092: Feeling Good Now

092: Feeling Good Now

David and Stephanie James, part 1

Hi everybody!

I recently did the first of three interviews with Stephanie James on her superb radio show and podcast, The Spark.  Here’s how Stephanie described the interview (with minor changes):

We have amazing power within us to change our thoughts, our feelings, our actions, and our lives.

This episode is an inspirational way to take control of your automatic negative thoughts today and transform them in order to create a more joyful present and a more fulling future.

Join us as we talk with the legendary Dr. David Burns about how we can break through the old thinking habits that bind us and begin to live a more happy, harmonious life where we can feel good now.

Stephanie is a superb therapist and dynamic radio personality from Colorado. It was an honor to be on her show. She is co-authoring a book on how to live a “spark-filled life.” It should be completed soon, so you’ll likely be hearing from Stephanie a lot next year!

Following the interview, Stephanie visited my Tuesday training group at Stanford and participated in one of our Feeling Good Podcasts with some students in the group. She suggested we might want to broadcast the Tuesday group live so that therapists from all over the world could join us. We are thinking about that, but will have to check with the powers that be to see if we could get permission to broadcast from Stanford, as well as our Tuesday group members who may have mixed feelings, due to the intensely personal nature of the training.

Let me know what you think about this idea!

My second interview with Stephanie was on the evolution of traditional Cognitive Behavioral Therapy (CBT) into the new TEAM-CBT. Fabrice and I will publish it for you shortly. My third interview with Stephanie will be on the interpersonal TEAM model—how to convert conflicted relationships into loving, rewarding ones.

* Copyright © 2018 by David D. Burns, MD

 

Fabrice and I hope you like our Feeling Good Podcasts, and also hope you can leave some positive comments for us and five star ratings if you like what we’re doing!

Subscribe

Attend a Summer Intensive!

This year, I am offering a July summer intensive in Whistler, Canada, and one in August at the South San Francisco Conference center. The intensives are almost always my most exciting and fun workshops of the year. Hope you can join us at one of these locations.

Here are some details:

Advanced Cognitive Behavioral Therapy: 

A Four-Day Intensive Training in TEAM-CBT

July 3 – 6, 2018 Whistler, BC, Canada

For more information, contact Jack Hirose & Associates Inc.
Phone: 604.924.0296, Toll-free: 1.800.456.5424

* * *

High Speed, Drug Free Treatment of Depression and Anxiety Disorders–

A Four-Day

Advanced TEAM-CBT Intensive

August 6 – 9, 2018, South San Francisco Conference Center, California

For more information, click here, or call IAHB.org at 800-258-8411

If you can only attend one of my workshops, consider attending one of these intensives!

 

 

 

091: The Celebration of Failure

091: The Celebration of Failure

Feeling Good: The Real Story

Hi everybody!

In the interview with Roy Germano in the last podcast you learned about how challenging it was to get my first book, Feeling Good, published. In this podcast, you’ll hear the story of what happened after it was published.

I had a magical fantasies of what would happen once I was an “author.” The reality was quite the opposite and quite painful, with almost endless rejections accompanied by feelings of self-pity and defeat. For example, soon after publication, I learned my book was at the top of my publisher’s “loser list.” Then I discovered that magazines, newspapers, and TV and radio shows had no interest in it whatsoever.

I hope you enjoy the story. It’s all about the celebration of failure and the conversion of failure into success.

* Copyright © 2018 by David D. Burns, MD

Fabrice and I hope you like our Feeling Good Podcasts, and also hope you can leave some positive comments for us and five star ratings if you like what we’re doing!

Subscribe

Attend a Summer Intensive!

This year, I am offering a July summer intensive in Whistler, Canada, and one in August at the South San Francisco Conference center. The intensives are almost always my most exciting and fun workshops of the year. Hope you can join us at one of these locations.

Here are some details:

Advanced Cognitive Behavioral Therapy: 

A Four-Day Intensive Training in TEAM-CBT

July 3 – 6, 2018 Whistler, BC, Canada

For more information, contact Jack Hirose & Associates Inc.
Phone: 604.924.0296, Toll-free: 1.800.456.5424

* * *

High Speed, Drug Free Treatment of Depression and Anxiety Disorders–

A Four-Day TEAM-CBT Advanced Intensive

August 6 – 9, 2018, South San Francisco Conference Center, California

For more information, click here, or call IAHB.org at 800-258-8411

If you can only attend one of my workshops, consider attending one of these intensives!

 

 

090: Interview from The Other Side

090: Interview from The Other Side

Finding Happiness without Antidepressants

Hi everybody!

I was recently interviewed by author, professor, and documentary filmmaker Roy Germano for his outstanding Other Side Podcast. Fabrice and I thought you might enjoy this interview, and Roy graciously gave us permission to share it with you.

You will get some personal glimpses into the early days of my career, including why I left academics to pursue a full-time private practice, along with some of controversies about antidepressants. You will also hear a story of what happened when I was trying, rather unsuccessfully, to get my first book, Feeling Good, published. It wasn’t easy, and it almost didn’t happen!

Roy is terrific and his podcasts cover a wide range of topics. You can find his podcasts on iTunes,

* Copyright © 2018 by David D. Burns, MD

 

Fabrice and I hope you like our Feeling Good Podcasts, and also hope you can leave some positive comments for us and five star ratings if you like what we’re doing!

Subscribe

At least one listener has had problems leaving an iTunes review from his i-phone, so Fabrice has created some simple to follow instructions if you need help.

Coming in June! One of my best two-day workshops ever!

Register Now!

“Scared Stiff: Fast, Effective Treatment for Anxiety Disorders”

A two-day workshop Sponsored by Jack Hirose & Associates

Mike Christensen and several others will be joining me at both locations to help out with supervision of the small group exercises. You’ll LOVE this workshop and you’ll learn TONS of powerful techniques to treat every type of anxiety. You’ll learn how to heal your clients and your own feelings of insecurity and self-doubt as well!

David

 

 

Enjoy David’s Fabulous Canadian Summer Intensive!*

Enjoy David’s Fabulous Canadian Summer Intensive!*

Coming in July! My annual Canadian summer intensive!

“Advanced Cognitive Therapy for
Depression and Anxiety Disorders”

Whistler, BC, Canada
July 3 – 6, 2018

This brief video will explain why you should attend!

For workshop description / registration details, click–Jack Hirose & Associates Inc.
Phone: 604.924.0296, Toll-free: 1.800.456.5424

You’ll LOVE this workshop and you’ll learn TONS of helpful techniques to treat depression, anxiety disorders, and habits and addictions.

You’ll have your evenings free to enjoy the beautiful Whistler countryside, and I will likely offer optional evening hikes as well, with opportunities for personal work and consultation.

You’ll learn how to heal your clients and your own feelings of insecurity and self-doubt as well!

Mike Christensen and several others will be joining me at Whistler to help out with supervision of the small group exercises. Mike and I will also be doing a live therapy demonstration with an audience volunteer on the morning of day 2. Mike is a tremendous teacher and therapist, and a highly esteemed friend and colleague.

I hope you can join us in Whistler!

Solution to David’s Tuesday Tip #3*

Solution to David’s Tuesday Tip #3*

Here’s yesterday’s paradoxical tip #3

Therapists’ perceptions of how patients feel–the severity of symptoms–tend to be extremely inaccurate, at best, but most therapists are not aware of this.

What does this mean? Is it true? And if so, what are the consequences?

Is there a solution to this problem? And what, if anything, does the solution have to do with the first of four “Great Deaths” of the therapists ego?

Here’s Dr. David’s solution

My research and clinical experience have indicated that therapists’ perceptions of how their patients feel, and their patients feel about them, can be (and usually are) extremely inaccurate. What this means, in practical terms, is that a patient may be feeling intensely depressed and even suicidal, and yet the therapist thinks the patient is doing well. Or, the patient may be doing reasonably well, but the therapist thinks he or she is still severely depressed.

This inaccuracy involves all the negative emotions–such as depression, anxiety, and anger–and all the positive emotions as well. But since most therapists do not routinely assess patients’ feelings with brief accurate tests at every session, therapist do no know how “off” their perceptions can sometimes be. And while I do not mean to be alarmist, this can sometimes result in a failure of the therapy, or even the death of a suicidal patient.

In addition, although most therapists feel they are experts at communication, my research and clinical experience have indicated that therapists perceptions of the therapeutic alliance are also typically way off. In addition, many therapists grossly overestimate their clinical and communication skills, but they do not realize this!

To solve this problem, I have developed the Brief Mood Survey (BMS), and require all my patients to complete it in the waiting room before each session begins, and once again after the session is over. The BMS asks patients how depressed, suicidal, anxious, and angry they are feeling “right now,” at the start and end of the session. The comparison of the scores gives therapists an extremely accurate assessment of how effective, or ineffective, the session was.

It is, in a sense, like having an emotional X-ray machine available for the first time. The data are extremely valuable, regardless of whether you are doing psychotherapy, psychopharmacology, or a combination of the two.

At the end of the session, patients also complete the Evaluation of Therapy Session in the waiting, and rate the therapist on empathy, helpfulness, and other important dimensions. This only takes about one or two minutes of the patient’s time and provides the therapist with more invaluable, but potentially shocking, information.

So what does all of this have to do with the first of the four “deaths” of the therapist’s ego? Therapists who use these scales will probably make a number of uncomfortable discoveries, including, but not limited, to these:

  1. Therapists will discover that their perceptions of how their patients feel, and how their patients feel about them, will often be wildly and alarmingly inaccurate.
  2. They will often discover that the session was not at all helpful to the patient–in other words, there was little or no improvement in how the patient felt during the session.
  3. The therapist will likely receive failing grades on the Empathy and Helpfulness Scales most patients at every single session, especially if they are using these scales for the first time.

And that’s what I mean by the “death” of the therapist’s ego. You may discover, to put it in street language, that you suck! It’s happened to me often, and I usually find it painful to discover that my perceptions were off and my efforts were not effective.

But here’s the cool thing. This information can empower you to grow and change your therapeutic approach, so you can begin to deliver true healing. If you review the information with your patients in a warm and open way, it can transform the quality of the therapeutic relationship and vastly boost your effectiveness. And that’s pretty darn cool! I’ve been doing this for forty years, and my patients have proven to be my best teachers–by far!

Well, that’s it for today. Thanks so much for reading this, and if you like my blogs and Feeling Good Podcasts and FB Broadcasts, and the many other free features on my website, www.feelinggood.com, please use your sharing buttons to tell your friends. I am trying to build up my numbers as much as possible, and don’t know a great deal about social media, so anything you can do to spread the word will help.

AND you HAVE BEEN helping a lot already! Last month, (April 2018) my Feeling Good Podcasts with my esteemed host, Dr. Fabrice Nye, had more than 52,000 downloads. That’s a new record for us, so THANK YOU! I’d love to see those numbers soar even higher!

David

* Copyright © 2018 by David D. Burns, MD.

Coming in less than three weeks!

High-Speed TEAM-CBT for Depression and Anxiety Disorders 

I warmly invite you to attend this fabulous, one-day workshop by Drs. David Burns and Jill Levitt on Sunday, May 20th, 2018. Click on the link above for registration information.

  • 6 CE Credits
  • The cost is $135
  • You can join in person or online from wherever you live!

You will enjoy learning from David and Jill, working together to bring powerful, healing techniques to life in a clear, step-by-step way. Their teaching style is entertaining, funny, lucid, and inspiring. This is a day you will remember fondly!

In the afternoon, you will have the chance to do some personal healing so you can overcome your own feelings of insecurity and self-doubt. David and Jill promise to bring at least 60% of the audience into a state of spiritual and psychological enlightenment, WITHOUT years of meditation. That’s not a bad deal!

You will also leave this workshop with renewed confidence as well as specific, powerful tools that you can use right away to improve your clinical outcomes!

You will LOVE this workshop. Seating for those who attend live in Palo Alto will be strictly limited, and seats are filling up fast, so move rapidly if you are interested. Online slots are also limited.

Jill and I hope you can join us!

 

 

086: Role-Play Techniques (Part 4) — Feared Fantasy

086: Role-Play Techniques (Part 4) — Feared Fantasy

This is the fourth in a series of podcasts on several powerful role-playing techniques we use in TEAM-CBT. Today, we’re going to highlight the Feared Fantasy Technique.

Here, in a nutshell, is why I created this technique. In order to get over any form of anxiety, exposure is absolutely necessary. Exposure is not a complete treatment for anxiety, and is only one of 40 methods I use to treat anxiety, but it always MUST be included in the treatment package.

However, sometimes, people have fears that you cannot easily confront in reality. For example, you may have the hidden fear that others would judge you if they knew how insecure you felt inside, or if you failed at something, or if they were way more successful than you. You can’t just say to someone, “Do you think less of me because I’m actually quite insecure?” They’ll just deny it, and you’ll feel like a nut!

So I created the Feared Fantasy Technique. Essentially, you invite the patient to enter an Alice-in-Wonderland Nightmare World where their worst fear comes true, and where people not only think of you what you most dread, but they also mercilessly tell it to your face. This gives patients the chance to face the monster. In most, if not all cases, they suddenly discover, at the gut level, that the monster has no teeth.

Like the Externalization of Voices, this is a two-person technique, although I’ve sometimes done it with many people in groups. In this case, there can be numerous feared “monsters.”

In the two-person version, you and another person, who could be your therapist, go into the Alice and Wonderland Nightmare World and act out one of your worst fears, such as being rejected by an exceptionally hostile critic because you aren’t smart enough or good enough. When you face your worst fear, you often gain liberation from it because you discover that the monster has no teeth. Your worst fears don’t usually turn out to be real monsters, but figments of your imagination that you can defeat with a little logic, compassion, and common sense. You use frequent role-reversals until the monster has been totally crushed.

I am joined in this podcast by our own beloved Dr. Fabrice Nye, and two members of my Tuesday training group at Stanford, Liz Richard, a Licensed Marriage and Family Therapist, and Dr. Rhonda Barovsky, a Forensic / Clinical Psychologist, along with Stephanie James, an LCSW psychotherapist and radio talk show host from Fort Collins, Colorado, who is visiting the group. Liz is a member of the “newbie” TEAM training group at Stanford and agreed to bring a list of her own negative thoughts that trigger her feelings of insecurity in the group. I am grateful to all of them for helping out with this podcast!

Sometimes, when I am helping a patient challenge a Negative Thought, like “I’m a bad mother” or “I’m a failure as a father,” or “my colleagues would look down on me if they knew how screwed up I actually am,” I start with a gentle technique like the Paradoxical Double Standard that we illustrated in the first podcast on role-playing techniques. It’s a gentle technique that would almost never threaten or upset a patient.

Once the patient has totally crushed the thought, I typically move up to the Externalization of Voices. This is a more challenging and powerful technique that provides a deeper level of recovery / enlightenment and allows me to model the differences between the Self-Defense Paradigm vs. the Acceptance Paradox.

Once the patient has knocked the ball out of the park with the Externalization of Voices, I often move up to the Feared Fantasy. This is the most extreme and powerful technique of all. And the moment the patient again defeats his or her most terrifying fear, the impact can be positive and extreme, and often ends in a kind of uncontrollable laughter The Buddhists call this “laughing enlightenment. It often happens the moment you suddenly realize that your worst fear was nothing more than a gigantic cosmic hoax!

You may want to read a brief description of how to use the Feared Fantasy Technique that I created several years ago for my training groups and workshops. At the end, you’ll find a comparison of the Externalization of Voices, Paradoxical Double Standard, and Feared Fantasy, along with a table contrasting the Self-Defense Paradigm with the Acceptance Paradox.

The example I am using in the write-up below is not the example in the podcast, but one I sometimes use in teaching. Often, participants are afraid to do role-playing in front of the group because of thoughts like these:

  1. I’ll probably look foolish and make a fool of myself.
  2. I’ll screw up and fail.
  3. People will judge me and think less of me.
  4. They’ll laugh at me and tell other people about what a loser I am!

It is difficult to confront these fears in reality since people generally don’t have these kinds of negative judgements toward colleagues in the group who are feeling insecure. In addition, if someone did have these kinds of thoughts they would deny having them. But in the Alice-in-Wonderland Nightmare World, people DO have these kinds of thoughts about you, and they DON’T deny them! So, it can be challenging at first to have to confront these kinds of mean-spirited perceptions, and incredibly freeing once you defeat them!

Feared Fantasy*

This is a form of Cognitive Exposure

  • Some fears are not easily confronted in reality

General instructions

Work in dyads. Decide who will play the role of therapist and who will play the role of patient

  • Use the workshop / seminar performance anxiety example

Therapist Instructions

  1. Explain that you’re going to enter an Alice-in-Wonderland Imaginary world where there are two strange rules:
  • If you think people are looking down on you, they really are.
  • Furthermore, they get right up in your face and verbalize all their negative thoughts about you. They aren’t at all nice. They try to humiliate.
  1. Ask the patient which role she or he wants to play first. Explain that you’ll do role-reversals, so the choice is not terribly important.

We’ll assume that you’ve chosen the performance anxiety example, and that you, the therapist, will start out in the role of a rejecting, judgmental audience member or friend. Your patient will play the role of himself or herself.

Now criticize your patient, saying the things that he or she would be afraid to hear, such as:

  • “Hey, I was in the audience when you did that role-play with Dr. Burns. You really looked foolish and I’ve been laughing at you ever since.”
  1. After your patient responds to each attack, ask who won the exchange. If the patient did not “win big,” do a role-reversal and see if you can come up with a more powerful response.

Tips on Defeating the Imaginary Critic

When you’re under attack, try to defeat the imaginary critic

  • You can use Self-Defense, the Acceptance Paradox, or a combination of the two

If the Self-Defense Paradigm was ineffective, try

  • The Acceptance Paradox
  • Or a combination of Acceptance and Self-Defense

If the Acceptance Paradox was ineffective, try

  • The Self-Defense Paradigm
  • Or a combination of Acceptance and Self-Defense

Comparing the Paradoxical Double Standard,
Externalization of Voices and Feared Fantasy*

Technique Patient’s Name Your Name Role-Reversals?
Paradoxical Double Standard His or her real name The name of an imaginary dear friend of the same gender as the patient. Preferably, it is not someone the patient actually knows. No
Externalization of Voices His or her real name Same name as the patient Yes
Feared Fantasy His or her real name You play the role of some judgmental or critical person the patient is afraid of. Yes

 

Comparing the Self-Defense Paradigm with the Acceptance Paradox*

Strategy

General Concept Negative Thought

Example of How to Defeat the NT

Self-Defense Paradigm You defeat the NT by arguing with it and insisting that it’s distorted and not true. A patient who suddenly relapses several weeks after recovery will often have this thought, “This shows that the therapy didn’t work and that I really am a hopeless case.” “That’s ridiculous. I had a fight with my wife last night, so it’s not surprising that I’d be feeling upset. The therapy was very effective, and this would be a good time to pull out the tools I learned and get to work.”
Acceptance
Paradox
You defeat the NT by buying into it and insisting that it is true, but you do this with a sense of humor or inner peace. During a moment of insecurity, a therapist may have the thought, “I’m not as good as I should be.” “As a matter of fact, I still have tons of flaws and a great deal to learn. Even when I’m 85 years old, there will still be tons of room for learning and improving, and that’s kind of exciting.”

The Self-Defense Paradigm is especially helpful for the types of NTs patients have during relapses, and it’s a good idea to prepare them to talk back to these thoughts when they first recover, and before they actually relapse, using the Externalization of Voices.

The Acceptance Paradox is especially helpful for the types of NTs that lead to feelings of worthless, inferiority, or a loss of self-esteem.

* Copyright © 2018 by David D. Burns, MD

Fabrice and I hope you like our Feeling Good Podcasts, and also hope you can leave some positive comments for us and five star ratings if you like what we’re doing!

Subscribe

At least one listener has had problems leaving an iTunes review from his i-phone, so Fabrice has created some simple to follow instructions if you need help.

Some Cool Upcoming Workshops

Coming in May!

May 20th, 2018  Advanced, High-Speed CBT for the Treatment of Depression and Anxiety A one day workshop by Drs. David Burns and Jill Levitt. 6 CE Credits, $135
You can join in person or online from wherever you live!

There are only a few spots left for the live workshop in Palo Alto, but we still have room for you to join us for the online version. We will have helpers to guide the small group exercises for those online, as well as those who attend in person.

Coming in June! One of my best two day workshops ever!

“Scared Stiff: Fast, Effective Treatment for Anxiety Disorders”
a two-day workshop Sponsored by Jack Hirose & Associates
June 4 -5, 2018 Calgary, Canada
June 6 – 7, 2018 Winnipeg, Canada
Mike Christensen and several others will be joining me at both locations to help out with supervision of the small group exercises. You’ll LOVE this workshop and you’ll learn TONS of powerful techniques to treat every type of anxiety. You’ll learn how to heal your clients and your own feelings of insecurity and self-doubt as well!

I greatly appreciate your support, and hope you will continue to spread the word about TEAM-CBT and www.feelinggood.com. i am trying hard to reach as many people as possible with my free programming and blogs designed to help individuals struggling with depression, anxiety, relationship conflicts, and habits and addictions, as well as the therapists who treat them!

David

 

 

Antidepressant Discontinuation Syndrome

Antidepressant Discontinuation Syndrome

Hi all!

Check out this link  that indicates some sobering findings about the long-term effects of antidepressants and the difficulties many individuals are having when they try to get off of them.

As you know, I’ve never been opposed to psychiatric medications, which can sometimes be helpful, even life-saving, but I’m far more excited about the many new developments in psychotherapy for depression and all of the anxiety disorders. And I’m really glad that so many individuals struggling with depression can now be helped fairly quickly without medications.

Research studies indicate that up to 65% of individuals struggling with moderate to severe depression will improve substantially or recover completely within four weeks– without any other treatment–if they are simply given a copy of my first book, Feeling Good: The New Mood Therapy. It is not costly and there are no side effects, and no “discontinuation” effects, either!

Many therapists and general medical physicians throughout the world “prescribe” this book for individuals suffering from depression because it can accelerate recovery. Some experts have even suggested it should be considered as the first line of treatment for depression. I am hoping that my new book, Feeling Great, now in partial draft form, will be even more helpful, since I am including all the amazing new TEAM-CBT techniques that did not exist at the time I wrote Feeling Good.

If you know someone who’s struggling with depression and anxiety, Feeling Good might made a good gift for that person. And if you’re a therapist treating individuals who are depressed and anxious, “prescribing” Feeling Good for homework will boost your success!

Some Cool Upcoming Workshops

Coming on May 20th! Act fast if you want to join us! Partially sold out but a few slots are still available for online participants.

May 20th, 2018  Advanced, High-Speed CBT for the Treatment of Depression and Anxiety A one day workshop by Drs. David Burns and Jill Levitt. 6 CE Credits, $135
You can join in person or online from wherever you live! Click here for registration information.

There are no spots left for the live workshop in Palo Alto, but we still have room for you to join us online. Mike Christensen and others will be available to help those who join online with the small group exercises in “virtual” rooms. In this workshop, you’ll have the chance to personal work, so you can boost your own feelings of confidence and self-esteem while at the same time learning tons of new tools that will greatly boost your clinical effectiveness!

Coming in June! One of my best two-day workshops ever!

“Scared Stiff: Fast, Effective Treatment for Anxiety Disorders”
a two-day workshop Sponsored by Jack Hirose & Associates
June 4 -5, 2018 Calgary, Canada
June 6 – 7, 2018 Winnipeg, Canada

Mike Christensen and several others will be joining me at both locations to help out with supervision of the small group exercises. You’ll LOVE this workshop and you’ll learn TONS of powerful techniques to treat every type of anxiety. You’ll learn how to heal your clients and your own feelings of insecurity and self-doubt as well! And I’ll do a live demonstration at each location, to add some drama, illumination, and inspiration. Should be exciting! Hope you can join us!

I greatly appreciate your support, and hope you will continue to spread the word about TEAM-CBT and www.feelinggood.com. i am trying hard to reach as many people as possible with my free programming and blogs designed to help individuals struggling with depression, anxiety, relationship conflicts, and habits and addictions, as well as the therapists who treat them!

I think there are ways you can “share” these blogs, Feeling Good Podcasts, and Sunday FB Broadcasts with friends and colleagues. Please do that! This month, my Feeling Good Podcasts with beloved host, Dr. Fabrice Nye, will likely exceed 50,000 downloads for the first time. So you ARE helping! Thanks so much!

David

The Four “Great Deaths” of the Therapist’s Ego!

The Four “Great Deaths” of the Therapist’s Ego!

Watch David and Mike on FB Live this Sunday,
April 29, 2018, at 3 PM (Pacific Time) as they discuss–
The Four “Great Deaths” of the Therapist’s Ego, or “Self”

Hi all!

Our Sunday show on April 22 on the four “Great Deaths” that correspond to recovery from depression, anxiety, relationship problems, and habits and addictions, respectively, was really well received. You can still watch it on my public FB page.

As it turns out, there are also four “Great Deaths” of the therapist’s “ego,” or “self,” that are required in TEAM-CBT. Do you know what they are? Here’s a hint–they correspond to the four letters of TEAM. In other words, there is a

  • T = Testing “Great Death” of the therapist’s ego
  • E = Empathy “Great Death” of the therapist’s ego
  • A = Agenda Setting “Great Death” of the therapist’s ego
  • M = Methods “Great Death” of the therapist’s ego

In you want to find out what these four “Great Deaths” involve, and why, tune in Sunday at 3 PM Pacific Time to listen live (you can ask questions and make comments if you listen live) or any time after that at my Public FB Page.

Hey, I am almost fully recovered from my bronchitis and started my Sunday hikes again. Here are some incredible photos by our beloved and brilliant Maryam! I hope you enjoy them. This first one, of the trail, is rather stupendous! Wow!

IMG_4446

The next is a shot of a consultation I was doing with Alex, one of the psychiatric residents at Stanford, on a potential solutions to a challenging clinical problem.

IMG_4449

These next two are photos of Zane and Heather, both members of the Tuesday group, as well as teacher, and both are outstanding TEAM-CBT therapists.

IMG_2949

IMG_2951

 

 

Some Cool Upcoming Workshops

Coming on May 20th! Act fast if you want to join us! Partially sold out but a few slots are still available for online participants.

May 20th, 2018  Advanced, High-Speed CBT for the Treatment of Depression and Anxiety A one day workshop by Drs. David Burns and Jill Levitt. 6 CE Credits, $135
You can join in person or online from wherever you live! Click here for registration information.

There are no spots left for the live workshop in Palo Alto, but we still have room for you to join us online. Mike Christensen and others will be available to help those who join online with the small group exercises in “virtual” rooms. In this workshop, you’ll have the chance to personal work, so you can boost your own feelings of confidence and self-esteem while at the same time learning tons of new tools that will greatly boost your clinical effectiveness!

Coming in June! One of my best two-day workshops ever!

“Scared Stiff: Fast, Effective Treatment for Anxiety Disorders”
a two-day workshop Sponsored by Jack Hirose & Associates
June 4 -5, 2018 Calgary, Canada
June 6 – 7, 2018 Winnipeg, Canada

Mike Christensen and several others will be joining me at both locations to help out with supervision of the small group exercises. You’ll LOVE this workshop and you’ll learn TONS of powerful techniques to treat every type of anxiety. You’ll learn how to heal your clients and your own feelings of insecurity and self-doubt as well! And I’ll do a live demonstration at each location, to add some drama, illumination, and inspiration. Should be exciting! Hope you can join us!

I greatly appreciate your support, and hope you will continue to spread the word about TEAM-CBT and www.feelinggood.com. i am trying hard to reach as many people as possible with my free programming and blogs designed to help individuals struggling with depression, anxiety, relationship conflicts, and habits and addictions, as well as the therapists who treat them!

I think there are ways you can “share” these blogs, Feeling Good Podcasts, and Sunday FB Broadcasts with friends and colleagues. Please do that! This month, my Feeling Good Podcasts with beloved host, Dr. Fabrice Nye, will likely exceed 50,000 downloads for the first time. So you ARE helping! Thanks so much!

David

David and Mike Christensen Will Discuss “The Four Great Deaths”!

David and Mike Christensen Will Discuss “The Four Great Deaths”!

Watch David and Mike on FB Live tomorrow,
April 22, 2018, at 3 PM (Pacific Time) as they discuss–
the “Self” and the Death of the Self

Hi all!

As early as 2500 years ago Buddhists began talking about the “Great Death” as the path to enlightenment. Many other religions and spiritual paths also talk about death and rebirth.  But what do these concepts actually mean, and do they have anything to do with psychotherapy, or are they strictly spiritual concepts?

In his FB Live broadcast tomorrow, David and Mike Christensen will explore these concepts and focus on a number of specific questions.

  1. David claims there is not one, but four “Great Deaths” of the self, and they are involved in recovery from depression, anxiety disorders, relationship conflicts, and habits and addictions, respectively. What are these  four Great Deaths?
  2. Many individuals struggling with depression or anxiety fear the judgement of others. Have you ever felt like others might judge you because your “self” is defective, inferior, or simply “not good enough.”  How does one escape from this dilemma? Is it even possible? What if your “self” really isn’t good enough?
  3. Can the “self” be judged? Can you judge the worthwhileness of a human being, as opposed to the specific things we think, do or say? Does the “self” even exist?

David and Mike will discuss these questions from a practical, psychological, and spiritual perspective, and will include vignettes and examples to breathe life into the discussion, and to keep it practical.

You will also get an update and sneak preview of David’s new book, Feeling Great, currently in progress!

 

Some Cool Upcoming Workshops

Coming in May! Act fast if you want to join us!

May 20th, 2018  Advanced, High-Speed CBT for the Treatment of Depression and Anxiety A one day workshop by Drs. David Burns and Jill Levitt. 6 CE Credits, $135
You can join in person or online from wherever you live! Click here for registration information.

There are no spots left for the live workshop in Palo Alto, but we still have room for you to join us online. Mike Christensen and others will be available to help those who join online with the small group exercises in “virtual” rooms. In this workshop, you’ll have the chance to personal work, so you can boost your own feelings of confidence and self-esteem while at the same time learning tons of new tools that will greatly boost your clinical effectiveness!

Coming in June! One of my best two-day workshops ever!

“Scared Stiff: Fast, Effective Treatment for Anxiety Disorders”
a two-day workshop Sponsored by Jack Hirose & Associates
June 4 -5, 2018 Calgary, Canada
June 6 – 7, 2018 Winnipeg, Canada

Mike Christensen and several others will be joining me at both locations to help out with supervision of the small group exercises. You’ll LOVE this workshop and you’ll learn TONS of powerful techniques to treat every type of anxiety. You’ll learn how to heal your clients and your own feelings of insecurity and self-doubt as well! And I’ll do a live demonstration at each location, to add some drama, illumination, and inspiration. Should be exciting! Hope you can join us!

I greatly appreciate your support, and hope you will continue to spread the word about TEAM-CBT and www.feelinggood.com. i am trying hard to reach as many people as possible with my free programming and blogs designed to help individuals struggling with depression, anxiety, relationship conflicts, and habits and addictions, as well as the therapists who treat them!

David

084: Role-Play Techniques (Part 2) — Paradoxical Double-Standard Technique

084: Role-Play Techniques (Part 2) — Paradoxical Double-Standard Technique

The is the second podcast on TEAM-CBT role-playing techniques and features the Paradoxical Double Standard Technique. David describes watching Dr. Maxy Maultsby do a demonstration of the Double Standard Technique when he was a psychiatric resident in the 1970s at the University of Pennsylvania medical school. He was quite surprised when the patient, who was severely depressed and suicidal following a break-up with her boyfriend, improved dramatically within an hour. David modified the technique in several ways, and tonight will present what is probably the most powerful way to use this technique.

The technique is based on the idea that most of us operate on a double-standard. When we are upset about some failure, mistake, or inadequacy, we tend to beat up on ourselves mercilessly. But if we were talking to a dear friend with the exact same problem, we’d be far more compassionate and realistic. Once you make the patient aware of this double-standard, you ask if he or she would be willing to talk to himself or herself in the same way he or she would talk to a dear friend.

But the unique feature of the way David does it, is that you, the therapist, “become” a dear friend of the patient, kind of like a long-list identical twin who is actually virtually identical to the patient, but a different person. Then the therapist (playing the role of the friend) describe the problem the patient is struggling as if it is your own problem.

Then you ask the patient what he or she thinks. Typically, the patient will respond with great compassion. Then you, the therapist, cross examine the patient, to make sure what the patient is saying is the absolute, 100% truth. Finally, you ask the patient to record this in the Positive Thoughts column on his or her Daily Mood Log.

While no technique will work for everyone, this one works for many patients if:

  1. You’ve done excellent Empathy first.
  2. You’ve done skillful Paradoxical Agenda Setting to melt away the patient’s Outcome Resistance.
  3. The patient is reasonably compassionate and actually does have a double standard. On rare occasions, you may have a patient who hates himself or herself, who also hates other people. For these patients, the technique will not be effective.

The special guest tonight is Eleanor Scott, a community therapist who is a student in David’s Tuesday group at Stanford, and who has bravely volunteered to help demonstrate teaching techniques once again. (Eleanor was also feature in an Empathy role-play a couple weeks ago.)

Eleanor has brought a partially completed Daily Mood Log to the group, and the Upsetting Event is simply being in the Tuesday group and feeling insecure while trying to learn TEAM-CBT. These feelings are a fairly common, almost universal, among the therapists who attend David’s training groups. Initially, nearly all of them feel intense anxiety, along with a myriad of other negative feelings, such as shame and inadequacy, due to the belief that they are not “good enough,” along with the fear that others in the training group will notice their ineptitude and judge them!

Eleanor’s Negative Thoughts included:

  • I should be learning more quickly.
  • The other students will notice that I don’t know what I’m doing!
  • I’m never going to get this.
  • I don’t know what I’m doing.
  • I sound like an idiot/stupid.
  • I suck!

David explains how the Paradoxical Double-Standard Technique works, and demonstrates it with Eleanor. Eleanor finds a powerful inner voice and quickly blasts all of her Negative Thoughts out of the water.

David cross-examines Eleanor to find out if this amazingly rapid and dramatic change in her Negative Thoughts and feelings was real, or if she was just being “nice” to try to produce a good role-play for David!

Fabrice raps up the podcast with his (as usual) great interview with David and Eleanor, bringing out many of the teaching points during the session.

Follow-up: The day after the recording, Eleanor sent this fantastic email to our training group, and she gave me permission to share it with all of you.

Hi Tuesday groupers,

I wanted to share a success that I had with everyone, especially my ‘newbie’ group.  I received a low grade on an evaluation of a therapy session by a client last week, and I started the session today by discussing this with the client.  I used the Five Secrets of Effective Communication to acknowledge that she wasn’t heard (Disarming Technique) and shared how I felt about the session (“I Feel” Statement). I also asked about what I had missed (Inquiry). Throughout her account, I used Thought and Feeling Empathy.

The connection that was created from this was incredible.  I was able to truly see this client and hear her story and see the amazing grace with which she lives her life (Stroking).

I also think that I was able to truly be present and vulnerable with my client had a lot to do with the amazing work I experienced being a volunteer on the podcast last night.  I can’t thank you enough David… I am STILL feeling good and I’m riding this good feeling as far as it takes me!

If you get a chance… volunteer for the podcasts… it’s such an incredible opportunity for growth!

Thanks,

Eleanor

David’s response: Wow! Way to go, Eleanor! Awesome!

Next week: More of David’s Role-Playing Techniques!

Coming VERY Soon! Advanced, High-Speed TEAM-CBT for the Treatment of Depression and Anxiety 

We warmly invite you to attend this fabulous, one-day workshop by Drs. David Burns and Jill Levitt on Sunday, May 20th, 2018. Click on the link above for registration and more information.

  • 6 CE Credits
  • The cost is $135
  • You can join in person or online from wherever you live!

You will enjoy learning from David and Jill, working together to bring powerful, healing techniques to life in a clear, step-by-step way. Their teaching style as a team is entertaining, funny, lucid, and inspiring. This is a day you will remember fondly!

In the afternoon, you will have the chance to do some personal healing so you can overcome your own feelings of insecurity and self-doubt. David and Jill promise to bring at least 60% of the audience into a state of spiritual and psychological enlightenment, WITHOUT years of meditation. That’s not a bad deal at all!

You will LOVE this workshop. Seating for those who attend live in Palo Alto will be strictly limited, and seats are filling up fast, so move rapidly if you are interested.

Jill and I hope you can join us!

Fabrice and I hope you like our Feeling Good Podcasts, and also hope you can leave some positive comments for us and five star ratings if you like what we’re doing!

Subscribe

At least one listener has had problems leaving an iTunes review from his i-phone, so Fabrice has created some simple to follow instructions if you need help.