Therapy on the Cutting Edge

W. Keith Sutton

With so many developments in the field of psychotherapy, so many integrations, innovations, and shifts from evidence-based to common factors, its hard to keep up!

Therapy On the Cutting Edge is a podcast with hour long interviews of clinicians that are creating, innovating, researching, developing, and perfecting treatments for clients.

All Episodes

In this interview, Dave discusses his career in researching suicide and how Marsha Lineman encouraged him to go beyond his assessment work to create an intervention for therapists working with clients who are suicidal. He discusses how many therapists struggle to know how to effectively assess suicide risk and intervene in a manner that can build the therapeutic relationship as well as keep clients safe. He explains that due to lack of training, knowledge of evidence-based interventions, and fear, therapists often jump to hospitalizing their clients, when it may not be necessary, and he challenges the overall utility and effectiveness of hospitalization altogether. Dave discusses his clinical tool and intervention, the Suicide Status Form (SSF-4) and his Collaborative Assessment and Management of Suicidality (CAMS), which have been found to decrease suicidal risk in patients through randomized controlled trials. He explains that therapists can effectively treat suicidality through collaboration, being clear and transparent on the limits of confidentiality and what may lead to a hospitalization. His intervention helps reduce access to lethal means as well as the value of identifying and treating patient-defined "drivers" for suicide, which research shows leads to decreasing hopelessness while increasing hope. The topics of suicidal ideation vs. suicidal intent are discussed and how ideation in itself is sometimes a form of coping. He speaks to the most feared situations where the therapist is not sure if the client can be sufficiently stable for outpatient care, and he addresses cases in which clients who take their life despite all clinical best efforts. Dave encourages therapists to become more competent in suicide assessment and treatment, because even though clinicians may screen for suicide when accepting patients, it is inevitable that they will have clients who are suicidal. He argues that suicide risk being "not something I work with,” is a problematic stance as it reflects an unwillingness to work with the one fatality of mental health. David A. Jobes, Ph.D., ABPP, is a Professor of Psychology, Director of the Suicide Prevention Laboratory, and Associate Director of Clinical Training at The Catholic University of America. Dave is also an Adjunct Professor of Psychiatry, School of Medicine, at Uniformed Services University. He has published six books and numerous peer-reviewed journal articles. Dave is a past President of the American Association of Suicidology (AAS) and he is the recipient of various awards for his scientific work including the 1995 AAS “Shneidman Award” (early career contribution to suicidology), the 2012 AAS “Dublin Award” (for career contributions in suicidology), and the 2016 AAS “Linehan Award” (for suicide treatment research). He has been a consultant to the Centers for Disease Control and Prevention, the Institute of Medicine of the National Academy of Sciences, the National Institute of Mental Health, the Federal Bureau of Investigation, the Department of Defense, Veterans Affairs, and he now serves as a “Highly Qualified Expert” to the U.S. Army’s Intelligence and Security Command. Dave is a Board Member of the American Foundation for Suicide Prevention (AFSP) and serves on AFSP’s Scientific Council and the Public Policy Council. He is a Fellow of the American Psychological Association and is Board certified in clinical psychology (American Board of Professional Psychology). Dave maintains a private clinical and consulting practice in Washington DC; clinicians can get trained in the CAMS evidence-based treatment at https://cams-care.com/.

Nov 29

52 min 51 sec

In this episode Rachel discusses her career in treatment and research of schizophrenia, and particularly, her research at the University of California, San Francisco, studying the prodromal phase of schizophrenia, which refers to early signs and symptoms, in an effort to detect and prevent the development of a full blown disorder. She explains the differences between prodromal symptoms and the Clinical High Risk Syndrome (CHR), and how there are three main aspects: the presence of delusions and hallucinations, the level of the individual's conviction that the delusions or hallucinations are real, and the level of distress or impairment. She points out that only 25% of people develop psychotic disorders within 2.5 years after diagnosis of the CHR syndrome. She discusses the Coordinated Specialty Care Model that involves medication, Cognitive Behavioral Therapy for psychosis, family support and psychoeducation, case management, and supports to keep the individual on track with school or work. She talks about the advancements in psychiatric medication and discussed elements of CBT for psychosis. She talks about the role of the family and supporting the family through this process, and how the concept of Expressed Emotion and past theories about families with schizophrenia (e.g., refrigerator mother), have done damage in the conceptualization of working with families. She discussed the need for psychoeducation, as well as understanding the interactional patterns that happen between family members as there is a great deal of fear, helplessness, and shame. She discussed how clinicians in practice who are unfamiliar with psychosis should manage their own reactions of fear or overwhelm, as expressing these reactions may lead their client to shut down or avoid seeking support for their symptoms. She reassured that working with psychotic symptoms is very similar to working with other issues in therapy. We discussed validating the client, being curious about their experience, and getting consultation, as many clinicians are unfamiliar with psychosis, or only received training in intensive situations like hospital settings, so have a fatalistic view of these diagnoses. What the clinicians don’t see is that generally, 1/3 of clients recover on their own, for 1/3 medication works, and its only 1/3 that struggle with severe, chronic psychosis. Many people may live with symptoms their whole life, but be happy, healthy and functioning, so the reduction of symptoms may not be the main goal of treatment. Rachel Loewy, PhD, is a clinical psychologist currently working as a Professor of Psychiatry at the University of California, San Francisco. Along with teaching, Rachel has developed clinical programs to diagnose and treat early psychosis, and has led many research studies, primarily focused on early identification and intervention in schizophrenia. Currently, she is a co-investigator on a research project dedicated to building a California early psychosis network that would input thousands of patients' data into one network hoping to create a better system that allows for improved intervention effort. Alongside her research, Rachel has many publications regarding her work that have all been compiled at https://profiles.ucsf.edu/rachel.loewy. These publications focus on various studies regarding schizophrenia and psychosis, such as evidence-based practices for early intervention in psychosis particularly in community settings.

Oct 25

56 min 10 sec

In this episode, Keith talks about his unique experience of being deployed in Iraq with his wife, and after a roadside bomb (IED) attack, she struggled with PTSD. He discussed how after she received treatment through the military mental health system, which was retraumatizing, he started taking classes in Psychology and learned all he could about trauma, and together they worked through her PTSD. This lead him to go on to obtain a doctorate in psychology, and work with veterans and their families specializing in combat trauma and military sexual trauma. He explained that soldiers are trained to turn all of their vulnerable emotions into aggression, because that is what is needed to survive in battle, and this makes it difficult for soldiers to transition back into their family system and larger society. Additionally, in the military, they form strong bonds with their fellow soldiers, and between conditioning, the group think, and the experiences that the soldiers go through together, it makes some feel that no one else understands their struggle which leads to suffering alone. This creates a dual family systems paradigm, the differences between the military system’s culture and the family’s system’s culture, leaving veteran's feeling disconnected from both families. He discussed the importance of connecting with the individual, being with their experience, and how this can be very hard for clinicians as working with veterans with trauma session after session can lead to vicarious trauma and compassion fatigue. He discussed his work with The Hume Center, with the chronically homeless population and working with severe mental illness, and how there is a great deal of intersectionality between homelessness and veterans. He discussed the importance of meeting the client where they are, and then finding what approaches might fit best for them, rather than using a top down approach such as trying to fit them into an evidence based scripted protocol. We discussed a rather successful program for Veterans in Oakland at the Oakland Vet Center, where staff had been working there for many years, as opposed to other programs where there is high turnover both in clients and in clinicians. One of the aspects that seemed to make it successful was the connections built through the community of clients. He discussed how clients who had been doing group work there would come to his PTSD 101 workshops just to see their friends. We discussed how engagement, whether with the clinician, or the community of clients was so significant in engagement for mental health services. ​Keith Bonnes, Psy.D. is a clinical psychologist and an Air Force (deployed Army) blue to green veteran of the Iraq war. Keith has worked extensively with veterans and their families and now works at The Hume Center in the San Francisco Bay Area East Bay https://www.humecenter.org, which as a Non-profit provides a range of community based treatments including full service partnership with homeless individuals, outpatient services and partial hospitalization programs and many other community based services and programs. He is also a trainer with The Hume Center working to help develop the clinical skills of early career clinical trainees and provide an exceptional training experience as a behavioral training center. He works from a humanistic, client centered, phenomenological approach, meeting the client where they are, and connecting with their experience, and then integrating modalities of treatment and interventions to fit for the clients perspective of the world. Keith uses Maslow’s Hierarchy of Needs as a building principal along with cultural humility in his work with clients to ensure a holistic approach to the clients experience is considered.

Oct 4

55 min 14 sec

In this interview, Scott discusses how he came to his work focusing on Feedback Informed Treatment and deliberate practice. He discussed how when working with the Solution Focused Therapy founders, independent research found that the approach was effective, but not so significantly more effective than other approaches. He explained how this was surprising to him, and when he looked into it more, he found this finding was true when applied to all theories and techniques. He discussed his drive to improve as a clinician himself and his work with Michael Lambert and Lynn Johnson in looking at the common factors related to outcome and using client feedback to improve alliance and thus outcome. We discussed how continuing education is often focus on theory and technique, and how if a clinician would like to improve their effectiveness with clients, they need to focus on improving their relationships with clients. He discussed learning about Anders Ericsson's research related to deliberate practice, and how clinicians can use this to improve their work with clients. We discussed how research is often focused on symptoms, but it is actually the individual's functioning that is more important as functioning is often what brings clients into treatment, rather than symptoms. He explained that when working in drug and alcohol treatment, he often wondered why the clients had not sought treatment earlier, and it was often an effect on their functioning (e.g., losing their partner, losing their job) that propelled them into treatment. Scott discusses how often when people consult with him, he always returns to why the client is in therapy and what they want out of it, which many therapists forget about as they turn their attention towards the symptoms. Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Scott conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of "invited faculty" whose work, thinking, and research is featured at the prestigious "Evolution of Psychotherapy Conference." His humorous and engaging presentation style and command of the research literature consistently inspires practitioners, administrators, and policy makers to make effective changes in service delivery. He is the author of numerous articles and co-author of ​Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness, The Heroic Client: A Revolutionary Way to Improve Effectiveness through Client-Directed, Outcome-Informed Therapy, and ​Feedback Informed Treatment in Clinical Practice: Reaching for Excellence.

Sep 27

54 min 34 sec

In this episode, Jane discusses her own experience of growing up in a privileged white community and the subsequent development of her career in social justice. That was the beginning of her journey working with different organizations concerning the effects of wide-spread oppression particularly in education in the United States and in Israel at the Hebrew University of Jerusalem. When she became a psychotherapist years later, she realized that her training did not specifically cover the effect of the “isms,” and their relationship to the life experience of clients and their mental health, even though family therapists were trained in systemic thinking and the importance of context. After becoming a Visions consultant, she became more aware of her own privilege and the historic and present oppression others continually experienced. Intersectionality became very important as well because each person usually has some places where they have privilege and some where they are oppressed. How each of us behaves in those different places becomes an important area of exploration, both for therapist and client. Briefly, she discussed three important characteristics that therapists hopefully bring to their work. One is cultural humility, another is authenticity, and the third is a constant awareness of context and privilege and how it intersects with individual and relational mental health. She discussed how the role of therapist itself brings power into the room, and even if there is intersectionality, where there is shared race, gender, sexual orientation or a number of other characteristics, the therapist continues to hold power. She shared her experience in Kosovo dealing with grieving and traumatized families just after 9/11 occurred. She used the term “open listening”, which is a valuable way to be completely present, stay with the person’s experience empathically, while at the same time not losing oneself. Jane Ariel, PhD, LMFT is a psychologist in Oakland, California, and works with individuals, couples, and families. She has been an adjunct professor at the Wright Institute in Berkeley and has worked also with the Women’s Therapy Center and other institutions in the Bay Area. She is an active member of the American Family Therapy Academy, and works with Visions, a national organization dealing with issues of equity, inclusion, and multiculturalism.

Sep 20

58 min 19 sec

In this interview, Lisa and Silvina discuss their path to sex therapy, both being couples therapists trained in Emotionally Focused Couples Therapy. At their weekend Hold Me Tight Workshops for couples, there was never enough time after all the relational work to delve deeply enough into the couple’s sexual relationship; so they dove into deep study over several years and developed an integrative approach, blending the best of sex therapy techniques and the process orientation and attachment focus of Emotionally Focused Therapy (EFT). In the interview, they discuss the relationship between attachment and sex in a couple’s relationship, and how physical connection is so essential to attachment, citing Harlow’s research with the “cloth mother” monkeys as but one example. I invite them to share more about several of the key concepts they cover in their workshop for clinicians, Integrating Sex and Sexuality in EFT Couples’ Work. We discuss the groundbreaking work of Emily Nagosky, who has made accessible to everyone such key concepts as the Dual Control Model of Sexual Response, responsive desire and newer versions of the Sexual Response Cycle model that allow so many more options for couples. They discuss how for many therapists, couples therapy and sex therapy are disconnected, but how powerful the integration of the two can be. We discuss how they use sex therapy behavioral interventions, such as a variety of touch exercises, and process these experiences with the couples through the EFT lens to understand the blocks that get in the way. This integration of an experiential, process-oriented therapy, and behavioral interventions from sex therapy, through an attachment lens helps bridge the divide between couples therapy and sex therapy. Silvina Irwin, Ph.D., is a licensed clinical psychologist in Los Angeles, and ICEEFT Certified Trainer and Supervisor in Emotionally Focused Therapy for Couples. Under the mentorship of Dr. Sue Johnson, founder of Emotionally Focused Therapy, Silvina offers trainings in LA and other select US and International areas. She is co-founder of the EFT Resource Center in Pasadena, CA, which provides EFT psychotherapy services to the community and offers training and supervision to therapists in Emotionally Focused Therapy. In her psychotherapy practice, Dr. Irwin specializes in working with survivors of trauma and relationship distress. In addition, Dr. Irwin has developed and facilitated workshops for couples who want to deepen and enrich their sexual connection. Dr. Irwin also leads consultation groups with her close colleague Dr. Lisa Blum for mental health professionals all over the country who are refining their skills in integrating sexuality into their couples’ therapy work. Dr. Irwin also offers master classes on working with trauma in couples therapy, and workshops on Vicarious Trauma of therapists, first responders, and the legal and medical community. To learn more about Dr. Irwin, please visit www.drsilvinairwin.com or www.EFTResourceCenter.com. Lisa Blum, Psy.D. is a licensed clinical psychologist who specializes in promoting healthy couple and family relationships through an attachment lens. Dr. Blum is an ICEEFT-Certified Supervisor and Therapist in Emotionally Focused Couples Therapy (EFT), one of the few research-validated therapies for helping couples and families strengthen relationships and build stronger connections. Dr. Blum is a Co-Founder of the EFT Resource Center in Pasadena, a group private practice, where her work includes individual, couples, and family therapy, and supervision, training, and public speaking on family, marital, and parenting issues. Dr. Blum works with both gay, lesbian, queer and straight individuals and couples, and with adults forming families in novel and creative ways. Since the beginning of her career, Dr. Blum has been involved in teaching, research, and practice in the field of sexuality, and currently co-facilitates weekend workshops for couples who want to deepen and enrich their sexual connection. In addition, Dr. Blum and her close colleague Dr. Silvina Irwin lead seminars and consultation groups for mental health professionals who are refining their skills in integrating sexuality into their couples’ therapy work. To learn more about Dr. Blum, please visit www.drlisablum.com, and www.EFTResourceCenter.com.

Sep 13

55 min 40 sec

In this episode, Paul discusses how his seeking connection with other African-American clinicians in the Emotionally Focused Couples Therapy (EFT) community, in order to translate the EFT approach into his and his colleagues experiences with their African-American clients, lead him to write his book, Emotionally Focused Couples Therapy with African American Couples: Love Heals. He discussed how attachment in African cultures and other collectivist cultures are different from our traditional sense of child attaches to mother, and in recent years, child also attaches to father. Instead, he discussed how in a more collectivist culture, child attaches to community, and other villages may be the responsive attachment figure while the mother is working on the farm, or the grandparent, and how this was extended as African Americans were brought to the United States in slavery, families were broken up, and others took in children who were not there and children attached with the adults they were enslaved with. Paul discusses working with couples, within an attachment framework, and how cultural humility is a significant aspect of the work with others, whether of a similar race or culture, or different, as his cultural experience and racial identity can be a different experience than one or both partners of a couple he might be working with who are also Black. He discussed the three levels of cultural humanity, which is knowing about general issues that affect the group that one is working with, the diversity of experiences within that group, and ultimately, the self as therapist, and the therapists’ cultural experiences and how that impacts their thinking. His goal in writing his book was to promote clinicians needing more information and understanding of culture, and adjusting clinically to the realities of unique stresses and threats to African American love. Paul Guillory, PhD is a psychologist, and Associate Professor at the University of California, Berkeley in the Clinical Science Program, Psychology Department. He is a certified Emotionally Focused Couples Therapy therapist and certified EFT supervisor, and an EFT Trainer-in-Training. Paul is the author of the book, Emotionally Focused Therapy with African American Couples: Love Heals, and is the former chairperson of the Northern California Community of Emotionally Focused Therapy. Paul was the psychological consultant to the Oakland Raiders professional football team and the National Football League for 14 years, has been a consultant to the Sacramento Kings professional basketball team, and is a selected provider for the National Basketball Players Association. He has also served as Director of the Center for Family Counseling in Oakland California for 10 years, and has been in private practice in Oakland, California for over 30 years.

Sep 6

56 min 57 sec

In this episode, Celia discusses how her experiences of growing up as a child of immigrant parents who fled Eastern Europe to Argentina, and then her own experience of immigration to the United States has lead her into a career in working with systems, both at the family level, as well as the community and large cultural level of systems. Celia discusses how her interest in the family system grew out of her own experience of moving from a couple to a family, and experience in a psychodynamic program that was very pathologizing of the parent and a focus on the attachment and transference with the therapist. She discussed training with some of the most influential family therapists. We discussed a training she had done some years ago, called One Size Doesn’t Fit All, and how important it is to not just transpose a U.S. model of therapy, based a a two parent nuclear family, to all clients. She discussed the tools (1 & 2) she developed using her MECA model, and looking a multigenerational households, siblings raising children, community raising children, and discussed there is great variation within cultures, and needing cultural humility, as well as understanding that social justice is separate from cultural competency in diversity. She discussed her article on Centering the Voice of the Client, which came out of her work at Harvard Medical School, where she did process research on the elements related to collaboration using a Shared Decision Making model. We discussed the elements of collaboration: sharing the agenda setting, balance of talking time, tentativeness rather than absoluteness, collaborative meaning making rather than diagnostic expert labeling, and co-constructing behavioral tasks. Celia Falicov, Ph.D. is a clinical psychologist and family therapist in San Diego, California. Celia is the Director of Mental Health Services at the Student-Run Free Clinic Project of the Department of Family Medicine at University of California, San Diego. She is also a past president of the American Family Therapy Academy (AFTA) and has published numerous books and articles, including: Family Transitions: Continuity and Change Over the Life Cycle, Cultural Perspectives in Family Therapy and Latino Families in Therapy, and Multiculturalism and Diversity in Clinical Supervision with Falender and Shafranske.

Aug 30

1 hr 14 min

In this episode, Ryan discusses his career as an Interventional Psychiatrist, using neuromodulation treatments for clients who are not responding to medications and therapy. He discusses the use of TMS (transcranial magnetic stimulation) which is FDA approved for both depression & OCD and often turned to after multiple antidepressants have not been effective. He discusses how TMS stimulates brain circuits through magnetic pulses, manipulating activity in areas of the brain and stimulating neuroplasticity in specific pathways. He describes how clients often report feeling less reactive, as the process may help balance the connections between the limbic system and the prefrontal cortex, increasing cognitive control and emotional regulation. We also discuss ECT and Ketamine which are other treatments provided through his organization, Mindful Health Solutions, as well as his training in Psilocybin and MDMA assisted therapy, which are not currently approved outside of research settings in California. He discusses how each of these interventions can promote brain changes like neuroplasticity, and how it may be beneficial to pair these interventions with therapy concurrently. He discusses the applications mainly for depression and OCD, but we also touch on and speculate about how brain stimulation & psychedelic treatments could be used to treat a variety of disorders, such as PTSD, borderline personality, ADHD, Social Anxiety, and substance abuse/dependence. Ryan Vidrine, MD is a Board-Certified Psychiatrist who specializes in the treatment of OCD and related anxiety Disorders. He started his career in neuroscience and moved into psychiatry with a particular interest in the field of Interventional Psychiatry and Neuromodulation for treatment resistant conditions, which includes the use of ECT, TMS, ketamine/esketamine, and deep brain stimulation. During his residency training, Ryan worked in the UCSF OCD & Anxiety Specialty Clinic, developing expertise in the diagnosis and treatment of the full range of anxiety disorders, approaching patients from an Acceptance-Commitment Therapy (ACT) framework, which focuses on patient values as the anchor and impetus for behavioral changes. He is currently Director of OCD and Anxiety Services at Mindful Health Solutions and an Assistant Clinical Professor in the Department of Psychiatry at UCSF School of Medicine. Additionally, he completed training through the CIIS Psychedelic Therapy and Research Program in San Francisco, CA.

Aug 23

54 min 7 sec

In this episode, I speak with Shana about her work with adults with Obsessive Compulsive Disorder at UCLA’s intensive treatment program. We discuss Exposure with Response Prevention, the effective, evidence based treatment for OCD, as well as Shana’s experience with the Obsessed tv series on A&E. We discuss how I use clips of her work with one of the clients and how impactful that reality tv show has been in helping clinicians understand ERP as well as helping clients see what effective OCD treatment looks like. Shana discusses the changes in content of OCD and particularly the “harm to others” obsession that has attached itself to the social justice movements of the #MeToo movement, Black Lives Matter (BLM) movement and other social issues where OCD patients obsess about saying the wrong thing or bumping into someone, and thus causing a micro or macro aggressions. We discuss how clients with OCD are the least likely to harm someone, which is why in the second episode of Obsessed, she has her client whose fear is that she will kill someone against her will, and has that client hold a knife to her throat in session and sit with the distress of the ability to kill someone, and the new learning taking place that interrupts the thought-action fusion of OCD. Shana Doronn, LCSW, PsyD is a licensed Clinical Social Worker and Doctor of Psychology in the UCLA OCD Intensive Treatment Program. She received her MSW at USC and her Psy.D. at University of San Francisco. Dr. Doronn frequently presents on OCD and related disorders in workshops and symposiums throughout the country. She was also a featured therapist on A&E’s reality documentary “Obsessed” from 2008-2010. In addition to her current work in the OCD Intensive Treatment Program, Dr. Doronn also treats patients with OCD and other anxiety disorders in her private practice in Los Angeles and Orange County.

Aug 16

59 min 47 sec

In this interview, Rachel Walker explains how trauma-informed psychotherapies like EMDR, Parts Work, Attachment Theory, and Structural Dissociation work better in collaboration than they do alone. She discusses her journey to this realization, and the integrative treatment model which she developed and now practices as a result. This model, which Rachel teaches throughout the United States, moves beyond any one treatment modality to focus on the ways in which ALL trauma-informed therapies overlap. Her work illuminates the bigger picture, helping clinicians and trauma survivors alike to be more oriented within the treatment, and clearer about every aspect of the healing journey - from assessment, to goal setting, to pacing, to the application of interventions. The roadmap which she has developed provides a trauma-informed treatment progression that keeps the healing moving forward, regardless of the level of trauma and dissociation. The end result is a process that can be consistently relied on to work, leaving both therapist and client feeling more hopeful, collaborative, and empowered in the treatment and healing of complex trauma and dissociation. Rachel Walker, LMFT is a trauma-informed psychotherapist and EMDR Approved Consultant practicing in Oakland, CA. She is the winner of CAMFT’s Mary Reimersma Distinguished Clinician Award for 2021 for her innovative contribution to the field of trauma treatment. She has created an in-depth trauma training for mental health professionals called, 'At the Crossroads of Trauma Therapy', which integrates theories and interventions from many of today’s most effective trauma models. Rachel is also the founder and creator of the online platform, TraumaRecoveryStore.com which provides simple tools for improving trauma treatment and promoting the self-healing process. She has written and designed numerous treatment tools for therapists and clients, including the Trauma Recovery Guidebook for Therapists and the Trauma Recovery Handbook for Survivors (in English, Spanish, and Icelandic). Rachel’s therapeutic training began in the arts where she learned to apply play, metaphor, creativity and spontaneity to the work. Her deepest and most heartfelt desire is to inspire trauma survivors, and the therapists who treat them, to hope! With perseverance, patience, curiosity, and human to human contact—recovery is absolutely possible!

Aug 9

1 hr

In this interview, Marco discusses how he was invited to do a study on EMDR, to understand the neurological mechanisms behind the processing of the trauma. He discussed his career being a MD and a neuroscientist interested in memory. He discussed using EEG to measure what was happening in the brain during bilateral stimulation during EMDR. He explained that they were able to determine that the delta waves that were being evoked during EMDR were similar to the delta waves exhibited during sleep, and he discussed how sleep is so significantly connected to processing of memory. He discussed the processes of trauma and the mechanisms of action for EMDR. Marco Pagani, MD is a nephrologist trained in internal medicine from Jackson Memorial Hospital and attended medical school at the University of Miami School of Medicine. He has been working in neuroimaging since 1990 and has over 30 years of experiences. He works for the Italian Research Council called Sayonara. His interests are primarily in the neurobiology aspects of EMDR and in neurodegenerative disorders. He has treated Chronic Renal Disease, Nephrotic Syndrome, and Acute Renal Failure during his time as a Doctor of Internal Medicine. He has many publications regarding EMDR including Eye Movement Desensitization and Reprocessing and Slow Wave Sleep: A Putative Mechanism of Action and Neurobiological Correlates of EMDR Monitoring – An EEG Study.

Aug 2

52 min 37 sec

In this episode, Rona discusses how her work as a nurse conducting parenting classes led to her hosting a radio show to reach a wider audience of parents about safe and effective parenting methods, and how to better understand your child. She emphasizes how knowing the temperaments of both the child and the parent are key for successful parenting and better understanding of the child. She discusses how to resist pathologizing everything your child does, and explores the concept of a wide range of normal in childrens' behavior. Rona explains the idea of how better parenting is really about identifying your own triggers as a parent, and how you must work on yourself in order to be the best parent you can be. Rona Renner, RN, author of Is That Me Yelling?: A Parent's Guide To Getting Your Kids to Cooperate Without Losing Your Cool, had a wide range of experiences in health care before being trained by Kaiser Permanente to be a temperament counselor, which she has continued to use as a foundation for her work facilitating parenting groups and classes for over 30 years. She has also spoken at numerous national conferences on children’s temperament, ADHD, and other parenting concerns, as well as provided consultation for medical professionals and teachers on learning differences in India and Africa. Rona is a current host of About Health on 94.1FM KPFA, and has been a guest expert on national television segments on CNN and 20/20. She founded both Childhood Matters and Nuestros Niños, and was the radio host of Childhood Matters for ten years.

Jul 26

56 min 14 sec

In this interview, Steve discusses his path to working in the field of mental health after growing up in a family where his father suffered from misdiagnosed bipolar disorder, but it was never discussed due to doctor's orders. He discusses his book about growing up in silence and stigma, "Another Kind of Madness: A Journey Through the Stigma and Hope of Mental Illness", and his interest in working to overcome mental stigma. We discuss his research on ADHD, and how the MTA study was one of the largest studies looking at medication and treatment. We discuss the behavioral interventions that are helpful to children and families where ADHD is present. Additionally we also explored his work in the book, the "ADHD Explosion: Myths, Medications, Money, and Today's Push for Performance", and the issues of under and over-diagnosis of ADHD. This also leads into the conversation about ADHD and gender, and Steve discusses his research in the BGALS study, looking at how ADHD appears in girls and women, and the longitudinal research. Finally, Steve talks about his work with programs to run stigma reduction groups in high school, when beliefs are being developed, and having speakers series and other method to address stigma in a real world way, and his work with Bring Change to Mind. Stephen Hinshaw, Ph.D. is known for his work in developmental psychopathology, clinical interventions with children and adolescents, and mental illness stigma. He is currently a Professor of Psychology at the University of California, Berkley and the University of California, San Francisco. Dr. Hinshaw has authored over 370 articles and chapters as well as 12 books, including, Another Kind of Madness: A Journey through the Stigma and Hope of Mental Illness , The Triple Bind: Saving our Teenage Girls from Today’s Pressures with R. Scheffler, and The ADHD Explosion: Myths, Medications, Money, and Today’s Push for Performance. Dr. Hinshaw’s research efforts have been recognized by many awards including the James McKeen Cattell Award from the Association for Psychological Science (2016) which is the highest award to honor a lifetime of outstanding contributions to applied psychological research.

Jul 19

55 min 58 sec

In this episode, I speak with Steven Friedlander, Ph.D. about working with families involved with “high conflict” divorce, as well as parental alienation/parental rejection situations. Steven discusses his career and how his work led him to researching and writing about parental rejection/parental refusal, and his approach for this work. He described the different roles that clinicians can play in helping a family where there is a great deal of conflict and discussed the Special Master/Parenting Coordinator role, the co-parenting role, child custody evaluation, and the therapist role. He explained the complexity of researching the effectiveness of treatment for families dealing with rejection/refusal, as well as differentiating between a parent who may be acting in a way to alienate their child, and a case where there is no clear evidence for alienation, but seemingly brought about as a by-product of the enmeshed parent. Steven Friedlander, Ph.D., is a clinical psychologist with a special expertise working with families when a child is refusing or resisting contact with a parent. His most recent publications have focused on post-divorce disruption of family relationships, and interventions designed to resolve those problems. Dr. Friedlander facilitates consultation groups for other professionals which focus on interventions with families when a child resists/refuses contact with a parent, and parent coordination in high conflict families. He previously served on the Board of Directors of the California chapter of the Association of Family and Conciliation Courts (AFCC-CA) from 2005-2014. Dr. Friedlander is Clinical Professor Emeritus in the Department of Psychiatry, University of California San Francisco t

Jul 12

53 min 21 sec

In this podcast, Patricia Papernow discusses her experience as both a stepparent and a parent in a stepfamily, and how this led to first a dissertation on stages of development in becoming a stepfamily, and then a life-long interest in studying and working with stepfamilies. She discusses how stepfamilies are different from first time families, particularly regarding the time and space for the couple to develop their attachment and build some common ground and the challenges children face in stepfamilies. She describes the 5 major challenges for stepfamilies: 1) insider/outsider positions, 2) children’s needs, 3) stepparents and biological parents polarizing around parenting tasks, 4) the other biological parents/ex-partner being part of the family system, and 5) navigating creating new shared rituals. She offers concrete, evidence-based guidance about what works (and what doesn’t) to meet these challenges.​ Patricia Papernow, EdD is well known for her books Surviving and Thriving in Stepfamily Relationships, Becoming a Stepfamily, and, with Karen Bonnell, The Stepfamily Handbook From Dating, to Getting Serious to Forming a “Blended Family,” ​as well as the author of dozens of articles and book chapters about “blended families.” Dr. Papernow is a systems and trauma-trained clinician with a special focus on working with families through the divorce and recoupling process. She is a renowned educator teaching about stepfamilies all over the U.S. and the world. She is also the recipient of the 2017 award for Distinguished Contribution to Family Psychology from APA (American Psychological Association).

Jul 5

59 min 40 sec

In this episode, Phil discusses his career and his early experience with EMDR and how this became a focus of his work as he went on to become an EMDR trainer. He discusses the controversy around EMDR, and its mechanisms of action, and issues related to research and funding. He discusses his theory on how EMDR works, and talks about the technique he has developed called the Flash Technique. He discusses how he has found this technique to be extremely effective in helping clients to effectively process trauma, even faster than traditional EMDR. Phil Manfield, Ph.D has been licensed as a Marriage and Family Therapist since 1975. He has authored or edited five books about psychotherapy and the use of EMDR, including: EMDR Up Close: Subtleties of Trauma Processing, EMDR Casebook, and Extending EMDR: A Casebook of Innovative Applications. He has taught in the US, Canada, Australia, South America, Europe, Asia and the Middle East. Currently, he is the Northern California Regional Coordinator for the EMDR International Association.

Jun 28

51 min 34 sec

In this episode, Dr. Palfy discusses how her work in law enforcement, specifically investigating and arresting child sexual abusers, led her into a career of psychology. She discusses how when we think of childhood sexual trauma, we often think of women, although 1 in 6 men were sexually abused prior to age 16. She explains that of those that were abused, only 5 in 1,000 go on to disclose their abuse, thus giving a sense that this doesn’t happen to boys and may be missed when working with men. She discusses some of the differences between abuse of boys and women including societal norms of men being protectors (the man of the family) so not telling, fear of being seen as gay or as someone who will inevitably be a child abuser, worrying that they somehow wanted the abuse as males anatomy responses physiologically different during abuse, and ultimately society not making a place for males to be vulnerable, and instead dismissing or shaming them for being too sensitive. We discuss her work in helping others to understand male experiences of abuse, so that clinicians can be more aware of seeing that this may be part of the reason men are struggling and help them to address their trauma. Kelli Palfy, Ph.D. is a psychologist and author, who first started her career as an RCMP officer that specialized in sex crimes. Today, Dr. Palfy works with first responders, male survivors of sexual abuse, and people who are bullied in the workplace. Dr. Palfy authored the book Men Too: Unspoken Truths About Male Sexual Abuse which is based off of her own research and experience in the field.

Jun 20

54 min 4 sec

In this episode, Joel discusses his work as a police officer, and his decision to become trained as a psychologist, in hopes of making an even greater impact on the people he arrested. Joel discussed his work in Crisis Intervention, working with homeless populations and the training of police officers to work more effectively with mentally ill citizens. He discusses his work with the West Coast Post-trauma Retreat where he works with first responders in an effort to prevent suicide. Suicide is the leading cause of death for first responders and more officers die from suicide than all other factors combined. He explains the reticence of first responders to engage in mental health treatment, and the challenges police officers have in finding a supportive clinician. He and I discussed the murder of George Floyd, the effect on the relationship between police officers and the community, and the subsequent impact on police officers. He discusses the psychological impact of the riots that followed Floyd’s death. We also discussed the dynamics that may have played into the lack of action of the other officers at the Floyd incident. We discuss the research of The Milgram Shock Experiment and the Stanford Prison Study where “normal” individuals acted in ways that most would have said they would not have acted but did so in relation to context and authority. Joel discussed his most recent focus on building resiliency in police officers, and training them as part of the Police Academy, as well as training seasoned officers in connecting to their meaning, influenced by Victor Frankel’s book, Man’s Search for Meaning. He explained that they also teach the difference between compartmentalization, which is necessary and adaptable on the job, as opposed to suppression, which could lead to bottling up and later spilling over of emotions which could affect a responder’s personal and professional life. Joel Fay, Ph.D. is a retired police officer who proudly served the force for over 30 years and made a career change, obtaining his Doctorate in Psychology. He now has his own private practice, is the lead clinician for West Coast Post-Trauma Retreat (WCPR), and is the co-founder of the First Responder Support Network, where he is currently the Clinical Director. He also teaches Crisis Intervention Training across California, is the co-author of Counseling Cops, and the author of many articles about emergency service stress. In his private practice, he specializes in working with emergency responders from many different organizations. Dr. Fay has received many awards for his amazing work, including the California Psychological Association 2007 Humanitarian Award and the American Psychological Association 2012 award for Outstanding Contributions to the Practice of Policy and Public Safety Psychology.

Jun 14

48 min 22 sec

In this episode, Eli discusses how his background in working in one clinic treating children with anxiety, and another clinic treating significant childhood behavioral problems, lead him to develop his program SPACE. Supportive Parenting for Anxious Childhood Emotions (SPACE) has been found to reduce childhood anxiety at the same levels as a course of Cognitive Behavioral Therapy (CBT) for children by working directly with the parents. He discusses how the previous thinking was that children who are not willing to do CBT were not going to be able to benefit from therapy, and yet for behavioral problems there were treatments that were effective by working only with the parents. He found that treatment for childhood anxiety was based on methods for adults, but was leaving out the important distinction that children look to their parents for help in coping with anxiety provoking situations. This lead him to develop a treatment that focused on parents changing behaviors in order to not accommodate anxiety, using support as well as communication, and disengaging from the anxiety process in a loving way. Eli Lebowitz, Ph.D. is the Director of the Program for Anxiety Disorders at the Yale Child Study Center, creator of SPACE (a parent-based treatment program for child and adolescent anxiety and related disorders), as well the author of Treating Childhood and Adolescent Anxiety: A Guide for Caregivers with Haim Omer and Breaking Free of Child Anxiety and OCD: A Scientifically Proven Program for Parents, his most recent published work. Dr. Lebowitz's research focuses on the development, neurobiology, and treatment of anxiety with a focus on cross-generational and family influences.

Jun 7

55 min 13 sec

In this episode, Kaethe discusses the history of developing her conceptualization of four witness positions, and how witnessing effects people differently depending on their sense of empowerment/disempowerment and awareness. She discusses how she submitted her book, Common Shock: Witnessing Violence Every Day, two days before 9-11 and editors had difficulty understanding the ideas. By September 13, they deeply understood the experience of witnessing. She discusses the development of her Witness-To-Witness (W2W) Program, and how it has supported professionals working with adults and children in various stages of the immigration process who suffered as a result of many policies. Her social justice and larger systemic work helps lawyers, clinicians, childcare workers, and a multitude of other service providers working with people made vulnerable by national, state and local policies. Her work creates Reasonable Hope. Kaethe Weingarten, Ph.D., is the director of the Witness to Witness (W2W) Program for Migrant Clinicians Network. Dr. Weingarten’s work focuses on the development and dissemination of a witnessing model. One prong of the work is about the effects of witnessing violence and trauma in the context of domestic, inter-ethnic, racial, political and other forms of conflict. She has published numerous articles, chapters, essays, and books, including her book, Common Shock: Witnessing Violence Every Day, and serves on the editorial boards of five professional journals. She has taught and spoken in numerous contexts in the United States and internationally, as well as founded and directed the Program in Families, Trauma and Resilience at the Family Institute of Cambridge.

May 31

55 min 52 sec

In this episode, Russell talks about his career in the field of ADHD, and his involvement in a task force seeking to address ADHD, Inattentive Subtype, a separate disorder other than ADHD itself. He discusses Sluggish Cognitive Tempo, and the hypoactive nature, which is very different from the hyperactive and impairment in impulsivity. Russell explains that rather than being overly engaged with the environment, children, adolescents, and adults with SCT are disengaged from the environment, and often find themselves preoccupied with internal thought and experience. He discusses his experience helping families and children with ADHD, and his new book, 12 Principals for Raising a Child with ADHD. Russell Barkley, Ph.D. is the author of 12 Principals for Raising a Child with ADHD among several other works about ADHD and defiance in children and adolescents, and ADHD adults. Dr. Barkley retired as a Professor of Psychiatry and Neurology from the University of Massachusetts Medical Center and subsequently worked as a Professor of Psychiatry and Health Sciences at the Medical University of South Carolina. He is currently a Clinical Professor of Psychiatry at Virginia Commonwealth University Medical Center. Dr. Barkley continues to lecture widely and develop continuing education courses for professionals on ADHD and related disorders, as well as consult on research projects, edit The ADHD Report, and write books, reviews, and research articles.

May 24

53 min 37 sec

In this episode, Laura discusses her career path and her own struggles with bipolar disorder and addiction, and her integration of the 12 Steps and evidence-based therapy such as CBT & DBT. She explains how the Big Book of AA was written many years ago, and that Bill W.'s original intent was that individuals would be getting therapy alongside doing the twelve steps. She explained how she is currently writing a book that goes through each step of the 12 steps, and DBT skills to enhance the step work to help those in recovery gain the benefits of evidence-based tools. Laura Petracek, Ph.D. is a clinician psychologist, speaker, and the author of the Anger Workbook for Women: How to Keep Your Anger from Undermining Your Self-Esteem, Your Emotional Balance, and Your Relationships. Dr. Petracek has over 30 years of experience, specializing in Dialectical Behavior Therapy (DBT) and other evidence-based therapies for alcohol/substance use, mood disorders, and anger dyscontrol issues. Her other areas of expertise are working with children and adolescents with ADHD, Oppositional Defiant Disorder, Autism Spectrum Disorders, and other learning disabilities. She is also a past clinician at San Quentin Federal Prison, and currently in the process of writing the book Pain is Inevitable; Suffering is Optional: Dialectical Behavioral Skills for Alcoholics & Addicts.

May 17

46 min 54 sec

In this episode, Veronique discusses her career path and her experiences as an African-American woman and how it has influenced her career as a clinical psychologist. She discusses the innovative work being done at the Carl B. Metoyer Center for Family Counseling to help previously incarcerated parents transition through the re-entry process, and to rebuild relationships within the faily system. She highlights the importance of working with the whole family unity through this process, including the parents, children, and caregivers. Veronique and I also discuss training issues such as multicultural awareness, and the importance of validation, non-defensiveness, and being open to feedback. Veronique Thompson, Ph.D. is a tenured faculty at the Wright Institute in Berkeley and the Clinical Director at the Carl B. Metoyer Center for Family Counseling, East Oakland. There she and her colleagues are piloting a program, the Umoja Reentry Family Unity Project, to support families with formerly incarcerated parents. She has experience working with adults and families, as well as adolescent status offenders, and her theoretical orientation combines developmental, systems, social justice therapy, and narrative therapy perspectives. Dr. Thompson is a past teaching associate for the University of California, Berkeley in general psychology and minority mental health, as well as a fellow in the Berkeley Teacher Training Program. In addition to her work mentioned above, she also maintains a private practice.

May 10

54 min 8 sec

In this episode, Shawn discusses his work with families with transgender/non-binary/gender diverse youth. In discussing his career, he talks about the process of coming out as a transgender man, and his personal experience in the professional community of clinicians. He explains how the bulk of his work in training clinicians and assisting families is helping them examine how they think about their own gender, and becoming aware of how one knows what his, her or their gender is. He also discusses his work with families and transgender youth, and the issues that lead him to create the Gender Health Institute in order to provide training to clinicians who were seeking more competency in working with trans clients. Shawn Giammattei, PhD is the founder and director of the Gender Health Training Institute and the TransFamily Alliance, and contributor to the edited book, The Gender Affirmative Model: An Interdisciplinary Approach to Supporting Transgender and Gender Expansive Children. Shawn also has a clinical practice specializing in trans young people and their families, and couples therapy. Shawn teaches at Alliant International University in California, School of Professional Psychology and helped develop the Rockway Institute's LGBTQ Human Services Certificate, as well as being the first to teach a semester long Transgender Mental Health course for Psychology graduate students. Shawn does ongoing research in collaboration with Kaiser Permanente and Emery University, doing consultation on issues in trans health.

May 3

57 min 20 sec

In this episode, Dossie describes her latest endeavor where she and her colleague have been leading six-week group workshops for survivors of sexual abuse, as well as six-week groups for sexual violence offenders. Among many topics, she discusses the need for broader open communication about sex, consent, and the nuances of working with sexual violence transgressors. Dossie also discusses her work with individuals in open, polyamorous, and BDSM relationships, and the concepts of attachment, consent, communication, and healing aspects of BDSM. ​ Dossie Easton, LMFT is the author of The Ethical Slut: A Practical Guide to Polyamory, Open Relationships & Other Adventures, as well as four other books on various aspects of BDSM, sex, and relationships, all co-authored by Janet W. Hardy. Dossie is also a licensed marriage and family therapist in the San Francisco Bay Area, specializing in working with trauma survivors. She works iwth alternative sexualities and open relationships, and serves the polyamorous, gender-diverse, and LGBTQ communities. She is also a speaker on the topic of cultural competency with couples and individuals in the BDSM community. Recently, she has been running separate six-week groups for survivors, and transgressors of sexual abuse called Navigating Consent: Helping Build a More Consensual Future.

Apr 26

57 min 5 sec

In this episode, Lynn discusses her work with children and families, and how she developed her approach that integrates family systems, hypnosis, and cognitive behavioral therapy. She discusses working with children and adolescents with anxiety, and how she focuses on the pattern, and helping the clients to see how they are "doing the disorder", and interrupt that pattern, as opposed to focusing on the content of the anxiety. She identifies what skills the family is needing, and helps them develop those to not let worry and anxiety run the family. Lynn Lyons, LICSW is a psychotherapist, author, and speaker with a special interest in interrupting the generational patterns of anxiety in families. Lynn is the co-author with Reid Wilson of Anxious Kids, Anxious Parents and the companion book for kids Playing with Anxiety: Casey's Guide for Teens and Kids. She is the author of Using Hypnosis with Children: Creating and Delivering Effective Interventions and has two DVD programs for parents and children. Lynn also hosts her own podcast, FlusterClux, where she helps parents and families with anxiety. She is in private practice in Concord, New Hampshire where she sees families, and she speaks regularly to parent groups, schools, and clinicians.

Apr 5

51 min 32 sec

In this episode, Dr. Walser talks about her career and how it lead her to becoming interested in, and becoming a researcher and author in the Acceptance Commitment Therapy (ACT) Approach. Robyn discusses how ACT resonated with her, and how she has gone on to develop the approach in working with clients with PTSD. She discusses the concepts of ACT, gives an example of the "chessboard metaphor", and talks about her current work in the area of moral injury, and discusses her recent publications. Robyn also talks about her application of ACT to couples therapy. Robyn Walser, Ph.D. is Director of TL Consultation Services and co-director of the Bay Area Trauma Recovery Center and staff at the National Center for PTSD, Dissemination and Training Division. As a licensed psychologist, she maintains an international training, consulting and therapy practice. She is an expert in Acceptance and Commitment Therapy (ACT) and has co-authored 6 books on ACT including The Heart of ACT: Developing a Flexible, Process-Based, Client Centered Practice Using Acceptance and Commitment Therapy and The ACT Workbook for Anger. She also has expertise in traumatic stress and substance abuse and has authored a number of articles, chapters and books on these topics.

Mar 29

53 min 29 sec

In this episode, Jaqueline Persons, Ph.D. discusses conducting research in private practice and contributing to the scientific literature. One important way clinicians can contribute to research is by She explains the importance studying of using data from practice settings to examine the role of cultural and other diversity in the treatment process, as many research studies have a lack of cultural diversity in the populations being studied. Dr. Persons values evidence based treatment and as the director of the Oakland Cognitive Behavioral Therapy Center, works with her team to collect data, study the process and research outcome of treatment, and publish their findings in scientific journals. She discusses her career in Cognitive Behavioral Therapy, and her work around individualizing Cognitive Behavioral Therapy for clients. Dr. Persons talks about the importance of studying whether the evidence -based practices are fitting for clients of nondominant cultures, and really understanding and connecting with clients to find a treatment that works for them. Jacqueline B. Persons, Ph.D. is the director of the Oakland Cognitive Behavioral Therapy Center and works with clients using Cognitive Behavioral Therapy (CBT). Dr. Persons is author of the book, The Case Formulation Approach to Cognitive Behavioral Therapy and has published numerous articles and two other books. Additionally, she is the past president of the Association for Behavioral and of Cognitive Behavioral Therapists, is a clinical professor in the Department of Psychology at the University of California, Berkeley, and has published a video series through the American Psychological Association in which she and her co-authors teach the basic skills of of clinicians to learn Cognitive Behavioral Therapy.

Mar 15

44 min 10 sec

Muniya Khanna, Ph.D., discusses the next step in her career, which is helping get the tools of effective treatment into the hands of parents who want to help their children. She discusses her career in treatment and research, working with Martin Seligman, Ph.D. researching Cognitive Behavioral Therapy (CBT), and her work with Philip Kendall, PhD. researching his CBT treatment for children, Coping Cat. Muniya tells about her interest in technology, and her work with Phil to make a computer program, and now an online program for kids to learn CBT, which is evidence based and used widely in schools and is now available for parents. She also discusses her work with University of Pennsylvania where she was on faculty, and participated in the research related to children and OCD, as well as young children and OCD. She explains that her new passion is in getting the Cognitive Behavioral Therapy tools for kids into the hands of parents through writing a book for consumers. She discusses her Worry Workbook, and her upcoming book which discusses five evidence based principals of resiliency that are effective transdiagnostically. Muniya Khanna, Ph.D. is a clinical psychologist specializing in CBT for anxiety disorders and OCD. Dr. Khanna is a pioneer in web-based mental health research for anxiety disorders. In partnership with her mentor, Dr. Philip Kendall, she developed and tested Camp Cope-A-Lot, She is currently conducting 2 large-scale clinical trials, funded by NIH and NICHD, focused on the dissemination and implementation of evidence-based treatments for anxiety in urban public schools. Dr. Khanna has authored numerous books and research publications, has been on faculty, is on the review board of journals, and boards of the American Psychological Association. She is Founder and Director of the OCD & Anxiety Institute in Pennsylvania and Research Scientist at the Children’s Hospital of Philadelphia.

Feb 25

53 min 47 sec

In this interview, Guy Diamond discusses his personal journal in developing Attachment Based Family Therapy, a proven, effective treatment, that helps adolescents with depression, trauma, suicide, and anxiety, as well as LGBTQ adolescent young adults and their families. Dr. Diamond discusses how, through clinical practice and research, he and his collogues learned to make those profound, heartfelt moments in family therapy happen more often in a more purposeful, and predictable manner, event in a brief treatment model. These healing sessions activate the parents’ natural caregiving instinct, matched with the adolescents’ attachment need, to rebond the parent-child, creates a family safety net. This builds the foundation of trust and connection needed for adolescents to effectively solve problems and overcome life's adversity. Dr. Diamond discusses how this process oriented, emotionally focused, has been manualized and evaluated in several clinical trials. Additionally, Dr. Diamond talks about cutting edge treatment development and research with ABFT and adolescents diagnosed with eating disorders. Guy S. Diamond Ph.D. is Professor Emeritus at the University of Pennsylvania School of Medicine and Associate Professor at Drexel University in the College of Nursing and Health Professions. At Drexel, he is the Director of the Center for Family Intervention Science (CFIS) and the Director of the Ph.D. program in the Department of Couple and Family Therapy. He has received several federal, state and foundation grants to develop and test this model. Dr. Diamond is the author, with his co-authors, Drs. Gary Diamond and Suzanne Levy, of the book, Attachment-Based Family Therapy for Depressed Adolescents, and continues to develop and implement the ABFT model.

Jan 19

56 min 37 sec

Domestic violence often leads a therapist to determine that couples therapy is "contra-indicated", which may lead to treatment that could be helpful not being utilized. In this interview, John Hamel, PhD, LCSW discusses what the research tells us, and how his entry into the field of working with men who were domestically violent began with a model that was focused on men enforcing a patriarchy on women, but has evolved to consider the many ways that abuse manifests itself, from escalating conflicts fueled by poor impulse control and communication skills, to a pattern of domineering behaviors intended to control the partner, typically involving a personality disorder. John discussed how often men are vilified, and women are identified as helpless "victims", although the problem is much more complex. John explains how working with the couple together, the men individually, or in a group should be assessed, and that actually, working the couple may be a very effective means of repairing the couples' relationship and overcoming violence and anger problems. John Hamel, PhD, LCSW has authored several books on domestic violence including Gender-Including Treatment of Intimate Partner Abuse, Family Interventions in Domestic Violence, Intimate Partner and Family Abuse: A Casebook of Gender-Inclusive Therapy, and is currently editing the upcoming book, Beyond the Gender Paradigm: A Legal Primer on Evidence-Based Criminal Justice Approaches to Intimate Partner Violence. John provides therapy, oversees an anger management program, is an expert witness, teacher, and author. He has published numerous books, chapters, and peer reviewed research on the topic of domestic violence. For more information, you can go to his website at: www.johnhamel.net

Jan 17

1 hr 22 min

Psilocybin (or magic mushrooms as it is commonly called) was used and researched in the treatment of mental health disorder extensively in the 50s and 60s, but stopped as the substance became illegal. Today, psilocybin has been named a "breakthrough treatment" by the FDA for the treatment of depression and other mental health disorders and is on track to be legalized for medical use. James Keim, LCSW discussed how psilocybin assisted therapy creates neuroplasticity, and helps clients change their brain. James Keim, LCSW is the founder of Mimosa Technologies, Inc., which uses bioreactors to grow research grade, natural psilocybin, rather than the synthetic psilocybin which is most widespread. He was the clinical director for Jay Haley and Cloe Madanes, the developers of Strategic Family Therapy, has published his work on Oppositional Defiant Disorder, and heads the Institute for the Advancement of Psychotherapy's Oppositional and Conduct Disorder Clinic. James Keim in addition to teaching at the IAP, he also teaches family therapy in Vietnam, Cambodia, and Thailand. ​

Nov 2020

46 min 11 sec