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The 6 Most Challenging Issues in Therapy
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Get practical guidance on a range of clinical methods that will help you overcome stagnation and create therapeutic movement with these hard-to-treat cases:

  • Treating the Highly Resistant Client
  • Treating the Narcissistic Client
  • Treating the Borderline Client
  • Treating Clients with Severe Attachment Disorders
  • Treating the Stuck and Self-Destructive Client
  • Customizing Therapy with the Resistant Client

OUTLINE:
 

Treating the Highly Resistant Client

  • Overview of the nature of client resistance
    • Correcting past views of resistance in therapy
    • Helping the therapist understand their role in the client's resistance
  • Discussion of how to overcome resistance
    • Gathering the right details of where the therapist should focus for treatment
    • Setting mutually agreed upon goals toward change
    • Building the optimal therapeutic conversation
  • Concluding remarks from Clifton Mitchell
    • Final remarks advice of how to build the therapeutic relationship to best overcome resistance
    • Follow-up training opportunities with Clifton Mitchell

 

Treating the Narcissistic Client

  • Introduction to the narcissistic client
    • Identifying who are the narcissistic clients
    • Understanding the challenges of narcissistic clients
  • Strategies to work with narcissistic clients
    • Developing a relationship with the client
    • Assessing your own vulnerabilities and triggers
    • Connecting clients with their inner child
    • Using homework assignments to generalize therapeutic learnings
  • Concluding remarks from Wendy Behary
    • Analysis of break-throughs with the narcissistic clients
    • Follow-up opportunities with Wendy Behary

 

Treating the Borderline Client

  • Overview of clients diagnosed as "borderline"
    • Discussion of client traps for the therapist
    • Understanding the nature of what causes blockage and lashing out from the clients
  • Using the Internal Family Systems model of therapy to treat borderline clients
    • Understanding the roles of each part within the client and how they contribute to the client's response
    • Learning how to access the compassionate inner “self”
    • Managing client anger and over-dependency
  • Concluding remarks from Richard Scwhartz
    • Helping clients use the Internal Family Systems approach outside of the therapeutic session
    • Follow-up opportunities and resources with Richard Schwartz

 

Treating Clients with Severe Attachment Disorders

  • Introduction to cases where challenges are not as straight-forward as expected
    • Understanding the "cracks within the foundation" within our clients
  • Using somatic methods to overcome attachment disorders
    • Intergrating clients with their inner child part
    • Recognizing internal attachment disorders within clients
    • Identifying feelings of shame and worthlessness
  • Concluding remarks from Janina Fisher
    • Finding and identifying resolution of healing with clients
    • Follow-up opportunities and resources with Janina Fisher

 

Treating the Stuck and Self-Destructive Client

  • Introduction discussion of when therapy stalls
    • Identifying when momentum has stopped within a therapeutic relationship
    • Recognizing when a client is no longer making effort toward healing
  • Getting the therapy moving again
    • Identifying the things not to do to get a session moving again
    • Acknowledging your own role as a therapist when treatment bogs down
    • Repairing ruptures in the therapy relationship and moving toward progress again
    • Discussion of how to do major confrontations with clients
  • Concluding remarks from William Doherty
    • Seeing the therapist role as both "healer" and "consultant"
    • Follow-up training opportunities and resources with William Doherty

 

Customizing Therapy with the Resistant Client

  • Introductory discussion of treatment method to disorder diagnoses
    • Understanding the role that DSM diagnoses plays compared to methods customized to client
  • Getting the therapy moving again
    • Assessment of client characteristics and individualizing treatment to client
    • Discussing therapy preferences with clients
    • Developing integrative therapy techniques that are adapted to client
  • Concluding remarks from John Norcross
    • Discussion of evidence-based practices of healing and treatment
    • Follow-up training opportunities and resources with John Norcross

 

OBJECTIVES:

 

  • List common behaviors that often mistakenly promote resistance.
  • Identify approaches to circumvent resistance.
  • Explain how to help clients find emotionally compelling reasons to change.
  • Describe the behavior and characteristics of narcissistic clients.
  • Recognize why it’s important to achieve leverage with such clients and how to do so in treatment.
  • Name techniques that are effective when working with narcissistic clients.
  • Summarize the challenges of working with clients who have borderline personality disorder.
  • Explain what Richard Schwartz means by vulnerable inner “parts.”
  • Describe how to contain feelings of defensiveness when working with clients who have borderline personality disorder.
  • Illustrate characteristics of clients who have attachment injuries and are self-loathing.
  • Define “disowned selves” and understand how to help clients embrace these parts.
  • Discuss how the therapeutic relationship can effectively heal attachment wounds.
  • Explain how to recognize when a client isn’t making any progress in therapy.
  • Discuss ways to help clients get back on a treatment plan or stop making self-destructive choices.
  • Recognize how to discuss clients’ unhelpful behavior in session without sounding like a disappointed parent and further injuring them.
  • List the six personal characteristics that enable therapists to best customize treatment.
  • Explain how to effectively match therapeutic techniques to clients’ needs.
  • Discuss the significance of customizing treatment to individual clients.

Richard Simon, Ph.D.

Richard Simon, PhD, was a clinical psychologist and the late editor of Psychotherapy Networker, the most topical, timely, and widely read publication in the psychotherapy field. During his career, he received every major magazine industry honor, including the National Magazine Award.

 

Speaker Disclosures:

Financial: Rich Simon is the President of Psychotherapy Networker, Inc. and the editor of Psychotherapy Networker magazine. He is a published author and receives royalties. He has no relevant financial relationships with ineligible organizations.

Non-financial: Rich Simon has no relevant non-financial relationships.
 

Clifton Mitchell

Clifton Mitchell is a professor at East Tennessee State University, where he received the Teacher of the Year Award in 2002. He's the author of Effective Techniques for Dealing with Highly Resistant Clients. To learn more about Clifton Mitchell, visit www.cliftonmitchell.com.

Speaker Disclosure:
Financial: Clifton Mitchell is a professor at East Tennessee State University. He has no relevant financial relationships with ineligible organizations.
Non-financial: Clifton Mitchell has no relevant non-financial relationship to disclose.
 

Wendy T. Behary, MSW, LCSW, The Cognitive Therapy Center of NJ

Wendy T. Behary, MSW, LCSW With 25 years post-graduate training and advanced level certifications, Wendy Behary is the founder and director of The Cognitive Therapy Center of New Jersey and The New Jersey Institute for Schema Therapy. She has been treating clients, training professionals and supervising psychotherapists for more than 20 years. Wendy is also on the faculty of the Cognitive Therapy Center and Schema Therapy Institute of New York, where she has trained and worked with Dr. Jeffrey Young since 1989. She is a founding fellow of The Academy of Cognitive Therapy (Dr. Aaron T. Beck). Wendy is also the president of the Executive Board of the International Society of Schema Therapy (ISST).

Wendy Behary has co-authored several chapters and articles on schema therapy and cognitive therapy. She is the author of (New Harbinger Publications – 1st edition): “Disarming the Narcissist...Surviving and Thriving with the Self-Absorbed”. Wendy has a specialty in treating narcissists and the people who live with and deal with them. As an author and an expert on the subject of narcissism, she is a contributing chapter author of several chapters on schema therapy for narcissism (Wiley Publications and APA Press, 2011/12). She lectures both nationally and internationally to professionals on schema therapy, and the subject of narcissism, relationships and dealing with difficult people.

Her private practice is primarily devoted to treating narcissists, partners/people dealing with them, and couples experiencing relationship problems.

 

Speaker Disclosures:
Financial: Wendy Behary is the co-founder, Clinical Director, and Director of Training for The Cognitive Therapy Center of New Jersey and The Schema Therapy Institute of NJ-NYC-DC. She is a published author and receives royalties. Wendy Behary receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Wendy Behary serves on the advisory board of the International Society for Schema Therapy and is a member of the NJ Association of Cognitive-Behavior Therapists, and the International Association of Cognitive-Behavior Therapists.
Richard C. Schwartz, PhD, IFS Institute

Richard Schwartz began his career as a family therapist and an academic at the University of Illinois at Chicago. There he discovered that family therapy alone did not achieve full symptom relief, and in asking patients why, he learned that they were plagued by what they called "parts." These patients became his teachers as they described how their parts formed networks of inner relationship that resembled the families he had been working with. He also found that as they focused on and, thereby, separated from their parts, they would shift into a state characterized by qualities like curiosity, calm, confidence and compassion. He called that inner essence the Self and was amazed to find it even in severely diagnosed and traumatized patients. From these explorations, the Internal Family Systems (IFS) model was born in the early 1980s.

IFS is now evidence-based and has become a widely-used form of psychotherapy, particularly with trauma. It provides a non-pathologizing, optimistic, and empowering perspective and a practical and effective set of techniques for working with individuals, couples, families, and more recently, corporations and classrooms.

In 2013, Schwartz left the Chicago area and now lives in Brookline, MA where he is on the faculty of the Department of Psychiatry at Harvard Medical School.

 

Speaker Disclosures:
Financial: Dr. Richard Schwartz is the Founder and President of the IFS Institute. He maintains a private practice and has an employment relationship with Harvard Medical School. He receives royalties as a published author. Dr. Schwartz receives a speaking honorarium, recording, and book royalties from Psychotherapy Networker and PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Richard Schwartz is a fellow of Meadows Behavioral Healthcare and is a member of the American Family Therapy Academy and the American Association for Marital and Family Therapy. He is a contributing editor for Family Therapy Networker. Dr. Schwartz serves on the editorial boards for the Journal of Feminist Family Therapy, the Contemporary Family Therapy, the Journal of Family Psychotherapy, and the Family Therapy Collections.

Janina Fisher, PhD

Janina Fisher, PhD, is a licensed clinical psychologist and former instructor at The Trauma Center, a research and treatment center founded by Bessel van der Kolk. Known as an expert on the treatment of trauma, Dr. Fisher has also been treating individuals, couples, and families since 1980.

She is the past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, Assistant Educational Director of the Sensorimotor Psychotherapy Institute, and a former Instructor, Harvard Medical School. Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of the neurobiological research and newer trauma treatment paradigms into traditional therapeutic modalities.

She is co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma (2015) and author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Internal Self-Alienation (2017) and the forthcoming book, Working with the Neurobiological Legacy of Trauma (in press).

Speaker Disclosures:
Financial: Dr. Janina Fisher has an employment relationship with the Sensorimotor Psychotherapy Institute. She is a consultant for Khiron House Clinics and the Massachusetts Department of MH Restraint and Seclusion Initiative. Dr. Fisher receives royalties as a published author. She receives a speaking honorarium, recording royalties and book royalties from Psychotherapy Networker and PESI, Inc. Dr. Fisher has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Janina Fisher is on the advisory board for the Trauma Research Foundation. She is a patron of the Bowlby Center.

William Doherty, PhD

William Doherty, PhD, is a professor and director of the Minnesota Couples on the Brink Project at the University of Minnesota. He is co-author of the book Helping Couples on the Brink of Divorce: Discernment Counseling for Troubled Relationships, with Steven Harris. He is cofounder of Better Angels, an initiative to depolarize America.


Speaker Disclosures:
Financial: Dr. William Doherty has an employment relationship with the University of Minnesota. He receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. William Doherty is a member of the National Council on Family Relations, the International Council of the Institute on the Holocaust and Genocide in Jerusalem, and the American Psychological Association.


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