Week 111 - How to Build a Solid Foundation in a First Session

June 23 – June 30, 2018 . . . . .

July 02 – July 07, 2018


Monday, July 02, 2018

A Two Step Process to Establish a Meaningful Connection

Bill OHanlon, LMFT outlines the two key steps for helping a client move toward change without feeling judged.
Running time: 07:57

Download Files



Tuesday, July 03, 2018

How to Uncover a Client’s Innate Ability to Heal

Pat Ogden, PhD and Bessel van der Kolk, MD share how they help clients discover two powerful inner traits that can help them heal.
Running time: 07:18

Download Files


Wednesday, July 04, 2018

What a Client’s Nervous System Needs in the First Session

Stephen Porges, PhD and Bonnie Goldstein, PhD explore how to activate the social engagement system before the first session even begins.
Running time: 12:01

Download Files


Thursday, July 05, 2018

Managing a Client’s Expectations for a First Session

Christine Padesky, PhD and Rick Hanson, PhD dig into how a client’s expectations for therapy can impact their motivation – for better and for worse.
Running time: 08:31

Download Files


Friday, July 06, 2018

Critical Insights

Ron Siegel, PsyD and Kelly McGonigal, PhD highlight the key concepts in this week’s videos.
Running time: 23:50

Download Files

Can We Share a Pain We Never Felt?
Neural Correlates of Empathy in Patients with Congenital Insensitivity to Pain


Saturday, July 07, 2018

Focus on Application

Joan Borysenko, PhD, and Rick Hanson, PhD connect exercises and techniques with this week’s discussion so you can begin using these ideas right away with your clients.
Running time: 22:27

Download Files


Download This Week's Audio Files

Leave a Comment

6 Responses

  1. thank you all once again. As a therapist working in a new position, in a new facility this session wsa particularly helpful and confirming. The most salient thing I have learned in the past month is to be still and listen to all aspects of the person sitting in front of me and to ask him or her what they would like to learn, find out, discover, gain from spending time with me. I am curious and interested in being as helpful as possible but I emphasize that therapy can be hard work and I am here to support them on the journey. I also offer a beverage as a way of instilling companionship and to encourage the client to relax and take their time. Also to create a feeling of equity and sameness between us. That things can change and mprove is stated and reinforces at least once per session. It can be painful at times but also fun and rewarding for the client. The session is about them, finally no one is going to take over and talk about his orher self. thanks again

  2. Kelly’s introduction of C. R. Snyder’s Model of Hope was great – hope consists of three things: meaningful goals or aspirations, pathways to reaching that goal, and agency are much like the Rogerian model which sees every individual as having internal resources that we can then supplement with external resources. It is amazing when a person who has no hope can then be reminded that they do have something of value to themselves and others, it usually has to start out by remembering the smaller things. Belonging and as sense of worth are big motivators.

  3. Agree with Bill. When you are not genuine it can come through in the counseling. When they start to change, then you can see the issues that created that initial concern. Then the relationship can start to flourish. Appreciate a reminder to do more directed check-ins to stay genuinely present for them.

    Pat is so right that the reason they are in our office is they have hope. This is great place to start. Bessel infers that history when we do the intake helps to see how far they have come in their healing before you even start work with them .

    Liked the addition of Bonnie Goldstein working with social engagement and problems solving with children.

    Our intake warmth and detail in gathering information can be most affective This can add to their hope. I like to approach it from the question what has been helpful in the past so we can build on their successes, what is the best focus for them, and also learn what was disconcerting.

  4. Picking up on Kelly’s comment about the client’s experience, I think it’s important that clients see themselves (their ethnicity, gender, relationship status, etc.) reflected in the pictures, magazines, and brochures in the waiting area. Do they see themselves and their relationships in the intake forms? I think the presence or absence of these things contribute to a client’s sense of safety even before they meet us.

  5. I wonder if I learned those two questions from Bill: are we on the right track, is there anything else you wanted to talk about?, and what is your take away? In any case I ask these two questions often in my practice, and even use the second question as place to pick up the next session. So I might say, “after last session what stuck with you and where do you want to pick up today?” I find the informal checkin more honest and useful than the written form Scott Miller uses, and more natural to do more frequently than the written form is. Once a client has filled in the written form once, it seems to be redundant, and turns into sort of a “looking for praise and adulation” rather than seeking honest feedback, which I find clients are more likely to do verbally in session.

    In regard to knowing whether or not I can or can’t work with someone, there is the body and gut response that I trust as well. And amazingly there are only been a handful in my 25 + years of therapy that I knew I couldn’t work with. Three were men and only two women. The three men had a violent, masochistic streak, including to animals and that was the end for me. Of the two women, one was just a clear gut feeling, and the other was severely borderline and after returning from a year’s break, I knew all I could do is what we had previously tried, and that hadn’t worked.
    The hard piece is the trust these clients put in me and not allowing myself to be seduced by that.

    1. Anna, I like reading you insights along with the speakers. Your ideas on the feedback of the clients were very rewarding, reminding us what is can be helpful and spontaneous.

      My biggest reconnecting each week comes from these webinars. Comments of others, as I have played it back either in notes or thinking beyond sessions of phrases that stick in my mind. from a client or a speaker.

      I like your questioning about what stuck with them. It is interesting check in question. My use of hypnotherapy or other techniques I use make me check in each week before they leave but this question is one to use again at the next session instead of what I usually ask, if something came up during the week. I always hope for journaling but rarely get it nowadays.

      I think I have been doing too much checking in, trying to assure I do not miss anything upsetting the week in between which can be too much of stream of consciousness, delaying the previous session. This question might stop that easily after I assure no fire cropped up for them the prior week..