For some clients, there is a core belief—a sense of inadequacy—underlying many of the clinical problems they bring to therapy.
When clients feel flawed, they often experience shame and self-doubt.
This can make them feel like it's not worth changing (which is why we see self-sabotage and regression so often).
Compounding the problem is that often these deep-seated beliefs cannot be reached by reason or logic alone. . .
. . . For many clients, every failed attempt to alter a sense of imperfection often only magnifies their intensity.
So how can we overcome these barriers to treatment and help clients escape the painful core belief that they are fundamentally flawed?
We asked that question to 18 of the top minds in the field. introduce. . .
How to work with a sense of deficiency
How to deal with feelings of inadequacy triggered by trauma
Janina Fisher PhD Terry Real, LICSW Ebony Webb, PsyD
Frank Anderson, MD ‖ Zindel Segal, Ph.D. ‖ Dennis Tirch, Ph.D.
Chris Willard, PsyD
- Two Specific Ways to Identify Trauma-Based Feelings of Inadequacy
- How to Address Feelings of Deficiency Related to Clients' Trauma Narratives
- Parts approach to help customers externalize and move away from a sense of imperfection
- A strategy for subtly accommodating a client's trauma-based sense of inadequacy
How to Deal with Feelings of Deficiency Caused by an Attachment Disorder
Terry Real,LICSW Eboni Webb,PsyD
Joan Borysenko, Ph.D.‖ Deany Laliotis, LICSW‖ Chris Willard, PsyD
- An attachment style that is disproportionately related to feelings of inadequacy (and how to work around it)
- Strategies to help clients begin to develop self-compassion and develop a secure attachment
- Steps to Help Clients Better Understand Sources of Childhood Inadequacy
How to Change the Cognitive Patterns That Reinforce Your Feelings of Deficiency
Frank Anderson, MD ‹ Michael Yapko, PhD
Lynn Lyons, LICSW ‹ Zindel Segal, Ph.D
- A specific way of knowing that often contributes to feelings of inadequacy
- A PARTS APPROACH TO HELP CHANGE WRONG THINKING
- Ask specific questions to clients struggling with an overall sense of deficiency
- How to address the underlying factors that may affect the customer's perception of deficiencies
Practices that can counteract and lessen feelings of deficiency
Dr. Dennis Tirch ‹ Dr. Russell Kolts
Zindel Segal, Ph.D. ‹ Chris Willard, PsyD
- A 3-Step Process to Help Clients Develop Self-Compassion
- How to subtly present new ideas to clients whose sense of inadequacy encourages resistance to change
- Specific Mindfulness Practices Can Help Change Clients' Relationships With Feelings of Deficiency
- Strategies to promote critical thinking and help build client self-esteem
Strategies to Help Clients Overcome Persistent Feelings of Deficiency
Dr. Janina Fisher ‹ Dr. Ellyn Bader George Faller, MS, LMFT
Chris Willard, Psy.D. ‖ Christine Padesky, Ph.D. ‖ Michael Yapko, Ph.D.
Russell Kolts, PhD ‹ Lynn Lyons, LICSW
- A three-step process to help clients harness transformative potential
- Two Ways to Challenge Customer Deficiency Narratives
- The key choices customers need to make to eliminate feelings of inadequacy (and how to help guide them)
- A Simple Exercise That Raises Clients' Awareness of Harmful Self-talk
How to overcome the unique challenges of dealing with feelings of inadequacy
Christine Padesky, PhD ‹ Russell Kolts, PhD ‹ George Faller, MS, LMFT
Frank Anderson, MD Lynn Lyons, LICSW Janina Fisher, PhD
Kelly Wilson, PhD ‹ Chris Willard, PsyD
- Neglect can reduce the effectiveness of interventions for clients who feel flawed
- Six Common Barriers That Can Come Up When Dealing With Inadequacy (And How To Work Around Them)
- Possible false starts to avoid (and where to start) when a customer feels flawed
- Common misconceptions about feelings of deficiency that can lead to wrong treatments
The Impact of Sense of Deficiency on Customer Relationships (and How to Deal With It)
Dr. Usha Tummala-Narra ‹ Dr. Kelly Wilson Dr. Joan Borysenko
Chris Willard, PsyD ‹ George Faller, MS, LMFT ‹ Ellyn Bader, PhD
Dr Russell Coltz
- Five Specific Ways Wrong Emotions Affect Your Relationships (and How to Fix It)
- A 3-step strategy to help customers who feel a defective repair breaks (and potentially prevents future occurrences)
- Hands-on exercises to help clients better support partners who feel flawed
Register here for only $197
You'll get all the video, audio, transcripts, and learning tools to help you work with clients with persistent deficits.
register me
Purchase up to 9 CE/CME credits or clock hours at checkout.
Click here for information on CE/CME credits and clock times and speaker disclosures
For this short course, we've brought together some of the leading experts in the field.
Dr Janina Fisher
Registered clinical psychologist and instructor at Trauma Center, an outpatient and research center founded by Bessel van der Kolk, MD; past president of the New England Association for Trauma and Dissociation Therapy.
Terry Real,MSW,LICSW
Founder, Institute for Relational Living; AuthorI Don't Want to Talk About It: The Secret Legacy of Overcoming Men's DepressionelectronicThe New Marriage Rules: What You Need To Make Love Work.
Eboni Webb,PsyD
Licensed Psychologist; DBT specializing in Trauma-Based Illnesses and Co-morbidities; DBT Nationally Certified Accreditation Society Counselor.
Dr Kelly Wilson
co-author ofAcceptance and commitment therapy: an experimental approach to behavior change; Fundador da OneLife Education Training LLC.
Frank Anderson, MD
Licensed Psychiatrist and Psychotherapist; Program Advisor, IFS Institute; Advisor, International Association of Trauma Professionals; AuthorBeyond trauma: Healing complex PTSD with the inner family system.
Usha Tummala-Narra is a woman
Professor and Director of Community Education Studies, Boston University; Associate Editorpsychoanalytic dialogueit is atAsian American Journal of Psychology;authorPsychoanalytic theory and cultural competence in psychotherapy.
Deany Laliotis,LICSW
Director of Training at the EMDR Institute; expert in treating traumatic stress disorder and attachment issues; author of chapters and articles on EMDR Therapy.
Dr. Christine Padesky
Co-Founder, Center for Cognitive Therapy, Huntington Beach, CA; Co-Founder, Strengths-Based CBT; Co-Authormind wins moodelectronicCollaborative Case Conceptualization.
Dr. Michael Yapko
Leading expert in clinical hypnosis and depression treatment; clinical psychologist and author of 15 books, including his most recent,Identifying Therapists and the Key to Unlocking Depression.
Dr. Joan Borysenko
Fundador da Mind/Body Health Sciences LLC; New York Times Bestselling Authortake care of the body, cultivate the mind.
Dr Erin Bader
Co-chair of Couples the Development Model of Couples Therapy; Co-Director of The Couples Institute.
Lynn Lyons,LICSW
authorAnxious Kids, Anxious Parents: 7 Ways to Break the Worry Cycle and Raise Courageous, Independent Children, a clinical social worker and psychotherapist specializing in anxiety disorders in adults and children.
Dr. Dennis Teach
Founding Director, Center for Compassion-Focused Therapy; President, North American Compassion Foundation; Co-AuthorExperiencing ACT from the Inside Out: A Therapist's Manual of Self-Practice/Self-Reflection.
Zindel Segal Ph.D
Co-founder of Mindfulness-Based Cognitive Therapy (MBCT); Professor of Psychology at the University of Toronto.
Ron Siegel, PsyD
Adjunct Assistant Professor of Psychology, Harvard Medical School; AuthorMindfulness Solutions: Everyday Practices for Everyday ProblemselectronicSitting Together: Essential Skills for Mindful Psychotherapy.
Elliott Connie, Massachusetts, LPC
Licensed psychotherapist; founder and director of The Solution Focused University; co-author of The Art of Solution Focused.
Christopher Willard, PsyD
Psychologist and educational consultant with a focus on mindfulness; chair of the Mindfulness Educational Network; board member of the Institute of Meditation and Psychotherapy.
Dr Russell Coltz
Clinical psychologist and professor of psychology at Eastern Washington University; founder and director of the Inland Northwest Compassion Center; authorCompassionate Ways to Control Anger.
George Faller,MS,LMFT
Licensed Marriage and Family Therapist; Founder and President, EFT Center, New York; Retired Lieutenant, FDNY.
Course Director
Dr. Ruth Buczynski
co-organizer
Ashley Vigil-Otero,PsyD
Here's what you'll receive:
Everything is yours and can be kept forever in your professional library
![]() | Downloadable videos for all 8 modules that you can watch on any device at any time |
![]() | You can download and listen to recordings at home, in the car, at the gym, or wherever you like |
![]() | Key Insights session to distill key ideas (this is where we "ground" the session) |
![]() | Focus on application sessions to provide specific strategies to use with your clients |
![]() | Session recordings in professional format for easy viewing and manipulation |
Access to a special bonus course offering even more strategies to overcome your client's sense of inadequacy
How to block the intergenerational transmission of a sense of inadequacy
Usha Tummala-Narra and Michael Yapko
Zindel Segal, Ph.D. ‹ Chris Willard, Psy.D. George Faller, MS, LMFT
- Strategies for addressing internalized information that perpetuates feelings of inadequacy
- How to change the deep-rooted sense of deficiency in the client's family of origin
Plus, all 9 modules come with practical tools to help you take effective action right away.
Synthesize key concepts so you can use them immediately
Ron Siegel, PsyD e Usha Tummala-Narra, PhD sentam-se com Ruth Buczynski, PhD por 8key insightsConferences to deepen ideas for each module. They'll clarify key concepts and detail key strategies so you can feel confident in your understanding.
Discover specific practices that are right for your patients
over 8 years oldapplication focusConference, we'll turn bright ideas into easy-to-integrate applications for you to use. Eboni Webb, PsyD and Chris Willard, PsyD join Ashley Vigil-Otero, PsyD to give you specific practices and exercises based on the ideas in each module. In the next lesson, you'll get strategies you can use with your clients.
Register here for only $197
You'll get all the video, audio, transcripts, and learning tools to help you work with clients with persistent deficits.
register me
Purchase up to 9 CE/CME credits or clock hours at checkout.
Click here for information on CE/CME credits and clock times and speaker disclosures
Here's what your peers have experienced in the NICABM program
. . . I feel very fortunate to have access to a combination of brainpower, experience, and research. . .
"As I hear experts speak candidly about their experiences, I'm excited to gain brainpower, experience, and research synthesis on cutting-edge issues! I return to videos to reinforce what's helpful for my clients."
Mary Logan, Counselor
Ipswich, Massachusetts
I benefit, my practice benefits, and most importantly, my clients benefit. . .
“I live in Nova Scotia and have limited travel expenses at the university where I work. The series offered by NICABM gave me the opportunity to hear from leaders in the field. As a result, I learned valuable information that I would not otherwise have been able to Access to this information. I benefit, my practice benefits, and most importantly, my clients benefit from the knowledge and wisdom I gain from this series."
David Mensink, PhD in Counseling Psychology, Psychologist
Halifax, Nova Scotia, Canada
. . . some dared to do additional research and education
"These NICABM series have kept me afloat, connected, on track, well-trained in my field and personally healthier. The best part, though, is that I know some people who dare to go the extra mile with research and education, It makes me feel validated and comforted that I can walk the healthy path and share it with others."
Mary Corsello-Vilcheck,LCSW
Midlothian, Virginia
Why transcription is essential:
Click on the picture to enlarge
- Transcription facilitates feedback and review of concepts, references and names mentioned
- We've put in a table of contents to make it easy for you to find the exact section of webinar you need.
- Writing concepts down allows you to note how you're going to use the ideas instead of transcribing them.
- Some people learn better simply by reading than by listening or watching.
- You will be able to print and share with your patients the techniques presented in the session
"I really like being able to keep up with the transcript while listening...it's nice not to feel like I have to take notes. I really feel like I remember more when I hear and see at the same time."
Mary Ellen McNaughton, M.S. Counseling, Counselor Psychologist
Kelowna, British Columbia, Canada
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We invite you to take part in this comprehensive training program risk-free. We will refund your money unless you are completely satisfied. Please notify us within 30 days of the registration date. We trust that you will find this information to exceed your expectations.
Register here for only $197
You'll get all the video, audio, transcripts, and learning tools to help you work with clients with persistent deficits.
register me
Purchase up to 9 CE/CME credits or clock hours at checkout.
Click here for information on CE/CME credits and clock times and speaker disclosures
FAQs
How do you overcome deficiencies? ›
- Green, leafy vegetables.
- Orange and red produce.
- Nuts and seeds.
- Beans.
- Whole grains.
- Fatty fish.
- Egg yolks.
- Low-fat dairy products.
These include, but are not limited to, Protein Energy Malnutrition, Scurvy, Rickets, Beriberi, Hypocalcemia, Osteomalacia, Vitamin K Deficiency, Pellagra, Xerophthalmia, and Iron Deficiency.
How do you detect deficiencies? ›Blood tests can be used to evaluate a person's nutritional status, measuring the amounts of essential nutrients in the body to detect nutritional deficits, including vitamin deficiency.
What are the causes of deficiency? ›The major causes of nutritional deficiencies are insufficient intake of food, inability to absorb nutrients, and consumption of diets that lack some of the essential nutrients.
How long does it take to recover from deficiency? ›Based on current research, it usually takes 1-3 months of consistent supplementation to correct a vitamin deficiency. If you're severely deficient in a vitamin, it may take longer to restore optimal levels. Keep in mind, there isn't a catch-all answer for how long it takes vitamins to kick in.
What is the most common deficiency? ›Iron deficiency is the most common nutritional deficiency worldwide and is one of the leading factors contributing to the global burden of disease. Iron deficiency can also lead to anemia, a blood condition that results in fatigue, weakness, dizziness, and low immune support.
What are the five major deficiency disorders? ›- Anaemia. Anaemia by iron deficiency. ...
- Endemic goitre. Enlargement of the thyroid gland (at the front of the neck) by a deficit of iodine (hypothyroid). ...
- Kwashiorkor. ...
- Marasmus. ...
- Vitamin A deficiency. ...
- Other vitamins. ...
- Vitamin B1. ...
- The vitamin B2 complex.
Iron deficiency is one of the most common nutrient deficiencies in the world, affecting more than 25% of people worldwide ( 1 , 2 ). This number rises to 47% in preschool children.
What are the most common deficiencies in the US? ›50 percent of Americans are deficient in vitamin A, vitamin C, and magnesium. More 50 percent of the general population is vitamin D deficient, regardless of age. 90 percent of Americans of color are vitamin D deficient. Approximately 70 percent of elderly Americans are vitamin D deficient.
Do most people have deficiencies? ›Although most of us are aware of the benefits of eating a balanced diet, many people in the U.S. have nutrient deficiencies. In fact, more than 40% of Americans are deficient in Vitamin D, 7% are deficient in Vitamin C, and nearly 13% are deficient in vitamin B6.
What happens when you have deficiencies? ›
Nutrient deficiencies can also lead to diseases. “For example, calcium and vitamin D deficiencies can cause osteopenia or osteoporosis, two conditions marked by brittle bones,” says Kate Patton, RD, a dietitian at the Cleveland Clinic in Ohio. “And inadequate iron can cause anemia, which zaps your energy.”
What deficiencies cause fatigue? ›One possible reason for feeling tired, anxious, and weak is having low levels of iron, vitamin D, or B12. Many experts believe that a significant percentage of the U.S. population is deficient in vitamin D. Having low levels of vitamin D can cause muscle weakness and pain.
What deficiency causes tired legs? ›Vitamin B1 (Thiamine)
Vitamin B1 deficiency can cause heavy and tired legs after running, muscle cramps, fatigue, and odd sensations in your legs and feet. Some foods rich in vitamin B1 include whole grains, vegetables, legumes, milk products, and meat.
“Deficiency diseases are diseases that are caused by the lack of certain essential nutrients, especially vitamins and minerals, in one's diet over a prolonged period of time.”
What is deficiency illness? ›A condition produced by dietary or metabolic deficiency. The term includes all diseases caused by an insufficient supply of essential nutrients, i.e., protein (or amino acids), vitamins, and minerals. It also includes an inadequacy of calories. (
Which disease disorder is caused by deficiency? ›- Scurvy: It is caused by a deficiency of vitamin C.
- Rickets: It is caused by the deficiency of vitamin D.
- Anaemia: It is caused by the deficiency of iron.
- Goitre: It is caused by the deficiency of iodine.
Supplementation with 800 to 1000 IU/d of vitamin D or 50,000 IU monthly is safe for most people and can ensure levels of vitamin D within the optimal range.
What does B12 deficiency feel like? ›B12 deficiency can cause a variety of symptoms, including fatigue, headaches, depression, pale or yellow skin, mental impairment, and pain and inflammation in the mouth and tongue. Many of the symptoms caused by low B12 levels are not specific to B12 deficiency, which can cause the condition to go undetected.
Can low vitamin D make you feel weird? ›Symptoms of vitamin D deficiency may include:
Fatigue. Not sleeping well. Bone pain or achiness. Depression or feelings of sadness.
Some stages of life present a higher risk of deficiency than others: risks are higher in pregnant women, children (from conception to young childhood), adolescents, and the elderly.
What are the 3 deficiency diseases and their symptoms? ›
disease (and key nutrient involved) | symptoms |
---|---|
rickets (vitamin D) | weakened bones, bowed legs, other bone deformities |
beriberi (thiamin) | nerve degeneration, altered muscle coordination, cardiovascular problems |
pellagra (niacin) | diarrhea, skin inflammation, dementia |
4 Most Common Vitamin Deficiencies. The four most common vitamin deficiencies include vitamin D, B6 and B12, and folic acid. Other common nutritional deficiencies include iron, iodine, magnesium, and calcium. Most of the American population is deficient in nutrients.
What deficiency causes tingling in hands and feet? ›Vitamin deficiencies are a common cause of paresthesias. The B vitamins — vitamin B12 and vitamin B6 — are the most common ones. Deficiencies in copper, calcium, and magnesium can also lead to tingling in your hands and feet. Most of the time, correcting the deficiency can help reverse the symptoms.
What vitamin deficiency causes fatigue and dizziness? ›Dizziness is a common symptom of vitamin D deficiency, along with fatigue and brain fog. If you are feeling dizzy all the time, it is worth checking your vitamin D levels. Insufficient vitamin D can cause dizziness because it plays a role in maintaining blood pressure and fluid balance.
Do vitamins help with deficiencies? ›Multivitamins may help decrease the risk of vitamin deficiency.
What is one of the most common deficiencies in the world? ›Deficiencies in iron, vitamin A and iodine are the most common around the world, particularly in children and pregnant women. Low- and middle-income counties bear the disproportionate burden of micronutrient deficiencies.
How common are deficiencies? ›A nutrition report by the Centers for Disease Control and Prevention found that nearly 10% of the U.S. population has nutrition deficiencies. The common nutritional deficiencies vary by age, gender, and race/ethnicity and could be as high as a third of certain population groups.
What does vitamin D deficiency cause? ›Vitamin D deficiency can lead to a loss of bone density, which can contribute to osteoporosis and fractures (broken bones). Severe vitamin D deficiency can also lead to other diseases: In children, it can cause rickets. Rickets is a rare disease that causes the bones to become soft and bend.
What does a person who is deficient in something have? ›If someone or something is deficient in a particular thing, they do not have the full amount of it that they need in order to function normally or work properly.
Can some nutrient deficiencies cause mental symptoms? ›Mental health problems such as memory loss, anxiety, depression, irritability, and insomnia are also associated with deficiencies in vitamin B1. The brain uses this vitamin to help convert glucose or blood sugar into energy. This means that without it, the brain may not have enough energy to function normally.
What kind of doctor specializes in vitamin deficiencies? ›
If you suspect that you have vitamin deficiency anemia, you're likely to start by seeing your family doctor or a general practitioner. However, in some cases, you may be referred to a doctor who specializes in treating blood disorders (hematologist).
How can we improve nutritional deficiency? ›- Eat smaller meals and snacks more frequently. ...
- Talk to your provider. ...
- Avoid non-nutritious beverages such as black coffee and tea; instead choose milk and juices.
- Try to eat more protein and fat, and less simple sugars.
- Walk or participate in light activity to stimulate your appetite.
Your healthcare provider will treat your vitamin A deficiency with high doses of a vitamin A supplement for several days. After several days, they'll have you take lower doses of vitamin A until your vision and skin issues start to resolve.
How can deficiency diseases be cured naturally? ›-Eat easy, nutritious foods, such as groundnuts, soybeans, pulses, etc. -Prolonged cooking and the loss of nutritional value of undercooked food. Its nutritional values are also destroyed by holding cut vegetables and fruits for a longer time. Deficiency disorders can be avoided by preventing this.
Can you reverse nutrient deficiency? ›Sometimes your body is unable to absorb certain nutrients even if you're consuming them. While there are many types of nutritional deficiencies, below are three of the most common. And there's good news! Reversing them is possible with supplements and some diet changes.
What are the 9 most common nutrient deficiencies? ›In the U.S., calcium, essential fatty acids, folic acid, iron, magnesium, and vitamins A, B12, C, and D are some of the most common nutrient deficiencies.
What are two tips for improving nutritional choices? ›- Bump Up Fiber.
- Increase Calcium and Vitamin D.
- Add More Potassium.
- Limit Added Sugars.
- Replace Saturated Fats.
- Cut Back on Sodium.
- Aim for a Variety of Colors.
- Night blindness. This causes you to have trouble seeing in low light. ...
- Xerophthalmia. With this condition, the eyes may become very dry and crusted, which may damage the cornea and retina.
- Infection. ...
- Bitot spots. ...
- Skin irritation. ...
- Keratomalacia. ...
- Keratinisation. ...
- Stunted growth.
The first step is to collect blood, either by a finger-prick test or by collecting venous blood. The next step is to send the blood sample to a laboratory. The laboratory will then test the levels of vitamins and minerals. The results will usually be available within a few days.
Which vitamin deficiency causes dry eyes? ›Vitamin B12, a water-soluble vitamin, helps the body make DNA and nerve cells. According to a 2017 study, a B12 deficiency is associated with severe dry eye and eye pain. A recent 2015 study found that the combination of oral vitamin B12 supplements and artificial tears improved symptoms of dry eye syndrome.
Which deficiency disease is caused by lack? ›
- Vitamin A——— Night blindness.
- Vitamin B1———Beriberi.
- Vitamin B2——– Ariboflavinosis.
- Vitamin B3 ——–Pellagra.
- Vitamin B5 ——–Paresthesia.
- Vitamin B6 ——–Anemia.
- Vitamin B7 —— Dermatitis, enteritis.
One possible reason for feeling tired, anxious, and weak is having low levels of iron, vitamin D, or B12. Many experts believe that a significant percentage of the U.S. population is deficient in vitamin D. Having low levels of vitamin D can cause muscle weakness and pain.
What is the simplest way to avoid deficiency diseases? ›Deficiency diseases are caused due to the lack of nutrients. It can be prevented by eating a balanced diet. A balanced diet is a diet which contains carbohydrates, fats, proteins, vitamins, minerals, roughage and water in amounts required by the body.
What deficiency causes fatigue and muscle weakness? ›Fatigue and weakness
Fatigue or a general feeling of being “worn down” is a common symptom associated with many types of nutritional deficiencies, including deficiencies of vitamin D, iron and magnesium. Like calcium, vitamin D is also important for healthy bones and muscles.
Muscle weakness due to vitamin D deficiency is predominantly of the proximal muscle groups and is manifested by a feeling of heaviness in the legs, tiring easily, and difficulty in mounting stairs and rising from a chair; the deficiency is reversible with supplementation (15–18).
What deficiency causes skin itching? ›Dry, itchy skin is often a sign of a vitamin D deficiency. As vitamin D is created through skin exposure to the sun and cholesterol in the skin, in the winter months, when sunlight exposure is less, people often experience dry, itchy skin attributing it to the cold weather.