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It is a troubling time to be a therapist. Despite decades of powerful evidence that psychotherapy works, and tremendous advances in both policy and technology making therapy available to more of those who need it, the number of people actually going to therapy is flat or even declining. While training to be a therapist continues to get more expensive, therapists' salaries aren't even keeping up with inflation.Saving Psychotherapy addresses some of the troubling realities behind these truths. There is strong data to suggest:- The field avoids claiming meaningful values, leaving clients uncertain about the kind of guidance and support - if any - they will receive- The modern training process for therapists rewards wealth much more than merit- Many therapists express an open hostility to science and knowledge, even when it supports our work- There is little accountability for therapists to ever prove that they know what they're doing- Therapists are generally uninvolved in public debate, freely giving up their roles as society's experts on mental health and positive changePsychotherapy deserves a brighter future than the one we're on track for. And the first step toward getting that brighter future is for individual therapists at all career levels to take personal responsibility for it. In this data-driven, unflinching, and relentlessly optimistic look at the state of psychotherapy today, you will learn simple steps any therapist can take to make your practice more reputable and successful -- while improving the health and reputation of the entire field.
A hard-hitting critique of how managed care and the selective use of science to privilege quick-fix therapies have undermined in-depth psychotherapy—to the detriment of patients and practitioners In recent decades there has been a decline in the quality and availability of psychotherapy in America that has gone largely unnoticed—even though rates of anxiety, depression, and suicide are on the rise. In Saving Talk Therapy, master therapist Dr. Enrico Gnaulati presents powerful case studies from his practice to remind patients and therapists alike how and why traditional talk therapy works and, using cutting-edge research findings, unpacks the problematic incentives in our health-care system and in academic psychology that explain its decline. Beginning with a discussion of the historical development of talk therapy, Dr. Gnaulati goes on to dissect the factors that have undermined it. Psychotropic drugs, if no longer thought of as a magical cure, are still over-prescribed and shunt health-care dollars to drug corporations. Managed-care companies and mental health “carve outs” send health-care dollars to administrators, drive many practitioners away, and over-burden those who remain. And drawing back the curtains on CBT (cognitive behavior therapy), Dr. Gnaulati shows that while it might be effective in the research lab, its findings are of limited use for the people’s complex, real-world emotional problems. Saving Talk Therapy is a passionate and deeply researched case for in-depth, personally transformative psychotherapy that incorporates the benefits of an evidence-based approach and psychotropic drugs without over-relying on them.
From "the most powerful psychiatrist in America" (New York Times) and "the man who wrote the book on mental illness" (Wired), a deeply fascinating and urgently important critique of the widespread medicalization of normality Anyone living a full, rich life experiences ups and downs, stresses, disappointments, sorrows, and setbacks. These challenges are a normal part of being human, and they should not be treated as psychiatric disease. However, today millions of people who are really no more than "worried well" are being diagnosed as having a mental disorder and are receiving unnecessary treatment. In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, warns that mislabeling everyday problems as mental illness has shocking implications for individuals and society: stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation. We also shift responsibility for our mental well-being away from our own naturally resilient and self-healing brains, which have kept us sane for hundreds of thousands of years, and into the hands of "Big Pharma," who are reaping multi-billion-dollar profits. Frances cautions that the new edition of the "bible of psychiatry," the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), will turn our current diagnostic inflation into hyperinflation by converting millions of "normal" people into "mental patients." Alarmingly, in DSM-5, normal grief will become "Major Depressive Disorder"; the forgetting seen in old age is "Mild Neurocognitive Disorder"; temper tantrums are "Disruptive Mood Dysregulation Disorder"; worrying about a medical illness is "Somatic Symptom Disorder"; gluttony is "Binge Eating Disorder"; and most of us will qualify for adult "Attention Deficit Disorder." What's more, all of these newly invented conditions will worsen the cruel paradox of the mental health industry: those who desperately need psychiatric help are left shamefully neglected, while the "worried well" are given the bulk of the treatment, often at their own detriment. Masterfully charting the history of psychiatric fads throughout history, Frances argues that whenever we arbitrarily label another aspect of the human condition a "disease," we further chip away at our human adaptability and diversity, dulling the full palette of what is normal and losing something fundamental of ourselves in the process. Saving Normal is a call to all of us to reclaim the full measure of our humanity.
Is it possible to effect deep, lasting, meaningful psychological change in a short period of time?
What’s sort of funny when something horrific happens is that nothing happens to the rest of the world. The cars still drive, the planes still fly... everything just continues. And that’s probably the best gift we have. Because, for the most part, there’s no right or wrong way to do things – life becomes whatever you make it.
"The title of this book captures one of the most commonly explored issues that I have dealt with in my office over the past three decades as a practicing clinical psychologist." Thus begins Dr. Broder's wise and compassionate guide to assessing a faltering love relationship, and answering the fundamental question asked by the book's title. Broder addresses individuals and couples in marriages, or any other type of love relationship or romance -- long- or short-term, and of any sexual orientation. His 40-item "Can Your Relationship Be Saved?" Inventory asks the rights questions. But readers are not left there. The chapters that follow gently guide them in exploration of what is likely to happen if...' What if I go? What if I stay? Readers will find direction in answering those questions for themselves, and the information and strategies to help them act on their decisions. Can Your Relationship Be Saved? speaks--in a warm, unabashedly upbeat and optimistic manner--directly to the painful ambivalence that results when you are unable to determine how you really feel. Broder's guidance is packed with practical road maps and direction finders, avoiding glibness, cliches, pat answers or "someone else's value judgments that will rarely hold up for you in the end."
'Saving the Modern Soul' explores the impact of therapeutic discourse on our lives & on our contemporary notions of identity. Eva Illouz examines how self-help culture has transformed emotional life & how therapy complicates individuals' lives even as it claims to dissect their emotional experiences.
Lessons from the personal experience and reflections of a therapist. The difficulty and cost of training psychotherapists properly is well known. It is far easier to provide a series of classes while ignoring the more challenging personal components of training. Despite the fact that the therapist's self-insight, emotional maturity, and calm centeredness are critical for successful psychotherapy, rote knowledge and technical skills are the focus of most training programs. As a result, the therapist's personal growth is either marginalized or ignored. The Making of a Therapist counters this trend by offering graduate students and beginning therapists a personal account of this important inner journey. Cozolino provides a unique look inside the mind and heart of an experienced therapist. Readers will find an exciting and privileged window into the experience of the therapist who, like themselves, is just starting out. In addition, The Making of a Therapist contains the practical advice, common-sense wisdom, and self-disclosure that practicing professionals have found to be the most helpful during their own training.The first part of the book, 'Getting Through Your First Sessions,' takes readers through the often-perilous days and weeks of conducting initial sessions with real clients. Cozolino addresses such basic concerns as: Do I need to be completely healthy myself before I can help others? What do I do if someone comes to me with an issue or problem I can't handle? What should I do if I have trouble listening to my clients? What if a client scares me?The second section of the book, 'Getting to Know Your Clients,' delves into the routine of therapy and the subsequent stages in which you continue to work with clients and help them. In this context, Cozolino presents the notion of the 'good enough' therapist, one who can surrender to his or her own imperfections while still guiding the therapeutic relationship to a positive outcome. The final section, 'Getting to Know Yourself,' goes to the core of the therapist's relation to him- or herself, addressing such issues as: How to turn your weaknesses into strengths, and how to deal with the complicated issues of pathological caretaking, countertransference, and self-care.Both an excellent introduction to the field as well as a valuable refresher for the experienced clinician, The Making of a Therapist offers readers the tools and insight that make the journey of becoming a therapist a rich and rewarding experience.
Sara Schley is the founder of a consulting business and has worked with hundreds of renowned companies worldwide. She's a proud mother, grandmother, community leader and has been married for twenty-six years. She also has a bipolar II brain. Fearing the stigma, she kept this secret for decades. Until now. In her acclaimed memoir BrainStorm: From Broken to Blessed on the Bipolar Spectrum, Sara tells her life-changing story to help end the bipolar stigma, optimize brain health, and save lives. At twenty-one, as a senior in college, Sara was a scholar-athlete who seemed to have it all. Then, like the flip of a switch, she had her first brain breakdown: A tailspin into a living hell. It was terrifying. It took her twenty-five years and five psychiatrists to get the diagnosis that saved her life: Sara is on the bipolar spectrum with a bipolar II brain. If you've never heard of the bipolar spectrum, you're not alone: Most healthcare professionals still don't know it exists. Misdiagnosis results and the wrong medications make broken brains worse. However, bipolar exists on a broad spectrum. Understanding this changes everything: With the correct diagnosis, medication, support, and self-care, people who have experienced severe, persistent depression-which is actually a form of bipolar-can live rich, full lives. Sara's life is proof. The self-care disciplines Sara has honed over forty years of living with her bipolar II brain can help anyone who experiences anxiety, stress, or depression heal. Read this book to transform your life or that of someone you love.
In this groundbreaking new book, a Harvard-trained neurologist shows how you can attain lifelong mental fitness. Utilizing the latest breakthroughs in research, Dr. Jeff Victoroff has developed a definitive, life-changing plan that provides you with the powerful, scientifically based methods you need to protect your brain from aging and memory loss. Starting today, you too can save your brain. If you are over forty years old, you already know the bad news: names may be harder to remember; a word may sometimes elude you as you speak; you may sometimes misplace your glasses, your car keys (or even your car!). But medical research is lifting the veil of mystery off the process of brain aging and offering up strong evidence that you do not necessarily have to accept deteriorating brain function as you get older. From the benefits of exercise to the effects of stress relief, from what you eat and drink to the kind of work you do, from the natural substances that are most likely to help to the new medications your doctor can prescribe, this book outlines literally hundreds of preventive measures you can take to keep your mind sharper, stronger, and healthier your whole life. Among the many topics covered in this book are: * Amazing new studies revealing who is most likely to get Alzheimer's disease--and how we can all reduce our risk * Powerful evidence showing how the Brain-Saving Diet can boost your defenses against memory loss * How stress, depression, anger, and low self-esteem can literally threaten the structure of our brains, and what we should all be doing about it * The surprising discovery that inflammation is slowly cooking our brain cells, and how we can stop it * The two ways you can literally add new brain cells! A book that will change the way you live, eat, and work, Saving Your Brain is a wake-up call to those people who have long since learned the wonders of taking care of their body--and now have the very real chance to provide the same lifesaving care for their brain.