last week, you and I both admitted that, yeah, we use curse words in sessions from time to time. I don't think that any of my treatment plans will ever include session seven, use curse word with this client to disrupt what is the therapy in order to help them gain a new perspective. But I think it is something where, with intentional interventions, and that that clinical feedback loops that you were talking about, yeah, we do need to include in our notes, intervention use client reaction. And I think that that's the language that the Board of Behavioral Sciences is using here, that is kind of a catch all for this. Where maybe there's a little bit more nuance in here is in some of the off the cuff interventions that we do, or things that are human relations, sort of impacts that we have on other people that we might not consider in the traditional sense of interventions that it gets into kind of a fuzzy space of are we leaning towards the the cya of covering our asses of needing to transcribe the entirety of our sessions just to prove what has happened? That's kind of where my initial reading of this is. Do we have to document everything that is said, and moving into even some of the direct quotations that we use in session with more frequency?   Katie Vernoy  09:06 That may be what the BBS is describing? I think, for me, I don't take that in in that way. I think in this situation, it is hard to know if this is something that is coming from a parent that is is upset at the therapist or the therapist decision making. I'm not sure if this is a truly harmful therapist who is saying really inappropriate things in session, or some other thing, right. Like I can't speak to this particular situation. And I certainly don't feel like we need to do transcription of our sessions and quotations of our own stuff. So that's, that's my caveat. If I was in a session, and I said something to a client, they said that hurt my feelings, and we talked about it and I apologized and there was a repair or there wasn't a repair, I would document that I think any rupture in the treatment relationship is worthy to document because it's potentially very clinically rich, but it also is a point of liability. And so to me, it feels like if I recognize that a client is upset by an intervention or specific words that I use, I would document that.   Curt Widhalm  10:24 And I think that this is the difficulty in looking at information like this because it gets much more complicated with the more people who are in the room. Having worked on legislative language before and worked on trying to define things before and creating language for statutes that is broad enough that it speaks to what we do in our profession. A lot of times, we just borrow language from where it's already written. And one of the things, especially for couples and family therapy is that there hasn't really been a good definition of how in statute, it looks different than working with individuals. You know, we have 100 plus years of psychologists language to, you know, work with individual people. But sure, the theories around marriage and family therapy, we can borrow some of the language that statutes should suggest that those go in there. But for really being conscious of the steps that we're making towards putting this information into our documentation. What I'm hearing you say is that if you're really calling out one member in this citation saying the same thing, if you're really holding one member accountable, you need to be specific to that up to an including emphatic language. Is that what you're saying here?   Katie Vernoy  12:01 Well, I think you're, we're talking and I feel like we're talking into different areas. I think, in this situation, we have someone who clearly was overwhelmed, or at least that's what we've assumed, has illegible notes, and there's not specifics in it. So to me, the flavor I'm getting is that if this person if this therapist would have put in their notes, something along the lines of confronted X member of the family or use disruption by confronting X member and had some bold language and discuss the use of that language, and provided a repair within the session, without saying, I cursed at this kid, the family got upset, and I whatever, but like actually using clinical language to describe what happened, the confrontation, the disruption within the family system, as well as repair and planning for the future. To me, I don't know that we would, that this would have been part of the citation. We're assuming because they said you did not you say you used a curse word and your rationale for using the curse word that we're like, oh, we have to transcribe. I don't know that. I don't know that. I agree with that. And I do share your concern that should this become statute? Yeah. I don't think we need to transcribe our sessions, or put forward really dramatic tales in our progress notes, so that we cover everything. But I think it's, it's a jump in this situation to say, Oh, well, they wanted this. It sounds like they were appalled at what they found. And they put language to how they put it forward. I honestly have no idea. And I don't fault this therapist at all. I can't make a judgment on that. But if we're looking at the notes were illegible and incomplete. Everything was missing. Right?   Curt Widhalm  13:55 Well, the eligibility, part of it, I think, is a curious piece. And I think you and I have both heard from clinicians. And I haven't heard this as much in the last 10 years. And yeah, I do want to give you credit for being the one who brings up this point, before we started recording today. So but you and I both heard for most of our careers, about therapists who've taken the approach of well, if it's illegible, then people have to ask me what was meant there. And that's another way of protecting me in my practice. And this is a very clear indication that that is not true.   Katie Vernoy  14:35 Not true at all. We need to type stuff into an electronic health record. That's pretty clear at this point.   Curt Widhalm  14:43 I think it's really important to be able to have clear notes, do them well. And I think getting into the nuance of just like how descriptive do we need to be in the response to that But I take your point, as far as you know, what may need to be, as far as you know, use this disruption. Is it, you know, needing to put in more and more exact quotes? Is it, you know, just in the more confrontive ones? Or is it also going to be in any sort of situation where a different perspective is going to need that nuance reflected in the notes as well?   Katie Vernoy  15:27 What do you mean by that?   Curt Widhalm  15:28 So, you know, there's the clients that therapists use curse words to disrupt them. Yeah. There's also the other end of the spectrum where therapists may use more affectionate language to help to emphasize a point to that maybe seen as a boundary crossing of, you know, expressing some affection in a way that has some context sway, you know, hey, I really care for you. And I really want to see you be successful in this, do we need to then document that same nuance in that direction?   Katie Vernoy  16:06 From the description that you're providing there, I think the answer is the therapist, it depends. To me, when I express something that I think that therapists typically don't, you know, I tell my clients, I'm proud of them, I tell them, I care that care about them, or I care about what's going on with them, or whatever it is, I do show genuine human connection. I think that with one client, it may be completely documenting it out, not necessarily for the cya purposes, but for reminding myself what I'm doing. And, and and having that as part of the clinical record, because I think it's important. For other clients, if I slip up and say, hey, yeah, you and me both buddy, or Yes, my dear, or have a wonderful weekend, my dear, or something where I slip into a phrase that I might use with friends versus with my clients. And it is a client who may have a response to that that would be not clinically appropriate, or their, their response is clinically appropriate, but it would not be conducive, and it would need to have a conversation about it. I may document, you know, used informal language of care, we'll address it the next session, you know, to close out the session, I will address that at the next session and talk about the conversation of like, Hey, I was pretty casual at the end, I feel connected to you. But I wanted to make sure that we talk about our relationship. Like I think if there's a clinical reason, that or a personality reason why the client may take in something in a way that it was not intended or feel that it may be harmful. Yeah, I'm gonna document what I said and how I addressed it. And so I think it's, it's something where, depending on your relationship with the client, that context and what context may be needed, should a complaint or a concern or a clinical conversation comes down the pipe, and you need to remember kind of what was going on there? I think, yeah, I would document that for myself.   Curt Widhalm  18:06 As many of our listeners know, I sit on the California Association of Marriage and Family Therapists ethics committee, and not speaking for them, but a discussion that has come up at one of our meetings with one of the staff attorneys who also is on the ethics committee, talking about the way that opposing counsels would approach therapists and depositions specifically around their notes. And hearing you say, you know, use informal language of affection. I'm thinking of the way that that could be interpreted by somebody who's looking at your notes, who's not involved, and the kinds of questions that would come up. But what do you mean, why, why didn't you write with that exact language is? That, you know, this could be anything. My client remembered this as being something completely different than what you're saying now, that may lends towards needing to go even a step further than what you're talking about here.   Katie Vernoy  19:10 Sure. And I think that's part of the 'it depends,' I think, if it's a client that potentially is going to have that as a complaint, yeah, I'd write the exact phrase.   Curt Widhalm  19:19 How do you make a decision that about which clients are likely to make complaints versus those that are not?   Katie Vernoy  19:25 I think that's a good point. I think there are times when it comes from past history of whether it's kind of being litigious or other things. I think, for me, it's more my feeling in the moment, you know, and so this is more intuitive or instinctive. Do I need to be more descriptive in my notes or not, is a client that I, I think, may want to see their notes may or may have other things that they're doing with these notes, or if they would be potentially more confrontational or litigious, but you're right, I don't I don't think that there's a great way to make that assessment and maybe the the informal words have affection is not a good phrase to use. To me, I think it's something where if there is a concern that comes up in session that you feel like you want to document, you have to decide do you document it with euphemisms, clinical language? Or do you quote yourself? I don't know. I think there's, there's arguments both ways.   Curt Widhalm  20:21 Yeah, as you're talking, I'm thinking about the number of times that we may start down a path with clients that clients just kind of give indication that it's not the appropriate way of of going. That, you know, we may bring up an idea of, let's say, for, I don't know, working with anxiety or something where, you know, you might ask a question of, like, you know, have you ever, you know, considered doing this and the clients like, No, I'm not going to do that. Do you document every single one of those like, rejections that clients do? And in your notes?   Katie Vernoy  20:59 The 'No, I'm not gonna do this.' I think that's different than I tried it. And I felt like it was harmful. I think that was a bad idea. Why did you tell me to do that? I mean, there's different flavors to it. I think if it's a conversation of like, okay, what kind of coping strategies are you going to use? Or what kind of interventions feel right to you? To me, that's, that can be a higher level documentation. But if somebody says, "Hey, I was thinking about this thing all week, I didn't do it, because I think it's wrong. And this is, this is the thing, the mismatch I'm feeling in this relationship right now." Yeah, I would document that.   Curt Widhalm  21:34 Because I think that there is a way that as you point out, my practice being more with kids, that there's probably a lot more casual ways of bringing things up with kids and relating them, there might be even with some of the adult clients that I work with, you're making me think within this conversation of kind of the being able to describe in documents, why I might do things differently from case to case where a lot of these statutes are written for kind of the here's the standard for everybody. Yeah, I think if statutes had their way it would be everybody must do these things all the time here is very clearly what is okay. And very clearly what is not. Before the episode, Katie and I had looked at the California BBS's statutes and regulations relating to the practices of professional clinical counseling, marriage and family therapy, educational psychology, and clinical social work. This is a 300 page PDF that's available on the BBS website, we'll include a link to that in the show notes as well. Now through the magic of computers, we control F, and put in the words and put in the word notes, out over 300 pages in four different disciplines, notes came up 10 times in this document. Wow. And most of them were about the requirements of education, what needs to be in graduate programs, as far as areas to cover, students need to be taught how to take notes. And most of the remaining other ones where supervisors need to check the notes. So this clinical feedback loop piece of this is something that is left to just kind of the undefined standards of the profession. That seems to be what is being grasped at. And Katie had also made the recommendation of can you control F documentation in the same documents, and we ended up with about 70 hits, and most of them were, these are documents that need to be provided to the board for proof of your hours and this kind of stuff. So getting back to this citation. Yes, I can agree, handwritten illegible notes. Not gonna fly.   Katie Vernoy  24:05 Not gonna fly.   Curt Widhalm  24:07 The guidance in what the state has said as far as what needs to be in the notes. I'm, I'm still kind of wrestling with, did this therapist do something wrong in their documentation? If it comes down to needing to specifically look at what is the threshold of things that need to be documented? As I'm hearing you talk about it in this episode, you're saying it's kind of things outside of the norm, things that if we wouldn't do this with all of our clients, if there's something specific to an individual client, we should probably make note of that. So that way, anybody else who's reading it can understand our process of why this fits with this particular client or situation? Yes. Were you ever taught that?   Katie Vernoy  25:05 Was I ever taught that? I think I was. I don't know that I was taught that as a clinician, when we were looking at this and how I was thinking about an even wrote this in my notes in preparation is when I was working as a child care worker, aka, a residence counselor in a group home, anything that happened that was out of the norm, especially if there was an injury, or some sort of horrible thing that happened to a kid, we did a serious incident report, or an SIR. And so for me, that was always the case that I would write stuff up, if it happened. And the the client, that kid was having some sort of reaction to it, or they got hurt, I would write that up, and just the facts and what happened and how you resolved it. And so for me, when I moved up the ranks in being a clinician, there's always that in the back of my mind that if something goes down, that is different, that is potentially harmful, and/or could be perceived as harmful, because it was a mismatch or whatever. Write that stuff down and make sure that you talk about your rationale, what happened and how the client responded and any repairs. So to me, I don't know that that was specific to clinical training, certainly, as I was working as a supervisor, the clinical loop was present. But there's also all these liability issues. And I think especially working with kids and families that are very chaotic, or there's a lot of factors that are making things very challenging for the family, I would encourage my clinicians to document those things because of how chaotic it was. So their supervisors would know so that the clinicians would remember what happened. I think there's all of those pieces that that made it so I'm potentially a little bit more conservative in my note writing, meaning that I write more than other folks may because I feel like there is a need to understand, remember, and cya.   Curt Widhalm  27:11 From hearing from a lot of our listeners, past students, people who've consulted with me and other just general conversations. I think they your training might be more specific than what a lot of other people working in other agencies, maybe maybe not community mental health agencies, like I will group what you said in and assume that that is a largely kind of standard rule for a lot of community mental health. But for a lot of nonprofit agencies. I don't hear this kind of emphasis, I hear a lot more of the document as minimally as possible that this audience right here, listen to this. This citation is proof that that is bad direction from shows agencies that way, keep Katie is talking about is really covering your ass, not the agency's ass that this is the proof that boards can and do look at your notes. Yeah, they're going to find faults, if notes are not up to standards. And this goes back to your law and ethics professors of if things aren't written down, they did still happen. But now it's open to interpretation. Yeah. And yeah, your justification, days, months, years later is not necessarily going to be protection, because what is written in the note at the time, is what is going to be first and foremost evaluated.   Katie Vernoy  28:50 And I think the the big difference from what you're talking about with other kind of nonprofit agencies and agencies that have Medicaid billing, is I was also taught that my my progress notes the clinical documentation that I put together is a bill. And so there needs to be sufficient intervention to justify the minutes that I'm billing for. So the reverse was actually what I was taught all the way coming up, is your notes need to be longer for longer sessions, and you need to have sufficient documentation to prove that your time was worth what we're billing for it. So the other piece and you brought this up before we begin was this kind of what do we remember? Yes. And I think when I am on top of my game, and I get my notes write down right away, I find that I have some details, some richness, and it does help me to remember from week to week, what's happened when I'm not on my game and I start getting behind on my notes. I struggle with that. And I think that folks who are chronically overwhelmed, and I'm going to include a lot of the folks in community mental health but even practices that are very full Do get behind on their notes. And then how do we do this detail? And you talked about another issue with, potentially when you write the note and what's in it. So let's move to that part because I think that's important too, before we close up.   Curt Widhalm  30:14 Well, and I will forever credit Dr. Melissa McCaffrey Hall for this advice, that the number one reason that most people seem to be behind on their notes is that they don't end sessions on time. And this is phenomenal advice that I pass along to everybody, in that the reason that we do a 50 minute session or a 45 minute session is to leave yourself time to document this stuff correctly. Yeah. And I'm going back to talking about how attorneys might approach you in a deposition, they will ask you, when did you write this note? When? Why didn't you write it earlier? What do you remember the next day about anything? Like, can you remember what you had for lunch yesterday? And who served it to you? And what was the interaction process? And this is all showing proof of just how much your memory can and does have errors to it? And if that's the case, then you having errors in your notes from being written a day or a week or months later? Is very, not good practice. It is inviting liability.   Katie Vernoy  31:35 Yes, I think and I've been on the right, the note right after session and write the note a little bit later. I'm not gonna get myself too much more liability than saying that. But I do think that writing your notes from a state of fear doesn't feel good, either. So going back to the citation to finish up because I know we're getting short on time. I can see why they said what they said I can imagine a situation where it's appropriate. If it becomes statute that every time we use a word that doesn't seem quote unquote, professional, IE see the session from last week. I worry if that's in statute, because I think there are different ways we speak with different clients, there are different things that we do. And so to me, I don't I don't want this to become a statute where we have to do these things. I do worry that this is some overreach. And I also feel like there are some things that we can do to protect ourselves which is sufficiently document what has happened, do it as close to finishing the session as you can and recognize that part of your documentation is your clinical reminder of what's going on, as well as cya if somebody comes looking at those notes later.   Curt Widhalm  32:53 You can check out our show notes at MTSGpodcast.com. Follow our social media and take a moment and drop us a note your thoughts of what we're covering here, stories that you've heard, and anything else that you would like to have us cover and until next time, I'm Curt Widhalm with Katie Vernoy.   Katie Vernoy  33:15 Thanks again to our sponsor, Dr. Tequilla Hill.   Curt Widhalm  33:18 Therapists, if you are tired of going in and out of the burnout cycle and you desire to optimize your wellness, Dr. Tequilla Hill has created and curated a wellness guide specifically with deep compassion for the dynamic personhood of the psychotherapist. Subscribe to Dr. Hills offerings at bit.ly/StayWellGuide that's bit.ly/StayWellGuide and you can find many of the inspiring offerings from Dr. Hill 17 years as a practice leader, supervisor, mentor, human systems consultant and wellness enthusiast.   Katie Vernoy  33:56 Once again, subscribed to Dr. Tequilla Hill's how to stay well while you work therapist wellness guide at bit.ly/StayWellGuide.   Curt Widhalm  34:06 Hey everyone Curt and Katie here. If you love our content and would like to bring conversations deeper, please support us on our Patreon. For as little as $2 per month we're able to bring you more content, exclusive offerings and more opportunities to engage in our growing modern therapist community. These contributions help us to expand our offerings for continuing education events and a whole lot more.   Katie Vernoy  34:29 If you don't think you can make a monthly contribution no worries we also have a buy me a coffee profile for one time donations support us at whatever level you can today it really helps us out. You can find us at patreon.com/MTSGpodcast or buymeacoffee.com/moderntherapist. Thanks everyone.   Announcer  34:50 Thank you for listening to the modern therapist Survival Guide. Learn more about who we are and what we do at MTSGpodcast.com. You can also join us on Facebook and Twitter and please don't forget to subscribe so you don't miss any of our episodes.

Do Therapists Curse in Session? Curt and Katie discuss a recent citation from the California Board of Behavioral Sciences (BBS) to a therapist for cursing while in session. We explore: Can therapists swear in session? Should they? Are there times when cursing is appropriate in session? Are therapists allowed to make errors without the fear of citation from their board? We explore these and more in this episode.   In this podcast episode we talk about the ethics and responsibilities of cursing in session. After hearing about the citation for a clinician who had cursed in session, we wanted to explore what is acceptable related to using curse words in session. We know as therapists that what we say matters, and now more than ever our choice of language matters. Who is allowed to curse in the therapy room? We tackle this question in depth: Is swearing or cursing ever appropriate in session? Both Curt and Katie swear in session when appropriate Swearing in session can create a more authentic therapeutic rapport with some clients Sometimes clients will ask for permission to swear in session Follow the client's lead when it comes to their language in session, including cursing It is mostly important to reflect the client's language without judgement Clients might be looking for more humanity in their therapists Therapists are people; curses can slip out when therapists feel depleted and without resource Cursing based on your own humanity can cause therapeutic rupture and clinicians should be mindful of the therapeutic alliance and make repair attempts “The concept of professionalism has a fairly biased frame. It's something that's very specific to a specific culture… typically, white culture [suggests] I am professional if I don't curse… Even words that are considered curse words – sometimes there's such a morality around that and morals are culturally-bound” – Katie Vernoy What does the research show us about swearing? Some research suggests that cursing out loud decreases pain “Professional language” is often rooted in whiteness with a goal of excluding people of color When not accurately reflecting a client's language, you run the risk of editing them Swearing speech is primarily meant to convey connotative or emotional meaning with emphasis What do professional organizations say now about cursing in session? The BBS recently cited a therapist for swearing in session as unprofessional language Only one professional organization, The National Association of Social Workers, officially bars cursing in session – specifically derogatory language Swearing speech is primarily meant to convey connotative or emotional meaning with emphasis Therapists have a responsibility to make sure they are emotionally equipped to deal with clients Is there an ideal language for therapists to use? … I caution against blanket rules. – Curt Widhalm Slurs are never acceptable to use during session, especially when there are cultural differences between client and therapist Considerations related to expressing your humanity, using curse words, and the clients you see Ethically, we have guidelines of client beneficence and avoiding maleficence, meaning don't harm the client Technically cursing is allowed, but only with reason and while remembering that some folks are litigious Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: Dr. Tequilla Hill The practice of psychotherapy is unique, creative, and multifaceted. However, combining a more demanding schedule and handling our own pandemic related stresses can give rise to experiencing compassion, fatigue, and the dreaded burnout. Unfortunately, many therapists struggle silently with prioritizing their own wellness across their professional journey. If you are tired of going in and out of the burnout cycle and you desire to optimize your wellness, Dr. Tequilla Hill a mindful entrepreneur, yoga, and somatic meditation teacher has curated How to Stay Well While you Work Therapist Wellness Guide to support providers that are struggling to manage your own self care.  Subscribe to Dr. Hill's Stay Well While You Work! Therapist Wellness Guide and you can find many of the inspiring offerings from Dr. Hill's 17 years as a practice leader, supervisor, mentor, human systems consultant and wellness enthusiast. Support The Modern Therapist's Survival Guide on Patreon! If you love our content and would like to bring the conversations deeper, please support us on our Patreon. For as little as $2 per month we're able to bring you more content, exclusive offerings, and more opportunities to engage in our growing modern therapist community. These contributions help us to expand our offerings for continuing education events and a whole lot more. If you don't think you can make a monthly contribution – no worries – we also have a buy me a coffee profile for one time donations support us at whatever level you can today it really helps us out. You can find us at patreon.com/mtsgpodcast or buymeacoffee.com/moderntherapist. Thanks everyone. Resources for Modern Therapists mentioned in this Podcast Episode: 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 Case for Cursing Client's Experiences and Perceptions of the Therapist's use of Swear Words and the Resulting Impact on the Therapeutic Alliance in the Context of the Therapeutic Relationship by HollyAnne Giffin Swearing as a Response to Pain: Assessing Hypoalgesic Effects of Novel “Swear” Words by Richard Stephens and Olly Robertson Relevant Citations in the  MTSG Podcast: Stephens, R., & Clatworthy, A. (2006). Does swearing have an analgesic effect? Poster presentation at the British Psychological Society Psychobiology Section Annual Conference, 18 20 September 2006, Windermere Stephens, R. (2013). Swearing-The language of life and death. The Psychologist, 26(9). Retrieved from https://thepsychologist.bps.org.uk/volume-26/edition-9/swearing-language-life-and-death Relevant Episodes of MTSG Podcast: CAMFT Ethics Code Updates When Clients Have to Manage Their Therapists The Return of Why Therapists Quit Impaired Therapists Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, 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, LMFT 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 a former 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 with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/ Transcript for this episode of the Modern Therapist's Survival Guide podcast (Autogenerated): Curt Widhalm  00:00 This episode of the Modern Therapist Survival Guide is brought to you by Dr. Tequilla Hill.   Katie Vernoy  00:05 The practice of psychotherapy is unique, creative and multifaceted. However, combining a more demanding schedule and handling our own pandemic related stresses can give rise to experiencing compassion, fatigue, and the dreaded burnout. Unfortunately, many therapists struggle silently with prioritizing their own wellness across their professional journey.   Curt Widhalm  00:26 Dr. Tequilla Hill a mindful entrepreneur yoga and somatic meditation teacher has curated how to stay well while you work therapist wellness guide to support providers that are struggling to manage your own self care. Stay tuned at the end of the episode to learn more.   Katie Vernoy  00:42 Hey everyone, before we get started with the episode, Curt and I wanted to make sure you were aware that we have opportunities for you to support us for as little as $2 a month.   Curt Widhalm  00:51 Whether you want to make that a monthly contribution at Patreon.com/mtsgpodcast  or a one time donation over at buymeacoffee.com/moderntherapist. Every donation helps us out and continues to help us bring great content to you. Listen at the end of the episode for more information.    Announcer  01:14 You're listening to the Modern Therapist Survival Guide where therapists live, breathe and practice as human beings. To support you as a whole person and a therapist, here are your hosts, Curt Widhalm and Katie Vernoy.   Curt Widhalm  01:28 Welcome back modern therapists. This is the Modern Therapist Survival Guide. I'm Curt Widhalm, with Katie Vernoy. And this is the podcast for therapists about things that we do things that show up in therapy things that are happening in our profession. And today's episode started with looking at a citation that was issued by the California Board of Behavioral Sciences to a therapist, this is public information, we're not going to name names. But this is part one of a two part episode.   Katie Vernoy  02:05 Oh at least two parts.   Curt Widhalm  02:08 Part, episode one, at least two parts dealing with this particular citation. And if you know us that we can dive deeply into the strangest of things. But this is an important one in looking at the way that licensing boards are evaluating things. And this has some potential ramifications throughout the rest of our profession. If you're not in California, your board may come after you one day too. So listen, listen to these because this does have some ramifications across our profession. Now, very, very broadly, not getting into a ton of details. If you want to peruse, you can probably pull this up, we're not going to link this one for you. But very, very broadly, therapist was doing reunification therapy with a parent and children. And my understanding of reading through the citation is that the therapist used a curse word in session. A little bit of perspective in having done some reunification therapy before. There's a lot of dynamics at play with the parent who's not in the room. But there does not seem to be any disagreement that a curse word was used. The disagreement seems to be how the curse word was used. And this particular case, one of the children in the room felt that the therapist was calling the child the curse word, the parent who was in the room and the therapist will say that the therapist was using the word to describe the child's behavior. The California Board of Behavioral Sciences in their citation said that this is unprofessional conduct. And this among some other things that we will explore in this episode and next week's episode are going to be why we're talking so deeply about this. But Katie, do you curse in session?   Katie Vernoy  04:18 We'll share Yeah, Yeah, fuck yeah. Christian session. I don't always, I don't always, and I don't with every client, but I think there's so many different elements to cursing in session. And obviously this one's going to get one of those explicit marks and so maybe we should have put a warning we already put it on the episode but if you don't like cursing turn it the fuck off.   Curt Widhalm  04:46 Put a little parental advisory label on the show graphic for this episode. But   Katie Vernoy  04:53 I mean, I'm actually cursing more than I would normally for a fact obviously but I think it's something where the elements that we need to look at are, is it unprofessional conduct? Can we be human beings? And is there an reason that it would might be more effective clinically, or times it might be really harmful clinically, like I think there's there's a lot of different elements to this. So.   Curt Widhalm  05:17 So I think anecdotally, a lot of us who work in the fields tend to take an approach of well adopt the kind of language that a client is using, and oftentimes following their leads, and particularly in working with teenagers a lot. In my practice, I'll get the question of, Can I curse them here? Usually, after they've said a curse word, right?   Katie Vernoy  05:40 Yes, same adults, though, in my case.   Curt Widhalm  05:44 And oftentimes I, I will say, this is your space. And if this is something that helps you to be able to express yourself, well, go ahead and do it. And I may, you know, reflect back their language, it may give me a little bit of, you know, more genuine approach and letting down some of my professionalism a little bit in order to help clients feel that I'm connecting with them on their level. And for many of the therapists that I talked about, we tend to take this kind of an approach that, particularly when we're working with communities that have maybe had some issues with the way that therapists come across too professionally, that there's a lot of power in the language of using curse words, that helps to show that alright, as therapists, if we can meet with them on the level and the way that they express themselves, that it helps to build more of a real relationship. And I've seen this back when I was working and agency work working in substance abuse, homeless populations, that it did just kind of help give me a little bit more of a response of clients thinking that I'm authentic. I imagine that you had some similar experiences in DMH yourself?   Katie Vernoy  07:00 Sure. I mean, I think there's there's a few things that you said that kind of struck me and I don't know if it's worth, you know, talking about but I think there's using the client's language and you said, kind of meeting them at their level? And I don't know exactly, if that's saying like, one form of language is better than an other and, and for me, I think I don't think that's what you were trying to say. But I think for me, it's more kind of embodying the space and using the language with them without a judgement there, but   Curt Widhalm  07:33 And it wasn't intended as placing anything as far as being higher or lower level. I mean, if, if I have a three year old in session that we're going to talk on, you know, our hands as phones in order to convey messages, I'm going to meet with them on their level. So this is just kind of being able to match client characteristics.   Katie Vernoy  07:54 Sure. Okay. I think the other element that you're talking about really is authenticity. And for me, I want curse words to be used in session where it feels authentic to do so. And potentially as a connecting mechanism, but I think, just using curse words, because your client does, I don't think it's going to fly. So So I think, a couple of things there. I don't know if they're relevant, but, but to answer your question, I think the more important element of this is, knowing your client well, and really reflecting their language without assumption. I know a mistake that I had made more than once, and I realized it as I was doing it, is that I assumed that the client cursed and I was wrong. And I'd used a curse word I saw their eyebrows kind of go up. And it was something where I felt it was to reflect the gravity of what I've experiencing, like, oh, fuck, you know, or Wow, that was really shitty. You know, like, I've I've used those expressions, because that's how I talk and other arenas. But when I saw the client's eyebrows go up, I was like, Oh, wait, I'm tracking back. And although they're a person who is not a formal person, they seem to be, you know, kind of casual and how they speak. It still wasn't a word that was appropriate for them. And so to me, I feel like I, I have since moved to a place of cursing as little as possible, unless I really know like, meaning zero, unless I know the client very well. And we've had those exchanges and I've definitely heard them curse, which not everybody does, because some people see it as more of a kind of formal environment that we're sitting in. But I especially had to kind of assess this when I was working with the teen boys on probation. I mean, that was a whole different, you know, kind of way to connect with folks around language and perspective. And so I think, a blanket statement of never curse or curse whenever you want. I think obviously, that's not what we're here to say.   Curt Widhalm  10:04 When I first read this citation, I did a little bit of a self study on myself of just keeping track of the number of sessions that I had in the following days, right? Use a curse word, and it came to about 60% of my sessions.   Katie Vernoy  10:22 You definitely work with teens.   Curt Widhalm  10:24 I work with teens, I work with parents, I work with a number of different clients that our relationship has established. And I don't consider myself somebody who curses frequently in my day to day life.   Katie Vernoy  10:40 So you curse more in session than in your day to day life,   Curt Widhalm  10:43 Probably. I mean, I haven't done this kind of data tracking on my personal life, maybe I should just for comparison sake, but in observing myself, I did the follow up question of who? Why am I person care, and it fell into a couple of different categories. One was to really kind of ask clients to expand on things like, you know, if a client says, like, I'm feeling like shit today, where that's gonna make me feel shitty, like, Oh, why do you think that that's going to make you feel shitty, you know, just kind of echoing their language, family sessions are my favorites of when, especially with very young children, I'm talking, you know, those kids under the age of six, maybe preschoolers that are using curse words, and parents are trying to correct it, of, you know, talking about parents using the language in front of their children and how that's reinforcing to them. Yeah, and finding alternatives. And then there are those times where there's just kind of the emphasizing a point with clients that I've already had an established relationship with where this is being used, being able to just kind of help them maybe recognize a particular moment in session, as far as here's an emphasis on this. But in my, you know, data of like, one week of looking at this, these were all clients that had been the first to swear in sessions.   Katie Vernoy  12:16 Mm hmm.   Curt Widhalm  12:17 And I think I kind of follow you and and many others in our field that we don't lead with this, and I don't think clients necessarily, overall want us to lead with this. There's a couple of older articles, I'm talking 10 plus years old now, that kind of look at the role of therapists swearing in session, very, very minutely. And seems to be from time to in our fields when there really was a lot more of this elevated professionalism expected of psychologists, therapists, social workers, etc. But I think you know, really, overall, with the old man shaking, his fist, decaying morals of our society, where cursing seems to be a lot more prevalent. I think in the last 10 years, this has been something where either we're more readily admitting it or our clients are actually looking for more of that humanity out of the professionals who serve in these roles.   Katie Vernoy  13:16 And when you were talking the the concept of professionalism has a fairly biased frame. It's something that's very specific to a specific culture I'm in typically, white culture is more in the like, I am professional if I don't curse, I think even words that are considered curse words. Sometimes there's such a morality around that and, and morals are culturally bound to that. I feel like if we were to never curse, and if we don't curse personally, I don't, you know, like, you don't have to bust out a curse word if you don't if you never curse, but like for those of us who that's part of our communication. I think it is interesting that our profession and a professional body would say, hey, that is unprofessional behavior, when in fact, it may be the most connecting thing we can do. Like I said, I've I've made mistakes and curse when I shouldn't with clients that don't curse and I recognized it in the moment. But to me, there's using it thoughtfully. And then there's also just being who you are and talking how you talk, and having the clients that match with you. I mean, there are folks who just that's how they talk and should they be required as therapists to completely remove all cursing from their vocabulary.   Curt Widhalm  14:48 You bring up the professional organizations, and there's one professional organization who puts it in their ethics codes and This is the National Association of Social Workers, their standard 1.12 or one point 12, derogatory language, social workers should not use derogatory language in their written verbal or electronic communications, to or about clients. Social workers should use accurate and respectful language in all communications to and about clients.   Katie Vernoy  15:24 So it's, it's implying that cursing is de facto disrespectful.   Curt Widhalm  15:30 I think that in any ethics code, there's room for interpretation here, but this one is specifically talking about the language that gets used and says,   Katie Vernoy  15:41 It says derogatory language, I guess. So like that is that's where the interpretation is that you're talking about.   Curt Widhalm  15:46 Right. Which then kind of leads to the question of who gets to decide what words mean, you know, this is a intention versus impact sort of conversation, because I can think of a million ways to not use curse words and still speak derogatorily about somebody? Sure, you know, and I can think of ways where clients may even be offended for not utilizing the kind of language that they incorporate into their world. Whether that includes curse words or not.   Katie Vernoy  16:24 Yeah, I just think if you were to, to when somebody says I'm feeling really shitty today, like, you could come back and say, Well, what do you think is gonna make you feel that way? But if you were like, so what makes you feel like poop today? Like, I think it would just be funny. But secondly, it's, it's, it's editing them?   Curt Widhalm  16:46 Well,   Katie Vernoy  16:46  in the reframe.   Curt Widhalm  16:47 I have, I have worked in environments before where clients readily use this kind of language all the time, but have had co workers who would try and kind of calm things down and be like, Can Can we not use that language here? Can we use something more respectful and those kinds of coworkers didn't last long in those environments? Yeah, some of looking at this is also looking at some of the neurological research that has come out in the last 10 or so years about the effectiveness of using curse words, as a way of relieving pain. Oh, interesting. And we'll put some citations, at least in the show notes. Not necessarily going to find all of the source articles he re for people but,   Katie Vernoy  17:44 But we're gonna say we're gonna have citations never fear, you'll be able to find it.   Curt Widhalm  17:48 We're gonna have some citations here. But the use of curse words has allowed for people being subjected to physical pain to report on a subjective units of distress, less pain being felt when they're allowed to curse. And this was also replicated in a Mythbusters episodes that so I mean, if   Katie Vernoy  18:14 It has to be true, it's very true.   Curt Widhalm  18:19 The question really becomes, is cursing allowed or not. And this is where we get into these weird, like, can we create blanket rules for our profession? I'm not going to be like leading cursing with my clients.   Katie Vernoy  18:36 No,   Curt Widhalm  18:37 Especially, you know, children.   Katie Vernoy  18:42 Yeah, I think probably the parents would not be pleased if you taught your child, your child clients to curse.   Curt Widhalm  18:50 And part of this is going to be based on your theoretical orientation. You know, if part of what your family therapy is is working on creating structure around appropriate language in the household, and kids are going to be cursing or not, or if that's something that parents are trying to move their kids away from, inevitably, you're going to have to at least document that you're working on.   Katie Vernoy  19:14 Yeah, yeah, I agree. I think that there, there are clinical reasons, whether it's part of the joining and the relationship, whether it's authenticity, whether it's specific things you're working on. I think there are reasons to thoughtfully engage in cursing and session. You know, because I think otherwise, it is really just about humanity. I mean, to me in reading that citation, I'm not clear so it could have been that the the clinician was speaking about behavior, reflecting back language from the family. And it could have been thoughtful, thoughtful use, but I'm curious having worked in a lot of these types of situations where there's reunification, or DCFS involvement, or probation involvement, where there's families that are under a lot of stress, they're being mandated to treatment, there are a lot of things going on. And those families righteously can be challenging for a clinician to work with. And it can be very, very overwhelming. And so to me, I'm thinking, was this a clinical choice? I'm reflecting the language, I'm being authentic, or was it a, I am at my last my wit's end and holy fuck I am done for the day. And so it was not thoughtful, it was humanity. And the question I posed to you, dear sir, is if we curse in session, because of our humanity, is that okay?   Curt Widhalm  20:51 So a couple of the articles that are out there, one of the people who has looked into this a little bit more than some others is Timothy J. 2008. Article from J. And Janowitz, says that, in contrast to most other speech, swearing is primarily meant to convey connotative or emotional meaning. In other words, that, you know, a word like shit does not usually necessarily literally mean a pile of feces, it means that there is some sort of emphasis to it based on the context of the language. Yeah, I think that, on that point of, it's about the emphasis of it. Speaking from a position of reality, what you're asking is, is there an ideal language for therapists to use? Hmm. And, again, I cautioned against blanket rules, because there may be polite society that does find it extremely offensive, you know, one of the very weird things about our field is that you may be, you know, talking into your hand as a mock cellular phone with a child in one session. And then your next session, maybe exploring the BDSM desires of somebody who's exploring their sexuality, then rules, even from one session to the next may be impossible to create a absolute value, let alone a strict rule of what ideal language that you can use. It's a very fancy way of saying it depends.   Katie Vernoy  22:36 Well, I'm hearing a whole bunch of it depends. But I think there's that additional element of, if I've, I'm at the end of my resources, I'm exhausted and something is thrown at me in session that I normally could catch, and I don't. And I basically start being a human in the moment, because I have no more resources left is that worthy of a, of a disciplinary action,   Curt Widhalm  23:07 we do have a responsibility to put ourselves in the best position to take care of our clients. And, you know, I can imagine and I've had frustrating sessions over my career that have stirred up emotional reactions in sessions and working through in subsequent sessions or subsequent communications with clients or former clients that there is a ownership of some of that humanity, some people are going to be litigious. Some people are going to file complaints, you know, if I'm going to draw a line on this, you know, not everybody is going to want their therapist to curse. Some people are going to think it's the best fucking thing that's ever happened. But I think that there is probably an absolute line. And even this line is kind of gray in and of itself. But I think that there is a line that is probably the intention of that NASW code, which is where the use of slurs come in. And especially if there's cultural differences between the therapist and the client that, you know, if I have a client who's expressing, hey, I got called the N word down on the streets and is actually using the pejorative language. They're even in all of my trying to connect with a client's me as a very white therapist. I'm staying away from reflecting that word to them. But I think that you know, in any of the expressions that we have, that being very careful about not using slurs is probably a line that we all definitely need to be aware of where that is, and follow that one   Katie Vernoy  24:58 To me taking what you're saying and adding my own thoughts to it is really having common sense and making sure that we have sufficient resources available to either remain appropriate and not become offensive to our clients, if at all possible. I think the other element of it is kind of this common decency and respect. I think if one of my first jobs out of college was working in a group home with kids who had been removed from their parents homes or their caregivers homes, and I was carrying a child, I was working as a childcare worker, not as a therapist, and I was carrying one of the children and hit a pothole in the road, sprained my ankle and went down with the kid. Even in that moment, when I'm in excruciating pain, and the kid is crying because they fell with me, I did not drop the kid, I felt very proud of myself, I was much younger than I would drop them now. I didn't curse. Maybe I would have felt less pain. If I did. It sounds like from the study. But I did it because I was aware, I have a kid with me. And there's enough of a filter for me that I wasn't going to immediately go to "fuck". So in sessions, having that much left that much kind of super ego or that much kind of observer, mindfulness, whatever works for you. But having that much to say, even if I'm in a bad spot, let me first excuse myself, rather than get to a place where I'm cursing without it making much sense, clinically, I think is our responsibility.   Curt Widhalm  26:57 Sure. I think that overall, what we're talking about here is trying to make a case that cursings allowed. And I think that we've at least done a good enough job to say that we shouldn't disallow it. But there's probably got to be some reasons for, hey, here's why you don't. I mean, obviously, this citation that we're referring to, as far as the basis of this episode is necessary that at least in some cases, you shouldn't,   Katie Vernoy  27:28 I think that the know your audience is really important. We've said that throughout. But I think it's also understand the impact of your words. The thing that I grapple with, and I don't know if this is something maybe you grapple with as well is that even when we're feeling especially human, and embodied as a therapist, there is still a power differential. And there still is an expectation that we will show up in a certain way. And I think not showing up in that way, shouldn't be taken lightly. There have been times when my humanity has come through, and I've had ruptures that were not repaired, and clients that left treatment, you know, that frequently, but that has happened, I've had clients who, fortunately have been able to say, hey, and it wasn't necessarily about cursing, but more that kind of humanity piece. But I, I expect it would also happen with cursing. But clients who would come to me and say, You were weird in that session with me what happened there, and then being able to talk about what was happening behind the scenes. But I think there may be clients who have trauma histories around certain ways that people speak, there may be things that you would need to know before you really dig into or become, I think, to free and how you express yourself in your own humanity. I think there's, I think there's times when having curse words in your vocabulary could be a hindrance to you in connecting with clients and keeping the environment safe for them.   Curt Widhalm  29:07 What you're talking about is our ethical guidelines of client beneficence and avoiding maleficence. That what we do is for the benefit of clients, and we don't do the things that harm clients, and the history of, you know, polite society, using proper language has been proven to often been an exclusionary way of keeping diversity out of professional roles. And this has existed and today, and I think that, you know, there's always the default to remaining in this classical professionalism that is the guidance to avoiding that maleficence. When in doubt, be safe.   Katie Vernoy  30:03 Yes.   Curt Widhalm  30:05 But when clients curse first fuck yeah, we're gonna do it.   Katie Vernoy  30:08 Shit.   Curt Widhalm  30:13 We will link to some articles here in the show notes you can find those at mtsgpodcast.com. One piece that we didn't really highlight in the, in the middle of the show that I think is worth pointing out is a master's thesis dissertation from Holly Anne Giffen from 2016. That served as the basis for us finding some of these other articles. We will include a link to that in our show notes to find those at mtsgpodcast.com. And follow us on our social media and join our Facebook group, the modern therapist group and until next time, I'm Curt Wildhalm with Katie Vernoy.   Katie Vernoy  30:56 Thanks again to our sponsor, Dr. Tequilla Hill therapist.   Curt Widhalm  31:00 If you are tired of going in and out of the burnout cycle and you desire to optimize your wellness, Dr. Tequilla Hill has created and curated a wellness guide specifically with deep compassion for the dynamic personhood of the psychotherapist. Subscribe to Dr. Hills offerings at Bitly forward slash stay well guide that's BIT dot L y forward slash StayWell guides and you can find many of the inspiring offerings from Dr. Hill 17 years as a practice leader, supervisor, mentor, human systems consultant and wellness enthusiast.   Katie Vernoy  31:37 Once again subscribe to Dr. Tequila Hills how to stay well while you work therapists wellness guide at Bitly forward slash stay well guide   Curt Widhalm  31:47 Hey everyone, Kurt and Katie here. If you love our content and would like to bring the conversations deeper, please support us on our Patreon. For as little as $2 per month we're able to bring you more content, exclusive offerings and more opportunities to engage in our growing modern therapist community. These contributions help us to expand our offerings for continuing education events and a whole lot more.   Katie Vernoy  32:10 If you don't think you can make a monthly contribution no worries we also have a buy me a coffee profile for one time donations support us at whatever level you can today it really helps us out. You can find us@patreon.com Ford slash MTS G podcast or buy me a coffee.com Ford slash modern therapist. Thanks everyone.   Announcer  32:32 Thank you for listening to the modern therapist Survival Guide. Learn more about who we are and what we do at MTS g podcast.com. You can also join us on Facebook and Twitter. And please don't forget to subscribe so you don't miss any of our episodes.

Finding a good fit with your therapist makes all the difference! In this episode, I'll talk about some things to consider when searching for a therapist and how to get a feel for if a therapist is a good fit for you.   Check out my links for more related content: Website: www.kaylaestenson.com Instagram: www.instagram.com/kaylaestensonwellness The Beginner's Guide to Creating Your Authentic Practice: https://www.kaylaestenson.com/the-beginners-guide-to-creating-your-authentic-practice Soothing Perfectionism Workbook: https://www.kaylaestenson.com/soothing-perfectionism-workbook

Therapy isn't always about restoring bonds and helping them heal and avoid breaking apart; sometimes bonds and relationships break apart, and our clients need a safe place to process the hurt and begin the journey towards healing. As a therapist learning to use the model and methods of EFT, it is valuable to know how to adapt the interventions specifically when working with individuals. This video will help you better understand how to adapt the interventions to work with Individuals using Emotionally Focused Therapy and apply the model when your client comes to therapy needing to heal from broken bonds/attachment, clients healing their broken hearts. EFT is wonderfully effective for this! Join We Heart Therapy host, Dr. Anabelle Bugatti, LMFT/Certified EFT Supervisor & Therapists and EFT Trainer/Supervisor/Therapist and one of the founding members of the British Center for EFT, Helene Igwebuike on as they discuss helping individuals in Emotionally Focused Therapy heal their broken hearts from broken attachment bonds and relationships. For more information on EFT, please visit: http://www.ICEEFT.com https://www.drsuejohnson.com To buy your copy of Dr. Belle's book, Using Relentless Empathy in the Therapeutic Relationship, Connecting with Challenging and Difficult Clients click here: https://read.amazon.com/kp/embed?asin... For more information on Helene Igwebuike and the British Center for EFT, please visit: https://www.beftcentre.org/helene-igw... email: heleneIgwebuike@gmail.com For more information on your host, Dr. Anabelle Bugatti, LMFT, Please visit: https://www.WeHeartTherapy.com http://www.drbelle.com https://www.snveft.com

Let's talk about SEX with Dr. Belle!Dr. Belle Bugatti is a nationally certified counselor and an ICEEFT Certified Emotionally Focused Couples Supervisor and Therapist (EFT) with specializations in helping couples and individuals mend broken relationships, and overcome issues such as chronic stress, anxiety, low self-esteem, or challenges with their personal life.Check out her second book, "Using Relentless Empathy in the Therapeutic Relationship; Connecting with Challenging and Resistant Clients" (2020).Connect with Dr. Bellewww.Drbelle.com, We Heart Therapy Podcast -YouTube  Connect with MarciMarci's Website, Patreon, Instagram, Facebook, LinkedIn, Facebook Group.Permission to Heal on YouTube.Permission to Land (memoir)Permission to Heal Bookshop - Buy books from the episodes & support independent bookstores.  The Permission to Heal podcast is a passion of mine. I need your help to bring more inspirational episodes to the world; please consider becoming a patron through PATREON. This is where your PATREON subscription comes in. With your subscription, you get perks and swag and the meaningful contentment knowing you are helping me get PTH to the people who need it. Support the show  Support the show (https://www.patreon.com/PermissiontoHeal)

Anabelle Bugatti, Ph.D., LMFT, NCC, BC-TMH, President of Southern NV EFT, Cert EFT Supervisor & Therapist, Couples & Individual CounselorDr. Anabelle Bugatti is a nationally certified counselor and an ICEEFT Certified Emotionally Focused Couples Supervisor and Therapist (EFT) with specializations in helping couples and individuals mend broken relationships, and overcome issues such as chronic stress, anxiety, low self-esteem, or challenges with their personal life. Dr. Bugatti's expertise is in competing attachment in romantic relationships and how this impacts relationship satisfaction and security. Dr. Belle's NEW  book Using Relentless Empathy in the Therapeutic Relationship; Connecting with Challenging and Resistant ClientsDr. Belle's websites - https://www.lasvegasmarriagecounseling.com/ and www.We️HeartTherapy.com  Attachment Science in Practice  - www.iceeft.comDr. Belle's new website - www.Drbelle.comWe Heart Therapy. Podcast - https://podcasts.apple.com/us/podcast/we-heart-therapy/id1478455856YouTube  - https://www.youtube.com/channel/UC0pUeBkuuE1BswZsTbUowZgConnect with Marci·       Website, Patreon, Instagram, Facebook, LinkedIn, Facebook Group.·       Permission to Heal on YouTube.·       Permission to Land  (memoir) - Hardcover, Paperback, eBook, audiobook -      Permission to Land: Personal Transformation Through WritingPermission to Heal Bookshop - Buy books from the episodes & support independent bookstores. Permission to Heal is a passion of mine.  I need your help to bring more inspirational episodes to the world; please consider becoming a patron through PATREON. This is where your PATREON subscription comes in. You get perks & the contentment knowing you are helping get PTH out to the people who need it.  Support the show (https://www.patreon.com/PermissiontoHeal)

1. The Challenges of the Therapeutic Process 2. Discerning the Motivations of a Counselee 3. Moral Issues and the Therapeutic Relationship 4. The Biblical Role of the Counselor in the Counseling Relationship

1. Understanding the Therapeutic Relationship 2. Clinical Distance and the Clinical Process 3. A Critique of the Therapeutic Relationship 3. The Relationship between Biblical Discipleship and Biblical Counseling