Episode

29 Jan 2026 · 45 min

0:00

In this episode of the RT Dialogue podcast, Rhett and Lance walk listeners through the development, rationale, and practical application of the "note card intervention," a therapeutic tool originally conceived by Rhett in a large group‑therapy office around 2010. They describe how the therapist asks a client to write individual worries or concerns on separate 3×5 cards, spreads the cards on the floor, and guides the client to explore each one until a single, most salient issue emerges. The conversation covers the intervention’s core purpose—externalizing internal anxiety to create choice and empowerment—its integration with other RT techniques such as the four‑step process and the Stop‑Turn‑Slow method, and numerous adaptations (group work, psychodrama, hula‑hoop boundary markers, erasable cards, paper scraps). Personal anecdotes illustrate the method’s impact, including Rhett’s own emotional breakthrough during a training and Lance’s experience confronting his father's cancer. The hosts discuss therapist modeling, client engagement strategies (standing, walking, intuitive selection), clinical outcomes (insight, action planning, reduced rumination), and how the tool has been taught in the anxiety‑intensive pilot, Windshape training, and a Substack article. They conclude by inviting community feedback to refine the intervention and note its broader applicability beyond anxiety.

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