Tuesday is for Therapists: Biweekly Essays

TIFT #87: Modernizing Psychotherapy–What’s in It for Me? tift Oct 10, 2023

 

Maybe it’s like the state of healthcare in the US, where corporate interests hove so overpowered the ranks of those who do the work that we have fallen into a state of passive demoralization. The field of psychotherapy is largely unaware that it is suffering the same fate. In our...

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TIFT#86: Modernizing Psychotherapy tift Sep 19, 2023

 

First, announcing a Free Webinar and New Course:

Psychotherapy Essentials: Navigate the Therapeutic Space with Confidence

An online course and free introductory webinar for new and experienced therapists– 

Many therapists suffer from the lack of an accessible and practical...

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TIFT #85: Adolescent Acting Out tift Sep 13, 2023

 

Internalizers Welcome: Share your difficult problems! Winning subscribers will receive free coaching via TIFT. All you have to do is Dare to Share!

 

We all have difficult cases and doubts. Of course you are hesitant to expose the areas where you feel unsure,...

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TIFT #84: The Affect Avoidance Diagram Revised tift Aug 31, 2023

 

The Affect Avoidance Framework adopts a modern view of mind to make lucid the problems psychotherapy is designed to treat as well as precisely how words and human interaction can produce enduring change. Today I’ve made a substantial addition to a previously shared diagram....

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TIFT #83: Is Videotherapy Inferior? tift Aug 15, 2023

 

Subscriber "Dare to Share" **

 

Hi Jeffery,

I’d still be interested in your thoughts about online therapy as a continuing platform for therapy. It’s an issue for me because my therapist has decided to work only online. This means I will never meet her in person since I...

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TIFT #82: "Dare to Share"–When Adolescents Blame Parents tift Aug 04, 2023

 

Internalizers Welcome: Share your difficult problems! Winning subscribers will receive free coaching via TIFT. All you have to do is Dare to Share (see below).

 

We all have difficult cases and doubts. As internalizers we think first of critiquing...

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TIFT #81: Applying the Affect Avoidance Framework tift Jul 18, 2023

 

This is a continuation of TIFT #80, Confronting Therapist Anxiety. Here I share my own experience combining clinical knowledge with modern neuroscience to activate old patterns and deliver disconfirming information such that it reaches the limbic neurons where information needs to be...

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TIFT #80: Confronting Therapist Anxiety tift Jul 04, 2023

 

The Dunning-Kruger Effect describes the fact that people of low competence tend to think they are highly skilled. At the same time, social researchers, Dunning and Kruger (1999), in a classic article, note that:

“Top-scoring individuals know that they are better than the average, but...

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TIFT #77: Helping the Stuck Adolescent tift May 24, 2023

 

This is a follow-up to the previous post on how treating symptoms and diagnoses is so often unsuccessful because the real source of trouble is underlying immaturity, a very real problem that, unfortunately, has no diagnosis code. In that post, I described the problem. In this one, I...

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TIFT #76: Adolescent and Adult Immaturity Isn't In the DSM tift May 23, 2023

One of the most troubling aspects of mental health treatment currently is the tendency to treat diagnoses instead of people. In the meantime we have a mental health crisis among teens and young adults where far too often, the underlying problem is developmental arrest, which isn’t...

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TIFT #75: Reclaiming Lost Power tift Apr 25, 2023

 

A common clinical problem is the adult client who finds him or herself repeatedly overpowered by others. In this post, I’m sharing some thoughts about what we, as therapists, can do to help.

Choosing between survival and power

From TIFT #72, I want to repeat two points. First,...

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TIFT #74: How We Make Clinical Decisions tift Apr 11, 2023

 

Teaching a class of trainees and early career therapists got me to thinking about the question of clinical decision making. My co-leader shared the example of a client asking, “If you were in my position, what would you do?” I counted six ways a clinician might make such a...

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*** Residents and Fellows in Psychiatry Course enrollment ending Sunday***