DBT, Self-Harm, and Suicidality with Dr. Kelly Sonnenfeld
Back from the Abyss: Psychiatry in Stories
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Navigating Shame and Emotional Toll in Therapy
This chapter explores the profound effects of shame on cognitive functioning and its implications in therapy, highlighting the struggle therapists face when working with clients in severe emotional distress. It discusses the importance of incremental behavior change, emotional engagement, and establishing boundaries to support client recovery, while recounting personal experiences from a DBT therapist's perspective. Additionally, the chapter examines the collaborative efforts between therapists and psychiatrists in managing complex cases involving medications and substance abuse, emphasizing the need for effective communication and compassion.
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