444: I'm angry! Live Work with Sunny, Part 2

444: I'm angry! Live Work with Sunny, Part 2

I'm angry! A Once-Undocumented
Immigrant Speaks from the Heart-- Live Work with Sunny, Part 2 Last week you heard Part 1 of the Live work with Sunny, who's struggling with radically conflicting emotions. On the one hand, he has finally achieved his dream of an incredibly happy and fulfilling life, but he is frequently plunged into profound despair, fear, and anger because of the increasingly adverse political climate for people who are "different"—in gender identity, sexual orientation, nationality, political beliefs, skin color, and more. And he is shocked, fearful, and angered by the mean-spirited treatment so many are receiving—and which Sunny has endured throughout much of his life as well. Today, you will hear about how we set the A = agenda for our session with Sunny, along with the M = Methods we used. You can find Sunny's goals for each negative feeling at the end of the Positive Reframing, and at the end of M = Methods, if you Click here His scores on the Empathy and Helpfulness Scales in the Evaluation of Therapy Session were perfect. Here are some of the take-home lessons from this session with Sunny. 1. Unhealthy negative feelings result from distorted negative thoughts, like "I'll be miserable forever." Healthy negative feelings, in contrast, result from thoughts that are realistic and, for the most part, undistorted. Healthy negative feelings do not usually require any kind of "treatment," but skillful empathic listening and support will nearly always be appreciated. 2. Empathy can be very powerful, and it is absolutely necessary for a meaningful therapeutic relationship, but empathy alone is not enough to change the way someone feels. 3. Finding compassion for someone who has harmed you, while extremely challenging, can also bring you peace. 4. Emotions such as anger, sadness, and anxiety are important protective instincts. And one can feel these emotions and be compassionate and loving at the same time. 5. As a therapist it can be tempting to either assume that you can't help a patient because their feelings are "normal," or to try to cheerlead or problem-solve for a patient to cheer them up, but the TEAM-CBT model allows us to collaborate with the patient, understand when and how they want to change, honor their resistance to change, and offer them the tools they need to change in a way that honors their values. Thank you so much for listening and joining us. Rhonda, Jill and I are deeply indebted to you, Sunny, for your courage and vulnerability last week and today, letting us into your world on such a personal level. We love you and will always be grateful to have you in our lives, both professionally and personally! Sunny, Rhonda, Jill, and David

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035: Live Session (Mark) — Final Testing, Wrap Up (Part 7)

035: Live Session (Mark) — Final Testing, Wrap Up (Part 7)

This is the last live therapy podcast with Mark, the physician who was convinced he was a failure as a father because of his difficulties forming a close, loving relationship with his oldest son. Alth...

8 Touko 201748min

034: Live Session (Mark) — Methods Phase, cont'd. (Part 6)

034: Live Session (Mark) — Methods Phase, cont'd. (Part 6)

Using the Externalization of Voices, which is arguably the most powerful Cognitive Therapy technique ever created, David & Jill continue encouraging mark to challenge his negative thoughts. The goal o...

1 Touko 201744min

033: Live Session (Mark) — Methods Phase (Part 5)

033: Live Session (Mark) — Methods Phase (Part 5)

David and Jill begin using M = Methods to challenge the Negative Thought Mark wants to work on first: "There must be something defective in my brain that prevents me from forming a loving relationship...

24 Huhti 201749min

032: Live Session (Mark) — Agenda Setting Phase (Part 4)

032: Live Session (Mark) — Agenda Setting Phase (Part 4)

Jill and David encourage Mark to develop his list of positives. Mark draws a blank at first. This is very common among patients and therapists alike. Most of us have not been trained to think about de...

17 Huhti 201735min

031: Live Session (Mark) — Agenda Setting Phase (Part 3)

031: Live Session (Mark) — Agenda Setting Phase (Part 3)

In the early days of my career, I (Dr. Burns) would have assumed that Mark definitely wanted to change--after all, he'd been in a lot of pain for a long time, and he came to the session because he wan...

10 Huhti 201731min

030: Live Session (Mark) — Empathy Phase (Part 2)

030: Live Session (Mark) — Empathy Phase (Part 2)

After reviewing Mark's scores on the Brief Mood Survey, the Empathy phase of the session unfolds. During this phase of the session, David and Jill will not try to help, rescue, or save Mark. They will...

3 Huhti 201747min

029: Live Session (Mark) — Introduction & Testing Phase (Part 1)

029: Live Session (Mark) — Introduction & Testing Phase (Part 1)

This is the first in a series of podcasts that will feature live therapy. As you listen, you'll have the opportunity to peak behind closed doors to see how TEAM-CBT actually works in a real-world sett...

27 Maalis 201730min

028: Scared Stiff — The Motivational Model (Part 6)

028: Scared Stiff — The Motivational Model (Part 6)

The key is bringing the patient's subconscious resistance to conscious awareness, and melting it away with paradoxical techniques. This is absolutely critical if you are hoping to see a complete elimi...

20 Maalis 201746min

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