#495 Stop Helping! Here's How.
Featuring Thai-An Truong on Codependency
Thai-An Truong, LPC, LADC is a Certified TEAM-CBT Trainer, Level 5 and loves sharing tools and processes to help other therapists feel more confident, effective, and joyful in their work with their clients. In her private practice in Oklahoma, she is passionate about helping people heal from past trauma and OCD. She also has a special interest in helping her clients improve their relationships and overall connection with their partners and loved ones.
We often hear the word, co-dependency thrown around. Today's podcast will be unique: you'll hear a totally brilliant and lucid explanation of how to treat it within the TEAM CBT model. It will be explained and illustrated with role-playing demonstrations by Rhonda and Thai-An. These demonstrations are fantastic! You'll love them!
But let's start with what codependency is. I'll give you my take on it first, as my understanding has been based on observation. I see it as the compulsive urge to help another person who appears to be hurting or struggling.
Well, that's nothing wrong with that, for sure! But where it gets yucky is where there is an ongoing pattern of helping, followed by stuckness on the part of the person who is hurting, ending up with both parties feeling frustrated and angry.
We've talked about this general topic a great deal on the show, and in fact, TEAM CBT emerged as a radical alternative to the compulsive, codependent "helping" we often see in the community of mental health professionals. And we've seen this too, among parents and their children. Rhonda and I have done many podcasts on the topic of "How to Help and How NOT to Help," (for example, #164: https://feelinggood.com/2019/10/28/164-how-to-help-and-how-not-to-help/). And we've done many, including a great recent podcast with Dr. Taylor Chesney, on how parents can talk to teens and children without trying to control or scold them—by forming a warm and respectful relationship, using the Five Secrets.
According to a Google search, codependency involves
"excessive emotional or psychological reliance on a partner, often characterized by neglecting one's own needs. The four main types of codependency are the Caretaker, Enabler, Controller, and Adjuster. These roles represent different ways individuals, often with low self-esteem, sacrifice their well-being to manage relationships."
To get things started, Rhonda and Thai-An discuss he various definitions and meanings of co-dependency. Thai-An described an attractive woman she treated who ended up with an alcoholic man who gave her very little in terms of healthy emotional support or love. But she told herself, "He's the only one who's there for me. , , I won't be able to find anyone else."
There's also a strong dimension of "I NEED to fix this person," as opposed to asking if they need help, and deciding whether you can actually meet their need.
They also pointed out, with example, that "throwing help at people" (as I call it) actually forces them to resist.
They talked about the shame involved in codependency, and then illustrated Option B: TEAM -CBT, where empathy is always a crucially important first step. Then you can move to the Triple Paradox, to help the codependent patient illuminate three crucial motivational pieces:
Column 1: The positive rewards of trying to "help" this person.
Column 2: The downside of changing and giving up this pattern.
Column 3: What your codependency shows about you and your core values as a human being that's positive and awesome.
Then after listing 20 to 30 or more powerful reasons to continue acting in a codependent manner, you can ask them if it's working for them, or if they can think of any reasons to change. So, right away, you are modeling a totally anti-codependent way of "helping" your codependent patient.
Only then, if the patient can convince you that they really do want help, Thai-An and Rhonda modeled some kick-ass M = Methods that can be incredibly helpful, including, but not at all limited to:
The co-dependency Double Standard Technique. The role play with Rhonda and Thai-An was eye-opening and jaw-dropping!
The Devil's Advocate Technique when tempted to "help."
The Decision-Making Tool
The Externalization of Voices
And many more.
I want to thank you, Thai-An, and you, Rhonda, for a truly phenomenal podcast today. Awesome work!
From Rhonda: Speaking for me and Thai-An, it was our pleasure and honor to be on the podcast with you David! And always a pleasure to learn with the brilliant Thai-An, one of the most phenomenal teachers and trainers in the TEAM community.
Brasil