Therapy in L.A.


home button

profiles button


article button


book button

about button

  psych bytes

Click here for previous Articles, Psych Bytes, News, and Book Reviews by topic.

November 2007


by Malcolm Miller, Ph.D.

In one of my earlier positions, I would attend school IEP meetings (Individualized Education Program). Often the school personnel honestly told me they worked more intensively together than usual to prepare for my attending. I frequently found their perspective informative and valuable for my work. More recently, I was seeing a client who felt her migraine headaches were primarily physical in nature and only wished therapy to help with her emotional adjustment to having intense persistent migraines--ending up in the emergency ward visits and missing work. I spoke to her neurologist who instead agreed with my original thoughts that, in addition to what the client was requesting, efforts to reduce the migraines through psychological methods would greatly help the client. She was also willing to discuss this with the client, supporting my work.

Another time when I spoke to a psychiatrist about a client, I was able to offer the psychiatrist important information he did not know about the client that altered the choice of medication. Additionally, since psychiatric interviews are different from psychologists’, I also learned new information that helped me with my treatment of the client. Although mental health professionals and sponsors in 12 step programs traditionally do not communicate with each other, this can be very valuable. Speaking to a sponsor in AA about one of my clients, we both learned information about the client’s addiction we had been unaware of. Also we were able to support our different but compatible approaches with the client to greatly increase the impact of AA and psychotherapy. We further limited the client’s tendency to overly note differences between the sponsor and me, which reduced the client’s resistance to the therapeutic and 12 step work.

back to article of the month


home | article of the month | featured therapist | news & events
psych bytes | book review | about our group
therapist profiles | locate a therapist

Copyright Independent Psychotherapy Network ©2007