Last week was about emotional journaling. This week, we stick with the power of words and writing and take a dive into an evidence-based therapeutic writing activity called the Best Possible Self.
You all already know about optimism and pessimism.
Some people see the glass half full. Others see the glass half empty. Still others, just drink and savor the water, without getting hung up on how much is in the glass. Obviously, there are many other responses, because some people spill the water, others find a permanent water source, and others skip the water and drink the wine or pop open a beer.
Reducing people to two personality types never works, but that doesn’t stop people from labeling themselves or others as optimists or pessimists. This week’s activity—The Best Possible Self—is an optimism activity. You don’t have to be a so-called optimist to use it. And the good news is, regardless of your labels, the Best Possible Self writing activity is supposed to crank up your sense of optimism. That’s cool, because generally speaking, optimism is a good thing. Here’s what the researchers say about the Best Possible Self (BPS) activity.
[The following is summarized from Layous, Nelson, and Lyubomirsky, 2012]. Writing about your Best Possible Self (also seen as a representation of your goals) shows long-term health benefits, increases life satisfaction, increases positive affect, increases optimism, and improves overall sense of well-being. Laura King, a professor at U of Missouri-Columbia developed the BPS activity.
King’s original BPS study involved college students writing about their Best Possible Selves for 15 minutes a day for two weeks. The process has been validated with populations other than college students. If you want to jump in that deep, go for it. On the other hand, if you want a lighter version, here’s a less committed alternative:
Spend 10 minutes a day for four consecutive days writing a narrative description of your “best possible future self.”
Pick a point in the future – write about what you’ll be doing/thinking then – and these things need to capture a vision of you being “your best” successful self or of having accomplished your life goals.
As with all these activities, monitor your reactions. Maybe you’ll love it and want to keep doing it. Maybe you won’t.
If you feel like it, you can share some of your #writing on social media.
Berkeley’s Greater Good website includes a nice summary of the BPS activity. Here’s a pdf from their website:
Being a counseling and psychotherapy theories buff, I should mention that this fantastic assignment is very similar to the Adlerian “Future Autobiography.” Adler was way ahead of everyone on everything, so I’m not surprised that he was thinking of this first. Undoubtedly, Adler saw the glass half full, sipped and savored his share, and then shared it with his community. We should all be more like Adler.
Nothing works for everyone. Not everyone is comfortable writing about their experiences and not everyone can benefit from therapeutic writing. But, for those keen on the expressive writing modality, you can get out your pen or laptop and make a little therapeutic magic.
For this week’s Montana Happiness Challenge, I phrased it this way: What if, by engaging in a simple procedure for three consecutive days, you could obtain the following benefits?
A reduced need to go see a physician
Improved immune functioning
Fewer physical ailments or symptoms
Less distress
Less negative affect
Less depression
Improved GPA
Less absenteeism from work
As it turns out, according to social psychologist and prominent researcher, James Pennebaker, there is a simple procedure for accomplishing all of the above, right at your fingertips. Literally. At. Your. Fingertips. All you have to do is write about hard, difficult, or traumatic experiences. Here’s an example (summarized) of his instructions:
For the next three days write about your very deepest thoughts and feelings about an extremely important emotional issue that has affected you and your life. When writing, really let go and explore your deepest emotions and thoughts. You might want to tie your writing into your relationships with others or to your past/present/future, or to who you’ve been, who you are, and who you’d like to be in the future. You can write about the same topic every day or a new one every day. Keep your writing confidential. Don’t worry about spelling, grammar, etc., just write for 15-30 minutes straight. (adapted from Pennebaker, 1997)
I’ve been gobsmacked (aka astounded) by Pennebaker’s research for three decades. So much so that I remember where I was when I first read his 1986 article. Despite my gob-smacked-ness, I think it’s important to remember that Pennebaker is a social psychologist; he isn’t a clinical or counseling psychologist, a clinical mental health counselor, or a clinical social worker. As a consequence, I’m not asking you to leap right into his assignment without support. In fact, most researchers, including Pennebaker, believe you can gain the same benefits by talking about painful emotional experiences with a counselor or psychotherapist. One additional caveat: Pennebaker has also found that when writing or talking about traumatic experiences, often people feel distressed or emotionally worse to start, but over time they begin feeling better than they did in the beginning.
To do this activity, just think about Pennebaker’s method and his claims, and notice: (a) what you think of his idea, (b) whether you would ever like to try his technique, and (c) if you chose to try to process some deeper emotional issues, whether you would prefer writing or talking about them.
If you decide to really try Pennebaker’s method (that’s up to you), remember that your first reaction might be to feel worse. Therefore, having someone you trust to confide in about how you’re feeling through the process might be a good idea.
For me–and I know I’m weird–I like to go back and read some of the early research on these “therapeutic techniques.” Sometimes there’s no research to be found (think: somatic approaches or polyvagal theory); other times, the gaps between what was studied and what the media and popular psychology reports is huge (think: adverse childhood experiences and the research on predicting divorce); but on occasion, the original research is stunningly good. Here’s one of Pennebaker’s early studies. It’s really worth a read:
This morning’s weekly missive of “most read” articles from the Journal of the American Medical Association included a study evaluating the effects of high-dose “fluvoxamine and time to sustained recover in outpatients with COVID-19.” My reaction to the title was puzzlement. What could be the rationale for using a serotonin specific reuptake inhibitor for treating COVID-19? I read a bit and discovered there’s an idea and observations that perhaps fluvoxamine can reduce the inflammation response and prevention development of more severe COVID-19.
To summarize, the results were no results. Despite the fact that back in the 1990s some psychiatrists and pharmaceutical companies were campaigning for putting serotonin in the water systems, in fact, serotonin doesn’t really do much. As you know from last week, serotonin-based medications are generally less effective for depression than exercise.
For the happiness challenge this week, we’re touting the effectiveness of my own version of what we should put in the water or in the schools or in families—the Three-Step Emotional Change Trick. Having been in a several month funk over a variety of issues, I find myself returning to the application of the Three-Step Emotional Change Trick in my daily life. Does it always work? Nope. Is it better than feeling like a victim to my unpleasant thoughts and feelings? Yep.
I hope you’ll try this out and follow the instructions to push the process outward by sharing and teaching the three steps. Let’s try to get it into the water system.
Active Learning Assignment 9 – The 3-Step Emotional Change Trick
Almost no one likes toxic positivity. . . which is why I want to emphasize from the start, this week’s activity is NOT toxic positivity.
Back in the 1990s I was in full-time private practice and mostly I got young client referrals. When they entered my office, nearly all the youth were in bad moods. They were unhappy, sad, anxious, angry, and usually unpleasantly irritable. Early on I realized I had to do something to help them change their moods.
An Adlerian psychologist, Harold Mosak, had researched the emotional pushbutton technique. I turned it into a simple, three-step emotional change technique to help young clients deal with their bad moods. I liked the technique so well that I did it in my office, with myself, with parents, during professional workshops, and with classrooms full of elementary, middle, and high school students. Mostly it worked. Sometimes it didn’t.
This week, your assignment is to apply the three-step emotional change trick to yourself and your life. Here’s how it goes.
Introduction
Bad moods are normal. I would ask young clients, “Have you ever been in a bad mood?” All the kids nodded, flipped me off, or said things like, “No duh.”
Then I’d ask, “Have you ever had somebody tell you to cheer up?” Everyone said, “Yes!” and told me how much they hated being told to cheer up. I would agree and commiserate with them on how ridiculous it was for anyone to ever think that saying “Cheer up” would do anything but piss the person off even more. I’d say, “I’ll never tell you to cheer up.* If you’re in a bad mood, I figure you’ve got a good reason to be in a bad mood, and so I’ll just respect your mood.” [*Note to Therapists: This might be the single-most important therapeutic statement in this whole process.]
Then I’d ask. “Have you ever been stuck in a bad mood and have it last longer than you wanted it to?”
Nearly always there was a head nod; I’d join in and admit to the same. “Damn those bad moods. Sometimes they last and last and hang around way longer than they need to. How about I teach you this thing I call the three-step emotional change trick. It’s a way to change your mood, but only when YOU want to change your mood. You get to be the captain of your own emotional ship.”
Emotions are universally challenging. I think that’s why I never had a client refuse to let me teach the three-steps. And that’s why I’m sharing it with you now.
Step one is to feel the feeling. Feelings come around for a reason. We need to notice them, feel them, and contemplate their meaning. The big questions here are: How can you honor and feel your feelings? What can you do to respect your own feelings and listen to the underlying message? I’ve heard many answers. Here are a few. But you can generate your own list.
Frowning or crying if you feel sad
Grimacing and making angry faces into a mirror if you feel angry
Drawing an angry picture
Punching or kicking a pillow (no real violence though)
Going outside and yelling (or screaming into a pillow)
Scribbling on a note pad
Writing a nasty note to someone (but not delivering it)
Using your words, and talking to someone about what you’re feeling
Step two is to think a new thought or do something different. This step is all about intentionally doing or thinking something that might change or improve you mood. The big question here is: What can you think or do that will put you in a better mood?
I discovered that kids and adults have amazing mood-changing strategies. Here’s a sampling:
Tell a funny story (“Yesterday in math, my friend Todd farted”)
Tell a joke (What do you call it when 100 rabbits standing in a row all take one step backwards? A receding hare-line).
Tell a better joke (Why did the ant crawl up the elephant’s leg for the second time? It got pissed off the first time.)
Exercise!
Smile into a mirror
Talk to someone you trust
Put a cat (or a chicken or a duck) on your head
Chew a big wad of gum
I’m sure you get the idea. You know best what might put you in a good mood. When you’re ready, but not before, use your own self-knowledge to move into a better mood.
Step three is to spread the good mood. Moods are contagious. I’d say things like this to my clients:
“Emotions are contagious. Do you know what contagious means? It means you can catch emotions from being around other people who are in bad moods or good moods. Like when you got here. I noticed your mom was in a bad mood too. It made me wonder, did you catch the bad mood from her or did she catch it from you? Anyway, now you seem to be in a better mood. I’m wondering. Do you think you can make your mom “catch” your good mood?”
How do you share good moods? Saying “Cheer up” is off-limits. Here’s a short list of what I’ve heard from kids and adults.
Do someone a favor
Smile
Hold the door for a stranger
Offer a real or virtual hug
Listen to someone
Tell someone, “I love you”
Step four might be the best and most important step in the three-step emotional change trick. With kids, when I move on to step four, they always interrupt:
“Wait. You said there were only three steps!”
“Yes. That’s true. But because emotions are complicated and surprising, the three-step emotional change trick has four steps. The fourth step is for you to teach someone else the three steps.”
I’ll be online in about 75 minutes to present a workshop for the TexChip folks from TAMU-CC. The title of the workshop is: “Tough Kids, Cool Counseling: Strategies for Engaging and Influencing Youth.”
Here’s the link to the workshop . . . where the CEUs are free!:
You may be aware of the irony in the workshop title. . . which is the fact that very soon into the workshop I tell everyone that we should never even “think” the words “Tough kids.” The reason we drop the terminology “Tough kids” is because it blames and labels the young people with whom we’re working, and they may sense that. Instead, all we have are “Kids in tough situations” and one of the tough situations is being in counseling or therapy.
Whether I’ll see you in 75 minutes or not, here are the ppts:
As a part of a virtual symposium offered by Texas A&M University – Corpus Christi, this coming Saturday, August 26, I’m doing a 2-hour free continuing education workshop from 12-2pm Mountain time (2pm-4pm Eastern). The cool thing is that the CEUs for this workshop are FREE. The less cool thing is that the workshop is on a Saturday.
My talk is: Tough Kids, Cool Counseling: Strategies for Engaging and Influencing Youth. Even better, I’ll be preceded by Dr. Russ Curtis and Dr. Katie Goetz (9am-11am Mountain time), who are presenting a 2-hour workshop on The Mindset and Clinical Skills Needed to Thrive in Integrated Care. . . and that’s 2 more FREE CEUs.
Below, I’ve pasted the blurbs and Zoom information for these online workshops.
You are invited to join Tex-Chip Virtual Symposium on Saturday, August 26, 2023, at 10am – 3pm (CST).
Dr. Russ Curtis & Dr. Katie Goetz is scheduled to present from 10am – 12pm CST on “The Mindset and Clinical Skills Needed to Thrive in Integrated Care.” In this interactive presentation, participants will learn how to integrate clinical skills with enlightening philosophical premises to expand their understanding of providing inclusive whole-person care. Attendees will develop their clinical voice through lecture, case examples, and discussions to begin asking the right questions about how to provide next-generation integrated care.
Dr. Sommers-Flanagan is scheduled to present from 1pm – 3pm CST on “Tough Kids, Cool Counseling: Strategies for Engaging and Influencing Youth.” Engaging “tough kids” in behavioral health can be immensely frustrating or splendidly gratifying. The truth of this statement is so obvious that the supportive reference, at least according to many teenagers is “Duh!” In this 2-hour workshop, participants will learn, experience, and practice several strategies for engaging and influencing youth. Several cognitive, emotional, and constructive brief counseling techniques will be described and demonstrated. Examples include acknowledging reality, positive questioning, wishes and goals, the affect bridge, the three-step emotional change trick, what’s good about you?/asset flooding, and more. Essential counseling principles, countertransference, and cultural issues will be included.
Yesterday I had a marvelous day with a group of about 35 wonderful mental health professionals and students in Ypsilante, Michigan. I was hosted by generous and kind faculty of Eastern Michigan University. I learned about the historical significance of “Ipsy,” along with anecdotes pertaining to the Ipsy water tower on post-cards, details of which—obviously because I’m so classy and sophisticated—I will not mention here.
The weather was marginally dreadful. We worried the in-person workshop would be cancelled and replaced with Zoom. Despite the weather, some people drove 90 minutes or more to arrive, which was just one small measure of their commitment to learning and their commitment to serving youth and families in counseling and psychotherapy. Whenever I’m in a room with professionals like the group yesterday, I have renewed hope in the world and in the future. The participants were: Just. Good. People.
As is my practice, I’m posting the ppts from the workshop here:
And here’s a PG-rated image of the Ypsilante water tower.
Toward the end of the workshop I engaged two participants in an activity that involved shaking imaginary soda pop bottles and opening them. One participant had brought her five-year-old daughter for the day (because of a school closure). As her mother and the woman next to her pretended to shake their imaginary bottles, and I was saying, “Shake, shake, shake,” the five-year-old, who had been incredibly well-behaved for the preceding 8 hours, began giggling in a way that couldn’t be described as representing anything other than pure joy.
In honor of my new five-year-old friend, I encourage you all to find time to giggle this weekend. Even better, find a child to giggle with; it will be time well-spent.
And here’s a photo of me having a giggle with a young person.
I’ve said it before and I’ll say it again: I have a friend who repeatedly espouses the glories of redundancy. Maybe that’s why some politicians stay on-message, regardless of the veracity of their statements. Of course, George Orwell and Hannah Arendt also commented on redundancy as persuasion, and not in a good way. I should emphasize that my goal for using redundancy and writing about the three-step emotional technique again has nothing to do with shaping your reality through political messaging.
When I presented on positive psychology to a bunch of UM STEM graduate students back in August, 2022, I made it very clear that I was not advocating toxic positivity. Nevertheless, in one of the student evaluations, someone complained that all I was doing was telling graduate students to “Cheer up.” Oh my. Sometimes people just hear what they want to hear. That’s a problem with over-valuing “lived experience.” When we over-value lived experience, then everything is viewed through our own, usually narrow and biased, personal lenses. Adler called this private logic. Too much private logic is too much private logic. Although we should strive to value, learn from, and share lived experiences, we should also have a shared value of this thing called . . . wait for it . . . science!
The next time I presented to the UM STEM grad students (in January, 2023), I made an explicit point of emphasizing my “non-toxic positivity street cred” by beginning the lecture with a short lesson on the three-step emotional change trick (which, BTW, with inspiration from Alfred Adler and Harold Mosak, we created as a youth psychotherapy technique in the mid-1990s). You can even find our (with Rita) original three-step article here: https://www.tandfonline.com/doi/abs/10.1300/J019v17n04_02 and a later book chapter here: https://psycnet.apa.org/record/2002-01308-098 and, of course, I’ve written about it on this blog, and have a youtube video demonstration: https://www.youtube.com/watch?v=ITWhMYANC5c, yada, yada, yada.
While presenting the 3SECT (which is what cool people call it) to the STEM students, there was a woman sitting toward the back. She had stationed her 8-year-old son still farther back, where he was sitting, head down, playing on her phone. I did the 3SECT thing, including the famous “And so I put my cat on my head” scene, emphasizing throughout, that the WHOLE reason for the 3SECT existing was because we should NEVER SAY CHEER UP to anyone, anytime!
The next day, I received the following email from the anonymous woman in the back (who generously gave me permission to share it here):
Hi John,
I was at your happiness seminar yesterday and was very disappointed I had to leave early. You may have noticed my son (who is 8) was sitting in the back playing a game on my phone during the seminar. I was delighted to find out this morning, while my 6-year-old daughter was having a meltdown trying to do her hair for school, that my son had been listening and absorbed your 3-step emotional change trick. He remembered the whole thing, and he asked his sister this morning if she wanted to learn it, but only if she wanted to change her own mood. He was clear that it wasn’t because he was trying to tell her to cheer up. He heard it all yesterday! Thought you might enjoy that little anecdote.
A few days later, she wrote:
We have gotten a lot of mileage out of your emotional change trick in the last few days.
I have to admit, I absolutely love it when people listen and get the message, but I truly and deeply love it EVEN MORE when 8-year-olds absorb messages while allegedly playing on a cell phone. I believe this may just be the scientific evidence (or is it my lived experience) I needed to validate that I am not and never have been a proponent of toxic positivity.
One other notable note. When searching (via Google) for my very own 3SECT video, I found that a counselor in Tennessee has copied one of my three-step blog posts and posted it as his own blog post. I was gobsmacked—with annoyance and flattery in equal proportions. If you want to read the blog post worthy of plagiarism (not the plagiarist’s version, which is the same, but my version that was so darn tempting that it literally caused plagiarism, here you go: https://johnsommersflanagan.com/2020/04/15/the-three-step-emotional-change-technique/
I’m ending now with a few core messages:
Don’t say “cheer up” to anyone.
Don’t get too over-focused on your own lived experiences, because, after all, everyone has their own lived experiences, and we should complement them all with scientific knowledge.
Don’t plagiarize.
If the person you plagiarized emails you, asking you to stop plagiarizing or provide a citation, don’t ignore that person.
And, whenever appropriate, follow in the anonymous 8-year-old’s footsteps and spread the good mood – without saying cheer-up!
In 1990, when I moved back to Missoula, Montana to join Philip and Marcy Bornstein in their private practice, my goal was to establish a practice focusing on health psychology. I believed deeply in the body-mind connection and wanted to work with clients/patients with hypertension, asthma, and other health-related conditions with significant behavioral and psychosocial components.
Turns out, maybe because I was the youngest psychologist in town, all I got were referrals from Youth Probation Services, Child Protective Services, local schools, and parents who asked if I could “fix” their children’s challenging behaviors.
I’d say that I made lemonade from lemons, but it turns out I LOVED working with the so-called “challenging youth.” There were no lemons! The work led to our Tough Kids, Cool Counseling book (1997 and 2007), along with many articles, book chapters, and demonstration counseling videos. Over the years I’ve had the honor of working extensively with parents, families, youth, and young adults.
In about 10 days, I’ll be in Ypsilanti, Michigan doing a full-day professional workshop on “Tough Kids, Cool Counseling.” If you’re concerned about the title, don’t worry, so am I. In the first few minutes of the day, I’ll explain why using the terminology “Tough Kids” is a bad idea for counselors, psychotherapists, and other humans.
Just in case you’re in the Eastern Michigan area, the details and links for the conference are below. I hope to see you there . . . and hope if you make the trip, you’ll be sure to say hello to me at a break or after the workshop.
When: Friday, March 10, 2023, 8:30 AM – 5:00 PM EST
Where: Eastern Michigan University Student Center, Second Floor – Ballroom B Ypsilanti, MI 48197
Counseling so-called “tough kids” can be immensely frustrating or splendidly gratifying. The truth of this statement is so obvious that the supportive reference, at least according to many teenagers is, “Duh!” In this workshop, participants will sharpen their counseling skills by viewing and discussing video clips from actual counseling sessions, discussing key issues, and participating in live demonstrations. Attending this workshop will add tools to your counseling youth tool-box, and deepen your understanding of specific interventions. Over 20 cognitive, emotional, and constructive counseling techniques will be illustrated and demonstrated. Examples include acknowledging reality, informal assessment, the affect bridge, the three-step emotional change trick, asset flooding, empowered storytelling, and more. Four essential counseling principles, counselor counter-transference, and multicultural issues will be highlighted.
One more freebie in honor of suicide prevention month.
Building hope from the bottom up is one of the strengths-based suicide assessment and treatment techniques clinicians like best. I may be forgetting that I’ve already posted this here, but the approach is so popular that I’ll take that risk. Here’s the section for our Strengths-Based Suicide book . . .
Working from the Bottom Up to Build a Continuum ofHope
When clients are depressed and suicidal, they often think and talk about depressing thoughts and feelings. We shouldn’t expect otherwise. Even so, when clients ruminate on the negative, it fogs the window through which positive feelings and experiences are viewed. Within counseling, a potential conflict emerges: although clinicians want clients to problem-solve, focus on their strengths, and have hope for the future, clients are unable to generate solutions, can’t focus on their strengths or positive attributes, and seem unable to shake their hopelessness.
As discussed earlier in the case of Sophia, after an initial discussion of suicidality, there may come a natural time to pivot to the positive. One common strength-based tool for exploring what helps clients overcome their suicidality is a solution-focused question (Sommers-Flanagan, 2018a). If you’re working with a client who has made a previous attempt, you might ask something like “You’ve tried suicide before, but you’re here with me now, so there’s still a chance for a better life. What helped in the past?”
Although this is a perfectly reasonable question, the question may fall flat, and your client might respond with a hopelessness statement, “Nothing really ever helps.” This puts you in a predicament. Should you use Socratic questioning to identify a cognitive distortion? Should you interpret the distorted thinking in the here-and-now? Or should you retreat to empathy?
No matter what theoretical model you’re using, the predicament of how to deal with client non-responsiveness, negativity, or cognitive distortions remains. Let’s say you’re operating from a solution-focused or strength-based model and you ask the miracle question:
I’m going to ask you a strange question. What if, after we get done talking, you go back to doing your usual things at home, go to bed, and get some sleep. But in the middle of the night, a miracle happens, and your feelings of depression and suicide go away. You were asleep, and so you don’t know about the miracle. When you wake up, what will be the first thing you notice that will make you say to yourself, “Wow. Something amazing happened. I’m no longer depressed and suicidal.” (adapted from Berg & Dolan, 2001, p. 7).
Although the miracle question might do its magic and your client will respond with something positive, it’s equally possible that your client will say something like, “Not possible” or “The only way that would happen would be if I died in the night.” When clients are pervasively negative and hopeless, one error clinicians often make is to get into a yes-no questioning process that looks something like this:
Counselor: I’m sure there must be something that helps you feel more positive.
Client: I can’t think of anything.
Counselor: How about time with friends, does that help?
Client: No. I don’t have any real friends left.
Counselor: How about exercise?
Client: I can’t even get myself to exercise.
Counselor: Being in the outdoors helps with depression. Does that help?
Client: Nope.
Counselor: Have you tried medications?
Client: I hate medications. They made me feel like a zombie.
Entering into this exchange is unhelpful. In the end, both you and your client will be more depressed. Rather than continuing to ask what helps, try changing the focus to what doesn’t help. This shift is useful because when clients are experiencing suicidal depression, they’re more likely to resonate with negativity, and connecting with your client at the negative bottom is better than not connecting at all. The goal is to collaboratively build a continuum from the bottom up. By starting at the bottom, you’re simultaneously assessing hopelessness and intervening on the “Black-black” (as opposed to black-white) distorted thinking that you’re witnessing in session. Here’s an example:
Counselor: You’ve tried lots of different strategies to deal with your suicidal thoughts, without success. You’ve tried medications, exercise, and you’ve talked to your rabbi. Let’s list these and other things you’ve tried, and see which strategies were the worst. Of all the things you’ve tried, what was worst?
Client: I really hated exercising. It felt like I was being coerced to do something I’ve always hated. And it made me sore.
Counselor: Okay then. Exercise was the worst. You hated that. Of the other things you’ve tried, what was a little less bad than exercising?
Client: The medications. I just didn’t feel like myself.
Counselor: So that didn’t work either. So, of those three things, talking with your rabbi was the least bad?
Client: Yeah. It didn’t help much. But she was nice and supportive. I felt a little better, but I didn’t want to keep talking because she’s busy and I was a burden.
Focusing on the worst option resonates with a negative emotional state. For clients who are unhappy with the results of previous therapeutic efforts, beginning with the most worthless strategy of all is an easier therapeutic and assessment task, provides useful information, and is usually answered quickly. Subsequently, clinicians can move upward toward strategies that are “just a little less bad.” Building a unique continuum of what’s more and less helpful is the goal. Later, you can add new ideas that you or your client identify, and put them in their place on the continuum. If this approach works well, together with your client you will have generated several ideas (some new and some old) that are worth experimenting with in the future.
Beginning from the bottom puts a different spin on the problem-solving process. Even extremely depressed clients can acknowledge that every attempt to address their symptoms isn’t equally bad. Using a continuum is a useful tool for working with hopelessness and is consistent with the CBT technique, “Thinking in shades of grey.”
Here’s a visual/cartoon with a nice message, despite the outdated language.
And here’s some late-breaking news related to Montana Schools.
Next Monday and Tuesday (June 6 and 7), in Billings, I’m partnering with the amazing Dr. Emily Sallee to offer a two-day workshop for the Montana Association of School Psychologists. This is an in-person workshop—which is pretty darn exciting, especially because COVID cases in Billings right now are low.
The workshop is titled,Weaving Evidence-Based Happiness Interventions into Suicide Assessment & Treatment Planning .
Here’s the description:
In this 2-day workshop you will build your skills for providing evidence-based suicide assessment and treatment. Using a strengths-based foundation, this workshop includes a critique of traditional suicide assessment, a review of an alternative assessment approach for determining “happiness potential,” and skill-building activities on how to use more nuanced and therapeutic approaches to assessment. We will view video clips and engage in active practice of strategies for building hope from the bottom up, safety-planning and other essential interventions. Throughout the workshop, we will explore how to integrate evidence-based happiness and wellness strategies into suicide assessment, treatment, and professional self-care.
Emily and I will be weaving together strands from the CAST-S model adopted by the state of Montana, our strengths-based approach to suicide assessment and treatment, and some evidence-based happiness literature. There will be videos and more fun than usually expected when covering the challenging content of suicide assessment and treatment. The price is reasonable and profits support Montana School Psychologists, so that’s a good thing! If you’re around Billings and want to attend, here’s a link to register: https://masponline.us/summer-institute-2022/#!event-register/2022/6/6/weaving-evidence-based-happiness-interventions-into-suicide-assessment-treatment-planning
Also, if you know someone who might want to attend, please send them the preceding link.
Thanks, and all the best in the important and challenging work you’re doing.
JSF
The place to click if you want to learn about psychotherapy, counseling, or whatever John SF is thinking about.
John Sommers-Flanagan 