Summary

In the inaugural episode of PD Squared, host Chris welcomes psychiatrist Jessica Akely, who specialises in forensic psychotherapy at the Portman Clinic. Jessica explains the nature of forensic psychotherapy, which involves treating individuals who have encountered legal issues, often stemming from violent or sexual behaviours. She emphasises the importance of voluntary participation in therapy, noting that patients who come willingly tend to benefit more from the treatment. The conversation delves into the complexities of working with individuals diagnosed with antisocial personality disorder, highlighting the challenges of motivation and the stigma surrounding mental health treatment for this demographic.

As the discussion progresses, Jessica shares insights about the effectiveness of group therapy, particularly for men dealing with aggression and violence. She describes how these groups foster meaningful connections among participants, often referred to as the 'family they never had.' The episode also touches on the systemic prejudices faced by individuals with personality disorders, the challenges of communication within mental health services, and the need for a more compassionate, trauma-informed approach to care. Jessica advocates for better training and understanding among professionals to improve treatment outcomes for those with complex mental health needs.

Takeaways

Patients benefit more when they come to therapy voluntarily.

Group therapy can create meaningful connections among individuals with similar struggles.

Stigma and prejudice against personality disorders persist in mental health services.

Long-term therapy is often necessary for individuals with complex trauma histories.

Mentalization-based treatment can help individuals understand their emotions and behaviours.

Chapters

00:00 Introduction to Forensic Psychotherapy

04:04 The Role of Group Therapy

10:18 Prejudice and Stigma in Mental Health

20:18 Challenges in Communication and Care

29:43 The Importance of Trauma-Informed Care

39:29 Good Clinical Practice and Training

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