BiteSize Therapy @bitesizetherapy
Psychologist by day. Personal thoughts, not professional advice. An account for therapists. Let’s call it a therapeutic town square. Canada Joined April 2010-
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✅ A few good signs might be: - Tries to understand a problem before going about solving it - Endeavors to form a working alliance (shared goals, tasks, methods) - Realistic - Appropriate balance between warmth and challenge - Sturdy, consistent, professional
✅ A few good signs might be: - Tries to understand a problem before going about solving it - Endeavors to form a working alliance (shared goals, tasks, methods) - Realistic - Appropriate balance between warmth and challenge - Sturdy, consistent, professional
Ideas must stand and fall on their merits, not on the prestige or power of their proponents…Open-minded does not mean empty-headed. Evidence must always be weighed. - Warren Poland
A given analyst’s technique is character rationalized…My view of the divisions between theoretical groups is that they are based primarily on character traits. - Lee Grossman
Experienced clinicians often say that what happens in the first session will appear throughout the treatment. This is true for all early encounters, so watch opening gambits carefully. How we begin tells us how things will go or end, whether we are aware of it or not.
When it comes to motives and intent, I am a behaviorist. Truth is action, not words.
The refusal to fit into neat categories is what gives psychoanalysis its edge, its astute capacity for reflection and critique. But it also creates an uncomfortable tension and anxiety that is too often handled by splitting. - Aron & Starr
2/ Helping other professionals with their patients is the most effective way I have found to convey the value of our tradition. We can let colleagues know how we might construe and address their clinical problems, and we can recommend books and articles in our literature...
I work from a psychodynamic perspective, but am not a psychoanalyst. I'm enthusiastic about psychoanalytic theory, but not at all expert. I'm common and that's the point. If psychodynamic theory isn't available to everyone, it will soon be available to no one.
Masochism is sadism in retreat. - Theodor Reik
If you’ve ever wanted to see a psychiatrist drop the mic, read this article. A triumph by @awaisaftab
If you’ve ever wanted to see a psychiatrist drop the mic, read this article. A triumph by @awaisaftab
I have been sensitive all my life to how men construe women, especially the tone in which they depict us…I have come to understand respect as an attitude of openness to learning from someone else. - Nancy McWilliams
What psychotherapy can't do: A lot of things. What psychotherapy therapy can do: a) Help patients to identify obstacles that they might put in their own way b) Develop a plan for moving these obstacles out of the way
Jonathan Shedler @JonathanShedler
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761 Followers 326 Following Early career psychiatrist & psychotherapist building a private practice in DC. All ages welcome. Le surrealisme est-il le communisme du génie?Some other considerations when assessing your therapy/therapist…
There are at least 600 “brands” of psychotherapy--a figure that is almost certainly growing. How to spot the hype? Try this checklist. While even well-established therapies can be over-hyped, more warning signs should ring more alarm bells. psycnet.apa.org/record/2018-05…
The revolution will be catered
Reporter grills Columbia student after she demands the university help feed protestors occupying Hamilton Hall: "It seems like you're saying, 'we want to be revolutionaries, we want to take over this building, now would you please bring us some food'."
No such issues for Kermit the Frog. His clothes hang beautifully and smoothly while still giving a distinctive, flattering silhouette.
This is pretty disgusting. The only thing we should take from our patients is the fee
Part of an unsolicited email from some unethical therapist marketer or scammer “Building a monetizable email lists of clients/patients” is EXACTLY what legit a therapist would never do EVER
Just tried out an outdoor brewery with my friends and their kids (5yo, 1.5 yo, and an 8mo). The 5 year old had all of us dancing to the band. We’re bringing games next time and will spend the entire afternoon there. 10/10 experience 🌟🌟🌟🍻
STOP BRINGING YOUR KIDS TO BREWERIES IM TRYING TO RELAX
Part of an unsolicited email from some unethical therapist marketer or scammer “Building a monetizable email lists of clients/patients” is EXACTLY what legit a therapist would never do EVER
“You should be kissed and often, and by someone who knows how.” —Rhett Butler
/8 more -doesn’t offer regular/standing appointment time (eg, schedules apts. on ad hoc basis) -doesn’t begin & end on time -deflects or gets defensive when you express dissatisfaction w therapy -communicates (directly or indirectly) that it’s not okay to be or angry w them
Clinicians are not technicians. Psychotherapy creates a space for the patient to have an experience that is often emotionally charged. We are not mechanics who dole out techniques.
Another strikeout for pharmacogenomic testing. Clinical judgment, not gene testing, remains the standard of care in antidepressant treatment. tps://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.20230657
@Goodtweet_man Ok but where can I go to bet on whether it’s a serious problem?
@JonathanShedler Some from an earlier thread…
1/ I made a list a while ago, about therapy🚩 that should make you think long & hard about whether you’re seeing right therapist Starting another, please add -agrees with nearly everything you say -diagnoses people in your life -gives you advice -mawkish displays of “empathy"
4/ -claims to know in advance how long it will take to resolve your difficulties -engages in any activity during therapy sessions other than doing therapy -hugging, holding, physical touching -refer to any intervention or method as "proven" or "scientifically proven"
@darrenm__ Gabbard (THE expert and decades long researcher/consultant/writer on the topic of boundary violations in therapy): “Don’t do that.” Barsness:
I've known many leaders of different schools of #psychotherapy. Striking how similar they are in personality & their work with patients. Differences between therapies are more at level of jargon & theory than actual practice. Past time to unify therapies/End competing splits.
A given analyst’s technique is character rationalized…My view of the divisions between theoretical groups is that they are based primarily on character traits. - Lee Grossman
Sooo.... too soon with the patio furniture? Gotta love #YEG!
Despite limitations of the phrase “wounded healers” this is an excellent short listen; nuanced practical tips re interviewing & diagnostic skills. Helpful for almost any clinician, regardless of experience level. @chrisaikenmd podcasts.apple.com/us/podcast/the…