Afleveringen
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We’re continuing our discussion about ambivalence. Ambivalence is when a client feels conflicted about treatment, either consciously or subconsciously, and can throw up stopping blocks in treatment. In the last episode, we looked at how to spot ambivalence and tackle it when you see it.
In this episode, we discuss the importance of motivational interviewing in exploring patient emotions and understanding how OCD plays into a patient’s identity. We also examine the role of patience and adaptability in treatment and how critical it is to address ambivalence through commitment, creativity, and curiosity.
Resources and links:
Million Steps for OCD Awareness Walk information
Webinars, books, and training by Melbourne Wellbeing Group
Connect:
https://www.melbournewellbeinggroup.com.au/
http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
What happens when a client wants to change but doesn’t know where to start, doesn’t want to do the work, or is in some other way conflicted? Ambivalence. Ambivalence is normal during therapy but can hinder a client’s progress if left unaddressed.
In this episode, we discuss some telltale signs of ambivalence in clients, understanding where ambivalence comes from, and how to work through it when it happens.
Resources and links:
Webinars, books, and training by Melbourne Wellbeing GroupConnect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Zijn er afleveringen die ontbreken?
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This episode is the final part of our two-part chat with Natasha Daniels. Natasha is a Therapist specialising in anxiety and OCD in children and created AT Parenting Survival to help the parents of children living with anxiety and OCD.
In our last episode, Natasha shared how she got into working with children, how to adapt ERP for young people, and the importance of rapport, fun, and play in therapy.
In this episode, Natasha opens up about why she loves working with the parents of children with OCD and anxiety. She explains how she works with parents and shares her helpful tips for helping kids with OCD and anxiety while they’re at school.
Resources and links:
AT website AT Parenting Survival School website AT Parenting Survival School on Instagram Natasha Daniels on YouTubeConnect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Natasha Daniels is a Therapist specialising in anxiety and OCD in children. Natasha is the creator of the AT Parenting Survival website to provide parents with advice for helping their children living with anxiety and OCD. Natasha has drawn on two decades of experience to create a YouTube channel and a podcast and has also written several books.
In this episode, Natasha reveals what drew her to working with children and teens with anxiety and OCD, as well as their parents. She discusses how to adapt ERP for younger clients, the significance of building rapport, and how to incorporate playfulness and creativity into therapy.
This episode is part one of our two-part chat with Natasha. Keep an eye out for part two, where she’ll focus on one of her biggest passions: working with the parents of children with OCD and anxiety.
Resources and links:
AT website AT Parenting Survival School website AT Parenting Survival School on Instagram Natasha Daniels on YouTubeConnect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Perfectionism. It’s a complicated trait that shows up a lot when working with OCD. It can present in a range of ways and can look like self-loathing, anger, people-pleasing, or even a strong sense of doubt and uncertainty in clients.
In this skills episode, we dig into how perfectionism can manifest in a client, how it might present in a session, and how to address it when it does.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
This is the final part of our chat with Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne, Dr Brett Deacon.
In our previous conversations with Brett, he explained safety behaviours, accommodation behaviours from family and clinicians, and how accommodating behaviours that reduce discomfort can limit the efficacy of treatment for clients with OCD.
In this episode, Brett expands on how clinicians can balance moving too quickly or too slowly in ERP. He also explains how he uses one simple and kind of gross demonstration in the classroom to teach future clinicians the importance of being bold and unafraid when working with clients.
Resources and links:
Purchase ‘Exposure Therapy for Anxiety: Principles and Practice’ here Dr Brett Deacon at the University of Melbourne Dr Brett Deacon on LinkedInConnect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
George Habib is a Clinical Psychologist and Associate Director of Wellbeing Services at the University of Melbourne. Alongside this role, he's been working in his own clinical practice for over 25 years. His work, deeply rooted in trauma support and symptom interpretation, has shaped his leadership in health services and legal aid.
In this episode, George tackles the clinician’s role in structured OCD treatment, highlighting the necessity of addressing deep-seated triggers. You’ll discover how a clinician’s strict adherence to protocols could influence the therapeutic journey. You’ll gain insights into how various therapeutic modalities can be integrated to effectively navigate the complexities of OCD treatment.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
In our last episode, Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne, Dr Brett Deacon, explained the concept of safety behaviours and how to manage them in OCD treatment.
In this episode, Brett dives into the data behind safety behaviours and accommodations. He expands on how making more accommodations can impact treatment and how clinician accommodations can be as limiting as parental or familial accommodations.
Resources and links:
Purchase ‘Exposure Therapy for Anxiety: Principles and Practice’ here Dr Brett Deacon at the University of Melbourne Dr Brett Deacon on LinkedInConnect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Dr Brett Deacon is an Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne. Brett has worked in the field of psychology for over 15 years with a focus on exposure therapy for anxiety and OCD. He has published many papers on therapist barriers to exposure therapy and strategies for overcoming them and is a co-author of ‘Exposure Therapy for Anxiety: Principles and Practice’.
Throughout the next three episodes, Brett explores the role of clinicians in exposure therapy and how their feelings could be holding back the client.
In today’s episode, Brett addresses safety behaviours. He digs into what they are, the safety behaviours we all engage in, and how to manage safety behaviours when treating OCD.
Resources and links:
Purchase ‘Exposure Therapy for Anxiety: Principles and Practice’ here Dr Brett Deacon at the University of Melbourne Dr Brett Deacon on LinkedInConnect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Guilt and shame are a normal part of the human experience. Where it can become a problem is when clients are unable to overcome, or even identify, guilt and shame they may be feeling which can lead to a “stuckness” in treatment that can be frustrating and upsetting.
In this skills episode, we’ll explain the difference between guilt and shame, discuss telltale signs to look for in clients, and how to address these emotions if they are impacting treatment.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Joanne Isbister is a Certified Genetic Counsellor at the Royal Melbourne Hospital. Jo has over 15 years of experience as a genetic counsellor and has clinical experience in perinatal, paediatric, and adult genetics. After Identifying a gap in local services, Jo is developing a clinical service at the RMH to provide equitable access to psychiatric genetic medicine for those in need.
In today’s episode, Jo will explain what genetic counselling is and how it helps patients. She talks about the complexities of patient mental health histories and the implications of shame and stigma on patients. Jo also breaks down how genetic counselling can help mitigate some of the common fears for people living with mental illnesses around having children and passing on their genes.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Penny Moodie is a Co-founder of So OCD and the Author of "The Joy Thief". Penny is a passionate OCD advocate and her book, “The Joy Thief” is a deeply personal exploration of OCD along with practical advice from mental health professionals.
In this episode, Penny describes the experience of writing "The Joy Thief", the effect it had on her own OCD, and the things she learnt along the way. She also shares her hopes and wishes for others with OCD who want to reclaim their happiness from their condition.
Resources and links:
Purchase "The Joy Thief" hereConnect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
One of the main roles of a clinician is to provide as much knowledge as possible when supporting clients in treatment. But when does knowledge and education, or psychoeducation as it's known, become a reassurance trap when treating OCD?
In this skills episode, we'll explore how to detect if psychoeducation is bordering on reassurance, and how to navigate that with your client. We'll also discuss the importance of transparent conversations, how sometimes providing a little bit of reassurance is alright, and that even we clinicians have to learn to accept uncertainty.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Dr Luca Cocchi is a Group Leader and Associate Professor at QIMR Berghofer, who is currently working on ways to improve TMS for its usage in OCD treatment. Dr Philip Mosley is a Psychiatrist and Clinician-Scientist at QIMR Berghofer, where he is currently researching DBS for treatment-refractory OCD.
In this episode, Phillip explains deep brain stimulation (or DBS) and how it's being used to treat severe and treatment-resistant OCD. Phillip and Luca also discuss the outcomes of recent clinical trials and explain how accessible these treatments currently are for Australians.
This episode is part two of our two-part conversation with Luca and Phillip. Check out our last episode to hear more about the neuroscience behind OCD, and the use of TMS for OCD treatment.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Dr Luca Cocchi is a Group Leader and Associate Professor at QIMR Berghofer, where he is currently working on ways to improve TMS for its usage in OCD treatment. Dr Philip Mosley is a Psychiatrist and Clinician-Scientist at QIMR Berghofer, who is currently researching DBS for treatment-refractory OCD.
In this episode, Luca and Phillip explain the neuroscience behind OCD, as well as what treatment-resistant OCD means and why it happens. Plus, Luca breaks down the exciting possibilities of transcranial magnetic stimulation (or TMS) for OCD.
This episode is part one of our two-part chat with Luca and Phillip. Keep an eye out for part two, where Luca and Phillip dive deeper into the treatment possibilities of TMS and DBS.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Welcome back to another skills episode! Today, we're covering something you may have heard mentioned a few times in our previous episodes: meditation. Mindfulness-based strategies can be incredibly useful for clients and clinicians alike, and there are many ways they can be helpful when integrated with ERP.
In this episode, we'll explain why mindfulness is so important, and share how you can best teach it to your clients. You'll also hear us discuss why it's important for all of us to learn to feel our feelings, and to understand the difference between noticing thoughts and dismissing them. Plus, we'll share some ways you can start to scaffold mindfulness into your client's treatment.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Hannah Gersh is a Psychologist and Clinical Registrar at the Melbourne Wellbeing Group. As an early-career psychologist, Hannah understands how nerve-wracking it can be to start in the industry, and is here to share her experiences to help ease the nerves of any other early-career psychologist.
In this episode, Hannah shares how she found her way into working with OCD, as well as how she deals with nerves and feelings of inadequacy. She'll explain what she's found most useful for her development as an early-career psychologist, before sharing some advice for clinicians looking to get into the OCD treatment space.
Resources and links:
'Freedom from OCD' by Jonathan GraysonConnect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Welcome back to our deep dive into creating ERP tasks, where we're continuing to explore the ways you can get creative in treatment, regardless of the presentation or the subtype.
In this episode, we're exploring different ways to create ERP tasks in the context of pure OCD, and paedophilic OCD. We'll share the ways to help your clients interrupt mental compulsions, as well as how to create safe and appropriate tasks for managing paedophilic intrusive thoughts. Plus, we'll share how you can take the learnings from these subtypes, and apply them to creating ERP tasks in any context.
This episode is part two of our two-part chat about how to create ERP tasks. Check out our previous episode, to hear us break down the foundations of creating ERP tasks, and the importance of collaboration and creativity in this process.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Welcome back to another skills episode! This week, we're following on from our previous skills episode, "What is ERP?", with an episode on how to create ERP tasks. We'll be exploring all the ways you can break the rules and get creative with ERP, whilst still remaining evidence based in treatment.
In this episode, we'll explore how to design exposure tasks for OCD, regardless of the subtype. We'll also share how important it is to stay collaborative, creative, and courageous — regardless of whether you're a client or clinician.
This episode is part one of our two-part chat about how to create ERP tasks. Keep an eye out for our next episode, where we'll dive even deeper into the techniques you can use to create ERP tasks.
Connect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. -
Penny Moodie and Rosie Frankish are the Co-founders of the So OCD website, a resource built to provide local support for Australians with OCD. Penny Moodie is an OCD advocate, with a background in media and communications, who is currently studying for a social work degree whilst writing a book about OCD. Rosie Frankish has a background in psychology and currently works in the community mental health sector, developing and delivering specialist mental health and homelessness programs across Victoria.
In this episode, Penny and Rosie discuss all things family support, including what they believe family members need to know whilst supporting their loved ones through treatment. Plus, Penny and Rosie share some of their personal experiences with intrusive thoughts, and how they've changed throughout their lives.
This episode is part two of our two-part chat with Penny and Rosie. Check out our last episode to hear how and why they founded So OCD, and what they want clinicians to know about what OCD treatment is like.
Resources and links:
So OCD websiteConnect:
https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. - Laat meer zien