For persons with this prevalent and difficult-to-treat dual diagnosis, the most urgent clinical need is to establish safety--to work toward discontinuing substance use, letting go of dangerous relationships, and gaining control over such extreme symptoms as dissociation and self-harm. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. Each topic provides highly practical tools and techniques to engage patients in treatment; teach "safe coping skills" that apply to both disorders; and restore ideals that have been lost, including respect, care, protection, and healing. Structured yet flexible, topics can be conducted in any order and in a range of different formats and settings. The volume is designed for maximum ease of use with a large-size format and helpful reproducible therapist sheets and handouts, which purchasers can also download and print at the companion Web page. See also the author's self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.

    Many women in America have experienced it. What’s expected of women and what it’s really like to be a woman in today’s world are two very different things—and women exhaust themselves trying to close the gap between them. How can you “love your body” when every magazine cover has ten diet tips for becoming “your best self”? How do you “lean in” at work when you’re already operating at 110 percent and aren’t recognized for it? How can you live happily and healthily in a sexist world that is constantly telling you you’re too fat, too needy, too noisy, and too selfish?Sisters Emily Nagoski, PhD, and Amelia Nagoski, DMA, are here to help end the cycle of feeling overwhelmed and exhausted. Instead of asking us to ignore the very real obstacles and societal pressures that stand between women and well-being, they explain with compassion and optimism what we’re up against—and show us how to fight back. In these pages you’ll learn• what you can do to complete the biological stress cycle—and return your body to a state of relaxation• how to manage the “monitor” in your brain that regulates the emotion of frustration• how the Bikini Industrial Complex makes it difficult for women to love their bodies—and how to defend yourself against it• why rest, human connection, and befriending your inner critic are keys to recovering and preventing burnoutWith the help of eye-opening science, prescriptive advice, and helpful worksheets and exercises, all women will find something transformative in these pages—and will be empowered to create positive change. Emily and Amelia aren’t here to preach the broad platitudes of expensive self-care or insist that we strive for the impossible goal of “having it all.” Instead, they tell us that we are enough, just as we are—and that wellness, true wellness, is within our reach.

    The authors approach each professional issue in counseling from both an ethical and a legal point of view, offering readers a complete, integrated exploration of all facets. Difficult issues are addressed in a straightforward manner, and practical, realistic advice is proffered through vignettes that showcase typical situations and dilemmas faced by practicing counselors.

    This happens when they give more attention to their clients' well being than their own. Both students and practitioners in these fields will find this book an essential guide to striking an optimal balance between self-care and other-care. The authors describe the joys and hazards of the work, the long road from novice to senior practitioner, the essence of burnout, ways to maintain the professional and personal self, methods experts use to maintain vitality, and a self-care action plan. Vivid real-life examples and self-reflection questions will engage and motivate readers to think about their own work and ways to enhance their own resilience. Eloquently written and supported by extensive research, helping professionals will find this a valuable resource both when a novice and when an experienced practitioner.

    Yet estimates are that upwards of eight million Americans are chronic self-injurers. They are people who use knives, razor blades, or broken glass to cut themselves. Their numbers include the actor Johnny Depp, Girl Interrupted author Susanna Kaysen, and the late Princess Diana.Mistakenly viewed as suicide attempts or senseless masochism--even by many health professionals--"cutting" is actually a complex means of coping with emotional pain. Marilee Strong explores this hidden epidemic through case studies, startling new research from psychologists, trauma experts, and neuroscientists, and the heartbreaking insights of cutters themselves--who range from troubled teenagers to middle-age professionals to grandparents. Strong explains what factors lead to self-mutilation, why cutting helps people manage overwhelming fear and anxiety, and how cutters can heal both their internal and external wounds and break the self-destructive cycle. A Bright Red Scream is a groundbreaking, essential resource for victims of self-mutilation, their families, teachers, doctors, and therapists.

    From initial client intake to the nuts-and-bolts of the interview, assessment, diagnosis, goal setting, treatment planning, intervention techniques, troubleshooting, and termination, the book translates current research findings into cogent recommendations for practice. Numerous case examples and sample treatment plans, forms, and questionnaires complement the text.

    It views the human animal as a unique being, endowed with an instinctual capacity. It asks and answers an intriguing question: why are animals in the wild, though threatened routinely, rarely traumatized? By understanding the dynamics that make wild animals virtually immune to traumatic symptoms, the mystery of human trauma is revealed.Waking the Tiger normalizes the symptoms of trauma and the steps needed to heal them. People are often traumatized by seemingly ordinary experiences. The reader is taken on a guided tour of the subtle, yet powerful impulses that govern our responses to overwhelming life events. To do this, it employs a series of exercises that help us focus on bodily sensations. Through heightened awareness of these sensations trauma can be healed.

    This essential companion guide will show you how to introduce MIND OVER MOOD to your clients, integrate it with your in-session therapy work, increase client compliance in completing home assignments, and overcome common difficulties that may arise. The authors clearly demonstrate how to use MIND OVER MOOD with individuals, couples, and groups, both in session and at home. Brief therapy and inpatient settings are also discussed in detail.Step-by-step instructions are provided on how to tailor the program to follow cognitive therapy treatment protocols for a range of diagnoses, including depression, anxiety, personality disorders, panic disorder, substance abuse, and complex, multiple problems. Also outlined are ways to use MIND OVER MOOD to pinpoint the development of specific cognitive, affective, and behavioral skills.The volume is richly illustrated with case examples and sample client-therapist dialogues in every chapter. Guidance is offered on how to review home exercises and worksheets in session and how to perform effective guided discovery. The authors also provide a detailed chapter on setting therapy goals. Creative ways for engaging clients who have negative reactions to a manual are described, as are strategies for maintaining collaboration with clients with personality disorders. Each chapter concludes with a "troubleshooting guide," which therapists can use to navigate impasses, and the book itself concludes with an informative chapter on therapist training and MIND OVER MOOD.

    An exposé of the psychiatric profession’s bible from a leading psychotherapist, The Book of Woe reveals the deeply flawed process by which mental disorders are invented and uninvented—and why increasing numbers of therapy patients are being declared mentally ill.

    An experienced therapist offers groundbreaking and compassionate techniques for helping chronically inflexible children, who suffer from excessively immoderate tempers, showing how brain-based deficits contribute to these problems and offering positive and constructive ways to calm things down.

    Susanne Fincher introduces here the history and ritual use of mandalas in cultures all over the world. She then shows you how to make your own, offering guidance on choosing art materials and techniques. She discusses the symbolism of colors, numbers, shapes, and motifs (such as birds and flowers) that appear in mandalas, and she also presents several illustrated case histories of people who have successfully used her techniques.This revised edition includes a new preface. It also includes a new chapter on making mandalas with a group, a practice that can yield even greater insight—and more fun.

    A new introduction by Peter Kramer sheds light on the significance of Dr. Rogers's work today. New discoveries in the field of psychopharmacology, especially that of the antidepressant Prozac, have spawned a quick-fix drug revolution that has obscured the psychotherapeutic relationship. As the pendulum slowly swings back toward an appreciation of the therapeutic encounter, Dr. Rogers's "client-centered therapy" becomes particularly timely and important.

    Each contributor is either an originator or a leading proponent of one of the systems, and each presents the basic principles of the system in a clear and straightforward manner, discussing it in the context of the other systems. Theory chapters include a case example that guides you through the problem, evaluation, treatment, and follow-up process. Accompanying CURRENT PSYCHOTHERAPIES is CASE STUDIES IN PSYCHOTHERAPY, each case demonstrates the basic techniques and methods of the theory being illustrated. This edition retains classic case studies by Harold Mosak, Carl Rogers, Albert Ellis, Arnold Lazarus, and Peggy Papp.

    William Glasser offers a new psychology that, if practiced, could reverse our widespread inability to get along with one another, an inability that is the source of almost all unhappiness.For progress in human relationships, he explains that we must give up the punishing, relationship–destroying external control psychology. For example, if you are in an unhappy relationship right now, he proposes that one or both of you could be using external control psychology on the other. He goes further. And suggests that misery is always related to a current unsatisfying relationship. Contrary to what you may believe, your troubles are always now, never in the past. No one can change what happened yesterday.

    . . that are remarkably fresh and helpful.”—New York Times Book ReviewThe classic groundbreaking book on family therapy by acclaimed experts Augustus Y. Napier, Ph.D., and Carl Whitaker, M.D.This extraordinary book presents scenarios of one family’s therapy experience and explains what underlies each encounter. You will discover the general patterns that are common to all families—stress, polarization and escalation, scapegoating, triangulation, blaming, and the diffusion of identity—and you will gain a vivid understanding of the intriguing field of family therapy.