Just twelve, she’s tall, skinny, and weak. It’s four o’clock, and she hasn’t been allowed to eat anything all day. Her mother, on the other hand, seems curiously excited. She's about to suggest open-heart surgery on her child to "get to the bottom of this." She checks her teeth for lipstick and, as the doctor enters, shoots the girl a warning glance. This child will not ruin her plans.SickenedFrom early childhood, Julie Gregory was continually X-rayed, medicated, and operated on—in the vain pursuit of an illness that was created in her mother’s mind. Munchausen by proxy (MBP) is the world’s most hidden and dangerous form of child abuse, in which the caretaker—almost always the mother—invents or induces symptoms in her child because she craves the attention of medical professionals. Many MBP children die, but Julie Gregory not only survived, she escaped the powerful orbit of her mother's madness and rebuilt her identity as a vibrant, healthy young woman.Sickened is a remarkable memoir that speaks in an original and distinctive Midwestern voice, rising to indelible scenes in prose of scathing beauty and fierce humor. Punctuated with Julie's actual medical records, it re-creates the bizarre cocoon of her family's isolated double-wide trailer, their wild shopping sprees and gun-waving confrontations, the astonishing naïveté of medical professionals and social workers. It also exposes the twisted bonds of terror and love that roped Julie's family together—including the love that made a child willing to sacrifice herself to win her mother's happiness. The realization that the sickness lay in her mother, not in herself, would not come to Julie until adulthood. But when it did, it would strike like lightning. Through her painful metamorphosis, she discovered the courage to save her own life—and, ultimately, the life of the girl her mother had found to replace her. Sickened takes us to new places in the human heart and spirit. It is an unforgettable story, unforgettably told.

    " This user-friendly text provides readers with a complete and compelling view of group work, including types of groups, development of groups, dynamics within groups, diversity and multicultural issues in groups, specialty groups, ethical and legal issues in groups, groups across the lifespan, theories of groups, and the history of group work. Well-written and filled with helpful and enjoyable illustrations, this sixth edition textbook helps students to fully understand the four basic types of groups therapy, counseling, guidance, and work/task through case histories, examples, and clear language. At the same time, "Groups: A Counseling Specialty" challenges readers to think through how they would handle various group situations and to reflect and learn from their own experiences in groups.

    Harriet Lerner has been studying apologies—and why some people won’t give them—for more than two decades. Now she offers compelling stories and solid theory that bring home how much the simple apology matters and what is required for healing when the hurt we’ve inflicted (or received) is far from simple. Readers will learn how to craft a deeply meaningful “I’m sorry” and avoid apologies that only deepen the original injury.Why Won’t You Apologize? also addresses the compelling needs of the injured party—the one who has been hurt by someone who won’t apologize, tell the truth, or feel remorse. Lerner explains what drives both the non-apologizer and the over-apologizer, as well as why the people who do the worst things are the least able to own up. She helps the injured person resist pressure to forgive too easily and challenges the popular notion that forgiveness is the only path to peace of mind. With her trademark humor and wit, Lerner offers a joyful and sanity-saving guide to setting things right.

    F. Heller reveal how an understanding of attachment theory-the most advanced relationship science in existence today-can help us find and sustain love. Attachment theory forms the basis for many bestselling books on the parent/child relationship, but there has yet to be an accessible guide to what this fascinating science has to tell us about adult romantic relationships-until now.Attachment theory owes its inception to British psychologist and psychoanalyst John Bowlby, who in the 1950s examined the tremendous impact that our early relationships with our parents or caregivers has on the people we become. Also central to attachment theory is the discovery that our need to be in a close relationship with one or more individuals is embedded in our genes.In Attached, Levine and Heller trace how these evolutionary influences continue to shape who we are in our relationships today. According to attachment theory, every person behaves in relationships in one of three distinct ways:*ANXIOUS people are often preoccupied with their relationships and tend to worry about their partner's ability to love them back.*AVOIDANT people equate intimacy with a loss of independence and constantly try to minimize closeness.*SECURE people feel comfortable with intimacy and are usually warm and loving.Attached guides readers in determining what attachment style they and their mate (or potential mates) follow. It also offers readers a wealth of advice on how to navigate their relationships more wisely given their attachment style and that of their partner. An insightful look at the science behind love, Attached offers readers a road map for building stronger, more fulfilling connections.

    Judith Orloff. "But for empaths it goes much further. We actually feel others' emotions, energy, and physical symptoms in our own bodies, without the usual defenses that most people have." The Empath's Survival Guide is an invaluable resource for empaths and anyone who wants to nurture their empathy and develop coping skills in our high-stimulus world--while fully embracing their gifts of intuition, compassion, creativity, and spiritual connection.This practical, empowering, and loving book was created to support empaths through their unique challenges and help loved ones better understand the empath's needs and gifts. Dr. Orloff offers crucial practices, including:- Exercises to help you identify your empath type and where you are on the empathy spectrum - Tools for protecting yourself from sensory overload, exhaustion, addictions, and compassion fatigue while replenishing your vital energy - Simple, effective strategies to stop absorbing stress and physical symptoms from others and protect yourself from narcissists and other energy vampires - How to find the right work that feeds you - How to navigate intimate relationships without feeling overwhelmed - Guidance for parenting and raising empathic children - Awakening the empath's gift of intuition and deepening your spiritual connection to all living beingsFor any sensitive person who's been told to "grow a thick skin," here is a lifelong guide for staying fully open while building resilience, exploring your gifts of depth and compassion, and feeling welcome and valued by a world that desperately needs what you have to offer.

    Too good. Clearly, the title struck a chord, because children often seem to dislike family therapy. And who could fault them for it? The fact is that many family therapists either exclude young children or do not know how to involve them actively in family sessions.... "This is where Dr. Gil's new book succeeds so wonderfully. By drawing on her extensive training and experience as both a child therapist and a family therapist, she shows us how to use all family members' capacities for expressive play simultaneously. Never before have we been treated to such a variety of family play techniques that are presented in such vivid clinical detail....Her methods are captivating to read about and described with sufficient depth so that the reader can visualize their application in everyday clinical situations." --From the Foreword by Robert-Jay Green, Ph.D.In Play in Family Therapy, Dr. Eliana Gil provides a hands-on guide to a wealth of play therapy techniques for working with children ages 3 to 12, and shows how to adapt these techniques to conjoint family therapy. Illustrating the inexhaustible potential that play techniques hold for enhancing relatedness, communication, and understanding among families, this essential new volume represents a major step toward merging child and family therapy.Chapters in Part One cover the history of play therapy and the integration of play into family therapy. In Part Two, clinical vignettes illustrate in user-friendly detail the application of such techniques as puppet interviews, art therapy, and story-telling. Dr. Gil covers the presenting problems and family configurations clinicians are likely to encounter when working with children. Throughout, the text describes the problems that may arise--such as family members' reluctance to use play--and shows how to overcome them by setting a positive tone and conveying the expectation that families will find play enjoyable and rewarding.Providing clinicians with useful play techniques with which to expand their repertoire of family interventions, this work will be invaluable to all therapists and students who work with children and their families.

    A revised edition of this important study discusses the diagnosis and treatment of early onset bipolar disorder in children, arguing that many youngsters who are currently being treated for ADHD and depression may be suffering from the early stages of manic depression, offering new information on mood-stabilizing drugs, omega-3 fatty acids, educati

    Linehan--the developer of dialectical behavior therapy (DBT)--this comprehensive resource provides vital tools for implementing DBT skills training. The reproducible teaching notes, handouts, and worksheets used for over two decades by hundreds of thousands of practitioners have been significantly revised and expanded to reflect important research and clinical advances. The book gives complete instructions for orienting clients to DBT, plus teaching notes for the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills. Handouts and worksheets are not included in the book; purchasers get access to a Web page where they can download and print all the handouts and worksheets discussed, as well as the teaching notes. The companion volume is available separately: DBT Skills Training Handouts and Worksheets, Second Edition. New to This Edition *Handouts and worksheets (available online and in the companion volume) have been completely revised and dozens more added--more than 225 in all. *Each module has been expanded with additional skills. *Multiple alternative worksheets to tailor treatment to each client. *More extensive reproducible teaching notes (provided in the book and online), with numerous clinical examples. *Curricula for running skills training groups of different durations and with specific populations, such as adolescents and clients with substance use problems. *Linehan provides a concise overview of "How to Use This Book." See also DBT Skills Training Handouts and Worksheets, Second Edition, a spiral-bound 8 1/2" x 11" volume containing all of the handouts and worksheets and featuring brief introductions to each module written expressly for clients. Plus, Cognitive-Behavioral Treatment of Borderline Personality Disorder, the authoritative presentation of DBT. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.

    Alongside this lifestyle, depression rates have skyrocketed: approximately 1 in 4 Americans will suffer from major depression at some point in their lives. Where have we gone wrong? Dr. Stephen Ilardi sheds light on our current predicament and reminds us: our bodies were never designed for the sleep-deprived, poorly nourished, frenzied pace of twenty-first century life. In fact, our genes have changed very little since the days of our hunter-gatherer ancestors and are still building, in effect, Stone Age bodies. Herein lies the key to breaking the cycle of depression.Inspired by the extraordinary resilience of aboriginal groups like the Kaluli of Papua New Guinea (who rarely suffer from depression), Dr. Ilardi prescribes an easy-to-follow, clinically proven program that harks back to what our bodies were originally made for-and need. Here you can find the road back to lasting health by integrating the following 6 elements into your life: an omega-3 rich diet; exercise; plenty of natural sunlight; ample sleep; social connections; and participation in meaningful tasks that leave little time for negative thoughts-all things that our ancestors had in abundance.Already, The Depression Cure program has delivered dramatic results, helping even those who have failed to respond to traditional medications. Interweaving the stories of many who have fought-and won-the battle against this debilitating illness, this groundbreaking book can illuminate the path to lifting the fog once and for all for you or a loved one.

    That language is a voice within us. Sometimes it is as soft as a whisper; sometimes it is as loud as a roar. It is an important voice, which, when fully understood, gives you a kind of guidance that no other voice can. The information in The Secret Language of Feelings was revealed during thousands of hours of working with hypnotherapy clients at the Banyan Hypnosis Center for Training & Services. It came from clients who spoke to us both in the normal waking state and in the state of hypnosis. You do not need to undergo hypnotherapy in order to benefit from this book; however, it would make a perfect companion book for anyone involved in any therapy process or working on self-improvement. The Secret Language of Feelings gives you a rational and reliable approach to understanding and responding to your feelings and emotions. It shows you how to create a more satisfying life right now! You will learn how to overcome anger, guilt, frustration, sadness, loneliness and even "everyday" depression. You will better understand yourself, your family and the people you interact with on a daily basis. In short, The Secret Language of Feelings offers the key to emotional rescue and beyond to happiness and success in life.

    I also wrote it from the viewpoint of someone who has discovered many silver linings in the long, windy, bumpy road of recovering from Cptsd. I felt encouraged to write this book because of thousands of e-mail responses to the articles on my website that repeatedly expressed gratitude for the helpfulness of my work. An often echoed comment sounded like this: At last someone gets it. I can see now that I am not bad, defective or crazy…or alone! The causes of Cptsd range from severe neglect to monstrous abuse. Many survivors grow up in houses that are not homes – in families that are as loveless as orphanages and sometimes as dangerous. If you felt unwanted, unliked, rejected, hated and/or despised for a lengthy portion of your childhood, trauma may be deeply engrained in your mind, soul and body. This book is a practical, user-friendly self-help guide to recovering from the lingering effects of childhood trauma, and to achieving a rich and fulfilling life. It is copiously illustrated with examples of my own and my clients’ journeys of recovering. This book is also for those who do not have Cptsd but want to understand and help a loved one who does. This book also contains an overview of the tasks of recovering and a great many practical tools and techniques for recovering from childhood trauma. It extensively elaborates on all the recovery concepts explained on my website, and many more. However, unlike the articles on my website, it is oriented toward the layperson. As such, much of the psychological jargon and dense concentration of concepts in the website articles has been replaced with expanded and easier to follow explanations. Moreover, many principles that were only sketched out in the articles are explained in much greater detail. A great deal of new material is also explored. Key concepts of the book include managing emotional flashbacks, understanding the four different types of trauma survivors, differentiating the outer critic from the inner critic, healing the abandonment depression that come from emotional abandonment and self-abandonment, self-reparenting and reparenting by committee, and deconstructing the hierarchy of self-injuring responses that childhood trauma forces survivors to adopt. The book also functions as a map to help you understand the somewhat linear progression of recovery, to help you identify what you have already accomplished, and to help you figure out what is best to work on and prioritize now. This in turn also serves to help you identify the signs of your recovery and to develop reasonable expectations about the rate of your recovery. I hope this map will guide you to heal in a way that helps you to become an unflinching source of kindness and self-compassion for yourself, and that out of that journey you will find at least one other human being who will reciprocally love you well enough in that way.

    With clear explanations of the organizing principles of Polyvagal Theory, this complex theory is translated into clinician and client-friendly language. Using a unique autonomic mapping process along with worksheets designed to effectively track autonomic response patterns, this book presents practical ways to work with clients' experiences of connection. Through exercises that have been specifically created to engage the regulating capacities of the ventral vagal system, therapists are given tools to help clients reshape their autonomic nervous systems.Adding a polyvagal perspective to clinical practice draws the autonomic nervous system directly into the work of therapy, helping clients re-pattern their nervous systems, build capacities for regulation, and create autonomic pathways of safety and connection. With chapters that build confidence in understanding Polyvagal Theory, chapters that introduce worksheets for mapping, tracking, and practices for re-patterning, as well as a series of autonomic meditations, this book offers therapists a guide to practicing polyvagal-informed therapy. The Polyvagal Theory in Therapy is essential reading for therapists who work with trauma and those who seek an easy and accessible way of understanding the significance that Polyvagal Theory has to clinical work.

    

    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.

    Nadine Burke Harris was already known as a crusading physician delivering targeted care to vulnerable children. But it was Diego — a boy who had stopped growing after a sexual assault — who galvanized her journey to uncover the connections between toxic stress and lifelong illnesses.The news of Burke Harris’s research is just how deeply our bodies can be imprinted by ACEs—adverse childhood experiences like abuse, neglect, parental addiction, mental illness, and divorce. Childhood adversity changes our biological systems, and lasts a lifetime.  For anyone who has faced a difficult childhood, or who cares about the millions of children who do, the scientific insight and innovative, acclaimed health interventions in The Deepest Well represent hope for preventing lifelong illness for those we love and for generations to come​.