New resource: a dictionary of terms commonly used in transgender and gender nonconforming communities

New resource: a dictionary of terms commonly used in transgender and gender nonconforming communities

APA has a new set of guidelines for psychologists working with transgender and gender nonconforming people (TGNC). In an appendix to those guidelines, APA included a very useful index defining many of the terms used within the TGNC community. Terminology of this sort is rapidly evolving and it can be difficult to stay abreast of it all. The index APA included in its guidelines is a helpful resource as psychologists strive towards treating others in a respectful and culturally competent way. For example, the term “transgender” has rapidly become part of American lexicon, especially since Caitlyn Jenner told her story in Vanity Fair magazine earlier this summer. However, although I’m familiar with the term, I’ve never heard the term “cisgender” used in the popular media. The APA terminology index defines “cisgender” as “An adjective used to describe a person whose gender identity and gender expression align with sex assigned at birth; a person who is not TGNC.” Only using a term to describe one experience/group implies that those in that group are “not the norm”; you’re either transgender or you’re “normal.” By knowing and using terms like cisgender to describe people whose experience isn’t that of those in the TGNC community, we make a small but important statement affirming the equality of all experiences of gender identity. If you’re interested in updating your knowledge of terms commonly used in the TGNC community, go to the appendix of the APA document.

Jenna LeJeune, Ph.D

Author: Jenna LeJeune, Ph.D

Jenna is a clinical psychologist who specializes in working with people who struggle with relationship and intimacy difficulties and with those who have a trauma history. Her research focuses on developing compassion-based interventions targeting stigma, shame, and chronic self-criticism.

Top 5 Mindfulness Resources

Top 5 Mindfulness Resources

The science of mindfulness is a very hot topic these days.  In agreement with the research, we find mindfulness to be a very helpful skill to have that is effective for a variety of problems that come with everyday life, such as distractibility, emotional reactivity, and impulsive decision making.

If you’d like to learn this skill, we have one one simple piece of advice – practice!  Any skill that you want to get better at (gardening, sports, playing an instrument) requires practice, and plenty of it.

In order to help you to learn how to train your mind in this way, we’ve put together a list of our top 5 resources for learning mindfulness. Some of these applications and websites are also helpful for providing a sense of community around mindfulness, which helps with both accountability and feelings of connection. For example, the insight timer shows you how many other people across the world are using the insight timer at the same time.

2 Minute Beginner’s Guide Animation

Free

Why We Like It: Having a very quick, to-the-point, and accurate explanation can often be more helpful than a big, comprehensive tool.  We also like this explanation because it clarifies some of the common misperceptions of what mindfulness practice is.

Headspace

iPhone

Android

10 day free trial, subscription following trial

Why We Like It: This is a great app because the creators paid lots of attention to the interface.  This is the current industry leader, and it shows in the quality.  When you first begin to use it, the app has you watch a series of short and fun animations to quickly orient you to what mindfulness is and what it is not (the videos are worth watching).

Another reason why this app made our list is because the developers made it in a way that will have a higher likelihood of keeping you engaged over time.  Instead of moving on to something else once the initial motivation has passed, there is a greater chance you’ll stick with Headspace because each day has a different guided file, it gives you clear goals, and you get to choose to practice on specific issues (a series on anxiety, depression, pain, etc).

Insight Timer

iPhone

Android

iPad

Free for iPhone and Android with option of purchasing upgrades, $2.99 for iPad

Why We Like It: This app is worth acquiring for the Tibetan bells alone, but in the past year or so, the app has expanded to include a wide variety of meditation practices of varying lengths.

Stop, Breathe & Think

Web

iPhone

Android

Free

Why We Like It: This is a great app that works either on the computer or a smartphone.  It provides a great introduction and resources for taking your practice deeper, as well.  One thing it also does that the others don’t do is offer a check-in that will ask you questions about how you are feeling in order to suggest some useful types of mindfulness practice.

Tara Brach’s Guided Meditations

Free

Why We Like It: Tara Brach is most widely known for her book Radical Acceptance.  On her website she regularly posts guided meditations to follow along with.  Every meditation instructor has their own style, and Tara has an easy style that many people tend to like.  Additionally, we’d highly recommend listening to her her 2-part introduction to meditation talk:

Part 1 – Do You Make Regular Visits to Yourself (57 min)

Part 2 – Do You Make Regular Visits to Yourself? (55 min)

If you’d like to see our full list, please visit

Resources for Learning Mindfulness Meditation in Portland, Oregon

An Interview with Steve Hayes during his Portland visit (09/04/2014)

An Interview with Steve Hayes during his Portland visit (09/04/2014)

Last week, University of Nevada – Reno professor Steve Hayes, PhD, came through Portland to conduct an intermediate Acceptance and Commitment Therapy (ACT) workshop. In anticipation of the visit, Dr. Hayes reached out to the Oregon chapter of the Association of Contextual Behavioral Science.

Through this outreach, Dr. Hayes agreed to be interviewed for the Oregon chapter. As president-elect of the Oregon chapter, I talked with Dr. Hayes about his thoughts on creating a strong and supportive community.

I think this interview will be of interest to anyone within the ACT community, and particularly those who, like Oregon, have created their own chapter or are thinking about creating a chapter. Dr. Hayes also talks more broadly about his vision for the community and ways in which its development surprised him.

Dr. Hayes was extremely generous in donating his time amidst a very busy schedule.

Click here to listen the interview with Steve Hayes, PhD (approx. 40 minutes).

Using TLC to Learn About Hair Trichotillomania

Using TLC to Learn About Hair Trichotillomania

A few years ago, my clinic director suggested I check out trainings offered through the Trichotillomania Learning Center (TLC), a grassroots hub for information on trichotillomania and skin pulling (or dermatillomania). He knew about my interest in structured treatments for anxiety disorders and thought it might be useful for me to look into training.

Although TLC offered a DVD training program, I decided to wait until there was an actual physical workshop. In retrospect, I don’t know why I was so attached to in-person training. Having attended my fair share of workshops and even having co-led some myself, I’m fully aware that 1-2 day workshops are pretty limited in what you actually can learn. Intellectually, I figured the training DVD’s were probably a better value, but I allowed my conditioning to overrule my reasoning.

Also, I’m a little embarrassed to admit, but when I read that the previous training was run by the Behavior Therapy Center of Greater Washington, I assumed “Washington” meant neighboring Washington state, and that the training would be held in Seattle. More than a year later, I checked back, realized, “Oh, it’s Washington, DC!” and dutifully ordered their Virtual Professional Training Institute (VPTI).

I have no excuse for my mistake—I had even clicked on their website and somehow missed the distinctive JEFFERSON MEMORIAL on the website landscape banner!

 

The Virtual Professional Training Institute is Awesome!

For under $10, the VTPI is a bargain. It features over 9 hours of DVD training and a collection of pdf’s of research articles. You can send in the post-test to earn 16 CE credits and certification on their website. Developed in 201, the information is pretty current. The DVD kicks off with a documentary called Bad Hair Day, and the remainder includes lucid presentations by experts Charles Mansueto, Ph.D., Ruth Golomb, LCPC, and Fred Penzel, Ph.D. (Mansueto and Golomb are part of the center in DC.)

TLC

Not long after I finished the training, I ordered some books from TLC. (I figured they could use my money more than Amazon.) Included on the packing slip was a charming personal touch that illustrates the grassroots origins of TLC. Written in green ink was a quick note: “Thank you – Donna – TLC.”

UPCOMING TRAINING EVENTS


Using Acceptance and Commitment Therapy to Guide Exposure Therapy: The Basics

Brian Thompson, PhD, Brian Pilecki, PhD, and Joanne Chan, PsyD
September 17th, 2021 from 12-3pm

This is a beginner workshop intended to provide the foundations of exposure therapy including types of exposure interventions and design effective exposure exercises for various anxiety disorders and OCRDs. Participants will learn how to use ACT processes to guide the implementation of exposure techniques and how ACT processes may be enhanced by traditional exposure methods. This workshop will provide some background in theory and will emphasize applying exposure to clinical contexts using case studies, exposure demonstrations, and the practice of new skills by participants. Read More.


Overcoming Barriers to Effective ACT-Informed Exposure Therapy

Brian Thompson, PhD and Brian Pilecki, PhD
October 15th, 2021 from 12-3pm

This workshop will offer a brief introduction to Acceptance and Commitment Therapy-informed exposure and focus on practical ways to address common problems in implementation. Case examples will be provided to illustrate common client barriers such as lack of buy-in and difficulty grasping core ACT concepts. Strategies for overcoming these barriers will be offered and participants will have the opportunity to practice newly acquired skills through role-plays and break-out rooms.Read More.


An Introduction to Psychedelic-Assisted Psychotherapy for Clinicians

Brian Pilecki, PhD and Jason Luoma, PhD
October 22nd, 2021 from 9am-12:15pm

Psychedelic assisted therapy is emerging as a highly effective form of mental health treatment. This workshop will provide health care professionals an overview of this new clinical area. The workshop will highlight the importance of preparation and integration, as well as how to use a harm reduction approach to provide therapeutic support to clients using psychedelics on their own. The current legal status of psychedelics will be reviewed, including Oregon’s developing a legal psilocybin-assisted therapy program. Finally, diversity issues around lack of access for underserved and non-majority populations will be explored, as well as the prevalence of cultural appropriation and colonialism in modern psychedelic medicine. Read More.


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 Milagro Theatre- El Zocalo
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.

October 8th, 2021Psychedelic-Assisted Therapist Training: Current Perspectives and a Look Forward with Dr. Elizabeth Nielson

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