Kelly asks: Would love to hear a podcast about to use or not to use touch in therapy. I personally feel touch is extremely helpful (what is more natural than to hug or put a hand on someone hurting), however I believe our profession has become so “professionalized” that is leaves out such a power act of healing. Did you ever use touch when you were practicing, and do you feel it is appropriate?
Against Machines Taking Over asks: You say that depression always results from distorted thoughts. But the sadness that results from a failure, rejection, or disappointment is not distorted. Can you explain a bit more about this?
Against Machines Taking Over also asks: Is there something you used to advocate for before but then you changed your mind?
Eduardo asks: How do you treat hypochondriasis. Almost all articles and advices I’ve read for hypochondriasis try to cover the writer’s back by first and foremost telling you that you should get yourself checked for real causes for your concern.
Eduardo also asks: I’ve been struggling with anxiety, and after reading When Panic Attacks, I got very interested in giving The Hidden Emotion model a try, but it seems to be structure-less. It seems to require a lot of detective work with no clear sheet or procedure. It’s just Detective Work, and then do something about it. Is there some newer technique to dig into what’s eating you?
You can reach Dr. Burns at firstname.lastname@example.org. Dr. Rhonda Barovsky practices in Walnut Creek, California, and can be reached at email@example.com. She is a Certified TEAM-CBT therapist and specializes in the treatment of trauma, anxiety, depression, and relationship problems. She also does forensic work in family court, but finds TEAM-CBT to be way more rewarding!
If you like our jingle music and would like to support the composer Brett Van Donsel, you may download it here.
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You may have missed the Calgary and South San Francisco intensives, but there will be two more awesome workshops
for you this fall.
High-Speed Treatment of Depression
and Anxiety Disorders
A Four-Day TEAM-CBT Advanced Intensive
November 4 – 7, 2019
The Atlanta, Georgia Intensive
I also have a tremendous one-day workshop scheduled with my colleague, Dr. Jill Levitt, that will be potentially life- and career-changing (really!) You will learn powerful skills that will boost your clinical effectiveness and improve your relationships with friends, colleagues, and loved ones.
Advanced Empathy Tools for Connecting
with Challenging Patients,
Colleagues, Friends, and Loved Ones
With Drs. David Burns and Jill Levitt
Oct 6, 2019 | 7 CE hours, $135
Do you have a patient, colleague, friend or loved one who:
Complains endlessly but doesn’t listen to any of your good advice?
Appears irate, but insists s/he isn’t upset?
Refuses to express his / her feelings?
Argues, and always has to be right?
Always has to be in control?
Is relentlessly critical?
“Yes-but’s” when you try to make a point?
Insists you don’t really care—or understand—when you think you do?
Then you’re going to LOVE this workshop with David and Jill. You’ll learn about–
The Powerful “Law of Opposites”
How to find out how your patients really feel about you–if you dare!
How to transform therapeutic failure into success
How to talk to people who refuse to talk to you
You’ll also learn–
Why your worst therapeutic failure is actually your greatest success in disguise
The fine points of the Five Secrets of Effective Communication
Three Advanced Empathy Techniques: Multiple Choice Empathy, Changing the Focus, and Positive Reframing
There will be lots of small group practice with expert feedback and mentoring to help you refine your skills!
Attend in person or from your home via Live Streaming
Sign up early because we always sell-out for the in-person seats. Of course, there will be lots of skilled trainers to help the online participants with the small group exercises, so you’ll have a great experience either way.
My one-day workshops with Dr. Levitt are usually pretty awesome! It is always an honor to teach with Jill!
How do you treat individuals with pain when there is no organic cause?
Today we answer a challenging question submitted by Anne, who writes:
I’m currently studying counselling/psychotherapy in the UK. Last month I discovered your podcast, then read your book Feeling Good, and it was the first thing that really lit up my eyes and got me obsessively studying! Everything about your TEAM-CBT model is so compelling and inspiring and first I just wanted to thank you for taking the time to share it with all of us.
I also have a specific question which I’d love to hear you answer in one of your “Ask David” episodes. My ambition is to specialize in treating patients who have chronic pain with no clear physical cause. I’ve had that problem myself for several years, so I’d love to hear your thoughts on psychological treatments for pain. How do you apply the TEAM CBT model to those patients? Any wisdom you could share would have me on the edge of my seat!
Thanks so much for listening
Thanks, Anne, for your terrific question on one of my favorite topics. In this podcast devoted to pain and depression, I describe research on the relationship between physical pain and negative emotions such as depression, anxiety, and anger. Does pain cause depression? Or does depression cause or amplify pain?
And what can we do to help patients with physical pain and intense negative emotions?
In addition, why do so many individuals struggle with somatic problems, such as physical pain, dizziness, or fatigue, when there is no apparent organic cause for the pain? Is there any hope?
I think you will enjoy the show, Anne, at least I hope you do! I really enjoyed answering your question on one of my favorite topics!
In today’s podcast, David and Fabrice address a question submitted by a listener from South Africa named Kevin. He asks how David would treat excessive worrying.
David describes a new patient who had struggled with 53 years of failed therapy for excessive, relentless worrying, and describes how she was “totally and irreversibly cured” in just two therapy sessions, which was the “good news.” The Hidden Emotion Technique was the key to her remarkably rapid recovery. David explains that the “even better news” was that her relentless worrying would come back over and over in the future, and that this was actually a really good thing!
Do you know why? Listen to this podcast you’ll find out!
David also emphasizes the importance of using all the four models, along with a Daily Mood Log, when treating any form of anxiety: the Motivational Model, the Cognitive Model, the Exposure Model, and the Hidden Emotion Model. To learn more about how these four powerful treatment models work, you can listen to Podcasts 022 through #028. Their titles are listed here, or you can link to #022, the first anxiety broadcast, by clicking here.
The DSM5 is the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association. It is used to assign diagnoses to patients. David critiques the DSM5 diagnostic criteria for “Generalized Anxiety Disorder” (GAD) and emphasizes that while worrying exists, and can easily be treated in most cases, the “mental disorder” called Generalized Anxiety Disorder does not exist, and is simply a fantasy made up by the psychiatrists who have created the DSM.
Soon, David and Fabrice will launch a series of five podcasts on the Five Secrets of Effective Communication, focusing on one technique each week. Say tuned, because these podcasts could change your life and show you the road to more loving and satisfying relationships with friends, patients, colleagues, and family members–and “enemies” as well!
David and Fabrice love your questions so keep them coming!
Fabrice and I hope you enjoy our Podcasts, and also hope you can leave some positive comments for us and some five star ratings if you like what we’re doing!
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!
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!
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.
Can OCD Be Cured? — More Examples of the Hidden Emotion Technique
In this podcast, David describes his treatment of a physician with OCD who was tortured by the fear that he would impulsively throw his newborn baby over the railing of his second-floor apartment. He also describes a psychologist with OCD who washed her hands more than 50 times a day for fear of contamination. In addition, she spent hours every day making sure that nothing in her house was arranged in groups of three—including furniture, table settings, decorative objects, magazines on tables, and so forth. Arrangements in groups of 2 were okay, as were groups of 4, 5 or more objects. Why was she so obsessed?
What were the hidden emotions that fueled these obsessions and compulsions? David and Fabrice will give you the chance to pause the recording on three occasions to jot down your hypotheses before they give you the answers. It won’t be important to get it “right,” but it is highly desirable to take a stab at it.
This podcast will be of interest to you if you or a loved one is struggling with OCD, or any form of anxiety, including phobias, panic attacks, chronic worrying, and so forth. That’s because the hidden emotion phenomenon, or excessive “niceness,” may be a the root of your fears as well. Bringing those feelings to conscious awareness will often lead to sudden relief, or even a complete elimination of your symptoms.
In the next Feeling Good Podcast, David and Fabrice will describe dramatic examples of exposure and response prevention in the treatment of OCD, including a woman who was tortured by the fear that she’d received the wrong baby at the hospital after her first child was born. What causes these bizarre symptoms, and what’s the most effective treatment? Stayed tuned and you’ll find out!