“An award-winning app developed for teenage mental health by Dr. Nihara Krause, Consultant Clinical Psychologist, using the basic principles of an evidence-based therapy called Dialectical Behavioural Therapy (DBT).”
5 and 15 minute activities to comfort, distract, express, and release. You can also use this app to practice guided breathing, to log your activities (and self-monitor), and to journal.
Apple StoreRating: 4.4 stars (556 ratings)
Google Play Rating: 4.3 stars (1,982 ratings)
Psyberguide Rating: 3.00 (credibility) and 4.28 (user experience)
“The ground-breaking Healthy Minds Program uses neuroscience, contemplative traditions, and skill-based learning methods to help you develop the skills for a healthy mind, now in the palm of your hand. Translating pioneering neuroscience into tools for everyday life, our unique framework guides you through the four pillars of the science of training the mind.”
Guided meditations for awareness, connection, insight, and purpose.
Apple Store Rating: 4.9 stars (672 ratings)
Google Play Rating: 4.7 stars (1,032 ratings)
Psyberguide Rating: 3.67 (credibility) and 4.38 (user experience)
Subscription: No, but you must sign up for a free account
“We offer the largest free library of guided meditations on earth and the world’s most loved meditation Timer, for free.”
95,000 guided meditations, stories, and soundscapes for sleep, recovery and healing, stress and anxiety, performance, health and happiness, relationships, and spirituality. You can also access live events, discussion groups, and classes.
Apple Store Rating: 4.9 stars (305K ratings)
Google Play Rating: 4.9 stars (125,993 ratings)
Psyberguide Rating: 3.33 (credibility) and 4.38 (user experience)
Subscription: No. You have the option of creating a free account.
“Mantras are phrases we repeat to ourselves that highlight our strengths & values and can motivate us to do and feel good. A mantra helps you become your best possible self and My Mantra is designed to help you get there. As part of the IntelliCare suite of apps, My Mantra lets you create these motivating mantras and construct virtual photo albums to serve as encouragement and reminders of these mantras in your life.”
A simple app for developing personal mantras to inspire and uplift.
Apple Store Rating: 5 stars (2 ratings)
Google Play Rating: N/A
Psyberguide Rating: 3.67 (credibility) and 2.78 (user experience)
“Practicing mindfulness means grounding yourself in the present moment. Mindfulness has been shown to be helpful for reducing stress and coping with unpleasant thoughts and emotions. Mindfulness Coach will help you practice mindfulness meditation.”
Mindfulness training and practices. You can also use this app to set goals and log your progress.
Apple Store Rating: 4.7 stars (4K ratings)
Google Play Rating: 4.8 stars (5,230 ratings)
Psyberguide Rating: 3.00 (credibility) and 3.30 (user experience)
“Oak helps you decompress by transforming your meditation practice from an experiment into a habit. We support you from your first session to your 500th, with mindful, loving-kindness, and sleep meditations as well as unguided sessions and breathing exercises. Individualize your meditations by duration, and customize with silence or calming background sounds. Oak tracks your progress and encourages you to continue building a healthy meditation practice.”
Meditations and breathing exercises for relaxation and sleep. You can also access a mantra meditation course.
“Lower your stress levels, reduce anxiety, overcome fears, relieve pain, get better sleep, and so much more. All made possible with access to hundreds of meditations in the Tapping Solution App. You’ll learn how to use Tapping (also known as EFT, or Emotional Freedom Techniques), to lead a happier and healthier life.”
Tapping meditations and audiobooks.
Apple Store Rating: 4.8 stars (7.4K ratings)
Google Play Rating: 4.6 stars (6,098 ratings)
Psyberguide Rating: N/A
Subscription: $94.99 yearly (some content available without a subscription, account sign-up is free)
“With this easy-to-use app, you can practice mindfulness meditation anywhere, anytime with the guidance of the UCLA Mindful Awareness Research Center. Scientific research shows mindfulness can help manage stress-related physical conditions, reduce anxiety and depression, cultivate positive emotions, and help improve overall physical health and well-being.”
Basic and wellness meditations, as well as videos and podcasts.
25 Top Therapist-Recommended Books for Self-Improvement
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13 Things Mentally Strong People Don’t Do: Take Back Your Power, Embrace Change, Face Your Fears, and Train Your Brain for Happiness and Success (2017)
By Amy Morin
Amazon Description: “Everyone knows that regular exercise and weight training lead to physical strength. But how do we strengthen ourselves mentally for the truly tough times? And what should we do when we face these challenges? Or as psychotherapist Amy Morin asks, what should we avoid when we encounter adversity? Through her years counseling others and her own experiences navigating personal loss, Morin realized it is often the habits we cannot break that are holding us back from true success and happiness. Indulging in self-pity, agonizing over things beyond our control, obsessing over past events, resenting the achievements of others, or expecting immediate positive results holds us back. This list of things mentally strong people don’t do resonated so much with readers that when it was picked up by Forbes.com it received ten million views.
Now, for the first time, Morin expands upon the thirteen things from her viral post and shares her tried-and-true practices for increasing mental strength. Morin writes with searing honesty, incorporating anecdotes from her work as a college psychology instructor and psychotherapist as well as personal stories about how she bolstered her own mental strength when tragedy threatened to consume her.
Increasing your mental strength can change your entire attitude. It takes practice and hard work, but with Morin’s specific tips, exercises, and troubleshooting advice, it is possible to not only fortify your mental muscle but also drastically improve the quality of your life.”
Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones (2018)
By James Clear
Amazon Description: “No matter your goals, Atomic Habits offers a proven framework for improving-every day. James Clear, one of the world’s leading experts on habit formation, reveals practical strategies that will teach you exactly how to form good habits, break bad ones, and master the tiny behaviors that lead to remarkable results.
If you’re having trouble changing your habits, the problem isn’t you. The problem is your system. Bad habits repeat themselves again and again not because you don’t want to change, but because you have the wrong system for change. You do not rise to the level of your goals. You fall to the level of your systems. Here, you’ll get a proven system that can take you to new heights.
Clear is known for his ability to distill complex topics into simple behaviors that can be easily applied to daily life and work. Here, he draws on the most proven ideas from biology, psychology, and neuroscience to create an easy-to-understand guide for making good habits inevitable and bad habits impossible. Along the way, readers will be inspired and entertained with true stories from Olympic gold medalists, award-winning artists, business leaders, life-saving physicians, and star comedians who have used the science of small habits to master their craft and vault to the top of their field.
Learn how to:
make time for new habits (even when life gets crazy);
overcome a lack of motivation and willpower;
design your environment to make success easier;
get back on track when you fall off course;
…and much more.
Atomic Habits will reshape the way you think about progress and success, and give you the tools and strategies you need to transform your habits-whether you are a team looking to win a championship, an organization hoping to redefine an industry, or simply an individual who wishes to quit smoking, lose weight, reduce stress, or achieve any other goal.”
Attached: The New Science of Adult Attachment and How It Can Help You Find – and Keep – Love (2012)
By Amir Levine & Rachel Heller
Amazon Description: “We already rely on science to tell us what to eat, when to exercise, and how long to sleep. Why not use science to help us improve our relationships? In this revolutionary book, psychiatrist and neuroscientist Dr. Amir Levine and Rachel Heller scientifically explain why why some people seem to navigate relationships effortlessly, while others struggle.
Discover how an understanding of adult attachment—the most advanced relationship science in existence today—can help us find and sustain love. Pioneered by psychologist John Bowlby in the 1950s, the field of attachment posits that each of us behaves in relationships in one of three distinct ways:
Anxious people are often preoccupied with their relationships and tend to worry about their partner’s ability to love them back
Avoidant people equate intimacy with a loss of independence and constantly try to minimize closeness.
Secure people feel comfortable with intimacy and are usually warm and loving.
Attached guides readers in determining what attachment style they and their mate (or potential mate) follow, offering a road map for building stronger, more fulfilling connections with the people they love.”
The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma (2015)
By Bessel van der Kolk, M.D.
Amazon Description: “Trauma is a fact of life. Veterans and their families deal with the painful aftermath of combat; one in five Americans has been molested; one in four grew up with alcoholics; one in three couples have engaged in physical violence. Dr. Bessel van der Kolk, one of the world’s foremost experts on trauma, has spent over three decades working with survivors. In The Body Keeps the Score, he uses recent scientific advances to show how trauma literally reshapes both body and brain, compromising sufferers’ capacities for pleasure, engagement, self-control, and trust. He explores innovative treatments—from neurofeedback and meditation to sports, drama, and yoga—that offer new paths to recovery by activating the brain’s natural neuroplasticity. Based on Dr. van der Kolk’s own research and that of other leading specialists, The Body Keeps the Score exposes the tremendous power of our relationships both to hurt and to heal—and offers new hope for reclaiming lives.”
The Book of Awakening: Having the Life You Want by Being Present to the Life You Have (2020)
By Mark Nepo
Amazon Description: “Philosopher-poet and cancer survivor Mark Nepo opens a new season of freedom and joy―an escape from deadening, asleep-at-the wheel sameness―that is both profound and clarifying.
His spiritual daybook is a summons to reclaim aliveness, liberate the self, take each day one at a time, and savor the beauty offered by life’s unfolding. Reading his poetic prose is like being given second sight, exposing the reader to life’s multiple dimensions, each one drawn with awe and affection.
The Book of Awakening is the result of Nepo’s journey of the soul and will inspire others to embark on their own. He speaks of spirit and friendship, urging readers to stay vital and in love with this life, no matter the hardships. Encompassing many traditions and voices, Nepo’s words offer insight on pain, wonder, and love. Each entry is accompanied by an exercise that will surprise and delight the reader in its mind-waking ability.”
The Book of Joy: Lasting Happiness in a Changing World (2016)
By Dalai Lama, Desmond Tutu, & Douglas Abrams
Amazon Description: “Nobel Peace Prize Laureates His Holiness the Dalai Lama and Archbishop Desmond Tutu have survived more than fifty years of exile and the soul-crushing violence of oppression. Despite their hardships—or, as they would say, because of them—they are two of the most joyful people on the planet.
In April 2015, Archbishop Tutu traveled to the Dalai Lama’s home in Dharamsala, India, to celebrate His Holiness’s eightieth birthday and to create what they hoped would be a gift for others. They looked back on their long lives to answer a single burning question: How do we find joy in the face of life’s inevitable suffering?
They traded intimate stories, teased each other continually, and shared their spiritual practices. By the end of a week filled with laughter and punctuated with tears, these two global heroes had stared into the abyss and despair of our time and revealed how to live a life brimming with joy.
This book offers us a rare opportunity to experience their astonishing and unprecendented week together, from the first embrace to the final good-bye.
We get to listen as they explore the Nature of True Joy and confront each of the Obstacles of Joy—from fear, stress, and anger to grief, illness, and death. They then offer us the Eight Pillars of Joy, which provide the foundation for lasting happiness. Throughout, they include stories, wisdom, and science. Finally, they share their daily Joy Practices that anchor their own emotional and spiritual lives.
The Archbishop has never claimed sainthood, and the Dalai Lama considers himself a simple monk. In this unique collaboration, they offer us the reflection of real lives filled with pain and turmoil in the midst of which they have been able to discover a level of peace, of courage, and of joy to which we can all aspire in our own lives.”
Buy Yourself the F*cking Lilies: And Other Rituals to Fix Your Life, from Someone Who’s Been There (2020)
By Tara Schuster
Amazon Description: “By the time she was in her late twenties, Tara Schuster was a rising TV executive who had worked for The Daily Show with Jon Stewart and helped launch Key & Peele to viral superstardom. By all appearances, she had mastered being a grown-up. But beneath that veneer of success, she was a chronically anxious, self-medicating mess. No one knew that her road to adulthood had been paved with depression, anxiety, and shame, owing in large part to her minimally parented upbringing. She realized she’d hit rock bottom when she drunk-dialed her therapist pleading for help.
Buy Yourself the F*cking Lilies is the story of Tara’s path to re-parenting herself and becoming a ‘ninja of self-love.’ Through simple, daily rituals, Tara transformed her mind, body, and relationships, and shows how to
fake gratitude until you actually feel gratitude
excavate your emotional wounds and heal them with kindness
identify your self-limiting beliefs, kick them to the curb, and start living a life you choose
silence your inner frenemy and shield yourself from self-criticism
carve out time each morning to start your day empowered, inspired, and ready to rule
create a life you truly, totally f*cking LOVE
This is the book Tara wished someone had given her and it is the book many of us desperately need: a candid, hysterical, addictively readable, practical guide to growing up (no matter where you are in life) and learning to love yourself in a non-throw-up-in-your-mouth-it’s-so-cheesy way.”
Don’t Feed the Monkey Mind (How to Stop the Cycle of the Anxiety, Fear, and Worry) (2017)
By Jennifer Shannon
Amazon Description: “The very things we do to control anxiety can make anxiety worse. This unique guide offers a cognitive behavioral therapy (CBT)-based approach to help you recognize the constant chatter of your anxious ‘monkey mind,’ stop feeding anxious thoughts, and find the personal peace you crave.
Ancient sages compared the human mind to a monkey: constantly chattering, hopping from branch to branch—endlessly moving from fear to safety. If you are one of the millions of people whose life is affected by anxiety, you are familiar with this process. Unfortunately, you can’t switch off the ‘monkey mind,’ but you can stop feeding the monkey—or stop rewarding it by avoiding the things you fear.
Written by psychotherapist Jennifer Shannon, this book shows you how to stop anxious thoughts from taking over using proven-effective cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness techniques, as well as fun illustrations. By following the exercises in this book, you’ll learn to identify your own anxious thoughts, question those thoughts, and uncover the core fears at play.
Once you stop feeding the monkey, there are no limits to how expansive your life can feel. This book will show you how anxiety can only continue as long as you try to avoid it. And, paradoxically, only by seeking out and confronting the things that make you anxious can you reverse the cycle that keeps your fears alive.”
The Four Agreements: A Practical Guide to Personal Freedom (1997)
By Don Miguel Ruiz
Amazon Description: “In The Four Agreements, bestselling author Don Miguel Ruiz reveals the source of self-limiting beliefs that rob us of joy and create needless suffering. Based on ancient Toltec wisdom, The Four Agreements offer a powerful code of conduct that can rapidly transform our lives to a new experience of freedom, true happiness, and love.”
Furiously Happy: A Funny Book About Horrible Things (2017)
By Jenny Lawson
Amazon Description: “In Furiously Happy, a humor memoir tinged with just enough tragedy and pathos to make it worthwhile, Jenny Lawson examines her own experience with severe depression and a host of other conditions, and explains how it has led her to live life to the fullest:
‘I’ve often thought that people with severe depression have developed such a well for experiencing extreme emotion that they might be able to experience extreme joy in a way that ‘normal people’ also might never understand. And that’s what Furiously Happy is all about.’
Jenny’s readings are standing room only, with fans lining up to have Jenny sign their bottles of Xanax or Prozac as often as they are to have her sign their books. Furiously Happy appeals to Jenny’s core fan base but also transcends it. There are so many people out there struggling with depression and mental illness, either themselves or someone in their family―and in Furiously Happy they will find a member of their tribe offering up an uplifting message (via a taxidermied roadkill raccoon). Let’s Pretend This Never Happened ostensibly was about embracing your own weirdness, but deep down it was about family. Furiously Happy is about depression and mental illness, but deep down it’s about joy―and who doesn’t want a bit more of that?”
The Gifts of Imperfection: Let Go of Who You Think You’re Supposed to Be and Embrace Who You Are (2010)
By Brené Brown
Amazon Description: “Brené Brown’s game-changing New York Times bestseller, The Gifts of Imperfection, has sold more than 2 million copies in more than 30 different languages and is celebrating its 10th Anniversary in print. Forbes magazine named Gifts one of the ‘Five Books That Will Actually Change Your Outlook On Life.’ Through this self-help classic we find courage to overcome paralyzing fear and self-consciousness, strengthening our connection to the world and helping us to believe we are worthy of self-discovery, personal growth, and boundless love.
A motivational and inspiring guide to wholehearted living, rather than just the average self-help book, with this groundbreaking work Brené Brown, Ph.D., bolsters the self-esteem and personal development process through her characteristic heartfelt, honest storytelling. With original research and plenty of encouragement, she explores the psychology of releasing our definitions of an ‘imperfect’ life and embracing living authentically. Brown’s “ten guideposts” are benchmarks for authenticity that can help anyone establish a practice for a life of honest beauty—a perfectly imperfect life.
Now more than ever, we all need to cultivate feelings of self-worth, as well as acceptance and love for ourselves. In a world where insults, criticisms, and fears are spread too generously alongside messages of unrealistic beauty, attainment, and expectation, we look for ways to ‘dig deep’ and find truth and gratitude in our lives. A new way forward means we can’t hold on too tightly to our own self-defeating thoughts or the displaced pain in our world. Instead, we can embrace the imperfection.”
The Happiness Trap: How to Stop Struggling and Start Living (2008)
By Russ Harris
Amazon Description: “Build a more satisfying and meaningful life with this best-selling guide to freeing yourself from depression, anxiety, and insecurity through Acceptance and Commitment Therapy.
Are you, like millions of Americans, caught in the happiness trap? Russ Harris explains that the way most of us go about trying to find happiness ends up making us miserable, driving the epidemics of stress, anxiety, and depression. This empowering book presents the insights and techniques of ACT (Acceptance and Commitment Therapy) a revolutionary new psychotherapy based on cutting-edge research in behavioral psychology. By clarifying your values and developing mindfulness (a technique for living fully in the present moment), ACT helps you escape the happiness trap and find true satisfaction in life.
The techniques presented in The Happiness Trap will help readers to:
• Reduce stress and worry • Handle painful feelings and thoughts more effectively • Break self-defeating habits • Overcome insecurity and self-doubt • Create a rich, full, and meaningful life”
Hardwiring Happiness: The New Brain Science of Contentment, Calm, and Confidence (2016)
By Rick Hanson
Amazon Description: “With New York Times bestselling author, Dr. Hanson’s four steps, you can counterbalance your brain’s negativity bias and learn to hardwire happiness in only a few minutes each day.
Why is it easier to ruminate over hurt feelings than it is to bask in the warmth of being appreciated? Because your brain evolved to learn quickly from bad experiences and slowly from good ones, but you can change this.
Life isn’t easy, and having a brain wired to take in the bad and ignore the good makes us worried, irritated, and stressed, instead of confident, secure, and happy. But each day is filled with opportunities to build inner strengths and Dr. Rick Hanson, an acclaimed clinical psychologist, shows what you can do to override the brain’s default pessimism.
Hardwiring Happiness lays out a simple method that uses the hidden power of everyday experiences to build new neural structures full of happiness, love, confidence, and peace. You’ll learn to see through the lies your brain tells you. Dr. Hanson’s four steps build strengths into your brain to make contentment and a powerful sense of resilience the new normal. In just minutes a day, you can transform your brain into a refuge and power center of calm and happiness.”
In the Realm of Hungry Ghosts: Close Encounters with Addiction (2010)
By Gabor Maté
Amazon Description: “From bestselling author Gabor Maté, the essential resource for understanding the roots and behaviors of addiction-now with an added introduction by the author.
Based on Gabor Maté’s two decades of experience as a medical doctor and his groundbreaking work with the severely addicted on Vancouver’s skid row, In the Realm of Hungry Ghosts radically re-envisions this much misunderstood field by taking a holistic approach. Dr. Maté presents addiction not as a discrete phenomenon confined to an unfortunate or weak-willed few, but as a continuum that runs throughout (and perhaps underpins) our society; not a medical ‘condition’ distinct from the lives it affects, rather the result of a complex interplay among personal history, emotional, and neurological development, brain chemistry, and the drugs (and behaviors) of addiction. Simplifying a wide array of brain and addiction research findings from around the globe, the book avoids glib self-help remedies, instead promoting a thorough and compassionate self-understanding as the first key to healing and wellness.
In the Realm of Hungry Ghosts argues persuasively against contemporary health, social, and criminal justice policies toward addiction and those impacted by it. The mix of personal stories—including the author’s candid discussion of his own ‘high-status’ addictive tendencies—and science with positive solutions makes the book equally useful for lay readers and professionals.”
Maybe You Should Talk to Someone: A Therapist, HER Therapist, and Our Lives Revealed (2019)
By Lori Gottlieb
Amazon Description: “From a New York Times best-selling author, psychotherapist, and national advice columnist, a hilarious, thought-provoking, and surprising new book that takes us behind the scenes of a therapist’s world-where her patients are looking for answers (and so is she).
One day, Lori Gottlieb is a therapist who helps patients in her Los Angeles practice. The next, a crisis causes her world to come crashing down. Enter Wendell, the quirky but seasoned therapist in whose office she suddenly lands. With his balding head, cardigan, and khakis, he seems to have come straight from Therapist Central Casting. Yet he will turn out to be anything but.
As Gottlieb explores the inner chambers of her patients’ lives – a self-absorbed Hollywood producer, a young newlywed diagnosed with a terminal illness, a senior citizen threatening to end her life on her birthday if nothing gets better, and a twenty-something who can’t stop hooking up with the wrong guys – she finds that the questions they are struggling with are the very ones she is now bringing to Wendell.
With startling wisdom and humor, Gottlieb invites us into her world as both clinician and patient, examining the truths and fictions we tell ourselves and others as we teeter on the tightrope between love and desire, meaning and mortality, guilt and redemption, terror and courage, hope and change.
Maybe You Should Talk to Someone is revolutionary in its candor, offering a deeply personal yet universal tour of our hearts and minds and providing the rarest of gifts: a boldly revealing portrait of what it means to be human, and a disarmingly funny and illuminating account of our own mysterious lives and our power to transform them.”
Negative Self-Talk and How to Change It (2019)
By Shad Helmstetter
Amazon Description: “Negative Self-Talk and How to Change It is an immediately helpful, life-changing handbook of how to deal with negative self-talk – for yourself, or anyone in your life. Shad Helmstetter, Ph.D., the best-selling author of more than twenty books, is the leading authority in the field of self-talk today. In this 60-Minute’ Book written for today’s reader, Dr. Helmstetter gives you all of the important information you need to change negative self-talk forever, in a short, easy-to-read, and condensed format. Also included is a special ‘Guide to Changing Your Self-Talk’ from The Self-Talk Institute.”
No Self, No Problem: How Neuropsychology Is Catching Up to Buddhism (2019)
By Chris Niebauer
Amazon Description: “While in grad school in the early 1990s, Chris Niebauer began to notice striking parallels between the latest discoveries in psychology, neuroscience, and the teachings of Buddhism, Taoism, and other schools of Eastern thought. When he presented his findings to a professor, his ideas were quickly dismissed as ‘pure coincidence, nothing more.’
Fast-forward 20 years later and Niebauer is a Ph.D. and a tenured professor, and the Buddhist-neuroscience connection he found as a student is practically its own genre in the bookstore. But according to Niebauer, we are just beginning to understand the link between Eastern philosophy and the latest findings in psychology and neuroscience and what these assimilated ideas mean for the human experience.
In this groundbreaking book, Niebauer writes that the latest research in neuropsychology is now confirming a fundamental tenet of Buddhism, what is called Anatta, or the doctrine of ‘no self.’ Niebauer writes that our sense of self, or what we commonly refer to as the ego, is an illusion created entirely by the left side of the brain. Niebauer is quick to point out that this doesn’t mean that the self doesn’t exist but rather that it does so in the same way that a mirage in the middle of the desert exists, as a thought rather than a thing. His conclusions have significant ramifications for much of modern psychological modalities, which he says are spending much of their time trying to fix something that isn’t there.
What makes this book unique is that Niebauer offers a series of exercises to allow the reader to experience this truth for him- or herself, as well as additional tools and practices to use after reading the book, all of which are designed to change the way we experience the world―a way that is based on being rather than thinking.”
The Power of TED* (*The Empowerment Dynamic) (2019)
By David Emerald Womeldorff
Amazon Description: “The Power of TED* (*The Empowerment Dynamic) is a fable on self-leadership, because how you lead your own life has everything to do with how you lead in other areas. It is a tool for both individuals and organizations who want to create more effective communication and relationships. Learning how to transform everyday drama and opt for more growth-oriented solutions, is the priceless gift it teaches. As you walk with David, the main character, he shares how he is feeling victimized by life. Through serendipity he meets some wise guides, Ted and Sophia, who show David how he can move from feeling like a Victim to being a Creator of his own life. The Power of TED* offers a powerful alternative to the Karpman Drama Triangle with its roles of Victim, Persecutor, and Rescuer. The Empowerment Dynamic (TED) provides the antidote roles of Creator, Challenger and Coach and a more positive approach to life’s challenges. The teaching story provides a guide for learning and growing through the challenges we all face in our lives. Its message resonates with everyone who, at some time in their lives, feel victimized by their situation. Having helped thousands of people and scores of organizations over the past decade, The Power of TED* (*The Empowerment Dynamic) is being published in this 10th Anniversary Edition to convey a very timely message of hope that all of life, whether at home or work, can be transformed to create satisfying and fulfilling relationships.”
The Smart but Scattered Guide to Success: How to Use Your Brain’s Executive Skills to Keep Up, Stay Calm, and Get Organized at Work and at Home (2016)
By Peg Dawson & Richard Guare
Amazon Description: “Are you smart, scattered, and struggling? You’re not alone. Cutting-edge research shows that today’s 24/7 wired world and the growing demands of work and family life may simply max out the part of the brain that manages complex tasks. That’s especially true for those lacking strong executive skills-the core brain-based abilities needed to maintain focus, meet deadlines, and stay cool under pressure. In this essential guide, leading experts Peg Dawson and Richard Guare help you map your own executive skills profile and take effective steps to boost your organizational skills, time management, emotional control, and nine other essential capacities. The book is packed with science-based strategies and concrete examples, plus downloadable practical tools for creating your own personalized action plan. Whether on the job or at home, you can get more done with less stress.”
The Subtle Art of Not Giving a F*ck: A Counterintuitive Approach to Living a Good Life (2016)
By Mark Manson
Amazon Description: “In this generation-defining self-help guide, a superstar blogger cuts through the crap to show us how to stop trying to be ‘positive’ all the time so that we can truly become better, happier people.
For decades, we’ve been told that positive thinking is the key to a happy, rich life. ‘F**k positivity,’ Mark Manson says. ‘Let’s be honest, shit is f**ked and we have to live with it.’ In his wildly popular Internet blog, Manson doesn’t sugarcoat or equivocate. He tells it like it is—a dose of raw, refreshing, honest truth that is sorely lacking today. The Subtle Art of Not Giving a F**k is his antidote to the coddling, let’s-all-feel-good mindset that has infected American society and spoiled a generation, rewarding them with gold medals just for showing up.
Manson makes the argument, backed both by academic research and well-timed poop jokes, that improving our lives hinges not on our ability to turn lemons into lemonade, but on learning to stomach lemons better. Human beings are flawed and limited—’not everybody can be extraordinary, there are winners and losers in society, and some of it is not fair or your fault.’ Manson advises us to get to know our limitations and accept them. Once we embrace our fears, faults, and uncertainties, once we stop running and avoiding and start confronting painful truths, we can begin to find the courage, perseverance, honesty, responsibility, curiosity, and forgiveness we seek.
There are only so many things we can give a f**k about so we need to figure out which ones really matter, Manson makes clear. While money is nice, caring about what you do with your life is better, because true wealth is about experience. A much-needed grab-you-by-the-shoulders-and-look-you-in-the-eye moment of real-talk, filled with entertaining stories and profane, ruthless humor, The Subtle Art of Not Giving a F**k is a refreshing slap for a generation to help them lead contented, grounded lives.”
Taming Your Gremlin: A Surprisingly Simple Method for Getting Out of Your Own Way (2003)
By Richard David Carson
Amazon Description: “This is a completely updated edition of the 1983 classic that introduced a powerful method for gaining freedom from self-defeating behaviors and beliefs. Rick Carson, creator of the renowned Gremlin-Taming Method, has revised the book to include fresh interactive activities, real-life vignettes we can all identify with, and new loathsome gremlins ripe for taming. Carson blends his laid-back style, Taoist wisdom, the Zen Theory of Change, and sound psychology in an easy-to-understand, unique, and practical system for banishing the nemesis within. Among the things you will learn are:
Techniques for getting a sliver of light between the natural you and the monster of your mind.
The extraordinary power of simply noticing and playing with options.
Six keys to maintaining emotional balance amid upheaval.”
Thanks for the Feedback: The Science and Art of Receiving Feedback Well (2015)
By Douglas Stone & Sheila Heen
Amazon Description: “Douglas Stone and Sheila Heen have spent the past fifteen years working with corporations, nonprofits, governments, and families to determine what helps us learn and what gets in our way. In Thanks for the Feedback, they explain why receiving feedback is so crucial yet so challenging, offering a simple framework and powerful tools to help us take on life’s blizzard of offhand comments, annual evaluations, and unsolicited input with curiosity and grace. They blend the latest insights from neuroscience and psychology with practical, hard-headed advice. Thanks for the Feedback is destined to become a classic in the fields of leadership, organizational behavior, and education.”
The Untethered Soul: The Journey Beyond Yourself (2007)
By Michael Alan Singer
Amazon Description: “What would it be like to free yourself from limitations and soar beyond your boundaries? What can you do each day to discover inner peace and serenity? The Untethered Soul offers simple yet profound answers to these questions.
Whether this is your first exploration of inner space, or you’ve devoted your life to the inward journey, this book will transform your relationship with yourself and the world around you. You’ll discover what you can do to put an end to the habitual thoughts and emotions that limit your consciousness. By tapping into traditions of meditation and mindfulness, author and spiritual teacher Michael A. Singer shows how the development of consciousness can enable us all to dwell in the present moment and let go of painful thoughts and memories that keep us from achieving happiness and self-realization.
Co-published with the Institute of Noetic Sciences (IONS) The Untethered Soul begins by walking you through your relationship with your thoughts and emotions, helping you uncover the source and fluctuations of your inner energy. It then delves into what you can do to free yourself from the habitual thoughts, emotions, and energy patterns that limit your consciousness. Finally, with perfect clarity, this book opens the door to a life lived in the freedom of your innermost being.”
Why Zebras Don’t Get Ulcers (2004)
By Robert Sapolsky
Amazon Description: “Now in a third edition, Robert M. Sapolsky’s acclaimed and successful Why Zebras Don’t Get Ulcers features new chapters on how stress affects sleep and addiction, as well as new insights into anxiety and personality disorder and the impact of spirituality on managing stress.
As Sapolsky explains, most of us do not lie awake at night worrying about whether we have leprosy or malaria. Instead, the diseases we fear-and the ones that plague us now-are illnesses brought on by the slow accumulation of damage, such as heart disease and cancer. When we worry or experience stress, our body turns on the same physiological responses that an animal’s does, but we do not resolve conflict in the same way-through fighting or fleeing. Over time, this activation of a stress response makes us literally sick.
Combining cutting-edge research with a healthy dose of good humor and practical advice, Why Zebras Don’t Get Ulcers explains how prolonged stress causes or intensifies a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. It also provides essential guidance to controlling our stress responses. This new edition promises to be the most comprehensive and engaging one yet.”
You Are a Badass: How to Stop Doubting Your Greatness and Start Living an Awesome Life (2013)
By Jen Sincero
Amazon Description: “In this refreshingly entertaining how-to guide, bestselling author and world-traveling success coach, Jen Sincero, serves up 27 bite-sized chapters full of hilariously inspiring stories, sage advice, easy exercises, and the occasional swear word, helping you to: Identify and change the self-sabotaging beliefs and behaviors that stop you from getting what you want, Create a life you totally love. And create it NOW, Make some damn money already. The kind you’ve never made before.
By the end of You Are a Badass, you’ll understand why you are how you are, how to love what you can’t change, how to change what you don’t love, and how to use The Force to kick some serious ass.”
This is a list of the 16 best email newsletter subscriptions for therapists, other mental health workers, students, and consumers. These e-newsletters were selected for quality/relevancy of content and usefulness of resources.
“Intellectual growth should commence at birth and cease only at death.”
Please repost this and/or share with anyone you think could benefit from these resources!
16 Best e-Newsletters for Therapists
Newsletters are categorized based on target population: General/nonspecific and trauma-informed newsletters for therapists and counseling students, newsletters for addiction professionals, newsletters for both mental health professionals and consumers, and newsletters for research news.
Site Statement: “ACEs Connection is a social network that recognizes the impact of a wide variety of adverse childhood experiences (ACEs) in shaping adult behavior and health, and that promotes trauma-informed and resilience-building practices and policies in all families, organizations, systems and communities. We support communities to accelerate the science of adverse childhood experiences to solve our most intractable problems. We believe that we can create a resilient world where people thrive.”
Best for: News/articles about trauma and Webinar opportunities
Site/Organization: National Council for Behavioral Health
Site Statement: “The National Council for Behavioral Health is the unifying voice of America’s health care organizations that deliver mental health and addictions treatment and services. Together with our 3,381 member organizations serving over 10 million adults, children and families living with mental illnesses and addictions, the National Council is committed to all Americans having access to comprehensive, high-quality care that affords every opportunity for recovery.”
Best for: Webinar opportunities, trainings, news, and other resources
Site/Organization: American Psychiatric Association
Site Statement: “Psychiatric News Update is a weekly e-newsletter bringing you up-to-the-moment news about APA news; services, programs, and educational materials available to APA members; and links to the latest research reports in the American Journal of Psychiatry, Psychiatric News, and Psychiatric Services.”
Best for: News/research and training opportunities (free for members)
Site/Organization: Psychiatry Advisor (from Haymarket Medical Network)
Site Statement: “Psychiatry Advisor offers psychiatric healthcare professionals a comprehensive knowledge base of practical psychiatry information and resources to assist in making the right decisions for their patients. Creating your free account with Psychiatry Advisor allows you access to exclusive content, including case studies, drug information, CME and more across our growing network of clinical sites.”
Best for: News and articles related to psychotropic medications, and training opportunities
Site/Organization: Society for the Advancement of Psychotherapy
Site Statement: “A strong voice for psychotherapy and home for psychotherapists, the Society for the Advancement of Psychotherapy is committed to preserving and expanding the theoretical and evidentiary base for psychotherapy and psychotherapeutic relationships, supporting life-long learning of psychotherapeutic skills, as well as making the benefits of psychotherapy accessible to all. The Society is an international community of practitioners, scholars, researchers, teachers, health care specialists, and students who are interested in and devoted to the advancement of the practice and science of psychotherapy. Our mission is to provide an active, diverse, and vital community and to generate, share, and disseminate the rapidly accumulating evidence base in clinical science and practice.”
Site/Organization: Association for Addiction Professionals (NAADAC)
Site Statement: “Addiction & Recovery eNews is a bi-weekly newsletter delivering trending and breaking news, innovations, research and trends impacting the addiction-focused profession to over 48,000 addiction professionals every other Friday.”
Best for: Training (both free and low-cost) opportunities, news, and employment postings
Site/Organization: American Society of Addiction Medicine
Site Statement: “The ASAM Weekly is a source of timely, useful news briefings of top stories for addiction medicine combined with ASAM developments in education, advocacy, state chapter news and more. ASAM Weekly is a great way to keep informed and is delivered to the inboxes of ASAM members every Tuesday.”
Best for: News and articles about addiction medicine
Site Statement: “The Hazelden Betty Ford Foundation is a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs… With a legacy that began in 1949 and includes the 1982 founding of the Betty Ford Center, the Foundation today also encompasses a graduate school of addiction studies, a publishing division, an addiction research center, recovery advocacy and thought leadership, professional and medical education programs, school-based prevention resources and a specialized program for children who grow up in families with addiction. Stay up-to-date on the latest addiction treatment trends, research and practices as well as news about Hazelden Betty Ford Foundation’s facilities, events and staff with Clinical Connection, [a] bi-monthly e-newsletter.”
Best for: Free Webinar opportunities, online courses, news, and podcasts
Site/Organization: National Harm Reduction Coalition
Site Statement: “National Harm Reduction Coalition is a nationwide advocate and ally for people who use drugs. We are a catalyst and incubator, repository and hub, storyteller and disseminator for the collective wisdom of the harm reduction community.”
Site Statement: “Partnership to End Addiction is a result of the cohesive joining of two pioneering and preeminent addiction-focused organizations — Center on Addiction and Partnership for Drug-Free Kids. We combine our depth of expertise with our compassion-driven, hands-on approach to deliver solutions to individuals and families and proactively take action to incite productive change. Together, as Partnership to End Addiction, we mobilize families, policymakers, researchers and health care professionals to more effectively address addiction systemically on a national scale.”
Site/Organization: Depression and Bipolar Support Alliance
Site Statement: “DBSA provides hope, help, support, and education to improve the lives of people who have mood disorders. DBSA offers peer-based, wellness-oriented support and empowering services and resources available when people need them, where they need them, and how they need to receive them—online 24/7, in local support groups, in audio and video casts, or in printed materials distributed by DBSA, our chapters, and mental health care facilities across America.”
Site Statement: “Mental Health America (MHA) is the nation’s leading community-based nonprofit dedicated to addressing the needs of those living with mental illness and promoting the overall mental health of all. MHA’s work is driven by its commitment to promote mental health as a critical part of overall wellness, including prevention services for all; early identification and intervention for those at risk; integrated care, services, and supports for those who need them; with recovery as the goal.”
Best for: Webinars that offer certificates of attendance, news, recommended articles/podcasts, and downloadable toolkits
Site/Organization: Brain & Behavior Research Foundation
Site Statement: “The Brain & Behavior Research Foundation is a global nonprofit organization focused on improving the understanding, prevention and treatment of psychiatric and mental illnesses. The Foundation is committed to alleviating the suffering caused by mental illness by awarding grants that will lead to advances and breakthroughs in scientific research.”
Site/Organization: Recovery Research Institute at Massachusetts General Hospital
Site Statement: “The Recovery Research Institute is a leading nonprofit research institute of Massachusetts General Hospital, an affiliate of Harvard Medical School, dedicated to the advancement of addiction treatment and recovery. The Recovery Bulletin is a free monthly e-publication summarizing the latest and best research in addiction treatment and recovery.”
Best for: Research news related to addiction and recovery
Site Statement: “ScienceDaily features breaking news about the latest discoveries in science, health, the environment, technology, and more – from leading universities, scientific journals, and research organizations.”
Free resources for anger management, including articles/guides, assessments, PDF printable handouts, worksheets, workbooks, and recommended mobile apps.
This resource list for anger management includes articles/guides; free anger assessments (both interactive and PDF formats); free printable workbooks, manuals, handouts, and worksheets; treatment planning resources; research articles/dissertations; and recommended mobile apps.
Please share this resource with anyone you think would benefit!
Collaborates with Harvard Health Publications to provide a wide range of unbiased, motivating resources and self-help tools for mental, social, and emotional. 100% nonprofit; dedicated to Morgan Leslie Segal, who died by suicide when she was 29.
An extensive, completely free collection of articles on social skills and getting past social awkwardness. It’s written by someone who’s struggled socially himself, and who has degrees in psychology and counseling.
A list of membership associations for mental health counselors, psychotherapists, social workers, psychologists, psychiatrists, specialists, etc., including ACA/APA divisions and international organizations
This is a list of professional membership organizations for mental health clinicians and specialists. This listing includes American Counseling Association (ACA) and American Psychological Association (APA) divisions.
A resource list with links to useful sites, free assessment tools, low-cost trainings, printable PDF toolkits/guides, and more
This is a resource guide for suicide prevention and recovery. The suicide resources include links to educational sites, a list of free assessments, links to trainings, recommended books, helpline information, links to online support communities, recommended mobile apps, and more.
Lifetime – Suicide Attempt Self-Injury Count (L-SASI)InstructionsScoring | (Source: University of Washington Center for Behavioral Technology) The L-SASI is an interview to obtain a detailed lifetime history of non-suicidal self-injury and suicidal behavior. Citations: Linehan, M. M. &, Comtois, K. (1996). Lifetime Parasuicide History. University of Washington, Seattle, WA, Unpublished work
Non-Suicidal Self-Injury Assessment Tool Brief Version | Full Version | Assessment tool created by Cornell Research Program on Self-Injury and Recovery
Suicidal Behaviors Questionnaire | SBQ with Variable Labels | SBQ Scoring Syntax | (Source: University of Washington Center for Behavioral Technology) The SBQ is a self-report questionnaire designed to assess suicidal ideation, suicide expectancies, suicide threats and communications, and suicidal behavior. Citations: Addis, M. & Linehan, M. M. (1989). Predicting suicidal behavior: Psychometric properties of the Suicidal Behaviors Questionnaire. Poster presented at the Annual Meeting of the Association for the Advancement Behavior Therapy, Washington, DC
Suicide Attempt Self-Injury Interview (SASII)SASII Instructions For Published SASII | SASII Standard Short Form with Supplemental Questions | SASII Short Form with Variable Labels | SASII Scoring Syntax | Detailed Explanation of SPSS Scoring Syntax | (Source: University of Washington Center for Behavioral Technology) The SASII (formerly the PHI) is an interview to collect details of the topography, intent, medical severity, social context, precipitating and concurrent events, and outcomes of non-suicidal self-injury and suicidal behavior during a target time period. Major SASII outcome variables are the frequency of self-injurious and suicidal behaviors, the medical risk of such behaviors, suicide intent, a risk/rescue score, instrumental intent, and impulsiveness. Citations: Linehan, M. M., Comtois, K. A., Brown, M. Z., Heard, H. L., Wagner, A. (2006). Suicide Attempt Self-Injury Interview (SASII): Development, Reliability, and Validity of a Scale to Assess Suicide Attempts and Intentional Self-Injury. Psychological Assessment, 18(3), 303-312
University of WA Suicide Risk/Distress Assessment Protocol | (Source: University of Washington Center for Behavioral Technology) Reynolds, S. K., Lindenboim, N., Comtois, K. A., Murray, A., & Linehan, M. M. (2006). Risky Assessments: Participant Suicidality and Distress Associated with Research Assessments in a Treatment Study of Suicidal Behavior. Suicide and Life-Threatening Behavior (36)1, 19-33. Linehan, M. M., Comtois, K. A., &, Ward-Ciesielski, E. F. (2012). Assessing and managing risk with suicidal individuals. Cognitive and Behavioral Practice, 19(2), 218-232
This is a recommended list of “must-read” books for therapists and other mental health professionals.
The first section includes recommendations for both professionals and consumers. The next section includes suggested workbooks for therapy and/or self-help. The “Textbooks” section is comprised of required reading that I found valuable as a counseling grad student. In the “PracticePlanners Series” section, I included the planners I’ve relied on the most. The last section includes additional reads that have been helpful to me in both my professional and personal life.
Initially, the idea of group therapy terrified me. What if I couldn’t “control” the group? What if a client challenged me? What if I couldn’t think of anything to say? What if everyone got up and walked out? – which actually happened, once, by the way.
What made group counseling especially intimidating was that if I “messed up,” an entire group of people [as opposed to one person] would witness my failure.
Group facilitation wasn’t always comfortable and I made many (many!) mistakes, but I grew. I realized it’s okay to be counselor and human; at times, humans say dumb stuff, hurt each other’s feelings, and don’t know the answer.
By letting go of the need to be perfect, I became more effective. Group facilitation is now one of my favorite parts of the job.
This resource guide provides practical information and tools for group therapy for mental health practitioners.
Group therapy is an evidence-based treatment for substance use and mental disorders. An effective group calls for a skilled clinician to meet treatment standards. Professional associations, such as the American Group Psychotherapy Association, develop best practice guidelines based on scientific data and clinical research.
Want to learn more about current best practice in group work?
Additionally, SAMHSA promotes research-based protocols and has published several group therapy guides for best practice, including TIP 41: Substance Abuse Treatment: Group Therapy, Substance Abuse Treatment: Group Therapy – Quick Guide for Clinicians, and Substance Abuse Treatment: Group Therapy Inservice Training (a training manual), in addition to group workbooks/facilitator guides for anger management, stimulant use disorder, and serious mental illness.
The book itself is small in size but packed with helpful information and creative ideas. As a new counselor lacking in clinical skills, I supplemented with activities to engage the clients. Group Exercises for Addiction Counseling never failed me.
A more recent discovery of mine. This guide provides detailed instructions accompanied by thought-provoking discussion questions for each intervention. I was impressed with both the quality and originality; an instant upgrade to “house-tree-person.”
My favorite icebreaker activity involves passing out blank slips of paper to each group member and instructing them to write a “fun fact” about themselves, something no one else in the group would know. I provide them with examples (i.e. “I once had a pet lamb named Bluebell” or “I won a hotdog eating contest when I was 11 and then threw up all over the judges’ shoes”).
Depending on the crowd, you may want to tell clients not to write anything they wouldn’t want their peers to know. (I adopted this guideline after a client wrote about “sharting” himself.) Once everyone has written something, have them fold their papers and place in a container of some sort (a gift box, paper bag, plastic bowl, etc.) Group members take turns passing around the container (one-at-a-time) and picking a slip to read aloud. They must then guess who wrote it. (I give three guesses; after that, I turn it over to the group.)
A similar but more structured activity is to write out questions ahead of time and have clients take turns drawing and answering the questions. Questions can be silly, thought-provoking, or intending to illicit a strong emotional response (depending on the audience and goals for the group).
“People Search” involves a list of traits, feats, talents, or experiences. Each client receives the list and is given x amount of time to find someone in the group who is a match; that individual will then sign off. The first person to have their list completely signed sits down; they win. I typically let clients continue to collect signatures until two additional people sit down.
(Prizes optional, but always appreciated.) During the debriefing, it’s fun to learn more (and thereby increase understanding and compassion).
“First Impressions” works best with group members who don’t know each other well. It’s important for group members to know each other’s names (or wear name tags). Each group member has a sheet of paper with various “impressions” (i.e. judgments/stereotypes). For example, items on the list might be “Looks like an addict” and “Looks intelligent.” Clients write other group members’ names for each impression. In addition to enhancing a sense of community, this activity provides an avenue for discussing harmful stereotypes and stigma.
Affirmations groups can be powerful, generating unity and kindness. The effect seems to be more pronounced in gender-specific groups. There are a variety of ways to facilitate an affirmations group, ranging from each person providing an affirmation to the client on their right to individuals sharing a self-affirmation with the group to creating a self-affirmation painting. Another idea is to give each client a sheet of paper. (Consider using quality, brightly-colored paper/posterboard and providing markers, gel pens, etc.) Clients write their name on it and then all the papers are passed around so each group member has the opportunity to write on everyone else’s sheet. Once their original paper is returned to them, they can read and share with the group. This can lead to a powerful discussion about image, reputation, feeling fake, etc. (Plus, clients get to keep the papers!)
“Most Likely to Relapse/Least Likely to Relapse” works best with a well-formed group and may require extra staff support. It’s good for larger groups and can be highly effective in a therapeutic community. Clients receive blank pieces of paper and are tasked to write the names of who they think is most likely and least likely to relapse. After writing their own name on the sheet, they turn it in to staff (effectively allowing staff to maintain a safe and productive environment). Staff then read each sheet aloud (without naming who wrote it). If they choose, clients can share what they wrote and provide additional feedback. (Most do.) Clients selected as “most likely” (in either category) have the opportunity to process with other group members and staff.
Access group therapy worksheets and handouts here.
In need of fresh material? It can be easy to fall into a rut, especially if you’re burnout or working with a particularly challenging group. The following three PDF downloads are lists of ideas for group topics.
PRACTICAL TIPS FOR PSYCHOEDUCATION & PROCESS GROUPS
As a group facilitator, consider incorporating some sort of experiential activity, quiz, handout, game, etc. into every session. For example, start with a check-in, review a handout, facilitate a discussion, take a 5-minute bathroom break, facilitate a role-play, and then close the group by summarizing and providing clients with the opportunity to share what they learned.
If an experiential or interactive exercise isn’t feasible, provide coffee or snacks; sitting for 45 minutes is difficult for some, and 90 minutes can be unbearable.
Another idea is to have a “fun” or “free” group in the curriculum. Ideas include going bowling, having a potluck, Starbucks run, game group (i.e. Catchphrase, Pictionary, etc.), escape room, nature walk, etc.
DEALING WITH CHALLENGES
Clients are not always willing therapy participants; some are court-ordered to attend or there to have privileges restored. Some attendees may be there “voluntarily,” but only to save their marriage or keep a job, not believing they need help. In residential treatment, clients attend mandatory groups as part of the daily schedule — participate or you’re out.
Even when attendance is truly voluntary, a group member may be in a bad space. Maybe they’re stressed about the rent or just got into a fight with their significant other. Or what if the AC is broken and the group room is 80 degrees? What if a client has unpleasant body odor or bad breath or an annoying cough?
Multiple factors combine and it’s suddenly a sh**show. (I’ll never forget the client who climbed onto a chair to “rally the troops” against my tyranny.) Anticipating challenges is the first step to effectively preventing and managing them.
Click here for a helpful article from Counseling Today that addresses the concept of client resistance.
Tips for Dealing with Challenging Clients & Resistance in Group
1. If possible, co-facilitate. One clinician leads while the other observes. The observer remains attuned to the general “tone” of the group, i.e. facial expressions, body language, etc.
2. Review the expectations at the beginning of every group. Ask clients to share the guidelines with each other (instead of you telling them). This promotes a collaborative spirit.
3. After guidelines are reviewed, explain that while interrupting is discouraged, there may be times when you interject to maintain the overall wellness and safety of the group. (Knowing this, a client is less likely to get angry or feel disrespected when/if it happens.)
4. If you must interrupt, apologize, and explain the rationale.
5. Avoid power struggles at all costs, especially when a client challenges the benefits of treatment. (The unhealthier group members will quickly side with a challenger, leading to a complaint session.) Challenging the efficacy of treatment (or you as a clinician) is often a defense mechanism. Sometimes, the best response is simply “okay,” or none at all… and keep moving. You can also acknowledge the client’s perspective and ask to meet with them after group (and then get back on topic). If the group is relatively healthy, you may want to illicit feedback from other group members.
6. If a client becomes angry or tearful, give them time to vent for a moment or two (don’t “Band-Aid”); they may be able to self-regulate. (If they do self-regulate, share your observations and offer praise.)
7. If a client’s anger escalates to a disruptive level, ask them to take a break. At this point, their behavior is potentially triggering to other group members. Don’t raise your voice or ask them to calm down. Direct them step out and return when they’re ready. You may have to repeat yourself several times, but remain firm and calm, and they will eventually listen.
8. If a client is disrespectful (cursing at you or another client, name-calling, insulting, etc.) while escalated, let them know it’s not okay, but don’t attempt to provide feedback. (A simple, “Hey, that’s not okay,” will suffice.) Bring it up with the client later when they’re able to process.
9. Once the disgruntled client exits the room, acknowledge what happened and let the group know you will follow up with the client. If another client wants to talk about it, ask them to share only how it made them feel, but stress that it’s not okay to talk about an absent group member. (“How would you feel if we talked about you when you weren’t here?”) Strongly suggest that they wait until the person returns (and is open) to have a group discussion.
10. After a major blow-up (and once everyone is calm), it can be beneficial for the group to process it with the person who escalated. Group members can empathize/relate, share their observations and/or how it made them feel, and offer feedback.
11. If other disruptive behaviors occur in group (side conversations, snoring, etc.) address them in the moment (without shaming, of course). Point out the behavior and explain how it’s disruptive to the group. Refer back to the group guidelines. Ask group members to comment as well. If you let a behavior persist, hoping it will eventually stop, you’re sending the message that it’s okay, not only to the person who is disruptive, but to the entire group. This impacts the integrity of the group and opens things up for additional disruptive behaviors.
12. For clients who monopolize, who are constantly joking, or who attempt to intentionally distract by changing the topic, point out your observations and encourage group members to give feedback.
13. If, on the other hand, clients seem disengaged or unmotivated, seek out their feedback, privately or in the group, whichever is clinically appropriate.
14. If there’s a general level of disengagement, bring it up in the group. Remain objective and state your observations.
15. Anticipate that at times, people may not have much to say. (And while yes, there’s always something to talk about, that doesn’t mean someone is ready to or has the emotional energy to.) Maybe they’re distracted or tired or feeling “talked out.” It’s good to have backup plans: watch a psychoeducational film, take a walk in the park, listen to meditations or music, provide worksheets, education reading material, or coloring sheets.
16. Always keep in mind a client’s stage of change, their internal experiences (i.e. hearing voices, social anxiety, paranoia, physical pain, etc.), external circumstances (i.e. recent medication change, loss of housing, conflict with roommates, etc.), and history of trauma. What looks like resistance may be something else entirely.
Adverse Outcomes in Group Psychotherapy | Roback, H. B. (2000). Adverse outcomes in group psychotherapy: Risk factors, prevention, and research directions. The Journal of Psychotherapy Practice and Research, 9(3), 113–122.
Differences that Make a Difference | Change-Caffaro, S., & Caffaro, J. (2018). Differences that make a difference: Diversity and the process group leader. International Journal of Group Psychotherapy, 00: 1-15.
Group Interventions| Ezhumalai, S., Muralidhar, D., Dhanasekarapandian, R., & Nikketha, B. S. (2018). Group interventions. Indian Journal of Psychiatry, 60(Suppl 4), S514–S521.
Group Therapy for Substance Use Disorders | Wendt, D. C., & Gone, J. P. (2017). Group therapy for substance use disorders: A survey of clinician practices. Journal of Groups in Addiction & Recovery, 12(4), 243–259.