Dani Chammas

speaker
1,436 appearances 4 recordings 1 series first heard Apr 2020 last heard Dec 2024

Dani Chammas’s voice in public audio — every appearance, attributed to the second.

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I'm a huge people pleaser.
So it topped into this uncomfortable thought for me of, am I bad?
Am I cold?
Did I harm him?
And kind of like Alex talked about, I felt this urge to, or maybe it was Eric, it was Eric.
I felt this urge to defend myself.
I felt defensive.
Yeah, we've talked a bit about personality structures, but this patient had a really traumatic history in his past.
And I think limiting the visits really triggered a deep sense of abandonment in him from a provider that he felt
attached to, which is also the beauty of formulation, right?
Because not only do we better understand how to be therapeutic, which I promise we'll get to in step three, but it helps us have empathy.
It helps us like the patient if we get where they're coming from.
In this case, you know, it's only because I had an understanding of the formulation that I could hold on to and anchor to that instead of getting defensive and explaining just why we were putting the limits, I was able to say to him, it's okay that you're mad at me.
It really hurts to feel let down by somebody you trust.
That was my step three.
So based on step one and two, what can we do?
How can I be therapeutic?
And one thing that's interesting about anger, Alex brought it up earlier, is that we have to keep our needs and the needs of the patient in mind.
So in terms of our needs, where do we draw the lines?
Alex, you started talking about boundaries with that case earlier, giving boundaries.
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