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CBT is the most evidence-based first-line treatment for eating disorders, but Dr. Susan Simpson kept seeing the same pattern in her caseload: roughly half of clients relapsed, and dropout rates ran between a quarter and a third. The shame, perfectionism, and attachment wounds underneath the eating disorder just weren't shifting. Dr. Susan Simpson is a clinical psychologist,rainer-Supervisor, and Director of SchemaTherapy Training Scotland. She has more than 25 years of experience treating eating disorders and is co-author of "Schema Therapy for Eating Disorders" and "Tha Therapy." Her newest book, "Breaking Negative Eating Patterns and Remembering Your True Self," translates her clinical model into a self-help guide for clients, families, and clinicians. In this episode, you'll learn: - Why CBT alone leaves a meaningful percentage of eating disorder clients stuck, and what schema therapy adds - How GLP-1 medications complicate eating disoncept of "food noise" - The two core emotional needs at the root of most eating disorder presentations: connection/attachment and autonomy - How schema modes ("parts") function as survlogy, and why you work with them rather thanagainst them - Why intellectual insight ("I get it, but I gh on its own - A real case example: how schema therapy helped a client with long-standing anorexia reconnect to unmet childhood needs - What group schema therapy looks like, and its evidence base for eating disorders and borderline personality disorder Timestamps: 0:00 Meet Dr. Susan Simpson and today's topic 0:17 The main eating disorder categories, including ARFID 3:27 Why ARFID took years to be clinically re 4:58 Do eating disorder patterns come in waves? 5:25 How GLP-1 medications complicate eating 6:52 What "food noise" actually means 9:12 Why Dr. Simpson moved from CBT to schema 12:40 The two core emotional needs behind eating disorders 13:50 Schema modes explained: protective part 17:12 Working with, not against, protective parts 20:04 Is schema therapy just CBT with extra s 24:19 Where dietitians and other specialists fit on the team 26:06 Working with ambivalence and readiness 28:50 Food diaries, and knowing your own scope as a clinician 30:41 The part that doesn't want to fully letfood addiction 32:27 Her new self-help book, and who it's for 35:02 Rewriting a clinical model for a generahapter one) 37:06 Case study: healing long-standing anorexia through schema therapy 42:34 A group therapy memory: why clients cank 43:47 How directive vs. non-directive coaching depends on the client's history 46:07 Avoiding transference traps that repeat 47:30 Where to learn schema therapy if you want to go deeper 49:00 The current research on schema therapy 51:03 What group schema therapy looks like in practice 53:38 Closing thoughts and where to find Dr. Resources mentioned: - Breaking Negative Eating Patterns and Remembering Your True Self, Dr. Susan Simpson - Schema Therapy for Eating Disorders, Susan Simpson et al. - The Cambridge Guide to Schema Therapy, Susan Simpson et al. - "When Standard Treatments Are Not Enough" - Showcasing Schema Therapy for the Treatment of Anorexia Nervosa and Borderline Personality Disorder, Hepworth & Simpson (2025), Journal of Clinical Psychology: https://doi.org/10.1002/jclp.23801 - Schema Therapy Training Scotland: https://schematherapyscotland.com - Dr. Simpson's publications on ResearchGate: https://www.researchgate.net/profile/Susan_Simpson/publications - Dr. Simpson's YouTube channel: https://www.youtube.com/@BreakingNegativeEatingPatterns This episode covers topics relevant to CE/CEU, NCC. Free CEU available for Arizona licensure through the Board of Behavioral Health Examiners. Subscribe for weekly clinical training you can use in your next session. Website: https://lorainmoorehead.com Instagram: @selfcareapist Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

A couple sits across from you saying they both want to repair after an affair,  but you're not sure either of them, or you, agrees on what "infidelity" actually means. Dr. Talal Alsaleem is an infidelity researcher and therapist who developed Systemic Affair Recovery Therapy (SART) after realizing none of his clinical training was built for the couples flooding his practice — the ones in crisis over current or past infidelity. He's the author of three books on infidelity recovery and has spent over 15 years researching and treating it. In this episode, you'll learn: - A working, transferable definition of infidelity built around the idea of a "relationship contract" and exclusivity — not a fixed list of behaviors - Why men and women tend to define infidelity differently, and the "double shot hypothesis" explaining why women are more upset by emotional affairs and men by sexual ones - The three root causes of infidelity: relationship deficits, individual factors, and environmental factors (including cultural norms and power dynamics) - Two of the seven milestones in Dr. Alsaleem's recovery model — getting the story, and acknowledging the impact and why a real apology has to name specific damage, not just say "I'm sorry" - Why he counts helping a couple find clarity that they should separate as a treatment success, not a failure Timestamps: 0:00 Welcome & Meet Dr. Talal Alsaleem 0:19 What He'd Avoid: Confusing Infatuation with True Intimacy 1:24 How He Built the Systemic Affair Recovery Therapy Model 3:25 The Real Recovery Stats: 33% National Average vs. 85% With This Model 6:27 How to Actually Define Infidelity (The Relationship Contract Framework) 16:17 The 3 Root Causes of Infidelity (Relationship, Individual, Environmental) 20:49 Why Men and Women Define Infidelity Differently 29:52 The 7 Milestones of Infidelity Recovery 40:07 Why "Acknowledging the Impact" Requires a Real Apology 49:39 His 3 Books, Explained 51:39 Self-Care for Clinicians Doing This Work If you liked this episode, check out this episode comparing different styles of couples therapy with Dr. Mari Feuerman https://youtu.be/WBDfdBRo5_g?si=QlFRqy-0DEPhf0KL. Resources mentioned: - Dr. Alsaleem's website: talalasaleem.com - His docuseries, Infidelity Chronicles (real, unscripted session footage) - His upcoming podcast, Resurrecting Cupid (not yet released as of this recording) - His three books: "Infidelity: The Best Worst Thing That Could Happen to Your Marriage," "Unfaithful and Unrepentant: Affairs Beyond the Hope of Repair," and "Deconstructing Infidelity: Causes and the Myths" This episode covers topics relevant to CE/CEU for LCSW, LMHC, LPC, LMFT, NCC. Free CEU available for Arizona licensure through the Board of Behavioral Health Examiners. Subscribe for weekly clinical training you can use in your next session. Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

Dr. William R. Miller was a developer of motivational interviewing. Ricardo Muñoz ran the first randomized controlled trial ever built to prevent depression before it starts. Fifty years ago, as grad students sharing a rickety office at the University of Oregon, they wrote the first version of a book that would go on to prove something the addiction field didn't believe: that self-help alone, with no therapist, could cut problem drinking by the same margin as live counseling. They joined today to talk about what has changed in the research, including what has led to fewer people drinking in 2026 than 1976. Dr. William R. Miller, Ph.D., is an internationally known psychologist and emeritus professor at the University of New Mexico — the originator of Motivational Interviewing (MI), now used worldwide across mental health, medicine, and dentistry. He's published more than 60 books. Dr. Ricardo F. Muñoz, Ph.D., is an emeritus professor of psychology at the UCSF School of Medicine, where he was based at San Francisco General Hospital for 35 years and Chief Psychologist for 25. His work on preventing depression, including the Mothers and Babies Course / El Curso Mamás y Bebés for perinatal depression — is now used internationally and cited by the U.S. Preventive Services Task Force. Fifty years and five editions later, their new book, Rethinking Drinking, is out now. In this episode, you'll learn: - Why the field's old "alcoholic vs. social drinker" binary was wrong, and what Miller's original dissertation proved instead - Why people who were given nothing but the self-help book — no therapist — sustained their drinking reductions as well as people who got live counseling, replicated across studies - The "Healthy Management of Reality" framework (Chapter 12), built on Miller's mentor Albert Bandura's concept of self-efficacy - The real story behind Motivational Interviewing: why "sit down and shut up, I'll tell you what's wrong with you" was the field's default approach before MI, and what changed it - Muñoz's Mothers and Babies Course, shown to help prevent 53% of new perinatal depression cases - The 8 characteristics of therapists whose clients actually get better and a study where the most empathic therapist had a 100% success rate against 25% for the least empathic, using the identical treatment manual Timestamps: 0:00 Intro 0:40 Meet Dr. William Miller & Dr. Ricardo Muñoz 0:53 What's changed in the alcohol science since 1976 2:43 The surprising research: self-help book vs. therapy 6:47 Ricardo's own decision not to drink (the Stanford dorm story) 10:48 The real reasons people reach for alcohol 18:36 The Drinker's Checkup — a free self-assessment model 21:15 Healthy Management of Reality: the Bandura-inspired framework 23:03 From Bandura's lab to San Francisco General Hospital 30:10 Preventing depression before it starts 39:51 Free clinical manuals, in English and Spanish 44:51 The origin story of Motivational Interviewing 52:21 The 8 characteristics of therapists whose clients get better 56:36 Why giving people just the book kept them changing 59:42 Closing thoughts Resources mentioned: - Rethinking Drinking (Guilford Press, available now): - Dr. Miller's site and full list of books.                                                                                  - Free depression prevention/treatment manuals (English, Spanish, Chinese, Japanese, Korean, Greek, Persian) developed by Dr. Munoz and team. - "Giving Psychology Away" (referenced ~41:54 in this file) — George A. Miller's 1969 APA presidential address, published as "Psychology as a Means of Promoting Human Welfare" (American Psychologist, 1969). Note: this is George A. Miller, not guest William R. Miller. - Effective Psychotherapists: How They Develop and Practice, by William R. Miller & Theresa B. Moyers (Guilford Press) — the book behind the 8 therapist characteristics / empathy-outcomes research discussed at 52:21 This episode covers topics relevant to CE/CEU for LCSW, LMHC, LPC, LMFT, NCC. Subscribe for weekly clinical training you can use in your next session. Website: https://lorainmoorehead.com Instagram: @selfcareapist Podcast: https://feeds.buzzsprout.com/2512198 Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

You clock out, but your brain doesn't. You're still short with your kids, still numb through your own weekend, still running on a threat response that never got the memo the workday ended and you're not sure self-care is actually touching it. Shaina Siber, LCSW, is a licensed clinical social worker, integrative therapist, and founder of AFFIRM Mental Health, a continuing education company for mental health professionals. She's the author of "Using ACT and CFT for Burnout Recovery: The Beyond Burnout Blueprint" and host of The Affirming Minds Podcast. In this episode, you'll learn: - Christina Maslach's 6 systemic drivers of burnout — and why most of them have nothing to do with willpower or self-care - How Compassion-Focused Therapy's threat/drive/soothing model explains why "well-intentioned" coping (a workout, a glass of wine) often doesn't actually calm your nervous system - Why venting has a real physiological upside in small doses — and how it backfires when it becomes reflexive ("the dose makes the poison") - Two steps from Shaina's Beyond Burnout Blueprint: creating a compelling vision, and identifying your unique strengths - What she'd change first as an employer to prevent burnout on a team — starting with psychological safety Timestamps: 0:00 Welcome & Meet Shaina Siber, LCSW 0:53 The Martyrdom Baked Into Helping Professions 3:34 What Burnout Actually Is (Beyond "Being Tired") 6:59 Christina Maslach's 6 Systemic Drivers of Burnout 28:31 Compassion-Focused Therapy: Old Brain vs. New Brain 33:01 The 3 Systems of Emotional Regulation (Threat, Drive, Soothing) 38:44 Step 1: Creating a Compelling Vision 44:35 Step 3: Watch Your Words (Venting, Complaining, Reassurance-Seeking) 49:27 Step 4: Identify Your Unique Strengths 54:29 Step 5: Be Kind to Yourself and Others 59:49 What Leaders Can Do to Prevent Team Burnout 65:44 Where to Find Shaina Siber If you liked this episode, you might want to check out this episode on Perfectionism education and research. Resources mentioned: - Shaina's book: "Using ACT and CFT for Burnout Recovery: The Beyond Burnout Blueprint" - The Affirming Minds Podcast (Shaina's podcast) - AFFIRM Mental Health  - Christina Maslach's burnout research (6 systemic drivers) - Paul Gilbert, founder of Compassion-Focused Therapy - Kristin Neff's self-compassion research (restorative and fierce compassion) Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

You're lying awake trying to think your way to certainty; running the same worry in circles, getting nowhere, but unable to stop. If a client's "careful thinking" has quietly become compulsive reasoning, exposure and response prevention alone won't fix it. This episode shows you what will. Dr. Lisa Levine, Psy.D., is a licensed psychologist and owner of the OCD and Anxiety Treatment Center of Maryland. After 23 years specializing in OCD treatment, she developed non-engagement response strategies for clients whose ERP work was being quietly undermined by compulsive reasoning and rumination happening entirely in their heads; often clients who looked like they were doing everything right. In this episode, you'll learn: - How to tell compulsive reasoning apart from real problem-solving, intrusive thoughts, and obsessing - The "urgency and desperation" litmus test for spotting when reasoning has become compulsive - Why suppression and reassurance-seeking backfire — and what a non-engagement response actually sounds like - The "rumination bully" framework and how strategic agreeing defuses it - Why this shows up constantly in high-achieving clients who'd never be diagnosed with OCD Timestamps: 0:00 Welcome & Meet Dr. Lisa Levine 3:03 What Makes Reasoning "Compulsive"? The Urgency & Desperation Test 9:04 Compulsive Reasoning vs. Intrusive Thoughts vs. Obsessing 12:00 Why Suppression and Reassurance Backfire 18:03 The Toddler Tantrum Analogy: Why It Gets Worse Before It Gets Better 24:07 When Deep Thinking Is Healthy — And When It's a Trap 30:00 The Rumination Bully and the Power of Strategic Agreeing 39:04 Real-World Exposure Examples: Driving, Parking, Everyday Risk 48:00 What a Non-Engagement Response Actually Sounds Like 54:00 Why This Work Takes Courage — Giving Clients (and Yourself) Credit If you liked this episode, watch "Why OCD is Not an Adjective" next. Resources mentioned: - Dr. Levine's article on compulsive reasoning - "How to Stop a Bully"- Brookes Gibbs - Dr. Levine's mentor, Charlie Mansueto, credited with teaching her the "dead man's rule" framework This episode covers topics relevant to CE/CEU for LCSW, LMHC, LPC, LMFT, NCC. Free CEU available for Arizona licensure through the Board of Behavioral Health Examiners. Subscribe for weekly clinical training you can use in your next session. Website: https://lorainmoorehead.com Instagram: @selfcareapist Podcast: https://feeds.buzzsprout.com/2512198 #therapist #mentalhealth #continuingeducation #therapisteducation #CEU #LCSW #LPC #LMFT #LMHC #evidencebasedtherapy #therapisttraining #clinicalskills #counseloreducation #OCD #ERP #rumination #compulsivereasoning #anxietytreatment Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

David Archer, MSW, MFT — EMDR therapist, EMDRIA-approved trainer, and author of "Anti-Racist Psychotherapy" breaks down how EMDR therapy can be used to treat racial trauma and complex trauma in clinical practice. In this episode of the Self Careapist Therapist Podcast, Lorain Moorehead, LCSW, PMH-C, sits down with David to explore anti-racist psychotherapy as a science-based framework that integrates EMDR therapy, trauma-informed therapy, and an understanding of how systemic racism creates lasting neurobiological harm. David shares his Rhythm and Processing (RAP) approach,  a somatic, rhythm-based method rooted in EMDR principles and explains how therapists can apply memory reconsolidation techniques to help clients heal from racial trauma, complex trauma, and the intersection of both. Whether you're an EMDR therapist, a trauma therapist, or a clinician working with diverse populations, this conversation offers practical clinical tools for addressing race and racism in the therapy room. ⏱️ CHAPTERS 0:00 — Introduction: Who is David Archer? 02:30 — What Is Anti-Racist Psychotherapy? 08:15 — The Overlap Between Racial Trauma and Complex Trauma 15:42 — How Systemic Racism Creates Neurobiological Harm 22:18 — EMDR Therapy and Racial Trauma: The Clinical Connection 29:05 — Rhythm and Processing (RAP): A Somatic Approach to Healing 36:50 — Memory Reconsolidation and Conflicting Client Beliefs 44:12 — Working with Clients' Nervous Systems and Allostatic Load 51:30 — Practical Clinical Applications for Therapists 58:20 — Accessibility and Making Healing Available to All 1:05:00 — David's Books and EMDR Training Programs 1:08:00 — Final Reflections and Takeaways for Clinicians 📌 TOPICS COVERED • Anti-racist psychotherapy as a clinical framework • EMDR therapy for racial trauma and complex PTSD • Rhythm and Processing (RAP) — David Archer's somatic approach • Racial trauma vs. complex trauma: overlaps and distinctions • Memory reconsolidation in trauma therapy • How allostatic load and nervous system dysregulation manifest as racial trauma • Conflicting beliefs and cognitive dissonance in trauma processing • Trauma-informed therapy across cultural and racial identities • Practical EMDR therapy techniques for diverse client populations • Accessibility in mental health care 🔗 RESOURCES & LINKS 📚 David Archer's book — "Anti-Racist Psychotherapy: Confronting Systemic Racism and Healing Racial Trauma" Available on Amazon (US & Canada) and BIPOC-owned bookstores: https://archertherapy.com/books/anti-racist-psychotherapy/ 🌐 David Archer's website (therapy services, consultation, blog): https://archertherapy.com/ 🎓 EMDR Training & RAP Approach (EMDRIA-approved, online): https://archertherapy.com/training/emdr-basic/ 📚 David's other books: • "Black Meditation" — https://archertherapy.com/black-meditation/ • "Racial Trauma Recovery" — https://archertherapy.com/racial-trauma-recovery/ • "Black Mountain" — https://archertherapy.com/black-mountain/ • "Transforming Complex Trauma" — https://archertherapy.com/transforming-complex-trauma/ 📧 Contact David Archer: https://archertherapy.com/contact/ 📚 ABOUT  SELF CAREAPIST THERAPIST PODCAST Hosted by Lorain Moorehead, LCSW, PMH-C, EMDR Certified Consultant, and Clinical Supervisor Self Careapist Therapist Podcast delivers conference-level clinical training between sessions. Each episode features in-depth clinician interviews and practical technique walkthroughs covering EMDR, CBT, DBT, RO-DBT, ACT, IFS, play therapy, and trauma-informed approaches. Whether you're a practicing therapist, social worker, clinical psychologist, or counselor, you'll find assessment strategies, case conceptualization frameworks, and evidence-based interventions you can apply in your very next session. 🔔 Subscribe for weekly clinical training episodes: https://www.youtube.com/@selfcareapist 💬 Join the conversation leave a comment with your clinical questions or reflections The Self Careapist Therapist Podcast is a biweekly conversation with Lorain Moorehead, LCSW a therapist in private practice.  With guests ranging from expert psychologists, therapists, researchers and authors, each episode offers a deep dive and keeps listeners from intern to advanced supervisor  in mind while dropping gems and aha moments for everyone who loves to learn! If you love learning and want to keep track of some future learning opportunities, grab your personal curriculum here! If you liked this episode, feel free to subscribe and leave a review! Your support helps us be a top mental health podcast and resource.  See you next week! Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

Lorain Moorehead, LCSW, PMH-C, EMDR Certified Consultant & Clinical Supervisor, sits down with Dr. Laurie Bruce, clinical psychologist (25+ years), mindfulness coach, host of "From Both Sides of the Couch," in a cross-show conversation recorded for both podcasts. They unpack the gap between CEUs and real clinical consultation, what happens when a client triggers something personal in session, and the barriers that keep therapists from finding their own therapist. If you found our episode on EMDR consultation requirements useful, this conversation goes further into the blurry territory between supervision, consultation, and personal therapy. Timestamps:  0:00 — The problem with supervision ending at licensure  1:14 — How other countries require ongoing consultation and the US doesn't  2:16 — Why CEUs should partially be replaced with consultation hours  3:16 — Learning a new modality means starting over, and why that demands supervision  11:04 — Lorain's experience with EMDR consultation requirements  12:47 — Dr. Bruce on DBT consultation teams, RO-DBT, and DART training  17:26 — The deep self-exploration required in IFS training  18:29 — The blurry line between therapy, supervision, and consultation  22:00 — Naming it as a form of informed consent and emotional regulation  23:39 — Administrative vs. clinical supervision: why they're not the same  27:10 — Barriers to therapists seeking their own therapy  34:06 — Structured vs. organic supervision: two different philosophies  42:01 — Why the intake process is the clinical work, not just a formality  43:23 — Individual vs. peer consultation: the role of trust and vulnerability  45:09 — How to find a therapist when you're a therapist yourself  49:32 — Dr. Bruce's upcoming virtual community for therapists and caregivers  52:05 — Where to find Lorain's work on perfectionism, burnout, and anxiety Episode Highlights:  Supervision is treated as a finish line tied to licensure instead of an ongoing clinical need.  Several countries require monthly consultation to maintain licensure, while the US relies on CEU hours alone.  Specializing in a new modality puts a clinician back at square one, requiring the same level of supervision as early training.  Administrative supervision and clinical supervision serve different functions and should not be conflated.  Naming what is happening in the room functions as both informed consent and a regulation tool.  The biggest barriers to therapists seeking their own therapy are financial, the conditioning to be the expert, and the difficulty of finding someone outside their professional circle.  A strong intake is not a formality. It is where the clinical work and the supervisee's core skills are actually built. Host: Lorain Moorehead, LCSW, PMH-C, EMDR Certified Consultant & Clinical Supervisor. Private practice supporting high-achieving adults and therapists with perfectionism, burnout, anxiety, and irritability. This episode covers topics relevant to CE/CEU for LCSW, LMHC, LPC, LMFT, NCC. Free CEU available for Arizona licensure through the Board of Behavioral Health Examiners. Subscribe for weekly clinical training you can use in your next session. Website: https://lorainmoorehead.com Instagram: @selfcareapist Podcast: https://feeds.buzzsprout.com/2512198 #therapist #mentalhealth #continuingeducation #CEU #LCSW #LPC #LMFT #clinicalsupervision #EMDR #DBT Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

What does DBT look like when it is truly LGBTQ+ affirming? In this episode of The Self Careapist Therapist, I sit down with Dr. Kiki Fehling to talk about DBT for LGBTQ+ mental health, minority stress, queer joy, self-love, emotional resilience, and what it means to apply skills in a way that actually honors context. We talk about why being queer is not the source of mental health harm, how anti-queer environments shape emotion dysregulation, and why DBT can be especially helpful when clinicians understand the transaction between identity, biology, environment, invalidation, and safety. If you are a therapist working with LGBTQ+ clients, or if you are trying to deepen your affirming practice beyond good intentions, this conversation offers a thoughtful clinical lens. Listen to the full episode of DBT for LGBTQ+ Mental Health: Self-Love, Emotional Resilience & Queer Joy With Dr. Kiki Fehling. Dr. Kiki Fehling, Ph.D., is a licensed psychologist and Linehan-Board-certified Dialectical Behavior Therapy (DBT) expert therapist. She specializes in emotional sensitivity, borderline personality disorder, self-harm and suicide, trauma, and LGBTQ+ mental health. She is the co-author of Self-Directed DBT Skills: A 3-Month DBT Workbook and regularly shares mental health tips and DBT-related posts through her @dbtkiki social media accounts. Her work focuses on making DBT skills more accessible and affirming for LGBTQ+ people, especially around self-love, emotional resilience, minority stress, and queer joy. Website: https://www.kikifehling.com/   Instagram: https://www.instagram.com/dbtkiki/  Li: https://www.linkedin.com/in/drkikifehling/ FB: https://www.facebook.com/drkikifehling/  Tiktok: https://www.tiktok.com/@dbtkiki Lorain Moorehead is a therapist, consultant, and EMDR Certified, EMDRIA‑approved consultant specializing in trauma‑informed care and EMDR integration. She works with high‑achieving adults navigating anxiety, perfectionism, identity loss, and relational stress through depth‑oriented, evidence‑based approaches. Lorain brings advanced training in DBT and certification in Perinatal Mental Health, grounding her work in safety, attunement, and nervous‑system awareness. She also supports clinicians through supervision, consultation, and training, with a strong focus on ethical practice and clinical decisionmaking. In 2025, she launched The Self Care‑apist Therapist Podcast, creating space for therapists to explore innovative, research‑backed modalities—including emerging conversations around KAP and trauma treatment. Website: https://lorainmoorehead.com/    LinkedIn: https://www.linkedin.com/in/lorainmoorehead/   Instagram: https://www.instagram.com/theselfcareapist/   TikTok: https://www.tiktok.com/@theselfcareapist    YouTube: https://www.youtube.com/playlist?list=PLjS1AkQopGeVq6eP-1j7Y4i-oloOPSJmw   Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

What can interracial couples teach therapists about race, family systems, and the conversations many clients are still learning how to have? In this episode of The Self Careapist Therapist, I sit down with Dr. Geoffrey Greif and Victoria D. Stubbs, LCSW, co-authors of Interracial Marriage: How Diverse Couples Navigate Relationships. We talk about what hundreds of interviews with interracial and interethnic couples revealed about communication, family approval, identity, power, children, language, safety, and the daily accommodations many couples learn to make. We also explore how therapists can approach these conversations with more humility, curiosity, and clinical nuance. Victoria shares how the six pillars of a brave space framework can support conversations about race, power, privilege, oppression, and identity, while Geoffrey highlights what research interviews can reveal that surveys often miss. Listen to this episode of Interracial Marriage: Love, Identity, and Navigating Differences with Geoffrey Greif and Victoria D. Stubbs Dr. Geoffrey Greif is a professor at the University of Maryland School of Social Work, researcher, author, and co-author of Interracial Marriage: How Diverse Couples Navigate Relationships. His work spans family relationships, fathers, adult sibling relationships, group work, and interracial marriage research. Website: https://geoffreygreifbooks.com Victoria D. Stubbs is the founder of Inner Truth Psychotherapy and Wellness, co-author of Interracial Marriage: How Diverse Couples Navigate Relationships and was previously a full-time clinical instructor at the University of Maryland School of Social Work.  Website: https://www.innertruthllc.com/ Instagram: https://www.instagram.com/innertruthllc/ Discover how love transcends boundaries — click the link to grab your copy of Interracial Marriage: How Diverse Couples Navigate Relationships in a Divided Time and explore the powerful, real stories that remind us that connection is stronger than division!  Buy the Book Here: https://www.amazon.com/Interracial-Marriage-Diverse-Navigate-Relationships/dp/0231218192 Lorain Moorehead is a therapist, consultant, and EMDR Certified, EMDRIA‑approved consultant specializing in trauma‑informed care and EMDR integration. She works with high‑achieving adults navigating anxiety, perfectionism, identity loss, and relational stress through depth‑oriented, evidence‑based approaches. Lorain brings advanced training in DBT and certification in Perinatal Mental Health, grounding her work in safety, attunement, and nervous‑system awareness. She also supports clinicians through supervision, consultation, and training, with a strong focus on ethical practice and clinical decisionmaking. In 2025, she launched The Self Care‑apist Therapist Podcast, creating space for therapists to explore innovative, research‑backed modalities—including emerging conversations around KAP and trauma treatment. Website: https://lorainmoorehead.com/    LinkedIn: https://www.linkedin.com/in/lorainmoorehead/   Instagram: https://www.instagram.com/theselfcareapist/   TikTok: https://www.tiktok.com/@theselfcareapist    YouTube: https://www.youtube.com/playlist?list=PLjS1AkQopGeVq6eP-1j7Y4i-oloOPSJmw   Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

Your most contained, rule-following, hardest-working clients may be the ones standard DBT is least equipped to help. In this episode of Self Careapist Therapist, I sit down with Dr. Ellen Astrachan-Fletcher, lecturer at Northwestern University's Feinberg School of Medicine, Associate Professor of Psychiatry at UIC, and owner of EAF ReCenter. With over 30 years of clinical and teaching experience, Dr. Astrachan-Fletcher is a nationally recognized expert in both DBT and Radically Open DBT (RO-DBT). She is the co-author of two clinical workbooks used in eating disorder treatment programs across the country, and her third book, RO-DBT for Anxiety, is set for release in August 2026. We cover what RO-DBT is, who it's designed for, how it differs from standard DBT, and what a training path looks like for clinicians who want to learn it. What You'll Learn in This Episode: Radically Open DBT was developed by Dr. Tom Lynch after observing that many clients, particularly those with chronic depression, restrictive eating disorders, and anxiety, were not responding to standard DBT. Standard DBT targets emotional dysregulation, helping clients learn to contain and control. RO-DBT does the opposite: it targets emotional overcontrol, the pattern of holding emotions in, appearing fine, and disconnecting from authentic social signaling. Dr. Astrachan-Fletcher explains the concept of emotional leakage, the moments when a tightly controlled client expresses emotion in unexpected, often indirect ways. She walks through the three core treatment targets in RO-DBT: flexibility, receptivity and openness, and true connection. True connection, she is careful to clarify, is not having a large social network. It is the felt experience of being known and loved even in your most uncomfortable truths. We also discuss emotional loneliness, what Tom Lynch identifies as the core suffering of overcontrolled clients: feeling utterly alone in a room full of people. Dr. Astrachan-Fletcher explains how this loneliness develops from the overcontrolled pattern of masking inner experience and what RO-DBT teaches clients to do differently. Other topics from this conversation: The temperament and developmental origins of overcontrol, including the role of threat sensitivity and detail focus in shaping coping early in life. The three mind states in RO-DBT: fixed mind, fatalistic mind, and flexible mind, and how each shows up in session. The clinical presentation differences between emotionally undercontrolled and overcontrolled clients, and how easy it is to misread a controlled client as doing well. Why RO-DBT calls its group component a "class" rather than a group, and what that distinction signals about how overcontrolled clients experience social environments. How RO-DBT is transdiagnostic, reaching across depression, OCPD, restrictive eating disorders, anxiety, and several personality disorders.  Resources Mentioned: Official RO-DBT Training Site: radicallyopendbt.net EAF ReCenter (Dr. Astrachan-Fletcher's practice): eaf-recenter.com RO-DBT for Eating Disorders workbook by Dr. Astrachan-Fletcher RO-DBT for Anxiety (forthcoming, August 2026) by Dr. Astrachan-Fletcher Key Points: 00:00 Introduction 03:19 Emotional overcontrol defined 06:51 Overcontrol as the “high road” 09:03 DBT and RO-DBT as dialectics 12:50 Leakage in real life 15:05 Flexibility, openness, true connection 19:49 Social signaling 23:57 Frozen and masked expressions 25:28 Mirror neurons and Botox 28:02 The eyebrow wag 31:29 Self-inquiry and Malamati Sufism 35:38 Self-inquiry meets EMDR 39:14 Mindfulness differences 43:36 Playfulness and teasing 45:35 Screening and self-reporting 50:00 Skills class structure 53:28 Diagnoses that respond to RO-DBT 58:02 Self-care recommendation Ellen Astrachan-Fletcher is a licensed clinical psychologist, Founder of EAF reCenter, and expert in eating disorders, DBT, and Radically Open DBT (RO-DBT). With nearly three decades of experience spanning academia, clinical leadership, supervision, and training, she specializes in helping individuals cultivate authentic connection and emotional resilience.  Website: https://www.eaf-recenter.com/   LI: https://www.linkedin.com/in/ellen-astrachan-fletcher-ph-d-ceds-s-faed-a2aa8151/?isSelfProfile=false    Lorain Moorehead is a therapist, consultant, and EMDR Certified, EMDRIA‑approved consultant specializing in trauma‑informed care and EMDR integration. She works with high‑achieving adults navigating anxiety, perfectionism, identity loss, and relational stress through depth‑oriented, evidence‑based approaches. Lorain brings advanced training in DBT and certification in Perinatal Mental Health, grounding her work in safety, attunement, and nervous‑system awareness. She also supports clinicians through supervision, consultation, and training, with a strong focus on ethical practice and clinical decision making.  Website: https://lorainmoorehead.com/    LinkedIn: https://www.linkedin.com/in/lorainmoorehead/   Instagram: https://www.instagram.com/theselfcareapist/   TikTok: https://www.tiktok.com/@theselfcareapist    YouTube: https://www.youtube.com/playlist?list=PLjS1AkQopGeVq6eP-1j7Y4i-oloOPSJmw   Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

Moments of hesitation after a first EMDR session often signal that meaningful work has already begun.   In this episode of The Self Careapist Therapist, I break down what’s really happening when clients feel unsure about continuing EMDR after their first session. I walk through common reactions like exhaustion, vivid dreams, confusion, and the sense that something shifted without fully understanding why.  I also talk about how to respond clinically. Sometimes it’s about better debriefing and helping clients understand what their brain is doing. In some cases, hesitation points to something deeper. Slowing down, strengthening safety, and meeting the client where they are can make the difference between dropout and meaningful progress. Let this episode sharpen how you interpret hesitation in your clients. Watch now Why Clients Skip Their Second EMDR Session (And What It's Telling You). Lorain Moorehead is a therapist, consultant, and EMDR Certified, EMDRIA‑approved consultant specializing in trauma‑informed care and EMDR integration. She works with high‑achieving adults navigating anxiety, perfectionism, identity loss, and relational stress through depth‑oriented, evidence‑based approaches. Lorain brings advanced training in DBT and certification in Perinatal Mental Health, grounding her work in safety, attunement, and nervous‑system awareness. She also supports clinicians through supervision, consultation, and training, with a strong focus on ethical practice and clinical decisionmaking. In 2025, she launched The Self Care‑apist Therapist Podcast, creating space for therapists to explore innovative, research‑backed modalities—including emerging conversations around KAP and trauma treatment. Website: https://lorainmoorehead.com/    LinkedIn: https://www.linkedin.com/in/lorainmoorehead/   Instagram: https://www.instagram.com/theselfcareapist/   TikTok: https://www.tiktok.com/@theselfcareapist    YouTube: https://www.youtube.com/playlist?list=PLjS1AkQopGeVq6eP-1j7Y4i-oloOPSJmw   Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

What does it actually mean to practice ACT — and how would you know if you already are? Dr. Steven C. Hayes, the originator of acceptance and commitment therapy, joins the podcast to talk about the 45-year arc of ACT's development, where the field of psychotherapy has gone wrong, and what it would mean to truly serve the person sitting in front of you. This conversation covers the six core processes of psychological flexibility, why randomized controlled trials may be misleading your clinical work, and why Dr. Hayes thinks every therapist should start by trying ACT on themselves. If you have been ACT-curious, or if you have been using elements of it without naming it, this episode gives you the bones. Episode Timestamps 0:00 — Introduction 1:27 — What ACT is, and why it may already be in your practice 2:41 — ACT in a single sentence: open, aware, and actively engaged 4:48 — The origin story: personal suffering, panic disorder, and the limits of existing evidence-based therapy 8:08 — Did ACT precede DBT? Dr. Hayes on Marsha Linehan and the shared roots of third-wave approaches 10:35 — Process-based therapy: why the technique matters less than the mechanism 13:29 — What to do instead of drawing a fence around your modality 21:27 — The six core processes of psychological flexibility, explained one by one 29:32 — Reaching more people: how ACT is being used in lower- and middle-income countries 33:28 — Why your journal articles may be statistically misleading you (the ergodic theorem) 38:30 — Idiographic measurement: tracking the individual, not the aggregate 43:00 — PsychFlex and the Personalized Life Assessment Network: tools you can use now 48:51 — The eugenics roots of standard statistical methods in psychology 52:29 — The neurodiversity movement and what it gets right 56:00 — Outcome measurement that fits the actual person 1:01:35 — Where ACT is going: empowering clinicians from the bottom up Episode Highlights ACT is not a set of techniques. It is a model built around processes of change — the small, repeatable behaviors that lift people up or push them down. A new randomized trial is published on ACT every two days.Psychological flexibility — learning to be more open, aware, and actively engaged in meaningful life — is the core target of ACT. Dr. Hayes argues it is also the mediating mechanism behind DBT, MBCT, and most other third-wave approaches.The six core processes of ACT are organized around three pairs: openness (cognitive defusion and acceptance), awareness (flexible attention and a transcendent sense of self), and engagement (values and committed action). They are not six separate things — they work as a system.The statistical methods clinicians rely on — Pearson's R, analysis of variance, factor analysis — were developed by eugenicists and assume that differences between people predict any individual's future. The ergodic theorem, proven in the 1930s, demonstrates mathematically that this assumption is false.Process-based therapy means starting with the person in front of you, identifying which processes are lifting them up or pushing them down, and choosing methods that move those processes. The label you attach to it matters less than whether it works for that person.Dr. Hayes recommends two starting points for clinicians: (1) do a perceived causal network with your client — map what matters, what helps, what hurts — and (2) track those nodes over time with a small number of personalized items. He has been doing this with himself for years.ACT has more randomized trials from lower- and middle-income countries than any other psychotherapy model. Dr. Hayes attributes this to the process-based approach: when clinicians are empowered to apply principles in their own cultural language, the framework travels.Resource Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

What happens when a therapist takes EMDR training, loves the eye movements, and throws out the protocol entirely? Laney Rosenzweig did exactly that. In 2007, she walked out of an EMDR training room convinced there was a better way. Eighteen years later, ART (Accelerated Resolution Therapy) has been trained at military bases, studied at Mayo Clinic and Yale, and is resolving complex trauma in a single session. Laney joins the show to break down how ART works, who it helps, and what the training path looks like for licensed clinicians. Episode Timestamps •       0:38 - The origin story of ART •       9:27 - Modifications since the stroke and continued dedication •       10:14 - Commonalities between ART and EMDR origins •       11:48 - Eye movements vs. other bilateral stimulation methods •       13:45 - Positization and the role of humor in ART •       15:32 - The ART script and how it restructures trauma •       17:14 - ART training at military bases and Walter Reed •       18:33 - ART as a foundational model vs. EMDR •       19:24 - Free association vs. guided protocol •       22:56 - How to set expectations with new ART clients •       24:25 - The role of metaphor in ART •       26:23 - Staying passionate after decades of clinical work •       28:30 - What to expect from the basic three-day training •       31:43 - Practicum structure and the three-to-one ratio •       33:25 - Advanced training and credentialing pathway •       36:09 - Who is not a candidate for ART •       37:19 - How to explain ART to a new client •       39:56 - Working with children and the SAFT technique •       42:53 - Training licensed therapists and ethical considerations •       44:30 - Becoming an ART trainer •       47:36 - How ART grew through word of mouth and research •       54:03 - Free intro sessions and getting started •       58:12 - Self-care through ART Episode Highlights •       ART was developed after Laney found EMDR's free association protocol too unpredictable. By placing eye movements directly on the problem and building in a structured end point, she created a model that consistently resolves trauma in one session. •       The core mechanism is image rescripting combined with eye movements. Rather than asking clients to free associate, the ART script guides the brain to replace distressing images with positive ones, which Laney calls positization. •       Humor is a deliberate part of the ART approach. Laney gave the example of a palmetto bug phobia transformed into a favorable image of Willie Nelson. When clients can bring lightness to a previously terrifying image, the therapeutic shift has taken hold. •       Metaphor is built into the model, not added as an option. The brain processes in images during sleep, and ART mirrors that process. Clients who resist direct confrontation of a trauma can work entirely through metaphor, including a structured script for clients who fear change. •       ART is not free association. Unlike EMDR, the therapist guides the protocol from start to finish. Clients know what to expect and sessions have a clear endpoint, which Laney found critical for both therapist confidence and client safety. •       The three-day basic training Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.

Can Flash technique fully and permanently resolve a trauma memory in a single session, with almost no distress, even in clients with complex PTSD? Thomas Zimmerman has been answering that question for four and a half years, and his answer is yes. In this episode, he walks through the science, the structure, and the live protocol of the Predictive Processing Flash technique (formerly Four Blinks Version of Flash), with me as the client. Thomas is a mental health therapist, EMDR consultant, author, podcaster, and trainer based in Cleveland, Ohio. He developed his version of the Flash technique, originally called Four Blinks, around a predictive mind model of the brain. He explains why that model changes how we understand trauma, memory, and healing, and why it means every client is capable of change. We cover the four resourcing tools that make this approach safe for complex presentations, how Flash differs from EMDR in every structural and theoretical way, and what is actually happening in the nervous system during a session. Then we do a live demo. I work through a real memory in real time. Thomas also offers free Flash trainings every two weeks, free bi-monthly consultation, and a free weekly self-care Flash group for trained clinicians. This is a conversation worth sharing with every trauma-focused colleague in your network. Resources: https://emdrwithcomplextrauma.com/, https://thomaszimmerman.us/, https://emdrcleveland.com/ 1:00 - Thomas's background: 10 careers, trauma work, and finding Flash 3:10 - From CBT to EMDR to Flash, and why each mattered 5:32 - Watching 70 consecutive clients resolve trauma without significant distress 6:29 - Flash is not a resource. How Zimmerman changed his understanding 8:29 - The working mechanism: how Flash actually resolves memory 9:20 - Why Zimmerman moved away from the triune brain model 11:28 - The predictive mind model: predictions, error, and precision weighting 14:07 - Why effective trauma approaches feel culturally non-intuitive 19:00 - Demo setup: orienting to what Flash asks you to do 20:25 - Resource 1: Container 22:09 - Resource 2: Shop Vac 26:17 - Resource 3: Pleasant (Calm) Scene 28:44 - Resource 4: Sensory Grounding 34:06 - Selecting the memory and setting up the live demo 37:34 - The Flash demo begins 44:22 - The memory resolves: checking for distress on all channels 47:06 - The positive cognition that installed on its own 51:41 - Neurobiological debrief: what just happened in the predictive mind 58:18 - Free Flash trainings, consultation, and the weekly therapist self-care group 59:49 - Why Thomas offers all of this at no charge 1:02:43 - Thomas's book and the metaphorical index 1:05:19 - Self-care: what Flash has done for Thomas personally Episode Highlights Flash technique fully and permanently resolves trauma memories, not just reduces distress before EMDR. Zimmerman watched 70 consecutive clients complete full adaptive resolution before he changed how he understood the modality. Not sure where you're stuck clinically? Take the free Stuck Point Quiz at lorainmoorehead.com/quiz and get resources matched to your answers. Self Careapist Therapist Podcast is a biweekly, therapist-to-therapist conversation hosted by Lorain Moorehead, LCSW, PMH-C, EMDRIA Approved Consultant. Guests include psychologists, researchers, and the developers of the clinical models they teach, with practical takeaways for every level, from intern to clinical supervisor. Many episodes offer a free CEU for Arizona licensure through the Board of Behavioral Health Examiners. New episodes every other Wednesday. If this episode was useful, leave a review on Apple Podcasts. It helps other therapists find the show.