As counselors and therapists sometimes there is a beckoning to use the heavily idealized and focused psychopathology models of earlier generations to describe and treat problems people discover in their lives. Traditional helping models have taken the position that one must have certain understanding, often labeled as insight, before effective change could be enacted successfully for the client. Read the rest of this entry »
One of the things that are really important in therapy is that we have an understanding for what’s really happening. What that takes is an understanding of the problem geography.
I’m using geography as the metaphor of the problem at hand. If you think about geography you want to know about the latitude and longitude, the weather, what kind of flora is growing there, who lives there and you want to know the basics of what is going on in that geographic region. Read the rest of this entry »
I had a client named Tina come in for a consultation who was having a problem losing weight. She talked about how depressed she was because of the weight. When I begin to look at the pattern, what I found was that in her family to be connected they had meals together where there was lots of food where you were supposed to eat vigorously to show that you cared. Read the rest of this entry »
How do you deal with a new patient that says I only can afford five or six sessions can you help me and fix me in five or six sessions?
My answer generally is that it depends upon how much energy that you have. How much energy do you have to put into this? We only have so much energy. You may not have enough energy to get it done in five or six sessions but we can certainly make a really good impact in that time. But it might take 7 to 10 sessions over a period of several months.
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