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Enrich your practice by reading the latest insights, provocations and practical tips from world leading therapists and other key voices across modalities and topics.

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Privileged Abandonment: Working with Ex-Boarders

  • 24th Jan 2020
  • Nick Duffell

We are just waking up to the long-term impact a boarding school education can have on individuals. Ex-boarders often struggle with intimate relationships, workaholism, and a deep internalised shame. Yet they may be expert at disowning feelings and displaying confidence. Author and psychotherapist Nick Duffell has studied the phenomenon for over 30 years. Ahead of a training in Sussex, he shares his insights into how this fast-growing client group can present therapists with unanticipated clinical challenges.

The Common Feature in All Depressions

  • 20th Jan 2020
  • Wyn Bramley

Blue Monday continues to be labelled the most depressing day of the year. But of course there is a vast difference between January dreariness and living with persistent low mood states. In her forthcoming book on depression, psychotherapist Wyn Bramley uses the analogy of an eclipse of the sun, and identifies one common feature in all depressions. Whatever the type or degree of depression, she argues, it involves serious impoverishment of the relationship to the sufferer’s own Self.

Schema Therapy for Trauma (5/5): Chair Work Techniques

  • 17th Jan 2020
  • Dan Roberts

The Gestalt technique of chair work can help schema therapists to access clients’ modes in the here-and-now. In the final blog of his series on using schema therapy to work with complex trauma, Dan Roberts shares a dialogue with two distinct parts of one client’s personality: her Detached Protector (or ‘the Wall’), and her Vulnerable Child (or ‘Little Emma’).

Working with Avoidant Attachment: Assessment

  • 14th Jan 2020
  • Linda Cundy

Why is it important to recognise avoidant attachment patterns early in therapy, and what might we look out for? In her second blog about working with highly defended clients, Attachment-based psychoanalytic psychotherapist Linda Cundy explains why the therapeutic relationship poses such a problem for avoidant individuals – and shares some key features that may show up in assessment.

Schema Therapy for Trauma (4/5): Imagery Techniques

  • 10th Jan 2020
  • Dan Roberts

Imagery techniques are used at every stage of schema therapy, which emphasises the importance of emotional experiencing rather than simply cognitive insight. In the penultimate blog of his series on using schema therapy to work with complex trauma, Dan Roberts talks us through a piece of imagery rescripting work that helped to de-traumatise a client’s childhood memory.

Stumbling Back into Mindfulness

  • 6th Jan 2020
  • Margaret Landale

Margaret Landale teaches mindfulness as a resource in psychotherapy practice. But when she collapsed during a workshop, she realised she had neglected to listen to her own body’s urgent somatic signals. In her first occasional blog about mindfulness, the specialist in stress-related and psychosomatic disorders encourages busy therapists to pause and pay attention – and shares a simple three-minute exercise.

Schema Therapy for Trauma (3/5): Limited Reparenting

  • 3rd Jan 2020
  • Dan Roberts

The idea of the ‘inner child’ is central to schema therapy, in which the therapist offers themselves as a secure attachment figure and actively provides a ‘corrective emotional experience’. In the third blog of his series on using schema therapy to work with complex trauma, Dan Roberts shares how he worked with one client’s Vulnerable Child mode to help her move beyond her fear of abandonment and rejection.

How to Commit to Self-Care

  • 2nd Jan 2020
  • William Steele

What sorts of New Year’s resolutions should therapists be contemplating? Committing to self-care is on that we all recognise the value of – yet often find surprisingly hard. Dr William Steele, author of a new book on reducing Compassion Fatigue, Secondary Traumatic Stress and Burnout, suggests it all hinges on distinguishing between these experiences – and responding with a self-care strategy that’s unique to you.

Schema Therapy for Trauma (2/5): Schema and Modes

  • 20th Dec 2019
  • Dan Roberts

Schema therapy identifies 18 different schemas and a number of modes. These can help us to understand a client’s core unmet needs, and the ways in which these have been responded to by parts of their personality. In the second blog of his series on using schema therapy to work with complex trauma, Dan Roberts outlines the assessment process and introduces us to ‘Emma’, a client whose painful schemas developed in response to early emotional deprivation.

Crisis Support for Clients at Christmas

  • 17th Dec 2019
  • Fiona Pienaar

Many therapists will be gearing up for a break from the consulting room this week. But the Christmas and New Year holidays coincide with what, for many clients, is one of the most testing times of the year. Planning for this period together could include ensuring clients are aware of 24/7 services such as Shout, the UK’s first crisis text line. As Chief Clinical Officer Dr Fiona Pienaar explains, reaching out to this free, confidential service can help those who are struggling to navigate their flashpoints this festive season.

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