Psychotherapy varies depending on the personalities of the psychologist and patient. A therapeutic relationship provides an opportunity for self-reflection and expressing feelings in the presence of a supportive listener. This may lead to taking emotional risks in relationships and the prospect for relating in a new way.

I work with a range of humanity, including; traumatic relationship and work endings, death of loved ones, oppressive situations, crushing anxiety, shame over one's identity, and the terror that long-ago trauma, neglect or abuse still brings to the present. 

Life circumstances and expectations of one's self can lead to self-loathing, or blocks expressed as anxiety, depression, and work or relationship issues. A therapeutic relationship can assist in short-term relief or long-term resolution, a more authentic self, and a richer or better life.

Many people feel they should be self-sufficient and are afraid or ashamed of being reliant on others. In order to hold on to a sense of self or to preserve a relationship, one may give up their needs, act in compulsive ways, or unconsciously bury or wall-off parts of them-self. This can be harmful. 

In therapy, these parts can be rediscovered or discovered for the first time. It provides an environment where one can access hidden or frozen feelings, which often leads to better relationships, solutions to specific problems, and significant reductions in feelings of distress. 

Clinical Psychology & Psychoanalysis private practice areas include: 

Anxiety: stress, panic, obsessions, and rumination

Compulsions: substances, food, porn, sex, etc.

Creativity: artistic expression, vision, and blocks

Depression: mood swings, misery, and despair 

Loss: sorrow, grief, and deprivation

Personality: relationships, intimacy, and personal issues

Sex: preference, sexual activity, and gender

Trauma: developmental, neglect, abuse, and shock


The Efficacy of Psychodynamic Psychotherapy by Jonathan Shedler, Ph.D. [pdf] 

"Hailed as a contemporary classic and studied in clinical training programs around the world, this is the paper that firmly established psychodynamic therapy as an evidence-based treatment" (American Psychologist, American Psychological Association)

"Empirical evidence supports the efficacy of psychodynamic psychotherapy"

"Patients who receive psychodynamic therapy maintain therapeutic gains and appear to continue to improve after treatment ends."

"The perception that psychodynamic approaches lack empirical support does not accord with available scientific evidence and may reflect selective dissemination of research."


Where is Evidence for "Evidence'Based" Therapy? by Jonathan Shedler, Ph.D. [pdf]

"The term evidence-based therapy has become a de facto code word for annualized therapy—most often brief, highly scripted forms of cognitive behavior therapy."


"It is widely asserted that “evidence-based” therapies are scientifically proven and superior to other forms of psychotherapy. Empirical research does not support these claims."

"Empirical research shows that “evidence-based” therapies are weak treatments. Their benefits are trivial, few patients get well, and even the trivial benefits do not last."

"Troubling research practices paint a misleading picture of the actual benefits of “evidence-based” therapies, including sham control groups, cherry-picked patient samples, and suppression of negative findings."

CBT: The Cognitive Behavioral Tsunami by Dr. Farhad Dalal

madinamerica.com/2019/02/new-book-deconstructs-ideology-of-cognitive-therapy/

“The rise of CBT has been fostered by neoliberalism and the phenomenon of New Public Management. The book not only critiques the science, psychology and philosophy of CBT, but also challenges the managerialist mentality and its hyper-rational understanding of ‘efficiency’, both of which are commonplace in organizational life today.

“The book suggests that these are perverse forms of thought, which have been institutionalized by NICE and IAPT and used by them to generate narratives of CBT’s prowess. It claims that CBT is an exercise in symptom reduction which vastly exaggerates the degree to which symptoms are reduced, the durability of the improvement, as well as the numbers of people it helps.”

“The activity of science is supposed to be the production of objective knowledge by rational means,” he writes. “The ‘means’ themselves are a mix of observation (empirical evidence) and logical argument. CBT claims to produce scientific knowledge in this way, and on this basis assert that its claims are rational, objective and value free. In short—that they speak the truth.”

“The watchword of hyper-rationality is ‘command and control’; its expectation is that we should be able to control everything: not only the world, not only the functioning of organizations, but our very beings.”

“Ideological readings edit out the twists and turns, as well as the complexities, contradictions and power struggles to make it appear that they were never there in the first place. The fact is, CBT’s narrative about itself is a political narrative that masquerades as a scientific one.”

“Treat the illness and they will get back to work.”

“On the back of this, new diagnostic categories have appeared in speeches and papers emanating from the Department for Work and Pensions (DWP), for example ‘psychological resistance to work’ and ‘entrenched worklessness.’ The DWP is offering lucrative contracts for providers of treatments for ‘mental illness’ of this kind.

“When stripped of jargon,” he writes, “CBT treatment amounts to little more than the injunction: think different, feel different.”

“These practices not only end up short-changing patients by significantly diluting the intensity and duration of treatments that they are entitled to, they also put practitioners under unbearable amounts of stress. But the art of managerialism is one of making it appear that none of these things are happening and that the institution is meeting all its goals and targets.”

“The cognitivist delusion is exactly that: the delusion that modern humans are primarily cognitive, rational-decision-making beings. The delusion continues: thoughts precede emotions and are separable from them…Once corrected, once cognition matches reality, then the emotional life falls into line and the person is in recovery. This is readily achievable in anything between six and twenty sessions. Here endeth the delusion.”

 

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