Often they appear to be normally functioning at work and in public interactions, and Narcissists may even be highly effective, in the short term, in some work or social situations. However, in intimate relationships, they can be emotional, aggressive, demeaning, illogical, paranoid, accusing, and controlling--in the extreme. Their ability to function normally or pleasantly can suddenly change in an instant, like flipping a switch. These negative behaviors don't happen once in a while, they happen almost continuously in their intimate relationships and most often, and especially with their Caretaker family member.Here, Margalis Fjelstad describes how people get into a Caretaker role with a Borderline or Narcissist, and how they can get out. Caretakers give up their sense of self to become who and what the Borderline or Narcissist needs them to be. This compromises the Caretaker's self-esteem, distorts their thinking processes, and locks them into a Victim-Persecutor-Rescuer pattern with the Borderline or Narcissist. The book looks at the underlying rules and expectations in these relationships and shows Caretaker's how to move themselves out of these rigid interactions and into a healthier, more productive, and positive lifestyle--with or without the Borderline/Narcissistic partner or family member. It describes how to get out of destructive interactions with the Borderline or Narcissist and how to take new, more effective actions to focus on personal wants, needs, and life goals while allowing the Borderline or Narcissist to take care of themselves. It presents a realistic, yet compassionate, attitude toward the self-destructive nature of these relationships, and gives real life examples of how individuals have let go of their Caretaker behaviors with creative and effective solutions.--Elayne Savage, PhD, relationship and workplace coach; professional speaker; author of Don't Take It Personally! The Art of Dealing with Rejection and Breathing Room - Creating Space to Be a Couple

    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.

    Hours of her life simply disappeared. She'd hear voices shouting at her, telling her she was useless. And the nightmares that had haunted her since early childhood, scenes of men abusing her, became more detailed . . . more real. Staring at herself in the mirror she'd catch her face changing, as if someone else was looking out through her eyes.In this work she describes her journey from a teenage girl battling anorexia and OCD, drowning the voices with alcohol, to a young woman slipping further and further into mental illness. It was only after years lost in institutions that she was correctly diagnosed with multiple personality disorder. When her alternative personalities were revealed in therapy she discovered how each one had their own memories of abuse and a full picture of her childhood finally emerged. As she learned to live with her many 'alters', she set out to confront the man who had caused her unbearable pain.Moving and ultimately inspiring, this is a gripping account of a rare condition, and the remarkable story of a courageous woman.

    Authors John Briere and Catherine Scott articulate a nonpathologizing, phenomenological perspective on trauma and recovery--one that emphasizes both specific therapeutic techniques and the general but critical role of the therapeutic relationship.

    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.

    Almost anyone with a desire to help others can be a people helper, but often those Christians who feel most called to counsel are unsure of how to use the Bible to ease another person’s problems.This book will guide you to a practical, working knowledge of Scripture, the character of God, and the basics of the Christian faith--the core of what Christian counselors must know to be truly effective in helping others.

    But is it possible America's most troubling impact on the globalizing world has yet to be accounted for? In "Crazy Like Us," Ethan Watters reveals that the most devastating consequence of the spread of American culture has not been our golden arches or our bomb craters but our bulldozing of the human psyche itself: We are in the process of homogenizing the way the world goes mad. America has been the world leader in generating new mental health treatments and modern theories of the human psyche. We export our psychopharmaceuticals packaged with the certainty that our biomedical knowledge will relieve the suffering and stigma of mental illness. We categorize disorders, thereby defining mental illness and health, and then parade these seemingly scientific certainties in front of the world. The blowback from these efforts is just now coming to light: It turns out that we have not only been changing the way the world talks about and treats mental illness -- we have been changing the mental illnesses themselves.For millennia, local beliefs in different cultures have shaped the experience of mental illness into endless varieties." Crazy Like Us" documents how American interventions have discounted and worked to change those indigenous beliefs, often at a dizzying rate. Over the last decades, mental illnesses popularized in America have been spreading across the globe with the speed of contagious diseases. Watters travels from China to Tanzania to bring home the unsettling conclusion that the virus is us: As we introduce Americanized ways of treating mental illnesses, we are in fact spreading the diseases.In post-tsunami Sri Lanka, Watters reports on the Western trauma counselors who, in their rush to help, inadvertently trampled local expressions of grief, suffering, and healing. In Hong Kong, he retraces the last steps of the teenager whose death sparked an epidemic of the American version of anorexia nervosa. Watters reveals the truth about a multi-million-dollar campaign by one of the world's biggest drug companies to change the Japanese experience of depression -- literally marketing the disease along with the drug.But this book is not just about the damage we've caused in faraway places. Looking at our impact on the psyches of people in other cultures is a gut check, a way of forcing ourselves to take a fresh look at our own beliefs about mental health and healing. When we examine our assumptions from a farther shore, we begin to understand how our own culture constantly shapes and sometimes creates the mental illnesses of our time. By setting aside our role as the world's therapist, we may come to accept that we have as much to learn from other cultures' beliefs about the mind as we have to teach.

    Cameron West... First of all, for those of you who have read First Person Plural, thank you. Rikki, Kyle, and I have been very moved by the kind words many of you have sent, and for the stories some of you have shared about overcoming your own challenges.I'd like to share something with you that Leonardo da Vinci wrote, which I think of as "Leonardo's Rule." He said, "Every object yields to effort." I remind myself of that every day, and when I'm having a difficult time, Rikki reminds me that this rule applies not only to the obstacles "out there," but to the more important ones-the ones we face in our own minds. Rikki lives by Leonardo's Rule; it comes to her naturally. Even though they are Leonardo's words, it is Rikki's actions that guide me and inspire me to work toward becoming a healthier and better person.

    The last book of its kind, which was published more than 20 years ago, predated the development of such significant concepts as borderline syndromes, narcissistic pathology, dissociative disorders and self-defeating personality.Contemporary students often react with bewilderment to the language of pioneering analysts like Reich and Fenichel and, since 1980, the various volumes of the Diagnostic and Statistical Manual of Mental Disorders (DSM) have reflected an empirical-descriptive orientation that deliberately eschews psychodynamic assumptions. Consequently, today's therapist in training may have little exposure to the rich clinical and theoretical history behind each disorder mentioned in DSM; to psychoanalytic expertise with widely recognized character patterns not mentioned in DSM, such as depressive and hypomanic psychologies, high-functioning schizoid personalities, and hysterical personalities; or to a comprehensive, theoretically sophisticated rationale that links assessment to treatment. Filling the need for a text that clearly lays out the conceptual heritage that psychoanalytic practitioners take for granted, this important new volume explicates the major clinically important character types and suggests how an appreciation of the patients' individual personality structure should influence the therapist's focus and style of intervention. Dispensing with the dense jargon that often discourages people from learning, Nancy McWilliams writes in a lucid, personal manner that demystifies psychodynamic theory and practice. Innumerable clinical vignettes are presented with humor, candor, and compassion, bringing abstract concepts to life.Comprehensive in scope, Psychoanalytic Diagnosis will be valued by seasoned clinicians and students alike. Psychodynamically oriented readers will find it an excellent introduction to psychoanalytic diagnostic thinking. For those identified with other approaches, it will foster psychoanalytic literacy, providing them with the capacity to better understand the approaches of their analytically oriented colleagues.

    Suzanne Bender, at the time a junior clinician, and Edward Messner, a seasoned practitioner and supervisor, provide a unique, combined perspective on how therapy is conducted, what works and what doesn't work in treatment, and how to take care of oneself as a clinician. Organized around the treatment of one fictitious patient, with other case examples brought in as needed, the book speaks directly to the questions, concerns, and insecurities that beginning therapists typically face. Written with candor and empathy, it offers authoritative guidance for understanding and resolving common clinical dilemmas.

    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.

    It is an intimate, messy, often surprising and sometimes confusing business -but when it works, it's life-changing.In The Talking Cure, psychotherapists Gill Straker and Jacqui Winship bring us nine inspiring stories of transformation.They introduce us to their clients, fictional amalgams of real-life cases, and reveal how the art of talking and listening helps us to understand deep-seated issues that profoundly influence who we are in the world and how we see ourselves in relation to others. We come to understand that the transformative power of the therapeutic relationship can be replicated in our everyday lives by the simple practice of paying attention and being present with those we love.Whether you have experienced therapy (or are tempted to try it), or you are just intrigued by the possibilities of a little-understood but transformative process, this wise and compassionate book will deepen your sense of what it is to be open to connection - and your appreciation that to be human is to be a little bit mad.

    We all know we should have them--in order to achieve work/life balance, cope with toxic people, and enjoy rewarding relationships with partners, friends, and family. But what do healthy boundaries really mean--and how can we successfully express our needs, say no, and be assertive without offending others?Licensed counselor, sought-after relationship expert, and one of the most influential therapists on Instagram Nedra Glover Tawwab demystifies this complex topic for today's world. In a relatable and inclusive tone, Set Boundaries, Find Peace presents simple-yet-powerful ways to establish healthy boundaries in all aspects of life. Rooted in the latest research and best practices used in cognitive behavioral therapy (CBT), these techniques help us identify and express our needs clearly and without apology--and unravel a root problem behind codependency, power struggles, anxiety, depression, burnout, and more.

    But psychoanalytic thinking has undergone an enormous expansion and transformation over the past fifty years. With Freud and Beyond, Stephen A. Mitchell and Margaret J. Black make contemporary psychoanalytic thinking—the body of work that has been done since Freud—available for the first time. Richly illustrated with case examples, this lively, jargon-free introduction makes modern psychoanalytic thought accessible at last.

    These beautifully rendered tales illuminate the fundamental pathways of life from birth to death.A woman finds herself daydreaming as she returns home from a business trip; a young man loses his wallet. We learn, too, from more extreme examples: the patient who points an unloaded gun at a police officer, the compulsive liar who convinces his wife he's dying of cancer. The stories invite compassionate understanding, suggesting answers to the questions that compel and disturb us most about love and loss, parents and children, work and change. The resulting journey will spark new ideas about who we are and why we do what we do.