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                    Acacia Counseling
           Gene Douglas, M.Ed. LPC LMFT


To treat a problem using TAT, follow these instructions:
1.) Rate the strength of your feeling you are experiencing right now, on a scale of 1-10, when you think of the problem.
That number is the SUD (Subjective Units of Discomfort.)
2.) Put your thumb against the inside corner of one eye. Place the ring finger against the inside corner of the other eye.
3.) Place the middle two fingers against your forehead, about a quarter inch above a line between the eyebrows so the
two fingers are lined up with the upper part of the eyebrow.
4.) Cup the other hand, and place it behind your head, with the thumb against your neck, right where it meets the base of the skull.
The little finger will be pressed against your head where it rests. Don't lay your hand flat against your head.
5.) Close your eyes and think of the feeling or event or person that bothers you. Continue for one minute, or until you feel a "shift"
in your body before that. This may be a reflexive sigh.
6.) Keep your pose, and repeat a statement reminding you of the problem in your mind. It may be a person's name,
a phrase about what happened, or the name of the feeling. Continue repeating for one minute, or until you feel a shift.
7.) Keep the pose, and repeat in your mind a statement which is opposite of the problem -- even if you don't believe it.
This might be "I will feel comfortable when I do that," or "I will feel calm and relaxed," whatever is opposite to what has been the case.
Continue repeating for one minute, or until a shift occurs.
8.) Keep the pose, and concentrate your attention on the part of your body where you feel your feelings. That will be different for different people.
Continue for one minute, or until a shift occurs.
9.) Rate your SUD again.

TAT Links:
Learning and Using TAT
How To Do TAT

Recommended Reading


21 Tips for Clients in Therapy (click here)

Why do I not do home based counseling?  

It’s because I did that for years, simply because the people I worked for required that, and I think it is inferior.  If you do wish for somebody to come to your home (other than me) please observe the following:

Do not schedule anything else at the same time as your appointment.  If you need to do that, then please call the therapist’s office and re-schedule your appointment.

Please turn off the TV.  If you make an appointment, do not make it at the same time you expect to be watching TV.  The therapist’s time is valuable, and there is no reason s/he should wait a half hour for you to finish your show and be ready to see him or her.

Do not invite visitors at your appointment time.  If you or your children have a friend there at the time of the appointment, please ask them to leave.

If the telephone rings, do not carry on a conversation.  Please let the caller know you are in a meeting, and ask them to call back later.  Please do not text or allow your children to text or play video games during the session.

If somebody comes to the door, handle it in the same way as with the telephone caller.

Please do not do housework at the same time as the scheduled appointment.

Do not go shopping at the same time as the scheduled appointment.  If you will not be there, please call the counselor’s office and re-schedule.

If your children are up and down, please discourage them from going to the refrigerator or to the door to visit a friend who is there.  If they are engaged in family therapy, keep them in the room, and discourage them from wrestling or otherwise playing.

If they are involved in family therapy, please be sure they come home in time to keep the appointment.

If you do all these things every time, the chance that the therapy will succeed is greatly enhanced.