During the first part of the show, Dr. Reznik speaks about how some people use blame and denial as a defense mechanism, as an attempt to avoid personal responsibility. He then works with a caller's night dream, resulting in her recognizing the need to have a waking dream (which may be done during next week's show).
You can read about Waking Dream Therapy on Dr. Reznik's website.
Find more from Dr. Reznik here: https://www.drpeterreznik.com
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