Do you ever find yourself getting stuck as a therapist?

Do you ever get stuck as a therapist?

Our next workshop is about this topic. We are bringing in one of the most popular ACT trainers in Europe, Rikke Kjelgaard, to deliver this unique workshop about getting unstuck as a therapist, while treating yourself with kindness and compassion. Rikke Kjelgaard is an extremely dynamic and engaging presenter who will help you explore your stuck places and help you get free to be the therapist you most want to be (and also a good friend to yourself).

She wrote this inspiring blog post so that potential attendees have a sense for what it will be like to be in a workshop with her:

https://www.rikkekjelgaard.com/blog/thestucktherapist/

Here are a few excerpts from the post:

“I wanted to walk the talk. I wanted to show her ACT. I wanted to sit with her inside of the darkness with kindness and compassion. She was not alone. Nor was I.”
“My invitation is that you ask yourself what lessons you could take away from whatever experiences you have had of being stuck? And might you offer yourself some kindness and compassion for being human? ”

The Compassionate and Flexible Therapist-Using Acceptance and Commitment Therapy to Bring out the Best in you as a Therapist
Presenter: Rikke Kjelgaard, ACT Denmark
Date and Location: April 17-18, 2020, Portland
To sign up or get more info: https://portlandpsychotherapytraining.com/workshops-and-classes-for-therapists/

We’re thrilled to be able to bring Rikke out from Denmark and hope you will join us for this unique opportunity to see such a powerful and inspiring trainer present.

Author: Jason Luoma, Ph.D.

Jason is a psychologist who researches ways to help people with chronic shame and stigma and also works clinically with people struggling with those same problems.

Harnessing the Power of the Therapeutic Relationship

“Dealing with others is dealing with ourselves, dealing with others.” 

–Norman Fischer

Creating intense and curative therapeutic relationships is a fundamental skill for meaningful therapy. Strong relationships like this can engage people in ways that challenge and can perhaps even frighten them.  This means that therapy can involve exposure to avoided thoughts, emotions and sensations for the client AND the therapist.

“Exposure therapy typically elicits a temporary increase in patients’ negative affect in order to facilitate new learning. This may in turn increase therapist discomfort as therapists interact with the patient and are confronted with their own uncomfortable subjective experiences.” (Scherr, Herbert and Foreman, 2015).

The authors of this study found that therapists with high levels of avoidance tended to avoid doing exposure therapy. Powerful therapy requires us choosing to lean into risking vulnerability instead of leaning back and doing therapy to the client.   Easier said than done. Doing therapy can be disturbing and we rarely receive explicit training on what to do when we are struggling. When we find the courage to open up about our challenges in consultation, we might hear solutions, be given articles to read, or have our behaviors analyzed by the other clinician. Rarely do we hear, “Yeah, me too. As a matter of fact, about an hour ago.”

Thankfully, two third wave behavioral therapies (Functional Analytic Psychotherapy and Acceptance and Commitment Therapy) blend quite nicely and give us clear guidance on how to continue to move toward that vulnerable edge of growth.  With them, we can accept our own human urge to avoid distress and stay the course, especially when deep pain arises in the therapy.

Functional Analytic Psychotherapy (FAP)

Bob Kohlenberg and Mavis Tsai, at the University of Washington developed FAP. As behavior analysts, they noticed some clients improved much more than others.  They found that in sessions where the client experienced great change, the relationship was pivotal. FAP focuses on interpersonal flexibility.  The power of FAP is responding to our client’s behaviors moment-to-moment in session. To do this, we need to consider our clients in the context of their lives and their histories.  For example, consider a client with a pervasive and persistent pattern of complaining which affects his relationships. Telling us that they don’t like something about the therapy could be an instance of that unworkable behavior.  For another client, it might be a risky move toward intimacy.  FAP terms these ‘clinically relevant behaviors’ or CRB for short.

FAP gives a framework for how to be most effective with our clients through a set of rules or guidelines. When we follow FAP rules with our clients, we can find ourselves risking and challenging ourselves to engage in an honest and undefended way.

Here’s a simplified version of those rules:  Be aware, courageous and loving with our clients. Again, easier said than done.

Acceptance and Commitment Therapy (ACT)

ACT was developed by Steve Hayes at the University of Reno, and focuses on intrapersonal flexibility. Humans don’t like risk, so we need something to help us when we are in that shaky ambiguity of pushing our comfort zones.  ACT helps us find our ground as we engage in emotionally vulnerable ways with the people we serve.  As human beings with our own histories, it’s certain that we will have painful reactions in the therapy session.  Accepting this as normal, staying in the present moment with those reactions, touching into our values and taking action allows us to follow the FAP rules of engagement.   ACT helps us hold a stance of open curiosity, so that we can engage in the messy work of human intimacy.

Doing effective and meaningful work as a therapist is not easy. Thankfully, Steve Hayes, Bob Kohlenberg and Mavis Tsai have given us tools that provide a scaffold for us to create transformation with our clients.   I’m excited to share how you can get the most out of these two therapies and make your work more powerful.  We’ll be working in depth on blending these two powerful therapies and applying them to your most challenging clients.  Come join us.

 

Harnessing the Power of the Therapeutic Ralationship Using ACT & FAP

  • 2-day workshop led by Joanne Steinwachs, LCSW
  • March 4 – 5, 2016, from 8:30 am – 4:30 pm
  • sponsored by Portland Psychotherapy


Joanne Steinwachs LCSWJoanne Steinwachs LCSW is a social worker in private practice in Denver, CO. She is a peer reviewed ACT trainer and a recognized FAP trainer. To learn more about her training and therapy practice, go to www.joannesteinwachslcsw.com.

 

 

UPCOMING TRAINING EVENTS


Acceptance & Commitment Therapy – An Experiential & Practical Introduction

Jason Luoma, PhD and Jenna LeJeune, PhD
November 13th and 14th, 2021 from 8:30am-4:30pm
at Hilton Garden Inn Portland Airport
This two-day in-person workshop provides a thorough overview of the theory, principles, and techniques of Acceptance and Commitment Therapy. It is intended for those who are relatively new to ACT and for those who have done some reading on their own about ACT but who may not have had the opportunity to participate in more experiential learning, observe models, or receive feedback while using the ACT model. Read More.


Ethical & Legal Considerations in Psychedelic Integration Therapy

Brian Pilecki, PhD and Jason Luoma, PhD
November 19th, 2021 from 9am-11am

There is an increasing demand from clients seeking therapeutic support in their personal use of psychedelics. However, many clinicians interested in psychedelic preparation and integration are unsure as to how to provide these services as psychedelics mostly remain illegal. In this workshop, we will outline legal and ethical frameworks relevant to providing therapy to clients around their personal use of psychedelics, as well as describe how harm reduction approaches are suitable for this developing clinical area. Read More.


De-Mystifying Self-As-Context in ACT: Practical Strategies for Clients

Brian Pilecki, PhD and Kati Lear, PhD
December 3rd, 2021 from 12pm-1:30pm

This workshop will outline how self-as-context can be used to conceptualize commonly discussed topics in therapy such as self-esteem, confidence, identity, and inner conflict. Participants will learn how to flexibly practice practical self-as-context interventions that can be used with clients, as well as have a chance to practice newly learned skills through structured role-play exercises in breakout groups. Read More.


Values in Therapy: An Intro to Working with Values from an ACT Perspective

Jenna LeJeune, PhD
January 21, 2022 from 12pm-2:00pm

This workshop will provide a theoretical and conceptual overview of values from a contextual behavioral science perspective. We will cover the “what”, “why”, “when”, and “how” of values within ACT. While we will also provide an overview of various values exercises and measures that can be used with clients, the emphasis in this workshop will be on providing a foundational framework that will help clinicians approach values work from a functional perspective rather than a primarily technique-focused approach. Read More.



Culturally Responsive Therapy: How to Apply Anti-Racist Values in Session

Christy Tadros, LPCC and RaQuel Neal, LCSW
February 4th, 2022 from 1:30pm-4:45pm
and February 5th from 9:00am-12:00pm

This 2 day 6-hour training will help therapists develop their ability to support clients from a different racial background than them, with a particular focus on Black, Indigenous and People of Color. Through a multicultural social justice framework, it will integrate research and clinical experience to teach a therapeutic model for rapport building, assessment, and treatment. This model is not a rigid therapeutic modality, but provides a contextual lens to build a strong, culturally grounded therapeutic relationship. It is a flexible model and can align with many therapeutic modalities, including a contextual behavioral approach to therapy. Read More.


Truffle Hunting: Bringing Values to Life in the Therapy Room

Jenna LeJeune, PhD
February 25, 2022 from 12pm-2:00pm

This brief workshop is designed to help clinicians deepen their values work with clients by shifting the focus from the content of values conversations to the quality of those conversation. By listening for and deepening the qualities of effective values conversations participants will get a taste for how more experiential and relationally-based values work can supercharge therapy. Participants will have opportunities to both observe demonstrations and practice in small groups with the benefit of feedback. Read More.


Values Prototyping: Using Action to Help Clients Explore Their Values

Jenna LeJeune, PhD
March 18, 2022 from 12pm-2:00pm

This workshop will focus on one specific experiential tool called “values prototyping” that helps clients learn more about their values through engaging in intentional valuing. As participants will hopefully already have a solid foundation of some of the core concepts of the values process in ACT, this workshop will dive right in on how to use values prototyping to help clients learn more about what they would choose to value in their life. You will have the chance to practice developing a values prototype in small groups with the benefit of feedback, so that by the end of the workshop you will be able to use this tool in your work with clients. Read More.


The Invitation to Change Approach: Helping Families Affected by Addiction

Jeff Foote, PhD and Cordelia Kraus, LPC, CADC 1, certified CRAFT clinician
May 13th and 14th, 2022 from 9:00am-5:00pm
at University of Portland, Terrace Room
This two-day in-person workshop will provide skills training for professionals focused on the process of working with clients who have a loved one struggling with substance use issues. The Invitation to Change Approach draws on CRAFT (Community Reinforcement and Family Training), MI (Motivational Interviewing), and ACT (Acceptance and Commitment Therapy) to provide a compassionate and collaborative way of working with the families and concerned significant others of people who struggle with substance use. Read More.


Therapy and Research in Psychedelic Science (TRIPS) Seminar Series

Second Friday of each month from 12:00 PM – 1:00 PM (PT)

TRIPS is an online seminar series that hosts speakers discussing science-informed presentations and discussions about psychedelics to educate healthcare professionals. This series was created to guide healthcare providers and students preparing to be professionals towards the most relevant, pragmatic, and essential information about psychedelic-assisted therapy, changing legal statuses, and harm reduction approaches in order to better serve clients and communities. This seminar series is a fundraiser for our clinical trial of MDMA-assisted psychotherapy for social anxiety disorder that Portland Psychotherapy investigators are preparing for and starting in the Fall of 2021. All proceeds after presenter remuneration will go to fund this clinical trial. Read more.

November 12th, 2021Psychedelic Research: Implications for Palliative Care and End-of-Life Existential Distress with Anthony Bossis, Ph.D.

December 10th, 2021Implementing Culturally-Attuned & Anti-Racist Psychedelic Therapy: Impact over Intention with Jamilah R. George, M.Div., M.S.

January 14th, 2022Psilocybin-Assisted Therapy of Major Depressive Disorder using Acceptance and Commitment Therapy as a Therapeutic Frame with Jordan Sloshower, MD, MSc

February 11th, 2022 – Drug-Drug Interactions Between Psychiatric Medications and MDMA or Psilocybin with Aryan Sarparast, MD