FEELING GOOD
Posts About Therapeutic Resistance

Feeling Good

Blog
Cool February 9, 2020 Workshop on Resistance!

Cool February 9, 2020 Workshop on Resistance!

Hi all,

I hope you can join Dr. Jill Levitt and me and the brilliant helpers from the Feeling Good Institute for a day of learning, fun, and connection on February 9th!

High Speed Methods to Reduce Resistance

and Boost Motivation

 

February 9, 2020

8:30 am-4:30 pm PST (11:30 am-7:30 pm EST)

Join us live online ($135) or in person ($195)

at The Creekside Inn, Palo Alto, CA

(in person includes free breakfast, lunch and schmoozing)

 

7 CE credits*

For more info or to register

CLICK HERE

This workshop is BRAND NEW. You will learn how to identify and reduce outcome and process resistance for depression (morning session) and anxiety disorders (afternoon session). This can lead to faster, better outcomes.

This is a perfect workshop for those new to TEAM as well as seasoned clinicians who want to hone their skills through. Both in-person and online participants will practice with personalized feedback throughout the day.

We consistently receive feedback that our daylong workshops are not only educational but also engaging, lively, and great opportunities for networking. Jill and I will use a combination of didactic teaching, live role plays, and breakout group practice to keep you interested and engaged all day long!

I believe that therapeutic resistance is by far the most important topic in psychotherapy. The possibilities for improving your clinical work are tremendous. I hope you can join us! You’ll love it, and we’ll really enjoy hanging out with you, too!

David Burns, MD

* * *

Coming on May, 17th, 2020–

The Cognitive Distortion Starter Kit:
How to Crush Negative Thoughts

TEAM-CBT includes more than 100 powerful techniques to change the distorted thoughts that trigger negative emotions. But what techniques should I select for my patient who feels depressed, anxious, or angry?

As you know, in my book, Feeling Good, I listed the ten most common cognitive distortions, like All-or-Nothing Thinking, Should Statements, Emotional Reasoning, and more, and you probably use that list all the time in your clinical work. But do you know which techniques work the best for each distortion?

Come to this workshop and find out! You’ll learn with tons of cool techniques you can use every day to boost your clinical effectiveness.

With Drs. David Burns and Jill Levitt

May 17, 2020 | 7 CE hours. $135

Learn More & Register

145: The TEAM Therapy Paradoxes

145: The TEAM Therapy Paradoxes

Hi listeners,

Many of our podcasts are inspired by listeners like you who send us really cool emails with show ideas. Sometimes the emails are from people wanting self-help with emotional or relationship conflicts. And sometimes, they are from therapists wanting more training and information about TEAM. Rhonda and I love your emails!

Yesterday, I got the following email from Dipti Joshi, one of our listeners from India. Dipti flew all the way from India to Canada with her lovely daughter last summer for my intensive in Whistler, Canada. I am hopeful that Dipti will one day crreate the first TEAM Treatment and Training Center in India. How cool would that be!

Here’s the email that Dipti sent me:

Dear David,

I am really enjoying all the educational materials available on your website. Thank you! I will soon be taking my Level 3 TEAM certification exam, and am seeking your kind blessings for the same!

Also, I have a special request for you. Is it possible to have a workshop or podcast on “paradoxical techniques?” I feel this is a very challenging area, and that a lot of skill is needed. Perhaps you can also talk about why paradoxical techniques can be so effective.

Meanwhile can you suggest me something to read or listen to for this?

Regards, Dipti 

Thanks, Dipit! Today’s podcast will be an introduction to the use of paradox in TEAM therapy, a kind of overview. When my new book, Feeling Great, comes out, I am hoping to do a series of workshops on a variety of powerful paradoxical techniques. And of course, the new book will have a great deal of instruction on paradoxical techniques as well.

These are the four key components of TEAM:

T = Testing

E = Empathy

A = (Paradoxical) Agenda Setting

M = Methods

In today’s podcast, Dr. Rhonda and I will explain why each of these components is inherently paradoxical. For example, when you do the T = Testing, you assess changes in the patient’s symptoms from the start to the end of the session, and the patient rates you on the Empathy and Helpfulness scales as well, When you look at the ratings, you will probably discover that you aren’t helping your patient much, if at all. You may also discover that your perxceptions of how the patient feels, and how the patients feels about  you, are off-base, and sometimes alarmingly so.

This can be very disturbing, especially if you’re not use to this kind of information. However, in TEAM, we are actually hoping for failure, and welcome that kind of “disturbing” information. Why is this? Isn’t therapy all about recovery and making positive changes? Why in the world would the therapist want to know that he or she is not helping?

It’s because many of the most important breakthroughs in therapy come from the therapist’s discovery that he or she is failing. We WANT to fail! Why? 

David illustrates this paradox by describing his discovery that he was not actually helping a patient he thought he’d helped enormously. David explains how and why this shocking information led to a tremendous breakthrough.

When you review how your patient rated you at the end of the session, you may discover that your patient gives you failing grades on the E = Empathy scale. The patient’s ratings may indicate that he or she didn’t experience you as sufficiently warm and caring, or completely trustworthy, and that you didn’t really “get” how she or he was feeling inside.

Once again, as TEAM therapists we welcome failing grades on the Empathy Scale. Why? It’s because your worst therapeutic failure will nearly always be your greatest success in disguise.

How can this be? It seems absurd, or impossible. Karl Rogers told us that empathy is the necessary and sufficient condition for personality change. So why would a TEAM therapist hope to discover that he or she is failing in this category?

You’ll discover the explanation for this paradox on today’s podcast.

When the patient asks for help during the A = Agenda Setting phase of the session, the TEAM therapist doesn’t jump in and offer to help, using this or that therapy method. In fact, the TEAM therapist will often assume the role of the patient subconscious resistance and argue for the status quo, sincerely encouraging the patient to cling to the feelings of depression, anxiety, shame, worthlessness, hopelessness, and anger. The therapist will bring out all the reasons why the patient should RESIST change.

Why in the world would a therapist want to do that? It sounds crazy! You’ll find out on this podcast.

And finally, during the M = Methods phase of the session, the TEAM therapist will be working with the patient on his or her negative thoughts, like, “I’m worthless,” or “I’m not as good as I should be,” or “I’m hopelessly damaged because of the abuse I experienced as a child.” And the TEAM therapist’s goal is not success, but rather failing as fast as you can, trying technique after technique that DOESN’T work and the patient’s belief in the Negative Thought is still 100%.

Why would a therapist want to fail over and over? Isn’t that the opposite of what a skillful, compassionate, and effective therapist would want to do?

Listen to this podcast and you’ll discover the answer to these questions. You’ll also see that the patient, not the therapist, is the expert in TEAM, and discover how the patient, and not the therapist, guides all the changing.

David and Rhonda talk about the important difference between healthy and unhealthy use of paradoxical ideas and techniques in therapy, and describe how narcissistic therapists may use paradoxical techniques in an effort to manipulate “resistant” or annoying patients. This dysfunctional use of paradox is unfortunately common, and will rarely or never be effective. 

David and Rhonda

 

Subscribe

You can reach Dr. Burns at david@feelinggood.com. Dr. Rhonda Barovsky practices in Walnut Creek, California, and can be reached at rbarovsky@aol.com.

If you like our jingle music and would like to support the composer Brett Van Donsel, you may download it here

* * *

There will be three awesome intensives
for you this summer and fall!

If you have ever dreamed of bringing extremely rapid healing to your patients, this is a workshop you won’t want to miss. David Burns, MD, will present TEAM-CBT: a new, powerful treatment approach that can produce rapid and lasting changes in mild or severe depression and anxiety. Lectures, videos and live demonstrations by a master therapist will be followed by opportunities to practice the techniques with your colleagues.

These exercises will leave you with a deeper, richer appreciation of the practice of psychotherapy as well as a variety of innovative new tools you’ll be able to apply right away in your clinical work. In addition, you’ll have the opportunity to do your own personal work during the workshop so you can experience greater self-esteem and joy in your professional work and in your personal life as well.

High-Speed Treatment of Depression and Anxiety Disorders

A Four-Day TEAM-CBT Advanced Intensive

w/ David Burns, MD

32 hrs of CE credit available

Workshops in S. San Francisco and Atlanta!

Register with friends and save 20%!

<Register>

There will also be a four-day intensive in Calgary, and it’s coming up SOON, so act fast if you’d like to register. The Calgary intensive will be similar to the SF and Atlanta intensives, but there will be no evening sessions. Instead, Dr. Burns will lead informal evening hikes for those who are interested, followed by dinner. On the hikes, you can do personal work, ask questions, practice techniques, or just schmooze with colleagues and have fun!

Or, you can just relax and unwind every evening, and absorb all the wonderful new ideas and methods you’re learning!

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

David Burns, MD

 

David’s FB Live Returns TODAY, May 27, 2018 at 3 PM PST. Intimacy Training, Part 2!

David’s FB Live Returns TODAY, May 27, 2018 at 3 PM PST. Intimacy Training, Part 2!

All the GOOD Reasons NOT
to Use the Five Secrets of Effective Communication!

and

How to Give Criticism

Today, Dr. Jill Levitt, Mike Christensen and I will return for an incredibly important, controversial and exciting FB Broadcast. You can join us live and participate in the dialogue or watch the recording anytime.

In the last FB Live broadcast of the David and Jill Show two weeks ago, we discussed and modeled how to handle criticism. This week, we will focus on how to give criticism. We will also focus on resistance to using the the Five Secrets of Effective Communication to develop more satisfying and loving relationships with the people we’re at odds with.

Mental health professionals, as well as our patients, and human beings in general, seem to have incredible difficulties resolving relationship conflicts. Why is this?

Tune in this afternoon to find out! Or, if you’re reading this in the future, you can find the recording on my public FB page. Look for the show of May 27, 2018.

* * *

Hey, I have a cool new workshop on intimacy coming up in June!

June 15th, 2018 in Mt. View, California

9:00 AM – 4:00 PM
Michael’s at Shoreline
2960 N. Shoreline Blvd.
Mountain View, CA 94043

Sponsored by the Santa Clara Valley of CAMFT 
(California Association of Marriage and Family Therapists)

In this entirely new workshop, you’ll learn how to transform failed, frustrating relationships into satisfying, trusting ones, so you can enjoy greater success in your clinical work and more loving relationships with the people you care about the most.

I’ll be joined by the brilliant and totally wonderful Kyle Jones, a 3rd year PhD student at Palo Alto University with outstanding clinical skills. Although I’ll be doing the main teaching, Kyle will back me up and help me provide helpful feedback to all of you during the many small group exercises throughout the workshop.

In the morning, we’ll focus on dealing with challenging clients, and in the afternoon we will take on a far greater challenge: how to deal with challenging loved ones!

All of that plus:

  • Free breakfast
  • Free lunch
  • 6 CE credits
  • Lots of fun while learning!

Click here for registration and further details

Learning Objectives
At the end of this workshop you will be able to:

  • Use the Five Secrets of Effective Communication
  • Enhance your own and your client’s communication skills with the Intimacy Exercise
  • Transform hostile relationships into trusting, loving ones
  • Resolve therapeutic logjams and boost your therapeutic effectiveness
  • Track therapeutic progress and assess the quality of the therapeutic alliance
  • Fail joyfully
  • Transform therapeutic failure into success

You will also learn how to deal with clients and loved ones who:

  • Complain but ignore your efforts to help
  • Challenge or provoke you
  • Criticize you unfairly
  • Refuse to talk or open up

You will also learn how to deal with clients and loved ones who are:

  • Narcissistic, controlling, or self-centered
  • Angry, threatening or violent
  • Resistant and oppositional
  • Overwhelmingly depressed, panicky, or hopeless

Hope to see you there!

* * *

Also 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

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 http://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

 

 

 

FB Live Returns on May 27, 2018 at 3 PM PST. Intimacy Training, Part 2!

FB Live Returns on May 27, 2018 at 3 PM PST. Intimacy Training, Part 2!

All the GOOD Reasons NOT
to Use the Five Secrets of Effective Communication!

On Sunday, Dr. Jill Levitt, Mike Christensen and I will return for an incredibly important, controversial and exciting FB Broadcast. You can join us live and participate in the dialogue or watch the recording anytime.

For quite a few weeks I’ve pointed out that mental health professionals, as well as their patients, seem to have incredible difficulties learning to resolve relationship conflicts. This is in stark contrast to the treatment of depression and anxiety, which is usually (at least in my experience) super-fast and relatively easy using the new TEAM-CBT.

But when the main complaint is a relationship conflict, treatment can be slow. VERY slow! High skilled mental health professionals seem to choke when it comes to dealing with conflicts with loved ones. I’ve been speculating on why this might be in my many blogs.

Why is it sometimes so hard to treat individuals with relationship problems? Why is it so hard to heal to resolve our own conflicts?

Well, now we know what the answer is. Tune in Sunday to find out!

We changed our topic for this show due to some revealing new information based on a survey of a group of TEAM-CBT therapists just a few days ago.

Also, here’s a question for you to ponder in the meantime. What do you prefer? Hostile, conflicted relationships? Or joyous, loving, rewarding ones?

The answer may surprise you.

* * *

Hey, I have a cool new workshop on intimacy coming up in June!

June 15th, 2018 in Mt. View, California

9:00 AM – 4:00 PM
Michael’s at Shoreline
2960 N. Shoreline Blvd.
Mountain View, CA 94043

Sponsored by the Santa Clara Valley of CAMFT 
(California Association of Marriage and Family Therapists)

In this entirely new workshop, you’ll learn how to transform failed, frustrating relationships into satisfying, trusting ones, so you can enjoy greater success in your clinical work and more loving relationships with the people you care about the most.

I’ll be joined by the brilliant and totally wonderful Kyle Jones, a 3rd year PhD student at Palo Alto University with outstanding clinical skills. Although I’ll be doing the main teaching, Kyle will back me up and help me provide helpful feedback to all of you during the many small group exercises throughout the workshop.

In the morning, we’ll focus on dealing with challenging clients, and in the afternoon we will take on a far greater challenge: how to deal with challenging loved ones!

All of that plus:

  • Free breakfast
  • Free lunch
  • 6 CE credits
  • Lots of fun while learning!

Click here for registration and further details

Learning Objectives
At the end of this workshop you will be able to:

  • Use the Five Secrets of Effective Communication
  • Enhance your own and your client’s communication skills with the Intimacy Exercise
  • Transform hostile relationships into trusting, loving ones
  • Resolve therapeutic logjams and boost your therapeutic effectiveness
  • Track therapeutic progress and assess the quality of the therapeutic alliance
  • Fail joyfully
  • Transform therapeutic failure into success

You will also learn how to deal with clients and loved ones who:

  • Complain but ignore your efforts to help
  • Challenge or provoke you
  • Criticize you unfairly
  • Refuse to talk or open up

You will also learn how to deal with clients and loved ones who are:

  • Narcissistic, controlling, or self-centered
  • Angry, threatening or violent
  • Resistant and oppositional
  • Overwhelmingly depressed, panicky, or hopeless

Hope to see you there!

* * *

Also 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

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 http://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

 

 

 

Solution to David’s Tuesday Tip #5*

Solution to David’s Tuesday Tip #5*

This was yesterday’s paradoxical tip–

Most therapeutic failure–and patient resistance–results from the therapist’s compulsive urge to “help” or rescue to the patient.

When patients are stuck and not improving in spite of the therapist’s most sincere efforts, the problem nearly ALWAYS results from the fact that the therapist has not dealt with the patient’s resistance. There are two forms of resistance for depression, anxiety, relationship problems, and habits and addictions. In TEAM-CBT, we bring the patient’s resistance to conscious awareness and melt it away with a variety of powerful and compassionate techniques. If the therapist learns how to do this skillfully, it vastly accelerates recovery!

Many (perhaps most) therapists entered the field because they have been wounded personally, and because they want to help others. But this very understandable and compassionate urge can also get in the way of effective treatment. When you jump in and try to help someone who is suffering, they will nearly always resist your efforts. This is not only true in therapy, but also in your interactions with friends, colleagues, and family members who are depressed and anxious.

Of course, compassion IS important and helping IS crucial–but you have to know how to go about it, and that takes training, in my opinion!

Thanks for tuning in today! I have to exit as I am about to supervise one of the Stanford psychiatric residents this afternoon.

David

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

Coming This Week! Register Now!

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!