
Howtherapyworks: The Third Trimester
"Complete Catalog of EMPs"
For those who have completed the second trimester, we now build a matrix of all the kinds of EMPs we may encounter in practice and how to approach each one. Please join me as I share my best "idea-tools."
Jeffery Smith MD
A Self-Paced, Multimedia Online Course. Purchase Below
Designed for busy therapists with diverse learning styles and backgrounds who want in-depth learning in an efficient package.
Each Lesson Includes:
- Book chapter: Plain language to explain the most useful "idea tools."
- Video Introduction with graphics and narrative by Dr. Smith
- Dr. Smith's Podcast: in interview format with Amelie Southwood, LMHC, an early career therapist herself.
- Friday Zoom Group with Dr. Smith (10 per trimester, 75 min. each). Time for group discussion on clinical application of principles. Recorded for those unable to attend.
- Unlimited Q & A: Write in questions at any time and receive personal answers. Those of general interest will become part of a Q & A Video Library accessible to all learners.
- Exclusive Learner Exchange Forum hosted by Howtherapyworks.com
Learners are free to choose among materials, in what order, and at a pace that works for them. Each is entitled to participate in 10 Friday groups per trimester.
The course will follow Dr. Smith’s textbook, Psychotherapy: a Practical Guide (Buy separately).
Here's what leaders in the field say:
“It is remarkable how much Jeffery Smith packs into a small, readable volume. Covering a wide range of theoretical perspectives and clinical challenges, Smith lays out clearly and in detail how he works and offers a valuable integrative understanding of the essential elements in good clinical work. An important contribution to the field.”
Paul Wachtel, PhD, Author of Therapeutic Communication: What to say when
“A thoughtful, integrative guide to psychotherapy from a wise and seasoned psychiatrist. Jeffery Smith demonstrates charity to all therapies that work and malice only toward the rigid and ineffective. His emphasis on entrenched dysfunctional patterns and affect avoidance will prove useful to practitioners of all professions and persuasions.”
John C. Norcross, PhD, Distinguished Professor, University of Scranton & SUNY Upstate Medical University, co-editor of Handbook of Psychotherapy Integration.

Trimester 1
How Therapy Works
The Affect Avoidance Model: Theory built for practice
- Psychopathology
- Entrenched Maladaptive Patterns
- How one EMP covers another
- Change mechanisms
- Role of emotion
- Therapeutic relationship
- Development

Trimester 2
What Therapists Do
Practical Session Management: What to follow and how
- Initial Session
- Formulation
- Flow of sessions
- Exploration and emotion
- Transference and the inner child
- Adjustments

Trimester 3
Treatable Problems and practical approaches
Beyond DSM: A Catalog of real problems and their management
- Behavioral choices
- Compulsive behaviors
- Problem emotions
- Shame & guilt
- Automatic thoughts
- Grief & depression
- Anxiety related
- Trauma & dissociation
Third Trimester For Continuing Elite Track Learners
Be part of a small group class, who will interact with Dr. Smith to apply theory to daily practice.
Disclaimers
From my own experience and that of many practitioners, this type of course will give the learner a firm basis in knowledge, but becoming a great therapist also requires supervised practice. Our long range goal is to offer credentialing to experienced therapists who demonstrate mastery of this material and want to be listed as providing supervision compatible with the Affect Avoidance Model.
In addition, I have hesitated to say that access is "lifetime" because I can't know the future. I hope Howtherapyworks.com and this course continue to grow and develop for a very long time.