Does FIT work with all clients?
It's a question that comes up at some point in most trainings on feedback-informed treatment (FIT): "Can I use FIT with all my clients?" Having encountered it many times, I now have a pretty good sense of the asker's concerns. Given our training as mental health professionals, we ...
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Is the “50-minute hour” done for?
The date was August 26th, 1910. The place, Leyden, Holland -- better known as the "City of Discoveries" owing to its long scientific heritage. The people present were two giants of Viennese society, composer Gustav Mahler and psychoanalyst, Dr. Sigmund Freud. By the time of their meeting, the method ...
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My most misunderstood FIT Tip
The data are clear: working feedback-informed improves both retention and effectiveness (). Studies further show FIT achieves these effects, in part, by improving responsiveness to the individual client -- particularly those at risk for a negative or null outcome or dropout from treatment (, ). Such positive results notwithstanding, what ...
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Here’s a tip for ya’
Books, blogposts, interviews, and "how to" manuals ... Each covers a topic in a particular way. I honestly love them all. That said, despite the massive amount of information available to practitioners interested in FIT and deliberate practice, certain questions pop up time and again. At some point along ...
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Are you open to feedback?
Eight years ago, I was in Calgary, Alberta Canada, listening to psychologist Wolfgang Lutz talk about his research on using feedback in therapy. Others, including myself, had already presented data documenting the benefits of feedback-informed treatment (FIT), including lower dropout rates and improved outcomes. Dr. Lutz agreed, but was ...
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Managing the next Pandemic
I know, I know. You're thinking, "A post about the next pandemic?!" Some will insist, "We're not done with the current one!" Others will, with the wave of a hand counter, "I'm so tired of this conversation, let's move on. How about sushi for lunch?" Now, however, is the ...
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The Most Important Psychotherapy Book
Late last year, I began a project I'd been putting off for a long while: culling my professional books. I had thousands. They filled the shelves in both my office and home. To be sure, I did not collect for the sake of collecting. Each had been important to me ...
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Naïve, Purposeful, and Deliberate Practice? Only One Improves Outcomes
Deliberate practice is hot. More workshops and trainings are being offered on the topic than ever before. In the last year, a veritable slew of books has also appeared, with many being tied to a specific therapeutic modality. Given that the topic was introduced to the field a mere 15 ...
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Study Shows FIT Improves Effectiveness by 25% BUT …
"Why don't more therapists do FIT?" a grad student asked me during a recent consultation. Seated nearby in the room were department managers, supervisors, and many experienced practitioners. "Well," I said, queuing up my usual, diplomatic answer, "Feedback informed treatment is a relatively new idea, and the number of therapists doing ...
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Seeing What Others Miss
It's one of my favorite lines from one of my all time favorite films. Civilian Ellen Ripley (Sigourney Weaver) accompanies a troop of "colonial marines" to LV-426. Contact with the people living and working on the distant exomoon has been lost. A formidable life form is suspected. The Alien. Ripley is on board ...
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How Knowing the Origins of Psychotherapy Can Improve Your Effectiveness
Ever see the film, Sliding Doors? It's an older movie with a familiar plot. Life can change in an instant -- in this case, depending on whether or not lead character, Helen (played by Gwyneth Paltrow), catches a train. Both possibilities are explored, the results being dramatically different. Now, consider ...
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Session Frequency and Outcome: What is the “Right Dose” for Effective Psychotherapy?
The last two years have been difficult. Whether through illness, death of loved ones, job loss, economic insecurity, or social isolation, few have escaped the consequences of the worldwide pandemic. While government and media attention has been focused on physical health, rates of anxiety and depression have soared (). Younger ...
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Two Resources for Using Deliberate Practice to Improve your Therapeutic Effectiveness
The idea that improvement in a given skill or performance domain depends on practice is hardly new. Indeed, references to enhancing a person’s abilities through focused concentration and effort date back more than two millennia (). Though the term, deliberate practice, includes the word, “practice,” it is altogether different. The ...
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Finding your Learning Edge: A Deep Dive on Deliberate Practice
Therapists want to improve. In the largest, most comprehensive survey conducted to date, 86% of clinicians reported being “highly motivated” to transcend their current level of performance (). No wonder the arrival of deliberate practice on the professional scene has attracted so much interest. Always hungry for guidance and direction ...
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Getting in the Deliberate Practice HABIT
Type the words, "Old habits ..." into Google, and the search engine quickly adds, "die hard" and "are hard to break." When I did it just now, these were followed by two song titles -- one by Hank Williams Jr., the other by Mick Jagger -- both dealing with letting go ...
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Reducing Dropout and Unplanned Terminations in Mental Health Services
Being a mental health professional is a lot like being a parent. Please read that last statement carefully before drawing any conclusions! I did not say mental health services are similar to parenting. Rather, despite their best efforts, therapists, like parents, routinely feel they fall short of their hopes and ...
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