Feeling Good Podcast Survey Results— Written Results Now Available

Hi podcast fans and colleagues,

The links to the written survey feedback I provided for you yesterday did not work, and I apologize. I have made PDFs of those results for you, and you can click on any of interest here. Your written comments were very interesting!

Thanks again, for your participation and awesome feedback.

David and Rhonda

IMG_7604 (003)

and our beloved Fabrice!

Feeling Good Podcast - Fabrice

* * *

Coming in May, 2019!

TEAM-CBT Methods for Anxiety Disorders–

Step-by-Step Training for Therapists

by David D. Burns, MD and Jill Levitt, PhD

WHEN: Sunday May 19th, 2019, 8:30 am – 4:30 pm PST
(11:30 am-7:30 pm EST)

WHERE: Join us live online or in person
at the Creekside Inn, Palo Alto, CA

HOW MUCH DOES IT COST? $135,

WILL I GET CE CREDITS? YES!
7 CE hours available

WILL I GET CREDIT IN THE TEAM-CBT CERTIFICATION PROGRAM? YES!

This workshop counts towards Levels 1, 2 or 3 TEAM-CBT Certification.

WHO CAN ATTEND? Therapists of all levels are welcome

CAN I REGISTER IF I’M NOT A THERAPIST? Sadly, this workshop is geared for therapists. You might want to attend one of my two summer intensives, also listed below. They are geared for therapists, but anyone can benefit from them.

CAN I WORK ON MY OWN FEELINGS OF ANXIETY AND INSECURITY?
Absolutely! Heal yourself, heal your clients!

WILL I HAVE FUN? Yes!

WILL I HAVE SOME GREAT FREE BREAKFAST AND LUNCH? Yes!

WILL I HANG OUT WITH SOME COOL PEOPLE? Yes!

You will also:

  • Learn new skills to reduce resistance and boost the motivation to change. This is THE key to the treatment.
  • Learn how to treat all of the anxiety disorders quickly.
  • See actual live videos of the Six-Minute Cure for Severe and Incapacitating Panic Disorder and the Fifteen-Minute Cure for Severe OCD.
  • Practice and master the Externalization of Voices and Acceptance Paradox to overcome your own feelings of inadequacy and self-doubt.
  • Master Relapse Prevention Training for lasting results.

You will love this lively, amusing, and immensely useful day of training with Drs. Burns, Levitt and the Feeling Good Institute Staff. The trainers will use a combination of didactic teaching, live demonstrations, videos, and breakout group practice to enhance skill-building.

This wonderful workshop will stream live and is easily accessible from anywhere in the world on any device with WiFi. To join, just click on the link provided before the workshop.

More than twelve expert trainers will be available to assist
the online participants in the small group exercises!

You can attend in person or from home via Live Streaming

Act fast if you want to attend!

Don’t miss out learning from David Burns, MD,
one of the pioneers of Cognitive Therapy,

and Jill Levitt, PhD, Director of Training
at the Feeling Good Institute in Mt. View, CA!

* * *
Coming this Summer

There will be two awesome summer intensives for you this year!

July 15 – 18, 2019
Calgary four-day intensive
Sponsored by Jack Hirose & Assoc.

July 29 – August 1, 2019
South San Francisco four-day intensive
Sponsored by Praxis

THE INTENSIVES ARE THE BEST WORKSHOPS OF THE YEAR!

If you can join us, they will be even better!

 

Feeling Good Podcast Survey Results— Pure Gold! Thank you!

Hi podcast fans and colleagues,

Thank you for responding to my first survey of individuals who listen to the Feeling Good Podcasts. I wanted to find out a little more about you, and now I want to share the results with you, too, so you can find out more about your fellow listeners.

Some of the results were quite unexpected, and all were illuminating.

Quick overview of 165 individuals who completed the survey within first couple days.

  • The female / male split is roughly 60 – 40.
  • The ratio of general citizens to therapists is also roughly 60 – 40.
  • Age breakdown:
    • 20 – 39 is about 31%
    • 40 to 49 is about 20%
    • 50 to 59 is about 22%.
    • Above 60 is about 26%.

So, we have a pretty good age diversification except under 20.

  • 60% of you say that the podcasts have helped in your personal life. 40% of you say the podcasts have helped in your personal life and in work with patients. Only 2% of you are only looking for therapy techniques to help your patients / clients.

This means almost everyone who listens is look for personal help, whether or not you are a therapist. This maps onto my experience teaching community therapists and graduate students at Stanford. Almost all are looking for personal help in addition to wanting to improve their therapy skills.

I am a firm believer that doing your personal work makes you a far more effective therapist, because you can say, “I’ve been there myself. I know how that feels to feel lost and desperate in the woods when it’s cold and snowing. And I can show you the way out of the woods!”

  • An incredible 92% of you appear to be recommending the podcast to friends, students, patients and colleagues. Thanks so much! That really helps us spread the word. When Fabrice and I started out, we had a tiny audience. This month (April, 2019) we will experience our millionth download!

On the free form written response, there were way too many to report. I have just reported a few representative comments here:

What you like THE LEAST? (118 responded; 47 skipped)

  • I prefer videos.
  • It should be released on daily basis lol! They are perfect I love it
  • Honestly, can’t think of an answer for that today.
  • Difficult question . . . it has helped me a lot. I wished it would have been possible to join online self-help groups to practice TEAM CBT with other followers.

David’s Response: Lots of paid online training groups for therapists exist. Check at www.feelinggoodinstitute.com! People have raved about the quality of the teachers, like Jill Levitt, PhD, Mike Christensen, and others.

  • There is no written transcript of the podcast.
  • Some have also said the wanted more detailed show notes.

David’s Response: I’m glad you’ve like the show notes. They have become quite detailed, compared with when we started out. I was worried they now might be TOO long, so happy to see this. In case you don’t get the show notes, you can sign up for my blogs in the right panel of any page on my website, and then you’ll always get the show notes with the podcast.

  • Maybe the lack of evidence. When you say that depression can be successfully treated in a single session, it’s maybe hard for people to believe that, especially if the depressed person is severely and chronically depressed.

David’s Response: Great point. I get really rapid results most of the time, but that doesn’t mean that other practitioners will. I’ve been working at for a long time, with feedback from every patient since the late 1970s. My skills have evolved tremendously from when I started out. Sometimes the feedback has been painful, but it’s always been a source of growth and learning.

I have published quite a few live sessions now with people with chronic problems, and the percent reduction in in the last 50 or so patients I’ve treated (in one session) has been greater than 90% for depression, anxiety, and anger. But I do need a two hour session, approximately, to get that result.

Unlike formulaic treatments, like learning to apply exposure to anxiety, which anyone can quickly learn to do, TEAM is very challenging, and involves refining your therapy skills, not just learning some new package or formula to treat this or that diagnosis. It’s very hard to learn.

  • I think it would be interesting to bring more real people – either patients or therapist to tell about difficult cases. I think the details will help me go deeper into team. Also, to see more of the co- therapy with different experts in TEAM helps.
  • Fabrice left ☹ David sometimes sound narcissistic, grandiose ..no need to push TEAM as the best all the time. Less monolog, more dialog

David’s Response: You are listing just one of Fabrice’s many wonderful qualities, and just a few of my own negative qualities! I miss him greatly, his terrific mind and critical thinking, and his wonderful heart!

  • Need more of them! Hard to say as they are all so informative.
  • I listened to every single FG podcast and learned something helpful each time. However, some of the stories and examples were a bit repetitive.

David’s Response: I know, I know! Hard to keep track!

  • I love everything about them!
  • Nothing really. I love them all!! So grateful for your generosity!
  • Ask David responses that are too short / superficial
  • Everything is great! It’s my favorite podcast! I’ve listened to every single episode!
  • When there are guests on the show & David doesn’t let them speak much. It seems like he has a very certain way he wants issues to be talked about & doesn’t always go with the flow. I don’t want that to come across as a jab at David. I’m a huge fan, & I think I can spot it because I am a very rigid person myself. I like to be in control.

There are way more comments. Here is a link to the negative comments: https://app.crowdsignal.com/surveys/2480892/report/results/9573893

David’s summary of what you liked THE LEAST: Your comments were all informative, on-target, warmly expressed, valid, and helpful. Wow! Fabrice, Rhonda and I can’t thank you all enough! 😊😊

What you like THE Best? (135 responded; 30 skipped)

I will include just a few representative comments:

  • I really like when you provide specific examples on how to challenge some distorted thoughts and how to utilize the techniques.
  • Using a variety of co-hosts. More Kyle.
  • When the technical terms are explained. Also when the questionnaires are explained. And the personal success stories.
  • I really like all the helpful information that I can use as a therapist. Although I’ve been a therapist for decades, I’ve only recently started using CBT. I also appreciate Dr. Burns’ openness and willingness to use his life experiences to benefit his clients and us.
  • Live sessions applying TEAM CBT
  • It is a way to listen to topics that are not in the books (like the description of the TEAM model) and to have clarifications and answers.
  • The compassion and great effort in everything You do.
  • Your humility. To me – humility is the hardest and best.
  • I enjoy listening to the experts; I really enjoy the live therapy sessions as they give me ideas for how to work with my patients.
  • The role play, the interaction between David Burns and his co-host. I really liked Fabrice and his role as co-host. I like when David fields listener questions. I like when David gives examples of how he phrases things with clients.
  • David Burns – He usually has good tips and techniques that help me as a non-therapist. I first read Dr. Burns’ book, Feeling Good, in the early 1980’s; and, it helped me tremendously deal with my depression. I liked the tools in the book; and the tools now on the podcast!
  • Burns knowledge and skill is amazing.
  • I like that they are short and sweet.
  • Your approach is very logical and genuine. I love the addition of Rhonda! She is always very clear and concise. Additionally, she will bring a female perspective to topics covered.
  • I know on occasion you have been told to tone down your language, but I love it when you sometimes “forget”. It makes you seem more like a real person I don’t think too many children are listening anyway.
  • awesome help, info
    free
    positive force in daily stressful lives around the world
    commercial free
    personally helped me understand myself and others in a way i wouldn’t have done by myself
  • This service is available free. Dr. Burns you are amazing
  • Every single podcast is packed with helpful ideas and techniques. I especially love the live sessions; they made the theory and framework come alive. Keep up the great work!

There are tons more at this link: https://app.crowdsignal.com/surveys/2480892/report/results/9573895

David’s summary of what you liked THE BEST: Wow! Fabrice, Rhonda and I are touched by your kind and heart-warming comments. It is kind of hard to believe, and makes me feel like we’re all really in sync!

If you want to review the entire report, you can check it out at this link. https://app.crowdsignal.com/surveys/2480892/report. You will find out about topics people want to hear, and much more.

If the links don’t work, I’ll figure out something else for you to see the detailed comments.

If you want some (hopefully) wonderful training for CE credits, check the three workshops below. Hope to see you at one or even two of them!

David

* * *

Coming in May, 2019!

TEAM-CBT Methods for Anxiety Disorders–

Step-by-Step Training for Therapists

by David D. Burns, MD and Jill Levitt, PhD

WHEN: Sunday May 19th, 2019, 8:30 am – 4:30 pm PST
(11:30 am-7:30 pm EST)

WHERE: Join us live online or in person
at the Creekside Inn, Palo Alto, CA

HOW MUCH DOES IT COST? $135,

WILL I GET CE CREDITS? YES!
7 CE hours available

WILL I GET CREDIT IN THE TEAM-CBT CERTIFICATION PROGRAM? YES!

This workshop counts towards Levels 1, 2 or 3 TEAM-CBT Certification.

WHO CAN ATTEND? Therapists of all levels are welcome

CAN I REGISTER IF I’M NOT A THERAPIST? Sadly, this workshop is geared for therapists. You might want to attend one of my two summer intensives, also listed below. They are geared for therapists, but anyone can benefit from them.

CAN I WORK ON MY OWN FEELINGS OF ANXIETY AND INSECURITY?
Absolutely! Heal yourself, heal your clients!

WILL I HAVE FUN? Yes!

WILL I HAVE SOME GREAT FREE BREAKFAST AND LUNCH? Yes!

WILL I HANG OUT WITH SOME COOL PEOPLE? Yes!

You will also:

  • Learn new skills to reduce resistance and boost the motivation to change. This is THE key to the treatment.
  • Learn how to treat all of the anxiety disorders quickly.
  • See actual live videos of the Six-Minute Cure for Severe and Incapacitating Panic Disorder and the Fifteen-Minute Cure for Severe OCD.
  • Practice and master the Externalization of Voices and Acceptance Paradox to overcome your own feelings of inadequacy and self-doubt.
  • Master Relapse Prevention Training for lasting results.

You will love this lively, amusing, and immensely useful day of training with Drs. Burns, Levitt and the Feeling Good Institute Staff. The trainers will use a combination of didactic teaching, live demonstrations, videos, and breakout group practice to enhance skill-building.

This wonderful workshop will stream live and is easily accessible from anywhere in the world on any device with WiFi. To join, just click on the link provided before the workshop.

More than twelve expert trainers will be available to assist
the online participants in the small group exercises!

You can attend in person or from home via Live Streaming

Act fast if you want to attend!

Don’t miss out learning from David Burns, MD,
one of the pioneers of Cognitive Therapy,

and Jill Levitt, PhD, Director of Training
at the Feeling Good Institute in Mt. View, CA!

* * *
Coming this Summer

There will be two awesome summer intensives for you this year!

July 15 – 18, 2019
Calgary four-day intensive
Sponsored by Jack Hirose & Assoc.

July 29 – August 1, 2019
South San Francisco four-day intensive
Sponsored by Praxis

THE INTENSIVES ARE THE BEST WORKSHOPS OF THE YEAR!

If you can join us, they will be even better!

 

Test Podcast #3–Still working toward a Solution to Photo Problems on FB?

Test Podcast #3–Still working toward a Solution to Photo Problems on FB?

NMP-1116-X2Dear Dear eague,

I am again testing how photos appear on FB. This time, I am not using the “Featured Image” tool in Word Press. Instead, I am embedding all the photos IN the blog itself.

We’ll see how this looks.

Hey, I have some exciting feedback to share with you soon from my recent survey of podcast fans. Also, its looks like we’ll have our millionth podcast download this month, thanks to your support! In addition, the monthly total of downloads is increasing each month, thanks to all of you telling your friends about us. It’s working, and we deeply appreciate it. 

Warmly, 

David

Here are some more miscellaneous photos including Rhonda, my new cohost, Jill, who I teach with at Stanford (and in workshops), Zane, an esteemed friend and Tuesday group member, and Helen’s cats. Helen also teaches with us at Stanford, and has been featured on several podcasts on the Five Secrets of Effective Communication.

IMG_1851David Burns FB Ad-01IMG_2949IMG_9389

Test Podcast, Photo Problems on FB

Test Podcast, Photo Problems on FB

Dear colleague,

I am testing how photos appear on FB. My featured photos have not appeared correctly, but get cropped in peculiar ways by FB. This is a test to see how a couple different photos will appear on FB. Just trying to improve the quality for you. 

Thanks for supporting my website, www.feelinggood.com, and my Feeling Good Podcasts!

Warmly, 

David

Here’s a photo of a student, a hiking photo, and a recent david photo. They have not been resized for FB, so they may appear peculiar. This is a test for that reason. I am also repeating the photo featured at the top.NMP-1096-X2KPJ one to use

IMG_6127NMP-1065-X2 (1)

Podcast Survey for YOU!

Podcast Survey for YOU!

Dear colleague,

If you are a podcast fan, please tell me a little about yourself on the survey below, so I can create podcasts that will be the most interesting you. My goal is to increase the quality of the Feeling Good Podcasts. With your help, the Feeling Good Podcast has grown from just a few hundred downloads per month to more than 75,000, and I want this healthy growth to continue!

I want to know if you are a therapist, a general citizen, and what kinds of podcast topics would interest you the most. I also want to know what you like the BEST and the LEAST about the Feeling Good Podcasts.

Finally, would love to know how you found out about the Feeling Good Podcasts.

Thank you so much for listening and supporting my efforts, as well as the efforts of my first podcast host, Dr. Fabrice Nye, and my new host, Dr. Rhonda Barovsky.

David

PS I am NOT trying to steal your personal information. I am elderly and rather techno-impaired, and would not even know what to do with it! However, I DO want to serve you better, and love creating podcasts for you! 

“A Letter to Marilyn—from the World”–My Easter / Passover Message

“A Letter to Marilyn—from the World”–My Easter / Passover Message

What’s The True Meaning of Spirituality?

Hi visitors and Feeling Good website members,

When I was on a bus back to Amherst College after a long weekend break in the early 1960s, I scribbled out a poem for a creative writing class, since an assignment was due the next morning. However, I had the flu and a fever while writing the poem, so it was a bit incoherent, and I wasn’t even clear on what the poem was about, or what it meant.

Surprisingly, the teacher distributed the poem to the class for discussion, and the other students suggested that the poem was about Emily Dickinson, who had lived in Amherst in the mid-1800s. I greatly admired her work and used to visit her grave with a couple other Amherst students. One time, I knocked on the front door of the house where she had lived so long ago, and the owners let me in to look around.

Surprisingly, my poem was later published under the title, “Emily,” in a book of poems about Emily Dickinson by American poets. The book was entitled: Emily Dickinson—Letters from the World.

The book was inspired by one of Emily Dickinson’s famous poems, which begins:

This is my letter to the World,

That never wrote to Me

Now we have a touching letter from the world for our beloved Marilyn Coffee, PhD, who inspired so many of you with her courageous live personal work on several Feeling Good Podcasts during 2017. I hope you enjoy this wonderful note!

David

Here’s the letter:

Dear Marilyn,

My name is Kent. I listened to the podcast the other week where you and Dr. Burns did TEAM therapy. First, I want to thank you so much for being willing to do the podcast.

At one point in the process, you said that you hoped that by doing the therapy in a public way, people who were struggling with depression / grief / anger etc. could be helped. You have helped me so much, and now I feel so blessed to have your session as a resource for anyone who is isolated, afraid, angry and feeling alone.

While listening to your session, I kept thinking about a friend of mine who committed suicide this last year. Now I know that he was completely clobbered by distortions. Also, he grew up in a very religious family and a great deal of his guilt came from theological distortions. He would have been so helped, I see that now.

I have struggled with faith all my life. In this last year, I have struggled with terrible insomnia and so much guilt and anger. I went to seminary for eight years; this only added to my feelings that I “should” be closer to God, more selfless, holy, etc. If I was a truly spiritual person, I wouldn’t be struggling with doubt, anger or fear.

It’s a long story, but so much in my life fell apart a year ago that my body just couldn’t take my attempts at keeping everything all together. I never fought the ideas in my head, why would you fight the truth?

Because of you, I am starting to see distortions for what they are, lies that look and feel so real. I looked up a picture of you and David Burns last night to get the correct spelling of your name. I just wanted you to know that you are etched in my mind now as a spiritual warrior.

Your willingness to openly share your dark night with us helps us see what true spirituality looks like. Your honesty and vulnerability help to demolish the commonly held belief that truly spiritual people do not suffer. But you guys also showed us that in the end, pain and suffering is not all there is and that it will not have the last word.

Maybe it’s not ironic that I’m writing this the Saturday morning after Good Friday. When I struggle now, I not only have your honesty and bravery in my memory, I can listen to the recording to be reminded how to fight distortions and not get sucked in the undertow!

You are in my heart, thoughts and prayers and I am forever grateful.

With much respect,

Kent

Catch the David and Jill Show on OCD, part 2, today, April 1, 2018 at 3 PM

On today’s live FB broadcast, I will be joined by Dr. Jill Levitt and Mike Christensen for our part two discussion on the treatment of OCD.  You can catch it live at 3 PM, West Coast Time, or anytime later on. The recording will be available on the website indefinitely.

Jill & David

Next week, special guest Stephen Pfleiderer will join me at 3 PM to discuss new approaches to the treatment of addictions, especially drug and alcohol abuse. You can see Stephen below on one of my Sunday hikes.

IMG_1199

David

How to Find My FB Broadcasts

Click on my Facebook tab on https://feelinggood.com/ if you’d like to watch me each week on my Live Facebook broadcast each Sunday afternoon around 3 p.m. PST. Make sure to “like” my Public Facebook page: https://www.facebook.com/DavidBurnsMD/ so you can watch it on my page or yours.

 

Join me as I answer mental health questions from viewers — therapists and non-therapists alike — from all over the world. Type your question in the Facebook feed and I’ll do my best to answer it.

If you miss the broadcast you can watch the saved videos on my Facebook page! Also, viewers can watch these Live Facebook broadcasts as well as other interesting TEAM-CBT videos on the Feeling Good Institute’s YouTube channel!

The David and Fabrice Feeling Good Podcasts

Fabrice and I hope you also enjoy our Feeling Good Podcasts, and also hope you can leave some positive comments for us and some five star ratings if you like what we’re doing! We are now enjoying  more 45,000 downloads per month from listeners like you. Thank you so much for your support of our podcasts! Please keep spreading the word to friends who might be interested!

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.

 

More Praise for the Feeling Good Podcasts

More Praise for the Feeling Good Podcasts

Hi visitors and Feeling Good website members,

I got another fantastic email from a Feeling Good Podcast fan, and deeply appreciate the kinds words! I hope you enjoy reading it! Also, the recent podcast, Live Therapy with Daisy, has had an unprecedented number of positive responses from listeners. It’s really moving, in case you haven’t yet listened.

If you have never listened to the Feeling Good Podcasts with my wonderful host and colleague, Dr. Fabrice Nye, you can link to them right here on my website, and if you sign up in the upper right hand corner of this page, you’ll receive an email notice every time I publish a new blog.

David

Dear Dr. Burns,

Yes!

Thank you both for the pod cast!

Who came up with the idea? It is an amazing contribution to folks like me!!

Each episode is incredibly enriching. You both have a wonderful way of collaborating and explain the TEAM model so clearly.

I love the way you each respect one another and deeply admire the fact that you preach the importance of the death of the ego.

This approach is unfortunately so rare in our field.

Please please keep them coming!

Joshua

Thanks, Yael, for your encouraging words, and for permission to share them here!

Catch the David and Jill Show on OCD this Sunday!

My live FB broadcasts have been moved to 3 PM Pacific (California) Time every Sunday afternoon and are now called “The David and Jill Show,” since I am joined most Sundays by my incredibly colleague, Jill Levitt, PhD. I hope you can join us! The show is for therapists and the general public alike. If you cannot join us live, you can download the shows and listen any time that’s convenient for you!

last Sunday’s show (David and Jill Show #3) on Intimacy Training has been the most successful to date, with nearly 2,000 listeners in the first week alone. You can catch it any time on my public facebook page.

Feel free to submit questions you’d like Jill and me to cover in these shows. Your questions drive the discussion each Sunday afternoon! This coming Sunday, March 18, we will address questions about and treatment of Obsessive-Compulsive Disorder (OCD).

David

How to Find My FB Broadcasts

Click on my Facebook tab on https://feelinggood.com/ if you’d like to watch me each week on my Live Facebook broadcast each Sunday afternoon around 3 p.m. PST. Make sure to “like” my Public Facebook page: https://www.facebook.com/DavidBurnsMD/ so you can watch it on my page or yours.

Join me as I answer mental health questions from viewers — therapists and non-therapists alike — from all over the world. Type your question in the Facebook feed and I’ll do my best to answer it.

If you miss the broadcast you can watch the saved videos on my Facebook page! Also, viewers can watch these Live Facebook broadcasts as well as other interesting TEAM-CBT videos on the Feeling Good Institute’s YouTube channel!

The David and Fabrice Feeling Good Podcasts

Fabrice and I hope you also enjoy our Feeling Good Podcasts, and also hope you can leave some positive comments for us and some five star ratings if you like what we’re doing! We are already enjoying 25,000 downloads per month from listeners like you. Thank you so much for your support of our podcasts!

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.

 

Treating Our Troubled Veterans–Would TEAM-CBT Help?

Treating Our Troubled Veterans–Would TEAM-CBT Help?

Hi Web Visitors and friends,

I got a really interesting email from a psychologist I’m calling “JP,” an old friend who treats veterans struggling with PTSD. He had some deeply-appreciated praise for the Feeling Good Podcasts and raised some challenging questions about TEAM as well as the treatment of veterans struggling with trauma who may be motivated to maintain their symptoms, in some cases, due to disability payments. You might enjoy our exchange!

David

* * *

Hi David,

I have listened to 52 Feeling Good podcasts. They’re excellent! Both enjoyable and informative. This is the best podcasts series I have ever heard as far as content that I can put to use as a psychologist. I look forward to listening to them and find them encouraging.

The only downside is that I wish there were more of them. I learn something every time I listen. For example, your talk about the negative impact of unrealistic positive thoughts helped me reframe some of my experiences when I tried to do much more than I could do well (which has had a negative impact on my career). I understand this now and it is helping me take more care regarding what I take on now. Keep up the good work!

I hope to come to the intensive in Canada in July!

If you have time, it would be great if you could respond to the questions below. These questions relate to my concerns regarding using the TEAM model with veterans. Please keep in mind the US VA health care system provides more psychotherapy than any other organization in the world.

In an effort to better serve our veterans by promoting evidence based treatments, the VA has already trained hundreds of clinicians in PE and Cognitive Processing Therapy and continues to provide this type of training on an ongoing basis to hundreds more staff and students as they enter the VA system.

In some ways, VA clinicians could be the perfect TEAM model providers because there seem to be an endless number of veterans seeking treatment for PTSD, depression and anxiety. As a result, there are no financial incentives to keep patients in treatment. If the VA were to promote the TEAM model the way it has promoted PE, then tens of thousands of lives would be affected across the country.

Questions:

  1. Most of the patients you described were highly educated and intellectual. Would these methods work as well on individuals with a high school or less education who have often made their living through manual labor?
  2. Have there been any published studies using the TEAM model?
  3. Are there any studies underway?
  4. How often do you have follow-up testing? TEAM seems to be having a clear impact within these long sessions. How much evidence do you have that these changes last six months or longer?
  5. As we have discussed, the VA both treats PTSD and provides disability payments based on the degree to which a veteran’s ability to work is impaired by his/her military service so there is a disincentive for reporting improvement. How would you address this issue?

Thanks!

JP

* * *

For clarification on my response below:

TEAM is an acronym that stands for T = Testing, E = Empathy, A = Agenda Setting, and M = Methods.

CBT stands for Cognitive Behavioral Therapy.

Dear JP,

Thank you for your wonderful email and excellent questions! I look forward to seeing you at next summer’s intensive. It’s been a while since we have connected! So great to hear from you. There will also be a good intensive in San Francisco in the summer. That one also has evening sessions featuring live work and more practice for participants.

I’ll take a crack at your questions:

  1. The TEAM-CBT methods can work with high functioning individuals, but it is a bit more challenging and takes quite a bit of skill and training on the part of the therapist. Working with lower functioning individuals who have few resources is actually easier, in my experience, and can be extremely rewarding. This is perhaps not the way most mental health professionals think about it!

The best experience I’ve had along these lines was the group CBT program I developed for my hospital when I was still living in Philadelphia. Ours was an inner-city hospital in a gang warfare area, and we treated everyone in groups.

We simplified the cognitive therapy, since many of our patients could not read or write. Most of our patients had severe psychiatric symptoms with limited resources, and some were homeless.

The outcomes were tremendous, and the program was cost-effective as well, since we recruited the group leaders from the community. They worked under supervision of a psychologist.

The patients seemed extremely grateful for the programs we developed, and they were challenging, due to their severity, but actually easy to work with. I wrote the book, “Ten Days to Self-Esteem” as the manual for the patients, and we gave every patient a copy at intake to the program. It is written at about the fifth-grade level, with just a few paragraphs in each chapter, along with the exercises we did in each group. Each chapter was the focus of one of the groups in our ten day program. I also wrote a manual for the group leaders called Ten Days to Self-Esteem: The Leader’s Manual. Both books are available on Amazon, though the leader’s manual is now just an eBook.

For an example of how we simplified the treatment, we called the first cognitive distortion on my distortion list “black or white thinking” instead of “all-or-nothing thinking” to make it easier to grasp. We illustrated the distortions on posters, and each distortion was represented with an icon to make it easy to comprehend. We used a checkerboard for all-or-nothing thinking, for example, and a magnifying glass for Magnification and Minimization.

I was also very careful to use simple language when running groups, and I avoided any kind of psychological jargon or big words. But other than that, everything applied to this population, just like any other group of individuals struggling with severe depression, anxiety disorders, relationship conflicts, and habits and addictions

2. You asked about research, which is so important. I presented an informal study of TEAM in a keynote address at one of the Brief Therapy Conferences in Anaheim a few years ago, sponsored by the Milton Erickson Foundation in Phoenix. The study involved something like 450 therapy sessions conducted by four therapists at the Feeling Good Institute in Mt. View, California. The goal was to calculate the average rate of anxiety and depression symptom reduction per hour of therapy, which was about 25% to 30% per hour. I was able to make these calculations because in TEAM, we measure symptoms at the start and end of every therapy session, without exception.

I call this measure the “Recovery Coefficient,” and I believe it is a really accurate measure of therapist effectiveness, perhaps the first ever developed.

This rate of change was vastly faster than what is reported in controlled outcome studies using CBT or other forms of treatment, including medications. However, I do two-hour sessions, and typically see a complete or near-complete elimination of symptoms in that period of time. However, was not one of the therapists in that study.

An outcome study is about to begin at the FGI.

You can also read more about the research that triggered my evolution from CBT to TEAM-CBT, including the clinical experience that led to the new developments, at this link:

https://www.psychotherapynetworker.org/blog/details/1160/when-helping-doesnt-help

 

If you need the references to my published research studies, let me know. I developed TEAM-CBT based on process research on how psychotherapy actually works.

It is my belief that the controlled outcome studies have yielded very little useful information, and that the breakthroughs in understanding and in clinical treatment will result from process studies that document procedures and processes that are actually effective with patients.

TEAM-CBT evolved from this research on how psychotherapy works, and my findings, as well as my clinical experiences, pointed to the massive importance of motivation and resistance. TEAM includes many powerful resistance-busting techniques that I have developed in recent years at my weekly psychotherapy development and training group at Stanford.

However, it is not easy to learn how to do TEAM-CBT, due to therapist narcissism and codependency, as well as the fact that therapists have to unlearn much of what they have been taught. In my experience, some therapists are strongly biased and not terribly open to learning that their empathy skills and technical skills are not nearly as effective as they thought! In addition, I believe that some therapists are looking for easy formulas, as opposed to the really hard work of learning world-class therapy skills.

I apologize for my somewhat cynical attitude! And I would have to say that some therapists, like yourself, are absolutely delightful to teach and quick and hungry to learn new and more effective approaches.

3. See #2.

4. Please see my podcasts and blogs on Relapse Prevention Training, including this one: https://feelinggood.com/2017/07/31/048-relapse-prevention-training/

In my clinical practice, I have had about 35,000 to 40,000 therapy sessions, and have always done careful Relapse Prevention Training (RPT) prior to discharge. RPT takes about 30 minutes, and is incredibly important, because all human beings will “relapse” from time to time.

I encouraged all my patients to return anytime they relapsed and needed a tune-up. I can count on two hands the number who have returned for a tune-up, and that was usually just one or two sessions and then they were on their way again.

However, my clinical experiences are clearly not the same as controlled outcome studies, so we need to be cautious until that research can be done. However, short-term and long-term studies of the effects of simply reading my book, Feeling Good, with no other treatment, are outstanding, and comparable to or better than the effects of individual psychotherapy or treatment with antidepressant medications.

I do recall a study by Anne Simons PhD showing that the faster patients recover, and the more complete their recovery, the better the long-term prognosis. This is consistent with common sense. If patients come to you for treatment, and quickly and completely recover, they are getting the message that their depression and anxiety are very treatable, and that they are not hopeless.

In addition, it is crucial that they know that they will have relapses from time to time, and that the methods they learned in therapy that worked for them will likely always work for them. So they must be willing to pick up the tools and use them again when they fall back into a black hole of depression and self-doubt.

5. You and I have discussed this thorny issue of treating veterans receiving disability years ago, and I will repeat the solution I proposed at that time. You might consider giving veterans an option to select between two treatments:

  1. Treatment as Usual, which could include medications and a weekly chat about their symptoms, but no homework, no demands, no anxiety providing interventions, and so forth. This treatment would not threaten their disability.
  2. Rapid Recovery, which requires consistent homework between sessions, consistent attendance, and so forth. This treatment might threaten their disability, since the focus will be on recovery.

Then you could find out what group each veteran selected, and this might give you crucial information about motivation / resistance. At any point, too, veterans could change groups.

This approach might allow you to focus your creative efforts and energy on the patients who select the training in which they are accountable. I find that disability money can be a challenging obstacle to effective treatment. If a patient is involved in a lawsuit, hoping to get a settlement due to psychiatric symptoms, you will run into the same problem.

People are easily corrupted by money. In addition, I believe it is an ethics violation to treat individuals and to certify them for disability at the same time. This is a classic dual-role ethics conflict. If the veterans know that your therapy notes and records will be used in the evaluation of their disability, you will have the same problem. To my way of thinking, this is a therapy “non-starter” of the highest magnitude.

Good to hear from you, JP, and hope to see you before long!

David D. Burns, M.D.

Dear Web visitors,

I would like to invite you to some exciting events coming up in the near future. My relationship workshops will take place in three east coast cities at the end of October, and the first will be live-streamed, so you can “attend” from anywhere in the world. Here’s a new development: When you register, if you use the code Burns50, you will receive a $50 discount. Not a bad deal! Here are the details:

“And It’s All Your Fault!” Transforming Troubled Relationships Into Loving Ones

October 30 – 31, 2017–Raleigh, NC: Double Tree Raleigh Brownstone-University
November 1 – 2, 2017–Atlanta, GA: Atlanta Marriott Century Center
November 3 – 4, 2017–Denver, CO: Double Tree by Hilton Denver-Westminster
For more information, click here, or contact IAHB, phone: 800-258-8411

The Raleigh workshop on Oct 30 – 31 INCLUDES A LIVE WEBCAST–
Click here for more information

In addition, my Feeling Good talk will be sponsored by Stanford and is free to Stanford-affiliated health professionals. Three is a $40 fee for the general public. I’ll be discussing CBT as well as the developments led to the birth of TEAM-CBT, with a dramatic video clip of a patient having a full-blown panic attack. You will see the actual moment of her recovery during the session!

I will also present some inspiring vignettes illustrating patient’s recoveries from severe depression and hopelessness. I’m honored to have this opportunity to present at Stanford! Here are the details.

Feeling Good
Friday, October 27, 2017, 8 to 10 AM
Stanford University Li Ka Shen Center, Room 130
For health professionals as well as the general public

Sponsored by the Stanford Health Promotion Network, this presentation by David D. Burns, M.D., will focus on fast, effective, drug-free treatments for depression and anxiety disorders. This event is free for Stanford-affiliated individuals and $40 for others who wish to attend. Click here for registration and more information

I sincerely hope you can join me for one of these exciting events!

All the best,

David

 

 

 

If you are reading this blog on social media, I appreciate it! I would like to invite you to visit my website, http://www.FeelingGood.com, as well. There you will find a wealth of free goodies, including my Feeling Good blogs, my Feeling Good Podcasts with host, Dr. Fabrice Nye, and the Ask Dr. David blogs as well, along with announcements of upcoming workshops, and tons of resources for mental health professionals as well as patients!

Once you link to my blog, you can sign up using the widget at the top of the column to the right of each page. Please forward my blogs to friends as well, especially anyone with an interest in mood problems, psychotherapy, or relationship conflicts.

Thanks! David

After 32 Years of Depression–Your Podcasts Helped!

After 32 Years of Depression–Your Podcasts Helped!

Hi David.

My name is Hassan and I have been suffering from depression and anxiety for the last 32 years.

I am glad that after listening your podcasts and reading some of your other written materials, I have finally managed to reduced my mental suffering considerably. I am a math teacher and recently earned a degree in psychology, just to understand the causes of my mental disorders.

Could you kindly guide me on how I can take part in your workshops and other training sessions? I want to improve my learning in order to cure my psychological issues and help others in my country tackle anxiety and depression.

Hassan

Hi Hassan.

Thank you for your email. I feel sad you’ve been feeling depressed for so long, but I’m impressed by your hard work, and I’m sure it will pay off for you!

Here are several things might help, if you’d like to learn more about the new techniques I’ve been developing:

  1. Attend any of my workshops, if you can. They are listed on the workshop tab on my website, feelinggood.com. The two upcoming 4-day intensives later this month (Banff, Canada and San Francisco) should be extremely helpful and fun. In the fall, I will also be offering two-day workshops on the high-speed treatment of individuals who have experienced trauma, with additional workshops on other topics in 2018.
  2. You might benefit from my eBook, Tools, Not Schools, of Therapy. Order forms are on my website. This is a step by step guide in how to do TEAM-CBT. It is intended for therapists.
  3. You could join one of the weekly online training groups, and you can find information about them on my website as well. These would be ideal for you, because you can join in from anywhere in the world, and the teachers are outstanding! There are small numbers of individuals in each group, so you get lots of individual attention and chances to actually practice the new TEAM-CBT techniques.
  4. You can visit www.feelinggoodinstitute.com. They have a variety of online training groups, plus a TEAM-CBT certification program.
  5. You can read any of my books for the general public. They seem to be helpful to therapists as well as individuals who are looking for help with depression, anxiety, or relationship problems. All should be available from Amazon.com and other online book sellers. Here are some of the titles:
  • Feeling Good: The New Mood Therapy
  • Feeling Good Together
  • The Feeling Good Handbook
  • Ten Days to Self-Esteem
  • When Panic Attacks
  • Intimate Connections
  1. If you are ever in the San Francisco area on vacation, you would be welcome to visit one of my free of charge Tuesday evening training groups at the Stanford Medical School. You would be welcome on one of the Sunday morning hikes as well. I know it is a long way from your home, but we actually had a visitor (a neurologist) from China recently! She also came to a summer intensive, and then married one of our Tuesday group members, and now lives with him here in California!

Good luck, Hassan, and thank you so much for your kind email. Fabrice and I appreciate hearing from folks who have been listening to our Feeling Good Podcasts!

David

 

My two four-day intensives for mental health professionals this summer are filling up fast, but there are still a few slots available in both. One is in Banff, Canada and Burlingame, California. These are always the most effective and rewarding training conferences of the year. Here are the details:

Cognitive Behavioral Therapy: A Four-Day Intensive Training

  • July 17 – 20, Banff, Canada
  • For more information, click here
  • 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
  • July 31 – August 3, Burlingame, California
  • For more information, click here
  • phone: 800-258-8411

If interested, move quickly. The dates are fast approaching and they often sell out, since attendance is strictly limited at both events. I hope you can join us, and look forward to getting to know you if you attend!

 

If you are reading this blog on social media, I appreciate it! I would like to invite you to visit my website, http://www.FeelingGood.com, as well. There you will find a wealth of free goodies, including my Feeling Good blogs, my Feeling Good Podcasts with host, Dr. Fabrice Nye, and the Ask Dr. David blogs as well, along with announcements of upcoming workshops, and tons of resources for mental health professionals as well as patients!

Once you link to my blog, you can sign up using the widget at the top of the column to the right of each page. Please forward my blogs to friends as well, especially anyone with an interest in mood problems, psychotherapy, or relationship conflicts.

Thanks! David

Priceless and Beyond Valuable

Priceless and Beyond Valuable

Hi, Dr. Burns.

This is Mona, I’m writing to you the second time.

Not sure if you can remember my case with hypochondriasis. I was reading the What-If Technique in your book, When Panic Attacks, and did the exercise, starting with my Negative Thought, “I think I have Hepatitis C or HIV.” As you suggested, I asked myself, “If that were true, what’s the worst that could happen? What am I the most afraid of?” You said you could ask this question over and over, and it was a good way to get at the deepest core fears that fuel our anxiety.

It worked really well, and the end result was, “I’m gonna end up being alone and lonely,” which send tears streaming down my face. As a result, I had a conversation about my fear of rejection with my husband sitting next to me that made me feel very relieved.

Now the second very emotional moment came when I was listening to your podcast describing the case of Ralph which was EXACTLY identical to my case. I couldn’t hold back my tears listening to his struggle and couldn’t stop laughing with my tears coming down when you said the good news is that you’re going to experience the same whenever you have a Hidden Emotion.

I just wanted to let you know that these podcasts are all very constructive and I’d recommend them to anyone who is reading either Feeling Good: The New Mood Therapy, or When Panic Attacks. The podcasts really showcase each technique and make the points made in the books crystal clear.

Dr. Burns, I don’t know how to thank you for all these insights and I would like you to know that your contributions are priceless and beyond valuable.

I don’t really believe in God but if you do, God bless you!

Mona

Thank you, Mona! Your email means a great deal to Fabrice and me. We are so happy that people like the Feeling Good Podcasts and find them beneficial! They are fun to do because I really enjoy working with Fabrice, but I hear from many therapists and non-therapists alike who say they really help, and that is what we hoped might happen.

On one of the Sunday hikes, a young therapist who works with children and teenagers told me that he listed to one Podcast per day for 30 days, and this really boosted his understanding of TEAM-CBT. I could see that this was absolutely true, because he has only recently joined my free weekly training group at Stanford, but his psychotherapy skills are simply zooming forward.

Mona, all the very best to you!

David

If you are reading this blog on social media, I appreciate it! I would like to invite you to visit my website, http://www.FeelingGood.com, as well. There you will find a wealth of free goodies, including my Feeling Good blogs, my Feeling Good Podcasts with host, Dr. Fabrice Nye, and the Ask Dr. David blogs as well, along with announcements of upcoming workshops, and tons of resources for mental health professionals as well as patients!

Once you link to my blog, you can sign up using the widget at the top of the column to the right of each page. Please forward my blogs to friends as well, especially anyone with an interest in mood problems, psychotherapy, or relationship conflicts.

Thanks! David