All Therapists are Jerks, and . . .

The quote "All Therapists Are Jerks" from Marsha Linehan, creator of Dialectical Behavior Therapy (DBT), refers to the fallibility agreement within consult groups. The mission of the podcast is to help educate on the use of DBT skills and philosophy and to make them more accessible to the average listener and in particular those with loved ones who struggle with emotion regulation difficulties. https://alltherapistsarejerks.squarespace.com

2023 ISIT DBT Conference Part 2 11/30/2023

2023 ISIT DBT Conference Part 2 Jo and Ulland invite friend Kerrie Toole in a conversation reviewing some of the content presented at the annual DBT conference in Seattle. If you are in Massachusetts and are looking for a therapist, consider Castlebrook Counseling Services, Inc. /episode/index/show/alltherapistsarejerks/id/28858103

2023 ISIT DBT Conference Part 1 11/30/2023

2023 ISIT DBT Conference Part 1 Jo and Ulland invite friend Kerrie Toole in a conversation reviewing some of the content presented at the annual DBT conference in Seattle. If you are in Massachusetts and are looking for a therapist, consider Castlebrook Counseling Services, Inc. /episode/index/show/alltherapistsarejerks/id/28858043

Is DBT all about emotions? 10/09/2023

Is DBT all about emotions? Ulland and Jo discuss how DBT is all about emotional processing while building capacity to live effectively regardless of emotional reactivity. /episode/index/show/alltherapistsarejerks/id/28061613

Apologies vs. Accountability 09/25/2023

Apologies vs. Accountability Ulland and Jo discuss why apologies are often not helpful enough with conflict in relationships. They review what they mean by accountability and how it is different. Examples are given. Accountability has to do with looking for how we may contribute to how we may be perceived by important people in our life. /episode/index/show/alltherapistsarejerks/id/28061595

What do we mean by Fragilizing? 09/18/2023

What do we mean by Fragilizing? Ulland and Jo review the concept of fragilization. They review how walking on eggshells with family members is generally not helpful, especially when both parties are walking on eggshells around each other. Individuals in active passivity are more capable than we realize and need space to activate for themselves and build confidence. /episode/index/show/alltherapistsarejerks/id/28061589

Is it my fault my child suffers? 01/30/2023

Is it my fault my child suffers? Ulland and Jo review how parents can feel defensive in family work as though they are being blamed. They review how DBT is a no blame model and how family dynamics must be addressed. The biosocial theory suggests we learned from environments of origin and behaviors are maintained within current environments. The idea of individual perception of past events may be more meaningful to relationships than focusing on the correct version "reality.” Individuals may see things differently. It is our individual perception of events, not necessarily the events themselves, that lead to our understanding of relationships and our lived history. /episode/index/show/alltherapistsarejerks/id/25536588

"DBT is too soft." 01/16/2023

"DBT is too soft." Ulland and Jo address judgments towards DBT they have heard more than once regarding being “too easy” with clients. They discuss how those unfamiliar with acceptance strategies are more likely to misunderstand how acceptance is used to meet clients where they are so that meaningful change can happen. They review some of the assumptions within DBT that make this possible. Please review the previous episode that reviews specific assumptions for further details. Ulland and Jo realized they had not previously covered ALL the assumptions. /episode/index/show/alltherapistsarejerks/id/25536654

Assumptions for Therapists and Treatment 01/09/2023

Assumptions for Therapists and Treatment Ulland and Jo finally review the therapist and client assumptions within DBT. These assumptions help clinicians adhere to the principles of DBT. Knowing these leads to understanding interventions and the philosophy of treatment. They also discuss how there are some asymmetries that are protective of the client, as well as the therapist. /episode/index/show/alltherapistsarejerks/id/25510215

Can Minorities Benefit From DBT? 01/04/2023

Can Minorities Benefit From DBT? Ulland and Jo review common themes in demographics found within many DBT studies. They discuss that DBT studies often include many individuals who are not heterosexual or white for example. This would be consistent when considering the biosocial model and systemic invalidation as a common experience for many clients who benefit from DBT. These studies were reviewed and shared at the 2022 ISITDBT conference in NYC. /episode/index/show/alltherapistsarejerks/id/25500561

Ye Ol’ Existential Crisis 11/21/2022

Ye Ol’ Existential Crisis Ulland brings up ideas he sometimes presents in his group on the unit, albeit at a more reasonable pace than here. Jo discusses what meaning is to her and how to find it. It can be overwhelming to be young and believe that one has to have already contributed to a society before completing high school. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com /episode/index/show/alltherapistsarejerks/id/24996942

Yes and… 11/14/2022

Yes and… Ulland and Jo review ideas that came up after a Parent University this past week regarding dialects and parenting. They discuss how dialects are often seen as more contradictory rather than as acceptance and curiosity in communication. They provide several examples of “Yes and” thinking and also discuss some nuances. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com /episode/index/show/alltherapistsarejerks/id/24996903

How do you know? 10/03/2022

How do you know? Ulland and Jo wonder how can we be certain about things? Also, how is it that Tyler Durden is writing about vaccinations and can he be trusted if he posts at 1010 PM on Friday the 13th? And is it any wonder Mr. Durden supports vaccinations being dangerous? Please be aware that this episode and podcast has not been evaluated by the FDA and “is not intended to diagnose, treat, cure, or prevent any disease.” Also, this episode has been in the can sooooo long it is not suitable for anyone’s doomsday bunker. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com /episode/index/show/alltherapistsarejerks/id/24341379

Behavioral Formulation for Eating Disorders 09/26/2022

Behavioral Formulation for Eating Disorders Ulland and Jo review a formulation Ulland finds helpful as a framework for understanding which interventions might work by understanding how eating disorders develop and maintain themselves. The formulation is largely influenced by the works of Garner and Garfield, and Fairburn. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com /episode/index/show/alltherapistsarejerks/id/24341331

Suicide Risk Assessment 09/12/2022

Suicide Risk Assessment Shamefully, Ulland and Jo make good on a more than a year-old request. A fellow traveler posted a comment to discuss suicide, and to approach from the perspective of an educator. The Linehan Risk Assessment and Management Protocol (LRAMP) for suicide is reviewed as a framework to understand suicidal risk in an organized way. Earlier Episodes of the Podcast can be found at alltherapistsarejerks.libsyn.com /episode/index/show/alltherapistsarejerks/id/24341304

Difficult Problems as the Origins for DBT 07/18/2022

Difficult Problems as the Origins for DBT Ulland and Jo review several common problems that Marsha Linehan. PhD had to solve after deciding to work with suicidal patients, ranging from a need to validate suffering while knowing that life was unbearable as it was being lived. /episode/index/show/alltherapistsarejerks/id/23560397

Anger 1.2 07/04/2022

Anger 1.2 Ulland and Jo continue a discussion regarding anger. Ulland reviews the ruminative anger cycle and Jo provides more discussion of how to use skills to avoid ineffective angry responses. /episode/index/show/alltherapistsarejerks/id/23559773

Anger 1.0 06/27/2022

Anger 1.0 Ulland and Jo review anger at the request of a listener. Ulland goes on a tangent in culture and expression of anger. Culture and expectation can lead to angry reactions. Suggestions for skills use are provided. /episode/index/show/alltherapistsarejerks/id/23559755

Psych 101.6 The End of the Series 06/20/2022

Psych 101.6 The End of the Series Ulland and Jo realize how long this has taken, unfortunately, but it is the end of the series. Are emotionally reactive people empaths, or are empaths emotionally reactive? Ulland and Jo end with more concerning questions, regarding adolescents who may have difficulties who are trying to help peers with similar issues/ behaviors. They remind listeners of active passivity and that there are difficult behavioral patterns such as the secondary targets which can lead to confusion in the relationship and burnout in loved ones. /episode/index/show/alltherapistsarejerks/id/23479124

Psych 101.5 Biology vs. Environmental? 05/14/2022

Psych 101.5 Biology vs. Environmental? Ulland and Jo review what they believe to be some of the biggest misconceptions about seeking therapy. Ulland challenges the duality of “biological” versus “environmental” depression. They also review a question wondering about in which instances Dialectical Behavior Therapy might out-perform Cognitive Behavioral Therapy for patients. They end with reviewing the importance of the philosophical outlook within DBT that can be powerful to prevent relapse and continue to work towards building a life well-lived. /episode/index/show/alltherapistsarejerks/id/23109704

Psych 101.4 How might DBT work for a male program? 05/04/2022

Psych 101.4 How might DBT work for a male program? Ulland answers a question regarding medications for emotional reactivity and discusses how he often prescribes for clients he assesses. Ulland reviews some differences between how ADHD may present in males vs. females. Ulland and Jo discuss how each of them would consider building a residential program for males, compared to how their female unit operates. Ulland is likely to take population differences into account for gender traits, aware that populations don’t represent any specific individual in the program. /episode/index/show/alltherapistsarejerks/id/23002373

Psych 101.3. What's the hardest part of the job? 05/01/2022

Psych 101.3. What's the hardest part of the job? The series continues with “frequently asked questions” from a high school psychology class. The questions they are tasked to answer are: What’s the hardest case or behaviors they have worked on? Have they had more cooperative or uncooperative parents? What is the hardest or most stressful part about their job? /episode/index/show/alltherapistsarejerks/id/22964336

Psych 101.2. Why your program and way of doing things? 04/23/2022

Psych 101.2. Why your program and way of doing things? The crew continues with explaining the origins of the program. Ulland describes reasons of need and efficiency, while Jo discusses the prevention of suffering for the future, including, hopefully next generation effects. They briefly describe some differences between CBT and DBT. /episode/index/show/alltherapistsarejerks/id/22885820

Psych 101.1. How and why did you come to do this? 02/27/2022

Psych 101.1. How and why did you come to do this? Psych 101.1. How and why did you come to do this? Ulland and Jo answer questions written by local high school students after presenting for a couple psychology classes. This episode reviews why each of them decided to work in mental health in their different roles. Ulland had to get a haircut and get a real job. /episode/index/show/alltherapistsarejerks/id/22271147

Burning Bridges and Building New Ones 01/25/2022

Burning Bridges and Building New Ones Burning Bridges and Building New Ones. Ulland and Jo reviews these concepts while giving examples that these skills are not only applied to relationships but may be applied to behaviors that are ineffective or behaviors needed to replace maladaptive behaviors. Because, let’s face it, “Just Say No!” failed miserably. Jo brings up the idea of exposure and tolerance of suffering. Ulland responds by bringing up hypothermia and appendectomies. Somehow it should fit, and maybe it doesn’t. Supposedly everything’s connected. /episode/index/show/alltherapistsarejerks/id/21887000

100th Uploaded Episode 01/19/2022

100th Uploaded Episode 100th uploaded episode. Ulland and Jo discuss the origins and some of the difficulties with keeping the dream alive. They offer thanks to listeners, with some posts from around the world that have been shared. Ulland gives a breakdown of the top countries following the podcast. /episode/index/show/alltherapistsarejerks/id/21820964

Holidays 2021 12/19/2021

Holidays 2021 Episode 93. Holidays 2021. By special request from a friend and through gratitude from a recent pre-holiday Parent University, Jo decides it’s time for a holiday episode. A spur of the moment, feel the holiday spirit in your bones kind of episode. Ulland, as usual, is game for the ride. Childhood secrets are revealed and suggestions to deal with holiday stressors are offered that are more about mindset and approach rather than specific skills. /episode/index/show/alltherapistsarejerks/id/21535628

Community Reinforcement 12/13/2021

Community Reinforcement Episode 92. Community Reinforcement. Ulland and Jo review aspects of how to reinforce abstinence with the environment and how to replace addictive behaviors by accumulating positives. Even though it has been mentioned before, abstinence sampling is explained and reviewed. Ulland is excited by new tech--all too easy. /episode/index/show/alltherapistsarejerks/id/21465311

Clear Mind 12/06/2021

Clear Mind Episode 91. Clear Mind. Ulland and Jo review clean mind and addict mind, and the overlap where clear mind exists. This is a similar synthesis to reasonable, emotion and wise mind. They review characteristics of clean and clear mind, many of which are provided by the DBT skills manual authored by Marsha Linehan, PhD. /episode/index/show/alltherapistsarejerks/id/21387293

Dialectical Abstinence 12/03/2021

Dialectical Abstinence Episode 90. Dialectical Abstinence. Man, this one has a rough start. Ulland has a head cold, and probably presents as though he has viral meningitis. Ulland and Jo review Dialectical Abstinence, what it is and provide several examples from the skills manual written by Marsha Linehan, PhD. The examples provided are for planning for abstinence and harm reduction. /episode/index/show/alltherapistsarejerks/id/21366287

When the Crisis is Addiction 11/20/2021

When the Crisis is Addiction Episode 89. When the Crisis is Addiction. Ulland and Jo begin reviewing which DBT skills are often used for addictions with this brief overview defining addictions, the kinds of behaviors that can be addictive and the skills to use when the crisis is addiction. /episode/index/show/alltherapistsarejerks/id/21230396

All Therapists are Jerks, and . . .

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