How to Approach Resistance in Therapy with Marsha Linehan, PhD

When clients begin to show resistance in therapy, progress often comes to a halt. So how do we help our clients get back on track?
Marsha Linehan, PhD, has a few key questions and creative stories that can help break through a client's wall of resistance. First and foremost, she believes that validating the pain and struggle of doing this work can motivate clients, and it fosters the therapeutic alliance.
To learn more about working with a client’s resistance or the latest strategies for treating trauma, check out www.nicabm.com...
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[@sparklemotion8377]

This very triggering for me after decades decades of medical gaslighting. I already feel like medical professionals are just sales people who just show enough interest to get my insurance and then coast true as much sessions as my insurance will pay.

[@judemaleski4853]

It takes perseverance and patience. However if a client is determined not to go there this is challenging.

[@julieannthebc1835]

I am grateful for this information! I use the example of we are trying to get somewhere, but there is an obstacle in our way. Sometimes a wall, other times a tree has fallen on the road, something like that. We have a few options: get around it, get through it, or get over it. Some obstacles require more than one of those strategies. You've tried going around it and you couldn't. What's left to try? Getting through and then getting over. The good news is I've been here before. And I know the way." I like Dr. Linehan's analogy. I'm going to start using that!

[@bavkorzlife]

Amazing Video! very helpful.

[@camerong5513]

great... what is the efficacy of DBT???

[@addisonkennedy7111]

Very high, across therapists as well, the treatment is so effective even independent of therapist skill.

[@cakesinthecity]

I love that person in hell story

[@kimberknutson831]

Brilliant and otherwise excellent. Thank you. : )

[@nigelmcclean4166]

What is she saying
at 0:45?

[@skatelace9555]

Wise mind- emotion mind rational mind

[@Anlonn]

4:01 if the pain is not physical, yet the client thinks he is in a lot of pain, that is delusional. the fact that most people put equal between imagination and physical reality is the real problem. the stronger the identification is with a narrative, a story in their heads, the stronger the blind faith is. why not better guide them to see and understand things as they are.

[@nanaValente]

Because it doesn't work

[@nonMuggle]

Well, a physicalist view could be that it's delusional. (And the current medical model generally supports that.) However, in my experience the physical is just part of the picture. One can validate and work with a client's subjective experience without saying that it's objectively (physically) true. I often find that working with physical issues symbolically and/or as a jumping off point to track back to prior experiences can be helpful.

[@Prophetmother]

Emotional pain is just as real as physcial pain.

[@Sofieyoutubification]

Pain is a response of the brain to nociception.
It is the summary of the nociception and the interpretation of it.
Nociception are signals from peripheral neurons to stimuli that indicate the possibiilty of tissue damage.
There is no one-to-one correspondence between the actual danger of the tissue damage and the nociception of it, and therefore the pain that is experienced.
Phantom pain ia not a delusion. It is pain. It is the interpretation in the brain of nerves from the part of the body that's gone. The nerves are not. They fire and they are interpreted by the brain as pain and it feels definitely as real pain.
Chronic pain is nerve cells being hypsensitised because of actual damage that's gone.
Radiation therapy causes acute tissue damage but not acute pain.
Emitional pain doesn"t hurt?
Emotions cause physical processss that cause pain. Muscle cramps, teeth grinding, visceral cramps, ... because of overactivation of the HPA axis that initiates a cascade of hormones and effects.
Emotional pain can make you feel really sick and it can hurt.
Pain is real and subjective. It's easy to use "I'm in pain" as an excuse to avoid responsibilities. It is possible to abuse pain in order to get sth from someone. Some people fake pain. To the great anger and frustration of those who experience actual pain and are not believed because physical examinations don't show a cause for it.

[@grimlingLennie]

Bineinteles ca esti roman, se putea altfel? Ignorant, mai preocupat de propriul orgoliu decat de bun simt. Te rog stai in banca ta si nu te mai preface atot stiutor in chestiuni cu care nu ai nici o tangenta.