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Memo: I can accept myself I can validate myself for who I am now and at the same time I have to change

As a patient, the biggest difference between DBT and CBT is that with CBT I usually get confused with my ideas, thoughts... and with DBT I get directly to accepting whatever is happening (without any profound understanding) and changing my behavior. So DBT for me, was a breakthrough because I did not get entangled in my thinking process. Because if I start one thought or line of thought I can get into a hell hole and get two different answers. My thinking process about myself does not work. So, not trying to get the right answer but just accepting that I get two different and sometimes opposing answers was key to start changing my behavior. And also understanding that it was not "right" or "wrong", "rational" or "irrational", but it was effective or uneffective towards my goal. I don't know if that is a correct CBT interpretation I only know REBT, but that's my take on the difference.

LOVE the gestalt table experience/intervention..... 🤣😀👍👏

MORE!!! we demand more!!!! (please)

hope y’all are doing alright

Doidge in his book. 'The Brain That Changes Itself' has an example of a man who lost his mother and other significant people and places very young and who never grieved it. He grieved it in therapy in his 60's and it had a major impact on his healing.

Excellent. Thank you for this wonderful series.

I’m not scared of making mistakes. I’m scared of not doing enough. Not BEING enough. This is a hard schema to correct because there’s no such thing as enough. So my brain can always make a reasonable argument that I could have done more.

OOuuch!!! I have watched every episode, finished 56, then went for 57 and there was none there!!! Thank you for these episodes, I am a full time counselor, I see about 5 clients a day, 5 days a week. You both have given me many gems, thank you again, hope you come back with new episodes, From Tulsa Oklahoma

Wafflers

Very refreshing discussion

I LOVE this channel…. Would you both be willing to do a role play or mock session?

Don't release the patient when treatments fail we are really struggling

I hear this. My PDT therapy just ended and I feel worse than ever because I’m still depressed. Now I have to live with the feeling of failure and shame and abandonment forever.

How Dr. Linehan*

Really interesting

I'm sorry but anyone associated with the dsm is immediately a fraud in my mind. The psyché is not for medical doctors to intervene with at all. Psych drugs ruined my life. I died in a week of taking them. I am a shell now.

You both offer so much valuable information!

Greetings I would like to know how do I formulate using solution focus brief therapy because it does not focus on the problem?

Thank you very much for this helpful video.

metaphor therapy is a huge field in its own right , have a look at the work of David Grove, clean language ,symbolic modelling ,its fascinating ,like discovering a new world

ruclips.net/video/Vo64LmhQIOs/видео.htmlsi=rhkKVQ8FgB6ianNi

So the question how is DBT different from CBT was never made clear🥴

Freud talked crap. He only seemed to deal with young impressionable middle class women. They seemed to exhibit bizarre behaviour (never seen in other people). In his time, they believed in women (note: not men) having ‘hysteria’ due to their uterus and sexuality. Surely, these women’s mental ill-health was due to the misogynistic constrained societal context they lived in (see The Yellow Wallpaper story). Freud patronised his patients to achieve professional credibility and eminence. His unevidenced theories of the unconscious, Oedipus and penis envy etc are tosh and reveal more about his own fixations than any concern to help his patients. Did any of them feel better as a result of his ‘treatment’? He should be consigned to history along with other Victorian quacks.

You old farts are amazing! Wish I discovered you sooner - us therapists need your ancient wisdom lol

Thank you for this. Made me see things a lot clearer. And it is so true with patients feeling dependent on a therapist and not being able to walk up and leave when it’s making them worse. Probably one of the reason people is in therapy in the first place.

Great! But I’d note that it was in the 3rd edition of Persuasion and Healing that Frank really developed the idea of psychotherapy as rhetoric in the famous Chapter 3.

Love this series, I hope y'all come back for more. Super helpful as a clinician

This issue is so important! It's a real fad imo and every university is teaching it - when you look for trauma in history you will always find it!

Thanks for this! By the way I like the jargon but I also like the plain language

I love you guys

Thank you. Very helpful and insightful. I will take action based on these insights - here's hoping for a corrective experience! :) I am so grateful to Profs Frances and Goldfried for sharing their wisdom.

Allen fix your glasses it distracting.

One of my favourite conversations here...

I can't even focus with all that banging in the background. All I hear is "difficult, difficult, difficult." Going through the mental health system with a borderline diagnosis is still an absolute nightmare. Linehan did nothing to decrease the stigma around the borderline personality diagnosis, which like every other DSM diagnosis, is entirely subjective and unscientific.

So the "gold standard" treatment for BPD was based on studies with multiple "fatal flaws"? I'm tired of this paternalistic rationalization for fraud. Patients should be informed that this "evidence based" treatment is based on faulty studies.

would love to see an interview or review of William M Epstein's books the illusion of psychotherapy, psychotherapy as religion and psychotherapy and the social clinic in the united states, soothing fictions

wow so you had consensus between two groups, those biased towards drugs and those biased towards therapy. yet both groups are contained within systems that prioritise the DSM mindset and both groups have no robust evidence supporting them

for a clearer look at the financial and other self interested conflicts of interest see Whitaker and Cosgroves Psychiatry under the influence.

invite experts based on ZERO science then whack out a so called diagnosis by vote - this tells you all you need know about DSM and the harms it continues to cause.

DSM has caused more harm since DSM 3 than any book I can think of

For those of us who spent many years in therapy as clients before becoming therapists, perhaps we come to session a little more prepared. I am a graduate student and most of my class mates have never been clients. I think this does our future clients a disservice. The self-awareness and character of the therapist is crucial for successful outcomes.

I have come across my fair share of terrible charlatans 😮

would you help me build a software to help people with coping skills therapy?

Thanks for the interesting information. As someone who has had mental illness, mainly a result of heavy cannabis use, when diagnosed, I noticed they didn’t want to diagnose me with weed psychosis, instead an unknown cause of illness. Now I’m sober, and my psychiatrist still acts like I’m still in psychosis, some major diagnosis. The reality is I’m not in psychosis and feel literally I had weed psychosis. But again, the doctor has no two cents about if my whole diagnosis was from thc use. They even told me to smoke weed rather than drink, when in fact quitting weed nearly solved my mental health issues. I have a long term goal to at least check for a rediagnosis, but at the moment I’m stuck with a possible mislabeling of my illness.

Great conversation. 32 years of doing psychotherapy and enjoyed the concepts and perspectives.

I recommend books by Russell Meares an Australian psychiatrist creator of the “Conversational Model”. Both “The poets voice in the making of the mind” and “Metaphor of play” explore deeply, the theme of metaphor in therapy.

“The metaphor means that you’re there with the person, and that you understand them, and that you are able to feel what they’re feeling in a way that dry speech never would”. Interesting books about the subject by Australian psychiatrist Russell Mears “The poets voice in the making of mind” and “The metaphor of play”

Thank you both for sharing this conversation. I found it very helpful.

Harry Stack Sullivan the only one who made a contribution to technique, really. The only one!!! Sullivan supervised Harold Searles and Searles definitely made creative contributions. Searles was painfully honest with his patients. Patients can be forgiving when Analysts make mistakes.