How to Work With Clients Who Are Stuck – NICABM

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About NICABM

The National Institute for the Clinical Application of Behavioral Medicine is a pioneer and leader in the field of mind-body-spirit medicine. As a provider of continuing education for health and mental health care professionals for over 20 years, NICABM is at the forefront of developing and delivering programs with “take home” ideas, immediately adaptable for practitioners to use with their patients.The National Institute for the Clinical Application of Behavioral Medicine is a pioneer and leader in the field of mind-body-spirit medicine. As a provider of continuing education for health and mental health care professionals for over 20 years, NICABM is at the forefront of developing and delivering programs with “take home” ideas, immediately adaptable for practitioners to use with their patients.

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How to Disrupt the Powerful Barriers That Keep Your Client StuckHow to Disrupt the Powerful Barriers That Keep Your Client Stuck

Why do clients get stuck?Why do clients get stuck?

To fully understand what keeps our clients at a standstill, we need to look deeper at what causes the neurophysiological patterns that lead to gridlock, and how the unconscious brain creates biases that keep our clients immobilized.To fully understand what keeps our clients at a standstill, we need to look deeper at what causes the neurophysiological patterns that lead to gridlock, and how the unconscious brain creates biases that keep our clients immobilized.

And we need to look at new ways to approach the core fear that traps our clients inside a holding pattern of stagnation.And we need to look at new ways to approach the core fear that traps our clients inside a holding pattern of stagnation.

So we sat down with 15 of the greatest experts in our field to ask them how they work with clients who are stuck. This is what they told us. . .So we sat down with 15 of the greatest experts in our field to ask them how they work with clients who are stuck. This is what they told us. . .

How the Unconscious Brain Creates a Holding Pattern of FearHow the Unconscious Brain Creates a Holding Pattern of Fear

Bessel van der Kolk, MD      Joan Borysenko, PhD      Bill O’Hanlon, LMFTBessel van der Kolk, MD      Joan Borysenko, PhD      Bill O’Hanlon, LMFT

• How chronic trauma changes the brain (and why it keeps patients stuck)How chronic trauma changes the brain (and why it keeps patients stuck)
• How specific neural changes alter the way clients build connectionsHow specific neural changes alter the way clients build connections
• How one practitioner shifted himself from fearful avoidance to spontaneityHow one practitioner shifted himself from fearful avoidance to spontaneity

How to Rewire the Rigid MindHow to Rewire the Rigid Mind

Rick Hanson, PhD      Kelly McGonigal, PhDRick Hanson, PhD      Kelly McGonigal, PhD

Joan Borysenko, PhD      Bill O’Hanlon, LMFTJoan Borysenko, PhD      Bill O’Hanlon, LMFT

• The “mo-betta” approach to positive neural linkingThe “mo-betta” approach to positive neural linking
• How to increase a client’s learning rate from positive experiences.How to increase a client’s learning rate from positive experiences.
• How the “dreaded experience” can make your client stuckHow the “dreaded experience” can make your client stuck
• How to pick out the subtle ways your client is stifling self-expressionHow to pick out the subtle ways your client is stifling self-expression

One Practical Skill to Locate Where Your Client is StuckOne Practical Skill to Locate Where Your Client is Stuck

Marsha Linehan, PhD       Joan Borysenko, PhDMarsha Linehan, PhD       Joan Borysenko, PhD

• What happens when practitioners mistake impulse for choiceWhat happens when practitioners mistake impulse for choice
• The analytical technique that motivates a client to changeThe analytical technique that motivates a client to change
• How to focus an assessment to help clients identify their own stucknessHow to focus an assessment to help clients identify their own stuckness

How to Work With the Procedural Memories Keeping Your Clients StuckHow to Work With the Procedural Memories Keeping Your Clients Stuck

Pat Ogden, PhD      Joan Borysenko, PhDPat Ogden, PhD      Joan Borysenko, PhD

• How to access specific memories in the body that cognitive therapy can’t reachHow to access specific memories in the body that cognitive therapy can’t reach
• The procedural patterns of trauma vs. attachment: why they require two different approachesThe procedural patterns of trauma vs. attachment: why they require two different approaches
• How to foster integration between the explicit and implicit selvesHow to foster integration between the explicit and implicit selves

How to Help Clients Defuse Limiting Ego StrategiesHow to Help Clients Defuse Limiting Ego Strategies

Tara Brach, PhD      Ron Siegel, PsyD      Kelly McGonigal, PhDTara Brach, PhD      Ron Siegel, PsyD      Kelly McGonigal, PhD

• The “Spacesuit Self”: why clients put it on (and why it’s so hard to take off)The “Spacesuit Self”: why clients put it on (and why it’s so hard to take off)
• How to approach stuckness when it’s layered with shameHow to approach stuckness when it’s layered with shame
• The “stop signal” that can disrupt anger and invite choiceThe “stop signal” that can disrupt anger and invite choice

How to Sell Your Client on ChangeHow to Sell Your Client on Change

Marsha Linehan, PhD      Ron Siegel, PsyD      Kelly McGonigal, PhDMarsha Linehan, PhD      Ron Siegel, PsyD      Kelly McGonigal, PhD

Joan Borysenko, PhD      Bill O’Hanlon, LMFTJoan Borysenko, PhD      Bill O’Hanlon, LMFT

• •The one critical part of therapy where many practitioners fall short•The one critical part of therapy where many practitioners fall short
• •The one emotion that you need to reframe as your client’s worst enemy•The one emotion that you need to reframe as your client’s worst enemy
• •One practical skill that can break clients out of negative patterns•One practical skill that can break clients out of negative patterns

How Post-Traumatic Memories Can Hold the Body HostageHow Post-Traumatic Memories Can Hold the Body Hostage

Peter Levine, PhD      Ron Siegel, PsyD      Bill O’Hanlon, LMFTPeter Levine, PhD      Ron Siegel, PsyD      Bill O’Hanlon, LMFT

• How the body’s unconscious reaction to trauma keeps clients stuckHow the body’s unconscious reaction to trauma keeps clients stuck
• Why trauma survivors often get stuck in a brain-body feedback loopWhy trauma survivors often get stuck in a brain-body feedback loop
• The key factor that helps the body release stuck trauma and restore itselfThe key factor that helps the body release stuck trauma and restore itself

How to Work With the Behavioral Patterns That Suppress GrowthHow to Work With the Behavioral Patterns That Suppress Growth

Richard Schwartz, PhD      Ron Siegel, PsyD      Kelly McGonigal, PhDRichard Schwartz, PhD      Ron Siegel, PsyD      Kelly McGonigal, PhD

• •The Internal Family Systems model for helping clients get unstuck•The Internal Family Systems model for helping clients get unstuck
• •How to help clients form corrective relationships with their extreme sub-personalities•How to help clients form corrective relationships with their extreme sub-personalities
• •The important negotiation process that allows you to reach a client’s stuck parts•The important negotiation process that allows you to reach a client’s stuck parts

How to Use Neuroplasticity to Overwrite Negative BeliefsHow to Use Neuroplasticity to Overwrite Negative Beliefs

Rick Hanson, PhD      Bill O’Hanlon, LMFTRick Hanson, PhD      Bill O’Hanlon, LMFT

• 12 seconds that can make a difference for positive brain change12 seconds that can make a difference for positive brain change
• Why positive experiences alone are insufficient (unless you follow them up with this one step)Why positive experiences alone are insufficient (unless you follow them up with this one step)
• The important phase of brain change that practitioners routinely overlookThe important phase of brain change that practitioners routinely overlook

How to Motivate Clients to Push Through Self-Imposed BoundariesHow to Motivate Clients to Push Through Self-Imposed Boundaries

Kelly McGonigal, PhD      Ron Siegel, PsyD      Bill O’Hanlon, LMFTKelly McGonigal, PhD      Ron Siegel, PsyD      Bill O’Hanlon, LMFT

• The cocoon effect and how it keeps clients stuckThe cocoon effect and how it keeps clients stuck
• How to use the “missing zero” strategy to motivate changeHow to use the “missing zero” strategy to motivate change
• How to help clients assess the real cost of avoidanceHow to help clients assess the real cost of avoidance

Why Your Client May be Feeling Constrained and How to Help Free ThemWhy Your Client May be Feeling Constrained and How to Help Free Them

Jack Kornfield, PhD      Ron Siegel, PsyDJack Kornfield, PhD      Ron Siegel, PsyD

Kelly McGonigal, PhD      Joan Borysenko, PhDKelly McGonigal, PhD      Joan Borysenko, PhD

• How to adjust an intervention when arousal overwhelms the clientHow to adjust an intervention when arousal overwhelms the client
• A strategy to help clients make more empowering decisionsA strategy to help clients make more empowering decisions
• How to help clients regain a new sense of self after traumaHow to help clients regain a new sense of self after trauma

How to Help Clients Rewrite Their “Stuck Story”How to Help Clients Rewrite Their “Stuck Story”

Joan Borysenko, PhD      Bill O’Hanlon, LMFTJoan Borysenko, PhD      Bill O’Hanlon, LMFT

• One of the most powerful patterns that keeps people from changeOne of the most powerful patterns that keeps people from change
• The 10,000-hour plan to becoming stuckThe 10,000-hour plan to becoming stuck
• One way to help clients escape the prison of their grievance storiesOne way to help clients escape the prison of their grievance stories

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