Join in on Part 2 of the conversation with Dan and his guest Dr. Nadya Fouad as they continue to discuss women's career development in this episode of Psychotherapy & Applied Psychology,

Dr. Fouad joins in from the Counseling Psychology division of the Department of Educational Psychology at the University of Wisconsin. Join Dan and Dr. Fouad as they discuss women's career development, cultural contexts, and the impact of societal changes on career choices. In Part 1, they delve into the challenges of balancing work and family, the evolution of women's roles in the workforce, the intersectionality of gender, race, and relationship dynamics that adds complexity to women's career development, and so much more!

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In this episode of Psychotherapy & Applied Psychology, Dan is joined by Dr. Nadya Fouad as they discuss women's career development.

Dr. Fouad joins in from the Counseling Psychology division of the Department of Educational Psychology at the University of Wisconsin. Join Dan and Dr. Fouad as they discuss women's career development, cultural contexts, and the impact of societal changes on career choices. In Part 1, they delve into the challenges of balancing work and family, the evolution of women's roles in the workforce, the intersectionality of gender, race, and relationship dynamics that adds complexity to women's career development, and so much more!

Keep an eye out for Part 2 next week!

Special Guest:
Dr. Nadya Fouad

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In this conversation, Dan chats with Dr. Ken miller about his work in the area civilian mental health in war zones.

In this conversation, Dr. Miller discusses his journey from studying adolescent suicide to working with refugees affected by armed conflict. Dr. Miller explains the importance of addressing both war-related trauma and day-to-day stressors in the lives of civilians affected by war. He highlights the need to prioritize parents' well-being in interventions and shares an example of a stress management technique called counting the breath. Miller emphasizes the impact of these interventions on improving parents' mental health and parenting practices. In this conversation, Dr. Miller discusses stress management techniques, mindfulness, and deescalation techniques that can be used to manage triggers and maintain emotional well-being. He emphasizes the importance of addressing the social determinants of distress and creating supportive environments for children. Dr. Miller also shares his experiences working with fathers and the impact they have on their children's development. He highlights the need for practitioners to go beyond individual therapy and consider the larger social and cultural contexts when working with refugees and immigrants. Lastly, Dr. Miller reflects on the ongoing conflicts in Ukraine and Gaza and the importance of creating safety and ending the Israel-Palestine war for healing to occur.

Links to Dr. Miller's work:
Book: War Torn
Book: The Mental Health of Refugees
Film: Unholy Ground
Blog: The Refuge Experience
Blog: Dispatches from the Field: War, Culture, and Mental Health
Connect with Ken on LinkedIn
See Dr. Miller's Academic Work

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In this conversation, Dan chats with Dr. Matthew Large about his experiences in the field of mental health, his research on suicide prediction, and how Suicide Risk Assessment can often times be ineffective.

Dan and Dr. Large dive into a number of hard-hitting topics in this 7th episode: the challenges of balancing clinical work and research, the limitations of Suicide Risk Assessment, and more! Dr. Large shares personal stories on their career and what led to a life in medicine and psychiatry. They also touch on the progress and changes in the field of mental health, including the closure of asylums and the improvement in the treatment of mental illness. The conversation explores the limitations of suicide risk assessment and the over-reliance on categorizing patients as high or low risk. Dr. Large touches on how risk assessment tools have modest predictive abilities and that suicide is a complex and unpredictable phenomenon. Dan and Dr. Large suggest that clinicians should prioritize building rapport with patients and providing individualized care rather than relying solely on risk assessment.

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In this conversation, Dan speaks with Dr. Scott Miller about improving psychotherapy using feedback and using feedback to facilitate deliberate practice.

The conversation covers Scott's journey in the field of therapy, his experiences in different settings, and the development of feedback-informed treatment (FIT). FIT involves soliciting formal feedback from clients about their progress and engagement in therapy. The therapist uses this feedback to tailor the treatment to better fit the client's needs. The conversation also touches on the importance of monitoring outcomes and the challenges of implementing feedback-informed care. In this part of the conversation, Scott and Dan discuss the importance of measuring progress and using feedback to inform treatment decisions. They emphasize the need to consider adding or removing elements from the treatment plan if there is no progress after a certain number of sessions. They also discuss the concept of outcome-focused treatment and the importance of involving the client in the decision-making process. Scott shares an analogy from medicine to illustrate the need for a collaborative approach to treatment. They also discuss the challenges and objections to implementing measurement-based care, including concerns about burdening clients and the need for training and support for clinicians. They highlight the benefits of using feedback measures to facilitate conversations about termination and the potential for improving outcomes through deliberate practice.

Special Guest:
Dr. Scott Miller: Make sure to check out Scott's website which is full of useful resources!

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In this conversation, Dr. David Klonsky dives deep into the Three-Step Theory of Suicide, explaining why some people consider suicide and some attempt suicide.

We begin the conversation with Dr. Klonsky talking about his side interest in combat sports and the psychology behind it. He shares his experience in martial arts and how it has influenced his understanding of the mental and emotional aspects of fighting. Dr. Klonsky also talks about his work as a consultant and analyst for combat sports, including his appearances on the Fight Network. He explains the importance of emotional readiness in combat sports and the role of approach-oriented emotions like excitement and anger. Dr. Klonsky emphasizes the need to overcome fear and interpret it as a natural response rather than a sign of unreadiness.

The main theme of the conversation is the study of suicide. The three-step theory is discussed, which includes the conditions under which people feel suicidal, the intensity of suicidal desire, and the capability to attempt suicide. Pain and hopelessness are identified as key factors in feeling suicidal, and the aversiveness of life is explored as a driving force behind suicidal ideation. The importance of understanding the distinction between suicidal ideation and suicide attempts is emphasized. The conversation explores the necessary conditions for suicidal desire, which include overwhelming pain, hopelessness, low connectedness, and capability. Pain and hopelessness are the primary motivators for suicidal desire, while connectedness acts as a pull towards life. Capability refers to the ability to overcome the barriers to suicide, which can be acquired through experience or dispositional factors. Mental illness, such as depression and post-traumatic stress disorder, can contribute to pain, hopelessness, and capability, increasing the risk of suicide. Understanding these factors can empower clinicians to intervene effectively and prevent suicide.

Special Guest:
E. David Klonsky

The following paper was referenced in the show:
The three-step theory of suicide: Description, evidence, and some useful points of clarification

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In this conversation, Dan welcomes Dr. Jon Elhai to discuss problematic smart phone and social media use.

This conversation explores the addictive aspects of social media and smart phones; however, they are not recognized as addictive disorders in the DSM or ICD. They also discuss the risk factors for excessive internet use, such as long-standing issues, coping styles, and internet-related cognitive biases like fear of missing out (FOMO). They discuss the importance of assessing the functional impairments caused by excessive use rather than just the duration of use. They explore the relationship between rumination, excessive reassurance seeking, and problematic use, and the potential negative mood effects of smartphone and social media use. In this conversation, Jon and Dan discuss the relationship between smartphone use and mental health, particularly depression. They highlight that excessive smartphone use is more likely to exacerbate existing mental health issues rather than cause them. They argue that social media and smartphones can have both positive and negative effects, depending on the individual and their circumstances. They also discuss the role of clinicians in assessing and treating problematic smartphone use, as well as the importance of parental guidance and government regulations to protect children from the potential harms of excessive digital media use.

Guest Starring:

Dr. Jon Elhai

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This week, Dan is joined by Dr. Jesse Owen,
Dan and Jesse peruse what multicultural psychotherapy really is and how to apply the multicultural orientation framework in psychotherapy and clinical training.

The conversation explores the concept of multicultural orientation (MCO) in psychotherapy/counseling. The MCO framework consists of three pillars: cultural humility, cultural opportunities, and cultural comfort. Cultural humility emphasizes the therapist's willingness to learn from the client's cultural experiences and not assume expertise. Cultural opportunities involve recognizing and exploring cultural aspects that arise in therapy sessions. Cultural comfort refers to the therapist's ability to navigate discomfort when discussing cultural topics. The conversation also touches on the importance of understanding clients' values and beliefs, even when they differ from the therapist's own. The MCO framework focuses on the salient identities, values, and beliefs of clients and how they influence the therapeutic process. It emphasizes the importance of understanding and acknowledging the cultural values and identities of both the therapist and the client. The framework is not intended to be a social justice framework, but rather a process-based model for psychotherapy. It aims to help therapists effectively connect with clients and address their individual needs, regardless of their cultural background. MCO training can also be applied to supervision, with a focus on understanding how the supervisor's and supervisee's identities influence the therapeutic process. Machine learning is being used to develop automated tools that provide real-time feedback and training on MCO skills.


Guest Starring:

Dr. Jesse Owen

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🎞️Video version of the show@PsychotherapyAppliedPsychology on YouTube
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