Tom Keely

[_aestheticprimal_ @aestheticprimal]

this is perhaps the most meaningful paragraph ever written in biology, philosphy and spirtuality combined

it's literally all inside your head, all of it

just killing that voice inside your head which tells you to give up genuinely already triggers evolution of an organism

[Jonathan Shedler @JonathanShedler]

“The patient should give some indication of wanting not only change but 𝘵𝘰 𝘤𝘩𝘢𝘯𝘨𝘦, that is, of dissatisfaction with something that resides in the self”
—Otto Kernberg

When the patient recognizes that they are contributing to their own difficulties, it’s easy to develop a working alliance and shared treatment purpose

The purpose is to understand how the patient is contributing to their difficulties and develop alternatives to that—so they don’t have to spend their lives repeating and reliving the same painful, self-defeating patterns. This becomes the shared work of psychotherapy

When patients do not see that they are contributing to their own difficulties, the work of the therapy shifts. The work is now about helping the patient to recognize and understand their own role in their difficulties

This is difficult work, requiring genuine therapeutic skill, sensitivity, tact, and compassion. It may take weeks or months to help the patient to truly grasp that changing their unhappy outcomes requires changing something about themselves

There’s no foundation for doing any other work in therapy unless and until patient recognizes this and desires to change

(Alternatively, if the patient really has no role in their difficulties, then their problems are not problems that psychotherapy can solve, and the patient has come to the wrong place. They may need help, but it’s not help that can be provided via a psychological treatment)

If it becomes clear that it is impossible to create this foundation of shared purpose, treatment should not proceed. And the therapist must understand that treatment never really began. There was no working alliance and no foundation to build on

[Tom Keely @TKCounselling]

Am struck by the sophistication of one the best coaches in sport matches that of an effective ISTDP practitioner in helping individuals thrive https://t.co/zo8pA0Kt1I

[Norwich City FC @NorwichCityFC]

𝗔𝘁 𝘁𝗶𝗺𝗲𝘀, 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗼𝗯𝘃𝗶𝗼𝘂𝘀 𝘄𝗵𝗲𝗻 𝘀𝗼𝗺𝗲𝗼𝗻𝗲 𝗶𝘀 𝘀𝘁𝗿𝘂𝗴𝗴𝗹𝗶𝗻𝗴 𝘁𝗼 𝗰𝗼𝗽𝗲, 𝗯𝘂𝘁 𝘀𝗼𝗺𝗲𝘁𝗶𝗺𝗲𝘀 𝘁𝗵𝗲 𝘀𝗶𝗴𝗻𝘀 𝗮𝗿𝗲 𝗵𝗮𝗿𝗱𝗲𝗿 𝘁𝗼 𝘀𝗽𝗼𝘁.

Check in on those around you.

#WorldMentalHealthDay | #YouAreNotAlone | @samaritans

[Tom Keely @TKCounselling]

Emotional security can be still be learnt in adulthood even if we missed the chance as children https://t.co/DKdfD8fOPa

[Tom Keely @TKCounselling]

@Theholisticpsyc You’ll also notice you’re anxiety will have risen if you do - that’s projective anxiety - which is a response to what you expected and hopefully not what did

[Tom Keely @TKCounselling]

@Theholisticpsyc Punishing mistakes is a tragedy - the message is one where freedom isn't acceptable & to punish is to traumatise

[Dr. Nicole LePera @Theholisticpsyc]

What does “trauma is stored in the body” mean.

It’s means your posture, the way you make eye contact (or don’t) how you breathe, your unconscious biological reactions can speak to your past lived experiences.

[Tom Keely @TKCounselling]

@Theholisticpsyc I prefer to show compassion & let them know it’s how they survived

[Dr Leo Russell @LeoISTDP]

Why do we use Intensive Short-term Dynamic Psychotherapy (ISTDP) as a treatment option in our multi-disciplinary pathway for Functional Neurological Disorder (FND)?

🧵 1/9

[SPORTbible @sportbible]

If you listen to anything today, listen to what Paddy Pimblett has to say.

A class message.

[nazir afzal @nazirafzal]

There is no reason why we can’t show compassion and humanity to everyone we come into contact with

[Tom Keely @TKCounselling]

@thichnhathanh This is so terribly sad to read - we have lost a man of incredible compassion & humility - with great love ❤️

[James Downs @jamesldowns]

One of the problems with CBT & other top-down approaches to #mentalhealth treatment is that very often people already recognise the "faultiness" of their thinking & understand the model very well. Emphasising the role of thinking for these people doesn't always hit the mark

[Tom Keely @TKCounselling]

@dkjules74 @mattmullane @BACP Good to hear - I received mine Saturday, a few days after calling my GP - all the best

[Tom Keely @TKCounselling]

@BACP @dkjules74 @mattmullane As an independent BACP mental health therapist it reads we qualify for the vaccine. Can you please tell me where we are on this as it's very important.

[Tom Keely @TKCounselling]

@deAdder So sorry for your loss - she will have been proud of her sons ❤️

[Tom Keely @TKCounselling]

@itowson @LukeDonald Interesting a post with no likes is top of this feed.... welcome to the world of Twitter algorithms folks