Deanna James, LPC discusses the use of body based treatment approaches when working with clients with eating disorders and trauma. This lecture was presented at Monarch Cove Treatment Centers Preferred Provider Conference.
The document summarizes a webinar on creating innovative and effective treatment plans for binge eating disorder that move beyond traditional weight-focused and restrictive dieting approaches. The webinar discusses using Internal Family Systems therapy, experiential therapy, and exposure and response prevention therapy to treat binge eating disorder. It also covers conceptualizing binge eating disorder cases, identifying functions and triggers of binges, and assessing different types of binges.
This document outlines the phases and goals of treatment for eating disorders at Castlewood Treatment Center. The initial phase focuses on building rapport, symptom containment, and history gathering. The middle phases involve identifying the functions of disordered behaviors, exploring underlying beliefs and messages, and renegotiating relationships with food and emotions. Later phases emphasize reducing self-hate, developing life skills and relationships, and transferring secure attachments from treatment to oneself. The end goal is full recovery and living a spontaneous, passionate life.
1. REBT therapy involves assessing how a client's irrational beliefs contribute to their distressing emotions and behaviors in response to activating events, rather than the events themselves causing the issues.
2. Therapists directly challenge clients' irrational beliefs using cognitive, behavioral, and emotional disputation techniques to help clients replace dysfunctional thoughts with more rational ones.
3. Homework is assigned for clients to practice disputation techniques on their own to reinforce their new, more rational belief systems.
The document outlines topics and skills covered in an Integrated Health Psychology Training Program, including biopsychosocial skills for improving health, reducing stress, goal setting, problem solving, communication, relationships, and addressing specific health issues like depression, anxiety, chronic pain, hypertension, smoking, sleep, diabetes, and more. The program utilizes treatment approaches including CBT, ACT, DBT, and mindfulness and aims to promote healthy minds, bodies, and communities.
Acceptance and Commitment Therapy for People with MSMS Trust
This document summarizes a presentation on Acceptance and Commitment Therapy (ACT) for people with Multiple Sclerosis (MS). ACT focuses on increasing psychological flexibility to live according to one's values despite difficult thoughts, feelings, and physical symptoms. The presentation discusses how people with MS commonly struggle and respond unhelpfully by avoiding, controlling, or fighting their experiences. It then outlines the six core processes of ACT (acceptance, defusion, contact with the present moment, self-as-context, values, and committed action) to build psychological flexibility. A case example is provided of applying ACT in couples therapy with a woman with MS and her husband to improve their communication and relationship.
The document discusses disenfranchised grief and ambiguous loss. It then outlines the five invitations of loss according to Frank Ostaseski: don't wait, welcome everything and push away nothing, bring your whole self to the experience, find a place of rest in the middle of things, and cultivate a "don't know" mind. These invitations encourage embracing life's precariousness, being open without judgment, including all parts of oneself, finding inner stillness amid activity, and letting go of certainty.
Resilient Teams: Reducing Burnout and Building Capacity in the Time of Covid-19Michael Changaris
Compassion Fatigue and Burn Out in the Time of Covid 19
Transitions Care Network Reentry Support
12:10 Introduction Overview – Brief Exercise (Super-Power – One Word)
• Exercise: Members will be asked to unmute and share one word that describes their “super-power” the core gift they bring to their work. (3-5 People)
12:15 Part 1 Burnout, Stress and Resilience
• Self-Compassion and Grief/Burnout/Trauma and Moral Injury – The Mental Health Pandemic and What We Can Do.
• Stress: Good, Stretch, Toxic and (how stress turns toxic and burn out and how it does not) Growth
• Finding Your “Blue Sky Moments” & Regulation: Flight, Flight Freeze
• Turning Stress to Power Through the Three Cs
• Know your signs of burnout and making a plan…
12:30 Self-Care is Health Care – Preventing Leader Burnout and Team Support
• 1) Prevention is Power, 2) Seeing the Signs, 3) Normalize and Engaged Action
• We are people first (putting our own oxygen mask on first)
• Your team needs you, you need your team (Growth Mindset, Connect to Values e.g. help your team find their why, Check in with them teach them to check in and support).
• Shout out exercise: Ask the members to share a brief story of one time they or a team member recently changed or impacted a life.
• Leaders and Burnout – Seeing the signs in yourself and your team.
• What You Can Do: Normalize stress things your team maybe dealing with… Financial, Trauma triggers, Family Addiction, Abuse, Grief, Isolation, Job Concerns, Isolation Trigger Prison Experiences, News and Social Media.
• Trauma Informed Healing Workplace – Do what you can with what you have to make your team a healing team.
12:45 Supporting Transitions Teams
• Trauma Informed Team Exercise – Living Values Check In (How are you living these principals).
• Wellness Check Ins – Make it safe, Make it strengths focused, Empower your team to support each other.
• Exercise: Team planning in groups of three 5 Min and 3 Shares.
12:55 Close and Key Points/Questions
Training Handouts
1. How to support your team tips for leaders
2. Building Resilience and Reducing Burnout Handout
Minding Our Business: Contemplative Practices for Meeting Suffering, Comfort ...lakesidebhs
From Lakeside Behavioral Health System's Spring 2016 EAP/MHP Conferences.
This workshop is about learning to love and enjoy our work with our most complex clients while giving them some skills to love and enjoy themselves. You’ll see this means increasing our own mindfulness and self-compassion.
The document summarizes a webinar on creating innovative and effective treatment plans for binge eating disorder that move beyond traditional weight-focused and restrictive dieting approaches. The webinar discusses using Internal Family Systems therapy, experiential therapy, and exposure and response prevention therapy to treat binge eating disorder. It also covers conceptualizing binge eating disorder cases, identifying functions and triggers of binges, and assessing different types of binges.
This document outlines the phases and goals of treatment for eating disorders at Castlewood Treatment Center. The initial phase focuses on building rapport, symptom containment, and history gathering. The middle phases involve identifying the functions of disordered behaviors, exploring underlying beliefs and messages, and renegotiating relationships with food and emotions. Later phases emphasize reducing self-hate, developing life skills and relationships, and transferring secure attachments from treatment to oneself. The end goal is full recovery and living a spontaneous, passionate life.
1. REBT therapy involves assessing how a client's irrational beliefs contribute to their distressing emotions and behaviors in response to activating events, rather than the events themselves causing the issues.
2. Therapists directly challenge clients' irrational beliefs using cognitive, behavioral, and emotional disputation techniques to help clients replace dysfunctional thoughts with more rational ones.
3. Homework is assigned for clients to practice disputation techniques on their own to reinforce their new, more rational belief systems.
The document outlines topics and skills covered in an Integrated Health Psychology Training Program, including biopsychosocial skills for improving health, reducing stress, goal setting, problem solving, communication, relationships, and addressing specific health issues like depression, anxiety, chronic pain, hypertension, smoking, sleep, diabetes, and more. The program utilizes treatment approaches including CBT, ACT, DBT, and mindfulness and aims to promote healthy minds, bodies, and communities.
Acceptance and Commitment Therapy for People with MSMS Trust
This document summarizes a presentation on Acceptance and Commitment Therapy (ACT) for people with Multiple Sclerosis (MS). ACT focuses on increasing psychological flexibility to live according to one's values despite difficult thoughts, feelings, and physical symptoms. The presentation discusses how people with MS commonly struggle and respond unhelpfully by avoiding, controlling, or fighting their experiences. It then outlines the six core processes of ACT (acceptance, defusion, contact with the present moment, self-as-context, values, and committed action) to build psychological flexibility. A case example is provided of applying ACT in couples therapy with a woman with MS and her husband to improve their communication and relationship.
The document discusses disenfranchised grief and ambiguous loss. It then outlines the five invitations of loss according to Frank Ostaseski: don't wait, welcome everything and push away nothing, bring your whole self to the experience, find a place of rest in the middle of things, and cultivate a "don't know" mind. These invitations encourage embracing life's precariousness, being open without judgment, including all parts of oneself, finding inner stillness amid activity, and letting go of certainty.
Resilient Teams: Reducing Burnout and Building Capacity in the Time of Covid-19Michael Changaris
Compassion Fatigue and Burn Out in the Time of Covid 19
Transitions Care Network Reentry Support
12:10 Introduction Overview – Brief Exercise (Super-Power – One Word)
• Exercise: Members will be asked to unmute and share one word that describes their “super-power” the core gift they bring to their work. (3-5 People)
12:15 Part 1 Burnout, Stress and Resilience
• Self-Compassion and Grief/Burnout/Trauma and Moral Injury – The Mental Health Pandemic and What We Can Do.
• Stress: Good, Stretch, Toxic and (how stress turns toxic and burn out and how it does not) Growth
• Finding Your “Blue Sky Moments” & Regulation: Flight, Flight Freeze
• Turning Stress to Power Through the Three Cs
• Know your signs of burnout and making a plan…
12:30 Self-Care is Health Care – Preventing Leader Burnout and Team Support
• 1) Prevention is Power, 2) Seeing the Signs, 3) Normalize and Engaged Action
• We are people first (putting our own oxygen mask on first)
• Your team needs you, you need your team (Growth Mindset, Connect to Values e.g. help your team find their why, Check in with them teach them to check in and support).
• Shout out exercise: Ask the members to share a brief story of one time they or a team member recently changed or impacted a life.
• Leaders and Burnout – Seeing the signs in yourself and your team.
• What You Can Do: Normalize stress things your team maybe dealing with… Financial, Trauma triggers, Family Addiction, Abuse, Grief, Isolation, Job Concerns, Isolation Trigger Prison Experiences, News and Social Media.
• Trauma Informed Healing Workplace – Do what you can with what you have to make your team a healing team.
12:45 Supporting Transitions Teams
• Trauma Informed Team Exercise – Living Values Check In (How are you living these principals).
• Wellness Check Ins – Make it safe, Make it strengths focused, Empower your team to support each other.
• Exercise: Team planning in groups of three 5 Min and 3 Shares.
12:55 Close and Key Points/Questions
Training Handouts
1. How to support your team tips for leaders
2. Building Resilience and Reducing Burnout Handout
Minding Our Business: Contemplative Practices for Meeting Suffering, Comfort ...lakesidebhs
From Lakeside Behavioral Health System's Spring 2016 EAP/MHP Conferences.
This workshop is about learning to love and enjoy our work with our most complex clients while giving them some skills to love and enjoy themselves. You’ll see this means increasing our own mindfulness and self-compassion.
Please share this webinar with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
Webinar Information:
At this webinar Oncologist Dr. Rob Rutledge outlines the essential mind-body techniques and attitudes which help people recover from a cancer diagnosis. Drawing on the mind-body connection is a powerful way to promote healing both physically and emotionally.
Presenters:
Dr. Rob Rutledge is a Radiation Oncologist in Halifax, Nova Scotia, specializing in breast, prostate and pediatric cancers. He is also an Associate Professor in the Faculty of Medicine at Dalhousie University.
In 1999, Rob co-created the ‘Skills for Healing’ Cancer Weekend Retreats. These weekend support groups teach a powerful and integrated approach to the cancer diagnosis and ways to heal at levels of body, mind and spirit. To date, more than 1,200 people have attended the retreats in over 20 cities across Canada and abroad.
Rob is the CEO and Chair of the Healing and Cancer Foundation, a Registered Charity that freely offers educational videos, documentaries, and webcasting seminars. He is co-author of the book The Healing Circle, which captures the teachings and inspirational stories from the weekend retreats. In 2010, Rob received Cancer Care Nova Scotia’s Award for Excellence in Patient Care and in 2006 Doctors Nova Scotia presented him with the Health Promotion Award in recognition of his contribution to physician health and health promotion in cancer patients.
View the video: https://youtu.be/3I6w7ngPV_Y
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Pinterest - https://www.pinterest.com/survivornetwork
YouTube - https://www.youtube.com/user/Survivornetca
This document provides information about scrupulosity, which is when OCD involves religious and moral themes. Some key points:
- Scrupulosity involves obsessions and compulsions related to religious or moral issues like sin, doubts about one's faith, or excessive religious behaviors.
- Treatment for scrupulosity is similar to OCD treatment but requires understanding the patient's religious beliefs. It involves exposure therapy, challenging cognitive distortions, and stopping compulsions and reassurance seeking.
- Differentiating healthy faith from scrupulosity involves factors like fear, distress, interference in life, and whether the behaviors are a response to anxiety rather than enjoyment of religious practices.
- Educating family and clergy
This document summarizes common problems experienced by couples in counseling and discusses various assessment approaches. It identifies issues like money, religion, children, stress, and communication breakdown as common sources of conflict. It also explores specific problems including sexual issues, infidelity, addictions, separation and divorce. The document outlines how counselors assess couples to determine if counseling is appropriate and discusses the objectives of marital therapy in supporting the relationship and helping partners identify their role in conflicts.
William Glasser was a psychiatrist who developed Choice Theory and Reality Therapy. Some key aspects of his theories include:
1) He believed that people choose their behaviors to meet their basic psychological needs of survival, love/belonging, power, freedom, and fun.
2) External control models focus on criticizing and blaming others, while internal control models emphasize respect, support, and negotiation.
3) Choice Theory proposes replacing the "7 Deadly Habits of External Control" with the "7 Caring Habits of Choice Theory" to improve relationships.
Rational Emotive Behavior Therapy (REBT) was developed by Albert Ellis in the 1950s. It is a form of cognitive behavioral therapy that focuses on resolving emotional and behavioral problems by identifying and disputing irrational and self-defeating beliefs. Ellis believed that people are disturbed not by events themselves but by their beliefs about events. REBT teaches unconditional self-acceptance, frustration tolerance, and flexible thinking to dispute irrational beliefs and reduce disturbances. Ellis developed REBT after becoming dissatisfied with psychoanalysis and drew from philosophy, biology, psychology and sociology in developing the theory.
Rational Emotive Therapy (RET) was developed by Albert Ellis in 1955. It is a cognitive behavioral therapy that focuses on identifying and disputing irrational beliefs that cause emotional disturbances. RET helps clients recognize that activating events themselves do not cause emotional consequences, but rather people's belief systems. The therapist helps clients identify irrational beliefs using the A-B-C model - where A is the activating event, B is the belief system, and C are the emotional/behavioral consequences. By disputing irrational beliefs, clients can develop more rational beliefs and reactions to events. RET differs from psychoanalysis by not delving into childhood and keeping the client responsible for challenging their own beliefs.
The document discusses various therapeutic techniques used in psychiatry including play therapy, music therapy, dance therapy, recreational therapy, light therapy, and repetitive transcranial magnetic stimulation. It provides definitions of each technique, their indications, principles, functions, advantages and the nurse's role in administering them to help treat various psychiatric disorders.
The document outlines an ACT workshop for working with physical health problems. It discusses using ACT processes to help clients with issues like uncertainty, changes in identity, and avoiding difficult sensations. Specific techniques are explored like defusion, flexible perspective of self, and focusing on values-driven actions. The workshop also addresses challenges like treatment decisions, hopelessness, and caregiving burdens through an ACT lens.
Reality therapy focuses on addressing clients' present unsatisfying relationships and ineffective behaviors by teaching them choice theory. The therapist guides clients to evaluate their current behaviors, identify their needs and wants, and make plans to behave more effectively. Reality therapy uses the WDEP method - exploring the client's wants, the direction of their behaviors, having them self-evaluate, and creating plans for change. The goal is for clients to learn how to better meet their needs and develop more satisfying relationships.
Choice theory is a psychological theory developed by William Glasser that focuses on personal responsibility and behavioral choices. The key concepts are that people have the power to choose their thoughts and actions, and are not victims of external forces. The theory aims to help people meet their basic psychological needs through improving relationships by changing their present behaviors and choices. Choice theory counseling involves assessing a client's goals, current behaviors, and developing plans for behavior change through small, measurable steps.
Annabella Hagen - Relationship OCD and the Doors of UncertaintyIOCDF
This document discusses relationship obsessive compulsive disorder (rOCD) and provides strategies for managing it. It defines rOCD as having obsessive doubts and fears about one's relationship that are magnified due to OCD. Common signs include obsessive thinking about the relationship, seeking frequent reassurance, avoidance behaviors, guilt, and atypical behavior driven by obsessions. Cognitive distortions that fuel rOCD include intolerance of uncertainty, emotional reasoning, and thought-action fusion. The document recommends mindfulness techniques like thought and feeling awareness exercises to manage rOCD. It also suggests limiting reassurance seeking, recognizing patterns of past relationship doubts, and using imaginal exposure scripts.
1. Reality therapy is a counseling approach based on choice theory which posits that human behavior is driven by five basic needs and that people have the ability to choose their behaviors.
2. The therapeutic process in reality therapy involves creating a supportive counseling environment, exploring a client's wants and needs, evaluating whether their current behaviors are meeting those wants and needs, and developing plans for behavior change.
3. Key aspects of reality therapy include keeping therapy focused on the present, emphasizing personal responsibility and choice over past events, avoiding non-constructive techniques like transference, and developing plans that are simple, measurable, and committed to by the client.
Jon Hershfield - Applying Mindfulness to Traditional CBT Tools How to Enhanc...IOCDF
This document summarizes how mindfulness techniques can be applied to traditional cognitive behavioral therapy (CBT) tools to enhance treatment for obsessive compulsive disorder (OCD). It discusses how mindfulness involves paying non-judgmental attention to present thoughts and feelings. The core elements of CBT for OCD - psychoeducation, cognitive restructuring, and exposure and response prevention (ERP) - can benefit from a mindfulness approach. Specific examples are provided for how to apply mindfulness to psychoeducation, cognitive distortions, and enhancing ERP. Potential issues that can arise when combining mindfulness and OCD treatment are also addressed.
This document provides an overview of Gestalt therapy. It discusses the origins and founders of Gestalt therapy, Fritz and Laura Perls. Some key concepts of Gestalt therapy are described, including the holistic view of individuals, the figure-ground process, contact and resistance to contact. Gestalt therapy focuses on awareness in the present moment and experiencing feelings fully rather than interpreting them. The document also discusses techniques used in Gestalt therapy such as exaggeration to increase awareness of tension or blocked energy.
Patricia Perrin - CBT for OCD Characterized Primarily By Intrusive Thoughts, ...IOCDF
CBT and ACT approaches are used to treat OCD characterized by intrusive thoughts. CBT utilizes exposure and response prevention (ERP) by creating hierarchies of triggers to facilitate habituation of anxiety through repeated, prolonged exposure. ACT incorporates mindfulness, acceptance, defusion, values, and committed action to increase psychological flexibility rather than experiential avoidance. Both approaches aim to reduce compulsions and distress from intrusive thoughts, but CBT focuses more on thought content and anxiety reduction while ACT emphasizes the context of thoughts and movement toward valued actions.
This document summarizes the treatment approach of exposure and response prevention therapy for individuals struggling with sexual identity obsessive-compulsive disorder (OCD). It describes the intrusive thoughts and compulsive behaviors commonly experienced, such as obsessively questioning and testing one's sexual orientation. The treatment involves gradually exposing patients to anxiety-provoking situations related to their obsessions while resisting the urge to perform compulsive rituals. Examples are provided of exposure exercises and response prevention assignments used, such as reading gay literature, wearing ambiguous clothing, and avoiding reassurance-seeking behaviors. The goal is to help patients learn anxiety naturally reduces when compulsions are eliminated.
PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling perso...Amin Upsi
Person-centered theory is a humanistic approach to counseling that was founded by Carl Rogers. It emphasizes the therapeutic relationship and believes that people have an innate tendency towards self-actualization. The major roles of the counselor are to create an atmosphere of genuineness, unconditional positive regard, and empathic understanding. The client's role is to openly express their thoughts and feelings in the present moment. Gestalt therapy, founded by Fritz Perls, focuses on experiencing thoughts and feelings in the present. It believes that people often fragment their lives and that healthy behavior occurs when people act as total organisms in the moment.
This document summarizes a webinar on the treatment of obsessive-compulsive symptoms using exposure and response prevention therapy. It begins by differentiating normal and abnormal anxiety, then discusses functional assessment of anxiety which involves understanding fear cues, misperceptions, safety behaviors, and feared consequences. Exposure therapy is described as involving prolonged, graduated exposure to fear cues while preventing safety behaviors. Response prevention refers to refraining from rituals meant to reduce anxiety. The effectiveness of this approach is supported by randomized controlled trials and meta-analyses.
Choice Theory/Reality Therapy is a counseling method developed by William Glasser that focuses on internal control and meeting basic human needs. It teaches clients choice theory and uses the WDEP process - defining wants, examining behavior, evaluating plans, and creating positive plans. The theory promotes problem-solving skills and mutual respect over criticism. It views mental health as fulfilling the five basic needs of survival, love, power, freedom and fun. PTSD involves exposure to trauma and symptoms of intrusive memories, avoidance, mood changes and hyperarousal according to the DSM-V. It can cause problems with memory and emotions that increase suicide risk.
Deanna James- Dance Therapist for Castlewood Treatment Center presents on body movement work with clients with Eating Disorders. At Castlewood we provide comprehensive treatment that incorporates helping clients reconnect to their bodies.
"Body Image and Sexual Health" by Clinical Sexologist Dr. Martha Tara Lee of Eros Coaching for "Symposium - Sex and the Spine: All You Ever Wanted to Know about Sex and the Spine but Were Afraid to Ask" by NSpine as part of SpineWeek, at Marina Bay Sands Expo & Convention Centre on Mon 16 May 2016.
Dr Martha Tara Lee is Founder and Clinical Sexologist of Eros Coaching since 2009. She is a certified sexologist with ACS (American College of Sexologists), as well as a certified sexuality educator with AASECT (American Association of Sexuality Educators, Counselors, and Therapists). Martha holds a Doctorate in Human Sexuality as well as Certificates in Sex Therapy, Practical Counselling and Life Coaching. She was recognised as one of ‘Top 50 Inspiring Women under 40′ by Her World Singapore in July 2010 and ‘Top 100 Inspiring Women by CozyCot Singapore in March 2011. Website: http://www.eroscoaching.com.
Please share this webinar with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
Webinar Information:
At this webinar Oncologist Dr. Rob Rutledge outlines the essential mind-body techniques and attitudes which help people recover from a cancer diagnosis. Drawing on the mind-body connection is a powerful way to promote healing both physically and emotionally.
Presenters:
Dr. Rob Rutledge is a Radiation Oncologist in Halifax, Nova Scotia, specializing in breast, prostate and pediatric cancers. He is also an Associate Professor in the Faculty of Medicine at Dalhousie University.
In 1999, Rob co-created the ‘Skills for Healing’ Cancer Weekend Retreats. These weekend support groups teach a powerful and integrated approach to the cancer diagnosis and ways to heal at levels of body, mind and spirit. To date, more than 1,200 people have attended the retreats in over 20 cities across Canada and abroad.
Rob is the CEO and Chair of the Healing and Cancer Foundation, a Registered Charity that freely offers educational videos, documentaries, and webcasting seminars. He is co-author of the book The Healing Circle, which captures the teachings and inspirational stories from the weekend retreats. In 2010, Rob received Cancer Care Nova Scotia’s Award for Excellence in Patient Care and in 2006 Doctors Nova Scotia presented him with the Health Promotion Award in recognition of his contribution to physician health and health promotion in cancer patients.
View the video: https://youtu.be/3I6w7ngPV_Y
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Pinterest - https://www.pinterest.com/survivornetwork
YouTube - https://www.youtube.com/user/Survivornetca
This document provides information about scrupulosity, which is when OCD involves religious and moral themes. Some key points:
- Scrupulosity involves obsessions and compulsions related to religious or moral issues like sin, doubts about one's faith, or excessive religious behaviors.
- Treatment for scrupulosity is similar to OCD treatment but requires understanding the patient's religious beliefs. It involves exposure therapy, challenging cognitive distortions, and stopping compulsions and reassurance seeking.
- Differentiating healthy faith from scrupulosity involves factors like fear, distress, interference in life, and whether the behaviors are a response to anxiety rather than enjoyment of religious practices.
- Educating family and clergy
This document summarizes common problems experienced by couples in counseling and discusses various assessment approaches. It identifies issues like money, religion, children, stress, and communication breakdown as common sources of conflict. It also explores specific problems including sexual issues, infidelity, addictions, separation and divorce. The document outlines how counselors assess couples to determine if counseling is appropriate and discusses the objectives of marital therapy in supporting the relationship and helping partners identify their role in conflicts.
William Glasser was a psychiatrist who developed Choice Theory and Reality Therapy. Some key aspects of his theories include:
1) He believed that people choose their behaviors to meet their basic psychological needs of survival, love/belonging, power, freedom, and fun.
2) External control models focus on criticizing and blaming others, while internal control models emphasize respect, support, and negotiation.
3) Choice Theory proposes replacing the "7 Deadly Habits of External Control" with the "7 Caring Habits of Choice Theory" to improve relationships.
Rational Emotive Behavior Therapy (REBT) was developed by Albert Ellis in the 1950s. It is a form of cognitive behavioral therapy that focuses on resolving emotional and behavioral problems by identifying and disputing irrational and self-defeating beliefs. Ellis believed that people are disturbed not by events themselves but by their beliefs about events. REBT teaches unconditional self-acceptance, frustration tolerance, and flexible thinking to dispute irrational beliefs and reduce disturbances. Ellis developed REBT after becoming dissatisfied with psychoanalysis and drew from philosophy, biology, psychology and sociology in developing the theory.
Rational Emotive Therapy (RET) was developed by Albert Ellis in 1955. It is a cognitive behavioral therapy that focuses on identifying and disputing irrational beliefs that cause emotional disturbances. RET helps clients recognize that activating events themselves do not cause emotional consequences, but rather people's belief systems. The therapist helps clients identify irrational beliefs using the A-B-C model - where A is the activating event, B is the belief system, and C are the emotional/behavioral consequences. By disputing irrational beliefs, clients can develop more rational beliefs and reactions to events. RET differs from psychoanalysis by not delving into childhood and keeping the client responsible for challenging their own beliefs.
The document discusses various therapeutic techniques used in psychiatry including play therapy, music therapy, dance therapy, recreational therapy, light therapy, and repetitive transcranial magnetic stimulation. It provides definitions of each technique, their indications, principles, functions, advantages and the nurse's role in administering them to help treat various psychiatric disorders.
The document outlines an ACT workshop for working with physical health problems. It discusses using ACT processes to help clients with issues like uncertainty, changes in identity, and avoiding difficult sensations. Specific techniques are explored like defusion, flexible perspective of self, and focusing on values-driven actions. The workshop also addresses challenges like treatment decisions, hopelessness, and caregiving burdens through an ACT lens.
Reality therapy focuses on addressing clients' present unsatisfying relationships and ineffective behaviors by teaching them choice theory. The therapist guides clients to evaluate their current behaviors, identify their needs and wants, and make plans to behave more effectively. Reality therapy uses the WDEP method - exploring the client's wants, the direction of their behaviors, having them self-evaluate, and creating plans for change. The goal is for clients to learn how to better meet their needs and develop more satisfying relationships.
Choice theory is a psychological theory developed by William Glasser that focuses on personal responsibility and behavioral choices. The key concepts are that people have the power to choose their thoughts and actions, and are not victims of external forces. The theory aims to help people meet their basic psychological needs through improving relationships by changing their present behaviors and choices. Choice theory counseling involves assessing a client's goals, current behaviors, and developing plans for behavior change through small, measurable steps.
Annabella Hagen - Relationship OCD and the Doors of UncertaintyIOCDF
This document discusses relationship obsessive compulsive disorder (rOCD) and provides strategies for managing it. It defines rOCD as having obsessive doubts and fears about one's relationship that are magnified due to OCD. Common signs include obsessive thinking about the relationship, seeking frequent reassurance, avoidance behaviors, guilt, and atypical behavior driven by obsessions. Cognitive distortions that fuel rOCD include intolerance of uncertainty, emotional reasoning, and thought-action fusion. The document recommends mindfulness techniques like thought and feeling awareness exercises to manage rOCD. It also suggests limiting reassurance seeking, recognizing patterns of past relationship doubts, and using imaginal exposure scripts.
1. Reality therapy is a counseling approach based on choice theory which posits that human behavior is driven by five basic needs and that people have the ability to choose their behaviors.
2. The therapeutic process in reality therapy involves creating a supportive counseling environment, exploring a client's wants and needs, evaluating whether their current behaviors are meeting those wants and needs, and developing plans for behavior change.
3. Key aspects of reality therapy include keeping therapy focused on the present, emphasizing personal responsibility and choice over past events, avoiding non-constructive techniques like transference, and developing plans that are simple, measurable, and committed to by the client.
Jon Hershfield - Applying Mindfulness to Traditional CBT Tools How to Enhanc...IOCDF
This document summarizes how mindfulness techniques can be applied to traditional cognitive behavioral therapy (CBT) tools to enhance treatment for obsessive compulsive disorder (OCD). It discusses how mindfulness involves paying non-judgmental attention to present thoughts and feelings. The core elements of CBT for OCD - psychoeducation, cognitive restructuring, and exposure and response prevention (ERP) - can benefit from a mindfulness approach. Specific examples are provided for how to apply mindfulness to psychoeducation, cognitive distortions, and enhancing ERP. Potential issues that can arise when combining mindfulness and OCD treatment are also addressed.
This document provides an overview of Gestalt therapy. It discusses the origins and founders of Gestalt therapy, Fritz and Laura Perls. Some key concepts of Gestalt therapy are described, including the holistic view of individuals, the figure-ground process, contact and resistance to contact. Gestalt therapy focuses on awareness in the present moment and experiencing feelings fully rather than interpreting them. The document also discusses techniques used in Gestalt therapy such as exaggeration to increase awareness of tension or blocked energy.
Patricia Perrin - CBT for OCD Characterized Primarily By Intrusive Thoughts, ...IOCDF
CBT and ACT approaches are used to treat OCD characterized by intrusive thoughts. CBT utilizes exposure and response prevention (ERP) by creating hierarchies of triggers to facilitate habituation of anxiety through repeated, prolonged exposure. ACT incorporates mindfulness, acceptance, defusion, values, and committed action to increase psychological flexibility rather than experiential avoidance. Both approaches aim to reduce compulsions and distress from intrusive thoughts, but CBT focuses more on thought content and anxiety reduction while ACT emphasizes the context of thoughts and movement toward valued actions.
This document summarizes the treatment approach of exposure and response prevention therapy for individuals struggling with sexual identity obsessive-compulsive disorder (OCD). It describes the intrusive thoughts and compulsive behaviors commonly experienced, such as obsessively questioning and testing one's sexual orientation. The treatment involves gradually exposing patients to anxiety-provoking situations related to their obsessions while resisting the urge to perform compulsive rituals. Examples are provided of exposure exercises and response prevention assignments used, such as reading gay literature, wearing ambiguous clothing, and avoiding reassurance-seeking behaviors. The goal is to help patients learn anxiety naturally reduces when compulsions are eliminated.
PSIKOLOGI KAUNSELING teori dan pendekatan pengalaman dalam kaunseling perso...Amin Upsi
Person-centered theory is a humanistic approach to counseling that was founded by Carl Rogers. It emphasizes the therapeutic relationship and believes that people have an innate tendency towards self-actualization. The major roles of the counselor are to create an atmosphere of genuineness, unconditional positive regard, and empathic understanding. The client's role is to openly express their thoughts and feelings in the present moment. Gestalt therapy, founded by Fritz Perls, focuses on experiencing thoughts and feelings in the present. It believes that people often fragment their lives and that healthy behavior occurs when people act as total organisms in the moment.
This document summarizes a webinar on the treatment of obsessive-compulsive symptoms using exposure and response prevention therapy. It begins by differentiating normal and abnormal anxiety, then discusses functional assessment of anxiety which involves understanding fear cues, misperceptions, safety behaviors, and feared consequences. Exposure therapy is described as involving prolonged, graduated exposure to fear cues while preventing safety behaviors. Response prevention refers to refraining from rituals meant to reduce anxiety. The effectiveness of this approach is supported by randomized controlled trials and meta-analyses.
Choice Theory/Reality Therapy is a counseling method developed by William Glasser that focuses on internal control and meeting basic human needs. It teaches clients choice theory and uses the WDEP process - defining wants, examining behavior, evaluating plans, and creating positive plans. The theory promotes problem-solving skills and mutual respect over criticism. It views mental health as fulfilling the five basic needs of survival, love, power, freedom and fun. PTSD involves exposure to trauma and symptoms of intrusive memories, avoidance, mood changes and hyperarousal according to the DSM-V. It can cause problems with memory and emotions that increase suicide risk.
Deanna James- Dance Therapist for Castlewood Treatment Center presents on body movement work with clients with Eating Disorders. At Castlewood we provide comprehensive treatment that incorporates helping clients reconnect to their bodies.
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Becoming Embodied- Deanan James- Monarch Cove June 2013
1. Becoming Embodied: Body Image,
Trauma and Eating Disorders
Deanna James, MA, DTR, LPC
Deanna.james@castlewoodtc.com
2. MAJOR CONCEPTS
• Body Connection
• Body as resource for deepening the
process
• Body to deepen connection
• Body based trauma work
• Body image and our culture
3. “When you ignore your belly, you become
homeless. You spend your life trying to erase
your own existence. Apologizing for yourself.
Feeling like a ghost. Eating to take up space,
eating to give yourself the feeling that you have
weight here, you belong here, you are allowed
to be yourself -- but never quite believing it
because you don't sense yourself directly."
~ Geneen Roth
4. Why is Body Awareness &
Body Image Work Essential?
• Difficulty connecting
• Eating disorder symptoms further serve to
disconnect
• In eating disorder recovery, it is essential that
there is a mind/body connection
• Distorted body image can exacerbate
symptoms
• Body Acceptance
5. Why is Body Work Essential?
• In eating disorders clients view the body as a billboard:
“HELP! See how much pain I am in!”
• Many patients cannot put into words what happened to
them. This stalemate occurs in part because their bodies have
experienced trauma or because words have so little meaning
to them due to alexithymia. (Zerbe, 1995)
• Research shows that many patients with eating problems
struggle with alexithymia, which is defined as difficulty in
putting feelings and fantasies into words (Zerbe, 1995).
• Our goal is to help clients view the body as their home.
6. Why is Body Work Essential?
• As many as two-thirds of clients with Eating
Disorders have a co-occurring anxiety disorder (Kaye
et al., 2004).
• Anxiety has a strong somatic-emotional component.
(Beck & Emery, 1985)
• When addressing anxiety and PTSD, in addition to
recognizing the importance of cognitive factors, body
sensation and sensate experience is also important.
(Levine, 1991)
7. Why Address the Body?
• If we only address Cognitive and Behavioral issues:
– Limited view of emotional responding
– An inadequate consideration of interpersonal factors.
– Insufficient attention to the therapist-client relationship.
– Overemphasis on conscious controlled cognitive
processing.
– (Clark, 1995)
• CBT is enhanced by eliciting rather than managing or
suppressing emotion.
– (Samoilov & Goldfried, 2000)
8. Philosophy of Treatment
At Castlewood, we encourage an exploration of
the mind/body connection in order to assist
those struggling with eating disorders to begin
to forge a new relationship with their bodies,
one that is compassionate, accepting and kind.
9. Philosophy of Treatment
• Incorporate healthy and safe connection
• Integrate cognitive and somatic insights.
• Deepen the cognitive process, express
feelings and sensations trapped in the
body as a result of trauma.
10. What is Body Image?
• Body image is comprised of how one sees
their body, lives in and experiences their body
and perceives how others see their body.
• Negative body image can serve a protective
function to distract clients from painful
feelings or emotions held in the body.
11. Cultural, Gender & Religious
Sensitivity
• Always assess body image with sensitivity and
curiosity for clients culture, gender, religious
and ethnic background.
• Consider Culture, Gender, Religious and Ethnic
background when utilizing movement and
body based interventions.
12. Becoming Embodied- How do we get there?
1. Connection to the body in a safe manner.
2. Increased ability to be present in the hear and now.
(Mindfulness)
3. Safe and healthy expression through the body
4. Increased ability to utilize self soothing and affect
regulation skills
5. Correct Cognitive Distortions related to the body.
6. Connection to and acceptance of all parts,
connection to sense of Self
13. Goal 1: Connection to the Body in a Safe Manner
• Why connect?
–We experience feelings in our bodies.
–Clients must learn emotional regulation skills
–We cannot like or appreciate something we
are not connected to.
–Connection creates accurate body image
perception
–Helps with psychosomatic symptoms
14. Connection to the Body in a Safe Manner
• Why connect?
–Trauma causes disconnection and can cause
re-enactment.
–Clients may ignore or dissociate from their
natural early warning signs of danger.
–Connection helps clients make safe choices
and gain insight into re-enactment
dynamics.
15. Client’s Reasons To Not Connect
• Commonly Heard Reasons:
–I cannot handle the emotions, I will fall
apart.
–I don’t know how, I just can’t
–If I connect it will bring the past and present
together.
–The body combines what was aware with
what was unaware.
16. Moving Towards Connection in a
Safe Manner
• “If I accept that my past happened to this
current body, to me, to all of me, then it
becomes real and I have to make meaning of
it, I have to deal with why and what it means.”
• “My body makes my trauma real, it provides
me experiential knowledge of my trauma. This
means listening to my body, being present in
it means listening to my truth.”
17. Moving Toward Connection in a
Safe Manner
“I made my body the enemy because it was
telling the truth. But that was because my
perpetrators set the world up that way, they
taught me to ignore my perceptions, my body’s
perceptions that what was happening was not
okay. The body took the blame because it said
what they were doing was not okay.”
18. Goal 2: Increased Ability to be
Present in the Here and Now.
• “The here and now focus provides not only an
invaluable source of information for each patient,
but also a safe arena in which patients may
experiment with new types of behavior.” Irvin D.
Yallom, Inpatient Group Psychotherapy pg 175.
• Anxiety is maintained by having one foot in the past
and/or the other in the future, which then leads to a
myriad of avoidance strategies.
19. What is Mindfulness?
• It’s the moment to moment non-judgmental
awareness that is cultivated by paying
attention. ---J.K. Zinn
• Discernment through paying attention.
• Its about paying attention on purpose.
• Attending leads to awareness
– Awareness leads to clarity
– Clarity leads to less emotional reactivity…
20. Goal 3: Safe and Healthy Expression
Through the Body
• Clients often view the body as something they
have to carry around with them. A number on
a scale, the thing that keeps them from being
happy, the thing that makes them different
• Body as vehicle for healthy expression
21. Goal 3: Safe and Healthy Expression
Through the Body
• View the body as an ally
• View the Body as part of themselves
• Safe self expression
22. Goal 4: Increased ability to utilize self soothing
and affect regulation skills
• The eating disorder functions as a self
regulatory mechanism. As part of the recovery
process clients must learn to manage internal
distress in safe and healthy ways.
• Intervention: Teach breathing techniques,
mindfulness practices, anger management
skills.
23. Goal 5: Correct Cognitive Distortions
• Must get at the underlying core beliefs or core
schemas. >> Must come from client!
• Common Trauma Based Body Image Distortions:
– The bad things in my life are a result of my body.
– My trauma is my body’s fault, my fault.
– People reject me because of my body.
– I cannot handle the emotions held in my body.
– The reason my trauma no longer continues is because I have found a
way to cover up the bad part of myself and my body.
– If I have curves then I have to be sexual, people will expect this.
24. Goal 6: Connection to and acceptance of
all parts Connection to sense of Self
• The non-extreme intention of each part is something
positive for the individual. There are no “bad” parts
and the goal of therapy is not to eliminate parts but
instead to help them find their non-extreme role.
• Self is the core, or center of the person. When
differentiated it acts as the active compassionate
leader.
26. Body Image Art Work
• Write or create artwork about your relationship with
your body (past and present). Include significant life
events, messages you received about your body,
(positive and negative), memories, feelings about
femininity/masculinity, sexuality, etc. You can also
include actual photos of yourself.
27.
28. Body Image Art Work
• Use the following prompts to create images:
– When I look in the mirror I see…
– When my eating disorder looks in the mirror it wants my
body to be…
– When I nourish and take care of my body appropriately it
naturally appears…
– I think others sees my body…
29. Nature Walks
Nature walks that incorporate the following:
•reflection on surroundings
•pausing to take deep breaths
•notice the movement of the breath in the body
•moving the body in any way that feels refreshing and releases
tension
•silent mindful walking mediation alone or in groups/pairs
•choosing an object in nature that represents how a client feels
currently about their body and how they would like to feel in the
future.
30.
31. Written Interventions
• Write a letter to your body and have your body write
back. You may also write a letter of apology to your
body for hurting it in the ways that others have hurt
you.
• Make a list of all the functions of your body. What
does your body do for you? (Example: my eyes
allow me see beautiful sunsets, my arms allow me to
hold my nephew, my ears allow me to hear my
favorite band on the radio, etc)
32. Guided Imagery
• Focused on what a client is experiencing in the moment
internally with focus on body sensations
• Keep it here and now
• Mental noting of thought and feelings with a non-judgmental
stance
• Count breaths (1-5) or label the inhale and exhale
• Client can keep eyes open or closed based on comfort
• You can expand on this by having client draw an image of the
experience and then bring the image to life in movement or
gesture.
33. Movement Interventions
• Movement timeline
• Spontaneous, creative play
– clapping game/hands on floor
– popular group dances
• Create pile of pillows and jump into the them
• Punch pillows, throw pillows
• Ask clients to bring in their favorite music
• All can help clients feel more at ease and
joyful in their bodies
34. Anger Work
• Have client identify where they hold anger in their
body. Work to connect to this part (s) of the body.
• Identify any anger towards the body and work to
direct elsewhere.
• Can use pillow and bats, dance, jumping, hitting,
slashing to express anger, release anger.
• Forgiveness of self can be an important piece.
• Discuss cognitive distortions throughout.
35. Body Tracing
• Speak to the client about the objective of the tracing. The
goal is to help her understand the underlying Feelings,
Associations and Thoughts (F. A.T.) that contribute to body-
image and self-image.
• Inform her that the tracing is going to be imperfect because
there is human error. Clothing, crinkles in the paper, etc.
influence the outcome. Bodies are three dimensional and
this is a two dimensional image, so it has inherent limitations.
Be sure that the client feels safe and is grounded before you
attempt the tracing.
• Use a large role of paper.
36. Body Tracing
Process the tracing in the following way:
•Ask the client to write a response to the tracing using stream of
consciousness.
•Ask the client to use artwork, photos, colors, shapes and words
to fill in the tracing using the Feelings, Associations and
Thoughts (F.A.T.) guidelines.
•Include memories, experiences, trauma, messages received
and/or internalized about the body or body parts. Encourage
authenticity and honesty.
•Ask the client to share the image in session and/or group.
37. Body Tracing
• Ask the client to create either an additional image
either on another piece of paper or on the back of
the first image or one can add things directly on the
first image. The theme of this image is “What does
this body (the initial tracing) need now? “ Encourage
the client to reflect on the 8 C’s of IFS therapy.
• Ask the client to process the entire experience. Be
sure to include current bodily-felt sensations as you
process the imagery.
38. Group Interventions:
• Group Unburdening- Create a “fire” in the middle of the room. Have
clients put feelings, memories represented by pillows or other objects in
the middle of the room. Have clients share what they are placing in the
“fire.” Put the “fire” out by placing blanket over the pile of pillows. Have
clients then take positive qualities out of “water” to replace what they
just gave up.
• Group Sculptures/exploration of qualities of self- Have clients explore the
various qualities of self through movement, group sculptures, postures.
• Moving in self and various parts(separating from parts)- Have clients move
from pillow to pillow or chair to chair exploring what various parts (feeling
states) feel like in their body. Have one pillow or chair represent the
qualities of self. Explore how the body feels different between self and
parts.
39. Karpman’s Triangle
• Empowering the client- use
Karpman’s triangle to have
them move through victim,
perpetrator, bystander /
rescuer roles, and move out
of the triangle into
empowered stance. Help
client to identify perceived
& preferred roles, instances
they embody these roles
and ways to move out of
the triangle entirely.
40. Body Empowerment:
• Boundaries / Assertiveness work:
– Walking towards each other, learning to say stop when
gets too close.
– Role Play Situations
• Mirroring / Shaping
– Works with attachment system- being heard, seen.
• Healing Work
– What do you wish you could have done or said in this
situation? Enact it
– How did that feel in your body, what do you want to tell
yourself now.
41.
42. How do we invite our body and the client’s body into
the therapeutic process?
• Maintain an awareness of your own body in sessions
and groups. Attend to what you are experiencing in
your body.
• Somatic counter-transference provides valuable
information and assists with interventions.
43. How do we invite our body and the client’s body into
the therapeutic process?
In order to be more fully embodied:
•Carefully attend to non-verbal communication
•If a client shifts her posture or takes a deep breath,
gently mirror the behavior yourself, and/or simply
verbalize what you notice.
•Mirroring is one of the most fundamental and
powerful therapeutic interventions.
44. How do we invite our body and the client’s body
into the therapeutic process?
Encourage simple and mindful ways to be embodied:
•Connection with nature
•Balanced and fun movement
•Yoga / Pilates
•Dance
•Martial arts
45. Simple Ways to Be Embodied
• Connecting to the 5 senses
– lighting a candle
– applying lotion,
– listening to music
– receiving a massage
– manicure/pedicure
– relaxing in a hammock
Ask regularly if your clients are engaged in
some activity that connects their mind and
body in a gentle, kind way.
46. How do we invite our body and the client’s body
into the therapeutic process?
“Ask regularly about what clients are experiencing in
their body during therapy. This integrates mind/body
and dismantles the familiar “talking head” syndrome, in
which client’s are cognitively and intellectually
insightful but completely disconnected from their body.
The eating disorder lives in the body. The only way
out is through the body.”
~ Deanna James
47. In Conclusion:
• Mind/ body connection is essential to
recovery from eating disorders.
• We must be embodied, bring the body into
sessions, and address the body and body
image.
• Must expose clients to body and body
connection.
• Must address trauma based beliefs and
internal schemas re: the body.
48. References
• Beck, T.A and Emery, G. (1985) Anxiety Disorder and Phobias: A Cognitive
Perspective. New York: Basic Books, Inc.
• Clark, D.A. (1995) Perceived limitations of standard cognitive therapy: A
consideration of efforts to revise Beck’s theory and therapy. Journal of Cognitive
Psychotherapy: An International Quarterly, 9, 153-172.
• Dancyger, I.F and Fornari. V.M. (2009) Evidence-Based Treatments for Eating
Disorders: Children, Adolescents and Adults. New York: Nova Science Publishers,
Inc.
• Kaye, W.H., Bulik, C.M., Thornton, L., Barbarich, N., Masters, K. & Price Foundation
Collaborative Group (2004). Comorbidity of anxiety disorders with anorexia and
bulimia nervosa. American Journal of Psychiatry, 161 (12), 2215-2221.
• Levine, P.D. (1991). The Body as Healer: A Revisioning of Trauma and Anxiety.
SOMATICS, VIII, No. 1, 18-27
• Samoilov, A. and Goldfried, M.R. (2000). Role of emotion in cognitive-behavior
therapy. Clinical Psychology: Science and Practice 7, 373-385.
• Zerbe, K.J. (1995). Body Betrayed: A Deeper Understanding of Women, Eating
Disorders and Treatment. Carlsbad, CA: Gurze Books.