The Art of Therapy

Treatment Works Health Care Centre

Welcome to The Art of Therapy, a podcast for psychotherapists and mental health professionals dedicated to refining their skills and deepening their therapeutic impact. Hosted by clinical psychologists Dr Warwick Phipps and Marizaan Koen, each episode explores not just what therapy is, but how to do it more effectively—delving into the nuances, techniques, and complexities of the therapeutic process. Through thoughtful and practical conversations, they model and demonstrate a process-orientated approach to psychotherapy that helps therapists deepen their insight, sharpen their skills, and facilitate more meaningful change for their clients. 🎓 Want to take your practice even further? Join us for CPD-accredited, in-person training at Treatment Works Health Care Centre in Midrand, South Africa—designed for therapists who want to refine how they do therapy, not just what they know about it. 🔗 Learn more at [treatmentworks.co.za/training/](https://treatmentworks.co.za/training/) 🎙️ New episodes every week. Subscribe now and start mastering the art of therapy.

  1. Oct 23

    Is Systematic Desensitisation Outdated? (Wolpe)

    Many therapists consider systematic desensitisation outdated, simply because of Wolpe's old notion of reciprocal inhibition. Study the procedure closely, though, and it's much more than anxiety reduction: it's gentle, graded exposure. Episode 9 of Season 4 of The Art of Therapy. Marizaan Koen and Dr Warwick D Phipps trace Joseph Wolpe's work: reciprocal inhibition, and the four original steps of systematic desensitisation (relaxation training, a fear hierarchy rated in subjective units of distress, pairing, and moving on only at zero). In his later method, Wolpe had the client signal with an index finger once a scene was clear and hold it for about five seconds: a shift from avoiding anxiety to allowing it. Warwick then describes how it is practised at Treatment Works today: a clear rationale; a deep, conditioned relaxation response; a simpler hierarchy of eight to ten scenes rated 1 to 10 and checked as it is built; each scene held for five seconds; and moving on at 3 or below rather than waiting for zero, so the client learns they can cope with manageable anxiety. When 1970s research found that exposure, not relaxation, drove the change, many dismissed the method as outdated. In fact it is gentle, graded exposure, consistent with inhibitory learning. Relaxation is the recovery, not an escape. 🎧 Subscribe now and master the art of communication in therapy. Learn more about CPD-accredited, in-person training at Treatment Works: https://treatmentworks.co.za/links

  2. Oct 16

    Relaxation Starts With Noticing Tension (Jacobson’s PMR)

    You can't release tension you can't feel. Jacobson's real secret was teaching people to notice tension first, and what makes that happen isn't a script. It's the therapist. Episode 8 of Season 4 of The Art of Therapy. Marizaan Koen and Dr Warwick D Phipps debrief Asanda's two sessions of progressive muscle relaxation and unpack what made them work. The technique is the scaffolding; the therapist is the instrument: pacing, a voice that matches the client, room for silence, and breathing that is first matched and then slowed. What the client is really learning is cue-controlled relaxation, conditioned over several sessions as the repeated phrase narrows to a single cue word. And the key that is so often missed is noticing tension. Many people live with chronic, low-grade tension as their normal, so "just relax" is a paradox until they can feel where the tension is. That tension has to be discovered by the client, not named by the therapist. The sequence moves from the larger muscles of the arms and legs to the smaller, more self-conscious muscles of the neck, shoulders, jaw and face, and practice at home, at a quiet time such as bedtime, is what makes it last. Combined with diaphragmatic breathing, anchoring and Coué's autosuggestion, the relaxation response compounds, and it sets up the next episode: systematic desensitisation. 🎧 Subscribe now and master the art of communication in therapy. Learn more about CPD-accredited, in-person training at Treatment Works: https://treatmentworks.co.za/links

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About

Welcome to The Art of Therapy, a podcast for psychotherapists and mental health professionals dedicated to refining their skills and deepening their therapeutic impact. Hosted by clinical psychologists Dr Warwick Phipps and Marizaan Koen, each episode explores not just what therapy is, but how to do it more effectively—delving into the nuances, techniques, and complexities of the therapeutic process. Through thoughtful and practical conversations, they model and demonstrate a process-orientated approach to psychotherapy that helps therapists deepen their insight, sharpen their skills, and facilitate more meaningful change for their clients. 🎓 Want to take your practice even further? Join us for CPD-accredited, in-person training at Treatment Works Health Care Centre in Midrand, South Africa—designed for therapists who want to refine how they do therapy, not just what they know about it. 🔗 Learn more at [treatmentworks.co.za/training/](https://treatmentworks.co.za/training/) 🎙️ New episodes every week. Subscribe now and start mastering the art of therapy.

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