Prateek Sharma @PrateekShawarma
Clinical Psychologist (NIMHANS) | Psychotherapist | Writer I Words in @firstpost @scroll_in @theswaddle @thewire_in @madasiapacific @viceindia Bangalore, India Joined October 2013-
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Tell me you don't understand what transference is without telling me Tell me you don't understand how psychotherapy works without telling me
I need you all to understand how incredible Winnicott was #psychoanalysis
There still needs to be more clarity regarding the revised HRA under the UGC fellowship schemes. Strangely no circular or official notification is available anywhere. Scholars/Nodal officers have yet to receive a proper update. Please help the scholars! @ugc_india @EduMinOfIndia
This is a great Q. Lemme try to answer in a brief thread. 1. Try not to think so much about WHAT to do or say (though you do have to think about it a bit obv.) Rather, think about what does this mean, what is going on in this person’s mind as a response to their life.
This is a great Q. Lemme try to answer in a brief thread. 1. Try not to think so much about WHAT to do or say (though you do have to think about it a bit obv.) Rather, think about what does this mean, what is going on in this person’s mind as a response to their life.
Re: #CBT and #psychodynamic #psychotherapy and #psychoanalysis
Saw an online therapy advertisement which said "we are 100% judgment free". Therapy bech rahe hain ya toothpaste?
Have been accepted as a fellow at the Washington Baltimore Center for Psychoanalysis for its 2023 fellowship. Will be remotely attending the program centering around the foundational principles of anaytic thinking and its place in our therapeutic work.
Was recently told by a prof. to check the "treatment guidelines" before considering psychodynamic therapy for obsessionality (& it can be a contraindction which it is not. Pt had h/o attachment injuries and trauma). I wanted to argue further but was sadly sitting in a viva. Sigh.
@toymango Empathy is not about trying to walk in the other person's shoes; it's rather asking ourselves why they don't fit us in the first place.
The therapist urge to say "I wonder what this means..."
The therapist urge to say "...and how does that make you feel."
The therapist urge to say "how about we try something different today."
This is a reactionary post after a heavy day at a tertiary mental healthcare setting but all I want to say is: Please don't have children if you are going to hit them. Those who have children, please for god's sake, stop hitting them. You are making it worse for all of us.
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/2 Hare understood that he was studying a 𝘱𝘦𝘳𝘴𝘰𝘯𝘢𝘭𝘪𝘵𝘺 type. It was DSM that confused it with criminality and caused endless misunderstanding in the MH professions. Not all psychopaths are criminals, and not all criminals are psychopaths
1/ Pro tips for therapists🧵 At first appointment with a new patient/client, there are three things you want to find out 1️⃣What's wrong? 2️⃣How are they hoping therapy can help? 3️⃣Why now? Some elaboration on these 3 things... ➡️ People don't come to therapy for sport. They
from In Treatment, season 1 Why do you think you had that particular memory the other night? -Dr. Paul Weston Perhaps there’s a reason you had that particular memory the other night. -me (imagining I'm his consultant) Two ways to invite reflection. Perhaps one is more inviting
20/ a discussion about why they *should* do what they are already doing by default But for many, there can be considerable benefit to considering the limitations of questions (which they generally have not previously considered) and in gaining exposure to more options
16/ So what am I saying and what am I not saying? Am I saying a therapist should *never* ask questions? No, of course not. That would be stupid. (Although someone here already tried to put just those stupid word in my mouth). We are continually adapting to our patient and the
@human__age Yes my critiques apply to this as well The point is when studied with the "approved" methodology, it's every bit as effective as the treatments routinely promoted & marketed as "evidence based" In ideal world, we'd now go on to do research that could answer meaningful questions
That said, yes, I think about deleting twitter pretty much every day /2
envy the therapist's capacity to help them." - Otto Kernberg
immediately, the culture of faith, good faith, warmth, belief in the human being helps everybody along. Which is different from the reality when we treat patients who suffer under severe regressive conflicts, whose major need is to destroy the therapeutic relationship, who...
Therapy is an investment, not an expense.
“I have noticed with some frequency a pattern that has troubled me. The person describes how wonderful his therapist is, while it seems to me, from all I hear and know about the person, that he is still living his life in the same painful and self-defeating way.” —Paul Wachtel
In most dramas, and in all psychoanalytic treatments, the story begins with something going wrong. harpers.org/archive/2024/0…
The incomparable Adam Phillips, greatest psychoanalytic essayist of our time:
In most dramas, and in all psychoanalytic treatments, the story begins with something going wrong. harpers.org/archive/2024/0…
The "common factors" of #psychotherapy used to be grossly underappreciated, but the pendulum has now swung too far in the opposite direction. Psychotherapy technique matters. For some problems, it is the essential ingredient without which treatment would fail miserably.
"The repetition compulsion is, in my view, an unconscious attempt not merely to 'relive' an earlier experience, but to *live* it for the *first* time--to live it, that is, with full emotional participation." - Harold Searles
"Ambivalence and the toleration of it by the individual implies a considerable degree of growth and health" (D.W. Winnicott , 1958).
Some therapists speak of trauma work shadow work family of origin work dream work, etc as if they were separate things or special skills Psychodynamic therapist don't use these terms. They just sound silly to us. They're what we do, day in day out We call it "psychotherapy"
Thanks for another brilliant podcast @JonathanShedler @DavidPuder
💥Beginning the Treatment💥 When therapy gets stuck, it's usually because therapy started on the wrong foot Here’s how to start on the right one Maybe my best podcast ever! YouTube youtube.com/watch?v=puddZh… Spotify open.spotify.com/episode/2bebLC… Apple podcasts podcasts.apple.com/us/podcast/psy…
Empty catch phrases are not and never were “empathy” Cliché “therapy speak” is not empathy Don't fall for it
One interesting side effect of being in more traditional analysis, and my own training of course, is that when I email a potential new therapist, and in my email, just give some brief demographics about myself (like my age, gender, race, the fact that I'm a married mom and an--