November 24, 2023 • 35 mins
What if the healing power you're seeking is right at your fingertips? That's right! This episode is a journey through the diverse landscape of therapeutic modalities and how the right fit can bring transformative healing. We delve into the world of exposure therapies, including in vivo, imaginal, and virtual reality exposure, and the compelling Internal Family Systems (IFS) model. We also discuss the importance of evidence-based therapy and the use of eclectic approaches. And we can’t forget about our therapy pets! Remember, therapy is not one-size-fits-all, and finding your perfect therapeutic match can make all the difference.
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DISCLAIMER: This podcast is for educational purposes only and does not replace the advice you may be receiving from a licensed therapist.This podcast and website represents the opinions of KathyDan Moore, Licensed Marriage and Family Therapist, Grief Coach Jess Lowe, and their guests to the show and website. The content here should not be taken as medical advice.
The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions.Views and opinions expressed in the podcast and website are our own. While we make every effort to ensure that the information we are sharing is accurate, we welcome any comments, suggestions, or correction of errors.
Privacy is of utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality.This website or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony.
No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website.In no way does listening, reading, emailing or interacting on social media with our content establish a doctor-patient relationship.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Welcome back to spilling the fair tea with
therapist Kathy Dan Moore andgrief coach just slow.
Hey, kathy Dan.
Speaker 2 (00:05):
Hey Jess, you look like you're maxing and relaxing
over there.
I am.
Speaker 1 (00:10):
This is called bed bedside sessions, just as we
come at my sisters in Birmingham, and so I'm in the guest room
podcasting today because herpups are downstairs and they're
loud.
Yeah, that's good.
So yeah, so I came up last oryesterday morning Super early,
(00:30):
but we have a concert tonight,the need to breathe, which I
still haven't seen.
The music.
I'm gonna send you those.
Speaker 2 (00:35):
Yeah, I'm so out of touch with music.
Speaker 1 (00:39):
Yeah, they're like they're like I would say like
Rock, but like not likeMetallica rock, more like 90s
grunge, but not 90s.
But then they also do some likeChristian songs, but it's still
rock.
I it's hard to like explain.
Speaker 2 (00:59):
Yeah, you're gonna have to send it to me.
I have no idea what you'retalking about.
Yeah, what you got going onawesome, lily comes home Friday,
yay, so I'm super excited forthat.
I was just sending her somethings to do.
They have this thing calledsanding ovations out On I think
(01:23):
it's on St Pete Beach, wherethey have all these like sand
castles and stuff, and I'venever been to it.
So I just sent her that to seeand she was like, yeah, she sent
me this cute little like memeof this kid.
Yeah, I'm their mind.
She's excited to come home.
I got That'll be, fun and she'scoming home.
She is driving some kids homeand she'll have her roommate
(01:46):
With her, who lives in Miami,and so Gabby'll stay with us
Friday night and Saturday andthen fly.
She'll fly home Saturday nightand then her other buddy, alexa,
will be flying in from TexasNext Friday and staying with us
for a night, so you know itwarms a mother's heart when you
(02:06):
know she's like and they'remaking these like really
valuable connections yeah andit's so funny You're making
yourself too.
Oh my gosh, remember me talkingabout.
We probably haven't podcastedsince I went to LA to see Mari.
Okay yeah so.
And she, she came home with methe first Thanksgiving from
(02:27):
Tulane so I was like, oh, so itmakes me happy that she's has
friends that yeah reallyconnecting with.
So it's good, so cool, it's allgood and Thanksgiving will have
All.
I think we'll have all six kidsand fiance's and my mom and
Gary, so it'll be a goodpodcasting before thing.
(02:50):
We will, we shall meet again,for we shall meet again.
Yeah, okay, about our foods.
Speaker 1 (02:58):
All right.
Well, today, yeah, we'retalking about.
Speaker 2 (03:04):
I was thinking about this last night when I was
thinking about what we weretalking about today, and I'm
like I wonder if this is gonnabe as interesting to Other
people as it is to me.
Maybe not, but we'll see.
Speaker 1 (03:16):
I know that I get a lot of calls Like when people
are calling to schedule therapyand we have some people that
have no idea About the differenttypes of therapy.
They're lost on who to choosebecause we have so many options
and so many clinicians that usedifferent types of therapies.
And I have other people thatknow exactly what kind of
therapy has worked for them inthe past and they're looking at
(03:36):
somebody that has it.
So this is great because itgives information for those that
are like I don't know where tostart Now that you have to pick
your own therapy, likemodalities but it gives you an
idea of what you're getting intowhen you begin therapy and
sometimes it's important.
Speaker 2 (03:50):
I was talking to one of my favorite people, a friend
from college, and he was talkingabout looking for a therapist
in his area and Was specificallygonna look for somebody that
kind of specializes in ADHD andI was like, yeah, I don't think
that's the modality that youneed right now and I'm kind of
redirecting to, of course, emdrtherapist in his area.
(04:12):
So it does matter in what ittreats and how effective it can
be and kind of what you'retrying to Accomplish right.
Yeah, so All right.
Okay.
So there are loads of differenttypes of therapy.
Some are vastly different fromeverything from the jargon
(04:33):
that's used to the technique, towhat it's really aiming to
treat.
So sometimes I personally thinkthat there are gurus and
whatever that tweak a few things, give it a whole brand new name
, and it's really essentiallythe same thing personally,
that's my and they go oh, I havethis whole new way of doing it.
I'm like you're just basicallyrewriting cognitive behavioral
(04:55):
therapy.
Speaker 1 (04:55):
Yeah.
Speaker 2 (04:56):
But okay.
So this week we're breakingdown some of the more popular
and evidence-based therapyapproaches.
Speaker 1 (05:04):
So, evidence-based.
Speaker 2 (05:05):
We've talked about that a little bit before, but
it's showing.
It's hard to measure, honestly,it's hard to measure how
successful therapies are with adata-driven research.
That is a little bit difficultto do, but we can do it and
there are evidence-basedapproaches, so it's important
(05:27):
that we look at that.
I have some of my favoritesthat I use and then there are
some that I really really thinkhighly of.
I'm not specifically trained inand will refer out like
dialectical behavior therapy.
I use a flavor of that in mywork, but I wouldn't say I am a
(05:48):
DBT trained therapist.
Speaker 1 (05:50):
Okay.
Speaker 2 (05:51):
So some clinicians are really diligent and stay
within the confines of one ortwo modalities.
I know that when I went tograduate school it was really
frowned upon to say, oh, I havean eclectic approach.
I think because they felt likethat was a way of saying that
you're just throwing everythingin the kitchen sink at the
client and that you don't reallyhave a theory-backed approach.
(06:14):
I don't think that's true, yeah.
Speaker 1 (06:17):
I don't either.
Speaker 2 (06:18):
Yeah, after practicing it's a different
thing.
So you need different thingsfor different people.
You really do.
And so, after being in thisfield for 18 years, there are
different approaches that I feelare far more and less effective
, depending on the client, whatthey're presenting, what we're
working on.
There are times that EMDR isjust it's really not an
(06:38):
appropriate approach for what ishappening in the office and
with that client.
But anyways, let's just gothrough and break down what some
of the different ones are.
So the most popularpsychotherapy which is
essentially what I'm saying,that we're just talking, talk
therapy is cognitive behavioraltherapy.
(06:59):
That I would say is and again,this is not like a statistic,
but I would say most widely usedapproach that I know of.
And now we say TF-CBT, sopeople say they practice CBT.
We also do TF-CBT, which istrauma focused cognitive
behavioral therapy, so it's acommon type of talk therapy.
(07:23):
So this is when you're going towork with your mental health
counselor or a psychotherapistor a therapist or whatever in a
structured way.
You're really attending usuallya limited number of sessions.
Cbt's goal is to help you becomeaware of inaccurate or negative
thinking so that you can viewchallenging situations more
(07:47):
clearly and respond to them in amore effective way.
So it's a really helpful tool,either alone or, like I said, in
combination with othertherapies, in treating things
like depression, PTSD, eatingdisorders.
It is a way of looking atcognitive dissonance so your
(08:08):
thoughts and disprovingunhelpful thoughts.
You're challenging your ownthoughts to change your behavior
.
So it can be an effective toolto help people learn how to
better manage stressful lifesituations past traumas.
It's pretty comprehensive, Iwould say, about CBT in general.
Speaker 1 (08:29):
And there's also dialectical behavior therapy,
dbt, which is another populartherapy modality.
It's a structured program ofpsychotherapy with a strong
educational component.
It's designed to provide skillsfor managing intense emotions
and negotiating socialrelationships, so like when
we're talking about emotionalregulations and things like that
(08:51):
we've had Brittany Gordon wason and she was talking about it
in a previous episode so it'soriginally developed to curb
these self-destructive impulsesof chronic like suicidal
patients.
It's also the treatment ofchoice for borderline
personality disorder, emotionaldysregulation and a growing
array of psychiatric conditions.
(09:12):
It does consist of groupinstruction and individual
therapy sessions, so both couldbe conducted weekly for six
months to a year, so it's alittle bit longer time frame.
Speaker 2 (09:25):
And, to be honest, cbt can go longer too.
It just has the abilitycompared to like Freudian
psychodynamic disorder, I guess,is where I started that.
But yeah, go ahead.
Speaker 1 (09:36):
Sorry.
So the dialectic anddialectical behavioral therapy
is an acknowledgement that reallife is complex and health is
not a static thing but anongoing process hammered out
through a continuous Socraticdialogue with the self and
others.
So it's a continually aimed atbalancing opposing forces and
investigating the truth ofpowerful negative emotions.
Speaker 2 (09:58):
So this is where I always use the example.
Sally is a nice girl.
Sally pulled Jill's hair.
Both of those things areallowed to be true at the same
time, and so when people are notparticularly skilled at
emotional regulation, they havea really hard time like
embracing that concept.
Yeah.
Speaker 1 (10:17):
Yeah, it's black or white type thing, Right very
binary way.
Yeah, so it so.
Dbt acknowledges the need forchange in a context of
acceptance of situations andrecognizes the constant flux of
feelings, many of themcontradictory, without having to
get caught up in them.
So therapist teachers helppatients understand and accept
(10:38):
that thought is an inherentlymessy process.
Dbt in itself is an interplayof science and practice.
Mm, hmm.
Speaker 2 (10:46):
Yeah, I really strongly believe in dbt.
Yeah, okay, and the next one isparty party.
So EMDR, I movement,desensitization and reprocessing
.
So we have done a whole podcaston this.
So I'm just going to say like abrief for anybody.
First of all, I would say, ifyou're interested in it, go back
(11:08):
and listen to that episode.
But the in a nutshell, emdr is apsychotherapy that enables
people to heal from symptoms andemotional distress that are the
result of disturbing lifeexperiences.
So this is when we talk about,like trauma, capital T,
lowercase T.
So I like it's really aboutdisturbing life experiences,
(11:31):
because that makes it feel morerelatable to a wider audience.
Yeah, repeated studies showthat by using EMDR therapy,
people can experience thebenefits of psychotherapy that
could, historically, would takeyears to make a difference.
So it's widely assumed thatsevere emotional pain requires a
(11:53):
long time to heal, and EMDRtherapy shows that the mind can
in fact heal from psychologicaltrauma just as much as the body
recovers from physical trauma.
So I like this analogy when youcut your hand, your body works
to close the wound.
If a foreign object or repeatedinjury irritates the wound, it
(12:13):
festers and it causes pain,right.
So once that block is removed,healing resumes.
So EMDR therapy demonstratesthat a similar sequence of
events occurs with mentalprocesses.
So the brain's informationprocessing system naturally
wants to move towards mentalhealth.
So if the system is blocked orimbalanced by the impact of a
(12:36):
disturbing event, the emotionalwound festers and can cause
intense suffering, which we alsocall like trigger right, right
or trigger.
So once the block is removed,the healing resumes the mental
healing resumes.
So EMDR uses a very detailedprotocol and procedure that the
(12:57):
clinicians use to help activatetheir natural healing process.
Yeah, and that's when I seeclients come up with.
They go through the process,they're processing the trauma
and they start to come up withadaptive ways to process and
think about their life andwhat's happened to them.
Speaker 1 (13:19):
Yeah, and spoiler alert.
We're going to do an EMDRsession as an episode in a
couple of weeks.
So people have an idea of whathappens when you're in the
session, like what to expect.
So that would be prettyinteresting.
That'll be my first EMDRsession.
Speaker 2 (13:34):
So we should video it .
Speaker 1 (13:37):
We do video every week no video.
Speaker 2 (13:40):
Don't use it.
Oh, I knew that I'd be doing myhair if I knew that.
Speaker 1 (13:45):
That's why we don't use it Because I'm currently in
bed guys under blanket but yeah,so we're going to do that so we
can use the video.
We will make sure it's the sameday as our photo shoot, so
we're going to be looking good,so we'll be all looking good,
yeah.
Another therapy is calledexposure therapy, and this one's
really interesting.
(14:06):
So it's a psychologicaltreatment that was developed to
help people confront their fears.
So when people are fearful ofsomething, they tend to avoid
the feared object, the activityor the situation.
Although that avoidance mighthelp reduce the feelings of fear
in the short term, over thelong term it can make the fear
even worse.
Right, because you're not doinganything about it.
(14:27):
So in situations, a psychologistmight recommend a program of
exposure therapy in order tohelp break the pattern of
avoidance and fear.
So in this form of therapy,psychologists they create a safe
environment for which to exposeindividuals to the things they
fear and avoid.
The exposure to the fearedobjects, activities and
situations in a safe environmenthelps reduce fear and decrease
(14:51):
the avoidance.
So it's not like you're out inthe wild experiencing these,
you're experiencing them with alicense.
So exposure therapy has beenscientifically demonstrated to
be a helpful treatment ortreatment component for a range
of problems like phobias, panicdisorder, social anxiety
disorder, ocd, post-traumaticstress disorder, generalized
(15:14):
anxiety disorder, and there'sdifferent types of exposure
therapy.
So one's called in vivo, and soan example would be like if
you're scared of a snake, you'regoing to hold the snake.
Speaker 2 (15:26):
Okay, so that's like ooh right.
I know I don't like that one.
Speaker 1 (15:33):
Another one is imaginal.
So someone with PTSD, forexample?
They might be asked to recalland describe his or her
traumatic experience in order toreduce feelings of fear.
So they're not being put inperson, but they're in their
mind, right?
This one's pretty cool Virtualreality.
Speaker 2 (15:52):
This is cool, so that's a good technology.
Speaker 1 (15:54):
So someone with a fear of flying, for example,
might take a virtual realityflight in their counselor's
office right, using equipmentthat provides the sight, sound
and smells of an airplane, butyet you're in a chair, on a
couch.
Speaker 2 (16:10):
So I just had a thought, because I have a client
who's really afraid of flying.
She's getting better but she'svery afraid and she's not ready
to start EMDR because I thinkshe doesn't want to like open
the lid on other things and it'sa couple of times you could try
this.
So what I was thinking is I gotFinn a virtual reality headset
like last Christmas.
(16:31):
I wonder if I could like loadthat program on, because she
wants to do EMDR, and EMDR alsoworks for the same stuff that
exposure therapy targets.
Speaker 1 (16:43):
But for several reasons it's not time, so I want
now this could be like a toadin the in the waiting pool.
You know, by trying the, that'swhat I'm thinking.
Speaker 2 (16:54):
I got to see if I can find the right program.
But yeah, I'm sure that couldhelp you find something.
I'm sure it could.
Speaker 1 (17:02):
And then there's another one.
It's called interceptiveexposure, so someone with like
panic disorder might beinstructed to run in place in
order to make his or her heartrate speed up and therefore
learn that this sensation is notdangerous.
Speaker 2 (17:15):
Mm, hmm, mm hmm.
Speaker 1 (17:17):
So, interesting.
Speaker 2 (17:18):
Yeah, it is interesting, so I'm very excited
.
Now I'm going to try that.
Speaker 1 (17:24):
I've tried one of these exposure therapies on
myself.
They would talk to me when Iwas in high school.
So I don't like mascots.
Everybody knows we've discussedthis.
I do not like mascots and inhigh school a friend of mine she
was the mascot and forhomecoming she had to fight the
other mascot and I was like I'lldo it like you know, because
(17:48):
I'll know I'm the one I'm in thecostume, I know it's me, I know
it's my friend and the otherone.
So I tried to expose myself tothe mascots.
Yeah, it didn't work out.
I needed that license.
Definitely do it under the careof a licensed professional.
Don't try this at home typething.
Speaker 2 (18:07):
So the next one I really love too.
I guess I probably say that now.
But internal family systems, orIFS, this is a cool approach to
psychotherapy that identifiesand addresses multiple sub
personalities or families withineach person's mental system.
(18:28):
Okay, no-transcript.
These sub-personalities consistof wounded parts and painful
emotions, such as anger andshame, and parts that try to
control and protect the personfrom the pain of the wounded
parts.
So, in other words, thesub-personalities are often in
(18:48):
conflict with each other andwith the core self.
So the core self is a conceptthat describes that confident,
compassionate, whole person thatIFS theory is saying is within
the core of every person.
So IFS focuses on healing thewounded parts and restoring
(19:08):
mental balance and harmony bychanging the dynamics that
create the discord among thesub-personalities and the self.
Okay, so this makes it a littlebit, I think, clearer.
So the IFS model is broken downinto three common roles.
So this is what I talk about intherapy when I talk about the
(19:30):
roles that somebody's part isplaying.
So there's the manager.
The managers are the protectiveparts that function to control
people's surroundings and manageemotions and tasks so that
you're navigating your dailylife.
So that's the part of yourmanager self.
Then there's the firefighter.
(19:50):
This is often what is coming upwhen we are in session and
there's been a problem.
The firefighter has beenactivated.
Well, first there's the exile.
Let me explain the exile first.
So exiles are the part thatholds the hurt and the fear and
the shame from early experiences, so they carry around the
(20:13):
difficult emotions and the toughmemories associated with early
distressing experiences.
Okay, so the managers try tokeep the exiles kind of locked
in and contained and hidden fromconscious awareness, because
they want to avoid the distressthey want to avoid, right yeah.
Right.
So, like Melanie Klein wouldsay, like that's probably where
(20:37):
your splitting comes in, whichis a different theory, but
anyways, that's pretty therapist.
That are listening.
So then the firefighter right,those are activated when the
exiles produce overwhelming,painful and threatening emotions
.
So when the exile breakthroughbreaks through and the manager
(20:58):
can't manage it, right, thefirefighter aims to inhibit
those difficult emotions by anymeans necessary.
That's looking like substanceabuse, binge eating, binge
eating, things like that.
Yeah so here's like an example.
An exiled part may be thetrauma or the anger of an
earlier abuse, so emotions arethen suppressed by the manager.
(21:20):
And then the firefighter may bethe alcohol addiction, gambling
, you know those types ofbehaviors that distract the
person from facing andre-experiencing those difficult
emotions.
So, in the theory of IFS, itsays that everyone has a core
self, a genuine self that'swaiting to be accessed.
(21:43):
Okay, so the self can identify,observe and help these parts
become less extreme and moreproductive so that they can all
coexist within.
Speaker 1 (21:54):
Okay, that's interesting.
Speaker 2 (21:56):
It's really fascinating when I think about
it, like I've never practiced aJungian approach for therapy,
but it feels like Jungian to me.
Yeah, a more manageable,adaptable way of looking at
Jungian, although people whopractice Jungian might feel like
(22:18):
that's very manageable.
I'm just not skilled in that,but yeah, but it feels a little
bit like that when I think aboutIFS.
Speaker 1 (22:27):
But this next one you are skilled in because we talk
about it all the time yes,mentalization based therapy.
So mindfulness, right, we?
Talk about mindfulness all thetime.
So mindfulness therapy is atype of talk therapy that
focuses on learning how to bemore aware of your thoughts,
your feelings, your emotions,your surroundings, situations,
and to reduce automaticresponses to those.
(22:47):
It's so good.
Speaker 2 (22:49):
It should be used in all therapy, just in life, and
it's the thing that you canreally just take away and do on
your own.
You know, it's such a greatskill and then, there's
psychodynamic psychotherapy, sonow we're reaching back to the
days of Freud.
Okay so I would also say aboutthis I do not feel like many
(23:16):
people across the countrypractice really psychodynamic
psychotherapy as much I would.
I think we really lean intocognitive behavioral therapy
more often.
I was listening to a podcastthis morning maybe, like
probably armchair expert alwaysI'm always listening to that and
(23:39):
it was a parenting expert and Idon't remember her name right
now and she actually was talkingabout being trained in it and
that in New York City there's alot more practitioners that use
psychodynamic.
Oh wow, yeah, so so it didoriginate from the work of Freud
.
So it is a form of talk therapythat explores the connection
between a patient's pastexperiences, often from
(24:01):
childhood, and their currentmindset.
So psychodynamic therapyfocuses on unconscious processes
as they are manifested in theclient's present behavior.
So the goals are reallyself-awareness and understanding
of the influence of the past onpresent behavior.
Okay, from what I and I knowpeople who were trained really
(24:24):
specifically in psychodynamic,when I went to graduate school
which, to age myself here, was2003 to 2005.
Is that right?
That's right we were stillreally discussing it a lot.
I don't know that they'rediscussing it as much now in
graduate school.
I think that there's a lot moreemphasis on CBT and TSCBT.
Speaker 1 (24:46):
Yeah, my favorite therapy therapy pets.
We love them.
Yes, so whether you'restruggling with depression or
fighting a more physicalcondition, you know that happy
feeling for any amount of timeis invaluable, that it can be a
tough state to attain.
However, you might see theimproved health and outlook you
(25:08):
need through pet therapy.
Yes, right, so therapeuticvisitation of pet doesn't
necessarily have to be trainedas a therapy pet.
Speaker 2 (25:19):
Her name is Mahi.
Speaker 1 (25:22):
Brody and Chandler.
Very common form of pet therapyis typically for patients
currently residing in like ahospital or a medical care
facility for an extended periodof time.
Healing can be a lonely processand seeking a familiar and
unconditionally loving for aface can provide substantial
stress, emotional and evenphysical relief.
(25:46):
And I know people see thesevideos all the time where people
bring the dogs, the goldretrievers, to the hospitals for
like cancer patients even orthings like that, and they're
like they're just getting thattime to like love and have have
all of that like love back onthem and I think it's that's so
much for somebody's you know,somebody's heart and soul.
Speaker 2 (26:04):
So it does so much for my heart and soul Just
watching the videos on Tik Tok.
Speaker 1 (26:08):
Yeah, absolutely.
You want to talk about theother types of therapy pets as
well, yes, so there's.
Speaker 2 (26:15):
There's animal assisted therapy, so these are
really trained right.
And dogs, sometimes cats, thattypically reside with a physical
, mental or occupationaltherapist in order to assist
patients.
Yeah, this is what Mahi wassupposed to be and it didn't
work.
But anyways, animal assistedtherapy a patient can enjoy the
(26:38):
company of the pet and find theprocess of petting very
therapeutic.
So you have a very well trainedpet that will be on the couch
and it really helps with anxiety.
It helps with people who arerecovering from chronic illness
or injury.
So it's just the and I think Idon't know the statistic, but I
(26:58):
think like the just the processof petting an animal like
releases dopamine in our ownbodies.
I probably just got up, but Ifeel like I read somewhere and I
believe it.
Speaker 1 (27:10):
I feel like that too and I feel like also, like,
maybe, like, if you're petting adog during your therapy session
, maybe it helps you get out ofyour head.
Yeah, like that head spacingyou're trying to work to get out
of anyways, yeah, it can't beoccupied.
I know Maybe there's alsoservice dogs.
So service dogs are highlytrained in performing specific
(27:33):
tasks and recognizing uniquecalls and tell so that they can
provide assistance to physicallyimpaired individuals.
So like visually impaired, youknow, hearing impaired, diabetic
, yeah, what are my favoritepeople in the whole world?
Speaker 2 (27:50):
My aunt Shirley, who's been friends with my mom
since forever and just I loveher and her husband Sam, so much
.
But she has always raised Idon't know how many I want to
say she's done like 19, thepuppy stage where she takes the
service dog and then she andthere's been a couple dogs that
they haven't made it into thenext part, so she's been able to
(28:13):
keep them as her personal dog,but it's really amazing.
And then our last lab that wehad, Chewy.
We Chewy was like two years in,ready to be a service dog, and
he was afraid of fire and thechange of elevation.
I know Chew, Chew.
(28:36):
So we got him when he was twoand I mean he was the best, like
most well behaved.
I mean we ruined him Like wemade him fat and he did not
remember any of the coming hands, because he's our dog and we
just make all of our dogs fat.
Oh then my Pilates teacher thismorning, by the way, said that
she, she goes.
(28:56):
I've never really struggledwith my weight, I just don't
carry around as much energy asother people.
And I was like, are you sayingthat fat is energy?
And she goes it is, it's juststored energy, and I was like.
I'm going to be like I have somuch energy I can't get into my
pants right now.
There you go, Don't?
I don't know, my ADHD just gotahold of me there.
(29:18):
But anyways, back to Chewy.
Chewy was this amazing, amazingdog that was like, so well
trained I just yes.
So service dogs are reallyawesome, important.
Speaker 1 (29:35):
And there's a difference between a servant's
dog and then an emotionalsupport animal.
So depression and similarconditions can be absolutely
debilitating.
We're not saying that it's notSome of the source of unwavering
attention.
Love and cuddles can do so verymuch for those suffering from
mental complications.
Emotional support pets havebeen found to help with
depression, phobias, ptsd, panicattacks, etc.
(29:59):
Generally, the role of anemotional support animal is
given to cats and dogs, butpocket pets like little kitties
and things like that and evenmore exotic options have been
successful as well.
That's awesome.
Speaker 2 (30:13):
I love it.
Speaker 1 (30:16):
I know somebody that has a son, that he has ADHD and
he raises little not guinea pigs.
What are the little ones?
Hamsters?
Yeah, he has noticed a calmnesswhen he is doing all the things
he's supposed to for hishamsters.
Speaker 2 (30:36):
Oh I love it.
Speaker 1 (30:38):
Emotional support animals, because it really helps
center him.
That's awesome, so that's socool.
Yeah, so I think that's myfavorite therapy animal, yeah.
Speaker 2 (30:49):
Yes, for sure.
I know People are always likedo you write letters for
emotional support animals?
I'm like yes, I do.
Yeah, come see me?
Speaker 1 (30:58):
Yes, I will.
Speaker 2 (30:59):
Come see me.
Speaker 1 (31:01):
I actually so Brody.
Well, he doesn't do it nowbecause he's old and he has
dementia.
But I don't have listeners,know.
But I wear hearing aids andwhen I first got him I lived by
myself in an apartment and I wasalways so worried that I wasn't
going to hear somebody break inor whatever, and my apartment
was like no animals.
(31:22):
But you could, you could getlike a doctor to write a note
for for you to have one, and myhearing doctor actually wrote me
a note so that my dog could bewith me.
He wasn't trained, trained, buthe got the job done.
You know, would come and get meand like wake me up.
You know that is trained.
Yeah, I mean, I trained him buthe wasn't like right, like
(31:45):
officially.
Speaker 2 (31:46):
Yeah, he was like classically trained therapy.
Speaker 1 (31:49):
Now he has dementia, so he doesn't care about nobody
else but he's in his own worldnow.
But when he was younger he wasreally good at it, so it did
help, but classically trained,that's like a pianist in it,
anyways.
Okay, so that's the informationfor today.
Speaker 2 (32:08):
That's what we have today.
That's all we got today, but wedo have an answering answer.
Speaker 1 (32:11):
Okay, what do we have ?
Speaker 2 (32:14):
So it's just an anonymous.
Classically trained.
Speaker 1 (32:17):
Yes, he was classically trained, so
anonymous, wrote in and they sayI have an addiction to gambling
lottery tickets, casinos,sporting events.
This has significantly,significantly strained my
marriage.
Any advice on how to stop?
I do not want to lose my wifein 22 years.
Speaker 2 (32:35):
Yeah, so we were actually just talking about IFS
and the firefighter, right.
So we're looking at things thecompensatory but problematic
behaviors like gambling and anyaddiction.
What is it covering up?
So my first advice is I meanjust trying to stop.
(32:56):
You probably just tried to stopcold turkey and that hasn't
been effective, so find yourselfa therapist in your area.
I would always suggest findingsomebody who's trained in EMDR
as well, just because I thinkthat's such a great modality but
anybody and then going toGambler's Anonymous, so that you
are meeting other people whohave the same struggle and
(33:18):
you're sitting in a room withpeople who can give you ideas of
what they've done and theirpath, to see through it and then
be really transparent, startingnow with your wife, about what
you're planning to do to rectifythis and to look more deeply
(33:41):
into why this behavior is stillhappening right, absolutely,
yeah, and I mean, I think thatthe groups going to Gambler's
Anonymous is really productivebecause it has other people that
are experiencing the samethings or have experienced the
same things, and you can keepeach other accountable as well.
Speaker 1 (33:59):
Yeah, and if you keep going to those meetings, you're
going to keep yourself moreaccountable on your own too.
So that's really important.
But, yeah, I agree, good luck,good luck, okay.
Well, thank you to ourlisteners for joining us today.
If you've enjoyed today'sepisode, please leave us a
review on Apple Podcasts.
This will help us move up thechart and be more accessible to
new listeners.
(34:19):
You can always follow us onInstagram and Facebook.
Those will be linked below.
If you have a question for ourAsk and Answer segment, email us
at askusatspillingthetheritycom.
Don't forget to check out ourwebsite, which is also linked
below.
We're going to continue to addresources and information there
as well.
I hope everyone has a greatweekend.
We are your host, kathy DanMoore, in Jaisaloo and join us
(34:42):
next time where we will bediscussing forgiveness.
Speaker 2 (34:45):
We'll be breaking it down one sip at a time.
Welcome back to spilling the fair tea with
therapist Kathy Dan Moore andgrief coach just slow.
Hey, kathy Dan.
Speaker 2 (00:05):
Hey Jess, you look like you're maxing and relaxing
over there.
I am.
Speaker 1 (00:10):
This is called bed bedside sessions, just as we
come at my sisters in Birmingham, and so I'm in the guest room
podcasting today because herpups are downstairs and they're
loud.
Yeah, that's good.
So yeah, so I came up last oryesterday morning Super early,
(00:30):
but we have a concert tonight,the need to breathe, which I
still haven't seen.
The music.
I'm gonna send you those.
Speaker 2 (00:35):
Yeah, I'm so out of touch with music.
Speaker 1 (00:39):
Yeah, they're like they're like I would say like
Rock, but like not likeMetallica rock, more like 90s
grunge, but not 90s.
But then they also do some likeChristian songs, but it's still
rock.
I it's hard to like explain.
Speaker 2 (00:59):
Yeah, you're gonna have to send it to me.
I have no idea what you'retalking about.
Yeah, what you got going onawesome, lily comes home Friday,
yay, so I'm super excited forthat.
I was just sending her somethings to do.
They have this thing calledsanding ovations out On I think
(01:23):
it's on St Pete Beach, wherethey have all these like sand
castles and stuff, and I'venever been to it.
So I just sent her that to seeand she was like, yeah, she sent
me this cute little like memeof this kid.
Yeah, I'm their mind.
She's excited to come home.
I got That'll be, fun and she'scoming home.
She is driving some kids homeand she'll have her roommate
(01:46):
With her, who lives in Miami,and so Gabby'll stay with us
Friday night and Saturday andthen fly.
She'll fly home Saturday nightand then her other buddy, alexa,
will be flying in from TexasNext Friday and staying with us
for a night, so you know itwarms a mother's heart when you
(02:06):
know she's like and they'remaking these like really
valuable connections yeah andit's so funny You're making
yourself too.
Oh my gosh, remember me talkingabout.
We probably haven't podcastedsince I went to LA to see Mari.
Okay yeah so.
And she, she came home with methe first Thanksgiving from
(02:27):
Tulane so I was like, oh, so itmakes me happy that she's has
friends that yeah reallyconnecting with.
So it's good, so cool, it's allgood and Thanksgiving will have
All.
I think we'll have all six kidsand fiance's and my mom and
Gary, so it'll be a goodpodcasting before thing.
(02:50):
We will, we shall meet again,for we shall meet again.
Yeah, okay, about our foods.
Speaker 1 (02:58):
All right.
Well, today, yeah, we'retalking about.
Speaker 2 (03:04):
I was thinking about this last night when I was
thinking about what we weretalking about today, and I'm
like I wonder if this is gonnabe as interesting to Other
people as it is to me.
Maybe not, but we'll see.
Speaker 1 (03:16):
I know that I get a lot of calls Like when people
are calling to schedule therapyand we have some people that
have no idea About the differenttypes of therapy.
They're lost on who to choosebecause we have so many options
and so many clinicians that usedifferent types of therapies.
And I have other people thatknow exactly what kind of
therapy has worked for them inthe past and they're looking at
(03:36):
somebody that has it.
So this is great because itgives information for those that
are like I don't know where tostart Now that you have to pick
your own therapy, likemodalities but it gives you an
idea of what you're getting intowhen you begin therapy and
sometimes it's important.
Speaker 2 (03:50):
I was talking to one of my favorite people, a friend
from college, and he was talkingabout looking for a therapist
in his area and Was specificallygonna look for somebody that
kind of specializes in ADHD andI was like, yeah, I don't think
that's the modality that youneed right now and I'm kind of
redirecting to, of course, emdrtherapist in his area.
(04:12):
So it does matter in what ittreats and how effective it can
be and kind of what you'retrying to Accomplish right.
Yeah, so All right.
Okay.
So there are loads of differenttypes of therapy.
Some are vastly different fromeverything from the jargon
(04:33):
that's used to the technique, towhat it's really aiming to
treat.
So sometimes I personally thinkthat there are gurus and
whatever that tweak a few things, give it a whole brand new name
, and it's really essentiallythe same thing personally,
that's my and they go oh, I havethis whole new way of doing it.
I'm like you're just basicallyrewriting cognitive behavioral
(04:55):
therapy.
Speaker 1 (04:55):
Yeah.
Speaker 2 (04:56):
But okay.
So this week we're breakingdown some of the more popular
and evidence-based therapyapproaches.
Speaker 1 (05:04):
So, evidence-based.
Speaker 2 (05:05):
We've talked about that a little bit before, but
it's showing.
It's hard to measure, honestly,it's hard to measure how
successful therapies are with adata-driven research.
That is a little bit difficultto do, but we can do it and
there are evidence-basedapproaches, so it's important
(05:27):
that we look at that.
I have some of my favoritesthat I use and then there are
some that I really really thinkhighly of.
I'm not specifically trained inand will refer out like
dialectical behavior therapy.
I use a flavor of that in mywork, but I wouldn't say I am a
(05:48):
DBT trained therapist.
Speaker 1 (05:50):
Okay.
Speaker 2 (05:51):
So some clinicians are really diligent and stay
within the confines of one ortwo modalities.
I know that when I went tograduate school it was really
frowned upon to say, oh, I havean eclectic approach.
I think because they felt likethat was a way of saying that
you're just throwing everythingin the kitchen sink at the
client and that you don't reallyhave a theory-backed approach.
(06:14):
I don't think that's true, yeah.
Speaker 1 (06:17):
I don't either.
Speaker 2 (06:18):
Yeah, after practicing it's a different
thing.
So you need different thingsfor different people.
You really do.
And so, after being in thisfield for 18 years, there are
different approaches that I feelare far more and less effective
, depending on the client, whatthey're presenting, what we're
working on.
There are times that EMDR isjust it's really not an
(06:38):
appropriate approach for what ishappening in the office and
with that client.
But anyways, let's just gothrough and break down what some
of the different ones are.
So the most popularpsychotherapy which is
essentially what I'm saying,that we're just talking, talk
therapy is cognitive behavioraltherapy.
(06:59):
That I would say is and again,this is not like a statistic,
but I would say most widely usedapproach that I know of.
And now we say TF-CBT, sopeople say they practice CBT.
We also do TF-CBT, which istrauma focused cognitive
behavioral therapy, so it's acommon type of talk therapy.
(07:23):
So this is when you're going towork with your mental health
counselor or a psychotherapistor a therapist or whatever in a
structured way.
You're really attending usuallya limited number of sessions.
Cbt's goal is to help you becomeaware of inaccurate or negative
thinking so that you can viewchallenging situations more
(07:47):
clearly and respond to them in amore effective way.
So it's a really helpful tool,either alone or, like I said, in
combination with othertherapies, in treating things
like depression, PTSD, eatingdisorders.
It is a way of looking atcognitive dissonance so your
(08:08):
thoughts and disprovingunhelpful thoughts.
You're challenging your ownthoughts to change your behavior
.
So it can be an effective toolto help people learn how to
better manage stressful lifesituations past traumas.
It's pretty comprehensive, Iwould say, about CBT in general.
Speaker 1 (08:29):
And there's also dialectical behavior therapy,
dbt, which is another populartherapy modality.
It's a structured program ofpsychotherapy with a strong
educational component.
It's designed to provide skillsfor managing intense emotions
and negotiating socialrelationships, so like when
we're talking about emotionalregulations and things like that
(08:51):
we've had Brittany Gordon wason and she was talking about it
in a previous episode so it'soriginally developed to curb
these self-destructive impulsesof chronic like suicidal
patients.
It's also the treatment ofchoice for borderline
personality disorder, emotionaldysregulation and a growing
array of psychiatric conditions.
(09:12):
It does consist of groupinstruction and individual
therapy sessions, so both couldbe conducted weekly for six
months to a year, so it's alittle bit longer time frame.
Speaker 2 (09:25):
And, to be honest, cbt can go longer too.
It just has the abilitycompared to like Freudian
psychodynamic disorder, I guess,is where I started that.
But yeah, go ahead.
Speaker 1 (09:36):
Sorry.
So the dialectic anddialectical behavioral therapy
is an acknowledgement that reallife is complex and health is
not a static thing but anongoing process hammered out
through a continuous Socraticdialogue with the self and
others.
So it's a continually aimed atbalancing opposing forces and
investigating the truth ofpowerful negative emotions.
Speaker 2 (09:58):
So this is where I always use the example.
Sally is a nice girl.
Sally pulled Jill's hair.
Both of those things areallowed to be true at the same
time, and so when people are notparticularly skilled at
emotional regulation, they havea really hard time like
embracing that concept.
Yeah.
Speaker 1 (10:17):
Yeah, it's black or white type thing, Right very
binary way.
Yeah, so it so.
Dbt acknowledges the need forchange in a context of
acceptance of situations andrecognizes the constant flux of
feelings, many of themcontradictory, without having to
get caught up in them.
So therapist teachers helppatients understand and accept
(10:38):
that thought is an inherentlymessy process.
Dbt in itself is an interplayof science and practice.
Mm, hmm.
Speaker 2 (10:46):
Yeah, I really strongly believe in dbt.
Yeah, okay, and the next one isparty party.
So EMDR, I movement,desensitization and reprocessing
.
So we have done a whole podcaston this.
So I'm just going to say like abrief for anybody.
First of all, I would say, ifyou're interested in it, go back
(11:08):
and listen to that episode.
But the in a nutshell, emdr is apsychotherapy that enables
people to heal from symptoms andemotional distress that are the
result of disturbing lifeexperiences.
So this is when we talk about,like trauma, capital T,
lowercase T.
So I like it's really aboutdisturbing life experiences,
(11:31):
because that makes it feel morerelatable to a wider audience.
Yeah, repeated studies showthat by using EMDR therapy,
people can experience thebenefits of psychotherapy that
could, historically, would takeyears to make a difference.
So it's widely assumed thatsevere emotional pain requires a
(11:53):
long time to heal, and EMDRtherapy shows that the mind can
in fact heal from psychologicaltrauma just as much as the body
recovers from physical trauma.
So I like this analogy when youcut your hand, your body works
to close the wound.
If a foreign object or repeatedinjury irritates the wound, it
(12:13):
festers and it causes pain,right.
So once that block is removed,healing resumes.
So EMDR therapy demonstratesthat a similar sequence of
events occurs with mentalprocesses.
So the brain's informationprocessing system naturally
wants to move towards mentalhealth.
So if the system is blocked orimbalanced by the impact of a
(12:36):
disturbing event, the emotionalwound festers and can cause
intense suffering, which we alsocall like trigger right, right
or trigger.
So once the block is removed,the healing resumes the mental
healing resumes.
So EMDR uses a very detailedprotocol and procedure that the
(12:57):
clinicians use to help activatetheir natural healing process.
Yeah, and that's when I seeclients come up with.
They go through the process,they're processing the trauma
and they start to come up withadaptive ways to process and
think about their life andwhat's happened to them.
Speaker 1 (13:19):
Yeah, and spoiler alert.
We're going to do an EMDRsession as an episode in a
couple of weeks.
So people have an idea of whathappens when you're in the
session, like what to expect.
So that would be prettyinteresting.
That'll be my first EMDRsession.
Speaker 2 (13:34):
So we should video it .
Speaker 1 (13:37):
We do video every week no video.
Speaker 2 (13:40):
Don't use it.
Oh, I knew that I'd be doing myhair if I knew that.
Speaker 1 (13:45):
That's why we don't use it Because I'm currently in
bed guys under blanket but yeah,so we're going to do that so we
can use the video.
We will make sure it's the sameday as our photo shoot, so
we're going to be looking good,so we'll be all looking good,
yeah.
Another therapy is calledexposure therapy, and this one's
really interesting.
(14:06):
So it's a psychologicaltreatment that was developed to
help people confront their fears.
So when people are fearful ofsomething, they tend to avoid
the feared object, the activityor the situation.
Although that avoidance mighthelp reduce the feelings of fear
in the short term, over thelong term it can make the fear
even worse.
Right, because you're not doinganything about it.
(14:27):
So in situations, a psychologistmight recommend a program of
exposure therapy in order tohelp break the pattern of
avoidance and fear.
So in this form of therapy,psychologists they create a safe
environment for which to exposeindividuals to the things they
fear and avoid.
The exposure to the fearedobjects, activities and
situations in a safe environmenthelps reduce fear and decrease
(14:51):
the avoidance.
So it's not like you're out inthe wild experiencing these,
you're experiencing them with alicense.
So exposure therapy has beenscientifically demonstrated to
be a helpful treatment ortreatment component for a range
of problems like phobias, panicdisorder, social anxiety
disorder, ocd, post-traumaticstress disorder, generalized
(15:14):
anxiety disorder, and there'sdifferent types of exposure
therapy.
So one's called in vivo, and soan example would be like if
you're scared of a snake, you'regoing to hold the snake.
Speaker 2 (15:26):
Okay, so that's like ooh right.
I know I don't like that one.
Speaker 1 (15:33):
Another one is imaginal.
So someone with PTSD, forexample?
They might be asked to recalland describe his or her
traumatic experience in order toreduce feelings of fear.
So they're not being put inperson, but they're in their
mind, right?
This one's pretty cool Virtualreality.
Speaker 2 (15:52):
This is cool, so that's a good technology.
Speaker 1 (15:54):
So someone with a fear of flying, for example,
might take a virtual realityflight in their counselor's
office right, using equipmentthat provides the sight, sound
and smells of an airplane, butyet you're in a chair, on a
couch.
Speaker 2 (16:10):
So I just had a thought, because I have a client
who's really afraid of flying.
She's getting better but she'svery afraid and she's not ready
to start EMDR because I thinkshe doesn't want to like open
the lid on other things and it'sa couple of times you could try
this.
So what I was thinking is I gotFinn a virtual reality headset
like last Christmas.
(16:31):
I wonder if I could like loadthat program on, because she
wants to do EMDR, and EMDR alsoworks for the same stuff that
exposure therapy targets.
Speaker 1 (16:43):
But for several reasons it's not time, so I want
now this could be like a toadin the in the waiting pool.
You know, by trying the, that'swhat I'm thinking.
Speaker 2 (16:54):
I got to see if I can find the right program.
But yeah, I'm sure that couldhelp you find something.
I'm sure it could.
Speaker 1 (17:02):
And then there's another one.
It's called interceptiveexposure, so someone with like
panic disorder might beinstructed to run in place in
order to make his or her heartrate speed up and therefore
learn that this sensation is notdangerous.
Speaker 2 (17:15):
Mm, hmm, mm hmm.
Speaker 1 (17:17):
So, interesting.
Speaker 2 (17:18):
Yeah, it is interesting, so I'm very excited
.
Now I'm going to try that.
Speaker 1 (17:24):
I've tried one of these exposure therapies on
myself.
They would talk to me when Iwas in high school.
So I don't like mascots.
Everybody knows we've discussedthis.
I do not like mascots and inhigh school a friend of mine she
was the mascot and forhomecoming she had to fight the
other mascot and I was like I'lldo it like you know, because
(17:48):
I'll know I'm the one I'm in thecostume, I know it's me, I know
it's my friend and the otherone.
So I tried to expose myself tothe mascots.
Yeah, it didn't work out.
I needed that license.
Definitely do it under the careof a licensed professional.
Don't try this at home typething.
Speaker 2 (18:07):
So the next one I really love too.
I guess I probably say that now.
But internal family systems, orIFS, this is a cool approach to
psychotherapy that identifiesand addresses multiple sub
personalities or families withineach person's mental system.
(18:28):
Okay, no-transcript.
These sub-personalities consistof wounded parts and painful
emotions, such as anger andshame, and parts that try to
control and protect the personfrom the pain of the wounded
parts.
So, in other words, thesub-personalities are often in
(18:48):
conflict with each other andwith the core self.
So the core self is a conceptthat describes that confident,
compassionate, whole person thatIFS theory is saying is within
the core of every person.
So IFS focuses on healing thewounded parts and restoring
(19:08):
mental balance and harmony bychanging the dynamics that
create the discord among thesub-personalities and the self.
Okay, so this makes it a littlebit, I think, clearer.
So the IFS model is broken downinto three common roles.
So this is what I talk about intherapy when I talk about the
(19:30):
roles that somebody's part isplaying.
So there's the manager.
The managers are the protectiveparts that function to control
people's surroundings and manageemotions and tasks so that
you're navigating your dailylife.
So that's the part of yourmanager self.
Then there's the firefighter.
(19:50):
This is often what is coming upwhen we are in session and
there's been a problem.
The firefighter has beenactivated.
Well, first there's the exile.
Let me explain the exile first.
So exiles are the part thatholds the hurt and the fear and
the shame from early experiences, so they carry around the
(20:13):
difficult emotions and the toughmemories associated with early
distressing experiences.
Okay, so the managers try tokeep the exiles kind of locked
in and contained and hidden fromconscious awareness, because
they want to avoid the distressthey want to avoid, right yeah.
Right.
So, like Melanie Klein wouldsay, like that's probably where
(20:37):
your splitting comes in, whichis a different theory, but
anyways, that's pretty therapist.
That are listening.
So then the firefighter right,those are activated when the
exiles produce overwhelming,painful and threatening emotions
.
So when the exile breakthroughbreaks through and the manager
(20:58):
can't manage it, right, thefirefighter aims to inhibit
those difficult emotions by anymeans necessary.
That's looking like substanceabuse, binge eating, binge
eating, things like that.
Yeah so here's like an example.
An exiled part may be thetrauma or the anger of an
earlier abuse, so emotions arethen suppressed by the manager.
(21:20):
And then the firefighter may bethe alcohol addiction, gambling
, you know those types ofbehaviors that distract the
person from facing andre-experiencing those difficult
emotions.
So, in the theory of IFS, itsays that everyone has a core
self, a genuine self that'swaiting to be accessed.
(21:43):
Okay, so the self can identify,observe and help these parts
become less extreme and moreproductive so that they can all
coexist within.
Speaker 1 (21:54):
Okay, that's interesting.
Speaker 2 (21:56):
It's really fascinating when I think about
it, like I've never practiced aJungian approach for therapy,
but it feels like Jungian to me.
Yeah, a more manageable,adaptable way of looking at
Jungian, although people whopractice Jungian might feel like
(22:18):
that's very manageable.
I'm just not skilled in that,but yeah, but it feels a little
bit like that when I think aboutIFS.
Speaker 1 (22:27):
But this next one you are skilled in because we talk
about it all the time yes,mentalization based therapy.
So mindfulness, right, we?
Talk about mindfulness all thetime.
So mindfulness therapy is atype of talk therapy that
focuses on learning how to bemore aware of your thoughts,
your feelings, your emotions,your surroundings, situations,
and to reduce automaticresponses to those.
(22:47):
It's so good.
Speaker 2 (22:49):
It should be used in all therapy, just in life, and
it's the thing that you canreally just take away and do on
your own.
You know, it's such a greatskill and then, there's
psychodynamic psychotherapy, sonow we're reaching back to the
days of Freud.
Okay so I would also say aboutthis I do not feel like many
(23:16):
people across the countrypractice really psychodynamic
psychotherapy as much I would.
I think we really lean intocognitive behavioral therapy
more often.
I was listening to a podcastthis morning maybe, like
probably armchair expert alwaysI'm always listening to that and
(23:39):
it was a parenting expert and Idon't remember her name right
now and she actually was talkingabout being trained in it and
that in New York City there's alot more practitioners that use
psychodynamic.
Oh wow, yeah, so so it didoriginate from the work of Freud
.
So it is a form of talk therapythat explores the connection
between a patient's pastexperiences, often from
(24:01):
childhood, and their currentmindset.
So psychodynamic therapyfocuses on unconscious processes
as they are manifested in theclient's present behavior.
So the goals are reallyself-awareness and understanding
of the influence of the past onpresent behavior.
Okay, from what I and I knowpeople who were trained really
(24:24):
specifically in psychodynamic,when I went to graduate school
which, to age myself here, was2003 to 2005.
Is that right?
That's right we were stillreally discussing it a lot.
I don't know that they'rediscussing it as much now in
graduate school.
I think that there's a lot moreemphasis on CBT and TSCBT.
Speaker 1 (24:46):
Yeah, my favorite therapy therapy pets.
We love them.
Yes, so whether you'restruggling with depression or
fighting a more physicalcondition, you know that happy
feeling for any amount of timeis invaluable, that it can be a
tough state to attain.
However, you might see theimproved health and outlook you
(25:08):
need through pet therapy.
Yes, right, so therapeuticvisitation of pet doesn't
necessarily have to be trainedas a therapy pet.
Speaker 2 (25:19):
Her name is Mahi.
Speaker 1 (25:22):
Brody and Chandler.
Very common form of pet therapyis typically for patients
currently residing in like ahospital or a medical care
facility for an extended periodof time.
Healing can be a lonely processand seeking a familiar and
unconditionally loving for aface can provide substantial
stress, emotional and evenphysical relief.
(25:46):
And I know people see thesevideos all the time where people
bring the dogs, the goldretrievers, to the hospitals for
like cancer patients even orthings like that, and they're
like they're just getting thattime to like love and have have
all of that like love back onthem and I think it's that's so
much for somebody's you know,somebody's heart and soul.
Speaker 2 (26:04):
So it does so much for my heart and soul Just
watching the videos on Tik Tok.
Speaker 1 (26:08):
Yeah, absolutely.
You want to talk about theother types of therapy pets as
well, yes, so there's.
Speaker 2 (26:15):
There's animal assisted therapy, so these are
really trained right.
And dogs, sometimes cats, thattypically reside with a physical
, mental or occupationaltherapist in order to assist
patients.
Yeah, this is what Mahi wassupposed to be and it didn't
work.
But anyways, animal assistedtherapy a patient can enjoy the
(26:38):
company of the pet and find theprocess of petting very
therapeutic.
So you have a very well trainedpet that will be on the couch
and it really helps with anxiety.
It helps with people who arerecovering from chronic illness
or injury.
So it's just the and I think Idon't know the statistic, but I
(26:58):
think like the just the processof petting an animal like
releases dopamine in our ownbodies.
I probably just got up, but Ifeel like I read somewhere and I
believe it.
Speaker 1 (27:10):
I feel like that too and I feel like also, like,
maybe, like, if you're petting adog during your therapy session
, maybe it helps you get out ofyour head.
Yeah, like that head spacingyou're trying to work to get out
of anyways, yeah, it can't beoccupied.
I know Maybe there's alsoservice dogs.
So service dogs are highlytrained in performing specific
(27:33):
tasks and recognizing uniquecalls and tell so that they can
provide assistance to physicallyimpaired individuals.
So like visually impaired, youknow, hearing impaired, diabetic
, yeah, what are my favoritepeople in the whole world?
Speaker 2 (27:50):
My aunt Shirley, who's been friends with my mom
since forever and just I loveher and her husband Sam, so much
.
But she has always raised Idon't know how many I want to
say she's done like 19, thepuppy stage where she takes the
service dog and then she andthere's been a couple dogs that
they haven't made it into thenext part, so she's been able to
(28:13):
keep them as her personal dog,but it's really amazing.
And then our last lab that wehad, Chewy.
We Chewy was like two years in,ready to be a service dog, and
he was afraid of fire and thechange of elevation.
I know Chew, Chew.
(28:36):
So we got him when he was twoand I mean he was the best, like
most well behaved.
I mean we ruined him Like wemade him fat and he did not
remember any of the coming hands, because he's our dog and we
just make all of our dogs fat.
Oh then my Pilates teacher thismorning, by the way, said that
she, she goes.
(28:56):
I've never really struggledwith my weight, I just don't
carry around as much energy asother people.
And I was like, are you sayingthat fat is energy?
And she goes it is, it's juststored energy, and I was like.
I'm going to be like I have somuch energy I can't get into my
pants right now.
There you go, Don't?
I don't know, my ADHD just gotahold of me there.
(29:18):
But anyways, back to Chewy.
Chewy was this amazing, amazingdog that was like, so well
trained I just yes.
So service dogs are reallyawesome, important.
Speaker 1 (29:35):
And there's a difference between a servant's
dog and then an emotionalsupport animal.
So depression and similarconditions can be absolutely
debilitating.
We're not saying that it's notSome of the source of unwavering
attention.
Love and cuddles can do so verymuch for those suffering from
mental complications.
Emotional support pets havebeen found to help with
depression, phobias, ptsd, panicattacks, etc.
(29:59):
Generally, the role of anemotional support animal is
given to cats and dogs, butpocket pets like little kitties
and things like that and evenmore exotic options have been
successful as well.
That's awesome.
Speaker 2 (30:13):
I love it.
Speaker 1 (30:16):
I know somebody that has a son, that he has ADHD and
he raises little not guinea pigs.
What are the little ones?
Hamsters?
Yeah, he has noticed a calmnesswhen he is doing all the things
he's supposed to for hishamsters.
Speaker 2 (30:36):
Oh I love it.
Speaker 1 (30:38):
Emotional support animals, because it really helps
center him.
That's awesome, so that's socool.
Yeah, so I think that's myfavorite therapy animal, yeah.
Speaker 2 (30:49):
Yes, for sure.
I know People are always likedo you write letters for
emotional support animals?
I'm like yes, I do.
Yeah, come see me?
Speaker 1 (30:58):
Yes, I will.
Speaker 2 (30:59):
Come see me.
Speaker 1 (31:01):
I actually so Brody.
Well, he doesn't do it nowbecause he's old and he has
dementia.
But I don't have listeners,know.
But I wear hearing aids andwhen I first got him I lived by
myself in an apartment and I wasalways so worried that I wasn't
going to hear somebody break inor whatever, and my apartment
was like no animals.
(31:22):
But you could, you could getlike a doctor to write a note
for for you to have one, and myhearing doctor actually wrote me
a note so that my dog could bewith me.
He wasn't trained, trained, buthe got the job done.
You know, would come and get meand like wake me up.
You know that is trained.
Yeah, I mean, I trained him buthe wasn't like right, like
(31:45):
officially.
Speaker 2 (31:46):
Yeah, he was like classically trained therapy.
Speaker 1 (31:49):
Now he has dementia, so he doesn't care about nobody
else but he's in his own worldnow.
But when he was younger he wasreally good at it, so it did
help, but classically trained,that's like a pianist in it,
anyways.
Okay, so that's the informationfor today.
Speaker 2 (32:08):
That's what we have today.
That's all we got today, but wedo have an answering answer.
Speaker 1 (32:11):
Okay, what do we have ?
Speaker 2 (32:14):
So it's just an anonymous.
Classically trained.
Speaker 1 (32:17):
Yes, he was classically trained, so
anonymous, wrote in and they sayI have an addiction to gambling
lottery tickets, casinos,sporting events.
This has significantly,significantly strained my
marriage.
Any advice on how to stop?
I do not want to lose my wifein 22 years.
Speaker 2 (32:35):
Yeah, so we were actually just talking about IFS
and the firefighter, right.
So we're looking at things thecompensatory but problematic
behaviors like gambling and anyaddiction.
What is it covering up?
So my first advice is I meanjust trying to stop.
(32:56):
You probably just tried to stopcold turkey and that hasn't
been effective, so find yourselfa therapist in your area.
I would always suggest findingsomebody who's trained in EMDR
as well, just because I thinkthat's such a great modality but
anybody and then going toGambler's Anonymous, so that you
are meeting other people whohave the same struggle and
(33:18):
you're sitting in a room withpeople who can give you ideas of
what they've done and theirpath, to see through it and then
be really transparent, startingnow with your wife, about what
you're planning to do to rectifythis and to look more deeply
(33:41):
into why this behavior is stillhappening right, absolutely,
yeah, and I mean, I think thatthe groups going to Gambler's
Anonymous is really productivebecause it has other people that
are experiencing the samethings or have experienced the
same things, and you can keepeach other accountable as well.
Speaker 1 (33:59):
Yeah, and if you keep going to those meetings, you're
going to keep yourself moreaccountable on your own too.
So that's really important.
But, yeah, I agree, good luck,good luck, okay.
Well, thank you to ourlisteners for joining us today.
If you've enjoyed today'sepisode, please leave us a
review on Apple Podcasts.
This will help us move up thechart and be more accessible to
new listeners.
(34:19):
You can always follow us onInstagram and Facebook.
Those will be linked below.
If you have a question for ourAsk and Answer segment, email us
at askusatspillingthetheritycom.
Don't forget to check out ourwebsite, which is also linked
below.
We're going to continue to addresources and information there
as well.
I hope everyone has a greatweekend.
We are your host, kathy DanMoore, in Jaisaloo and join us
(34:42):
next time where we will bediscussing forgiveness.
Speaker 2 (34:45):
We'll be breaking it down one sip at a time.
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