Very Bad Therapy (Ben Fineman and Caroline Wiita)
Explorez tous les épisodes de Very Bad Therapy
| Date | Titre | Durée | |
|---|---|---|---|
| 09 Nov 2020 | 69. Culture, Stigma, and Very Bad Psychiatry | 01:10:43 | |
Today’s guest Cherry shares her experience being prescribed benzodiazepines and God instead of receiving the emotional support she was seeking. We explore the impact of culture and stigma on mental health services, the heroism of clients, and what we can learn from the remarkable conclusions of antidepressant outcome studies.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:21 Part One: 6:21 – 33:01 Part Two: 33:01 – 1:10:42
Very Bad Therapy: Website / Facebook / Tell Us Your Story
Ben Fineman Counseling – Therapy for Young Professionals (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes:
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| 12 Apr 2021 | 80. The Troubled Teen Industry (with Kenneth R. Rosen) | 01:14:32 | |
Kenneth R. Rosen is an author and journalist with firsthand experience in what is colloquially called the Troubled Teen Industry. This industry – a dubious version of wilderness therapy – often includes coercion, legal kidnapping, and manipulation. Kenneth joins us to talk about these harmful practices and his new book, Troubled: The Failed Promise of America’s Behavioral Treatment Programs.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 14:10 Part One: 14:10 – 1:06:05 Part Two: 1:06:05 – 1:14:31
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
(Ben Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes:
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| 11 Oct 2021 | 93. The Sociopath in the Therapy Room | 01:18:19 | |
Therapists have a lot of power. This episode is about a therapist who leveraged that power to abuse his clients.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 3:40 Part One: 3:40 – 1:03:16 Part Two: 1:03:16 – 1:18:18
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes: | |||
| 09 Dec 2019 | 30. The Money Episode | 00:54:49 | |
Do client fees impact therapy outcomes? How should therapists talk with their clients about money? Should mental health care be a basic human right? We have lots of questions and few answers as today’s guest Arianne joins us to share her story of money tension in therapy. Plus, Carrie and Ben read listener mail, gripe about therapist Facebook groups, and debate the ethics of prioritizing income maximization over all else as a mental health professional. VBT Copenhagen meetup: Ruby, tirsdag 17. december kl. 16:30 Show Notes:
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| 24 Feb 2020 | 41. Less Advice, More Transparency | 01:18:19 | |
This week’s story from Farah touches on many common themes of bad therapy: disempowerment, unsolicited advice, misrepresenting qualifications, and more. We explore how early-career therapists can be transparent about their lack of experience while still creating client buy-in, what research suggests about giving advice to clients, and the importance of feedback. Plus, Carrie reflects on the gender power dynamic on this podcast and between male therapists and female or non-binary clients. Stay tuned afterward for a teaser of the most recent VBT Patreon episode! Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes:
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| 26 Apr 2021 | 81. Codependency In Therapy (with Marissa Esquibel, LMFT) | 01:16:06 | |
Marissa Esquibel, LMFT joins us to talk about codependency – the tendency to let another person’s behavior affect your own while obsessing over trying to control that person’s behavior. What happens when this dynamic shows up in the therapeutic relationship and gets reinforced by well-intentioned caretaking? How can offering a reduced fee undermine therapeutic progress?
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:31 Part One: 6:31 – 1:02:48 Part Two: 1:02:48 – 1:16:05
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
(Ben Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes:
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| 22 Jul 2019 | 10. On Harm Reduction Therapy (with Lauren Cohn-Frankel, AMFT) | 00:38:14 | |
Today's episode is a deep dive into the nuances of harm reduction therapy. How does stigmatization, politicization, and cultural bias regarding substance use influence the way mental health professionals view and work with their clients? What happens when abstinence is not a client's preferred option? Also, Ben and Carrie say hello to Sweden! Show Notes:
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| 27 May 2019 | 2. Doubting a Client's Gayness | 00:34:36 | |
If a person claims to be gay, should you ever doubt them? Ben shares his story about winning $50 betting on his own sexual orientation, our guest Shaw tells us what it's like to debate your therapist about same-sex attraction not being a symptom of sexual assault, and we look at research that links sexual trauma to sexual identity. Show Links:
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| 17 Jan 2022 | 100. Patreon Selects: Is Good Therapy Just the Absence of Bad Therapy? | 01:08:25 | |
Carrie and Ben are joined by Dr. Will Dobud to discuss two burning questions: is good therapy just the absence of bad therapy, and should we ban the use of cognitive behavioral therapy? We explore the importance of teaching people to think about psychotherapy models differently, the appeal of bringing therapy back to its pragmatist roots, and what the biased origins of personality tests can teach us about taking precautions when using theories of pathology. Plus, what can we learn from the wonderful history of smoke enemas?
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 5:43 Part One: 5:43 – 1:08:24
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes: | |||
| 04 Apr 2022 | 106. Psycho, Education | 01:15:02 | |
What happens when a therapist and client have two very different conversational styles? Therapists can try to build rapport in many ways, which unfortunately is reflected in our guest Ben’s experience of being given terrible advice mislabeled as psychoeducation. Whether a client is talkative or reserved, one thing is for sure: randomly praising Donald Trump as a paragon of confidence is curious at best.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by courtmandatedtraining.com and The Organized Therapist – Social Media for Therapists.
Join our charity drive! We are matching up to $6,000 of your donations to the world’s most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.
Introduction: 0:00 – 9:31 Part One: 9:31 – 39:55 Part Two: 39:55 – 1:15:01
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes: | |||
| 09 Sep 2019 | 17. The Thorny Terminator | 00:45:29 | |
What constitutes bad termination? In the words of Justice Potter Stewart, "I shall not today attempt to further define [it]... But I know it when I see it." In today's episode, R shares their story of termination that we can clearly know to be bad. But is it unethical? Ben and Carrie search for answers and discuss a pantheoretical framework for good termination. Thank you for listening. All reviews, ratings, Facebook likes, and feedback to soothe Ben's anxiety are greatly appreciated. Show Notes:
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| 25 Nov 2019 | 28. VBT in Focus: Dr. Chris Hoff on Curiosity, Knowing, and Failure | 00:54:36 | |
Dr. Chris Hoff hosts The Radical Therapist podcast and YouTube channel. He joins us to discuss postmodern assumptions in therapy, how a strict focus on social justice can lead to familiar diagnostic pitfalls, and the importance of maintaining curiosity to combat confirmation bias. Plus, we explore the benefits of creating a culture where failure is valued and Chris shares his advice for early-career clinicians. VBT in Focus is a series of sporadic episodes in which Carrie and Ben have the privilege of chatting with their favorite thinkers in the field of psychotherapy. Thank you for listening. Show Notes:
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| 02 May 2022 | 108. The Inevitable CBT Episode (with Alyssa Davis, LMFT) | 01:36:41 | |
Of course we were going to end up doing an episode about CBT eventually. Emily describes visiting a CBT therapist who seemed uninterested in doing any real work, and Alyssa Davis joins us to cognitively restructure our beliefs about therapy models. Plus, some notes on EMDR, common factors, and deliberate practice. This episode has a bit of everything.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by courtmandatedtraining.com and The Organized Therapist – Social Media for Therapists.
Join our charity drive! We are matching up to $6,000 of your donations to the world’s most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.
Introduction: 0:00 – 8:36 Part One: 8:36 – 40:09 Part Two: 40:09 – 1:15:06 Part Three: 1:15:06 – 1:36:40
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 17 Jul 2023 | 142. VBT Study Hall: Client Testimonials and Reviews | 01:20:15 | |
Social proof has become a crucial element of consumer decision making in the Internet era. So why don’t the vast majority of therapists ask their clients to give testimonials or leave reviews? We ponder the frustrating tension between psychotherapy ethics codes and literature on marketing in the 21st century, and we do our best to advise therapists about what to do in response to a bad online review.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 27 May 2019 | 1. EMDR for Dummies (with Curt Widhalm, LMFT) | 00:42:46 | |
EMDR is a groundbreaking, controversial, and maybe not-that-special psychotherapy treatment. We explore the research on its mechanisms and effectiveness before hearing from our guest Justin about his EMDR experience with an overeager therapist. Then, Curt Widhalm, LMFT, EMDR certified, and cohost of The Modern Therapist's Survival Guide sits down with us to answer our questions about EMDR and highlight what went wrong in Justin's therapy. Show Links: | |||
| 06 Feb 2023 | 130. Gambling Therapy | 01:23:38 | |
Is good therapy as simple as whatever activity makes a client feel better? What if that activity is a singular focus on sports betting strategy? In today’s episode, we talk with Christine to learn from her experience of “gambling therapy” and answer the question of whether or not it’s a good thing to be friends with your therapist (spoiler: no, no it is not).
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Mental Health Match.
Introduction: 0:00 – 5:39 Part One: 5:39 – 46:05 Part Two: 46:05 – 1:23:37
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes: | |||
| 19 Dec 2022 | 126. VBT Study Hall: Interventions | 01:23:10 | |
It seems odd that most therapists – us included – aren’t 100% certain about what constitutes an intervention. Are interventions scripted in-session activities? What about the theoretical orientations themselves? There isn’t one single answer, but interventions aren’t that difficult to understand if you zoom out far enough…and get a little bit of help from ChatGPT.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new couples and individual clients.
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 15 Mar 2021 | 78. Very Bad Couples Therapy (with Dr. Bonnie Kennan) | 01:15:39 | |
Building a good therapeutic alliance in couples therapy can be tricky with multiple people in the counseling room. This is especially challenging when the therapist is consistently late or not present at all. Today’s guest Maria shares her frustrating experience with an absentee therapist, and Dr. Bonnie Kennan joins us to talk about using feedback-informed treatment to provide very good couples therapy.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 11:53 Part One: 11:53 – 38:20 Part Two: 38:20 – 1:12:41 Part Three: 1:12:41 – 1:15:38
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
(Ben Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes: | |||
| 16 Mar 2020 | 44. Supporting Clients with Disabilities (with Joy Wolf, LCSW) | 00:41:12 | |
What should therapists know about working with individuals with disabilities? In this week’s episode, Joy Wolf joins us to share her personal story about two therapists who responded to her disability in very different yet similarly problematic ways. We also discuss the impact of privilege, therapist uncertainty, and the limitations in how we are trained to work with clients with disabilities. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes: | |||
| 18 Jul 2022 | 114. Patreon Selects: An Actor, a Sommelier, and a Poker Player Walk Into a Bar | 01:17:48 | |
Carrie and Ben are joined by friend of the podcast Rachel Bennett to talk about how their past careers have shaped their identities as therapists. Topics include:
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Empifany (Instagram / Facebook).
Introduction: 0:00 – 9:03 Part One: 9:03 – 1:17:47
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes: | |||
| 13 Jan 2020 | 35. What is Pastoral Counseling? (with The Reverend Meredith Harber) | 00:55:23 | |
The exploitation of uneven power and emotional vulnerability is, of course, not limited to the field of psychotherapy. Today’s guest Megan shares her experience of very bad pastoral counseling, and we speak with the Reverend Meredith Harber to explore the nuances of Megan’s story and what proper pastoral care looks like with a contemporary understanding of power dynamics, boundaries, and gender norms. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes: | |||
| 27 Sep 2021 | 92. Crossing the Line (with Johannah Song, LPC) | 01:29:39 | |
Can wearing a cross be considered a type of bad therapy? This episode features a conversation with Johannah Song, LPC about the positive and negative ways therapists of faith can impact treatment by disclosing their religion. Plus, we talk about the right balance between expertise and curiosity, and why seeking consultation from a specialist is like baking a quiche.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 9:15 Part One: 9:15 – 55:46 Part Two: 55:46 – 1:29:38
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes: | |||
| 17 Feb 2020 | 40. Exploring Bad LGBTQ+ Therapy (with Dr. Joe Kort) | 01:04:06 | |
Today’s guest Danny shares his outrageous experience of being told to urinate in a cup so his therapist could test if he was really gay. And that’s just the beginning of the story. We also speak with Dr. Joe Kort to explore best practices for working with the LGBTQ+ community, the need for humility and curiosity in a time of rapidly changing relationships to identity, and the diagnoses that stigmatize and marginalize members of this population. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes:
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| 22 May 2023 | 138. Patreon Selects: Is EMDR a Cultish Pyramid Scheme? | 01:12:14 | |
No, EMDR is not a cultish pyramid scheme. With that out of the way, why is EMDR training so expensive when its theoretical foundations are supported by dubious (at best) research? In this clickbaity-titled episode, Angela Nauss, EMDRIA-certified LMFT, joins us to describe the experience of paying thousands of dollars to “watch the dumpster fire from inside the dumpster.” Please direct all angry emails to vbtpodcast@gmail.com.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Introduction: 0:00 – 9:40 Part One: 9:40 – 1:12:13
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes: | |||
| 06 Apr 2020 | 47. VBT in History (1980s): Satanic Panic and Recovered Memory Therapy | 01:00:44 | |
A satanic panic in the early 1980s culminated in the McMartin Preschool abuse trial, the then-longest and most expensive criminal trial in American history. The trial centered around 359 allegations of ritualistic satanic child abuse and concluded with zero convictions and a new understanding of the unreliability of recovered memories. The satanic panic has subsided, but its indirect effects are still present today in how therapists work with childhood trauma. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes:
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| 01 Jul 2019 | 7. Boundaries and Institutional Power | 00:36:33 | |
Today's episode features a story about a therapist who pleaded with her client to help with research for her Master's thesis. We discuss why this is objectively problematic and look at the difference between boundary crossing and boundary violation in the context of inherent power dynamics within the therapeutic relationship. Plus, Carrie and Ben share their own absurd experiences of very bad therapy. Show Links: | |||
| 04 Jul 2022 | 113. Psychedelics and Therapy (with Ben Hearn, LPCC-S) | 01:28:08 | |
Consciousness-altering psychedelic drugs have shown tremendous promise in mental health treatment. The future of psychedelic-assisted therapy is uncertain, but one thing seems clear: the psychedelics are for the client, not the therapist. Today’s guest Matthew shares his peculiar experience with a not-quite-levelheaded therapist, and Ben Hearn joins us to discuss everything you ever wanted to know about this emerging pathway to psychological healing.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by The Organized Therapist – Social Media for Therapists and Empifany (Instagram / Facebook).
Introduction: 0:00 – 3:57 Part One: 3:57 – 35:46 Part Two: 35:46 – 1:26:38 Part Three: 1:26:38 – 1:28:06
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 14 Nov 2022 | Bonus: Clinical Licensing Exams Don't Work (with Dr. Ben Caldwell) | 00:58:44 | |
In the United States, mental health professionals must pass a clinical exam to become licensed in their field. These exams appear to do nothing to make psychotherapy more effective or safe. They are, however, very efficient at furthering structural racism. Dr. Ben Caldwell joins us to make a very compelling, research-based argument for why these clinical exams should be abolished immediately.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 01 Mar 2021 | 77. Surviving Rehab | 01:08:24 | |
Rehab facilities can be life saving for many people. This is a different kind of story. Jen shares her experience of 2.5 years in inpatient and outpatient treatment centers trying to overcome unhelpful therapy and victim blaming before leaving against medical advice and reclaiming her life. Plus, Carrie and Ben take some time to discuss the philosophy of Very Bad Therapy and interviewing guests.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:05 Part One: 6:05 – 45:31 Part Two: 45:31 – 1:08:23
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
(Ben Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes: | |||
| 02 Sep 2019 | 16. VBT in History (1910s): Too Many Eugenicists | 00:43:17 | |
Lewis Terman was one of the most influential innovators in educational psychology and IQ testing. He also believed that segregating and sterilizing "feebleminded" individuals - as determined by a biased paradigm of general intelligence - was the necessary path toward a better society. This is the second installment in our monthly series on very bad therapy through the decades. Show Notes: | |||
| 26 Oct 2020 | 68. Misdiagnosing Clients (with Dr. Christine King and Dr. Ben Caldwell) | 01:27:13 | |
Dr. Christine King experienced three concussions when she was a child. The symptoms of her brain injury were misunderstood and later assumed to be the result of childhood sexual abuse, sending Christine on a pathologized path that took decades for her to undo. We hear her story and also speak with Dr. Ben Caldwell about how therapists can attune to client symptoms, make good referrals, and avoid misdiagnoses when they lack relevant knowledge beyond their scope of practice. Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Introduction: 0:00 – 12:27 Part One: 12:27 – 44:34 Part Two: 44:34 – 1:20:53 Part Three: 1:20:53 – 1:27:13 Very Bad Therapy: Website / Facebook / Tell Us Your Story Ben Fineman Counseling - Therapy for Young Professionals (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333) Show Notes: | |||
| 18 Apr 2022 | 107. Patreon Selects: Ask Us Anything! | 01:18:44 | |
We’re long overdue for a good old-fashioned Q&A episode. You’ve sent in your questions, and we’re here to opine about everything from the importance of therapists getting their own therapy to the curious reluctance of the mental health field to embrace social psychology. Plus, we begrudgingly discuss the latest TikTok therapist drama to make a point about when it might be better to actually reject client preferences in session…or something like that. Social media is the worst.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by courtmandatedtraining.com.
Join our charity drive! We are matching up to $6,000 of your donations to the world’s most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.
Introduction: 0:00 – 13:10 Part One: 13:10 – 1:18:43
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story | |||
| 01 Feb 2021 | 75. How Not To Handle Fee Increases | 01:21:35 | |
The cost of therapy, like most everything else, increases over time. This can lead to some difficult conversations about money and rate changes. How should therapists talk with their clients about fee increases? In today’s episode, Marwa shares her experience of very good therapy that ended very poorly when her therapist used Hunger Games logic to determine her new sliding scale availability.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 9:14 Part One: 9:14 – 43:35 Part Two: 43:35 – 1:21:34
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Ben Fineman Counseling – Therapy for Young Professionals (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes:
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| 05 Jun 2023 | 139. Politics in the Therapy Room (with Dr. Ben Caldwell) | 01:27:43 | |
Let’s get controversial! Is it a good idea for a therapist to project their own political views onto a client? For today’s guest Ruth, the answer is a resounding “no.” We hear her story of a therapist who took her political advocacy too far, and Dr. Ben Caldwell rejoins us to explore the ethics of discussing politics in therapy. Plus, how can therapists know if they are trauma-informed enough for their clients?
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Journal Party.
Introduction: 0:00 – 8:55 Part One: 8:55 – 44:33 Part Two: 44:33 – 1:24:21 Part Three: 1:24:21 – 1:27:42
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 23 Mar 2020 | 45. VBT in Focus: Dr. Scott Miller and Dr. Daryl Chow on Deliberate Practice | 00:56:13 | |
Scott Miller and Daryl Chow return to the podcast to discuss their new book, Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness. Topics include the importance of targeting individual strengths and deficits in a system of learning, how to get out of the performance zone, the significance of a coach, and ideas for changing the ways in which psychotherapy is taught. VBT in Focus is a series of sporadic episodes in which Carrie and Ben have the privilege of chatting with their favorite thinkers in the field of psychotherapy. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes: | |||
| 21 Nov 2022 | 124. VBT Study Hall: Theoretical Orientations | 01:31:23 | |
There are over 600 types of psychotherapy. What are they, where did they come from, and what makes them important? We dive deep (too deep, probably) into a $900 textbook in an attempt to make sense of the spectacularly confusing topic of theoretical orientations. This is an integrative episode – we integrate a lot of information with even more information.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 10 Jun 2019 | 4. Race, Rupture, and Repair (with Dr. Dana Stone) | 00:53:41 | |
Dr. Dana Stone joins us to unpack our guest Carol's experience with a therapist who chose a stance of defensiveness following a rather shocking microaggression. How can we become not just better clinicians, but better human beings as well? Any why might some therapeutic ruptures ultimately serve to benefit the client? Show Notes:
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| 10 Feb 2020 | 39. Making Sense of Mean Therapy | 00:51:16 | |
Today’s guest Kat shares her experience with a therapist who was unnecessarily cruel in her approach to treatment. In trying to make sense of this behavior, Carrie and Ben consider the research on how and when therapeutic relationships get fractured as a result of divergent interpretations of the same significant events in therapy. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes: | |||
| 20 Jul 2020 | 61. What Heals Trauma? (with Chrissy Gillmore, MCoun) | 01:25:14 | |
An interview with Chrissy Gillmore about the primacy of client strengths, resilience, and culture in healing trauma, and how a pathology-focused approach can result in bad therapy. Plus, Carrie and Ben explore the controversy behind the APA Clinical Practice Guidelines for PTSD and discuss whether being trauma-informed is an ethical requirement, clever marketing, or both.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 - 17:09 Part One: 17:09 - 1:01:26 Part Two: 1:01:26 - 1:25:13
Very Bad Therapy: Website / Facebook / Tell Us Your Story Ben Fineman | Counseling and Psychotherapy (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes:
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| 02 Mar 2020 | 42. VBT in History (1970s): Was the Stanford Prison Experiment a Sham? | 00:58:15 | |
Philip Zimbardo rode the impact of the Stanford Prison Experiment to international renown. Perhaps he forgot to mention that his famous research was more performance art than psychological experiment. In our eighth of twelve history episodes, we look at the common narratives and impact of the SPE, and then consider recently uncovered evidence to the contrary. Plus, Carrie makes sense of Zimbardo’s 7,000 word response to the new criticisms. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes:
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| 25 Oct 2021 | 94. Trauma-Uninformed Therapy (with Dr. Chelsea Kilimnik) | 01:19:33 | |
Lots of therapists describe themselves as “trauma-informed.” Very few fail to live up to that title as inexplicably as what we hear in this episode, as Sarah shares her unfortunate therapy experience following a sexual assault. We also talk with Dr. Chelsea Kilimnik to learn more about how therapists can actually be trauma-informed when supporting survivors of sexual trauma.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 7:03 Part One: 7:03 – 39:17 Part Two: 39:17 – 1:15:32 Part Three: 1:15:32 – 1:19:32
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 22 Jun 2020 | 58. VBT in Focus: Paul Gilmartin on Mental Health and Therapy | 01:04:07 | |
Paul Gilmartin is a former stand-up comedian and host of the widely popular Mental Illness Happy Hour podcast. We speak with him about his journey with clinical depression, insights on mental health and psychotherapy from ten years of hearing others’ personal stories, and his own experiences of very bad therapy. Plus, Paul shares his thoughts on self-obsession and the quest for fame.
VBT in Focus is a series of sporadic episodes in which Carrie and Ben have the privilege of chatting with their favorite thinkers in the field of psychotherapy. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal.
Show Notes:
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| 03 Aug 2020 | 62. Overcoming Systemic Transphobia in Mental Health (with Rachel Bennett and Dr. David Nylund) | 01:40:31 | |
Rachel Bennett shares her experience navigating the historically misguided gatekeeping requirements for gender reassignment surgery. She discusses how therapists can better advocate for trans-affirmative care, and we speak with Dr. David Nylund to explore a paradigm that challenges the oppressive notion that transitioning is a psychiatric issue. Plus, how can feedback-informed treatment be used as a tool of social justice?
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 4:49 Part One: 4:49 – 44:31 Part Two: 44:31 – 1:32:16 Part Three: 1:32:16 – 140:30
Very Bad Therapy: Website / Facebook / Tell Us Your Story Ben Fineman | Counseling and Psychotherapy (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes:
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| 23 Nov 2020 | 70. Missed Attunement (with Dave Segal, RCC) | 01:03:29 | |
Dave Segal is a nature-based therapist and the executive director of Human-Nature Counselling in Victoria, British Columbia. He discusses his own experience of bad therapy, the importance of attunement and attachment, and how being with nature can bring about healing. Plus, Carrie and Ben give each other empirically supported Thanksgiving compliments.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 5:32 Part One: 5:32 – 55:19 Part Two: 55:19 – 1:03:28
Very Bad Therapy: Website / Facebook / Tell Us Your Story
Ben Fineman Counseling – Therapy for Young Professionals (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
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| 21 Dec 2020 | 72. All About Psychiatry (with Dr. Patrick Wiita) | 01:19:55 | |
It’s not a secret that rapport contributes to outcomes in all types of healthcare. How, then, to make sense of our guest C’s story about a psychiatrist who ranted about Christmas, laughed at her suicide plan, and gave terrible marital advice? Dr. Patrick Wiita joins the show to talk about education, training, and ethics in the field of psychiatry and how to make the most out of every session with your patients.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:50 Part One: 6:50 – 31:16 Part Two: 31:16 – 1:15:36 Part Three: 1:15:36 – 1:19:54
Very Bad Therapy: Website / Facebook / Tell Us Your Story Ben Fineman Counseling – Therapy for Young Professionals (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes: | |||
| 06 Jun 2022 | 111. Talking About Antisemitism (with Halina Brooke, LAMFT) | 01:22:54 | |
The field of psychotherapy has increasingly prioritized discussions about issues of oppression and marginalization. This is, of course, a sign of progress. But who gets left out of these conversations? Today’s guest Kaley shares her experience of antisemitism in therapy, and Halina Brooke rejoins us to talk about how Jewish clients are impacted when therapist education reinforces harmful narratives.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by The Organized Therapist – Social Media for Therapists.
Join our charity drive! We are matching up to $6,000 of your donations to the world’s most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.
Introduction: 0:00 – 6:09 Part One: 6:09 – 38:26 Part Two: 38:26 – 1:20:00 Part Three: 1:20:00 – 1:22:52
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 04 Jan 2021 | 73. Silence in Therapy: What's the Story? (with Dr. Gene Combs) | 01:24:10 | |
Silence in therapy can feel awkward, helpful, expansive, or even punitive. There is no consensus on its usefulness, but it can certainly contribute to very bad therapy. Ella joins us to share her experience of feeling punished by her therapists’ use of silence, and Dr. Gene Combs provides a narrative perspective on silence, sanctity, and power in the therapeutic relationship.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 7:46 Part One: 7:46 – 40:30 Part Two: 40:30 – 1:15:38 Part Three: 1:15:38 – 1:24:09
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Ben Fineman Counseling – Therapy for Young Professionals (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes: | |||
| 21 Jun 2021 | 85. Talking About Race (with Farah Zerehi, AMFT) | 01:32:36 | |
What can therapists do to provide culturally humble services to clients? Being curious is a good start, and not asking for evidence of racial bias should be an easy next step. In this episode, Grace shares her experience as a woman of color having to justify the impact of racism to her white therapist, and Farah Zerehi joins us to discuss the social justice critiques of “expert” approaches to therapy.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 3:48 Part One: 3:48 – 43:04 Part Two: 43:04 – 1:28:26 Part Three: 1:28:26 – 1:32:35
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 21 Mar 2022 | 105. Patreon Selects: The Elephant in the Therapy Room | 01:18:28 | |
Dr. Robin Hanson is an associate professor of economics at George Mason University and the coauthor of The Elephant in the Brain: Hidden Motives in Everyday Life. He joins us along with guest host Dr. Alex Williams to explore what clients are subconsciously signaling when they seek therapy – and what therapists are signaling to others when they enter the field. Plus, why is feedback-informed treatment similar to paying a friend $100 for a home-cooked meal?
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 4:54 Part One: 4:54 – 1:18:27
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 24 Oct 2022 | 122. Patreon Selects: Degrees of Confusion (Part II) | 01:13:22 | |
Justin Norris rejoins us to conclude our conversation about the perplexing maze that is the application process for grad school. We use the California State University (CSU) system as a case study to illustrate why program requirements aren’t always what they seem, and Carrie discusses which therapy programs do a great job of defining and providing quality to their students. Plus, Subaru gets lots of free advertising.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Introduction: 0:00 – 10:35 Part One: 10:35 – 1:10:11 Part Two: 1:10:11 – 1:13:21
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 27 Jan 2020 | 37. You Can Be a Therapist for $16 (with Jordan Dunbar) | 00:41:01 | |
In the UK, anyone with $16 can become a certified psychotherapist and begin seeing clients immediately. If this sounds surprising, imagine how clients feel when they have a bad experience and realize their therapist is not governed by any regulatory body. BBC presenter Jordan Dunbar joins us to share his own stories of bad therapy and his surprising findings from investigating the lack of regulation around UK mental health services. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes:
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| 13 Sep 2021 | 91. Guilt, Ghosting, and General Unpleasantness | 01:25:01 | |
This episode’s interview with Sara is about two therapists – one who was too friendly, and another who wasn’t friendly enough. What should therapists consider before using risky interventions such as guilt, self-disclosure, or icy behavior? We try to answer these questions and more as we go back down the rabbit hole of using service-dominant logic to make therapy more effective.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 9:23 Part One: 9:23 – 47:16 Part Two: 47:16 – 1:25:00
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 20 Dec 2021 | 98. Incurable Diseases Are Not Problems to Solve (with Jill Johnson-Young, LCSW) | 01:17:02 | |
A therapist’s job is to help their clients. But what does “help” mean when a client has been diagnosed with an incurable disease? In this episode, Cassie shares her story of seeking emotional support for her diagnosis of metastatic breast cancer only to receive unhelpful fixes instead. Plus, Jill Johnson-Young returns to talk about supporting clients who are experiencing the grief of having to say goodbye.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:37 Part One: 6:37 – 36:43 Part Two: 36:43 – 1:11:28 Part Three: 1:11:28 – 1:17:01
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 06 Jan 2020 | 34. VBT in History (1950s): The DSM-I and Thou | 00:44:58 | |
The first Diagnostic and Statistical Manual of Mental Disorders (DSM-I) was published with the intention of creating standardized language for mental abnormalities. It was also basically a war department bulletin. The controversial compendium is responsible for many important contributions to the fields of psychiatry and psychotherapy, but it also legitimized new forms of oppression and stigmatization in the name of normalizing judgments. This is part six of twelve monthly episodes revisiting bad therapy through the decades. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes:
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| 07 Jun 2021 | 84. Are Therapists Substitute Parental Figures? | 01:37:51 | |
Attachment theory is one of the most credible areas in the field of psychotherapy. It is not, however, an excuse for a therapist to presume to be a substitute parental figure for a client. In this episode, Monika describes working with a therapist who talked about reparenting but undermined therapeutic progress with inconsistent boundaries and unethical behavior. Plus, Carrie takes a deep dive into the research on attachment between therapists and clients.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:07 Part One: 6:07 – 1:00:42 Part Two: 1:00:42 – 1:37:50
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 29 Mar 2021 | 79. The Stigma of Severe Mental Illness | 01:21:23 | |
Having a severe and persistent mental illness is difficult – especially when the stigma of certain diagnoses negatively influences treatment. On today’s episode, Ann discusses her up and down experiences in the mental health system and her important perspectives on how therapists talk about their clients. Plus, we explore the landmark research on first impressions that explains how the therapeutic relationship is shaped within the first few seconds of treatment.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:10 Part One: 6:10 – 46:49 Part Two: 46:49 – 1:21:22
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
(Ben Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
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| 15 Aug 2022 | 116. Patreon Selects: The History of Expertise in Therapy (Part I) | 00:55:40 | |
Therapists are considered mental health experts. How did this come to be, and is it necessary for the future of the field? Join us as we trace the surprising history of the medical model in therapy from its origins in the Scientific Revolution to the evolution of treatment manuals. Part I takes us all the way to 1987, with cameos by the Catholic Church, Ben Franklin, Sigmund Freud, Hans Eysenck, and more. If you’ve ever wondered why psychotherapy seems to have such a confusing relationship with medicine and science, this episode is for you.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 4:02 Part One: 4:02 – 55:39
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story | |||
| 22 Aug 2022 | 117. Patreon Selects: The History of Expertise in Therapy (Part II) | 00:58:06 | |
The history of expertise in medicine and science led the field of psychotherapy to its beloved empirically supported treatments (ESTs). Psychiatrists were prescribing pills, and psychotherapists were offering best practices. But how did these best practices get their reputation, and what happens when clients and therapists alike believe uncertain truths about mental health treatment? We conclude our two-part historical journey with a look at some contemporary alternatives to the medical model and what this all means for the most important aspect of therapy: helping clients get better outcomes.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 3:39 Part One: 3:39 – 58:05
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story | |||
| 20 May 2019 | Ep. 0: An Ultra-Brief Intro | 00:03:32 | |
Carrie and Ben share why they decided to start a podcast about bad therapy. What can be learned from our guests' varied experiences in the counseling room? How will this podcast be helpful to listeners with an interest in therapy? These are conversations that are rarely held within the field of psychotherapy. Thank you for listening. Show Links:
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| 10 May 2021 | 82. Predatory Therapists (with Dr. Diane Gehart) | 01:37:43 | |
A small percentage of therapists do bad things – not tiny ruptures in the therapeutic alliance or scheduling errors, but truly exploitative practices. This is a story about the latter. Courtney describes her experience with a therapist who groomed her for inappropriate sexual contact, and we speak with Dr. Diane Gehart about the prevalence and tendencies of predatory therapists.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 4:50 Part One: 4:50 – 44:17 Part Two: 44:17 – 1:32:40 Part Three: 1:32:40 – 1:37:42
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
(Ben Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
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| 02 Aug 2021 | 88. Couples Therapy Bullshit (with Sade Kammen) | 01:06:32 | |
What is the role of a couples therapist in deciding whether a couple stays together or separates? In this episode, Sade Kammen shares their experience trying to navigate the impact of racism in their relationship, only to be met with unusual and unhelpful therapeutic interventions. Plus, we familiarize ourselves with the wonderfully curious idea of empirically-supported bullshit.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:28 Part One: 6:28 – 53:31 Part Two: 53:31 – 1:06:31
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 19 Aug 2019 | 14. Women Don't Want to Work | 00:38:14 | |
In 2019, there somehow exists at least one psychotherapist who feels that it is helpful to tell a female client that her entire gender is biologically predisposed to prefer domestic life to a professional career. We cringe-laugh our way through an engaging interview with Aviva before diving into the research on societal biases, gender norms, and gender matching in the therapeutic relationship. Climate change is real. Show Notes:
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| 20 Apr 2020 | 49. Radical Acceptance of Clients (with Dr. Nathan Castle) | 01:00:20 | |
Therapist defensiveness is a recurring theme in stories of bad therapy. In this week’s episode, Suzanne shares her experience with a therapist whose defensiveness was expressed in gratuitous displays of power and dismissive remarks. Plus, Dr. Nathan Castle rejoins the show to explore the topics of defensiveness, radical acceptance of clients, and the importance of transparency. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes: | |||
| 08 Jul 2019 | 8. Projections of Body Image Bias (with Rachel Coleman, LMFT, CEDS) | 00:46:37 | |
Societal messages around health, beauty, and body image can contribute to problems that lead individuals to seek out therapy. But what happens when the therapist herself is unaware of how these cultural influences impact how treatment is provided? Our guest Holly shares her story about working with a therapist who reinforced unhealthy disordered eating behaviors under the guise of helpful therapy. Show Notes: | |||
| 16 Dec 2019 | 31. How Important is Therapist Attachment Style? (with Jon Hook) | 00:42:31 | |
Jon Hook, PhD student at Western Michigan University, is contributing to research on how the coding of session transcripts to determine therapist attachment styles can be used to facilitate better client outcomes. He joins us to discuss the significance of therapist attachment and shares his story as a client of two therapeutic alliances that were anything but securely attached. Show Notes:
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| 14 Sep 2020 | 65. When Treatment Fails (with Henk Spierings) | 01:15:59 | |
Henk Spierings has had a wide range of experiences in therapy – most of them unhelpful, if not outright harmful. He joins us to discuss his new book, Becoming Compliant, and share the lessons he’s learned from decades of bad therapy. Plus, Ben and Carrie get on their soapbox to explain why it’s necessary to talk with clients about how therapy works and the risks of treatment failure.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 12:53 Part One: 12:53 – 44:21 Part Two: 44:21 – 1:15:58
Very Bad Therapy: Website / Facebook / Tell Us Your Story Ben Fineman | Counseling and Psychotherapy (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes
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| 17 Aug 2020 | 63. Therapy in Prison (with Kenneth E. Hartman) | 01:26:25 | |
Kenneth E. Hartman is a prison reform activist who served 38 years in the California prison system. He discusses his advocacy work, what mental health care looks like in prison, and his personal experiences of therapy – both good and bad. He also shares his thoughts on how therapists can play a role in the necessary social change at the heart of effective prison reform. Plus, Carrie discusses if it is ever justified to warn clients about using insurance.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:06 Part One: 6:06 – 1:04:22 Part Two: 1:04:22 – 1:26:25
Very Bad Therapy: Website / Facebook / Tell Us Your Story Ben Fineman | Counseling and Psychotherapy (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes:
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| 24 May 2021 | 83. Drive-Thru DBT (with Dr. Ben Caldwell) | 01:32:05 | |
In this episode, our guest Maryellen shares her bad experience with a Dialectical Behavior Therapy (DBT) specialist. But was it bad therapy? Was it therapy at all? Dr. Ben Caldwell joins us to share his thoughts on loosely regulated mental health services, and we explore the unfortunately relevant ethics of having sessions with clients while visiting the Dunkin’ Donuts drive-thru and getting tattooed.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 5:39 Part One: 5:39 – 45:56 Part Two: 45:56 – 1:27:36 Part Three: 1:27:36 – 1:32:04
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 01 May 2023 | 136. Very Bad Group Therapy | 01:18:18 | |
What makes for effective group therapy? Cohesion, expectation setting, and as today’s guest Thomas can attest to, not having the therapist give the middle finger to a group member. We try to make sense of Thomas’ experience by looking into research on group therapy, and we also try to make sense of our own experience of failing to find a single group therapy expert.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 9:57 Part One: 9:57 – 46:11 Part Two: 46:11 – 1:18:17
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 01 Aug 2022 | 115. What is Bad Therapy, and Who Gets to Provide It? (with Dr. Ben Caldwell) | 02:02:05 | |
Today’s guest Marie shares her thought-provoking story about a preoccupied telehealth therapist, and we drag Dr. Ben Caldwell into another one of our philosophical crises about what constitutes very bad therapy. Is it not following a treatment plan? Having young children show up in session? Ignoring ruptures? Regularly showing up late? And while we’re at it, what even is therapy? Who should get to be a therapist during the pandemic? Join us on the struggle bus as we try to parse out issues related to telehealth, laws, ethics, clinical practices, privilege, social systems…and bullshit.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by The Organized Therapist – Social Media for Therapists and Empifany (Instagram / Facebook).
Introduction: 0:00 – 11:20 Part One: 11:20 – 54:41 Part Two: 54:41 – 1:57:06 Part Three: 1:57:06 – 2:02:04
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 17 Jun 2019 | 5. Please Don't Tackle Your Clients (with Dr. Ben Caldwell) | 00:47:18 | |
Therapists are not supposed to tackle their clients*. But what are the ethical limitations in trying to prevent a potential suicide attempt? Today's guest Katherine recounts her experience with a caring clinician who went to extreme lengths to protect her safety, and Dr. Ben Caldwell shares his expertise to help us understand how therapists should manage delicate yet ambiguous situations with clients. *Unless perhaps the client is attempting to physically harm someone else in the room. Perhaps. Show Notes:
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| 12 Oct 2020 | 67. VBT in Focus: Dr. Don Meichenbaum on CBT and Hype | 01:09:21 | |
Dr. Don Meichenbaum is credited with helping to develop cognitive behavioral therapy in the 1960s and 1970s. He has been named one of the ten most influential psychotherapists of the 20th century. He also believes that the field of psychotherapy is full of bullshit and hype. Dr. Meichenbaum joins us to talk about delivering what actually works in therapy, how to spot hype, and challenging the status quo.
VBT in focus is a series of sporadic episodes in which Carrie and Ben have the privilege of chatting with their favorite thinkers in the field of psychotherapy. Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 4:53 Part One: 4:53 – 56:09 Part Two: 56:09 – 1:09:20
Very Bad Therapy: Website / Facebook / Tell Us Your Story
Ben Fineman | Counseling and Psychotherapy (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
Show Notes:
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| 17 Apr 2023 | 135. VBT Study Hall: Treatment Planning | 01:25:34 | |
What exactly is treatment planning and why do some therapists dread having to do it on a regular basis? This episode is Carrie’s love letter to treatment plans – why they are used, how they can improve therapy outcomes, and why Ben is wrong in his stubborn resistance to writing out a detailed plan for every client.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 24 Jun 2019 | 6. Zimbabwean Granny Wisdom | 00:49:22 | |
In Zimbabwe, hastily trained "Grannies" were found to be significantly better at treating depression than the standard of care that best resembles Western psychotherapy. Ben and Carrie put on their researcher hats to explore how lessons from Friendship Benches in Africa reflect the need for a mental health paradigm shift around the world. Ben says thank you for taking care of his feelings. Show Notes:
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| 06 Jul 2020 | 60. VBT in History (2010s): The Replication Crisis Comes for Us All | 00:53:51 | |
There is an ongoing replication crisis in science; many of the studies that frame our scientific knowledge, especially in psychology, likely have incorrect conclusions. This has huge ramifications for clinical psychology. How can clinicians be effective if the research that supports accepted practices is largely a mirage? Join us as we explore the false positives of psychotherapy and gaze into the existential void.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Show Notes:
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| 05 Dec 2022 | 125. So You’ve Stereotyped Your Client (with Deanna Fierman, LPC) | 01:40:40 | |
Stereotypes aren’t always a bad thing. That may not be true in therapy, especially when a client is made to feel like they are representing an entire group of people. That’s what we explore with today’s guest Jess, and we’re also joined by Deanna Fierman, LPC, to talk about what therapists should do after their biases about identity lead to clinical errors. Plus, Ben finds a therapist and Carrie gets a mammogram.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Introduction: 0:00 – 18:09 Part One: 18:09 – 54:04 Part Two: 54:04 – 1:38:02 Part Three: 1:38:02 – 1:40:39
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 20 Feb 2023 | 131. VBT Study Hall: First Sessions | 01:19:15 | |
What happens in the first session of therapy? More importantly, why do one-third of clients not come back for the second session? We look for answers in the research on client expectations and consider some creative perspectives on increasing first session effectiveness, including a radical idea that clients dropping out of therapy might actually be a positive outcome.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Mental Health Match.
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 11 May 2020 | 52. On Grief and Loss (with Dr. Michael Morad-McCoy) | 00:44:56 | |
Conversations about death, dying, and bereavement can be difficult, but they are often an important part of the therapeutic process. Dr. Michael Morad-McCoy joins us to share his experiences with “not very helpful” clinicians who were unable or unwilling to explore dark areas, and we discuss how therapists can best support their clients in a time of ubiquitous grief and loss. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes: | |||
| 25 May 2020 | 54. How Much Therapy is Necessary? | 01:05:42 | |
This week’s guest Adam shares his experience of seeing a therapist for five years without any noticeable benefit. When should clients – or therapists – start to wonder if it’s time to end the therapeutic relationship? As it turns out, there’s a lot of research suggesting that therapists need to do much more than simply wait for their approach to start working…including accepting the likelihood of treatment failure. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes:
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| 19 Jun 2023 | 140. VBT Study Hall: What Does “Trauma-Informed” Mean? | 01:18:16 | |
Trauma-informed therapy is…what, exactly? And is trauma actually stored in the body, or is that just a clever narrative that a few enterprising gurus have used to sell books and trainings? We dig deep into the research on trauma to answer these questions and more, and Carrie introduces her breakthrough trauma-focused treatment: dog therapy.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 07 Oct 2019 | 21. VBT in History (1920s): Very Bad Supervision | 00:48:56 | |
Dr. Ben "Manfred" Caldwell joins us in make-believe 1920s Berlin to discuss Max Eitingon and the surprising origins of psychotherapy supervision. We also explore examples of bad supervision, why contemporary supervision appears to have no impact on client outcomes, and what supervisors and supervisees can actually do to make our field better. This is episode three of twelve in our monthly series exploring very bad therapy through the decades. Support Very Bad Therapy on Patreon Show Notes:
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| 23 Jan 2023 | 129. Patreon Selects: Will Carrie Ever Get Licensed? | 01:09:55 | |
Carrie hasn’t worked as a therapist in over a year. Will she ever get licensed, and how is her decision connected to the apparent reality that many therapists are actively trying to not see clients? We explore the interesting trend of therapists looking for side hustles, and Carrie forces Ben to confront his extreme aversion to participating in the real world (aka sales and marketing).
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Introduction: 0:00 – 4:16 Part One: 4:16 – 1:09:53
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story | |||
| 03 Jul 2023 | 141. “Not All Christians…” (with Josh Foster, LCPC) | 01:28:45 | |
What is religious trauma, and why do some therapists refuse to work with clients who use that language? In today’s episode, Jeremy speaks about his experiences with therapists who felt the need to defend their faith in session, and we are joined by Josh Foster, LCPC to discuss the complicated intersection between evangelical Christianity and ethical psychotherapy.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Ben Caldwell Labs – training, advocacy, books, and additional resources for counselors and therapists. Today’s episode is also sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Introduction: 0:00 – 11:11 Part One: 11:11 – 50:09 Part Two: 50:09 – 1:28:44
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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| 18 Sep 2023 | 147. Termination Session | 00:45:56 | |
Thank you for listening! | |||
| 06 Dec 2021 | 97. You Have to Hug Me Before You Leave | 01:10:56 | |
Dual relationships can be perfectly fine in therapy. But imagine if your therapist was also working with your good friend… and that friend’s girlfriend… and the therapist hired your friend to be her dog walker… and everyone’s private information was shared in session with no concern for confidentiality. That’s the first ten minutes of Anna’s story, and it gets worse from there. So, so much worse.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 2:34 Part One: 2:34 – 55:03 Part Two: 55:03 – 1:10:55
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 24 Jul 2023 | 143. Patreon Selects: Fun With the Psychology Today Profile Generator | 01:17:36 | |
Life can be hard at times. Do you want to feel more visible and important in your relationships? Are you curious about why every Psychology Today profile looks the same? We get silly with the incredible Therapist Generator and learn all about treating sunroof addition with truckload therapy and registered turtleneck therapy. The therapist profiles are fake, but our desire to meet you where you are on your journey is very real.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Introduction: 0:00 – 26:05 Part One: 26:05 – 1:14:55 Part Two: 1:14:55 – 1:17:35
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 28 Sep 2020 | 66. Questioning Trans Identities (with Beck Gee-Cohen, CADC-II) | 01:24:07 | |
In today’s episode, Jonathan shares his story as a teenager working with a gender therapist who dismissed his preferences for treatment in favor of uncovering his “reasons” for being trans. We also speak with Beck Gee-Cohen about best practices in working with trans kids and how many modalities of psychotherapy exclude trans narratives.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 3:51 Part One: 3:51 – 40:53 Part Two: 40:53 – 1:19:39 Part Three: 1:19:39 – 1:24:06
Very Bad Therapy: Website / Facebook / Tell Us Your Story
Ben Fineman | Counseling and Psychotherapy (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
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| 18 May 2020 | 53. VBT in Focus: How to Do Deliberate Practice (with Dr. Tony Rousmaniere and Dr. Alexandre Vaz) | 01:07:36 | |
Deliberate practice is an emerging (and sometimes abstract) concept of psychotherapist development. Tony Rousmaniere and Alex Vaz are working to transform these ideas into concrete practices. This episode is an exploration of the theory, adaptability, and future of deliberate practice. Plus, Alex leads Carrie in a live demonstration of a deliberate practice exercise with Ben playing the role of a challenging client. VBT in Focus is a series of sporadic episodes in which Carrie and Ben have the privilege of chatting with their favorite thinkers in the field of psychotherapy. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes: | |||
| 30 Dec 2019 | 33. Boundary Entanglements | 00:41:38 | |
Today’s story from T is a cautionary tale about a therapist causing harm by blurring boundaries around texting, personal space, and self-disclosure. Carrie and Ben attempt to hold space for T’s experience while seeking a middle ground in their differing perspectives about her therapist’s behavior. One thing is certain: if a therapist has a sexual dream about a client, the therapeutic relationship is not the place for processing. Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal. Show Notes:
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| 08 Nov 2021 | 95. Post-Traumatic Stress Demonology | 01:12:05 | |
The cause of psychological distress is often complex and unknowable. There are many helpful theories to explain depression, anxiety, and trauma, but in this episode, Maria shares her bewildering experience with a therapist who had some less conventional ideas. This story features many different examples of bad therapy with a freaking exorcism included as an iatrogenic exclamation point.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 5:54 Part One: 5:54 – 44:12 Part Two: 44:12 – 1:12:04
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 20 Jun 2022 | 112. Patreon Selects: Desperate Remedies for Mental Illness | 01:07:12 | |
Dr. Andrew Scull is the Distinguished Professor of Sociology, Emeritus, at UCSD. He has written extensively about the history of psychiatry and the treatment of madness. We discuss why it seems like the more you know about mental illness, the less clear things become. We also explore myths about biology and neuroscience, the likelihood of a clear solution for improving psychotherapy, and the politics that have shaped our mental healthcare systems.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Join our charity drive! We are matching up to $6,000 of your donations to the world’s most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.
Introduction: 0:00 – 5:18 Part One: 5:18 – 1:07:11
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 30 Aug 2021 | 90. VBT in Focus: New Ideas to Fix Old Problems | 01:50:28 | |
Who should we talk to next about how to break the decades-long plateau of client outcomes in psychotherapy? Short on ideas, we take it upon ourselves to try and crack the 45-year-old riddle about how to make therapy more effective. Ben has another existential crisis, Carrie converts to the religion of customer service, and we (eventually!) explore why the path to better outcomes might go directly through Starbucks and the hospitality industry. We want to hear your feedback on this one!
VBT in Focus is a series of sporadic episodes in which Carrie and Ben have the privilege of chatting with their favorite thinkers in the field of psychotherapy. Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Part One: 0:00 – 1:01:28 Part Two: 1:01:28 – 1:50:27
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 07 Dec 2020 | 71. Very Bad Family Therapy (with Dr. Eli Karam) | 01:15:08 | |
In this week’s episode, Amy shares her childhood experience as a sexual abuse survivor being told by a therapist that her behavior was the problem and needed to be called out by her family. We also speak with Dr. Eli Karam about the importance of thinking systemically, the practice of family therapy, and how to help traumatized children feel supported instead of stigmatized as the identified patient (IP).
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 6:00 Part One: 6:00 – 31:03 Part Two: 31:03 – 1:11:04 Part Three: 1:11:04 – 1:15:07
Very Bad Therapy: Website / Facebook / Tell Us Your Story Ben Fineman Counseling – Therapy for Young Professionals (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
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| 13 Mar 2020 | How Should Therapists Respond to Coronavirus? | 00:50:25 | |
An urgent conversation about the role of therapists in doing the most public good during the coronavirus outbreak. Pat Wiita, MD and Farah Zerehi, MS explore the science, needed actions, and social justice implications of the pandemic, and Ben Caldwell, PsyD discusses what you need to know about shifting your practice to telehealth services. Please share this episode anywhere you feel it might make an impact. If you have expertise or information related to the pandemic that you feel is important to share with the psychotherapy community, email us at vbtpodcast@gmail.com. Note: A previous version of this episode contained information about Zoom being HIPAA compliant. This is only true for the Zoom for Healthcare option ($200/month), not the free and low-tier paid options. | |||
| 03 Apr 2023 | 134. Neurodiversity and Diagnosis (with Halina Brooke, LAMFT) | 01:27:21 | |
What’s so important about a diagnosis? For neurodivergent clients, it can mean affirmation, community support, and access to much-needed services…if the diagnosis is correct. In today’s episode, we talk to Harley about her challenges in seeking diagnoses of autism and ADHD, and Halina Brooke rejoins us to discuss some of the best practices (and controversies) in supporting autistic clients.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 8:24 Part One: 8:24 – 49:54 Part Two: 49:54 – 1:27:20
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 22 Nov 2021 | 96. New Therapist, Who Dis? (with Dr. Ben Caldwell) | 01:30:34 | |
What does it mean if a therapist suddenly changes their behavior? In this episode, Katie shares her experiences with two therapists who made significant adjustments and left her (and Ben and Carrie) confused about what happened. Plus, Dr. Ben Caldwell returns with fantastic metaphors about ethical gray areas and how therapists can adjust their boundaries and clinical style in a compassionate way.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 5:43 Part One: 5:43 – 42:32 Part Two: 42:32 – 1:25:40 Part Three: 1:25:40 – 1:30:33
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 07 Nov 2022 | 123. Catching Feelings (with Dr. Ben Caldwell) | 01:30:33 | |
It’s not unusual for clients to develop feelings for their therapist. It’s also not unusual for therapists to develop feelings for their clients. So why is it such a bad idea for a therapist to share (or act) on those feelings? Today’s guest Kate shares a story that illustrates exactly why, and Dr. Ben Caldwell rejoins us to talk about what should happen when clients and therapists develop feelings for one another.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today’s episode is sponsored by The Organized Therapist – Social Media for Therapists and Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.
Introduction: 0:00 – 8:40 Part One: 8:40 – 44:35 Part Two: 44:35 – 1:30:32
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
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| 12 Aug 2019 | 13. Cuddle Therapy | 00:38:38 | |
Imagine a spectrum of unethical therapist conduct. Far, far toward the most extreme end, just before sexual coercion, are activities like grooming behavior and inappropriate physical touch. Our guest Jessica shares her dread-inducing story of working with a therapist who abused his power in ways that mental health professionals should only experience when reading ethics textbooks. Show Notes: | |||
| 31 Aug 2020 | 64. Is Bad Therapy Unethical Therapy? (with Dr. Christopher Taylor) | 01:23:59 | |
What’s the difference between very bad therapy and very unethical therapy? Today’s guest Lisa shares her experience with a logotherapist that was many things – insulting, disturbing, oddly prophetic – but did any of it constitute an ethical violation? Dr. Christopher Taylor joins us to answer these questions and more about the surprisingly interesting world of ethics in psychotherapy.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Introduction: 0:00 – 7:30 Part One: 7:30 – 38:26 Part Two: 38:26 – 1:17:36 Part Three: 1:17:36 – 1:23:58
Very Bad Therapy: Website / Facebook / Tell Us Your Story Ben Fineman | Counseling and Psychotherapy (Benjamin Michael Fineman - Registered Associate MFT #119754 - Supervised by Curt Widhalm, LMFT #47333)
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| 20 Mar 2023 | 133. VBT Study Hall: Termination | 01:14:35 | |
Nothing lasts forever, including therapeutic relationships. Therapy can end in lots of different ways, but what constitutes a good goodbye? We dig into the research on termination and the related ethics codes and come away with a surprising conclusion: firing a client is almost always ethically acceptable.
Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.
Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story
Show Notes:
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