Psychiatry & Psychotherapy Podcast cover image

Psychiatry & Psychotherapy Podcast

Beginning the Treatment with Jonathan Shedler, PhD

Feb 16, 2024
In this episode, Dr. Jonathan Shedler discusses the importance of the initial phase of therapy, emphasizing the need to establish a working alliance and purpose. He explores resistance and defense in psychotherapy, the psychology of depression, patient readiness, and the importance of experiential understanding. Tune in to learn how to create a firm starting foundation in clinical practice.
01:21:52

Podcast summary created with Snipd AI

Quick takeaways

  • The initial phase of therapy is crucial in establishing a foundation for successful treatment and requires a thorough evaluation of the patient's needs and therapist-patient fit.
  • Therapists should develop a case formulation that examines the patient's psychological factors contributing to their difficulties, enabling hypotheses and interpretations that facilitate change and improvement.

Deep dives

Establishing a Commitment to Treatment

When accepting a patient into treatment, it is important to have a solid understanding of their issues, the type of help they seek, and their commitment to participating in therapy. A brief consultation or phone intake may not provide enough information for a proper assessment. Instead, taking the time to thoroughly evaluate the patient's needs and determining if the therapist-patient fit is suitable is crucial. This initial session lays the foundation for the entire treatment process.

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