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    A Journey Learning Psychotherapy, with Randy Stinnett, Psy.D

    aaFebruary 13, 2018

    Podcast Summary

    • Integrating Behavioral Health in Primary CareClinical psychologists in primary care collaborate with physicians to screen, diagnose, and treat mental health issues using questionnaires and on-site consultations, enhancing patient care and overall health outcomes

      Integrated behavioral health is an essential approach to addressing mental health challenges in primary care settings. Clinical psychologists like Dr. Randy Stinnett work alongside physicians to provide mental health support in real-time. Patients are screened for depression and anxiety using questionnaires like the PHQ-9 and GAD-7. If a patient scores high or shows symptoms, the physician refers them to the behavioral health provider for further evaluation and treatment. This approach is effective because the majority of mental health issues are first identified in primary care settings. By having a clinical psychologist on site, patients receive timely and convenient care, improving overall health outcomes.

    • Understanding patient responses for precise interventionsClinical precision and specific interventions based on patient responses lead to quick progress in therapy sessions.

      Psychotherapist Dr. Habib Davin Lou's approach to therapy, as described in the conversation, emphasizes clinical precision and specific interventions based on the patient's responses. Davin Lou's orientation changed depending on the setting but shared a similar understanding of psychology. He was captivated by Davin Lou's work during his postdoc fellowship due to the clinical precision and the specificity of interventions. Davin Lou, a former surgery resident turned psychiatrist, applied pressure to patients to be aware of and express their feelings, leading to responses of anxiety, defense, or the actual feeling. This clinical precision and specificity allowed for quick progress in therapy sessions. While Dr. [Your Name] acknowledges not being as assertive as Davin Lou, the influence of his work is evident in the importance placed on understanding the patient's responses and tailoring interventions accordingly.

    • Inspiring therapists to confront fears and challenge defensive mechanismsDavin Lou's fearless approach to therapy, rooted in his non-native English language background, inspires therapists to connect with patients' desire for growth and confront challenging aspects of their psyche.

      The fearless and raw approach of therapist Davin Lou, despite not being a perfect fit for everyone, can serve as inspiration and permission to confront fears and challenge defensive mechanisms in therapy sessions. Lou's unique style, which was rooted in his non-native English language background, allowed him to connect with the part of patients that was striving for improvement, while acknowledging and respecting the challenging aspects of their psyche. His unapologetic alignment with the patient's desire for growth, even when it meant confronting the punitive and self-sabotaging aspects of their superego, can serve as a reminder for therapists to remain committed to their patients' healing process. The rawness and directness of Lou's approach, though not for everyone, can be a powerful tool in the therapeutic journey.

    • Formative experiences shaped speaker's perspectiveEarly influences and mentors broadened speaker's understanding and deepened their commitment to psychotherapy

      Formative experiences in the field of psychology, whether from authors or mentors, have played a significant role in shaping the speaker's perspective and approach to their work. The speaker mentions Davon Lou's writing as an early influence, emphasizing the protective function of these experiences in their developmental journey. Additionally, the speaker shares their experience of being drawn to the work of their mentor, Todd Burley, despite initially finding it foreign. Burley's intensive attention to the relational and interpersonal aspects of therapy, as well as his presence as a master clinician, left a lasting impact on the speaker. These experiences, both from reading and observing, broadened the speaker's understanding and deepened their commitment to their work in psychotherapy.

    • Experience Gestalt Therapy through Group SessionsGestalt therapy training offers a unique learning experience through group sessions where participants practice being both patient and therapist, allowing for real-life interaction and immediate feedback. Observing a master therapist demonstrates the importance of empathy, attentiveness, and nonverbal communication.

      Gestalt therapy training offers a unique learning experience through group sessions where participants take turns being the patient and therapist, allowing for real-life interaction and immediate feedback. This approach, as described, is both personally impactful and technically informative. Before joining the group, the speaker attended a course taught by a neuropsychologist who demonstrated the therapy techniques in real-time, emphasizing the importance of empathy, attentiveness, and nonverbal communication. The experience of observing the therapist's profound ability to engage on multiple levels at once revealed the complexity and depth of the therapy process. This insight is crucial for psychotherapy residents, who may initially find the therapy sessions boring but later come to appreciate the nuances and subtleties involved. Overall, gestalt therapy training provides a valuable opportunity to learn through hands-on experience and observation, deepening one's understanding of the therapeutic process.

    • Noticing and engaging in deeper connectionsPracticing deep connections leads to vitality and understanding, becoming less effortful with time, and ultimately leading to a more fulfilling way of engaging with the world.

      Observing and engaging in deep, meaningful connections with others can lead to a sense of freedom and vitality. This connection can be beautiful, artful, and effective, resonating with our core being. It requires subtle nuance and profound skill to notice and engage in these connections, which can become less effortful with practice. From a neuropsychological perspective, this process involves the transfer of skills from the right hemisphere to the left hemisphere, making it less effortful over time. This journey of noticing and engaging in deeper connections can be compared to learning chess, where patterns become apparent and moves can be anticipated. Ultimately, this process can lead to a deeper understanding of ourselves and others, and a more fulfilling way of engaging with the world.

    • Reflect, connect, and grow as a therapistRegularly reflect on your practice, seek feedback, and remain open to continuous learning and growth for effective therapy

      Becoming an expert in therapy requires both time and mindful practice. The more you pay attention to subtle details, the more fluid and rewarding the process becomes. This internal reward is enhanced when you use your skills to connect meaningfully with patients. It's essential to reflect on your practice, seek feedback from both internal and external sources, and be open to real-time feedback to continue growing as a therapist. Remember, the power of consent in receiving feedback is crucial for personal and professional development. Quality feedback from multiple domains is vital, even though it can be painful at times. The key is to overcome the ego and remain open to continuous learning and growth.

    • Importance of feedback in mental health fieldEmbrace feedback for continuous improvement and growth in mental health field, having a strong observing ego and seeking mentorship from skilled professionals helps in effectively receiving feedback.

      Seeking and receiving feedback is crucial for growth and development in the field of mental health, but it can be a difficult and emotionally challenging process. To effectively receive feedback, it's important to have a strong observing ego, which means being able to step back and view the critique from a distance. Additionally, starting your training and career with mentorship from skilled professionals early on can help ensure that you're making the most of your learning experience and avoiding wasted hours. Overall, embracing feedback and learning from it is essential for continuous improvement and growth in the mental health field.

    • Engage with the content and communityLeaving comments, sharing, asking questions, and reviewing can deepen understanding and foster connection within the podcast community

      Engaging with the content and community can make a significant difference. The speaker encourages listeners to leave comments on Instagram posts related to the episode, share what they learned or appreciated, and ask questions for future episodes. Additionally, leaving a review on platforms like Stitcher or iTunes is greatly appreciated. This not only helps the speaker but also fosters a deeper connection within the community. By engaging in these ways, listeners can deepen their understanding of the topic and contribute to the ongoing conversation.

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