WCPT-AWP & IAP International

WCPT-AWP & IAP International Physical Therapy Congress

Posts Tagged ‘session’

Therapy Vicariously – Watch HBO’s In Treatment

October 4th, 2011 |

Author: gfmstudio

Television series featuring heroic doctors or zany medical interns have been all the rage for years now. Perhaps some television viewers might say there’s an overabundance of hourly dramas or half-hour comedies that focus on a close-knit group of people in the E.R., or a pill-popping doctor with miracle cures and an abrasive attitude. But over on the premium channels, there’s a new approach to picturing medical care. It’s more cerebral, and it’s uncharted territory in the States.

No one knew how well HBO’s In Treatment would do. HBO viewers are generally a cerebral lot, interested in complicated story lines and unconventional characters. This is, after all, the network that brought The Wire, The Sopranos, and Six Feet Under to millions of households over the years. But a television show about therapy, shot in more or less real time? It certainly wasn’t going to show up anytime soon on network television: this was material for cable and satellite TV only.

And if anyone could make it work, it was HBO.

But what needed to work here was a television show that felt, at times, more like a stage play. Based on an Israeli series and often shot faithfully scene-for-scene to its original, In Treatment follows the weekly schedule of Paul, a psychotherapist seeing five patients weekly through his private practice. Each patient has a day of the week, and entire episodes of the first season are focused on that single session of therapy.

In addition to seeing patients, Paul has his own therapist, a rule for mental health professionals, with whom he often disagrees due to differences in opinion. The show is not as straightforward as whether or not Paul will maintain his own family relationship while attempting to repair the relationships of others, but this is an underlying theme to the show’s already-existing seasons.

The jury’s still out on whether or not In Treatment counts as another triumph for the station. The show mostly succeeded with the critics, with cast members receiving nominations at the Emmy Awards two years in a row and bringing home wins at the Golden Globes. Viewers tuned in, but many folks got addicted to the show not when it aired live but later, when they used the satellite TV on-demand feature. So it’s entirely possible that In Treatment will meet the fate of so many other television shows that were creative, well-executed, and ultimately, a little too far ahead of their time to be renewed for season after season.

In case In Treatment goes the brilliant-but-canceled route, take advantage of the time you can catch it on the air. Shows like this are what on-demand was made for, and viewers can decide for themselves whether or not this drama deserves a shot at more seasons while feeling as though they’re right there at therapy, too, just through flipping on their HD TVs. And unlike when you’re watching in real time, when 50 minutes are passed, time doesn’t have to be up–you can watch a whole season in one setting.

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The Benefits of Cognitive Behavioral Therapy

September 27th, 2011 |

Author: gfmstudio

As a psychotherapist and a longtime patient of psychotherapy, I have had the good fortune of receiving both training and treatment in numerous schools of cutting edge psychotherapies including Cognitive Behavioral, Gestalt and Psychodynamic therapies. These experiences have helped me determine which therapies are most effective to integrate into my work with my clients. Although I am primarily a Gestalt therapist, integrating Cognitive Behavioral Therapy (CBT) has been extremely helpful for many of my clients.

The cognitive component of CBT focuses on helping you identify your particular “automatic thought patterns” which are the recurring negative or self defeating thoughts you have. You are then taught methods for challenging these thoughts and/ or considering alternative ways of thinking. CBT helps you tune in to you talk to yourself in your head (kindly? critically? with a negative spin on everything..?) Most of us have a rambling “inner critic” which negates what we want to do rather than motivating us. Being unaware of what we’re telling ourselves (it’s like a nasty tape playing over and over), we don’t see how we’re living OUT OF these thoughts and stories by reacting to them or trying to disprove them, rather than observing what they are telling us and seeing if they are in fact helpful to us. Common themes for self talk include: not being good enough, that we SHOULD be doing something we don’t want to do or that we have to be perfect at something.

The behavioral component of CBT involves collaboratively designing situations with your therapist for you to practice both in and out of session (also known as “exposure therapy”) which challenge your automatic assumptions by having you face and master those situations you fear. This part of therapy is very effective in helping people master their anxieties and regain their lives. Exposure is often the only thing that helps a person shift from talking to action.

While most therapies share their belief that awareness will set you free, oftentimes clients are unable to move further and take the next step to making the changes they so wish to see and behavioral work is essential in this way.

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Virtual Therapy: Wave of the Future?

September 2nd, 2011 |

Author: gfmstudio

Article by Lawanna Brock

Depression is a mood disorder characterized by the absence of a positive effect, low mood, and various associated emotional, physical, cognitive, and behavioral symptoms. Associated symptoms include sadness, pessimism, loss of interest, changes in sleep, decreased appetite, and decreased motivation. New technology has allowed depression to now be treated by way of computer. European countries are actively promoting the use of various software programs and this evolving treatment modality is popping up more and more in the research literature. Is it the wave of the future? Can people actually treat themselves with the aid of technology? Lawanna Brock reports that around any new innovative treatment lingers controversy. The concept of computerized cognitive behavior therapy (known as CCBT) is an interesting topic among mental health professionals. Many therapists simply don’t believe it works while others question its acceptability with their patients. Many do not initiate it because they don’t know enough about it. But many fear it as a replacement. Man-versus-machine. Advancing technology is much like a rose with many thorns.

Cognitive behavioral therapy (CBT) is based on the premise that inaccurate beliefs and maladaptive information processing have a casual role in depression and anxiety. It was developed by Aaron Beck in the 1960′s and in 1979 he and his colleagues had developed a detailed treatment manual for CBT. The aim of this treatment is to help patients acquire the abilities to identify the thought and images that accompany and precede the experience of upsetting emotions, distance themselves from the beliefs implied by these thoughts and images, question these beliefs for validity, and identify the themes in the content of these thoughts and images.

According to the research by Lawanna Brock, there are now over 100 computer-aided psychotherapy systems identified worldwide, many of them delivering CBT. One review found 97 different ones from nine countries when 175 studies were evaluated. The first one burst onto the therapy scene in the 1980′s, was developed by Dr. Selmi and associates, and was proven to be effective. This virtual therapy offers an alternative for depressed people who refuse therapy due to stigma, cost, or convenience issues. Most CCBT programs offer weekly sessions of around 40 – 50 minutes that involve cognitive restructuring without human contact. Minimal support by a mental healthcare professional is required. These programs focus on changing automatic thoughts and core beliefs to assist learning and retention. In addition, most computer-based therapy offers an introductory session involving psychoeducation, and then a final session on relapse prevention. Various types are available and can include email or phone contact with a therapist and direct feedback to the user as well. One free online program is Mood Gym by the Australian National University. Another one is myRay “peace of mind in a stressful world” by Dr. Michael Benjamin.

Depression has been noted by the World Health Organization (WHO) to be a significant public health problem with lifetime prevalence from 4.9% to 17%. Lawanna Brock found that due to the shortage of licensed trained cognitive behavior therapists, this emerging intervention offers a cost-effective solution for those on waiting lists for therapy treatments. Cost analysis and economic research tells us that virtual therapy not only has proven clinical effectiveness, but cost effectiveness as well.

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