Most people who engage in NSSI experience intense shame related to self-harm. Most have had the experience of being harshly judged for their behavior. As a result, they fear that they’ll be rejected if they disclose their NSSI.
Category: Guest Blogger
The integration of measures to guide CBT is a critical component of providing evidence-based care. Use of psychometrically sound clinical measures can help to monitor progress and guide treatment by providing a window into a client’s symptoms and functioning.
Read feedback from a recent workshop participant. She implemented techniques she learned during a roleplay with Dr. Aaron Beck.
Patients sometimes express curiosity about their therapists by asking them personal questions. When treating patients who suffer from alcohol and other substance use disorders, it is not uncommon for therapists to be on the receiving end of questions such as, “Are you in recovery too?” or “Have you ever used [insert name of substance]?” or “Haven’t you ever binge-drank?”
When a client of mine, Adam, was 22, he received the following diagnosis during a routine physical: elevated liver enzymes. He thought, “Oh my God, I’m going to die.” It was later revealed that the lab results were in error, but as he reported to me ten years later: “This catapulted me into heath anxiety.”
Years ago I asked many of the individuals whom I treated. “What accounted for your improvement in treatment?” Not infrequently, instead of attributing their improvement to the therapeutic strategies, they would often reply “You believed in me.”