Comments or feedback? Send us a text!Treatment resistance/non-response in psychotherapy is a major contributor of disability and loss of functioning among clients as well as a considerable source of  burnout in mental health clinicians.  Renowned psychiatrist and psychotherapist Dr. Allan Abbass joins us for a discussion of treatment resistance/non-response in psychotherapy which includes: how treatment resistance is definedthe prevalence of treatment resistance in psychotherapystructural factors (i.e., the dose of therapy available in public/private settings) that may contribute to treatment resistancethe biological & social factors that predict treatment resistance  clues that treatment resistance may be attributable to an underlying medical condition how psychosocial overlay to prescribing practices could influence treatment resistance the special challenge that adverse early life events pose with respect to creating non-response to treatmentconceptualization of non-responding clients from a psychological perspective common maladpative therapist responses to treatment resistance in the context of the treating relationship burnout in the context of treatment resistance clients and what can be done to avoid thisthe active ingredients in Intensive Short Term Dynamic Therapy (ISTDP) that help to address some of the unique challenges experienced by non-responding clientsanalogs in CBT to ISTDP that could be leveraged to address treatment resistancegeneral tips/perspectives for clinicians relating to treatment resistance in their clientsDr. Allan Abbass is a psychiatrist, teacher, and researcher. He is a professor of psychiatry and psychology and the founding director of the Centre for Emotions and Health at Dalhousie University in Halifax, Canada. Dr. Abbass has consulted widely with governments, universities, and health agencies on the cost-effectiveness and applicability of short-term psychotherapy.  He has provided over 300 invited presentations around the world as well as ongoing video-recording-based training to professionals in several countries. In addition, he has been awarded many research grants and has over 200 publications.  He is also the author of Reaching Through Resistance: Advanced Psychotherapy Techniques as well as co-author on numerous other books.  Dr. Abbass has been a consultant to the American Psychological Association on the Unified Psychotherapy Project and to the American Psychoanalytic Association, where he serves on the Scientific Committee. He was a board member of the International Experiential Dynamic Therapy Association. He has been an editorial board member for the American Psychological Association journal Psychotherapy. Dr. Abbass is proud to be the David Malan Professor of Psychotherapy at the Tavistock, London, UK.http://reachingthroughresistance.comhttps://twitter.com/ISTDPhttps://www.facebook.com/allan.abbass.7

Comments or feedback? Send us a text!Dreams have long been a source of fascination, mystery & intrigue, yet there is now an abundance of scientific evidence to shed light on the origins, nature, and purpose of this captivating aspect of the human experience.  Leading sleep & dream scientists Drs. Antonio Zadra & Robert Stickgold join host Dr. Pete Kelly, C.Psych for an in-depth consideration of many of the themes explored in their new book When Brains Dream.  In this discussion they cover:       the experiences that led Drs. Zadra & Stickgold to become interested in studying dreamsa brief primer on the basic architecture of sleepthe science around why we dream including an elaborated description of their NEXTUP model (Network Exploration To Understand Possibilities). the surprising importance of daydreaming the origin and neurological basis of hypnogogic hallucinations potential science-based frameworks for dream interpretationthe neurobiology of why emotions and events in dreams can feel so incredibly powerful and significantan in-depth consideration of lucid dreaming sleep & dream disturbance in the context of mental illnessDrs. Zadra & Stickgold's view on the utility of sleep studiesexploration of the notion of "epic dreams"a brief discussion around the biggest unanswered questions around the science of dreamingAntonio Zadra, PhD, is a sleep and dream scientist at the Hôpital du Sacré-Coeur's Center for Advanced Research in Sleep Medicine and professor of psychology at the Université de Montréal. In addition to numerous publications on sleep, dreams, and dream-related disorders, Dr. Zadra is the co-author of When Brains Dream: Exploring the Science and Mystery of Sleep and the author of The Dreamkeepers, a suspense novel blending sleep science with dream mythology. He lives in Montreal, Canada. Robert Stickgold is a professor of psychiatry at Beth Israel Deaconess Medical Center and Harvard Medical School. He has published over 100 scientific publications, including papers in Science, Nature, and Nature Neuroscience. His work has been written up in Time, Newsweek, The New York Times, The Boston Globe Magazine, and Seed Magazine, and he has been a guest on The Newshour with Jim Leher and NPR’s Science Friday with Ira Flato several times, extolling the importance of sleep. He has spoken at the Boston Museum of Science, the American Museum of Natural History in New York, and NEMO, the Amsterdam museum of science. His current work looks at the nature and function of sleep and dreams from a cognitive neuroscience perspective, with an emphasis on the role of sleep and dreams in memory consolidation and integration. In addition to studying the normal functioning of sleep, he is currently investigating alterations in sleep-dependent memory consolidation in patients with schizophrenia, autism spectrum disorder, and PTSD. His work is currently funded by NIMH.https://antoniozadra.comhttps://brain.harvard.edu/?people=robert-stickgold

Comments or feedback? Send us a text!It is no secret that working within the mental health care system while rewarding, can at times present significant challenges with respect to the provision of optimum client care as well as the well-being of mental health clinicians themselves.  In this wide-ranging discussion, Dr. Connie Dalton, C.Psych, Co-Founder & Executive Director of the Ottawa Institute of Cognitive Behavioural Therapy joins host & colleague Dr. Pete Kelly, C. Psych to reflect not only on the challenges within the mental health care system, but also opportunities for innovation.  In this episode they touch on: consideration of the current situation for therapists in public and private settings with respect to demand for services, community resources available, ability to refer clients to speciality or intensive services etc.factors contributing to mental health being the “orphan" of the health care system with disproportionately less resources devoted to mental health despite being a major cause of disabilitycandid personal reflections on the emotional experience of working in the mental health systemidentification of, and ideas around navigating competing tensions and values with respect to providing health care within a fee-for-service environment such as private practice potentially self-defeating emotional and behavioural responses of clinicians to constrained resources and feelings of burnoutthe role of, and opportunities for innovation in psychotherapy with an emphasis on a stepped care model of service deliverythe emergence of iCBT and its role (and limitations) in the innovation landscape  reflections on building a private practice that is suited for 2021 and beyondDr. Connie Dalton is Clinical Director of the Ottawa Institute of Cognitive Behavioural Therapy and a Clinical Professor in the School of Psychology at the University of Ottawa.  She also served at the regional clinical lead for the Ontario Structured Psychotherapy Program at the Royal Ottawa Hospital from 2018 to 2020. Over the past 15 years, Dr. Dalton has delivered numerous CBT workshops and training seminars in CBT and has actively involved in the supervision and consultation of mental health professionals in CBT including physicians, nurses, social workers, and psychologists at various stages of training.  She has expertise in the treatment of mood and anxiety disorders and has helped to develop and establish CBT programming at the Royal Ottawa Mental Health Centre. Dr. Dalton is currently involved in the development of innovative methods for the delivery of CBT within the community, including home and community-based services, group therapy programs, virtual reality therapy and intensive day treatment programs for mood and  anxiety disorders, OCD and PTSD.https://www.ottawacbt.ca/dr-connie-dalton

Comments or feedback? Send us a text!The emergence and research of psychedelic-assisted psychotherapy has yielded a number of  insights with respect to potential mechanisms of change in psychotherapy.  The experience of "love" (including perceiving the love of others, self-love or even being love) has been identified as a particularly powerful element in some forms of psychedelic assisted psychotherapy.  In this episode, clinical psychologist, research scientist and author Dr. Adele Lafrance and host Dr. Pete Kelly explore the role of love in psychotherapy including:  the personal and professional origins of Dr. Lafrance's interest in psychedelic-assisted psychotherapya brief consideration of the kinds of mental experiences reported by clients during psychedelic-assisted psychotherapy, including love from others, self-love or being loveimportant caveats around safety & potential disruption in psychedelic-assisted psychotherapy the difficulty in discussing "love" in psychotherapy both among professionals as well as with clients, with an important focus on what is meant by the term "love" in the context of psychotherapy (i.e., not romantic love), professional boundaries,  client perceptions, working with vulnerable populations etc.love as a form of truth & relationship to ideas around consciousness   the critical importance of self-love in psychotherapy how clinicians can foster self-love as a way of bolstering self-careAn important disclaimer: today’s episode is for general information only.  Although we are discussing insights gained from formal scientific research of psychedelic-assisted psychotherapy, it needs to be underscored that psychedelic compounds are powerful psychoactive chemicals that can carry significant risk of harm for certain vulnerable individuals, especially those with active symptoms of psychosis or bipolar disorder or a clinical or a family history of psychosis or bipolar disorder.  Use of these compounds outside of research settings is also currently illegal in many jurisdictions. As such, in the discussion of psychedelic assisted psychotherapy we are in no way endorsing or encouraging the use of psychedelic compounds for any particular individual. If you are interested in further information around psychedelic assisted psychotherapy please see below for suggestions around sources of reputable information around ongoing research trials in this area.  Dr. Adele Lafrance is a clinical psychologist, research scientist, author and co-developer of emotion-focused treatment modalities, including Emotion-Focused Family Therapy.  A frequent keynote speaker at professional conferences, Adele has published extensively in the field of emotion and health, including a clinical manual on EFFT published by the American Psychological Association. She is passionate about helping parents to support their kids in a way that is informed by the latest developments in neuroscience. The knowledge and tips in her book, What to Say to Kids When Nothing Seems to Work is an effort to do just that.  With colleagues, she also makes a wealth of caregiving resources available at no cost at Mental Health Foundations. Adele is also a leader in the research and practice of psychedelic medicine, with a focus on ayahuasca, MDMA, psilocybin and ketamine. Currently, she is a collaborator/clinical supervisor on the Imperial College study for psilocybin and anorexia nervosa. She is a founding member of the Love Project.  Adele has a particular interest in mechanisms and models of healing, including emotion processing, spirituality and family-based psychedelic psychotherapy. She is a frequent contributor in the media relating to emotion, health and the science of psychedelics.https://dradelelafrance.comhttp

Comments or feedback? Send us a text!"Success" is something that many strive for, but a deeper consideration of success yields a number of interesting conundrums and considerations around what success actually means and how one might actually go about achieving it.  Best selling author, management consultant and entrepreneur Mr. Richard Koch sits down with host Dr. Pete Kelly, C.Psych for a discussion around: caveats and conundrums around defining "success"signs of healthy vs. unhealthy processes around the pursuit of successbalancing internal (e.g., meaning) vs. external (e.g., recognition) pulls in the context of successthe importance of leveraging both self-belief and self-doubt to achieve successthe importance of process vs. outcome for avoiding stagnationa brief summary of the 4 pillars of Richard's roadmap for success Richard Koch is a former management consultant, entrepreneur, and writer of several books on how to apply the Pareto principle (80/20 rule) (including the international bestseller "The 80/20 Principle") in all walks of life.  His latest book, Unreasonable Success, outlines a roadmap for success drawn from the life, actions and perspectives of several prominent figures in history from a variety of fields who have realized what Richard has coined “Unreasonable Success”.  Richard has also used his concepts to successfully invest in several private equity investments. Richard’s investments have included Filofax, Plymouth Gin, the Great Little Trading Company and Betfair. Previously he had been a consultant at Boston Consulting Group and later a partner at Bain and Company, before leaving to start management consulting firm L.E.K. Consulting with Jim Lawrence and Iain Evans.https://richardkoch.net/

Comments or feedback? Send us a text!The “classical” model of emotions which emphasizes the innate, universal (and even primitive) nature of emotions has been the basis for psychoeducation provided by clinicians to clients about the nature of their emotional experiences. However, there is a very large body of evidence to suggest that emotions are, in fact, constructed concepts that are “wired-in” by culture and reflect consensus-based social realism rather than innate processes. Acclaimed author, professor,  and neuroscientist Dr. Lisa Feldman Barrett joins us for an absolutely fascinating discussion of her constructed model of emotions including:  an overview of the classical model of emotionsan in-depth review of Dr. Feldman Barrett’s constructed model of emotionsmyths about the classical model of emotions that are relevant for clinicians & mental health consumersthe important role psychotherapy plays in constructing emotion concepts a consideration of the neurobiological mechanics around unconscious processes and actual (vs. theorized) mechanisms of change in psychotherapyconceptualizing psychopathology and therapeutic intervention from the lens of the constructed model of emotionsa neurobiological explanation for the experience of “knowing” one thing, but “feeling” another with implications for therapeutic interventions.         Lisa Feldman Barrett, PhD, is among the top one percent most cited scientists in the world for her revolutionary research in psychology and neuroscience. She is a University Distinguished Professor of Psychology at Northeastern University, with appointments at Harvard Medical School and Massachusetts General Hospital. She is also Chief Science Officer for the Center for Law, Brain & Behavior at Harvard University.  In addition to the books Seven and a Half Lessons About the Brain and How Emotions are Made, Dr. Barrett has published over 240 peer-reviewed, scientific papers appearing in Science, Nature Neuroscience, and other top journals in psychology and cognitive neuroscience, as well as six academic volumes published by Guilford Press. She has also given a popular TED talk with nearly 6 million views. Dr. Barrett received a National Institutes of Health Director’s Pioneer Award for her revolutionary research on emotion in the brain. She also received a Guggenheim Fellowship in 2019.  She is also an elected fellow of the American Academy of Arts & Sciences and the Royal Society of Canada.https://lisafeldmanbarrett.com/

Comments or feedback? Send us a text!There has recently been a tremendous increase in awareness and acknowledgment of the systemic oppression and challenges faced by racialized populations not only generally, but in the context of mental health.  Clinical psychologists Drs. Mandisa Peterson & Jude Mary Cénat join host Dr. Pete Kelly for a very important discussion around:    the prevalence and nature of mental health challenges among racialized populationsthe important contribution of chronic stress stemming from racism & intergenerational trauma on mental health in racialized populationscaveats, conundrums & guidance with respect to employing current diagnostic frameworks with racialized or diverse populationsexamples of the everyday challenges that are faced by racialized populations from the lens of racism and discriminationDrs. Peterson &  Cénat’s experiences of racism, both personally & professionally barriers to accessing mental health services among racialized populationsthemes to be aware of around cultural differences that can exist with respect to symptoms, help-seeking etc.promoting greater access to diversity in training experiencesstructural racism within mental health settingsresources that are available to help promote better insight and awareness among clinicians as well as reflections on having difficult conversationshttps://mentalhealthforeveryone.cahttps://www.changingmindscanada.orgFor a full list of resources related to racism and mental health click here.  Sample resources: Racism in Psychiatry by Morgan MedlockBlack Pain: It Just Looks Like We’re Not Hurting by Terrie WilliamsHow to Provide Antiracist Mental Health Care Free Training ModulesManual for CBT for English-Speaking People of Caribbean OriginDr. Peterson is the co-founder and director of Changing Minds, a not-for-profit organization dedicated to addressing barriers to accessing evidence-based mental health care in the Ottawa area (changingmindscanada.org).  She provides psychodiagnostic assessments as well as individual and group therapy treatment for diverse adult populations. Her primary approach to therapy is cognitive behavioural and she has experience and training in a number of evidence-based approaches, including dialectical behaviour therapy, mindfulness, and acceptance and commitment therapy. Dr. Peterson has a particular interest and experience working with posttraumatic stress and forensic issues. She is involved in the supervision of doctoral students in clinical psychology. She is also committed to continuing program development and evaluation in the community in an effort to develop more effective and accessible mental healthcare programs.Dr. Jude Mary Cénat is an Assistant Professor in the School of Psychology and the Director of the Vulnerability, Trauma, Resilience & Culture (V-TRaC) Research Laboratory at the University of Ottawa. His research program explores factors associated with vulnerability, trauma, and resilience, with a particular interest in the role of cultural factors. Dr. Cénat conducts research on racial disparities in mental health and social services, the impact of natural disasters and infectious disease outbreaks on mental health, interpersonal and non-interpersonal trauma, and overall mental health. He conducts research in Nort

Comments or feedback? Send us a text!Eating disorders are among the most serious of mental health challenges, and yet are mired in stereotypes, stigma and misunderstanding.  Clinical Psychologist Dr. Meagan Gallagher joins us for an in-depth discussion of eating disorders which covers:  How Dr. Gallagher became interested in treating eating disorders from a personal and professional perspectiveAn in-depth clinical consideration of the most common eating disorders in adultsConceptualizations around the clinical presentation of eating disorders, including misleading stereotypesCore-interventions/phased-treatment approaches for eating disordersOpportunities & caveats around the integration of family members into treatmentManaging the special challenges with respect to insight/willingness that can at times characterize eating disordersEffectiveness of available treatment and how to shape expectations about outcomes for client and clinician alikeAddressing "social contagion" considerations around eating disorders as well as navigating unhelpful online influences and communities with respect to eating disordersHow to help children and adolescents think critically about societal messaging with respect to body types, body ideals etc.  Dr. Meagan Gallagher is a clinical psychologist who works with adolescents, adults, couples, and families who are experiencing a range of difficulties related to mental health concerns.  She provides psychological assessments and treatment using evidence-based approaches including Cognitive Behavioural Therapy (including Exposure and Response Prevention Therapy and Prolonged Exposure for Post Traumatic Stress Disorder), Emotionally Focused Therapy, Dialectical Behaviour Therapy (DBT) and Mindfulness. Dr. Gallagher has specific interests and extensive experience in the assessment and treatment of Eating Disorders and body image concerns, Anxiety Disorders, Obsessive Compulsive Disorder, Post-Traumatic Stress Disorder, Mood Disorders, and adolescent mental health. She is currently in private practice at Integrated Wellness Ottawa.https://integratedottawa.ca

Comments or feedback? Send us a text!Helping clients to develop their own solutions to challenging problems as well as work through a variety of perspectives when considering an important decision are among the most important functions of therapy.  Building on their Applying the 80-20 Rule to CBT episode of Thoughts on Record, OICBT clinicians Drs. Jeff Perron, C.Psych & Pete Kelly, C.Psych explore effective decision making and problem solving from a CBT lens.  In this wide-ranging discussion they cover internal & external factors influencing decision making and problem-solving including:   Core beliefs Values & resolving conflict between valuesSelf-justification & cognitive dissonanceActor-observer bias/fundamental attribution errorSunk cost fallacyEndowment biasHedonic adaptation“Summit fever”/overidentification of goals    Affective Realism/Cognitive distortionsLearning how to engage in constructive conflict Being effective vs. being rightDecoding hidden incentives/explanations for the behaviour of othersMentalizing/EmpathyA policy of radical personal honesty around observed patterns of behaviourAcceptance to reduce sufferingIn addition, they review practical tips borne from clinical experience to implement the concepts, tools and strategies described above.   Dr. Jeff Perron provides clinical psychology services to adults, with a particular focus on the areas of mood and anxiety disorders.  Guided by client goals and presenting concerns, he applies the range of evidence-based Cognitive Behavioural Therapies, including Schema Therapy and Acceptance and Commitment Therapy.  Dr. Perron completed his Ph.D. in Clinical Psychology at the University of Ottawa.  He completed his doctoral residency at the OICBT and his doctoral thesis research focused on the development of a measure related to assessment of readiness to change.  He also holds an MBA from Wilfrid Laurier University and has a background in Human Resources.https://www.ottawacbt.ca/dr-jeff-perron

Comments or feedback? Send us a text!Psychotherapy can be a powerful & transformative experience for the clinician and client alike.  In this episode psychotherapist and author Nicole Arzt, M.S., L.M.F.T.  discusses her new book Sometimes Therapy is Awkward: A Collection of Life Changing Insights for the Modern Clinician.  In this wide-ranging conversation a number of topics central to the process of therapy are addressed including: identifying and managing impostor syndrome/insecurity as a therapistreflections on how the provision of psychotherapy can change the therapistcultivating an identity as a growth-orientated therapistnavigating termination and aiming for the "good-enough" good-byemanaging compassion fatigue and burnoutthe unique challenges faced by new therapists with thoughts on how to best copea brief consideration of how to manage the distress associated with navigating suicide leveraging process related factors and the clinician's own emotional reaction in session to improve their interventions Nicole Arzt is a licensed marriage and family therapist specializing in providing psychotherapy to individuals, families, and groups struggling with substance use disorders and psychiatric illnesses. She received her master’s of science degree from California State University, Long Beach in 2014. She has extensive experience working in a variety of dual-diagnosis treatment centers, providing services for all levels of care from detoxification to long-term outpatient therapy. Nicole currently works full-time as a therapist, using psychodynamic and humanistic work. A passionate writer, she has authored several scholarly articles, blog posts, and professional research centered on addiction and mental health.https://www.souloftherapy.com/https://psychotherapymemes.com/