M002 Beyond Pills: Effective Psychotherapy With Depressive Clients

This blog focuses on discussion regarding the course, M002 Beyond Pills: Effective Psychotherapy With Depressive Clients.

Beyond Pills, Session 3, Michael Yapko: Comment Board


Thank you for attending the third session of Michael Yapko’s Master Class webinar. This session covers the role of relationships in depression and how depression really can be contagious. We hope you come away from the session with a better understanding of how to consider depression strategically, socially, and hypnotically.

What was most striking to you about this session? What new strategies do you think might be most applicable or relevant in your everyday practice? Do you have any related or significant experiences that might be helpful to your colleagues?

Please take a minute to consider these questions and everything you’ve learned so far throughout this webinar, and comment below about what’s been most interesting to you.

We invite you, as always, to please include your name and hometown with your comment. Thank you all for your participation and reflections.

01.20.2011   Posted In: M002 Beyond Pills: Effective Psychotherapy With Depressive Clients   By Rich Simon
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    • 0 avatar JEANNETTE LONGTIN 01.21.2011 06:25
      Very interesting session and confirmed my view of our global society as one of increasing isolation, agitation,and subsequent depression. It begs the question of how we as mental health professionals can work proactively within the societal structure to counter this trend. Certainly the media is all about suggestion and ever so pervasive in every aspect of our twenty-first century lives. The vast majority of it mirrors our political trend, one of negative campaigning - in effect the negative campaigning of the human psyche. Very disturbing but rife with opportunity for creative and forward thinking minds.
      A very significant point for me is that in fact we are constantly working with suggestion as clinicians and to do so with more intention through mindfulness techniques and/or hypnosis can increase our effectiveness. It makes total sense to me as one has to first be receptive in order to incorporate suggestion.

      I am interested to know what Dr. Yapko thinks of AA as an ongoing adjunctive support system that some clients cling to dearly. I would think that it promotes an external locus of control as one is required to hand their life over to a greater power. Any suggestions for helping a client move on to a more internal system of control, thereby having less perceived need for AA.
      Thank you for your thoughtful presentations.
      San Rafael, CA
      • 0 avatar Lenore Bayuk 01.27.2011 11:47
        The 12 Step programs are the one thing we know works for recovery from addiction for many people. To encourage a person in recovery, no matter how many years, to leave AA could be counter productive and even set a person up for relapse. The fellowship and social support available thru AA is invaluable. And...I am not a recovering addict. I've worked w/ people in recovery and w/ addictions specialists for 25+ years.
    • 0 avatar Carolyn Bailey 01.21.2011 07:16
      Hi Jeannette,

      I read your interesting comments and was especially interested in your perception of AA. I, too, have a number of clients who are active in AA and have been for many years. Yet I see their involvement in AA differently than you do. Yes, AA encourages seeking a "higher power", but it also encourages many of the essential skills and experinces that Dr. Yapko discussed today. For example, meeting attendance and sponsorship encourages valuable social connections and frienship and support from other non-drinkers. Work on the "12 steps" encourages spiritual development, but also responsibility development, accountability, a realistic appraisal of the negative effects of drinking on one's life and relationships, and relationship repair. The people I know who have embraced AA and benefited from it have vastly improved their social connections and networks and find it extremely helpful to then support and help other people in their recovery. So I'm not sure that AA really does promote an "external locus of control" so much as it promotes the idea that old patterns of relating, communicating, and thinking weren't working...so a radical shift of some sort is needed. For some people, the leap of faith they take by embracing the idea of a higher power is what gives them the hope/expectancy that they can change their lives.

      Amesbury, MA
    • 0 avatar joel livneh 01.24.2011 08:17
      working with depressed people can be depressing. This great course was an innoculation against catching the desease. I have used many of the stragtegies in my practice, but what was most helpful to me was having the material so clearly organized .question: what is dr y `s opinion regarding time /framework of treatment for the average client? does he differ from the usual week by week meeting , or might he prefer one or 2 meetings and have the client return in a month or two? . why see people every week as it takes time for strategies to be internalized? thankyou, dr. joel livneh,israel.
    • 0 avatar rik van Bastelaar 01.27.2011 01:39
      Nice and informative session on the topic. What would really complement all this wonderful material in the fourth session is to be even more practical on support strategies for assisting clients on this theme. Although every person is unique and brings his how experience of life, in general it would be nice when Michael briefly shares his overall generic approach to assist people with this in 1 or 2 slides. A generic approach that he might taylor to each individual. A kind of practical road map or red line for the therapist to work against. Again many thanks for the wonderful presentation and look forward to the 4rd and last.

      Rik van Bastelaar, The Netherlands
    • 0 avatar Madeleine Eames 01.27.2011 07:25
      Thank you for yet another interesting and practical session. I love the part about developing a personal road map: becoming familiar with the internal workings of oneself, beginning (for some) to get a sense of one's own strengths and weaknesses, which is what we are all trying to do. For some clients this is a totally foreign concept, esp. those dragged in by their spouse for relationship counselling. Do you have any particular strategies/questions for those that feel you are speaking a foreign language and truly struggle with going inside and coming up with anything??? As you say, "the devil is in the details".

      Madeleine Eames, BC, Canada
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