Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy cover image

Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy

Latest episodes

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Oct 14, 2024 • 1h 22min

Dr. Nina Josefowtiz - Behavioural Activation for Depression

Comments or feedback? Send us a text!Behavioural activation is one of the best, if not the best treatments for depression. Clinical psychologist and author, Dr. Nina Josefowitz joins us for an in-depth discussion of themes contained in her new book The Behavioural Activation Workbook for Depression.  In this discussion we cover:    The basic premise of behavioral activation and how it differs from other depression treatments.The negative feedback loop of depression and why it is so challenging to break.How behavioral activation addresses the physical and emotional symptoms of depression.The role motivation plays in behavioral activation and how individuals can overcome a lack of motivation.The difference between the causes of depression and its treatment.The importance of individuals assessing their level of depression before starting treatment.The purpose of activity monitoring in the context of behavioral activation.Common pitfalls people encounter when trying to monitor their activities and mood.How detailed activity monitoring should be to be effective.Specific examples of mood-boosting activities.The importance of identifying personal values when setting goals for managing depression.Common avoidance behaviors that perpetuate depression.How the physical environment impacts an individual's ability to engage in positive activities.Common setbacks individuals face when engaging in behavioral activation.Strategies for sustaining progress in managing depression.The benefits of combining behavioral activation with medication for a more comprehensive treatment plan.Nina Josefowitz, PhD, is a clinical psychologist. In addition to her clinical practice, she teaches at the University of Toronto, and has offered training in North America, Asia, and Africa. She is author of numerous professional articles on cognitive behavioral therapy (CBT) and issues related to general clinical practice. Along with David Myran, she coauthored CBT Made Simple and has co authored the new book The Behavioural Activation Workbook Depression (available on Amazon.com). She has appeared in court numerous times as an expert witness in cases involving interpersonal violence. Dr. Josefowitz was on the Council of the College of Psychologists of Ontario for 9 years, and President of the College from 2001-2003. She has published in the area of trauma, cognitive behavior therapy, women’s issues, ethics and clinical psychology.   Dr. Josefowitz is well known for integrating years of clinical experience into a practical, actionable strategies.  
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Sep 30, 2024 • 57min

Dr. Lindsay Gibson: Disentangling from Emotionally Immature People

Comments or feedback? Send us a text!Navigating relationships with emotionally immature parents can evoke very strong reactions, which can be difficult to navigate. In many clinician's experience, when this topic comes up, people tend to react in one of three ways: defending their parents as perfect, blaming them for all their struggles, or questioning their own perceptions entirely - all of which can create stuck points. Author and psychologist, Dr. Lindsay Gibson, who has written and lectured extensively on the topic of emotional immaturity joins us for a discussion of some of the core themes covered in her new book “Disentangling from Emotionally Immature People”.  In this discussion we cover:  why has this topic been such a focus over her career the kinds of emotional activation in clients can that flow from discussions around emotionally immature parents.the key traits that distinguish emotionally immature people from those who are more emotionally maturedevelopmental factors that contribute to emotional immaturity in adultsrecognizing emotional immaturity in parents to help adult children heal from past traumasthe primary coping mechanisms that emotionally immature people use, and how these impact their relationshipspractical steps can adult children take to set and maintain healthy boundaries with emotionally immature parentsbest practices for communicating effectively with emotionally immature parents, especially during conflictsconsidering whether forgiveness is necessary for healing from the impact of emotionally immature parents, and what alternatives exist if forgiveness is not feasiblehow can adult children of emotionally immature parents focus on building healthy, fulfilling relationships outside of their family of originLindsay C. Gibson, PsyD, is a clinical psychologist and psychotherapist with more than thirty years’ experience working in both public service and private practice. Her books—including the #1 Amazon best seller, Adult Children of Emotionally Immature Parents—have sold more than a million copies, and have been translated into thirty-seven languages. In the past, Dr. Gibson has served as an adjunct assistant professor, teaching doctoral clinical psychology students clinical theory and psychotherapy techniques. She specializes in therapy and coaching with adults to attain new levels of personal growth, emotional intimacy with others, and confidence in dealing with emotionally immature family members. Her website is available at http://www.lindsaygibsonpsyd.com.
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Jul 8, 2024 • 1h 29min

Dr. Russell Ramsay - Assessing and Treating Adult ADHD

Comments or feedback? Send us a text!Assessing & treating adult ADHD can be both very challenging as well as highly rewarding for client and clinician alike. Psychologist & author, Dr. Russell Ramsay joins us for an in-depth discussion of the assessment and treatment of adult ADHD building on themes in his new workbook, The Adult ADHD and Anxiety Workbook.  In this discussion we cover: why Dr. Ramsay wanted to write a workbook focused on both ADHD and anxiety and why individuals with ADHD may be particularly prone to anxietya brief description of the symptom clusters of ADHD and why a dimensional approach can be helpfulan evolutionary angle to understanding ADHDan extensive discussion of tricky diagnostic issues including: nuance around contextualizing the later emergence of childhood symptoms; assessing ADHD in female clients; understanding the impact of "masking" on the presentation of symptoms; the impact of high trait agreeableness and pleasing behaviours on functional impacts; the course of symptoms over the lifetimethe contribution of undiagnosed ADHD to treatment resistance around other co-morbid conditionsaddressing the interpersonal challenges that can come with ADHDunderstanding rejection sensitivity in the context of ADHD  a strengths-based lens on ADHDthe so-called "ADHD tax"Comments or feedback?  Email the podcast at: oicbtpodcast@gmail.comJ. Russell Ramsay, PhD, ABPP, is a licensed psychologist specializing in the assessment and psychosocial treatment of adult attention deficit/hyperactive disorder (ADHD). Before embarking on his solo virtual practice, he was cofounder and clinical director of the University of Pennsylvania’s Adult ADHD Treatment and Research Program, where he was professor of clinical psychology in psychiatry. Ramsay is widely published, including five books on adult ADHD; lectures internationally and virtually; and is in the Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD) Hall of Fame. He is from the Greater Philadelphia, PA, area.
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Jun 24, 2024 • 1h 7min

Dr. Alec Pollard: When a Loved One Won’t Seek Mental Health Treatment

Comments or feedback? Send us a text!Many clinicians experience a sense of helplessness around effectively managing calls from loved ones of an individual living with a mental illness who is not willing to engage in treatment.  There is frequently an impression that little can be done until the affected individual wants to change.  Dr. Alec Pollard joins us for a discussion of he and his co-authors new book "When a Loved One Won't Seek Mental Health Treatment".  In this conversation we cover:    why Dr. Pollard and co-authors wanted to write this bookthe challenge for clinicians in fielding calls from loved ones seeking treatment for a loved one who is not motivated to engage in changewhere traditional approaches to a treatment avoidant loved one have fallen shortoperationally defining "treatment avoidance" through a lens of non-blameteasing apart the impact of symptoms vs. treatment avoidanceunderstanding how the loop of accomodation-minimization within the "family trap" can keep an individual stuck in treatment avoidancecontextualizing the counterintuitive impact of accommodation considering the extent to which family members are realistically positioned to provide assistance to family members given the complexities involved and the slippery slope of the family trapparallels to the family trap within the client-therapist relationshipthe line between clear, transparent boundaries and minimization on the part of the family member and the temporal course matterswhy their approach focuses almost exclusively on the family member as opposed to the loved one that won't seek treatmentcreating a recovery friendly environmentthe complications that personality challenges in either a family member and/or client can presentunderstanding when a family when should enlisting professional assistancehow to discuss this conundrum with a family member who calls for assistance with a loved oneC. Alec Pollard, PhD, is founding director of the Center for OCD & Anxiety-Related Disorders at Saint Louis Behavioral Medicine Institute, and professor emeritus of family and community medicine at Saint Louis University School of Medicine. He is a licensed psychologist with a special interest in the study and treatment of individuals with anxiety and emotional disorders who refuse or otherwise fail to benefit from evidence-based treatment. Pollard, codeveloper of the family well-being approach (FWBA), has authored or coauthored more than one hundred publications and leads the Family Consultation Team at Saint Louis Behavioral Medicine Institute.
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Jun 10, 2024 • 52min

Emma Lauer, LCSW: DBT Skills for Highly Sensitive People

Comments or feedback? Send us a text!Dialectical behavior therapy or DBT is a wonderful suite of tools that help people to be more effective with respect to managing their emotions and becoming more interpersonally effective.  These are challenges that often loom especially large for those who are highly sensitive.  Emma Lauer, LCSW joins us for a discussion of her workbook DBT Skills for Highly Sensitive People.  In this conversation we cover:   what inspired Emma to speak about the implementation of DBT in a way that is tailored specifically to sensitive individuals.defining a highly sensitive person in the context of mental health and therapy and how this construct has been empirically defined.tell-tale life experiences that are typical of a highly sensitive individual.the biggest myths, misconceptions or “lore” about highly sensitive people.contrasting sensitivity with weakness.why emotional sensitivity can be a super power.current self-defeating cultural narratives, behaviours and values around emotional experiences.the unique challenges that highly sensitive individuals face that DBT can help address.distress tolerance vs. an unhealthy escape from difficult emotions.the importance of the so-called "window of tolerance" and top strategies for expanding the window of tolerance.some of the unique interpersonal challenges that highly sensitive people experience and how DBT can help to address this.managing uncertainty as a central challenge of managing a highly sensitive temperament.Laura's favourite emotion regulation strategies.some of the challenges of implementing mindfulness for highly sensitive individuals. Emma Lauer, LCSW, is a therapist specializing in the treatment of eating disorders, self-harming behaviors, and trauma. Emma is an eye movement desensitization and reprocessing (EMDR)-certified therapist, an EMDR Consultant-in-Training, and she has taught both undergraduate and graduate-level courses at Arizona State University. She currently practices therapy and oversees interns and other staff therapists as clinical supervisor at Find Your Shine Therapy, a group private practice in Tempe, AZ.https://www.psychologytoday.com/us/therapists/emma-lauer-tempe-az/418090
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May 27, 2024 • 53min

Dr. Stephanie Catella - Building Emotional Intelligence

Comments or feedback? Send us a text!In addition to being a topic that appears frequently in the realm of pop psychology, emotional intelligence is a subject of serious, rigorous academic inquiry.  Clinical psychologist & author, Dr. Stephanie Catella joins for us for a discussion of core-themes in her new book  The Emotional Intelligence Skills Workbook: Improve Communication and Build Stronger Relationships.  In this conversation we cover:   why Dr. Catella wanted to create a workbook specifically focused on Emotional Intelligence (EI)the current operational definition of EIcommon misconceptions people have about EIclinical presentations where it may be particularly useful to address EIthe importance of providing psychoeducation around emotions reacting v.s responding a values-driven path to EIradical acceptance as an advanced EI skill mentalizing  & attunement in the context of EIdefining genuine, effective, values-driven empathy and differentiating this from more manipulative concepts like agentic extraversiona consideration of fact vs. fiction around the emotional intelligence of narcissistic individuals the effective ingredients around effective, values-driven assertiveness and the value of being kind  the benefit to improve one's mental health and overall well-beingthe evoking of schemas that can occur in the context of this workComments or feedback?  Email us oicbtpodcast@gmail.com.  Stephanie Catella, PsyD, is a clinical psychologist with expertise in transdiagnostic cognitive behavioral therapy (CBT) for trauma, anxiety, and building emotional intelligence. After completing fellowships at the San Francisco VA and the University of California, San Francisco, she codirected the Berkeley Cognitive Behavioral Therapy clinic with Dr. Matt McKay. In addition to her private practice, she authored an FDA-cleared prescription digital therapeutic for fibromyalgia, and serves as an advisor to HealthTech companies.www.drstephcatella.com 
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May 13, 2024 • 54min

Dr. Holly Swartz - Social Rhythm Therapy for Bipolar Disorder

Comments or feedback? Send us a text!Bipolar disorder is often thought of as a mental disorder that is treated exclusively with medication when in fact there are a number of evidence-based psychotherapeutic techniques that can be used to complement traditional pharmacotherapy.  Dr. Holly Swartz joins us for a discussion of the core themes in her new book, Social Rhythm Therapy for Bipolar Disorder.  In this conversation we cover:a brief overview of bipolar disorderwhat Social Rhythm Therapy (SRT) is and how it is used to treat bipolar disorderthe key principles and components of SRTchallenges or considerations when implementing SRT with adolescents or young adults with bipolar disorderhow SRT complements other treatments for bipolar disorderhow SRT addresses the relationship between daily routines, sleep patterns, and mood regulationimplementing SRT within a family systemaddressing challenges related to sleep from a behavioural vs. pharmacological routethe unique challenge that technology, screen-time etc. pose to forming healthy biological routinesadvice for mental health professionals who are interested in incorporating SRT into their practice for bipolar disorderComments or feedback?  Email the podcast: oicbtpodcast@gmail.comIf you are finding value in the podcast, a rating on your podcast platform of choice would be greatly appreciated.Holly A. Swartz is Professor of Psychiatry at the University of Pittsburgh School of Medicine. She received her undergraduate degree from Harvard College, medical degree from Albert Einstein College of Medicine, and completed her psychiatric residency training at New York Hospital / Cornell University School of Medicine. Dr. Swartz’s research focuses on understanding and optimizing treatments for mood disorders. She is well known for her work evaluating Interpersonal Psychotherapy (IPT) and Interpersonal and Social Rhythm Therapy (IPSRT) as treatments for depression and bipolar disorder. Her research focuses on the role of IPSRT and pharmacotherapy in the management of bipolar II depression and IPT in the management of maternal depression. She is engaged in collaborative projects to develop computational frameworks to model dyadic interpersonal behaviors in relation to psychotherapy process and outcomes and to understand neural correlates of change in chronotherapeutic behavioral interventions. Her research has been funded by the National Institute of Health, National Science Foundation, and the Brain and Behavior Research Foundation. Dr. Swartz has held elected leadership positions for national and international professional organizations, including serving as President of the International Society of Bipolar Disorders (ISBD ; 2024-2026), President of the International Society for Interpersonal Psychotherapy (ISIPT ; 2015-17), and Board Member of the American Society of Clinical Psychopharmacology (ASCP ; 2021-2029).  She is the 2018 recipient of the Depression and Bipolar Association (DBSA) Gerald L. Klerman Senior Investigator Award in recognition of outstanding research contributing to the understanding, causes, diagnosis, and treatment of mood disorders. She is the author of over 100 publications, co-author of Bipolar II Disorder: Recognition, Understanding and Treatment (American Psychiatric Association Publishing, 2019), author of The Social Rhythm Therapy Workbook for Bipolar Disorder: Stabilize Your Circadian Rhythms to Reduce Stress, Manage Moods, and Prevent Future Episodes (New Harbinger Press, 2024), and Editor-in-Chief of the American Journal of Psychotherapy. She serves as a member of the Scientific Advisory Boards of DBSA and the International Bipolar Foundation.
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Apr 29, 2024 • 55min

Dr. Leslie Becker-Phelps: Insecure in Love

Comments or feedback? Send us a text!Challenges related to attachment in relationships - especially in the context of romantic relationships - can evoke very strong emotions and behavioral urges that can often backfire, sometimes causing the very thing we fear most; namely, the dissolution of a relationship.  Psychologist, author, speaker & teacher, Dr. Leslie Becker-Phelps joins us for a discussion of her latest release, The Insecure In Love Workbook.  In this discussion we cover:    what inspired Dr. Becker-Phelps to write The Insecure in Love Workbook and the clinical realties of this challenge that she had in mind when constructing her approacha brief overview attachment and how it relates to our relationships how early life experiences influence our attachment styles in adulthooddifferentiating between normal relationship challenges and issues stemming from insecure attachment patternsthe most common self-defeating patterns that people engage in when an attachment feels threatened the critical importance of self-awareness in managing issues related to attachmentDr. Becker-Phelps' STEAM model (5 domains of self-awareness: Sensations, Thoughts, Emotions, Actions, Mentalizing)helping clients navigate challenges related to self-acceptance and compassionate self-awarenesswhat determines sustainable compatibility whether it is healthy to accommodate or even “give in” to one’s attachment stylenavigating an intense attraction to someone from the lens of attachment the line between co-regulation & subjugation/unhealthy accommodation in a relationship Comments or feedback?  Email us at: oicbtpodcast@gmail.com Dr. Leslie Becker-Phelps is dedicated to helping people understand themselves and what they need to do to become emotionally and psychologically healthy. She is in private practice, hosts a YouTube channel, and is a prolific writer. She has authored The Insecure in Love Workbook, Insecure in Love, and Bouncing Back from Rejection. She also writes the Authentically You blog and the Making Change blog on Psychology Today. To learn more about Dr. Becker-Phelps, visit www.drbecker-phelps.com
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Apr 15, 2024 • 1h 19min

Drs. Matt Browne & Chris Kavanagh - Decoding the Gurus

Comments or feedback? Send us a text!The last decade has seen the ascendency of a number of "public intellectuals" who have come under increasing scrutiny around allegations of misinformation, conspiracy mongering, grifting & intellectual inconsistency.  Importantly, many have achieved "guru" status with millions of followers and devotees on YouTube and other social media platforms.  Professors & podcasters, Drs. Matt Browne & Chris Kavanagh joins us for a conversation in which we cover their critical consideration of the "guru-sphere" in their podcast Decoding the Gurus.  In this conversation we cover:    why they started the Decoding the Gurus podcast and the ethos of the podcastwhy they have chosen to focus on secular gurus a consideration of their "gurometer" with pertinent examplesguru "adjacent" individuals who frequently host discussions with the gurusthe guru mindset: Machiavellian bad actors or delusional self-belief (or both)?  the natural history of the guru from anonymity to ascendency what gurus tell us about ourselveswhy gurus curry command so much loyalty in their followers factors in the current landscape that may be contributing to the rise of the guruwhy more gurus have not taken up the "right to reply" opportunity on Decoding The GurusFeedback or comments?  Email us at: oicbtpodcast@gmail.comAn Australian psychologist and numbers-guy, Dr. Matt Browne is a research professor in psychology at CQU where he does research on all manner of things, but particularly enjoys looking into why people believe the things they do: religion, conspiracy theories, alternative medicine and stuff. He's into social media in the same way people slow down for car accidents.Dr. Chris Kavanagh is Northern Irish cognitive anthropologist who occasionally moonlights as a social psychologist. Chris has long standing interests in the psychology of conspiracy theorists and pseudoscience. His academic research focuses on the Cognitive Science of Religion and ritual psychology.. Chris is an Associate Professor in Psychology at Rikkyo University and a Researcher at the University of Oxford Centre for the Study of Social Cohesion.
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Apr 1, 2024 • 1h 15min

Dr. Kiran Vadaga - Mindfulness of Feelings from a Buddhist Psychology Perspective

Comments or feedback? Send us a text!Mindfulness is an area of clinical and intellectual focus which has grown tremendously in popularity and includes many secular practices such as breath work, body scanning & self-compassion.  OICBT psychologist Dr. Kiran Vadaga joins us for an in-depth conversation in which explore observations around the importance, and potential benefits, of being a more mindful observer of our feelings (particularly those which are pleasant.  In this conversation we cover:  a quick primer on some of the assumptions of Buddhist Psychology; namely, the impermanent nature of reality and the impersonal nature of realitywhy are so quick to struggle against these assumptionsthe four Noble truths (1. there is suffering, 2. there are causes for suffering, 3. there is a way out of suffering 4. the way out of suffering is by following the eightfold noble path)contrasting buddhist psychology with the three waves of Western psychology (behavior therapy, cognitive therapy, and secular mindfulness practices)current secular mindfulness practices current evidence for mindfulness-based interventionsmindfulness of feelingsBuddha’s discourse on the Four establishments of mindfulness (i.e., mindfulness of mind, mindfulness of body, mindfulness of feelings, and mindfulness of phenomenathe law of dependent originationa self-inquiry approach around the investigation of the four establishments of mindfulness and the law of dependent originationfindings and implications in treating different mental ailments (i.e., depression, mania, anxiety, inattention, and addictions)Comments or feedback?  Email us at: oicbtpodcast@gmail.comDr. Kiran Vadaga obtained his Ph.D. in clinical psychology from Concordia University, Montreal. He completed his pre-doctoral internship at the McGill University Health center and supervised practice at the Ottawa Institute of Cognitive Behavioral Therapy (OICBT). He provides Psychodiagnostic assessment and treatment for adult Attention Deficit Hyperactivity disorder (ADHD), Obsessive-Compulsive Disorder (OCD), and Borderline personality disorder (BPD). He also provides treatment for adults and the elderly struggling with mood and anxiety-related disorders. Dr. Vadaga uses an integrative approach to treatment drawing from cognitive, behavioral, interpersonal, and mindfulness traditions.https://www.ottawacbt.ca/mr-kiran-vadaga

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