An Alternative Psychotherapy Perspective: Depression, Anxiety, ADHD, Marital Difficulty, Behavioral Problems in Children
Who We Are
Amy Begel, LCSW, LMFT
Amy Begel is a family therapist who received her family therapy training nearly 30 years ago with one of the creators of family therapy, Dr. Salvador Minuchin. For many years, she has been involved in private practice, and has been active in teaching and writing. Please check out her website to get a sense of what she’s about.
David Keith, M.D.
David Keith is Professor of Psychiatry and Director of Family Therapy at SUNY Upstate Medical University, Syracuse, New York. He has been in practice over 40 years, joining the Upstate faculty in 1988.
David is a prolific writer in the world of psychotherapy/family therapy. Here’s a selection of his work:
He has coauthored Defiance in the Family: Finding Hope in Therapy (2001), co-edited, Family Therapy as an Alternative to Medication: An Appraisal of Pharmland (2003)and is the author of Continuing the Experiential Approach of Carl Whitaker: Process, Practice & Magic (2015). He is the subject of Clinical Dialogues in Family Therapy, Based on the Psychotherapy of Carl Whitaker, M.D. and David Keith, M.D. by Howard Denofsky, MSW (2004)
He has contributed to 21 books and published 31 papers.
This blog is born out of both pain and hope. As life-long practitioners and teachers of family therapy, we find it painful to observe how modern culture simplifies and reduces problems of living to simplified, individual, often medicalized “answers”. Depression, anxiety and behavioral difficulties in children are devoid of the language of relationship, and “treatment” is often oriented toward a “sick person.”
But we know a different story. We begin with the assumption that, until proven otherwise, all psychopathology is grounded in interpersonal experience Thus, the moods and behavior of troubled kids–depressed, anxious or acting-out kids–are related to the dynamics of their intimate relationship systems, most prominently the family. Likewise, treatment of adults with “mood disorders” or other problems is related to their intimate relationships: Family, partner, or the broader culture. Both of us know from our training and experience working with families–as well as our own human-ness–that relationship dynamics play a critical role in symptoms that reside in the individual.
Our “hope” comes from the many years of experience in our offices, where we have helped many, many people with “difficult” children, or adults with depression or other typically “psychiatric” problems. As stated previously, we regard all problems as interpersonal until proven otherwise. That means that intimate relationship systems are included in how we understand and treat the people who come to see us. This pattern of treatment is often relatively brief and, for the most part, is done without psychotropic medications. How a person “feels” or “is” is a dynamic story, imbedded in the operating system of the relationship. But focusing therapy on the family is not done simply in the name of looking for what’s wrong; therapeutic work involves locating fragments of health and activating the healing capacity within families.
This blog is dedicated to sharing what we know, and what we have learned, in hopes of helping others. We include stories from our offices and reflections from our practice and teaching. (We disguise the identifying data from our office vignettes, but the stories are real. ) We hope you will learn something new about yourselves, which can support your personal and relationship growth. For us, learning never stops; we are grateful to have an opportunity to share whatever insights we have gained with you. We also invite your comments and questions.