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Top Performance Blog

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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March 13, 2022 / deliberate practice, Feedback, Feedback Informed Treatment - FIT, FIT

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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January 19, 2022 / Feedback Informed Treatment - FIT

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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December 16, 2021 / Feedback Informed Treatment - FIT, FIT

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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November 19, 2021 / deliberate practice, excellence, Feedback, Feedback Informed Treatment - FIT

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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October 27, 2021 / Feedback Informed Treatment - FIT

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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July 22, 2021 / deliberate practice, excellence, Feedback Informed Treatment - FIT, FIT, Top Performance

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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May 12, 2021 / Behavioral Health, Feedback Informed Treatment - FIT, Practice Based Evidence, Therapeutic Relationship

Three Common Misunderstandings about Deliberate Practice for Therapists

Deliberate Practice is hot.  Judging from the rising number of research studies, workshops, and social media posts, it hard to believe the term did not appear in the psychotherapy literature until . The interest is understandable.  Among the various approaches to professional development -- supervision, continuing education, personal therapy -- the ...
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April 13, 2021 / Feedback Informed Treatment - FIT

Feedback Informed Treatment in Statutory Services (Child Protection, Court Mandated)

"We don't do 'treatment,' can we use FIT?" It's a question that comes up with increasing frequency as use of the Outcome and Session Rating Scales in the helping professions spreads around the globe and across diverse service settings. When I answer an unequivocal, "yes," the asker often responds as ...
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March 17, 2021 / Feedback Informed Treatment - FIT

Do We Learn from Our Clients? Yes, No, Maybe So …

When it comes to professional development, we therapists are remarkably consistent in opinion about what matters.  Regardless of experience level, theoretical preference, professional discipline, or gender identity, large, longitudinal studies show "learning from clients" is considered the most important and influential contributor (, ).  Said another way, we believe clinical ...
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March 2, 2021 / Behavioral Health, deliberate practice, evidence-based practice, Feedback Informed Treatment - FIT, FIT

Developing a Sustainable Deliberate Practice Plan

Amateurs have goals.  Experts have a system. Bold statements to be sure, both supported by research on deliberate practice -- the one activity documented to improve clinicians' therapeutic effectiveness. Much is made in the self-improvement and therapy literature about the importance of setting goals.  Unless you've been hiding under a ...
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January 20, 2021 / Feedback Informed Treatment - FIT

Making Sense of Client Feedback

I have a guilty confession to make.  I really like Kitchen Nightmares.  Even though the show finished its run six L O N G years ago, I still watch it in re-runs.  The concept was simple.  Send one of the world's best known chefs to save a failing restaurant. Each week a ...
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January 4, 2021 / deliberate practice, excellence, Feedback, Feedback Informed Treatment - FIT, FIT, Therapeutic Relationship

Umpires and Psychotherapists

Criticizing umpires is as much a part of watching baseball as eating hotdogs and wearing team jerseys on game day.  The insults are legion, whole websites are dedicated to cataloging them: "Open your eyes!" "Wake up, you are missing a great game!" "Your glasses fogged up?" "Have you tried eating ...
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December 9, 2020 / Feedback Informed Treatment - FIT

Augmenting the Two-Dimensional Sensory Input of Online Psychotherapy

Take a look at the graphic to the left.  It shows the use of the Outcome and Session Rating Scales (ORS & SRS) from the beginning of this year to the present by users of one of the three , authorized FIT software programs. What do you see? A couple of ...
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November 30, 2020 / Feedback Informed Treatment - FIT

Death of a Friend

It's rarely good news when the phone rings in the wee hours of the morning.  This time, it was a colleague calling to let me know that Rich Simon -- the founder and editor of the Psychotherapy Networker and long time friend -- had died. To say the news came as ...
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November 19, 2020 / Feedback Informed Treatment - FIT

The Cost of Caring

Eighty three million, six hundred fifty thousand, thirty seven. Can you guess what this number represents? No, its not the net worth of the latest tech millionaire.  Neither is it the budget of a soon-to-be released Hollywood blockbuster. Guess again. Give up? It's the number of adults in the U.S ...
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October 6, 2020 / Feedback Informed Treatment - FIT
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