Discover
Counselor Toolbox Podcast with DocSnipes
![Counselor Toolbox Podcast with DocSnipes Counselor Toolbox Podcast with DocSnipes](https://is1-ssl.mzstatic.com/image/thumb/Podcasts122/v4/03/79/08/037908ea-f3c2-88c1-8181-eab18a383313/mza_11578900058109316571.jpg/400x400bb.jpg)
Counselor Toolbox Podcast with DocSnipes
Author: Dr. Dawn-Elise Snipes
Subscribed: 10,022Played: 798,751Subscribe
Share
© 2022 CDS Ventures, LLC
Description
Counselors, coaches and sober companions help hundreds of thousands of people affected by Addictions and Mental Health issues each year. Learn about the current research and practical counseling tools to improve your skills and provide the best possible services. Counselor Toolbox targets counselors, coaches and companions, but can also provide useful counseling self-help tools for persons struggling with these issues and their loved ones. AllCEUs is an approved counseling continuing education provider for addiction and mental health counselors in most states. Counseling CEUs are available for each episode.
959 Episodes
Reverse
Overview of Personality Disorders
Definition:
Key Features:
Inflexible and Pervasive Behavior: Present across various contexts.
Early Onset: Behavior is stable and typically begins in adolescence or early adulthood.
Exclusion Criteria: Must rule out other mental disorders, medical conditions, or substance use as primary causes.
Common Diagnostic Challenges
Overlap with Other Disorders:
Trauma Considerations: .
Specific Personality Disorders and Trauma-Informed Perspectives
Paranoid Personality Disorder:
Mnemonic: "SUSPECT" - Suspiciousness, unforgiving, perceives attacks, etc.
Trauma Link: May develop from environments with distrust or betrayal.
Schizoid Personality Disorder:
Mnemonic: "DISTANT" - Detached, indifferent to praise/criticism, tasks done solitarily, etc.
Trauma Link: Chronic exposure to trauma may lead to emotional numbing and detachment.
Schizotypal Personality Disorder:
Mnemonic: "ME PECULIAR" - Magical thinking, eccentric behavior, anxiety in social situations, etc.
Trauma Link: Development of odd beliefs or behaviors may stem from a need to cope with a traumatic environment.
Avoidant Personality Disorder:
Mnemonic: "CRINGES" - Certainty of being liked, rejection preoccupies thoughts, intimacy restrained, etc.
Trauma Link: Likely related to experiences of rejection or abandonment, leading to extreme caution in relationships.
Dependent Personality Disorder:
Mnemonic: "RELIANCE" - Reassurance required, expressing disagreement difficult, life responsibilities assumed by others, etc.
Trauma Link: Often linked to enmeshed or controlling family environments, where independence was discouraged.
Antisocial Personality Disorder:
Mnemonic: "CORRUPT" - Conformity to law lacking, obligations ignored, reckless, etc.
Trauma Link: May develop from a criminogenic environment or chronic trauma leading to a disregard for societal norms.
Borderline Personality Disorder:
Mnemonic: "AM SUICIDE" - Abandonment fears, mood instability, suicidal behaviors, etc.
Trauma Link: Strongly associated with early abandonment or chaotic environments.
Histrionic Personality Disorder:
Mnemonic: "PRAISE ME" - Provocative behavior, relationships considered more intimate than they are, uncomfortable not being center of attention, etc.
Trauma Link: May develop as a way to gain attention in emotionally neglectful environments.
Narcissistic Personality Disorder:
Mnemonic: "SPECIAL" - Believes they are special, preoccupied with fantasies of success, lacks empathy, etc.
Trauma Link: Possible development as a defense mechanism in response to trauma or low self-esteem.
Obsessive-Compulsive Personality Disorder:
Mnemonic: "LAW FIRMS" - Loses point of activity due to detail, friendships excluded due to work, inflexible, etc.
Trauma Link: Rigidity and control may arise from environments where safety and predictability were lacking.
Differential Diagnosis and Considerations
Rule Out Other Disorders:
Mood disorders with psychotic features.
Autism spectrum disorders.
Substance use disorders.
Importance of Context:
Acculturation and Intergenerational Trauma:
Treatment and Systemic Considerations
Personality Disorder Stigma:
Trauma-Informed Care:
Treatment Barriers:
Chapters:
00:00:00 - Differential Diagnosis of Personality Disorders from a Trauma-Informed Perspective
00:06:56 - Characteristics of Paranoid Personality Disorder
00:13:38 - Trauma's effect on mood and libido
00:20:22 - Unusual Perceptions and Magical Thinking
00:27:13 - Characteristics of Dependent Personality Disorder
00:33:59 - Borderline Personality Characteristics
00:40:54 - Differential Diagnosis and Co-occurring Disorders
00:47:27 - Differential Diagnosis of Personality Disorders
00:54:12 - Differentiating Personality Disorders from Other Conditions
Learn more about your ad choices. Visit megaphone.fm/adchoices
Here is a structured bullet-point summary of the video titled "Restoring Your Marriage with God: Developing Endurance" presented by Dr. Dawn-Elise Snipes:
---
Introduction
Presenter: Dr. Dawn-Elise Snipes
Topic: Developing endurance in marriage, guided by biblical principles.
Key Idea: Marriage involves enduring both good and bad times, as reflected in traditional wedding vows.
Understanding Endurance
Definition: Endurance is the courage to face and overcome difficult situations, motivated by hope for improvement.
Biblical Basis:
Romans 5:3-4: Suffering leads to endurance, which builds character and hope.
James 1:12: Endurance through trials results in the Crown of Life from God.
Endurance in Personal Responsibility
Admitting Mistakes:
It's often easier to endure others' faults than to acknowledge and face consequences for our own.
Example: Recognizing personal faults and enduring correction, as advised in Proverbs 15:32.
Biblical Examples of Endurance
Enduring Personal Mistakes:
Adam and Eve: Expelled from Eden after disobeying God.
Noah: Endured the flood and later faced consequences for getting drunk.
Other Figures: Abraham, Aaron, the Israelites, Moses, Jonah, David—each faced and endured the consequences of their actions.
Enduring Others’ Mistakes:
Jacob: Tricked into marrying Leah instead of Rachel.
Joseph: Endured slavery and false accusations.
Other Figures: Moses, Ruth, Naomi, Job, and David all endured hardships caused by others' actions.
Applying Endurance in Marriage
Self-Reflection:
Reflect on personal experiences where endurance was necessary (e.g., parenting, personal growth).
Identify risks needed to repair a marriage, such as speaking the truth or rebuilding trust.
Motivational Enhancement:
Focus on long-term benefits of enduring and working on relationships.
Increase motivation by recognizing small achievements and progress.
Practical Tools for Endurance
Distress Tolerance:
MAD Technique: Be Mindful, Accept feelings, Down-regulate stress.
Dialectics: Embrace both the good and bad aspects of life and relationships.
Tragic Optimism: Acknowledge difficulties while maintaining hope for improvement.
Handling Resistance in Counseling:
Explore reasons behind resistance to change.
Ensure both partners understand the purpose and benefits of suggested changes.
Additional Considerations
Commitment, Control, Challenge (Heartiness):
Commitment: Review what's important in life and allocate energy accordingly.
Control: Identify aspects of life where control is possible and make plans to manage them.
Challenge: View obstacles as challenges to overcome rather than insurmountable barriers.
Repairing Attachment:
C.A.R.E.S. Mnemonic: Focus on Consistent mindfulness, Attention, Response, Empathy, and Support.
Rebuild trust and faith in one another through enduring commitment and small steps of progress.
Conclusion
Endurance in Recovery: Essential for the success of counseling and improving relationships.
Biblical Insight: Resistance is a sign of fear or lack of tools to change; seek strength in faith, as exemplified by Jonah's prayer in distress.
---
Chapters:
00:00:00 - Developing Endurance in Your Marriage
00:04:21 - The Endurance of Mistakes and Fallout
00:08:59 - Endurance in the Bible
00:13:19 - Increasing Motivation for Growth
00:17:29 - Distress Tolerance Skills in Relationships
00:21:51 - Calming Down and Having Productive Discussions
00:26:01 - Overcoming Resistance to Change
00:30:10 - Building Endurance and Courage in Relationships
00:34:08 - Making a Plan and Facing Challenges
00:38:16 - Increasing Endurance through Effective Communication
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Treatment Planning
- **Importance**: Many clinicians and interns struggle with writing effective treatment plans.
- **Tools**:
- **Integrative Summary**: Provides an executive summary of the patient's story, supports diagnosis, and identifies problems to drive treatment planning.
- **Standardized Instruments**: Used for guiding treatment planning, such as FARS, CANS, ASAM, and LOCUS.
### Integrated Summary
- **Purpose**: Summarizes the patient’s condition, diagnosis, and impacts of identified problems.
- **Use**: Drives treatment planning by connecting symptoms to the diagnosis and planning interventions.
- **Key Components**:
- Summarize presenting problems and evidence of impairments.
- Define the diagnosis and support it with evidence.
- Provide treatment recommendations.
- Include a relapse prevention plan.
### Reassessment
- **Purpose**: Evaluate patient progress, note any changes in their condition, and adjust treatment plans as needed.
- **Frequency**: Recommended to be done at least monthly to ensure up-to-date care.
- **Components**:
- Reassess the patient’s current status.
- Evaluate progress on goals and identify new challenges or strengths.
- Adjust treatment plan accordingly.
### Standardized Instruments
- **FARS (Functional Assessment Rating Scale)**:
- Evaluates various symptoms such as depression, anxiety, and cognitive performance.
- Helps in tracking progress by rating symptoms at regular intervals.
- **CANS (Child and Adolescent Needs and Strengths)**:
- Focused on trauma and development issues in children and adolescents.
- Considers family, developmental needs, trauma, and substance use.
- **LOCUS (Level of Care Utilization System)**:
- Assesses risk of harm, functional status, and recovery environment.
- Used often with clients to determine the appropriate level of care.
- **ASAM (American Society of Addiction Medicine Criteria)**:
- Measures the need for treatment in six dimensions, including substance use and biomedical conditions.
- Broad and effective for evaluating comprehensive needs.
### Effective Treatment Planning
- **Goals**: Set measurable and achievable targets.
- **Client Involvement**: Engage the client in the planning process to ensure motivation and adherence.
- **Reassessment**: Conduct frequent reassessments to monitor progress, identify obstacles, and adjust plans as needed.
### Common Pitfalls in Treatment Planning
- **Lack of Measurable Goals**: Goals should be specific and measurable.
- **Insufficient Client Feedback**: Clients should be involved in their treatment planning process to ensure they are motivated and invested.
- **Failure to Reassess Frequently**: Regular reassessments are critical to adjusting treatment plans and maintaining client motivation.
### Time-Effective Strategies
- **Client Participation**: Involving clients in the treatment planning and documentation process.
- **Use of Worksheets**: Clients fill out treatment planning worksheets at home, focusing on what's important to them and identifying problems.
### Conclusion
- **Empowerment**: When clients participate in the treatment planning process, they are more empowered and motivated.
- **Concurrent Documentation**: Involving clients in documentation during sessions can improve their engagement and understanding of the treatment process.
Chapters:
00:00:00 - Treatment Planning and Reassessment
00:05:21 - Supporting Diagnoses with Evidence
00:10:34 - Integrated Summaries and Reassessments
00:15:45 - Treatment Plan and Family Involvement
00:20:56 - Enhancing Motivation and Reassessing Progress in Treatment
00:26:01 - Identifying Resources and Strengths
00:31:41 - Assessing Presenting Issues and Needs for Treatment
00:37:09 - Addressing Fatigue: Learning and Planning
00:42:37 - Client Participation in Treatment Process
Learn more about your ad choices. Visit megaphone.fm/adchoices
(Release was delayed, unreleased episode 980)
### Summary of the Video
**Introduction**
- Welcome to Part Three of Interpersonal Skills series.
- Focus on how past impacts present relationships, especially primary attachment relationships.
- Host: Dr. Donell Snipes.
- Objectives: Identify signs of relationship insecurities, explore past relationships' impact on present ones, and identify interventions for addressing relationship insecurities.
**Signs of Relationship Insecurities**
- Difficulty trusting partner.
- Regularly comparing oneself or partner to others.
- Requiring frequent reassurance.
- Anxiety when separated.
- Internalizing negative thoughts and creating self-fulfilling prophecies.
- Feeling of distance or detachment.
- Reading negative into partner’s words or actions.
**Impact of Past Relationships**
- Past relationships, including primary attachment and friendships, influence current relationships.
- Carrying baggage from past relationships can impact new relationships.
- Holding current partners responsible for past hurts.
- Idealizing past relationships and comparing them to present ones.
**Unhealthy Relationship Characteristics**
- Chaos, abuse, neglect, boundary violations, invalidation.
- Appearance-focused rather than genuine connection.
- Role reversals in parent-child dynamics.
- Low self-esteem and feeling inadequate despite best efforts.
- Difficulty trusting people due to past unpredictability.
**Interventions and Activities**
1. **Relationship Inventory:**
- Assess primary attachment relationships and significant adult relationships.
- Identify learned behaviors and characteristics from these relationships.
2. **Brick and Backpack Activity:**
- Write names of past relationships on bricks, carry them in a backpack.
- Reflect on the weight and impact of carrying past relationship baggage.
3. **Venn Diagrams:**
- Compare and contrast past and current relationships to identify unique aspects.
4. **Collage and Advertising Campaign:**
- Create a collage of self-appreciation.
- Develop an advertising campaign highlighting personal strengths.
5. **Thought Stopping and Handling Hecklers:**
- Techniques to manage and redirect negative self-talk.
6. **Heartbreak Pot:**
- Break and reassemble a terracotta pot, symbolizing healing and support systems.
**Embracing Imperfection and Communication**
- Accepting that neither partner will be perfect 100% of the time.
- Importance of open communication and mindfulness.
- Articulating needs and expectations clearly.
- Developing rules for resolving challenges.
- Regular self and relationship maintenance.
**Grieving Past Relationships**
- Understanding the grieving process for past relationships.
- Reviewing messages received about dealing with loss.
- Identifying and processing continuing issues from past relationships.
**Summary**
- Recognizing and addressing insecurities stemming from past relationships.
- Importance of self-awareness, communication, and maintenance in healthy relationships.
- Encouragement to embrace imperfections and work towards synergistic partnerships.
---
### Major Time Codes
0:00 Introduction by Dr. Donell Snipes, overview of session objectives.
3:20 Signs of relationship insecurities, common indicators of problems.
10:15 Impact of past relationships on current dynamics, carrying baggage.
18:45 Unhealthy relationship characteristics, examples and consequences.
26:30 Interventions and activities, practical exercises for addressing issues.
39:00 Embracing imperfection and communication, tips for healthier interactions.
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Summary
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Understanding triggers and cravings
- Goals: Define triggers and cravings, identify personal triggers, and discuss coping methods
#### Defining Triggers and Cravings
- **Triggers**: Anything prompting a rewarding or survival response.
- Examples: Touch (hot stove), sounds (alarm clock), sights (child's smile), smells (fall air), places (dentist's office), people (reminding you of someone), situations (new job).
- **Cravings**: Repetitive, consuming thoughts or desires caused by triggers.
- Example: Food commercials triggering hunger at night.
#### Components of Triggers
1. **Sensory Awareness**:
- Body perceives a stimulus and sends it to the brain.
- Brain retrieves a schema to interpret and respond to the stimulus.
- Neurochemical release depending on the schema (fight or flight, pleasure).
2. **Cognitive Awareness**:
- Includes flashbacks and intrusive thoughts.
- Brain determines how to handle the situation based on past experiences.
3. **Systemic Awareness**:
- Body notices imbalances (blood sugar, dopamine levels).
- Brain looks for past coping mechanisms to address the imbalance.
#### Coping with Triggers and Cravings
1. **Identify Personal Triggers**:
- Recognize triggers for specific feelings, thoughts, and behaviors.
- Example: Hunger, tiredness, environmental factors (places, times of day).
2. **Developing Awareness**:
- Be mindful of surroundings and internal states.
- Journal recent triggers and analyze early warning signs.
3. **Increase Positive Triggers**:
- Enhance the environment with positive stimuli (pictures, smells, music).
4. **Addressing Negative Triggers**:
- Reduce or manage negative triggers (broken locks, unsafe situations).
- Use coping strategies like deep breathing, meditation, exercise.
#### Practical Strategies
1. **Four Square Breathing**:
- Trigger relaxation response by deep breathing.
2. **Loving Kindness Meditation**:
- Reduce stress response by fostering positive emotions.
3. **Increase Physical Safety**:
- Modify environment to reduce stress (mirrors, locked doors).
4. **Address Comfort and Ergonomics**:
- Improve physical comfort to enhance mood and focus.
5. **Build Positive Relationships**:
- Use assertive communication and manage boundaries to feel secure.
6. **Recondition Responses**:
- Change associations with negative triggers (e.g., payday as positive).
- Make triggers more unpleasant if necessary (e.g., Antabuse for alcohol).
7. **Mindfulness and Journaling**:
- Reflect on triggers and responses to understand and manage them better.
#### Handling Cravings
1. **Stop, Look, Listen, and Feel**:
- Recognize cravings as clues to unmet needs.
2. **Alternative Actions**:
- Identify what is truly needed and find healthier ways to fulfill that need.
3. **Dealing with Persistent Cravings**:
- Understand cravings as similar to a child's tantrum; resisting strengthens resolve.
### Time Codes for Major Points
00:00 Introduction and goals of the video
02:00 Definition and examples of triggers
06:30 Components of triggers (sensory, cognitive, systemic)
10:45 Understanding cravings and their impact
15:30 Identifying personal triggers and increasing awareness
20:00 Developing positive triggers and addressing negative ones
25:45 Practical strategies for coping with triggers
30:00 Handling cravings and alternative actions
35:00 Reflecting on personal experiences and journaling
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Summary
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Listening without defensiveness
- Goals: Understanding causes of defensiveness, enhancing assertiveness, and reducing defensiveness
#### Understanding Defensiveness
- **Defensiveness**: Indicates a lack of safety; behavior or feeling when feeling unsafe.
- **Causes**:
- Prior negative experiences (verbal/physical aggression, invalidation).
- Low self-esteem leading to fear of rejection.
- Triggering topics related to trauma or powerlessness.
#### Creating Safety
1. **Recognize Emotional State**:
- Defensiveness arises from feeling unsafe or powerless.
- Brain prioritizes fight or flight over processing information.
2. **Criticism vs. Behavior**:
- Separate criticism of behavior from criticism of self.
- Understand that feedback is about actions, not personal worth.
3. **Constructive Feedback**:
- Take useful parts of feedback and leave the rest.
- Consider the intention behind feedback; if it's aggressive, set boundaries.
#### Enhancing Communication
1. **Realistic Expectations**:
- Not everyone will like you or your actions.
- Nurture multiple sources of support.
2. **Set and Maintain Boundaries**:
- Physical, emotional, and cognitive boundaries.
- Communicate discomfort and establish respectful interactions.
3. **Self-Esteem**:
- Confidence reduces defensiveness.
- Respect differing opinions without feeling threatened.
#### Strategies to Reduce Defensiveness
1. **Empathy and Curiosity**:
- Understand differing perspectives.
- Explore underlying reasons behind others' views.
2. **Manage Reactions**:
- Reflect and ground yourself when feeling defensive.
- Validate others' experiences without agreeing.
3. **Objective Language**:
- Use "I" statements to express feelings without blame.
- Avoid vague or accusatory language.
#### Practical Steps
1. **Ground Rules**:
- Establish clear boundaries for interactions.
- Ensure safe environments for discussions.
2. **Avoid Mind Reading**:
- Don't assume intentions behind others' words.
- Focus on one issue at a time during conflicts.
3. **Rehearse and Prepare**:
- Practice conversations to build confidence.
- Identify triggers and prepare responses.
4. **Apologize When Necessary**:
- Acknowledge mistakes to build trust and reduce defensiveness.
5. **Collaborative Solutions**:
- Work towards win-win outcomes.
- Respectfully disagree and find common ground.
### Time Codes for Major Points
00:00 Introduction and goals of the video
02:00 Understanding defensiveness and its causes
05:45 Creating safety in communication
08:30 Criticism vs. behavior and constructive feedback
12:15 Realistic expectations and nurturing support
15:00 Setting and maintaining boundaries
20:00 Enhancing self-esteem and respecting opinions
25:00 Empathy, curiosity, and managing reactions
30:00 Using objective language and practical steps
35:00 Rehearsal and preparation for difficult conversations
38:00 Apologizing and collaborative solutions
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Summary
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Toxic guilt and shame - signs, causes, and solutions
- Goals: Understanding guilt and shame, their causes, effects, and ways to overcome them
#### Definitions and Differences
- **Guilt**: Anger at oneself for a behavior; feeling you did something wrong.
- **Shame**: Feeling that you are inherently bad; about the person, not just behavior.
- Importance of separating behavior from self-worth.
#### Healthy vs. Toxic Guilt
- **Healthy Guilt**:
- Motivates positive change and learning.
- Anger at oneself for a behavior or omission.
- Helps align actions with values.
- **Toxic Guilt**:
- Drains energy and erodes self-esteem.
- Leads to ongoing self-anger without productive action.
- Often paired with shame.
#### Effects of Toxic Guilt
- Continuous stress response activation.
- Desperate attempts to prove worth.
- Leads to behaviors like fawning or overcompensating.
#### Causes of Toxic Guilt
- Holding onto “shoulds” imposed by others or oneself.
- Feeling responsible for things outside one’s control.
- Survivor’s guilt and guilt over others' feelings.
- Guilt for not being perfect or successful.
- Societal and familial messages about worth and success.
#### Solutions and Strategies
1. **Identify the Source**:
- Determine if the guilt stems from internal values or external pressures.
- Evaluate the “shoulds” and decide if they align with personal values.
2. **Healthy Boundaries**:
- Recognize and assert personal beliefs and values.
- Don’t let others dictate what should make you feel guilty.
3. **Cognitive Restructuring**:
- Write down situations causing guilt.
- Distinguish between controllable and uncontrollable aspects.
- Use energy positively to address controllable factors.
4. **Acceptance and Letting Go**:
- Accept that some things are beyond control.
- Reflect on personal growth and changes over time.
- Practice self-compassion for past mistakes.
5. **Self-Care**:
- Prioritize personal well-being to prevent burnout.
- View self-care as a model for others.
6. **Assertiveness**:
- Stand firm in personal beliefs even when others disagree.
- Practice expressing your values respectfully.
#### Practical Steps
- Write down situations causing guilt.
- Identify controllable and uncontrollable aspects.
- Take action on what you can control.
- Reflect on whether you’ve done all you can.
- Accept powerlessness over some outcomes.
- Practice forgiveness and self-compassion.
- Set and maintain healthy boundaries.
- Model self-care and healthy boundaries for others.
### Time Codes for Major Points
00:00 Introduction and overview of toxic guilt and shame
02:15 Differences between guilt and shame
05:00 Healthy guilt vs. toxic guilt
08:45 Effects of toxic guilt on stress and behavior
12:30 Causes of toxic guilt
18:00 Solutions and strategies for overcoming toxic guilt
25:45 Importance of healthy boundaries
30:00 Cognitive restructuring and acceptance
35:00 Practical steps to manage guilt and promote self-care
Learn more about your ad choices. Visit megaphone.fm/adchoices
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Theories of addiction and co-occurring disorders
- Focus on understanding and addressing co-occurring disorders in addiction treatment
#### Co-Occurring Disorders
- Expectation rather than the exception in addiction treatment
- Importance of addressing co-occurring symptoms to prevent relapse
- Symptoms can include depression, anxiety, PTSD, and personality disorders
#### Theories of Addiction
1. **Moral Theory**
- Addiction seen as a moral weakness
- Treatment focused on willpower and virtuous lifestyle
- Largely outdated
2. **Disease Theory**
- Addiction as a chronic, incurable, and progressive disease
- Genetic and biological factors play a significant role
- Focus on physiological deficits and neurotransmitter imbalances
3. **Social Learning Theory**
- Addiction learned through observation and vicarious reinforcement
- Influence of family, peers, and media on addictive behaviors
4. **Cognitive-Behavioral Theory**
- Irrational thoughts and cognitive distortions lead to addiction
- Addressing negative thinking patterns is crucial for recovery
5. **Self-Medication Hypothesis**
- Addiction as a way to cope with distress and emotional pain
- Individuals use substances or behaviors to manage unbearable feelings
6. **Biopsychosocial Model**
- Comprehensive approach combining biological, psychological, and social factors
- Recognizes the interplay of various elements in the development of addiction
#### Key Symptoms in Early Recovery
- Depression: Hopelessness, low energy, guilt, suicidal ideation
- Anxiety: Increased worry, irritability, restlessness
- PTSD: Emotional dysregulation, hypervigilance, avoidance
- Personality Disorders: Unstable self-image, interpersonal functioning deficits
#### Importance of Comprehensive Treatment
- Addressing all aspects of a person's life for effective recovery
- Combining different treatment models for a holistic approach
### Time Codes for Major Points
00:00 Introduction and overview of addiction and co-occurring disorders
02:30 Co-occurring disorders are the expectation, not the exception
05:15 Symptoms in early recovery: Depression, anxiety, PTSD
10:45 Theories of addiction: Moral theory, disease theory
15:00 Social learning theory and socio-cultural factors
20:30 Cognitive-behavioral theory and cognitive distortions
25:45 Self-medication hypothesis and distress management
30:00 Biopsychosocial model and comprehensive treatment approach
Learn more about your ad choices. Visit megaphone.fm/adchoices
**Summary: How Schema Affect Anxiety and Depression by Dr. Dawn-Elise Snipes**
[Watch the video](https://www.youtube.com/watch?v=k8SL2ZbWVFE)
**Outline Summary:**
1. **Introduction**
- Presenter: Dr. Dawn-Elise Snipes
- Topic: How Schema Affect Anxiety and Depression
- Objectives: Define schema, explain formation, discuss inaccuracies, and identify strategies to address unhelpful schema
2. **Understanding Schema**
- Definition: Mental representations or beliefs about people or events
- Examples: Traffic lights, doctor visits, job interviews, news media, flu season, stock market
- Function: Help anticipate and interpret future situations
3. **Formation of Schema**
- Based on interpretation and memories of experiences
- Influenced by age, prior experiences, cognitive development, and metacognition
- Example: Childhood experiences with a teacher or parent
4. **General Categories of Schema**
- **Security and Abandonment**: Safety in relationships and self-worth
- **Trust and Safety**: General trustworthiness of others
- **Emotional Support vs. Deprivation**: Support in managing emotions
- **Self-Determination**: Control over life and vulnerability
- **Positivity vs. Negativity**: Optimism vs. pessimism
- **Acceptance vs. Hypercriticalness**: Self-acceptance vs. self-criticism
- **Competence vs. Defectiveness**: Capability vs. feeling broken
- **Independence vs. Dependence**: Reliance on others
- **Belongingness vs. Alienation**: Sense of fitting in vs. rejection
5. **Impact of Schema on Anxiety and Depression**
- Negative schema lead to feelings of hopelessness, helplessness, and anxiety
- Positive schema promote feelings of safety, empowerment, and self-worth
6. **Adjusting Outdated or Inaccurate Schema**
- Schema may be outdated or based on inaccurate interpretations
- Recognize and update schema based on current facts and experiences
- Example: Adjusting schema about medical conditions like cancer or HIV
7. **Strategies to Address Unhelpful Schema**
- **Identify and Evaluate Current Schema**: Understand thoughts contributing to distress
- **Address Cognitive Distortions**: Overgeneralization and personalization
- **Explore Schema with Fresh Eyes**: Re-evaluate old situations
- **Schema Restructuring**: Develop new, healthier schema
- **Notice and Focus on Positives**: Encourage a balanced view
8. **Practical Application**
- Consistency and predictability in caregiving
- Emotional and cognitive responsiveness
- Acceptance, attention, and validation
- Safety and support in solution generation
**Time Codes for Major Points:**
0:00 Introduction by Dr. Dawn-Elise Snipes
2:45 Understanding Schema
7:30 Formation of Schema
15:20 General Categories of Schema
23:40 Impact of Schema on Anxiety and Depression
33:10 Adjusting Outdated or Inaccurate Schema
41:50 Strategies to Address Unhelpful Schema
54:30 Practical Application
Feel free to ask if you need further details or a more in-depth explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
**Summary: Post-Acute Withdrawal Syndrome (PAWS) by Dr. Dawn-Elise Snipes**
[Watch the video](https://www.youtube.com/watch?v=UEDayQBJXkA)
**Outline Summary:**
1. **Introduction**
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Post-Acute Withdrawal Syndrome (PAWS)
- Objectives: Understand PAWS, its causes, and coping strategies
2. **What is PAWS?**
- Definition: PAWS stands for Post-Acute Withdrawal Syndrome
- Affects people who have engaged in addictive behaviors
- Results from brain changes due to substance use
- Duration: Can last up to a year or more after acute withdrawal
3. **Factors Influencing PAWS**
- **Substance Use History**: Length and intensity of substance use
- **Age of Onset**: Younger users have more significant brain changes
- **Gender Differences**: Affects men and women differently
- **Physical and Mental Health**: Poor health and underlying mental issues exacerbate PAWS
4. **Causes of PAWS Symptoms**
- Memories of substance use trigger cravings and irritability
- Neurochemical changes: Altered dopamine, glutamate, and monoamine oxidase levels
- Detoxification effects: Opposite symptoms during detox compared to substance use
5. **Common Symptoms of PAWS**
- Emotional outbursts or lack of emotion
- Anxiety, irritability, depression, and anhedonia
- Difficulty dealing with stress and fatigue
- Sleep disturbances and strange dreams
- Cognitive impairments: Memory problems, difficulty making decisions
6. **Coping Strategies for PAWS**
- **Meditation and Breathing**: Helps modulate HPA axis response
- **Support Systems**: Engage sober social supports
- **Exercise**: Improves stress tolerance and brain health
- **Sleep Hygiene**: Ensure regular sleep patterns and quality sleep
- **Awareness and Mindfulness**: Regular check-ins on emotional and physical state
- **Pleasurable Activities**: Increase dopamine and other positive neurochemicals
- **Healthy Eating**: Provide the body with necessary nutrients
- **Relaxation Techniques**: Promote secretion of calming neurochemicals like GABA
7. **Long-term Recovery and PAWS Management**
- Expect PAWS symptoms for at least the first year
- Integrate recovery with stress minimization
- Gradual rebalancing of brain neurotransmitters
- Maintain a plan for handling PAWS symptoms
**Time Codes for Major Points:**
0:00 Introduction by Dr. Dawn-Elise Snipes
2:30 What is PAWS?
7:15 Factors Influencing PAWS
12:00 Causes of PAWS Symptoms
20:00 Common Symptoms of PAWS
27:45 Coping Strategies for PAWS
40:00 Long-term Recovery and PAWS Management
Feel free to ask if you need further details or a more in-depth explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
**Summary: Breaking Free from Quick Fixes - Healing Deep Wounds for Good by Dr. Dawn-Elise Snipes**
[Watch the video](https://www.youtube.com/watch?v=RZR-UqWpVgE)
**Outline Summary:**
1. **Introduction**
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Breaking free from quick fixes and healing deep wounds
- Objectives: Discuss quick fixes, their problems, the impact of deep wounds, and healing strategies.
2. **The Allure and Problem of Quick Fixes**
- Quick fixes are often superficial and temporary.
- They fail to address the root causes, leading to recurring issues.
- Example: Using antacids for stress-related GI distress without addressing the stress.
3. **Impact of Deep Wounds**
- **Physical Impact**: Alters brain structure and neurotransmitter balance.
- **Interpersonal Impact**: Affects ability to trust others and lowers self-esteem.
- **Emotional Impact**: Causes anger, anxiety, depression, and emotional dysregulation.
- **Cognitive Impact**: Leads to negative beliefs about oneself and the world, overgeneralization, and unfiled traumatic memories.
- **Environmental Impact**: Triggers through associated sights, sounds, and smells.
4. **Strategies for Healing Deep Wounds**
- **Recognizing the Impact**: Understand the effect of wounds on brain, energy, and health.
- **Reducing Stress**: Physical and emotional stress reduction through sleep, nutrition, pain management, and relaxation.
- **Managing Emotions**: Downregulate emotions to engage the wise mind, using techniques like deep breathing, guided imagery, and support systems.
- **Distress Tolerance**: Develop skills to tolerate distress without resolving underlying issues, e.g., shifting focus, physical activity, and alternate thoughts.
5. **Understanding Emotions and Triggers**
- **Identifying Emotions**: Understand that anger and anxiety signal potential threats, not actual problems.
- **Evaluating Emotions**: Assess the facts and context of emotional responses.
- **Exploring Deep Wounds**: Validate past feelings and reframe beliefs with a mature perspective.
- **Addressing Cognitive Distortions**: Identify and challenge thoughts stemming from deep wounds.
6. **Creating a Healing Plan**
- **Downregulating Emotions**: Use tools to manage emotional intensity.
- **Examining Beliefs**: Re-evaluate beliefs in the current context and find alternative explanations.
- **Healing Over Time**: Recognize that healing is a gradual process requiring focus and energy.
**Time Codes for Major Points:**
0:00 Introduction by Dr. Dawn-Elise Snipes
2:30 The Allure and Problem of Quick Fixes
6:45 Impact of Deep Wounds
13:00 Strategies for Healing Deep Wounds
20:15 Understanding Emotions and Triggers
29:10 Creating a Healing Plan
Feel free to ask if you need further details or a more in-depth explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
**Summary: Ending a Relationship When You’re Anxiously Attached by Dr. Dawn-Elise Snipes**
[Watch the video](https://www.youtube.com/watch?v=VS53N-Evz4Q)
**Outline Summary:**
1. **Introduction**
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Ending a relationship when you’re anxiously attached
- Definition of anxious attachment
2. **Characteristics of Anxious Attachment**
- Need for relationships to feel safe
- Fear of rejection and abandonment
- Fight or Fawn response to stress
- Dependence on others for validation
- Difficulty setting and maintaining boundaries
3. **Causes of Anxious Attachment**
- Poor child-caregiver relationships
- Trauma and unpredictability in early life
- Experiences in significant relationships
4. **Challenges in Ending Unhealthy Relationships**
- Feeling like a failure
- Opening old wounds from past relationships
- Confusing self-worth with relationship success
5. **Steps to Begin Healing**
- Motivational interviewing and decisional balance
- Identifying benefits and drawbacks of the relationship
- Exploring alternative ways to meet needs
6. **Addressing Unhelpful Thoughts**
- Cognitive distortions: All-or-nothing thinking, catastrophizing, minimizing, personalizing, mind reading
- Listing needs the relationship is supposed to fulfill
- Identifying and challenging beliefs about the relationship
7. **Creating a Safety Net and Relapse Prevention**
- Establishing boundaries and support systems
- Practicing mindfulness
- Focusing on progress rather than perfection
8. **Emotional Responses and Coping Mechanisms**
- Recognizing and addressing feelings of grief and loss
- Having self-compassion
- Engaging with support systems to prevent relapse
**Time Codes for Major Points:**
0:00 Introduction by Dr. Dawn-Elise Snipes
2:15 Characteristics of Anxious Attachment
9:45 Causes of Anxious Attachment
15:30 Challenges in Ending Unhealthy Relationships
20:50 Steps to Begin Healing
28:10 Addressing Unhelpful Thoughts
35:40 Creating a Safety Net and Relapse Prevention
Feel free to ask if you need further details or a more in-depth explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
**Summary: Why Does Goal Setting Make Me Depressed and Anxious by Dr. Dawn-Elise Snipes**
[Watch the video](https://www.youtube.com/watch?v=YtHugpidjf8)
**Outline Summary:**
1. **Introduction**
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Why does goal setting make me depressed and anxious?
- Explanation of the emotional responses to goal setting.
2. **Understanding Goals and Emotional Responses**
- Goals as statements about desired or needed changes.
- Change causes crisis and requires effort.
- Depression: Feelings of hopelessness and helplessness.
- Anxiety: Response to perceived threats.
3. **Reasons Goals Trigger Distress**
- **Fear of Failure**:
- Cognitive distortions like personalization and all-or-nothing thinking.
- Importance of evaluating thoughts based on facts.
- **Reminder of Past Failures**:
- Analyzing similarities and differences between past and present situations.
- Learning from past failures to avoid obstacles.
- **Helplessness and Hopelessness**:
- Setting realistic and achievable goals.
- Breaking down big goals into smaller, manageable ones.
4. **Strategies for Effective Goal Setting**
- SMART Goals: Small, Specific, Measurable, Achievable, Relevant, Time-Limited.
- Importance of frequent rewards to maintain motivation.
- Examples of goal-setting techniques.
5. **Overcoming Goal-Setting Challenges**
- **Behavioral Strain**: Breaking down goals for more frequent rewards.
- **Catastrophizing**: Assessing the probability of worst-case scenarios.
- **Lack of Motivation**: Ensuring goals align with a meaningful life.
- **Managing Too Many Goals**:
- Prioritizing, delegating, simplifying, and eliminating unnecessary tasks.
- Realistic time management and adjustment.
6. **Emotional Responses and Coping Mechanisms**
- Recognizing and addressing feelings of distress.
- Breaking down goals into weekly accomplishments.
- Maintaining a positive outlook and rewarding progress.
**Time Codes for Major Points:**
0:00 Introduction by Dr. Dawn-Elise Snipes
3:20 Reasons Goals Trigger Distress
7:45 Fear of Failure and Cognitive Distortions
15:10 Reminder of Past Failures and Learning
24:00 Strategies for Effective Goal Setting (SMART Goals)
33:50 Managing Too Many Goals and Prioritization
40:15 Emotional Responses and Coping Mechanisms
Feel free to ask if you need further details or a more in-depth explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
**Summary: Complicated Grief and Attachment by Dr. Dawn-Elise Snipes**
[Watch the video](https://www.youtube.com/watch?v=b0duJ33ymig)
**Outline Summary:**
1. **Introduction**
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Complicated Grief and Attachment
- Objectives: Define complicated grief, explore the overlap with trauma, identify risk factors, and explore tasks for successful grief resolution.
2. **Definitions**
- **Loss**: Change that includes being without someone or something, focusing on primary attachment relationships.
- **Secondary Loss**: Results from a primary loss, e.g., emotional unavailability of a caregiver due to substance abuse or depression.
- **Grief**: Reaction to loss encompassing physical, social, emotional, cognitive, and spiritual dimensions.
- **Trauma**: Any situation causing extreme distress, not necessarily PTSD-level.
3. **Primary Attachment Relationship**
- Forms between 0-18 months, critical up to age 5.
- Disruptions can have lasting psychological and physical effects.
- Quality characterized by trust, safety, and security.
4. **Impact of Early Attachment**
- Influences social and emotional outcomes.
- Predicts future interactions and relationships.
- Secure attachments help children feel loved, accepted, and valuable.
5. **Effects of Technology and Modern Parenting**
- Increasing emotional unavailability due to technology.
- Shift in family dynamics with daycare and dual-working parents.
- Importance of being emotionally and cognitively present.
6. **Consequences of Attachment Disruption**
- Anxiety, irritability, and sleep disturbances.
- Difficulty forming future relationships and managing emotions.
- Potential for cognitive and learning disruptions.
7. **Reconciliation Tasks**
- Acknowledge reality of the loss.
- Develop new self-identity and intimate relationships.
- Enhance emotional balance, confidence, and self-esteem.
8. **Intervention Strategies**
- Mindfulness and distress tolerance skills.
- Encouragement of supportive adult attachments.
- Support for parents and screening for postpartum depression.
**Time Codes for Major Points:**
0:00 Introduction by Dr. Dawn-Elise Snipes
3:15 Definitions of Loss, Grief, and Trauma
12:30 Importance of Primary Attachment Relationship
22:45 Impact of Technology and Modern Parenting
34:50 Consequences of Attachment Disruption
48:20 Reconciliation Tasks and Intervention Strategies
Feel free to ask if you need further details or a more in-depth explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Summary of the Video
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Enhancing Trauma Resiliency
#### Effects of Trauma
- Acute Trauma: Immediate and severe stress response.
- Intergenerational Trauma: Trauma impacts across generations, affecting attachment and caregiving.
#### Risk and Protective Factors for PTSD
- Risk Factors: Age, developmental level, history of mental health or substance abuse, number of stressors in recent months, lack of social support, ineffective problem-solving or coping skills.
- Protective Factors: Psychological flexibility, mindfulness, social support, effective problem-solving skills.
#### Signs of Resiliency
- Optimism and empowerment
- Flexibility and confidence
- Perseverance and perspective
- Self-control and insightfulness
#### Strategies to Enhance Resiliency
- Establish secure attachment through consistent and empathetic caregiving.
- Teach distress tolerance and mindfulness techniques.
- Provide structure and predictability.
- Encourage positive self-talk and visualizations.
- Develop problem-solving skills and coping strategies.
#### Addressing Cognitive Distortions
- Challenge all-or-nothing thinking, personalization, and magnification.
- Encourage factual analysis and identification of exceptions to anxious thoughts.
#### Developmental Considerations
- Tailor approaches based on the individual's developmental level.
- Recognize the impact of early childhood trauma on attachment and development.
#### Maintaining Motivation and Perseverance
- Highlight the benefits of making changes versus staying the same.
- Use decisional balance charts to weigh pros and cons.
- Provide continuous reinforcement and follow-up.
### Time Codes for Major Points
1:00 Introduction and effects of trauma
5:40 Risk and protective factors for PTSD
15:20 Signs of resiliency and their importance
25:30 Strategies to enhance resiliency and secure attachment
35:45 Addressing cognitive distortions and developmental considerations
45:20 Maintaining motivation and perseverance in trauma recovery
Feel free to ask for more details or a deeper explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Summary of the Video
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Understanding Anxiety Through a Child's Eyes
#### What is Anxiety?
- Anxiety is essentially fear, part of the fight-or-flight response.
- Children and adults share similar fears but children may have broader fears due to less life experience.
#### Common Fears in Children
- Death and safety concerns, not only for themselves but for their caregivers.
- Fear of rejection, isolation, and abandonment.
- Anxiety about the unknown and loss of control.
#### Developmental Impact on Anxiety
- Children’s fears are influenced by their developmental stage.
- Younger children have stronger emotional responses due to underdeveloped reasoning areas in the brain.
- Children often exhibit more somatic symptoms and behaviorally express their anxiety.
#### Symptoms of Anxiety in Children
- Increased sensitivity and irritability.
- Behavioral changes such as meltdowns, compulsive behaviors, and avoidance.
- Physical signs like headaches, stomach aches, restlessness, and sleep disturbances.
- Cognitive symptoms like excessive worry and difficulty concentrating.
#### Misdiagnoses
- Anxiety can be mistaken for ADD, autism spectrum disorders, PTSD, and depression.
- Differentiating anxiety from other disorders is crucial for effective treatment.
#### Interventions for Managing Anxiety
- Establish a secure attachment and consistent mindfulness of the child's emotional state.
- Use empathy and validation to encourage open communication.
- Teach distress tolerance and mindfulness techniques.
- Provide structure, predictability, and clear expectations to reduce anxiety.
- Encourage positive self-talk, visualizations, and support networks.
#### Addressing Cognitive Distortions
- Help children identify and challenge all-or-nothing thinking, personalization, and magnification.
- Encourage factual analysis and identification of exceptions to anxious thoughts.
#### Developmental Considerations
- Infants and toddlers require responsive caregiving to build trust and security.
- Preschool and school-age children benefit from structured environments and clear communication about plans and expectations.
- Older children and adolescents need support in developing identity and understanding complex emotions.
### Time Codes for Major Points
0:45 Introduction and importance of understanding anxiety in children
4:15 Explanation of common fears and their developmental context
15:30 Symptoms of anxiety in children and how they manifest
24:50 Misdiagnoses and differential diagnosis considerations
33:40 Interventions for managing anxiety and establishing secure attachments
47:10 Addressing cognitive distortions and developmental considerations
Feel free to ask for more details or a deeper explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Summary of the Video
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Goal Setting in Recovery - Envisioning a Rich and Meaningful Life
#### Importance of Envisioning a Rich and Meaningful Life
- Helps individuals see where they are going and why their current efforts are worthwhile.
- Envisioning serves as a motivational tool, sustaining individuals through recovery.
- Daily guided imagery is encouraged to maintain this vision.
#### Maintaining Motivation
- Envisioning the future helps individuals stay motivated by visualizing physical, emotional, and environmental improvements.
- It prepares individuals for obstacles by adopting a mindset of acceptance and flexibility.
#### Goal Setting for a Rich and Meaningful Life
- Identify what constitutes a rich and meaningful life for the individual.
- Set specific goals in different life domains: physical health, affective (emotional) health, cognitive functioning, environmental quality, and relationships.
#### Physical Health
- Assess current behaviors that undermine health goals.
- Identify actions to improve health, such as quitting smoking, exercising, maintaining sleep and nutrition, and managing stress.
#### Affective Health
- Focus on achieving happiness and reducing anxiety and depression.
- Encourage activities like exercise, sleep, nutrition, and stress management to enhance mood and emotional stability.
#### Cognitive Functioning
- Aim for maintaining sharp cognitive abilities and continuous learning.
- Emphasize the importance of exercise, sleep, nutrition, and mental engagement to slow cognitive decline.
#### Environmental Quality
- Determine what the desired living environment looks like.
- Identify steps to maintain or improve this environment, considering factors like safety, cleanliness, and structural accommodations for aging.
#### Relationships and Self-Esteem
- Define what a great relationship looks like for the individual.
- Develop communication skills, set boundaries, and manage time and stress to improve relationships and self-esteem.
#### Implementing and Sustaining Goals
- Create a visual collage representing goals with actionable steps on Post-it notes.
- Use guided imagery daily to focus on these goals.
- Regularly evaluate progress and adjust steps as needed to stay on track.
#### Practical Steps for Goal Achievement
- Break down goals into manageable tasks.
- Review and adjust goals regularly to ensure they remain aligned with the individual's vision of a rich and meaningful life.
### Time Codes for Major Points
0:50 Introduction and importance of envisioning a rich and meaningful life
6:30 Maintaining motivation through envisioning and guided imagery
14:10 Goal setting in different life domains (physical, affective, cognitive, environmental, relational)
29:45 Physical health goals and strategies
41:20 Affective health and emotional well-being
55:00 Cognitive functioning and lifelong learning
1:08:30 Environmental quality and maintaining a positive living space
1:17:40 Relationships and self-esteem, practical steps for improvement
Feel free to ask for more details or a deeper explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Summary of the Video
#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Moving from supportive to solution-focused interventions, primarily with children and adolescents.
#### Differentiating Interventions
- Supportive Interventions:
- Grounded in empathy
- Aim to help individuals survive the moment and return to emotional regulation
- Analogous to plugging a hole in a sinking ship temporarily
- Solution-Focused Interventions:
- Aim to help individuals move from surviving to thriving
- Focus on long-term solutions and prevention of future issues
#### Supportive Interventions
- Establish rapport and validate feelings
- Techniques include active listening, radical acceptance, and distress tolerance activities
- Help individuals re-regulate emotionally and return to their baseline state
#### Examples of Supportive Interventions
- Active listening
- Radical acceptance: Encouraging acceptance of reality to reduce distress
- Distress tolerance activities: Techniques to help manage immediate emotional distress
#### Transition to Solution-Focused Interventions
- Requires the individual to be emotionally regulated and ready to problem-solve
- Involves identifying problems and hoped-for resolutions
- Encourages brainstorming and implementing practical solutions
#### Solution-Focused Techniques
- Identifying strengths and past successes
- Looking for exceptions to the problem
- Encouraging realistic goal setting and problem-solving
#### Challenges in Transitioning to Solution-Focused Interventions
- Individuals may get stuck in supportive interventions due to:
- Denial or avoidance
- Feeling overwhelmed
- Dependency on others to fix their problems
- Stigma associated with their issues
#### Enhancing Motivation for Change
- Highlight the benefits of making changes versus staying the same
- Use decisional balance charts to weigh pros and cons
- Provide continuous reinforcement and follow-up
#### Special Considerations
- Developmental disabilities and severe depression may require tailored approaches
- Consider cultural sensitivity and appropriateness of interventions
- Ensure interventions match the individual's developmental level and personal context
#### Maintaining Motivation
- Regular check-ins and assignments to keep individuals on track
- Reinforcement for effort and progress
- Avoid rewarding backsliding and encourage continued problem-solving
#### Addressing Underlying Issues
- Help individuals understand and address the root causes of their distress
- Encourage looking at all contributing factors and focusing on controllable aspects
- Use narrative therapy and cognitive processing techniques for deeper exploration
### Time Codes for Major Points
1:05 Introduction and topic overview by Dr. Dawn-Elise Snipes
4:10 Differentiation between supportive and solution-focused interventions
7:45 Explanation of supportive interventions and their purpose
12:20 Examples of supportive interventions (active listening, radical acceptance)
21:30 Transitioning to solution-focused interventions and challenges faced
31:00 Techniques for enhancing motivation and maintaining change
Feel free to ask for more details or a deeper explanation on any part of the video!
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Video Summary
**Title:** A Guide to Cognitive Behavioral Therapy for Counselors: What Works, What Doesn’t, and Why
**Presenter:** Dr. Dawn-Elise Snipes
**Link:** [Watch the video](https://youtu.be/tlR6T5jTCkM?si=Jjn2Wicv0EqvXJ-V)
---
#### Introduction
- Explanation of Cognitive Behavioral Therapy (CBT)
- Importance of CBT and its impact on thoughts, feelings, and behaviors
- Overview of the session's structure: what CBT is, what works, what doesn’t, and why
#### Understanding CBT
- CBT focuses on the interaction between thoughts, feelings, and behaviors
- Cognitive schemas: mental shortcuts based on past experiences
- Importance of checking and updating schemas as they may not always be accurate
#### Effects of Stress on the Brain
- Persistent stress impacts brain structure and function
- Weakens the vagus nerve, which affects the body's relaxation response
- Causes changes in the nervous system, impacting sleep and circadian rhythms
#### What Doesn’t Work in CBT
- Jumping into cognitive processing without establishing rapport, safety, and empowerment
- Aggressive confrontation of beliefs and behaviors
- Failing to address all three points of the CBT triangle: thoughts, feelings, and behaviors
- Telling instead of exploring, using mechanistic approaches, and not individualizing therapy
- Forcing new beliefs or schemas that the client doesn’t believe
#### What Works in CBT
- Educating clients about the connection between feelings, thoughts, and behaviors
- Validating clients' experiences and feelings
- Helping clients develop emotional intelligence and distress tolerance
- Addressing behaviors that create vulnerabilities
- Using a personalized approach to explore and alter unhelpful schemas and beliefs
- Maintaining motivation and reinforcing new thoughts and behaviors between sessions
#### Application of CBT in Various Disorders
- **ADHD**: Developing organizational skills, addressing negative self-referential beliefs, and improving communication
- **Mood Disorders**: Identifying behaviors that create vulnerabilities, developing distress tolerance, and empowering clients to address problematic thoughts and behaviors
- **Addiction**: Developing mindfulness, reducing vulnerabilities, exploring cognitive distortions, and addressing distress tolerance
- **Personality Disorders**: Understanding the underlying thoughts and beliefs, addressing behaviors, and enhancing coping mechanisms
- **Schizophrenia**: Joining clients in their reality, reducing stress, and developing safety plans
- **Trauma**: Normalizing thoughts and behaviors, developing distress tolerance, and exploring schemas related to trauma
#### ABCDEs of CBT
- **A**wareness: Recognize thoughts, feelings, and behaviors and their communication
- **B**ehaviors: Reduce vulnerabilities and increase safety and empowerment
- **C**ognitions and Schema: Explore and restructure based on current and past contexts
- **D**istress Tolerance: Develop skills to manage distress
- **E**xplore: Explore experiences, beliefs, and coping mechanisms with curiosity
---
### Time Codes for Major Points
01:30 Introduction to CBT and its importance
08:15 Effects of stress on the brain and vagus nerve
15:45 Common mistakes in CBT practice
25:30 Effective strategies in CBT
35:00 Application of CBT in ADHD and mood disorders
45:15 Use of CBT in addiction, personality disorders, and schizophrenia
Learn more about your ad choices. Visit megaphone.fm/adchoices
### Video Summary
**Title:** Forming a Foundation that Nurtures Secure Attachment at All Ages
**Presenter:** Dr. Dawn-Elise Snipes
**Link:** [Watch the video](https://youtu.be/szThsSAmi1k?si=SeCbD5VyHP_yUp-N)
---
#### Introduction
- Importance of secure attachment throughout life
- Explanation of the CARES approach to creating secure attachment
- Identifying challenges and promoting secure attachment in different age groups
#### CARES Approach to Secure Attachment
1. **Consistency**: Caregivers must be reliably present and dependable.
2. **Attention**: Providing necessary attention and presence to children.
3. **Responsiveness**: Addressing children's needs promptly and effectively.
4. **Empathy**: Validating and empathizing with children's feelings.
5. **Solutions**: Helping children learn to regulate emotions and solve problems.
#### Effects of Secure Attachment
- Individuals feel lovable and worthy of support
- Learn that others are available and responsive
- Develop good emotional regulation skills
- Tolerate frustration and distress
- Gain a sense of self-efficacy and resilience
- Comfortable with ambiguity and changes
- Effective communication and problem-solving skills
#### Promoting Secure Attachment in Infancy
- Meeting biological needs (food, shelter, comfort)
- Protecting from overstimulation
- Ensuring safety and consistent presence
- Providing attention, affection, and unconditional positive regard
- Building trust and self-confidence
#### Promoting Secure Attachment in Toddlers and Preschoolers
- Encouraging self-esteem and self-efficacy
- Supporting autonomy and initiative
- Being consistent and responsive to needs
- Encouraging exploration and experimentation
- Helping them understand and regulate their emotions
- Developing empathy and problem-solving skills through play
#### Promoting Secure Attachment in Middle and High School
- Supporting exploration and independence
- Understanding and allowing secure attachments with peers
- Setting and maintaining consistent limits and rules
- Being empathetic and authentic during disagreements
- Modeling emotion regulation and distress tolerance
- Sustaining goal-directed partnerships and mutual respect
---
### Time Codes for Major Points
02:00 Introduction to secure attachment and CARES approach
10:30 Effects of secure attachment at any age
20:00 Promoting secure attachment in infancy
30:45 Importance of consistency and responsiveness for toddlers
45:15 Encouraging exploration and self-efficacy in preschoolers
01:00:00 Supporting independence and peer attachments in adolescents
Learn more about your ad choices. Visit megaphone.fm/adchoices
Top Podcasts
The Best New Comedy Podcast Right Now – June 2024The Best News Podcast Right Now – June 2024The Best New Business Podcast Right Now – June 2024The Best New Sports Podcast Right Now – June 2024The Best New True Crime Podcast Right Now – June 2024The Best New Joe Rogan Experience Podcast Right Now – June 20The Best New Dan Bongino Show Podcast Right Now – June 20The Best New Mark Levin Podcast – June 2024
The content of the podcast doesn't match the headline.
love!!!!!!!!!
as wavouisaww w wWw 2 w w ww w waUQq ia,~°°•■8• .gbxa
👏👏👏
such a great podcast with incredible knowledge. thank you
this episode, in specific, is incredible. learning so much from your podcast.
Very helpful free content!
this episode is cutting in and out. :(
I am addictive addiction and I find these podcasts really useful
Thank you for the many relapse prevention tools I can share with my clients! How do I access the charts used for group and individual sessions mentioned in the podcast?
new to this... :) lets try
Simple, yet thought-provoking...
Very good podcast
Your podcast is very helpful, both professionally and personally. Thank you so much for your continued efforts. You are awesome.
This episode is so spot on. Thank you so much for providing such valuable insights.
great information. concise presentation. SO good.
As a Recreation Therapist, I could not love the content of this podcast more than I do.
SUCH good information. Make sure you keep notepad handy.
love this...my go as well
Awesome podcast. My go-to resource.