『514: Ask David w/ Dr. Matt May』のカバーアート

514: Ask David w/ Dr. Matt May

514: Ask David w/ Dr. Matt May

無料で聴く

ポッドキャストの詳細を見る
514: Ask David w/ Dr. Matt May Schizophrenia, Resistance, TEAM's Future, and What Makes a Great Therapist In this thought-provoking Ask David episode, Dr. David Burns is joined by Kevin Cornelius, LMFT, and special guest Dr. Matt May, psychiatrist, TEAM-CBT therapist, and longtime colleague of Dr. Burns. Together, they tackle challenging listener questions about schizophrenia, emotional suffering, resistance to change, therapist training, and the future of psychotherapy. Along the way, the conversation becomes deeply personal as David reflects on the qualities that shaped the development of TEAM-CBT, his hopes and concerns for the future of psychotherapy, and the lessons he's learned after decades of clinical work. Our Special Guest: Dr. Matt May Kevin welcomes Dr. Matt May back to the podcast. Matt is a psychiatrist trained at Stanford who has worked closely with David for more than twenty years. Although trained in psychiatry, Matt explains that his work today focuses almost entirely on TEAM-CBT rather than medication management. David praises Matt as one of the most gifted therapists he has ever known, highlighting his warmth, compassion, humility, and clinical expertise. Question #1: Can TEAM-CBT Help the Negative Symptoms of Schizophrenia? A listener asks whether TEAM-CBT can help with the so-called "three A's" of schizophrenia: ApathyAvolition (severe lack of motivation)Anhedonia (loss of pleasure) or whether medication is the primary treatment. David's Response David challenges the assumptions behind the question itself. Rather than viewing people through the lens of diagnostic labels and symptoms, he emphasizes that TEAM-CBT begins by asking: "What would you like help with?" He argues that therapists often fall into the trap of acting like experts who believe they already know what a patient needs based on a diagnosis. TEAM-CBT takes the opposite approach, focusing on the individual person's goals, struggles, and hopes. David shares an early experience treating a patient with schizophrenia. Initially, he tried to challenge the patient's delusional beliefs directly through cognitive techniques. When the patient simply reinterpreted the evidence to support the delusion, David realized he was pursuing his own agenda rather than the patient's. The lesson: TEAM-CBT focuses on helping people with the problems they want help with—not on treating diagnostic labels. Key Takeaways Diagnosis does not define the person.People with schizophrenia may still want help with relationships, mood, habits, goals, or self-esteem.Effective therapy begins with understanding what matters to the individual.Humility is often more helpful than expertise. Question #2: What About Trauma, Brain Circuits, and "Underlying Vulnerabilities"? A listener asks whether present-moment thoughts are only part of the picture and whether deeper emotional circuitry, stress physiology, or network-level brain changes also contribute to emotional suffering. The listener also wonders whether cognitive therapy truly processes emotions like grief, fear, shame, and anger—or merely suppresses them. Matt's Perspective Matt offers a practical example from his own life. One afternoon he found himself flooded with depressive thoughts and self-critical feelings. He suddenly felt hopeless, inadequate, and discouraged. Then he realized: He had skipped lunch and was extremely hungry. After eating, the negative thoughts disappeared. His point is that physical states matter. Sleep deprivation, poor nutrition, illness, intoxication, and other biological factors can influence how easily negative thoughts arise and how difficult they are to challenge. David's Perspective David distinguishes sharply between: Healthy negative emotionsDistorted emotional suffering He revisits a story from his medical school years, describing the death of a beloved elderly patient whose family gathered around him during his final moments. Everyone cried. David cried too. But that sadness was not depression. The grief emerged naturally from loving thoughts and genuine loss. In contrast, depression is fueled by distorted thoughts such as: "I'm worthless.""I'm not good enough.""Things will never get better." TEAM-CBT seeks to eliminate distorted suffering while preserving healthy human emotions. Key Takeaways Healthy grief is not a disorder.TEAM-CBT does not suppress genuine emotions.Depression, anxiety, shame, and hopelessness often arise from distorted thoughts that can be transformed.Biological factors matter, but thoughts remain a powerful therapeutic target. Question #3: What's the Biggest Misunderstanding Therapists Have About TEAM-CBT? A listener asks: When teaching clinicians, what misunderstanding should be corrected first? The belief that resistance means the patient is difficult?Or the belief that techniques alone are enough? David's Answer David emphasizes that TEAM is a system: Testing → Empathy → Agenda Setting → Methods Many therapists focus immediately on ...
adbl_web_anon_alc_button_suppression_t1
まだレビューはありません