Shifting Patients from Medical to Psychotherapy Identity

"The work we do is meaningful, sometimes difficult, but it's the best work to do." - Dr. David Puder

On this episode of Transforming Trauma, Emily Ruth welcomes psychiatrist and psychotherapist Dr. David Puder to explore the clinical realities of complex trauma and the slow, often gritty path toward healing. Drawing on decades of hospital and outpatient experience, Dr. Puder offers candor and practical wisdom for clinicians and caring professionals who feel the weight of this work.

The pair discuss how complex developmental trauma shows up as dissociation and psychogenic symptoms rather than classic shock-based PTSD, how medical identities can eclipse a person's strengths, and ways to help families shift out of illness-based roles. You'll hear how dreams and creative writing can reveal disavowed material, why rare countertransference reactions are clinical clues, and how therapist reflective function — the ability to make meaning of inner reactions — predicts treatment impact. Dr. Puder also explains practical tools he developed, including a Connection Index for clinical teams, and offers concrete examples of converting medical patients into psychotherapy patients so they can reclaim agency and a life beyond diagnosis.

We invite you to listen to the full episode and follow Transforming Trauma on Apple Podcasts, Spotify, YouTube, or your favorite podcast app.

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SPACE:

SPACE is an Inner Development Program of Support and Self-Discovery for Therapists on the Personal, Interpersonal, and Transpersonal Levels offered by the Complex Trauma Training Center. This experiential learning program offers an immersive group experience designed to cultivate space for self-care, community support, and deepening vitality in our professional role as therapists. Learn more about how to join.

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The Complex Trauma Training Center: https://complextraumatrainingcenter.com

View upcoming trainings: https://complextraumatrainingcenter.com/schedule/

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The Complex Trauma Training Center (CTTC) is a professional organization providing clinical training, education, consultation, and mentorship for psychotherapists and mental health professionals working with individuals and communities impacted by Adverse Childhood Experiences (ACEs) and Complex Trauma (C-PTSD). CTTC provides NARM® Therapist and NARM® Master Therapist Training programs, as well as ongoing monthly groups in support of those learning NARM. CTTC offers a depth-oriented professional community for those seeking a supportive network of therapists focused on three levels of shared human experience: personal, interpersonal & transpersonal. The Transforming Trauma podcast embodies the spirit of CTTC – best described by its three keywords: depth, connection, and heart - and offers guidance to those interested in effective, transformational trauma-informed care.

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