Navigating Patient Resistance in Therapy

Vaping--Why and How I Quit. Featuring Dr. Kyle Jones Today we feature a beloved friend and esteemed colleague, Dr. Kyle Jones who will talk to us how he escaped from his vaping addiction. Kyle is a clinical psychologist in private practice, now residing in Los Angeles. However, he works virtually throughout California. He co-leads the OCD Consultation Group, a monthly consultation group for clinicians wanting to improve their competence in treating OCD. He also servs on the adjunct faculty at Palo Alto University where he teaches in the clinical psychology masters and PhD programs. He's recently joined the alumni council in the Department of Psychological and Brain Sciences at the University of California, Santa Barbara. This is the fourth in our recent series on TEAM CBT for habits and addictions (431, Screen Addictions with Brandon Vance; 437, Porn Addiction with Thai An Truong; 438, Overcoming Habits & Addictions with Jill Leavitt). We want to remind you about an awesome virtual workshop on habits and addictions that Dr. Jill Levitt and I will be presenting on March 28th. We will feature powerful new paradoxical techniques that will blow your socks off. It will be from 8:30 to 4:30 and you will earn 7 CE credits while having fun and learning how to heal yourself AND you patients. Check it out! Registration and More Information Here! Today, Kyle gave a brief history of vaping, which entered the scene around 2010, and described the experience as pleasurable and addictive. An estimated 3 million teens are addicted, and the flavored versions are quite tasty, but banned in California. He described his first exposure to smoking when he was 19, and living in Paris. It was “the” thing to do at that time, but he eventually gave it up, but later began to take a hit or two of vaping at a party, and then purchased his own vaping device in 2023. “Shamefully, he says, I tried to hide it from my partner and from other people, and I would vape in the bathroom.” He vaped for most of 2024, but explains that eventually, it got out of hand. At New Year’s 2025, he listed the advantages versus the disadvantages of vaping, and made the decision to give it up. This was difficult because of the withdrawal effects that lasted for several weeks, including intense cravings, fatigue, difficulty sleeping, irritability, anxiety, and the urge to overeat. The TEAM CBT technique that helped the most was HAL, the Habit and Addiction Log, and we demonstrated the Devil’s Advocate Technique. Rhonda and David played the role of the Tempting Thoughts and Kyle bravely battle back. Here’s the list of thoughts: 1. I’m driving, so I can just vape in the car. 2. Here’s a chance for a nice break. I can vape right now!\ 3. I can take another hit, no problem! I’ll just get a little feeling of pleasure. 4. I need It tastes sooo gooood! We translated the “I” statements into “you” statements to maximize the temptation, and were as seductive as possible. But no matter how hard we tried to tempt Kyle, he won “huge” and hit it out of the park. We discussed Relapse Prevention, and Kyle described being at a party on Friday where some people were vaping and sharing the vape. We also described and illustrated the powerful Triple Paradox, which works paradoxically. I have personally trained Kyle in TEAM CBT, along with many other fine TEAM teachers, and he was always brilliant, compassionate and extremely effective in his therapy work. He works with the full spectrum of mood and anxiety disorders, and has a bit of a specialty in the treatment of OCD. Thanks for listening today!