Mastering Crises, Tough Moments and Difficult Dynamics in Psychotherapy
In his first years as clinical director of a therapeutic school, Mitch Abblett sent children to hospital by ambulance at a much higher rate than the same school recorded later. Same building, same kids, same behaviour walking through the door. What changed was not the caseload. It was him, and he is direct about why. He was flooded, and it was all about him.
The distinction he works from came out of his crisis intervention supervision years ago. A crisis is a gap between what a person can cope with and what they are being asked to cope with. An emergency is an imminent threat that has to be contained. Two different things, two different responses. His argument is that for most clinicians those two circles overlap far more than they should, and the overlap is made almost entirely of the clinician’s own reactivity. You cannot see the difference clearly while your own system is going off.
Four hours on the part of the work almost nobody was trained in: what happens in you when a client spits, refuses, mocks, threatens or shuts down, and what to do with it in the second or two you actually have. He covers mapping your own habit loops, the difference between empathy and compassion and why the first one burns you out, anchoring your attention mid-session so you can think again, and a way of speaking plainly to a client in the middle of it that is neither reflective listening nor a script. He is candid that he is not offering content expertise in suicidality, psychosis or personality disorder, and says so early.
You’ll walk away with
- A working line between a crisis and an emergency, and an honest look at how often the clinician’s own state is what moves a client from one to the other
- Habit loop mapping applied to yourself: the trigger, the body reaction, what you then think and do, and what that result quietly gives you
- The distinction between empathy and compassion, and why the empathic responding you were praised for in training is also what sets up secondary trauma
- A way of naming what is happening in you, out loud and in the room, that opens the conversation rather than making it about you
- Two attention moves for mid-session, one to anchor yourself when you are flooded and one to widen back out to what sits behind the behaviour, and how to move between them
- A clear read on the clients he calls empathy hard, the ones who swear and refuse and get under your skin, and why they draw the least warmth and need the most
- Holding the treatment plan and the diagnosis lightly enough that you can still see what is actually happening in front of you
- The evidence against cathartic release, and why telling an agitated client to go and hit something rehearses the behaviour rather than discharging it
- “I don’t work with that population” reframed as “I don’t like how it makes me feel”, and what that narrowing costs you over a career
- A worked role play with a mandated, hostile client who wants a letter instead of therapy, including the responses that fail and the one that lands
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CPD Information For Mental Health Professionals
Enjoy complete flexibility with 100% self-paced learning you can access anytime, anywhere, and on any device. This course is included with your Tatra Training membership, along with every other course in the library.
Course Duration: 4 learning hours
Certificate and CPD hours: On completion you’ll receive a Certificate of Completion to support your CPD records. Your certificates are yours to keep.
Assessment: Complete a short quiz at the end (80% pass mark), which you can resit as many times as needed.
Revisit Anytime: Come back to the course as often as you like while your membership is active, whenever you want a refresher for practice.
CPD Eligibility: This program may be suitable for CPD for professionals such as:
- Psychologists
- Counsellors and Psychotherapists
- Social Workers
- Community Workers
- Mental Health Nurses
- General Practitioners (GPs)
- Occupational Therapists
CPD requirements vary between professional bodies, so please check with your association or credentialing body to confirm you can claim CPD hours/OPD points for this program and what evidence they require.
- Define and understand skillful intervention skills for assessing the most challenging clinical conversations and knowing when and how to intervene effectively.
- Identify the methods for defusing and effectively managing difficult therapeutic interactions and model how to do so for others
- Learn evidence-supported techniques for improving your psychological flexibility across all the clients in your caseload.
- Learn brain and systems-based methods for addressing difficult clinical interactions, crisis situations and demonstrate skills for understanding of the skills of “moment ownership.”
Course Content
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This course includes:
- Lessons 4
- Topics 0
- Duration 4 hours
- Quizzes 1
- Language English