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From: Barbara Dahm
Date: 12 Oct 2010
Time: 04:10:43 -0500
Remote Name: 85.250.139.133
Great question. It relates to all the therapy I do online and in clinic. People come to treatment to effect change. From the start we discuss that change cannot be comfortable because if it were it wouldn't be change. We discuss how thoughts, feelings, reactions, behaviors and processes interact and see how changing thoughts changes the negative cycle that has been built over time. Importantly, we work at learning to produce speech more easily with LESS control. That is very empowering for people to see that they can speak that way. Online therapy is the framework I discussed in this paper, but it is only a framework. The therapy approach is what is really important.