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Dalhousie Department of Psychiatry
Приєднався 16 сер 2012
Dr. Aidan Stokes retires after 50 years
Wishing Dr. Stokes all the best in his retirement from the Department of Psychiatry. We will miss him!
Переглядів: 135
Відео
20191113 Rounds Abbass
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Rounds presentation by Dr. Allan Abbass, Nov. 13, 2019
An Introduction to Third Wave Cognitive Behavioural Therapies Acceptance and Commitment Therapy ACT
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An Introduction to Third Wave Cognitive Behavioural Therapies Acceptance and Commitment Therapy ACT
When is a Group Not a Group The Fundamentals of Group Therapy
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When is a Group Not a Group The Fundamentals of Group Therapy
Motivational Interviewing Fundamental Skills for Working with People
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Motivational Interviewing Fundamental Skills for Working with People
Psychotherapy Services for Complex and Refractory Patients Tailoring Psychotherapy to the Needs of I
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Psychotherapy Services for Complex and Refractory Patients Tailoring Psychotherapy to the Needs of I
Opening Remarks Dr H Milliken Minster L Glavine Dr N Delva Dr D Pilon
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Opening Remarks Dr H Milliken Minster L Glavine Dr N Delva Dr D Pilon
Cognitive Behaviour Therapies for Anxiety Disorders
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Cognitive Behaviour Therapies for Anxiety Disorders
Conversations About Medical Humanities
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Humanities Coordinator, Dr. Joanne MacDonald, discusses medical humanities with several department members.
The Suicidal Adolescent by Dr Suzanne Zinck
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The Suicidal Adolescent by Dr Suzanne Zinck
Violence Risk Assessment A Practical Guide for Mental Health Clinicians by Dr Aileen Brunet
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Violence Risk Assessment A Practical Guide for Mental Health Clinicians by Dr Aileen Brunet
Delirium Recognizing and Managing the Signs and Symptoms by Dr Andrew Harris
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XXVI W.O. McCormick Academic Day
Toxic Effects of Illicit Drug Use by Dr Sophie Gosselin Keynote Speaker
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XXVI W.O. McCormick Academic Day
A Dialogue about a Family Member’s Experience with Mental Health Emergency Services by Patricia Cosg
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XXVI W.O. McCormick Academic Day
When does an Adverse Drug Event Become an Emergency by Dr Peter Zed, Keynote Speaker
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XXVI W.O. McCormick Academic Day
What is a Psychiatric Emergency by Dr Tom MacKay
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What is a Psychiatric Emergency by Dr Tom MacKay
Opening Remarks by Dr Heather Milliken and Dr Nick Delva
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Opening Remarks by Dr Heather Milliken and Dr Nick Delva
Negative effects of psychotherapy for adults are reported at a prevalence ranging from 3-20% of clients (Berk & Parker, 2009; Linden, 2013; Mohr, 1995; Schermuly-Haupt et al., 2018). These include worsening or lack of improvement of symptoms, development of new symptoms, social difficulties such as increased family distress, stigma, and dependency on the therapist (Berk & Parker, 2009; Linden, 2013; Rozental et al., 2015; Schermuly-Haupt et al., 2018). These effects have been reported across a variety of disorders (Barkley, 2018; Moritz et al., 2015; Parker et al., 2013; Rozental et al., 2015) and for different modalities of therapy (Parker et al., 2013; Roback, 2000; Rozental et al., 2015; Schermuly-Haupt et al., 2018) with qualitative and quantitative findings.
Psychotherapy outcomes are not always positive. Approximately 40-60% of patients do not reach a recovery criterion (Fisher and Durham, 1999; Gyani et al., 2013; HSCIS, 2018) and between 5 and 8.2% have a negative outcome, with worse mental health at the end of therapy than at intake (Barkham et al., 2001; Hansen et al., 2002). Estimates vary because of measurement and population differences. However, there is an important difference between an unsuccessful therapy and a harmful one. Clinical deterioration can be caused by many factors external to the therapy, and failure to benefit from therapy does not imply harm. Negative effects of therapy are common, may be short-lived, and emotionally distressing experience may be an intrinsic part of good therapy (Schermuly-Haupt et al., 2018). Rozental et al. (2019) found that 50.9% of 564 clients in low intensity CBT reported some degree of adverse experience during therapy on the Negative Effects Questionnaire (NEQ). In contrast, in a survey of 14,587 British patients receiving National Health Service psychotherapy, 5% reported “lasting bad effects” of therapy (Crawford et al., 2016). Although this is a much smaller proportion, it represents a large number of patients who report that therapy has been, to some extent, harmful.
Hi, i am doing masters in clinical psychology, i wanna do a pg dip in psychotherapy, so please suggest me some institutions
@@amnaahmad6885what’s clinical psychology?
Suzanne Zinck is a fraud and should have her license revoked.
It is not just your therapist, you are really too much for me too :D It is just all elevated energy and it is strenuous to listen.
Nice
ua-cam.com/video/0AIprpBNx8E/v-deo.html
Thanks for uploading this enriching video🙏🙏😍
This is all very compelling. Am wondering if psychotropic medication in general, like marijuana, effectively blocks the attachment circuits as well, making it hard to track what's actually going on?
Great content, thank you!
I've had by far the most evil experience on many levels from psychotherpists ethics on how to treat people. i was not treated as a human being should be treated. I'm so sad I ever went, so sad, oh Lord I wish I had never been a part of such evil ethics. I have many mental imbalances and abnormalities than ever before. They are way off base, very imbalanced with their clients. Their ethics are very abnormal and heartless to human beings. It was the most heartless, evil, past feeling, emotionless, excomunicative, retoprogressive, inhumane, off base, abnormal, abusive experience that I have ever had in my life. DONT SIGN THE CONSENT FORM. Look at the ethics, they will NOT treat you as equals. They will NOT treat you as humans. You are a client and there are many horror stories related to psychotherapy. It is FILLED with inequality, abnormalities, strange rules and unemotional endings where they will treat you like a best friend and then act like you DO NOT EXIST. It's a horrible, evil practice. The SAFE way for loving, helping therapy would be to do it for free. I see no other way. When they do it for money they need a CUT OFF POINT this cuts off humans, love, deep shared feelings, like a hooker with fake love for money and then you don't exist verses a true and caring loved one who wants to help out a human being in love and helpfulness. Be careful. I'm warning everyone. Be very carefull. I am not the only horror story that came out of this. I do like psychotherapy, BUT the way they have clients...its very unsafe. To me it can't be done. I can't see a safe way mathematically to charge people.One way in which to charge people is to act like they don't exist, YET in the person bring out so much emotional connection and love...yet act like they don't exist??? And that's considered ethical??
From the layman's point of view this is the best exposition of the subject I have seen. Based on first-hand observation (or second-hand experience if you will) I think that psychiatry, including adolescent psychiatry, needs to be much more aware of this issue. If a strong young man (as opposed to a more typical older patient) shows signs like those described and does recover, nevertheless with unwise treatment and negligent follow-up the speed and outcome of his recovery may be greatly impeded. The cost to the system, as well as the personal cost, is enormous. Yet natural prejudice largely determines how seriously a case will be taken by hospital authorities. Accordingly our developmentally disabled son, already in prolonged emotional crisis, claiming to be physically sick, and having had previous experience with the system scared almost to death of what might be done to him, was kept unattended most of the time in an adult psych ward. Now this was in a reputable big-city hospital, but as those who have dealt with the system know, psych wards have one preferred solution for every problem, which is antipsychotic medications. He continued to get worse, could not void himself properly, and could hardly eat; then visits were denied and in one reported incident he deliberately injured himself. Unfortunately even well-meaning people could not get around the question of his disability to treat his physical distress, let alone give him any encouragement or reassurance; but at least they knew enough to transfer him, likely aware that he could not survive indefinitely as it was. The next we saw him he seemed not at all the same person, almost completely disoriented, agitated, with a wild expression and striking out automatically, more 'out of his mind' than actually distressed, unable to respond in any normal way. We know a lot about abnormal behavior associated with the disability, but this was something quite new: and the the second hospital dared take this state as his 'baseline', as representative of what and who he truly was. Now I am not saying that he was in a delirium, except that if it was not acute psychosis (they absolutely denied that!), what else could this be? But if this was a true baseline, then no matter how ineffective over the long term the antipsychotics would prove to be, at least these folks could congratulate themselves for achieving a great success when he snapped out of it. Mostly the congratulations belong to the frontline workers who kept him fed, spent time with him, and for the most part treated him like a human being! There is a great deal to be said for the importance of non-pharmaceutical care in clinical grey zones like this. But when the crisis is seen to have passed those supportive measures are not pursued with enough energy to grasp the full benefits, and then it is the presumed incapacity of the patient which is held up for blame. The other criticism I have of the inpatient psychiatric system is that in their haste to make clinical judgments they generally exclude any serious investigation of patient history, and tend to regard family testimony as suspect or invalid. Let them do according to their own lights, then! But the patient and the system will both suffer for it. If only they knew how closely they had skirted with disaster, they would thank God, as we do, for His mercy.