EricaHannagan

Psychotherapist, Consultant in Behavioural and Emotional Health, Nervous Tweeter, Mother, Daughter, Sister, Friend, Business Owner, World Traveller, Dreamer

[EricaHannagan @EricaHannagan]

@psychgeist52 Hello James...I wonder if you have access to the whole article and might share it here? Very interested to read further on this very important topic.

[EricaHannagan @EricaHannagan]

@JonathanShedler Would you like her to be?

[LiteraryVienna @LiteraryVienna]

“I suspect the truth is that we are waiting, all of us, against insurmountable odds, for something extraordinary to happen to us.”

Khaled Hosseini, And the Mountains Echoed

[Jonathan Shedler @JonathanShedler]

8/ internalizing a relationship with an attuned and reliably available therapist. Brief therapies with arbitrary session limits can be destructive. Instead of helping to repair early experiences of relational disruption or loss, they can force the patient to relive them."

[Jonathan Shedler @JonathanShedler]

7/ felt when I was not here' is an invitation.
Patients who have not internalized a reliably available caretaker remain dependent on others for emotional care and are vulnerable to depression when left to rely on their own internal resources. They benefit from experiencing and

[Jonathan Shedler @JonathanShedler]

6/ alert to indirect indications of irritation or disappointment or their absence where they might be expected, and actively invite them into the therapy relationship. 'I’m sorry I was late' is not an invitation to explore disappointment or anger. 'I notice you didn’t say how it

[Jonathan Shedler @JonathanShedler]

5/ To stop the self-torment, the person must recognize and consciously experience the anger they habitually disavow. This process cannot be merely academic or intellectual; the anger must be experienced in the here and now of the therapy relationship. The therapist should be

[Jonathan Shedler @JonathanShedler]

4/ from needs and desires and help them articulate the fears that lead them to steer away.
Anger directed at the self can lead to depression. Being berated, punished, and scorned causes pain, and this is equally true when the person doing the punishing is oneself.

[Jonathan Shedler @JonathanShedler]

3/ depletion and depression. Work in psychotherapy should focus not just on expressing unrecognized and unarticulated needs, but on understanding the psychological processes that interfere with recognizing them. The clinician should be alert to subtle ways the patient steers away

[Jonathan Shedler @JonathanShedler]

2/ recurring or chronic depression may or may not have depressive personality styles.
Difficulty recognizing needs and desires can lead to clinical depression. It is difficult to meet your needs when you do not know what they are. Failure to meet basic emotional needs leads to

[Jonathan Shedler @JonathanShedler]

1/ Depressive personality style as a pathway to clinical depression (from forthcoming book chapter)

"Depressive personality refers to enduring personality dynamics, not mood state. People with depressive personality may or may not experience clinical depression, and people with

[EricaHannagan @EricaHannagan]

Real limitations indeed!

[Cherylynne @CherylynneB]

Here’s a succinct explanation of the real limitations of CBT in the treatment of human beings who are living with a constellation of thoughts and emotional reactions that serve to protect them from otherwise unbearable pain.

[EricaHannagan @EricaHannagan]

So true...

[Dr Dion Nowoweiski @dnowoweiski]

Time to put some myths to bed....truth is that there has been no evidence for chemical imbalance theory of depression found to date

[Jonathan Shedler @JonathanShedler]

I tweet about psychology/psychiatry/mental health & want to learn more about followers. Which best describes you?

[Jonathan Shedler @JonathanShedler]

That's for therapist & pt to discover through mutual exploration—not presume up front. Even then, it's not "privilege" but specific formative experiences/relationships including early attachment relationships. "Privilege" doesn't invite exploration/understanding. It's a dead end.

[Dr Dion Nowoweiski @dnowoweiski]

Psychiatric Diagnosis in general are inane in clinical practice. You have BPD so this treatment is recommended....blah blah. It’s rubbish. Treat the individual not the diagnosis. We know this.

[EricaHannagan @EricaHannagan]

@JonathanShedler Yep...Placebo effect reigns. Again.

[Jonathan Shedler @JonathanShedler]

Seems like the right time to retweet this.
For anyone who may not know, Allen Frances was editor in chief of DSN-IV.
Just saying. 👇

[Dr Allan Abbass 🇨🇦 @ISTDP]

Pleased to publish our 18 month follow-up study of ISTDP for Treatment Resistant Depression. Gains maintained and more cost effective than Mental Health Team treatments. 40% remission rate is highest ever published form any treatment. https://t.co/SrZDNZW7m4

[Paul Klee @artistklee]

Little Tree Amid Shrubbery, 1919 #expressionism #germanart