Enabling patients’ minds to change the structure of their brains. Beatriz and Albert Sheldon have spent the last 20 years developing the novel therapeutic paradigm called Complex Integration of Multiple Brain Systems (CIMBS). They have pioneered new methodology for "reading" and assessing emotional states using their patients’ carefully observed psychophysiological phenomena as empirical evidence. CIMBS also incorporates the latest groundbreaking research on neuroplasticity, brain development, and therapeutic change. This book details their novel neurobiological and psychotherapeutic paradigm—and reveals how therapists can use it for more successful treatment. Clients come to therapy troubled by deeply ingrained neural circuits and emotional habits. The authors demonstrate how they use psychophysiological perspectives to recognize limitations in brain systems that are interfering with their patients’ functioning. And through “physiopsychotherapy,” they activate self-affirming, nonconscious emotional resources to change rigid, maladaptive neural circuits. CIMBS offers a way of “integrating” these [brain system] resources to foster more complex and flexible mental functioning and to produce more successful psychotherapeutic outcomes. The therapeutic attachment relationship between therapist and patient, and “present moment” experiences within the session rather than recollections of past trauma, are key elements in this unique emotional resource-based mode of therapy. This book is wide-ranging in documenting CIMBS' success at operationalizing neuroscience research. Translating their academic, scientific, and clinical research and successful training courses into a reference work that you can hold in your hands and savor at leisure, the Sheldons have produced an approachable, intriguing, yet comprehensive milestone in the psychotherapeutic literature.

Shame, Pride, and Relational Trauma is a guide to recognizing the many ways shame and pride lie at the heart of psychotherapy with survivors of relational trauma. In these pages, readers learn how to differentiate shame and pride as emotional processes and traumatic mind/body states. They will also discover how understanding the psychodynamic and phenomenological relationships between shame, pride, and dissociation benefit psychotherapy with relational trauma. Next, readers are introduced to fifteen attitudes, principles, and concepts that guide this work from a transtheoretical perspective. Therapists will learn about ways to conceptualize and successfully navigate complex, patient-therapist shame dynamics, and apply neuroscientific findings to this challenging work. Finally, readers will discover how the concept and phenomena of pro-being pride, that is delighting in one's own and others' unique aliveness, helps patients transcend maladaptive shame and pride and experience greater unity within, with others, and with the world beyond.

Quick, essential techniques to practice ego state therapy, a popular therapeutic approach. Most of us have different aspects, “parts,” or “ego states” of ourselves—the silly and imaginative five-year-old part, for example, or the depressed, anxious, or angry adolescent—which manifest as particular moods, behaviors, and reactions depending on the demands of our external and internal environments. “Ego state therapy” refers to a powerful, flexible therapy that helps clients integrate and reconcile these distinct aspects of themselves. This book offers a grab bag of ego state interventions—simple, practical techniques for a range of client issues—that any therapist can incorporate in his or her practice. In her characteristic wise, compassionate, and user-friendly writing style, Robin Shapiro explains what ego states are, how to access them in clients, and how to use them for a variety of treatment issues. After covering foundational interventions for accessing positive adult states, creating internal caregivers, and working with infant and child states in Part I: Getting Started With Ego State Work, Shapiro walks readers step-by-step through a variety of specific interventions for specific problems, each ready for immediate application with clients. Part II: Problem-Specific Interventions includes chapters devoted to working with trauma, relationship challenges, personality disorders, suicidal ideation, and more. Ego state work blends easily, and often seamlessly, with most other modalities. The powerful techniques and interventions in this book can be used alone or combined with other therapies. They are suitable for garden-variety clients with normal developmental issues like self-care challenges, depression, grief, anxiety, and differentiation from families and peer groups. Many of the interventions included in this book are also effective with clients across the dissociation spectrum—dissociation is a condition particularly well suited to ego state work—including clients who suffer trauma and complex trauma. Rich with case examples, this book is both a pragmatic introduction for clinicians who have never before utilized parts work and a trove of proven interventions for experienced hands to add to their therapeutic toolbox. Welcome to a powerful, flexible resource to help even the most difficult clients build a sense of themselves as adult, loveable, worthwhile, and competent.

How to start, do, and complete psychotherapy that is trauma-and attachment-based as well as culturally informed. Most books about doing psychotherapy are tied to particular psychotherapeutic practices. Here, seasoned clinical author Robin Shapiro teaches readers the ins and outs of a trauma- and attachment- informed approach that is not tied to any one model or method. This book teaches assessment, treatment plans, enhancing the therapeutic relationship, and ethics and boundary issues, all within a general framework of attachment theory and trauma. Practical chapters talk about working with attachment problems, grief, depression, cultural differences, affect tolerance, anxiety, addiction, trauma, skill- building, suicidal ideation, psychosis, and the beginning and end of therapy. Filled with examples, suggestions for dialogue, and questions for a variety of therapeutic situation, Shapiro’s conversational tone makes the book very relatable. Early- career therapists will refer to it for years to come, and veteran practitioners looking for a refresher (or introduction) to the latest in trauma and attachment work will find it especially useful.

Originally published by Viking Penguin, 2014.

An exploration of the ways the immune system, epigenetics, affect regulation, and attachment intersect in mental health. The evolution of psychotherapy in the 21st Century demands integration. Instead of choosing from the blizzard of modalities and schools of the past, therapists must move toward finding common denominators among them. Similarly, today’s psychotherapy necessitates the integration of the mind and body, not the past practice of compartmentalization of mental health and physical health. This book contributes to the sea change in how we conceptualize mental health problems and their solutions. Mind-Brain-Gene describes the feedback loops between the multiple systems contributing to the emergence of the mind and the experience of the self. It explains how our mental operating networks “self”-organize, drawing from and modifying our memory systems to establish and maintain mental health. Synthesizing research in psychoneuroimmunology and epigenetics with interpersonal neurobiology and research on integrated psychotherapeutic approaches, John Arden explores how insecure attachment, deprivation, child abuse, and trauma contribute to anxiety disorders and depression to produce epigenetic affects. To help people suffering from anxiety and depression, it is necessary to make sense of the multidirectional feedback loops between the stress systems and the dysregulation of the immune system that lead to those conditions. Successful psychotherapy modifies the feedback loops among the self-maintenance systems. Through the orchestration of the mental operating networks, psychotherapy promotes the re-regulation of immune system functions, stress systems, nutrition, microbiome (gut bacteria), sleep, physical inactivity, affect regulation, and cognition. This book makes a strong case for healthcare and psychotherapy to be combined—together they can revolutionize the way we conceive of, and attain, optimal health in the 21st Century.

A practical guide to working with the principles of polyvagal theory beyond the therapy session. Deb Dana is the foremost translator of polyvagal theory into clinical practice. Here, in her third book on this groundbreaking theory, she provides therapists with a grab bag of polyvagal-informed exercises for their clients, to use both within and between sessions. These exercises offer readily understandable explanations of the ways the autonomic nervous system directs daily living. They use the principles of polyvagal theory to guide clients to safely connect to their autonomic responses and navigate daily experiences in new ways. The exercises are designed to be introduced over time in a variety of clinical sessions with accompanying exercises appropriate for use by clients between sessions to enhance the therapeutic change process. Essential reading for any therapist who wants to take their polyvagal knowledge to the next level and is looking for easy ways to deliver polyvagal solutions with their clients.