Patricia Coughlin PhD

Patricia Coughlin PhD

Clinical Psychologist, author and speaker - Patricia Coughlin is on the leading edge of psychotherapy practice and research. Check out these videos and get more information at www.patriciacoughlin.com

assessing suicidal patients

assessing suicidal patients

timing and pacing

timing and pacing

triangle of person

triangle of person

March 7

March 7

mistakes and failures

mistakes and failures

apology 101

apology 101

Wrapping up for the year

Wrapping up for the year

expressing feelings

expressing feelings

negative feedback

negative feedback

Пікірлер

  • @expo1706
    @expo17066 сағат бұрын

    Someone that I "worked" with was not work at all. She was constantly labeling up and down the wazoo. She thought she was so smart by using all these fancy words that I couldn't take her abuse anymore. That's why I've come to see the truth about pschology, how full of crap it actually is. It's not a field. It's something made up, people making money off of other people, charging crazy fees. She was negative and discouraging. I honestly think she should be held accountable and have her "lisence" taken away. It's just word play.

  • @kevinnaidu3713
    @kevinnaidu3713Күн бұрын

    I'm wondering if this pertains to high functioning autistic clients who often use masking as a way to defend themselves from showing there true autistic self. They would smile and laugh in order to appear socially acceptable. Do we help them see this defense?

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Күн бұрын

    I am. not sure what you mean by masking. Generic advice is rarely helpful. I would have to know a whole lot more about the patient before being able to give any feedback.

  • @user-ym5du9ml2h
    @user-ym5du9ml2h3 күн бұрын

    Thank you for your work. I have a question. Two therapiests told me that I am childish (I am 30 years old). Is it possible to get ride of my childish character with a help of ISTDP? Does it mean that the only thing which can help me is to feel my childish feelings und cry? Thanks again!

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18523 күн бұрын

    I can't say anything without seeing and evaluating a. patient myself. Nor do I have any way of knowing what these therapists meant by saying you are childish. That said, patients certainly grow and increase their capacity for mature and adaptive functioning in ISTDP;

  • @user-ym5du9ml2h
    @user-ym5du9ml2h3 күн бұрын

    @@patriciacoughlinphd1852 Thank you. They mean, I react and feel like child (Like I am not an adult). Is it possible to do ISTDP online session? Or it has to be always in present? I mean therapy session with you online from Germany? Thanks!

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18522 күн бұрын

    @@user-ym5du9ml2h contact me directly at [email protected]

  • @user-ym5du9ml2h
    @user-ym5du9ml2h2 күн бұрын

    @@patriciacoughlinphd1852 thank you. I will write you.

  • @Pedro-ew1dj
    @Pedro-ew1dj4 күн бұрын

    Thanks Patricia for the video 👏! When I listen to those steps you mention, I am constantly amazed by Davanloo's ability to operationalize the psychodynamic technique (which makes it much more similar to cognitive behavioral therapy or integrative therapy in my opinion). My question is when patients identify their defenses, cost and function, but continue using them since they are automatic ways of responding (or habits)... By definition, defenses are unconscious and operate immediately when threatening feelings and anxiety appear... .so they can understand and modify them in the session but then activate them again outside the session. It is a definitive change to these defenses possible? I believe that they can be made more flexible but difficult to completely eradicate... The truth is that I increasingly doubt that the personality structure or deeply rooted traits can be changed. I think that people change but very gradually and making some traits more flexible but they do not change diametrically. Thank you for your comments!

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18524 күн бұрын

    We have a great deal of evidence - both on videotape and in empirical investigations (check out Allan Abbass's website for an expanding list of studies) - that we can achieve deep and lasting character change with ISTDP. Once the patient relinquishes defenses in favor of experiencing his true feelings, the unconscious opens, revealing the source of the conflicts responsible for the patient's suffering. The past becomes present and can be resolved at the source. Healing and freedom result. Returning to defensive avoidance makes no sense in such a situation. As "the Masochistic Artist" said, at 5 year follow up, "I vaguely remember how I used to turn my anger back on myself and allow others to use and abuse me, but it's inconceivable that I would ever do that again." There are countless examples of this in all my books. Have a look!

  • @frankyfourfingers1382
    @frankyfourfingers13824 күн бұрын

    I have a defence where, for example, I tell the psychologist about something troubling, and I'll laugh about it. I'll laugh about the insanity of the situation, where it's not REALLY funny at all. I do it a lot. I realize it's a defence, and the (ISTDP trained) psychologist points it out, but that's as far as it gets. I'm stuck.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18524 күн бұрын

    Now that you see how the laughing is dishonest and covers up your true feelings you have a choice- to continue to laugh it off or have an honest look at your true feelings.

  • @frankyfourfingers1382
    @frankyfourfingers13824 күн бұрын

    @@patriciacoughlinphd1852 Right. That's what I'm saying, I don't know how to go about doing that.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18524 күн бұрын

    @@frankyfourfingers1382 It's a clear choice - to feel or avoid. I would suggest bringing this up with your therapist.

  • @toslso
    @toslso4 күн бұрын

    So great to hear more on this topic! Do you think you can do a video with more about the defense work around acting out with things like actual physical self-harm? Thanks

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18524 күн бұрын

    Will do.

  • @hediyehh5498
    @hediyehh54984 күн бұрын

    ❤❤

  • @SylviabombsmithUjhy75bd34
    @SylviabombsmithUjhy75bd344 күн бұрын

    Brilliant.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18524 күн бұрын

    So glad you find it helpful.

  • @user-vq1xl9uv2h
    @user-vq1xl9uv2h5 күн бұрын

    Thank you for the generous video. I listen to you and inspire by you

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18525 күн бұрын

    Thanks for letting me know.

  • @capngrace84
    @capngrace849 күн бұрын

  • @saras.2173
    @saras.217315 күн бұрын

    I have no idea how I would “build capacity” in a client with regressive defenses.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185215 күн бұрын

    It requires specific interventions and a good deal of training and supervision. However, it is. possible and often in a very short amount of time.

  • @gabrielmello3476
    @gabrielmello347615 күн бұрын

    Thank you. Can your model treat psychotic disorders?

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185215 күн бұрын

    Some Psychiatrists who prescribe medication as well as conducting ISTDP have gotten some remarkable results with psychotic patients.

  • @AlexS-vz7od
    @AlexS-vz7od15 күн бұрын

    Thank you, this is very helpful. Introjection isn't often discussed as a defense mechanism and tends to be confused with identification. Dr. Coughlin, do you discuss the connection between introjection and disgust anywhere or know of any references? It seems that attuning to one's own disgust (the desire to vomit out what is repulsive) Is a key step in reversing the introjects from our parents (what we have swallowed from them).

  • @CassandraAveolii
    @CassandraAveolii17 күн бұрын

    Can you also comment on how the punitive superego is different in neurotic depression vs psychosis?

  • @seanhaynes8758
    @seanhaynes875818 күн бұрын

    Just found you .....! I find the concept of transference and counter-transference a mental challenge in so far is how do you spot it? I'm guessing the generally it may not be as grandiose as in the lady you descrivbe in the video.

  • @abergjord
    @abergjord20 күн бұрын

    Thank you very much for your dedication and for making such great short and specific informative videos. I myself am new to working with ISTDP, so this is very useful and a great inspiration.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185219 күн бұрын

    I am so glad. Thanks for letting me know.

  • @saras.2173
    @saras.217322 күн бұрын

    This was VERY helpful, thank you. I’d love to see a whole series of videos on all the different defenses, including how they show up in the client presentation, a description of exactly how this particular defense undermines the client or perpetuates their symptoms, and how to offer them something different in place of their defenses…how to draw out the feelings once the defenses are down. Thank you.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185220 күн бұрын

    Thanks for your suggestions. I will do my best to respond with upcoming videos.

  • @skylark386
    @skylark38622 күн бұрын

    Thanks a lot! It's a very useful video!

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185220 күн бұрын

    Thanks for letting me know.

  • @saras.2173
    @saras.217324 күн бұрын

    I’m wondering if part of the reason I feel afraid most of the time, like I’m in a hostile world full of people ready to attack me at any moment, is because I am projecting my own repressed rage? (especially towards my mother and a few other family members)? She used to slap me in the face for talking back-it felt like a deep betrayal to me as a child. Also, when I think back, I wonder if this rage was even mine to begin with? Or have I introjected my mother’s rage at me that she expressed (sometimes abusively) towards me when I was a little girl? It feels like I received other peoples’s split off bad parts, they became mine, but I didn’t want them either…so I split them off and project them onto my environment…but initially it WAS my environment (mother) attacking me…I’m kind of confused and not sure if I’m understanding it correctly. I just know that my life is worse because fear takes up the space where love should be.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185223 күн бұрын

    Certainly rage is the inevitable reaction to being abused. I hope you can get some help to work this all through so that you can come to peace.

  • @user-ym5du9ml2h
    @user-ym5du9ml2h24 күн бұрын

    Thank you, very interesting. I had ISTDP therapy in Germany for 6 Months. I have to be honest and say that I was even more annoyed that I ended up having to reconcile with my parents and the people who hurt me. I finished the therapy full of anger and disappointment. May be I have to try it again with another Specialist. I feel a lot, I can feel the pain from everyone from my past und present. But I felt me alone as someone who needs help in this therapy. It was like to give everything to others und stay alone there (emotional). Does ISTDP have some kind of religious touch? I feel myself not comfortable with outcomes of this therapy. It can also be, that I did not understand the core of this therapy. It is complicated for me. Thanks.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185224 күн бұрын

    The research is clear - some therapists get better results than others. It's the person of the therapist, rather than their method, that seems to matter. I am sorry to hear that you complied with suggestions that did not resonate with you. Try again!

  • @bizarrebroz3424
    @bizarrebroz342425 күн бұрын

    I would love to know what we as the depressed patient can do in an emergency. Where I live, these suicide helplines say they can only talk to you for 15 min and then it's literally bye Felicia with no further support. I have a psychologist but I have to wait for the next appointment and, though I'm BPD, I am totally aware of and respectful of boundaries and know that I cannot and will not expect her to talk me through a crisis at 10pm or anytime outside of our scheduled session. I respect the boundaries of our alliance. I have no family and only casual friends. Are there any online resources we can utilise in times of crisis? I don't have these bpd suicidal episodes often. I was in remission for 25 yrs but suddenly it's back and I feel totally alone. Felt suicidal twice in two weeks and it feels really heavy, like I'm carrying a whole bucket of stones in my chest all day every day.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185224 күн бұрын

    Ask you therapist for resources in your area. In the meantime, track the precipitates to your suicidal thoughts and have an honest look at whether there is anger at others that you are turning inward. Best to you.

  • @SylviabombsmithUjhy75bd34
    @SylviabombsmithUjhy75bd3425 күн бұрын

    "cash in his chips", "pull the plug".... Can we no longer name death as death?? just buggin ya, great vid as always. I remember Dr. Jonathan Shedler saying one time that when we're dealing with suicidal patients, we really want to know 2 things: What makes them want to die? And 2. What makes them want to live (in other words, why _haven't_ they killed themselves yet?). The S.I patient presents with an internal conflict: to live, or die?

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185225 күн бұрын

    I meant no disrespect and appreciate your comment. Patients have conscious thoughts about why they might want to live or die but we really need to get to the unconscious source of their suffering in order to help them heal.

  • @SylviabombsmithUjhy75bd34
    @SylviabombsmithUjhy75bd3425 күн бұрын

    @@patriciacoughlinphd1852 agreed. I'm sure Shedler would suggest approaching the work around uncovering the *unconscious* reasons for the S.I, rather than try to get that information from the patient at some *conscious* level (at least I hope so! He is a psychdyanmically-trained psychotherapist like yourself after all! 😃)

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185224 күн бұрын

    @@SylviabombsmithUjhy75bd34 I know Jonathan well and we approach clinical situations in very similar ways. He is great.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185224 күн бұрын

    @@SylviabombsmithUjhy75bd34 I know Jonathan well and our approaches are quite similar.

  • @belindabezuidenhout8056
    @belindabezuidenhout805627 күн бұрын

    As a patient, or client as we are called in my neck of the woods, what I need from therapy is to know I'm speaking to a real person and not to a method coming from a textbook with a therapist who is stuck behind their own wall and doesn't even know it. I think this is what therapists miss. They forget that we need a connection more than a method. Yes, within professional boundaries of course, but if the therapist is inauthentic, the patient will pick up on the incongruence and that just makes old wounds of ppl hiding and lying to us re-emerge. Please, to all therapists reading this, just be real. Just be a real person

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185226 күн бұрын

    The research bears out your statement here. Being an authentic presence, engaged and responsive, is of the utmost importance. I make this point over and over again in my books and trainings - it is WHO WE ARE and what we do that matters. Thanks for your comment.

  • @cody_go_create
    @cody_go_create29 күн бұрын

    Thank you.

  • @freeimproviser4303
    @freeimproviser4303Ай бұрын

    Great stuff. It’s fascinating how we have evolved to need to feel our feelings and when we don’t we get into psycho-physical troubles! But my question is, why! Why is this the case? Is it because emotions become ‘trapped energy’? It’s important practically because of the inherent resistance to feeling your feelings - how to make a strong case for the why for honouring and taking the time and energy to check in and feel

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185229 күн бұрын

    Feelings provide energy and information. If they are repressed, we are driving blind. Additionally the energy that is repressed will have unanticipated consequences, from depression to physical pain.

  • @freeimproviser4303
    @freeimproviser430329 күн бұрын

    @@patriciacoughlinphd1852 thank you. But is there a concept to explain why this occurs? Is the trapped energy how you think of it? Sorry I hope my question is clear

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185229 күн бұрын

    @@freeimproviser4303 I don't think of it that way. It's quite complex and involves unconscious processes, including unconscious guilt over rage toward loved ones which demands. punishment and suffering.

  • @freeimproviser4303
    @freeimproviser4303Ай бұрын

    I’d love to hear you elaborate on IBS and bowel symptoms - I have suffered for years with IBS , could it all be anxiety related? Where could I read up a bit on this? Thanks

  • @patriciacoughlinphd1852
    @patriciacoughlinphd185229 күн бұрын

    Anxiety can certainly trigger these symptoms. The only way to know for sure is to get an assessment from a competent ISTDP therapist.

  • @freeimproviser4303
    @freeimproviser4303Ай бұрын

    Love your videos thank you

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    So glad!

  • @SylviabombsmithUjhy75bd34
    @SylviabombsmithUjhy75bd34Ай бұрын

    I had a question Patricia. If ISTDP views the therapist as the expert, then why the need to get agreement from the patient about the problem, and how to go about solving it? Shouldn't the "expert" just engage in the therapeutic interventions/approaches that they (in their expert opinion) deem would best help the patient? Why the need for collaboration and consideration of patient's preferences for treatment if we are going in, a priori, with the stance and positionality of being the "expert"? (before even meeting the patient)

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    These concepts are not mutually exclusive. In fact, the patient's view of the therapist as skillful and competent (as opposed to simply supportive) is associated with high levels of alliance. We also know from research that establishing and maintaining a collaborative alliance is most highly associated with positive outcomes. It is possible to take charge by asking the questions you need answers to, while still working for consensus. If you think about surgery, for example, the surgeon is an expert and the patient needs to trust him or her but at the same time has the option to agree or disagree with the surgeon's recommendations. Does that help?

  • @animalliberationCLBB
    @animalliberationCLBBАй бұрын

    Thank you ❤ much ❤ from Germany So horrible what people do to children and other people omg😢 heartbreaking.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    It's not quite as simple as one person doing this to another. Introjection is a defensive process in which one person takes another in, in order to avoid all of their intense mixed feelings toward them. This is the good news, because there is something we can do about that. By helping patients face feelings rather than avoiding them!

  • @animalliberationCLBB
    @animalliberationCLBBАй бұрын

    ​@@patriciacoughlinphd1852 Mhm ok, then I did not get it jet. I have this with Anger, Shame and and and.. after decades everything fell apart, I got diagnosed with bipolar. A Psychologist said most of it is because of your childhood and Self hate. He did EMDR with me I felt extremely sad my Mom had Depression when I was a child, he said you tried to take it from her but that did not work, but you didn't know that as a child. So I had it. Is this an example of introjection? He asked and then you were angry? No. Not in that Moment, years and years later, I wasn't allowed to feel and express Anger as a child.Thing with the feelings is, now it's like Iam just FEELINGS every feeling is strong and very intense. Because I took them, didn't deal with it stuffed it down and then boom Chaos. Now I can't handle my Anger it's so strong.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    @@animalliberationCLBB Perhaps getting a consultation with an ISTDP therapist who will be very skilled at helping you access and experience anger, as well as integrating anger with guilt, grief and love. Go onto istdpinstitute.com to find a therapist in your state.

  • @nikhobooi1133
    @nikhobooi1133Ай бұрын

    Thank you, Patricia for this helpful informative video. I was wondering if you have any videos that you might recommend on doing the restructuring work? I'm currently seeing a client that has severe pathology of narcissism and as a trainee therapist it's been quite difficult to conduct dynamic inquiry with this client. so, I guess working on restructuring first might help. I will appreciate comments.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    When resistance is high and interferes with iniquity, you must got to phase II and III - pressing for feelings in the transference and working to turn the patient on the defenses which will prevent therapy from being effective. Those with narcissistic defensive structures are among the most difficult to treat. I hope you are getting expert supervision.

  • @Chrisadizzle
    @ChrisadizzleАй бұрын

    Wonderful as always. Thank you, Patricia!

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    Thanks for letting me know!

  • @cruxem
    @cruxemАй бұрын

    Thankyou for another important video. I think skipping over the enquiry in part comes from the fact that in trainings, ISTDP teachers tend to present the more dramatic videos where there is high levels of pressure towards an unlocking. This gives the trainee the false impression that this is how ISTDP works out of the gate. This is also why trainers showing the early stages of therapy is so important to counteract this trend.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    I agree!

  • @drjamiebarnier2300
    @drjamiebarnier2300Ай бұрын

    Hi Patricia, Did Davanloo talk further about the concept of wholeness or define it?

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    I am not quite sure what you are asking here. He often spoke to the patient of their potential and was ambitious and trying to achieve full resolution of the patient's core neurotic conflict, freeing him to live an authentic life.

  • @drjamiebarnier2300
    @drjamiebarnier2300Ай бұрын

    @@patriciacoughlinphd1852 thank you, that’s actually answered my question. The full resolution of the core neurotic conflict so that they are free to live an authentic life.

  • @c.brownell8618
    @c.brownell8618Ай бұрын

    No kidding. The stigma seems to be less nowadays but the reactions and attitudes haven't changed.

  • @expo1706
    @expo17066 сағат бұрын

    It's no less. I don't know where you got that.

  • @c.brownell8618
    @c.brownell8618Ай бұрын

    When a parent organised therapy without communication to the patient, the patient might not understand what the intention is,besides ferreting out secrets!

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    I don't understand your message. could you clarify?

  • @YoutubevideoSEOspecialist138
    @YoutubevideoSEOspecialist138Ай бұрын

    Hello there I like your content very much. Your content is very good but I noticed how your KZread channel is not getting any views and subscribers are very less and due to some problem you are like this your channel needs some update then your views subscribers will increase. If you want to increase subscriber views then we can increase your channel subscriber if you need any help let me know. I will wait for your reply.

  • @beccyjoestuart9835
    @beccyjoestuart9835Ай бұрын

    I agree with you Patricia and I respect this perspective greatly! One thing I would like to add is that often (in my experience) the pathologising comes from the patients and not from us. I have a patient who I'd been working with for a year (thinking I was helping) who told me one day that her GP told her she had BPD and this explained all her struggles, she seemed disappointed with me that I hadn't diagnosed her as such, and from then on really framed herself as "BPD"... and it just seemed to me that it made her weaker. I was thrown by this experience. Also I have so many clients tell me they have ADHD or autism and these are the reasons they can't do things (I'm sure you experience this too) and I'm the one trying to focus on their potential and strengths, while they argue for pathology... This seems like an epidemic not just caused by mental health professionals and institutions, but something in the zeitgeist where diagnoses are seductive, and every human variation is a "disorder". I think it's complex, because ironically these disorders create identities which lead to pseudo-communities (mostly online) where people connect through their shared "disorders". Which I think can alleviate loneliness in a time of extreme social disconnection! I'm sure you're aware of all this - just wanted to add it to the conversation :) Love your work. - Beccy.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    While I have not had this experience myself, I don't doubt it's happening all the time. There are many influences combining to create these identities through diagnoses. Carolyn Myss calls it woundology. I would suggest reading Bad Therapy, which lays some of the responsibility on. the mental health profession.

  • @JillyWorkGmail
    @JillyWorkGmailАй бұрын

    Are there any specific journals you recommend? Thank you for this important video!

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    The American Psychologist, Psychotherapy: Theory, Research and Practice, Journal of Consulting and Clinical Psychology.

  • @-istdp.yuvalalon5954
    @-istdp.yuvalalon5954Ай бұрын

    It is amazing and so sad that so many learn therapy from the pathologic stance or the general and unspecific stance, there is so much resistance from therapists to meet the person rather than the defenses and label people with Ptsd or other labels. Thank you for hanging in there for so long and bringing the istdp potential therapy so hopefully this will be the norm!

  • @SevenRavens007
    @SevenRavens007Ай бұрын

    Thanks for reminding us about this important point. I’m going to include it in my practice moving forward! 💐

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    It's vital. Glad this was a helpful reminder.

  • @AmletoPetrarca
    @AmletoPetrarcaАй бұрын

    Great Job. I do istdp in Italy

  • @LearningForPsychotherapists
    @LearningForPsychotherapistsАй бұрын

    Great job!

  • @c.brownell8618
    @c.brownell8618Ай бұрын

    I listened to a talk on depression and started to feel depressed. Then I turned to talks on Buddhism instead and felt supported and got strong again. Your talk is excellent.

  • @SylviabombsmithUjhy75bd34
    @SylviabombsmithUjhy75bd34Ай бұрын

    This important distinction between deficit based lens vs strength based lens is great. It reminds me of a Buddhist psychoanalyst named Dr. Edward Podvall. He introduced and talked about “Islands of Clarity”, a term to describe 5 signs, or “markers of sanity” of a client (opposed to the typical markers of insanity/pathology that are often found in documents such as the DSM). He noted the 5 are: 1. Repulsion 2. Transcendence of the self 3. Discipline 4. Compassion 5. Courage (See Dr. Danielle Knafo’s beautiful explanation of each of these in greater detail - kzread.info/dash/bejne/hp2ors-viZnamdY.html , and here kzread.info/dash/bejne/m2Zq26WJYKqyYrA.html )

  • @joybeamer8234
    @joybeamer8234Ай бұрын

    You are so persuasive and compelling. I love the clear way you explain things. Thank you.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    Thanks so much. I appreciate it.

  • @user-ym5du9ml2h
    @user-ym5du9ml2hАй бұрын

    Thanks a lot for your Videos! Which psychological Journals you recommend to read? I live in Germany und I look always hier, but I can't find that good one. Thanks again.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    I read the American Psychologist, Psychotherapy: Theory, Research and Practice, and Journal of Consulting and Clinical Psychology. All can be purchased through apa.org

  • @user-ym5du9ml2h
    @user-ym5du9ml2hАй бұрын

    @@patriciacoughlinphd1852 Thank you very much!

  • @elisabetrosen6945
    @elisabetrosen6945Ай бұрын

    Great video Patricia! Thank you so much for this😊 It really contributs to my supervision with psychiatrists

  • @crazycrickeeet1964
    @crazycrickeeet1964Ай бұрын

    Great video Patricia! It would be really interesting to hear how you would conceptualise the difference between a patient in transference resistance, and a fragile patient projecting onto the therapist. And how you would proceed in each case. Any chance of video, many thanks!

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    I am not sure I understand your question. Do you mean, what is the difference between transference and projection? Very important distinction. Happy to do a video on that topic.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    Check out my video from January 18, 2021 in which I distinguish between externalization, projection and transference.

  • @WoWNightwhisper
    @WoWNightwhisperАй бұрын

    Thank you for this! My therapist mentioned ending our sessions (positively) and I was not quite ready to let it go because I feel like I have so much more I could learn from her. But ultimately everything I initially went to her for truly has been worked out. I will cultivate my gratitude for our next session and let her know how much I appreciate everything's she's helped me with. It doesn't have to be a final farewell (she's open to check-in sessions) but even if it is, I will carry that gratitude and all she's helped unlock within myself (self-compassion, ambition, hope) forward into a brighter future.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd1852Ай бұрын

    Glad to hear you had such a good experience!

  • @B_27
    @B_272 ай бұрын

    I've been working very hard to bring up any feelings that arise in the transference and in doing so I have noticed that my feelings towards my therapist have become less obsessive and less "desperate" (for lack of better words). Despite being aware that this is a good thing, I feel as though I am not ready to lose that idealised version of my therapist. I can only assume that fantasy is filling some need that I have yet to find a way of meeting elsewhere. If my therapist isn't the most important person in my life then my life feels empty. Do you think there is a grieving process involved in the transition from "fantasy therapist" to "real therapist"? How does one navigate this without sabotaging progress?

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18522 ай бұрын

    I am glad to hear you are being open and honest with your therapist - and that that has resulted in a decrease in obsessing about him or her. The goal of therapy is to heal, create a full and satisfying life and leave treatment! I would urge you to invest in your personal relationships which are real and lasting.

  • @B_27
    @B_272 ай бұрын

    @@patriciacoughlinphd1852 Thank you, I am trying to do that 🙂

  • @guzelbsk
    @guzelbsk2 ай бұрын

    thank you so much this video has been very helpful for me in this era of my life which I feel a bit lost.

  • @patriciacoughlinphd1852
    @patriciacoughlinphd18522 ай бұрын

    So gald