169. Microaggressions, Mental Health Disparities, and Racial Trauma with Monnica Williams
57 min

Microaggressions. These small, often unintentional acts of racism are probably affecting you more than you know! In this week’s podcast episode, Dr. Monnica Williams, author of Managing Microaggressions: Addressing Everyday Racism in Therapeutic Spaces and co-author of Eliminating Race-Based Mental Health Disparities: Promoting Equity and Culturally Responsive Care across Settings, and our co-host Debbie discuss microaggressions in therapy spaces, race-based mental health disparities, and racial trauma. Join us for an informative episode, where we can grow and learn together!

 

“Good people can and do commit acts of racism.”

Dr. Monnica Williams

 

Listen and Learn:

 

  • What microaggressions are and why they’re so pervasive
  • The different categories of microaggressions 
  • How microaggressions have affected Debbie and Dr. Williams personally 
  • How self-identity impacts the occurrence and aftermath of microaggressions
  • How subtle, covert microaggressions impact race-based Mental Health treatment disparity
  • The psychological impact of microaggressions and racial trauma
  • Dr. Monnica Williams’s recommendations for the mistakes therapists make in therapy
  • Dr. Monnica-approved methods for pointing out, apologizing for, and validating the experience of microaggressions if you commit one (as we all do sometimes!) 

 

Resources Mentioned on the Podcast:

 

 

About Monnica Williams:

 

 

Dr. Monnica Williams is a board-certified, licensed clinical psychologist, specializing in cognitive-behavioral therapies. She is an Associate Professor in the School of Psychology at the University of Ottawa, Canada Research Chair in Mental Health Disparities, and Director of the Laboratory for Culture and Mental Health Disparities. She is also the Clinical Director of the Behavioral Wellness Clinic, LLC in Tolland, Connecticut, and she has founded clinics in Kentucky, Virginia, and Pennsylvania. Dr. Williams completed her undergraduate studies at MIT and UCLA. She received her doctoral degree in clinical psychology from the University of Virginia. She was an assistant professor at the University of Pennsylvania School of Medicine in the Department of Psychiatry for four years, where she worked with Dr. Edna Foa who is a world renowned expert on OCD and PTSD. She was also a director of the Center for Mental Health Disparities at the University of Louisville. 

 

Dr. Williams has published over 100 peer reviewed articles, books, chapters, and scientific reports with a focus on anxiety related conditions and cultural considerations. She was named one of the top 25 thought leaders in PTSD by PTSD Journal, and she frequently contributes to the public scientific discourse as a media expert. She is frequently featured on PBS, NPR, and the New York times, and she has a fantastic blog on psychology today called Culturally Speaking. Along with Daniel Rosen and Johnathan Kanter, Dr. Monnica co-authored the book Eliminating Race-Based Mental Health Disparities: Promoting Equity and Culturally Responsive Care across Settings. In this episode, we discussed her most recent book, Managing Microaggressions: Addressing Everyday Racism in Therapeutic Spaces. You can learn more about all of Dr. Williams’ work here.

 

Related Psychologists Off the Clock Podcast Episodes:

 

 


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Please note the information on Psychologists Off The Clock is intended for informational purposes only. It should not be used as a substitute for psychological or medical care. If you are looking for professional help, visit our resources page for guidance on how to find a therapist. If you are experiencing a mental health emergency, call 9-1-1.

 

 

The Psych Central Podcast: Mental Health Made Simple
The Psych Central Podcast: Mental Health Made Simple
Gabe Howard (A Psych Central Podcast)
Reframing Past Traumas
What is your life story? Do you feel like a victim of your circumstances? And if so, how does this affect your future? In today’s show, our guest James Sweigert, who struggled out of a traumatic childhood, shares how the power of his thoughts and the spoken word changed his life. Are you ready to make some edits to your life story? Tune in, and James will help you go from your head to your heart so you can win the game. For more information and a complete transcript, visit Podcast: Reframing Past Traumas. Guest Information for 'James Sweigert- Reframing Traumas' Podcast Episode James Sweigert’s childhood was challenging, to say the least. James struggled to be seen and stay safe amid the chaos, eventually turning to drugs and alcohol to cope. This self-destructive pattern continued until he changed his story—and his life. Today James is a successful executive producer and director in film and television and coaches many creative executives and celebrities in Hollywood. He has built, run and sold several multi-million dollar, award winning production companies in Hollywood. He writes about a key truth: the way you conceptualize your life—the story you tell yourself—makes it what it is. If you say so. As a motivational speaker and “Life Cheerleader”, James’s ultimate purpose is to help others change their old “stories” to transform their lives so they can flourish and be amazing! About The Psych Central Podcast Host Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, Mental Illness is an Asshole and other Observations, available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, please visit his website, gabehoward.com.
28 min
Feeling Good Podcast | TEAM-CBT - The New Mood Therapy
Feeling Good Podcast | TEAM-CBT - The New Mood Therapy
David Burns, MD
218: Causes and Cures for Postpartum Depression and Anxiety--An Eye-Opening Interview with--Thai-An Truong
Do Negative Thoughts or Hormones Cause Postpartum Depression and Anxiety? And What’s the Best Treatment? TEAM-CBT or Pills? We begin today’s podcast with a lovely endorsement, and an announcement that Rhonda’s new free Wednesday TEAM therapy training group will be open to therapists from around the world and will start on December 2, 2020 at 9 to 11 AM west coast (pacific) time. Rhonda will have many fine trainers working with her, including the incredible Richard Lam, and the magnificent Leigh Harrington, to make your training experience stellar. If you are interested, contact Rhonda right away, as slots will be strictly limited. You can also fill out this form to confirm your interest! Today, Rhonda and I are proud and excited to interview our brilliant and delightful guest, Thai-An Truong, from Oklahoma. Thai-An is an accomplished TEAM Therapist (the first in Oklahoma) and popular TEAM trainer for therapists who want to learn about these new techniques. Thai-An, her husband, and two children on Halloween, the day after this podcast was recorded. Her daughter was born earlier this year. Thai-An’s niche is unusual and extremely interesting—she specializes in the treatment of women with post-partum depression with TEAM therapy, and usually without medications. This is extremely interesting since the world is currently focused on the belief that post-partum depression is a 100% biological disorder that results from hormonal changes, needs treatment with medications, and typically requires a year or more of treatment before improvement can be expected. Of course, this message can unfortunately function as a self-fulfilling prophecy. And is it even valid? No, says Thai-An. Although she sees a role for medications in some women with severe post-partum depression and anxiety, she says that the vast majority of the women she treats recover quickly without drugs. I was so happy to hear this, since my experience has been the same. In fact, Chapter 2 of my new book, Feeling Great, features my treatment of a woman struggling with severe post-partum depression who recovered in a single TEAM therapy session. Thai-An begins by describing her own horrifying and totally unexpected battle with post-partum depression after her first child was born 4 ½ years ago. She had a wonderful pregnancy and was excited about the prospect of giving birth to her daughter, but immediately after delivery, “it suddenly felt like the rug was pulled out from under me.” She went into a state of self-loathing and struggled with extreme depression and anxiety. She says, “I could barely sleep, woke up in a state of panic, and wondered ‘can I feed my baby?’” It got so bad that Thai-An began to think that her family and daughter would be better off without her. She said, “I even asked my mother if she’d be willing to raise her.” I felt incredibly sad to hear that, and I could barely even grasp the intensity of her suffering. The suffering of extreme depression is almost beyond human understanding, especially if you’ve never been there yourself. Thai-An was treated with medications, including antidepressants, but they didn’t help and made her more anxious. Then was told that these side effects are “expected” and advised to “wait it out.” She said, “I saw how devastating post-partum depression is—it robs you of joy.” They told me it was biological. One theme of Thai-An’s depression was her belief that moms are supposed to bonded to their children and loving at every moment, so “I asked myself, ‘did I make a mistake? Am I a monster? Why don’t I feel that way?’” Fortunately, Thai-An recovered after 3 months, and decided she wanted to work with other mothers with similar problems. She now has a thriving practice in Oklahoma. Rhonda asked how other doctors view her work, since Thai-An’s treatment approach—TEAM—is so radically different from current treatments that emphasize biology. Thai-An said the doctors have become extremely supportive when they see fabulous results in the patients they refer to her. Thai-An emphasized several components of TEAM-CBT that have been especially helpful to the women she treats. * Positive Reframing. She says that this method is super powerful. Traditionally, woman are told (and think) that they need to “calm down,” but this makes the symptoms worse, especially the anxiety. Positive Reframing, in radical contrast, honors their negative feelings, and the effect is often “mind-blowing.” She says, “It heals a lot of the symptoms” * Anxiety is even more common in post-partum depression than depression, including OCD symptoms. For example, many women have horrific intrusive thoughts that their child may suffocate, or that they’ll throw their child down the stairs, or other gruesome scenarios that they try to control and suppress. Of course, that never works and always makes the symptoms worse. Exposure, techniques like Cognitive Flooding—leaning into the fantasies and surrendering to them—can often be rapidly curative, but requires great courage on the part of the therapist, as well as the patient. Sadly, 80% of American mental health professionals avoided Exposure, wrongly thinking it will be “too dangerous” or that the patient is “too fragile.” Therapists like Thai-An, with expertise in Exposure and the courage to use it, are treasures, or “healers,” because they can often cause almost unbelievably rapid recovery and freedom from horrific fears. * The Hidden Emotion Model. Nearly all anxious individuals are overly “nice,” and often suppress forbidden negative feelings, like feeling angry or annoyed. Bringing the hidden feelings to conscious awareness, and helping the patient express them, using the Five Secrets of Effective Communication, can also have fantastic and rapid healing effects. I, David, resonated with all of these themes, having seen nearly identical scenarios in many patients I’ve treated with post-partum depression, as well as their husbands or partners. Rhonda and I both share Thai-An’s enormous enthusiasm for TEAM-CBT, and greatly admire her incredible dedication to healing. Thai-An said that although post-partum depression is a bit more common among African-Americans as well as poor and underprivileged populations, it really affects everyone from a wide variety of social and economic backgrounds. No one is immune to this debilitating and demoralizing disorder. Thai-An emphasized that while hormones may play some kind of role, the real and surprising culprit is perfectionism, and the expectation that things should or should not be a particular way. In other words, telling yourself that “I should not feel angry or sad,” and “I should be flooded with love and joy,” can set you up for a painful fall. These are the unrealistic expectations that trigger intense feeling of inadequacy, anxiety, and worthlessness, not only in women with post-partum depression, but all of us. I can attest to that personally! Thai-An emphasized that recovery is not just a psychological phenomenon, but involves a deep and spiritual transformation of the patient. I definitely resonate with this theme. Thai-An attributes her fantastic therapy skills to her many mentors—teachers she’s learned from at the Feeling Good Institute (FGI) in Mt. View, California, including Matthew May, MD, Angela Krumm, PhD, and many others. But she especially wants to honor her hero and mentor, Mike Christensen, who teaches introductory TEAM-CBT classes at the FGI. I want to second that, since I also love and admire Mike, and all of our amazing teachers and colleagues at the FGI. Thai-An’s parents emigrated from Viet-Nam, a culture where psychiatry and psychology are practically unknown. Thai-An was “supposed” to go to medical school, but found psychology classes way more interesting than pre-medical classes. But her mom didn’t understand. She said,…
54 min
The One You Feed
The One You Feed
Eric Zimmer|Wondery
363: Cory Allen on Cultivating Mindfulness
Cory Allen is a writer, musician, meditation teacher, and creator of the podcast, The Astral Hustle, which focuses on how to live better with leading experts in mindfulness, neuroscience, and philosophy. Cory believes that the more we understand ourselves, the less we suffer. In this episode, Cory and Eric discuss his book, Now Is The Way: An Unconventional Approach To Modern Mindfulness. But wait – there’s more! The episode is not quite over!! We continue the conversation and you can access this exclusive content right in your podcast player feed. Head over to our Patreon page and pledge to donate just $10 a month. It’s that simple and we’ll give you good stuff as a thank you! In This Interview, Cory Allen and I Discuss Cultivating Mindfulness and… * His book, Now Is The Way: An Unconventional Approach To Modern Mindfulness * The role of our actions in determining who we are * How to differentiate between helpful and unhelpful negative thoughts and emotions * The most effective way to widen the gap between stimulus and response * The watching mind and the doing mind * Why the notions of emptiness and non-self needn’t be scary * The answer to the question, “Does my life even matter?” * How we assign meaning rather than find meaning in life * What it means to dilute strong emotions or ruminating thoughts when they arise Cory Allen Links: www.cory-allen.org Twitter Instagram BLUBlox offers high-quality lenses that filter blue light, reduce glare, and combat the unhealthy effects of our digital life. Visit BLUblox.com and get free shipping worldwide and also 15% off with Promo Code: WOLF15 SimpliSafe: Get comprehensive protection for your entire home with security cameras, alarms, sensors as well as fire, water, and carbon monoxide alerts. SimpliSafe is having a huge holiday sale! Visit simplisafe.com/wolf for a free home security camera and 40% off any security system.  Pachamama: Produces extraordinary high quality, organic CBD products. They are one of three companies in over 200 top selling CBD brands to actually test negative for leads, metals, and pesticides and test positive for having the right amount of CBD. Visit www.enjoypachamama.com and use code WOLF for 25% off. If you enjoyed this conversation with Cory Allen on Cultivating Mindfulness, you might also enjoy these other episodes: Effortless Mindfulness with Loch Kelly Transformative Mindfulness with Shauna Shapiro
56 min
Being Well with Dr. Rick Hanson
Being Well with Dr. Rick Hanson
Forrest Hanson, Rick Hanson, Ph.D.
Unlearning Bias and Prejudice with Dr. Jack Glaser
We're all subject to forms of bias and prejudice. On this episode, Forrest and Rick are joined by Dr. Jack Glaser, an expert on intergroup bias and racial prejudice, to explore what we can do to overcome our innate tendencies. About the Guest: Dr. Jack Glaser is a Professor at the Goldman School of Public Policy at UC Berkeley. He studies intergroup biases and the unconscious operation of stereotypes and prejudice, and is particularly interested in racial profiling. Jack is also the author of _Suspect Race: Causes & Consequences of Racial Profiling__, _and is on the board of the Center for Policing Equity. Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Key Topics: 2:15: Jack’s history, what drew him to the study of bias. 4:50: What is implicit bias? 10:30: What’s the purpose of bias, where does it come from, and what consequences does it create? 18:15: How individual biases scale up to groups and systems. 23:10: The myth of meritocracy. 25:30: Assimilation, accommodation, and bias. 27:25: Errors of attribution. 30:00: The lens we view our world through, and “alternative facts.” 36:00: Can we become less biased? 42:45: Can we deliberately override our biases through effort? 48:45: Fighting bias is an ongoing process. 50:30: Bias under pressure, and what we can do. 1:01:10: “The brain does crazy stuff sometimes.” 1:03:00: Recap _Foundations of Well-Being: _The Foundations of Well-Being brings together the lessons of a lifetime of practice into one year-long online program. Learn how to change your brain for the better with Dr. Rick Hanson guiding you every step of the way. Register now for 50% off the program price, and don't hesitate to apply for a scholarship if you're in need. _Sponsors:_ Want fresh, delicious, simple dinners delivered right to your doorstep? Check out HelloFresh, America’s #1 meal kit, and use code beingwell90 to get $90 off including free shipping! Join over a million people using BetterHelp, the world’s largest online counseling platform. Visit betterhelp.com/beingwell for 10% off your first month! Want to sleep better? Try the legendary Calm app! Visit calm.com/beingwell for 40% off a premium subscription. Connect with the show: * Follow us on Instagram * Follow Rick on Facebook * Follow Forrest on Facebook * Subscribe on iTunes
1 hr 7 min
Shrink Rap Radio
Shrink Rap Radio
David Van Nuys, Ph.D.
#725 Latest Developments in Ketamine Assisted Psychotherapy
Phil Wolfson MD is the creator of a new psychotherapy modality based on use of the medicine ketamine—Ketamine Assisted Psychotherapy (KAP).  Phil is the CEO of the non-profit Ketamine Research Foundation and directs the training of KAP practitioners through The Ketamine Training Center—now numbering over 300 practitioners across the US and Internationally. He is the author of The Ketamine Papers and Noe– A Father/Son Song of Love, Life, Illness and Death.  He has been the Principal Investigator of the recently completed MAPS.org Phase 2 study of MDMA treatment for individuals with life-threatening illnesses. Dr. Wolfson’s work is the result of an intense, now many decades long clinical psychiatry/psychotherapy practice. Phil  is a sixties activist, psychiatrist/psychotherapist, writer, practicing Buddhist and psychonaut who has lived in the Bay Area for 43 years. Sunny Strasburg is a Marriage and Family Therapist in private practice, licensed in Utah and Maryland. She is an EMDR Certified trauma specialist. She is a graduate of the Certification for Psychedelic Assisted Therapy from the California Institute of Integral Studies and Pacifica Graduate Institute. Sunny utilizes Gottman Couples Method, attachment theory, Jungian Depth psychology and Internal Family Systems and Ego State work. Mrs Strasburg offers Ketamine Assisted Therapy. She has co-authored trauma protocols for Ketamine Assisted Psychotherapy with Dr. Phil Wolfson. She was mentored by Dr. Brian Richards and currently working on KAP projects at the Aquilino Cancer Center. Mrs. Strasburg trained at Compass Pathways in psilocybin assisted psychotherapy. Mrs Strasburg completed a volunteer residency at Synthesis with psilocybin, and trained at Helios in Ketamine Assisted Therapy. She was trained in MDMA Assisted Therapy by Michael and Annie Mithoefer through MAPS, and co-facilitates Holotropic Breathwork Workshops with Stacia Butterfield. Sunny lived near an ayahuasca retreat center in Latin America, and served to help participants to both prepare for and integrate their experiences. Mrs Strasburg is also a visual artist and her paintings were recently featured on the MAPS yearly bulletin for 2019. Sunny loves to energize and inspire people. Her passion is to network and connect visionaries, to teach, facilitate, write, and most of all, to collaborate. She feels a calling to bring psychedelic medicine to people suffering from trauma, depression and anxiety. Related LInks: Indras Net Ketamine Training Center Sunny's art: Phil Wolfson therapy website: Sunny Strasburg therapy website: The Ketamine Papers: Noe: A Father-Son Song of Life, Love, Illness and Death
1 hr
Mad in America: Rethinking Mental Health
Mad in America: Rethinking Mental Health
Mad in America
Jennifer White - Rethinking Suicide Prevention
Jennifer White is one of the founders of the Critical Suicidology Network, a growing international network of scholars interested in exploring alternatives to biomedical approaches to suicide prevention. Critical suicidology brings together persons with lived experience, mental health professionals, researchers, and activists “to rethink what it means to study suicide and enact practices of suicide prevention in more diverse and creative, less psycho-centric and less depoliticized, ways.” She is a Professor in the School of Child and Youth Care at the University of Victoria in British Columbia, Canada. She has practiced as a counselor, educator, researcher, and advocate. White served for seven years as the Director of the Suicide Prevention Center in the Department of Psychiatry at the University of British Columbia. She has written numerous articles and book chapters on suicide and self-harm and has co-authored two books: Child and youth care: Critical perspectives on pedagogy, practice and policy (2011), and Critical suicidology: Transforming suicide research and prevention for the 21st century (2016). Her current research focus centers itself around the contemporary discourse of youth suicide prevention, seeking alternatives to one-size-fits-all approaches. She is currently leading a Wise Practices for Life Promotion project funded by the First Nations and Inuit Health Branch (FNIHB) of Health Canada. This project seeks to curate a series of wise practices for promoting life based on what is already working and/or showing promise in First Nations communities across the country. She is also conducting a study with family counselors to learn more about the challenges and opportunities they face with youth suicide prevention and the organizational conditions that support them to be most effective in their work.
47 min
The Behavioral Observations Podcast with Matt Cicoria
The Behavioral Observations Podcast with Matt Cicoria
Matt Cicoria
Building a Team of Behavior Analysts in the Public School Setting
A few months ago, a few BCBA's from the Boulder Valley School District reached out to me and offered to share the story of how they are fielding a team of Behavior Analysts in the public school setting. As someone who has spent a career consulting to public schools, I was instantly sold. I believe that as if this recording, the BVSD employs about 10 BCBA's, and in Session 139, I'm joined by four of them: Kelly Miller, Cosmina Barbat, Stephanie Gregory, and Shelly Roberts. We were also fortunate enough to be joined by their fearless leader, their Director of Special Education, Joy Larson. Someone who understood the value of developing internal behavior-analytic resources to support the district's students. In this episode we cover the following: * How the district decided to invest in the hiring of internally placed behavior analysts. * How the district BCBA's work collaboratively with professionals in other disciplines. * How BCBA's support students not just with specialized educational and behavioral needs, but also in mainstream educational settings. * How working as a public school employee is different than working in an at-home or clinic setting. * And advice for schools that want to hire their own BCBA's, as well as advice for BCBA's who want to dip their toes into the public school waters. Lastly, I think the argument for having more Behavior Analysts in school settings speaks for itself. As we discuss in the interview, these amazing BCBA's have contributed to reducing Boulder Valley's out of district placements by 70%! Here are the links for Session 139: * The Boulder Valley School District. * Just in case you're thinking of relocating. * Well Managed Schools curriculum. * The Mystery Motivator. * Questions / comments for these guests? Kelly Miller has agreed to field them. Contact her here. Session 139 is brought to you with generous support from: * How-to-ABA. Being a BCBA can be lonely and overwhelming. At howtoaba.com, we help BCBA’s feel supported and confident by providing easy to access printables, CEU's and a collaborative community. In the howtoaba.com membership, Shira Karpel and Shayna Gaunt share their best resources from years of practice in the field. Whether you’re a beginner or a long time practitioner, you will benefit from both these resources as well as a supportive community. Imagine, having an all-in-one resource to save you time and help your clients, having getting your toughest questions answered, and being part of a collaborative group of professionals to share ideas. Plus, your monthly pro membership includes CEU’s! Along with over 1000 ABA professionals, howtoaba.com will help you save time, feel confident and master what you love! For more information, Go to howtoaba.com/joinbxresource. When you join today and use code BOP, you’ll receive 10% off a yearly subscription (includes CEU’s!). * The Whoop Strap! I've been wearing the Whoop Strap for just a few weeks and I can't tell you how much I've enjoyed getting quantitative information on all aspects of my health, including sleep analytics, heart rate, along with heart rate variability, calorie burn, exercise intensity, and Whoop's proprietary "strain" score. I could extol this neat device's virtues indefinitely to you, but instead, you can go check it out for yourself. To get your first month free, just click here!
1 hr 33 min
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