Dealing with Obstacles in Cognitive Behavioural Therapy: “What to do when you don’t seem to be helping” An evening webinar with Dr Gail Myhr Online, 8 February 2018 (Thursday) 6:00pm - 9:00pm, London, UK time
Therapists are often stymied by clients who don’t register progress, or whose presentation may worsen despite best efforts. The client who ruminates through-out the session despite therapist efforts to focus; the client who agrees cheerfully to every homework exercise, but never follows through; the client who says “yes, but..” to every therapist utterance - such clients can be difficult. They can evoke strong feelings in their therapists, who may find themselves questioning their approach / competence or their client’s motivation. This webinar presents a structured approach to dealing with impediments to progress in psychotherapy, with particular relevance for cognitive behavioural therapists. The webinar recognizes that barriers to progress can exist in the client, the client’s environment, and in the therapist. Client specific factors in stalled therapy can include their underlying beliefs, personality styles and habitual behaviours. Recognition of typical patterns of “resistance” (for example, “the victim role”) can tip off the therapist to more effective approaches for the client. Maladaptive beliefs on part of the therapist can equally contribute to therapeutic impasses, and can be addressed in an experiential fashion. Dr Myhr will use a case vignette to llustrate key points. Delegates will be encouraged to have a difficult case of their own in mind in order to participate in an interactive exercise that highlights how we can overcome therapeutic impasses. About the speaker Gail Myhr MD, CM, MSc, FRCPC, is an Associate Professor of psychiatry at McGill University. She is a psychiatrist, a cognitive therapist and Director of the Cognitive Behavioural Therapy Unit of the McGill University Health Centre, a university research and teaching unit which trains mental health professionals in basic and advanced cognitive behavioural therapy skills. Her clinical and research interests include suitability for short-term CBT, computerized CBT, CBT for psychosis, attachment-related interventions in CBT and cost-effectiveness of CBT in the treatment of mental disorders. She is a fellow of the Royal College of Physicians and Surgeons of Canada, a diplomate of the Academy of Cognitive Therapy, and Membership Chair and Founding Member of the Canadian Association of Cognitive & Behavioural Therapies--l'Association Canadienne des Thérapies Cognitives et Comportementales. Webinar Schedule 5.45PM: Online Registration 6.00PM: Session 1: Recognizing the problem Recognizing tell-tale signs of therapeutic impasses: In the client In the therapist Defining the problem in concrete behavioural terms Client Factors: General factors Patterns of “resistance” Contributing patient schemas Environmental Factors The Case of Mr. T 7:30PM: Break 7:45PM: Session 2: Addressing the problem Strategies for addressing client factors Therapist factors General factors Typical therapist schemas and “rules” Strategies for developing new therapist rules and behaviour 9:00pm: Close

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