058: Ask David — Third-Wave Therapies & Exposure for OCD

058: Ask David — Third-Wave Therapies & Exposure for OCD

David and Fabrice begin by reading several incredibly touching reader comments on the live therapy with Marilyn. Marilyn experienced a severe depression relapse eight weeks after her initial session with Matt and David, because of a painful metastasis to her rib cage which frightened and demoralized her. She graciously agreed to come in for a tune-up with David and Matt which will be published as a special podcast within the next week or so. You will not want to miss this session!

David addresses two questions posed by listeners. The first question has to do with so-called "third wave" CBT as well as Mindfulness-Based CBT and other innovations in CBT. David stresses the difference between specific and non-specific therapeutic techniques. He also discusses the distressing but exciting fact that few or no therapies have proven to be much more effective than placebos in the treatment of depression, and why this is the case.

Another listener asked why David did not use Exposure initially in his treatment of the woman who was afraid that her baby would be switched at the hospital, and that she'd end up with the wrong baby. David concedes that if he'd thought of using Cognitive Flooding initially, it likely would have been effective. He also argues that Exposure and Response Prevention are not treatments for OCD, or for any anxiety disorder, but are simply tools one can use in treatment. David argues that for an optimal outcome, he combines four treatment models with every anxious patient: the Motivational Model, the Cognitive Model, the Exposure Model, and the Hidden Emotion Model. These models are discussed in detail on previous podcasts.

Jaksot(512)

008: M = Methods (Part 2) — You Can CHANGE the Way You FEEL

008: M = Methods (Part 2) — You Can CHANGE the Way You FEEL

A session with a severely depressed, suicidal, hospitalized woman with rapidly cycling bipolar illness, who'd had 15 years of failed treatment with drugs and psychotherapy.

12 Marras 201633min

007: M = Methods (Part 1) — You FEEL the Way You THINK

007: M = Methods (Part 1) — You FEEL the Way You THINK

The three basic principles of CBT: Negative feelings, like depression, anxiety, and anger, do not result from what happens to us, but rather from our thoughts about what's happening. In fact, our tho...

9 Marras 201634min

006: Ask David — Identity Crisis; Finding a CBT Therapist; Love Me the Way I Am

006: Ask David — Identity Crisis; Finding a CBT Therapist; Love Me the Way I Am

Responses to questions submitted by listeners: What causes an "identity crisis?" And how do you treat it? Why is it so hard to find a therapist trained in cognitive therapy? In a relationship, should...

6 Marras 201625min

005: A = Agenda Setting (Part 2) — How to Overcome Therapeutic Resistance: "Dr. Burns, I think I need help with my low self-esteem!"

005: A = Agenda Setting (Part 2) — How to Overcome Therapeutic Resistance: "Dr. Burns, I think I need help with my low self-esteem!"

Dr. Burns suddenly abandons the role of healer and instead assumes the role of the patient's angry, paranoid and defiant resistance.

3 Marras 201636min

004: A = Agenda Setting (Part 1) —The Eight Most Common Forms of Therapeutic Resistance

004: A = Agenda Setting (Part 1) —The Eight Most Common Forms of Therapeutic Resistance

What is therapeutic resistance? You will find out that therapeutic resistance is NOT what you were taught in graduate school or read about in the writings of Sigmund Freud! You will also discover why ...

31 Loka 20161h 3min

003: E = Empathy — Does It Really Make a Difference?

003: E = Empathy — Does It Really Make a Difference?

How an encounter with a patient with paranoid schizophrenia dramatically changed the course of his career The 5 Secrets of Effective Communication How to talk with your EAR Dr. Burns also discusses w...

29 Loka 201639min

002: T = Testing — A Boring Topic with Exciting Implications

002: T = Testing — A Boring Topic with Exciting Implications

In this podcast, Dr. David Burns describes the "Testing" part of the T.E.A.M. model. Topics include: The shocking results of a study of therapist accuracy at Stanford Why therapists who don't test us...

28 Loka 201643min

001: Introduction to the TEAM Model

001: Introduction to the TEAM Model

In this podcast, Drs. Fabrice Nye and David Burns discuss an exciting breakthrough in psychotherapy. Leave your questions and comments below. Also, let us know if you'd like to see certain topics addr...

27 Loka 201630min

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