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.

    Your brain knows it's not good to do these things, but it can't help it sometimes--especially if it's obsessing about trauma it can't overcome. That's where this life-changing book comes in. With humor, patience, science, and lots of good-ole swearing, Dr. Faith explains what's going on in your skull, and talks you through the process of retraining your brain to respond appropriately to the non-emergencies of everyday life, and to deal effectively with old, or newly acquired, traumas (particularly post-traumatic stress disorder).

    So how do you handle the narcissistic people in your life? You might interact with them in social or professional settings, and you might even love one—so ignoring them isn’t really a practical solution. They're frustrating, and maybe even intimidating, but ultimately, you need to find a way of communicating effectively with them.Disarming the Narcissist, Second Edition, will show you how to move past the narcissist's defenses using compassionate, empathetic communication. You'll learn how narcissists view the world, how to navigate their coping styles, and why, oftentimes, it's sad and lonely being a narcissist. By learning to anticipate and avoid certain hot-button issues, you'll be able to relate to narcissists without triggering aggression. By validating some common narcissistic concerns, you'll also find out how to be heard in conversation with a narcissist.This book will help you learn to meet your own needs while side-stepping unproductive power struggles and senseless arguments with someone who is at the center of his or her own universe. This new edition also includes new chapters on dealing with narcissistic women, aggressive and abusive narcissists, strategies for safety, and the link between narcissism and sex addiction.Finally, you'll learn how to set limits with your narcissist and when it's time to draw the line on unacceptable behavior.

    It resists self-help and undermines even intensive psychoanalysis.　 Patricia A. DeYoung's cutting-edge book gives chronic shame the serious attention it deserves, integrating new brain science with an inclusive tradition of relational psychotherapy. She looks behind the myriad symptoms of shame to its relational essence. As DeYoung describes how chronic shame is wired into the brain and developed in personality, she clarifies complex concepts and makes them available for everyday therapy practice.　 Grounded in clinical experience and alive with case examples, Understanding and Treating Chronic Shame is highly readable and immediately helpful. Patricia A. DeYoung's clear, engaging writing helps readers recognize the presence of shame in the therapy room, think through its origins and effects in their clients' lives, and decide how best to work with those clients. Therapists will find that Understanding and Treating Chronic Shame enhances the scope of their practice and efficacy with this client group, which comprises a large part of most therapy practices. Challenging, enlightening, and nourishing, this book belongs in the library of every shame-aware therapist.

    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.

    Even worse, you may be tempted to research your diagnosis online, only to find doomsday scenarios and terrible prognoses everywhere you click. Take a deep breath. You can get through this—and this workbook will help guide you.Despite what you may have read or been told, BPD is not the worst thing that can happen to you. Like many mental health issues, it manifests on a spectrum, and while some people may encounter extreme symptoms and consequences on one end, others may be less affected on the other. What do you all have in common? You likely experience difficulty balancing your emotions, thoughts, and behaviors. And you may even have trouble seeing yourself clearly—continuously switching from the hero to the villain of the story you’ve written about your life. So, how can you make sense of it all and start on the road to healing?Rather than utilizing a one-size-fits-all treatment, this groundbreaking and comprehensive workbook meets you where you are on your therapeutic journey, and provides an integrative approach to treating BPD drawing on evidence-based dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), and interpersonal therapy. With this compassionate workbook, you’ll gain a greater understanding of your BPD, uncover your own emotional triggers, and discover your own personal motivators for positive change.Your BPD has determined how you see and live your life, but it doesn’t have to define you forever. With this workbook as your guide, you’ll be ready to face your diagnosis head-on, and take those important first steps toward lasting wellness.

    Pathological lying. Manipulation. Lack of remorse. Shallowness. Exploitation for financial gain. These are the qualities of Almost Psychopaths. They are not the deranged criminals or serial killers that might be coined "psychopaths" in the movies or on TV. They are spouses, coworkers, bosses, neighbors, and people in the news who exhibit many of the same behaviors as a full-blown psychopath, but with less intensity and consistency.In Almost a Psychopath, Ronald Schouten, MD, JD, and James Silver, JD, draw on scientific research and their own experiences to help you identify if you are an Almost Psychopath and, if so, guide you to interventions and resources to change your behavior.If you think you have encountered an Almost Psychopath, they offer practical tools to help you: recognize the behavior, attitudes, and characteristics of the Almost Psychopath; make sense of interactions you've had with Almost Psychopaths; devise strategies for dealing with them in the present; make informed decisions about your next steps; and learn ways to help an Almost Psychopath get better control of their behavior.The Almost Effect™ Series presents books written by Harvard Medical School faculty and other experts that offer guidance on common behavioral and physical problems falling in the spectrum between normal health and a full-blown medical condition. These are the first publications to help general readers recognize and address these problems.

    Elisabeth Kübler-Ross's famous interdisciplinary seminar on death, life, and transition. In this remarkable book, Dr. Kübler-Ross first explored the now-famous five stages of death: denial and isolation, anger, bargaining, depression, and acceptance. Through sample interviews and conversations, she gives the reader a better understanding of how imminent death affects the patient, the professionals who serve that patient, and the patient's family, bringing hope to all who are involved.

    

    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.

    James S. Gordon Each year, as many as twenty million Americans are diagnosed with clinical depression. Tens of millions more have low energy or feel unhappy and dissatisfied with their lives. And each year, American doctors write 189 million prescriptions for antidepressant drugs for these people. Dr. James Gordon, a Harvard Medical School-educated psychiatrist who founded and directs The Center for Mind-Body Medicine in Washington, D.C., has been helping his patients find their way out of the darkness of depression for the past forty years. He has worked with everyone from high-powered Washington politicians to Hurricane Katrina victims, from overstressed doctors, lawyers, and stay-at-home moms to orphans from war-ravaged Kosovo and Gaza. Each one of Dr. Gordon’s patients is unique, but all suffer from some level of depression, and none are getting relief from the antidepressant drugs their doctors keep prescribing or the psychotherapy they’ve been receiving. One of our country’s most distinguished psychiatrists and a pioneer in integrative medicine, Dr. Gordon believes that depression is not an end point, a disease over which we have no control. It is a sign that our lives are out of balance, that we’re stuck. It’s a wake-up call and the start of a journey that can help us become whole and happy, one that can change and transform our lives. Unstuck is a practical, easy-to-use guide explaining the seven stages of Dr. Gordon’s approach and the steps we can take to exert control over our own lives and find hope and happiness. Unstuck is designed for anyone who is suffering from depression, from mild subclinical depression (“the blues”) to its severest forms. Dr. Gordon shows us how doctors and patients alike have come to depend on antidepressants, and how these drugs have disappointed so many. He then carefully links each of his seven stages to helpful suggestions for relieving depression’s symptoms. Using dramatic and inspiring examples from the patients he has worked with over the years, he explains the useful, mood-healing benefits of: food and nutritional supplements; Chinese medicine; movement, exercise, and dance; psychotherapy, meditation and guided imagery; and spiritual practice and prayer. He concludes each chapter with a carefully designed Prescription for Self-Care, guidelines to help each person play an active, effective role in their own healing. The result is Unstuck, an incredibly thoughtful, practical, and meditative guide to the difficult but rewarding journey out of depression. James

    Reclaim your life from the one-way street! Disguised as high self-esteem, narcissism is actually a destructive form of self-love or extreme self-absorption."

    A combination of talk therapy and bodywork, it is used to treat a wide range of psychological and physiological conditions, ranging from stress and anxiety to depression and PTSD. Nowhere has somatics proven more effective than in the treatment of trauma. This book invites readers to look beyond the body and mind to consider the social, political and economic roots of trauma. Conditions such as racism, environmental degradation, sexism, and poverty are more than illnesses of society, they are also the source of physical, mental, and emotional disease. Author and practitioner Staci Haines offers a new politicized somatics for therapists and social activists who share a common goal of alleviating suffering and improving life. Individual and societal well-being go hand-in-hand; just as health practitioners need to consider the societal factors underlying trauma, so too must activists understand trauma's physical and mental impact on the lives of those for whom they advocate. Politicized somatics builds power, deepens capacity, and creates embodied skills required for lasting health and meaningful social transformation. This book will be an important tool for healers, therapists, political activists, community organizers, and for the survivors of trauma.

    Natalie Rogers has developed a process called the Creative Connection RM that interweaves all the expressive arts -- movement, sound, drawing, painting, writing, and guided imagery -- to tap into the deep wellspring of creativity within each of us. The aim is to reclaim ourselves and then help others reclaim themselves as actively playful, spirited, and conscious individuals. Rogers emphasizes the importance of psychological safety and freedom while using the creative arts. This reflects her extensive work with her father, Carl Rogers, and a deep belief in his person-centered approach to counseling.Photos and art help demystify this process, and various exercises range from the simple to the complex. Natalie's practical suggestions aid counselors who want to add expressive arts to their regular sessions.

    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.