<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[Fabiane Siqueira]]></title><description><![CDATA[Cartas para viver da terapia. Transforme seus atendimentos e construa uma prática terapêutica lucrativa. Aqui, você vai encontrar conteúdos sobre terapia sistêmica familiar, marketing para terapeutas, desenvolvimento pessoal e mentalidade.]]></description><link>https://fabianesiqueira.substack.com</link><image><url>https://substackcdn.com/image/fetch/$s_!Ov4I!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc41e9486-1f0c-4bbc-a251-6d65956baa50_805x805.png</url><title>Fabiane Siqueira</title><link>https://fabianesiqueira.substack.com</link></image><generator>Substack</generator><lastBuildDate>Sun, 26 Apr 2026 12:09:43 GMT</lastBuildDate><atom:link href="https://fabianesiqueira.substack.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Fabiane Siqueira]]></copyright><language><![CDATA[pt-br]]></language><webMaster><![CDATA[fabianesiqueira@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[fabianesiqueira@substack.com]]></itunes:email><itunes:name><![CDATA[Fabiane Siqueira]]></itunes:name></itunes:owner><itunes:author><![CDATA[Fabiane Siqueira]]></itunes:author><googleplay:owner><![CDATA[fabianesiqueira@substack.com]]></googleplay:owner><googleplay:email><![CDATA[fabianesiqueira@substack.com]]></googleplay:email><googleplay:author><![CDATA[Fabiane Siqueira]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Como identificar o padrão que mantém o problema, mesmo quando a família se comunica bem]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/como-identificar-o-padrao-que-mantem</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/como-identificar-o-padrao-que-mantem</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Thu, 16 Apr 2026 14:00:54 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!GvZI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8b42a038-8d63-428c-929d-ed89a2c3372b_1376x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Tem sess&#245;es em que o paciente diz exatamente o que sente e nada muda depois disso.</strong></p><p>Existe um momento na sess&#227;o em que o paciente consegue falar. Ele diz claramente o que sente, reconhece sua forma de se comportar e faz conex&#245;es importantes. A sensa&#231;&#227;o &#233; de que ele est&#225; avan&#231;ando no seu processo de diferencia&#231;&#227;o emocional.</p><p>Mas, quando voc&#234; acompanha ao longo das semanas, percebe que a mudan&#231;a n&#227;o se sustenta. Mesmo com clareza, ele n&#227;o consegue agir de forma diferente.</p><p>Esse &#233; um dos pontos que mais confundem a condu&#231;&#227;o dos atendimentos.</p><p>Porque a tend&#234;ncia, diante disso, &#233; tentar aprofundar ainda mais o que ele sente.<br>Mas, na pr&#225;tica, muitas vezes n&#227;o &#233; isso que est&#225; em jogo.</p><p>O que sustenta o problema n&#227;o &#233; apenas a dificuldade de express&#227;o.<br>&#201; o padr&#227;o que organiza como essa express&#227;o acontece.</p><p>Porque n&#227;o &#233; apenas sobre o que o paciente diz.<br>&#201; sobre <strong>como, quando e a partir de qual posi&#231;&#227;o interna ele fala</strong>.</p><p>Ao observar com mais aten&#231;&#227;o, um movimento come&#231;a a se repetir:</p><p>O paciente explica o que sente, mas fala a partir de um lugar mais descritivo do que implicado. Ele entende o que acontece com ele, mas n&#227;o se coloca como parte ativa daquilo que mant&#233;m o problema.</p><p><strong>E &#233; exatamente aqui que a condu&#231;&#227;o do atendimento costuma se perder.</strong></p><p>Porque, se isso n&#227;o &#233; observado, a sess&#227;o avan&#231;a, mas o funcionamento permanece o mesmo. &#201; por isso que algumas sess&#245;es trazem al&#237;vio&#8230; mas n&#227;o produzem transforma&#231;&#227;o.</p><p>Quando voc&#234; come&#231;a a olhar para a comunica&#231;&#227;o como express&#227;o de um padr&#227;o relacional internalizado, a leitura cl&#237;nica muda.</p><p><strong>Se voc&#234; quer aprender a identificar esse padr&#227;o na pr&#225;tica, continua comigo.</strong></p>
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   ]]></content:encoded></item><item><title><![CDATA[O ponto em que evoluir sozinho começa a comprometer sua leitura clínica]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/o-ponto-em-que-evoluir-sozinho-comeca</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/o-ponto-em-que-evoluir-sozinho-comeca</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Wed, 15 Apr 2026 14:02:20 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!78ih!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Existe um ponto da carreira em que o maior limite deixa de ser t&#233;cnico e passa a ser solit&#225;rio.</p><p>Ao longo da trajet&#243;ria cl&#237;nica, &#233; natural que voc&#234; construa autonomia. Aprende a formular hip&#243;teses, a sustentar a escuta, a intervir com mais seguran&#231;a.</p><p><strong>Mas existe um ponto em que a autonomia come&#231;a a se confundir com isolamento.</strong></p><p>Trabalhar sozinho por muito tempo produz um efeito silencioso: <em>voc&#234; passa a validar as pr&#243;prias leituras sem perceber o que deixou de enxergar.</em></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!78ih!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!78ih!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic 424w, https://substackcdn.com/image/fetch/$s_!78ih!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic 848w, https://substackcdn.com/image/fetch/$s_!78ih!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!78ih!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!78ih!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic" width="1376" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/eb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1376,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:143030,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/194187565?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!78ih!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic 424w, https://substackcdn.com/image/fetch/$s_!78ih!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic 848w, https://substackcdn.com/image/fetch/$s_!78ih!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!78ih!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feb6caf9d-f92d-432e-8cdf-ce6db134f775_1376x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Sem outro olhar cl&#237;nico tensionando hip&#243;teses, certos padr&#245;es passam a parecer naturais. Certas estagna&#231;&#245;es s&#227;o interpretadas como caracter&#237;sticas do caso. Certas repeti&#231;&#245;es deixam de ser questionadas.</p><p>O racioc&#237;nio se estabiliza. E estabilidade excessiva, na pr&#225;tica cl&#237;nica, pode significar acomoda&#231;&#227;o.</p><p>Maturidade n&#227;o &#233; apenas seguran&#231;a.</p><p>&#201; disposi&#231;&#227;o para revisar a pr&#243;pria leitura.</p><p>&#201; aceitar que o pensamento cl&#237;nico tamb&#233;m precisa de supervis&#227;o.</p><p>&#201; nesse ponto que muitos profissionais come&#231;am a sentir que algo precisa mudar.</p><p>N&#227;o porque falta t&#233;cnica, mas porque o racioc&#237;nio cl&#237;nico, quando fica tempo demais sem confronto, tende a se fechar sobre si mesmo.</p><p>E, com o tempo, isso n&#227;o aparece como erro evidente. </p><ul><li><p>Aparece como sensa&#231;&#227;o de repeti&#231;&#227;o.</p></li><li><p>Como casos que n&#227;o avan&#231;am.</p></li><li><p>Como leituras que parecem corretas&#8230; mas n&#227;o produzem deslocamento.</p></li></ul><p>Por isso, crescer na pr&#225;tica cl&#237;nica n&#227;o &#233; apenas aprofundar conhecimento.</p><p>&#201; aprender a <strong>estruturar o pr&#243;prio racioc&#237;nio diante de casos que n&#227;o respondem como o esperado</strong>.</p><p>E, principalmente, criar condi&#231;&#245;es para que esse racioc&#237;nio n&#227;o se torne autom&#225;tico.</p><p>Porque, quando isso acontece, voc&#234; n&#227;o perde s&#243; precis&#227;o.</p><p>Voc&#234; perde capacidade de avan&#231;ar.</p><p>Se voc&#234; quiser entender como organizar esse tipo de leitura e sair dessa sensa&#231;&#227;o de repeti&#231;&#227;o na pr&#225;tica cl&#237;nica, eu gravei uma aula onde mostro exatamente como estruturar o racioc&#237;nio diante de casos complexos.</p><p>O nome da aula &#233;:</p><p><strong>Al&#233;m do sintoma: como estruturar seu racioc&#237;nio cl&#237;nico diante de casos complexos.</strong></p><p>Ela est&#225; dispon&#237;vel <a href="https://fabianesiqueira.com.br/destravecasoscomplexos/">aqui.</a></p><p></p><p>Fabiane Siqueira</p>]]></content:encoded></item><item><title><![CDATA[O problema pode não estar no comportamento, mas na forma como o paciente aprendeu a se comunicar]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/o-problema-pode-nao-estar-no-comportamento</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/o-problema-pode-nao-estar-no-comportamento</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Tue, 14 Apr 2026 14:02:31 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Sx-5!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Existe um tipo de comunica&#231;&#227;o que n&#227;o aparece na fala do paciente, mas organiza toda a dor que ele traz.</p><p>Quando voc&#234; escuta um paciente falando, por exemplo, de ansiedade, exaust&#227;o ou baixa autoestima, &#233; f&#225;cil focar no que ele diz.</p><p>Mas o ponto mais delicado quase nunca est&#225; nas palavras dele.</p><p>Est&#225; na forma como ele aprendeu a se comunicar dentro da pr&#243;pria fam&#237;lia. N&#227;o no que foi dito explicitamente, mas <strong>no que foi repetido, refor&#231;ado e mantido ao longo dos v&#237;nculos.</strong></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Sx-5!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Sx-5!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic 424w, https://substackcdn.com/image/fetch/$s_!Sx-5!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic 848w, https://substackcdn.com/image/fetch/$s_!Sx-5!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!Sx-5!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Sx-5!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic" width="1376" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1376,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:130375,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/194182021?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Sx-5!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic 424w, https://substackcdn.com/image/fetch/$s_!Sx-5!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic 848w, https://substackcdn.com/image/fetch/$s_!Sx-5!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!Sx-5!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F95f5c05e-cb82-40c2-8a43-2a1523a7838f_1376x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Um paciente que aprendeu a &#8220;n&#227;o incomodar&#8221; pode nunca ter ouvido isso de forma direta. Mas cresceu em um ambiente onde mostrar necessidade tinha um custo. E, aos poucos, ela organiza a pr&#243;pria identidade a partir disso.</p><p><strong>O sintoma n&#227;o nasce do nada.</strong></p><p>Ele se sustenta em padr&#245;es de comunica&#231;&#227;o que o paciente nem sempre consegue ter clareza.</p><p>&#201; aqui que o olhar sist&#234;mico come&#231;a a fazer diferen&#231;a, porque voc&#234; deixa de escutar apenas o indiv&#237;duo e passa a observar o tipo de v&#237;nculo que est&#225; sendo reproduzido dentro da fala dele.</p><p>Se esse &#233; um n&#237;vel de leitura que te interessa desenvolver na pr&#225;tica cl&#237;nica, eu explico isso com mais profundidade no v&#237;deo: <strong>A comunica&#231;&#227;o familiar e o poder de tratar v&#237;nculos na terapia familiar sist&#234;mica.</strong></p><p>&#128073; <a href="https://youtu.be/1QX9X23rvyU">Clique aqui</a> para assistir</p><p></p><p>Fabiane Siqueira</p>]]></content:encoded></item><item><title><![CDATA[Como identificar o sistema de crenças familiar na prática]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/como-identificar-o-sistema-de-crencas</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/como-identificar-o-sistema-de-crencas</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Thu, 09 Apr 2026 14:02:44 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!6hNh!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Existe um momento na sess&#227;o em que o paciente come&#231;a a falar sobre um problema&#8230;<br>mas, se voc&#234; escuta com aten&#231;&#227;o, percebe que ele n&#227;o est&#225; falando apenas do problema.</p><p>Ele est&#225; revelando a forma como aprendeu a lidar com a vida.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!6hNh!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!6hNh!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic 424w, https://substackcdn.com/image/fetch/$s_!6hNh!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic 848w, https://substackcdn.com/image/fetch/$s_!6hNh!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!6hNh!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!6hNh!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic" width="1376" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1376,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:112596,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/193461850?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!6hNh!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic 424w, https://substackcdn.com/image/fetch/$s_!6hNh!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic 848w, https://substackcdn.com/image/fetch/$s_!6hNh!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!6hNh!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F536be91b-bcf5-43b7-8e68-2308ee4f3255_1376x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>&#192;s vezes aparece assim:</p><p>&#8220;L&#225; em casa ningu&#233;m podia demonstrar fraqueza.&#8221;<br>&#8220;Eu sempre tive que dar conta sozinho.&#8221;<br>&#8220;Se eu falhar, decepciono todo mundo.&#8221;</p><p>Percebe?</p><p>O que est&#225; sendo dito n&#227;o &#233; s&#243; um relato. &#201; uma regra.</p><p>E, na maioria das vezes, essa regra n&#227;o foi constru&#237;da de forma consciente.<br>Ela foi incorporada ao longo das rela&#231;&#245;es.</p><p>O ponto &#233; que muitos psic&#243;logos e terapeutas escutam essas falas como conte&#250;do emocional&#8230; quando, na pr&#225;tica, elas s&#227;o pistas diretas do sistema de cren&#231;as familiar.</p><p>E quando isso passa despercebido, a condu&#231;&#227;o do atendimento tende a ficar limitada ao n&#237;vel do sintoma.</p><p>A sess&#227;o avan&#231;a&#8230;mas o que organiza o funcionamento do seu paciente n&#227;o chega a ser trabalhado.</p><p>E &#233; aqui que come&#231;a a diferen&#231;a na leitura cl&#237;nica.</p><p>Porque identificar o sistema de cren&#231;as n&#227;o &#233; perguntar diretamente no que o paciente ou a fam&#237;lia acredita.</p><p>&#201; saber escutar como essas cren&#231;as aparecem, muitas vezes de forma indireta, na forma de falar, agir e se posicionar diante dos conflitos.</p><p>Quando voc&#234; come&#231;a a olhar para o sistema de cren&#231;as com mais precis&#227;o, tr&#234;s movimentos fazem diferen&#231;a na pr&#225;tica cl&#237;nica:</p>
      <p>
          <a href="https://fabianesiqueira.substack.com/p/como-identificar-o-sistema-de-crencas">
              Read more
          </a>
      </p>
   ]]></content:encoded></item><item><title><![CDATA[O ponto em que você percebe que poderia estar atendendo melhor]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/o-ponto-em-que-voce-percebe-que-poderia</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/o-ponto-em-que-voce-percebe-que-poderia</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Wed, 08 Apr 2026 14:03:31 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!qoZ8!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Existe um momento na sess&#227;o em que voc&#234; sabe que poderia ter ido mais fundo.</p><p>Nem sempre &#233; um erro evidente.<br>E tamb&#233;m n&#227;o &#233; um &#8220;fracasso&#8221; cl&#237;nico.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!qoZ8!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!qoZ8!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic 424w, https://substackcdn.com/image/fetch/$s_!qoZ8!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic 848w, https://substackcdn.com/image/fetch/$s_!qoZ8!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!qoZ8!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!qoZ8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic" width="1376" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1376,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:112230,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/193458989?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!qoZ8!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic 424w, https://substackcdn.com/image/fetch/$s_!qoZ8!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic 848w, https://substackcdn.com/image/fetch/$s_!qoZ8!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!qoZ8!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8db18e07-becd-4efc-a1e1-72ebb862237e_1376x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>&#192;s vezes, &#233; uma percep&#231;&#227;o sutil: a conversa foi contornada, a tens&#227;o diminuiu r&#225;pido demais, a interven&#231;&#227;o resolveu aquilo que &#233; imediato, mas n&#227;o tocou o que sustenta o problema.</p><p>Voc&#234; encerra a sess&#227;o com a sensa&#231;&#227;o de que algo poderia ter sido sustentado por mais tempo.<br>Que uma hip&#243;tese poderia ter sido explorada com mais firmeza.<br>Que havia ali uma possibilidade de aprofundamento que n&#227;o foi ocupada.</p><p>Isso n&#227;o tem rela&#231;&#227;o com falta de estudo &#8594; <strong>Tem rela&#231;&#227;o com estrutura interna.</strong></p><p>Conduzir o atendimento com profundidade exige sustentar tens&#227;o sem se apressar a aliviar o desconforto do campo relacional.<br>Exige confiar na pr&#243;pria leitura, mesmo quando ela desorganiza o equil&#237;brio moment&#226;neo da sess&#227;o.</p><p>E isso n&#227;o se desenvolve apenas com o tempo.</p><p>Se desenvolve quando voc&#234; revisita casos, aprofunda hip&#243;teses, amplia sua leitura e questiona os pr&#243;prios automatismos cl&#237;nicos.</p><p>Existe uma diferen&#231;a importante entre conduzir bem e conduzir com maturidade.</p><p>A maturidade aparece quando voc&#234;:</p><ul><li><p>n&#227;o precisa simplificar para se sentir segura.</p></li><li><p>n&#227;o evita o ponto de tens&#227;o.</p></li><li><p>sustenta a complexidade sem se desorganizar.</p></li></ul><p>Esse tipo de crescimento n&#227;o vem apenas de atender mais. Vem da forma como voc&#234; revisita e aprofunda os seus casos.</p><p>Se voc&#234; quer entender como ampliar sua leitura cl&#237;nica e conduzir atendimentos individuais, de casal e de fam&#237;lia com mais precis&#227;o, assista &#224; aula: <strong>Como a Terapia Familiar Sist&#234;mica amplia sua leitura cl&#237;nica em atendimentos individuais, de casal e de fam&#237;lia. </strong><a href="https://fabianesiqueira.com.br/leituraclinicaterapiasistemica/">Clique aqui</a> e acesse agora.</p>]]></content:encoded></item><item><title><![CDATA[11 Pontos-Chave para Construir o Genograma de Forma Correta | ferramenta terapêutica]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/11-pontos-chave-para-construir-o</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/11-pontos-chave-para-construir-o</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Tue, 07 Apr 2026 14:04:18 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!4Q31!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Muitos psic&#243;logos e terapeutas at&#233; constroem o genograma&#8230; mas travam na hora de transformar isso em leitura cl&#237;nica. </p><p>Afinal, por onde come&#231;ar? </p><p>O que realmente precisa entrar? </p><p>E, principalmente: como sair de um desenho e chegar em hip&#243;teses e interven&#231;&#245;es?</p><p> Para te ajudar nisso, reuni <em>11 pontos essenciais que organizam a constru&#231;&#227;o e a leitura do genograma na pr&#225;tica cl&#237;nica</em>. <a href="https://youtu.be/eFvz4F4vyqw">Clique aqui</a> e assista ao v&#237;deo.</p><p>Fabiane Siqueira</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!4Q31!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!4Q31!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic 424w, https://substackcdn.com/image/fetch/$s_!4Q31!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic 848w, https://substackcdn.com/image/fetch/$s_!4Q31!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic 1272w, https://substackcdn.com/image/fetch/$s_!4Q31!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!4Q31!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic" width="1270" height="720" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:720,&quot;width&quot;:1270,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:122852,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/193458197?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!4Q31!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic 424w, https://substackcdn.com/image/fetch/$s_!4Q31!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic 848w, https://substackcdn.com/image/fetch/$s_!4Q31!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic 1272w, https://substackcdn.com/image/fetch/$s_!4Q31!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F72720cd7-7fae-4139-ae0c-6eceda768517_1270x720.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p>]]></content:encoded></item><item><title><![CDATA[Como identificar o papel que o paciente ocupa na família (mesmo quando ele não percebe)]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/como-identificar-o-papel-que-o-paciente</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/como-identificar-o-papel-que-o-paciente</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Thu, 02 Apr 2026 14:02:12 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!G8iZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Face7530a-93d5-4984-a22a-4ce58acb966c_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>O paciente raramente chega dizendo qual papel ocupa na fam&#237;lia.</p><p>Mas ele mostra.</p><p>Se voc&#234; n&#227;o identifica isso cedo, corre o risco de trabalhar o sintoma e manter a fun&#231;&#227;o que sustenta o problema.</p><p>Aqui est&#227;o os sinais que voc&#234; precisa observar em diferentes contextos e que eu ensino aos meus alunos:</p>
      <p>
          <a href="https://fabianesiqueira.substack.com/p/como-identificar-o-papel-que-o-paciente">
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          </a>
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   ]]></content:encoded></item><item><title><![CDATA[A posição que você ocupa na dinâmica relacional]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/a-posicao-que-voce-ocupa-na-dinamica</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/a-posicao-que-voce-ocupa-na-dinamica</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Wed, 01 Apr 2026 14:02:05 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!WZQ0!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Voc&#234; tamb&#233;m faz parte da din&#226;mica que est&#225; analisando.</p><p>A ideia de neutralidade absoluta na na pr&#225;tica cl&#237;nica &#233; confort&#225;vel. Mas ela raramente &#233; real. </p><p>Em toda sess&#227;o, voc&#234; ocupa um lugar. </p><ul><li><p>&#192;s vezes de mediadora. </p></li><li><p>&#192;s vezes de reguladora de tens&#227;o. </p></li><li><p>&#192;s vezes de aliada involunt&#225;ria de uma das posi&#231;&#245;es em conflito. </p></li></ul><p>Isso significa que a cl&#237;nica &#233; relacional. </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!WZQ0!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!WZQ0!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic 424w, https://substackcdn.com/image/fetch/$s_!WZQ0!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic 848w, https://substackcdn.com/image/fetch/$s_!WZQ0!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic 1272w, https://substackcdn.com/image/fetch/$s_!WZQ0!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!WZQ0!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic" width="1270" height="720" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/de867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:720,&quot;width&quot;:1270,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:125241,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/192845907?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!WZQ0!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic 424w, https://substackcdn.com/image/fetch/$s_!WZQ0!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic 848w, https://substackcdn.com/image/fetch/$s_!WZQ0!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic 1272w, https://substackcdn.com/image/fetch/$s_!WZQ0!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fde867261-373f-459f-ba04-9db053c0cd2a_1270x720.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Quando voc&#234; valida rapidamente um dos lados, quando suaviza uma tens&#227;o antes que ela se desdobre, quando interrompe um sil&#234;ncio que poderia revelar algo mais profundo, est&#225; participando da organiza&#231;&#227;o da din&#226;mica. </p><p>Pensar sistemicamente inclui reconhecer essa implica&#231;&#227;o. N&#227;o para se paralisar. Mas para conduzir com mais consci&#234;ncia. </p><p>Muitos impasses n&#227;o se resolvem porque o caso &#233; complexo demais. Eles se mant&#234;m porque o lugar que voc&#234; ocupa na din&#226;mica ainda n&#227;o foi suficientemente analisado. </p><p>Aprender a identificar sua pr&#243;pria posi&#231;&#227;o dentro da din&#226;mica relacional muda a forma como voc&#234; interv&#233;m. </p><p>Se voc&#234; deseja aprofundar essa leitura sist&#234;mica <a href="https://fabianesiqueira.com.br/destravecasoscomplexos">clique aqui</a> e acesse a aula: Al&#233;m do sintoma: Como Estruturar seu Racioc&#237;nio Diante de Casos Complexos</p><p>Fabiane Siqueira</p>]]></content:encoded></item><item><title><![CDATA[O problema pode não estar no seu paciente]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/o-problema-pode-nao-estar-no-seu</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/o-problema-pode-nao-estar-no-seu</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Tue, 31 Mar 2026 14:40:50 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!jqN_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>O maior risco na pr&#225;tica cl&#237;nica nem sempre &#233; o caso dif&#237;cil.<br>&#201; quando voc&#234; entra nele sem perceber o quanto da sua pr&#243;pria hist&#243;ria est&#225; ali.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!jqN_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!jqN_!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!jqN_!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!jqN_!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!jqN_!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!jqN_!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic" width="1408" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1408,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:93677,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/192732782?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!jqN_!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!jqN_!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!jqN_!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!jqN_!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09e10239-a77c-4b85-8549-a977bdc04f2d_1408x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Voc&#234; pode dominar t&#233;cnicas, estudar abordagens, buscar atualiza&#231;&#227;o constante.<br>Mas, se n&#227;o olha para os seus pr&#243;prios padr&#245;es, existe um ponto cego que come&#231;a a interferir na sua leitura cl&#237;nica.</p><p>A forma como voc&#234; interpreta um comportamento, sustenta uma interven&#231;&#227;o ou at&#233; reage a um paciente&#8230; pode n&#227;o vir apenas do caso.<br>Pode vir da sua pr&#243;pria hist&#243;ria, dos seus v&#237;nculos, das suas lealdades e das suas d&#237;vidas emocionais.</p><p>&#201; aqui que entra algo que muitos evitam encarar com profundidade:<br>transmiss&#227;o multigeracional e diferencia&#231;&#227;o de self n&#227;o s&#227;o s&#243; conceitos para aplicar no cliente. Eles exigem posicionamento do pr&#243;prio terapeuta.</p><p>Se voc&#234; n&#227;o se diferencia, voc&#234; se mistura.<br>E quando se mistura, perde precis&#227;o.</p><p><a href="https://youtu.be/2Ly-0Q7uXnk">Clique aqui</a> e assista a um v&#237;deo em que te levo a refletir, com mais precis&#227;o, sobre como esses processos est&#227;o atuando na sua pr&#225;tica cl&#237;nica.</p>]]></content:encoded></item><item><title><![CDATA[A gaveta onde você guarda coisas importantes]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/a-gaveta-onde-voce-guarda-coisas</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/a-gaveta-onde-voce-guarda-coisas</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Thu, 26 Mar 2026 14:02:05 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!NTbn!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Quase toda casa tem uma gaveta assim.</p><p>Uma gaveta onde voc&#234; guarda coisas que n&#227;o quer perder.</p><ul><li><p>Documentos.</p></li><li><p>Chaves antigas.</p></li><li><p>Um carregador que pode ser &#250;til um dia.</p></li><li><p>Pap&#233;is que voc&#234; pensa em organizar depois.</p></li></ul><p>Nada ali &#233; lixo.</p><p>Tudo parece importante.</p><p>Mas, quando voc&#234; precisa encontrar algo, come&#231;a o problema.</p><p>Voc&#234; abre a gaveta. Revira as coisas que tem dentro. Move as coisas de um lado para o outro. E percebe que, no meio de tudo que foi guardado, quase nada est&#225; realmente organizado.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!NTbn!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!NTbn!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!NTbn!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!NTbn!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!NTbn!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!NTbn!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic" width="1408" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1408,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:98972,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/191256716?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!NTbn!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!NTbn!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!NTbn!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!NTbn!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd21ef5c7-d9ee-48a3-99e0-a75ae50d332c_1408x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Nos atendimentos que realizamos, &#224;s vezes acontece algo parecido.</p><p>Voc&#234; escuta a hist&#243;ria do paciente. V&#225;rias informa&#231;&#245;es aparecem:</p><ul><li><p>Conflitos familiares.</p></li><li><p>Eventos importantes.</p></li><li><p>Rela&#231;&#245;es tensas.</p></li><li><p>Coisas que aconteceram anos atr&#225;s e continuam influenciando o presente.</p></li></ul><p>Tudo parece relevante.</p><p>Mas, no meio de tantos elementos, nem sempre fica claro <strong>o que realmente est&#225; organizando o sofrimento do paciente</strong>.</p><p>E os encontros seguem...</p><p>Voc&#234; escuta, pergunta, tenta conectar pontos.</p><p>Como algu&#233;m procurando algo importante dentro de uma gaveta cheia.</p><p>O problema?</p><p>&#201; que as vezes as pe&#231;as ainda n&#227;o est&#227;o organizadas de um jeito que permita enxergar o que de fato precisa ser trabalhado.. e isso leva a maioria dos profissionais a apagarem o fogo, mas n&#227;o enxergarem a causa do fogo&#8230;</p><p>Faz sentido?</p><p></p><p><strong>Fabiane Siqueira</strong></p>]]></content:encoded></item><item><title><![CDATA[Você está observando as alianças invisíveis?]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/voce-esta-observando-as-aliancas</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/voce-esta-observando-as-aliancas</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Wed, 25 Mar 2026 14:02:48 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!7ZXy!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3e012e-26e8-48f5-8d1b-2de72cc9b7bc_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Muitos conflitos que aparecem de forma expl&#237;cita n&#227;o se sustentam apenas no conte&#250;do da queixa. O que se apresenta no discurso do paciente costuma ser apenas a parte vis&#237;vel de uma organiza&#231;&#227;o relacional muito mais complexa.</p><ul><li><p>Hierarquias fr&#225;geis.</p></li><li><p>Alian&#231;as cruzadas.</p></li><li><p>Fronteiras difusas.</p></li><li><p>Fun&#231;&#245;es que se embaralham dentro do sistema.</p></li></ul><p>Quando essa estrutura n&#227;o &#233; reconhecida, a interven&#231;&#227;o cl&#237;nica tende a permanecer na superf&#237;cie. Voc&#234; escuta a queixa, acompanha o sofrimento, acolhe a narrativa, mas nem sempre alcan&#231;a a l&#243;gica relacional que organiza a din&#226;mica que sustenta determinados impasses.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!7ZXy!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3e012e-26e8-48f5-8d1b-2de72cc9b7bc_1408x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!7ZXy!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3e012e-26e8-48f5-8d1b-2de72cc9b7bc_1408x768.heic 424w, 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srcset="https://substackcdn.com/image/fetch/$s_!7ZXy!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3e012e-26e8-48f5-8d1b-2de72cc9b7bc_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!7ZXy!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3e012e-26e8-48f5-8d1b-2de72cc9b7bc_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!7ZXy!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3e012e-26e8-48f5-8d1b-2de72cc9b7bc_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!7ZXy!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdb3e012e-26e8-48f5-8d1b-2de72cc9b7bc_1408x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Na pr&#225;tica sist&#234;mica, a quest&#227;o n&#227;o &#233; apenas compreender <strong>o que est&#225; acontecendo</strong>, mas perceber <strong>como as posi&#231;&#245;es est&#227;o sendo ocupadas dentro da rela&#231;&#227;o</strong>.</p><p>Quem exerce poder, mesmo sem legitimidade clara?<br>Quem se enfraquece ou se infantiliza diante da tens&#227;o?<br>Quem sustenta o equil&#237;brio emocional do sistema?<br>Quem &#233; convocado a mediar conflitos que n&#227;o lhe pertencem?</p><p>Esse tipo de leitura muda sua forma de atender porque desloca o foco do conte&#250;do para a estrutura. A interven&#231;&#227;o deixa de ser apenas reativa e passa a considerar a fun&#231;&#227;o do sintoma, a distribui&#231;&#227;o de lugares e a forma como o v&#237;nculo se organiza para preservar um certo equil&#237;brio, ainda que disfuncional.</p><p>Inclusive, esse &#233; um dos pontos que costumo treinar com meus alunos no <strong>Programa de Terapia Familiar Sist&#234;mica</strong>: aprender a observar, com mais precis&#227;o, aquilo que n&#227;o &#233; dito de forma direta, mas que regula silenciosamente a din&#226;mica relacional.</p><p>Porque, muitas vezes, o sofrimento n&#227;o est&#225; apenas no conflito em si, mas na posi&#231;&#227;o que cada pessoa passou a ocupar para que aquele sistema continue funcionando.</p><p>A <strong>Terapia Familiar Sist&#234;mica</strong> amplia justamente essa capacidade de leitura. E isso n&#227;o vale apenas para atendimentos com fam&#237;lias ou casais. Mesmo no setting individual, reconhecer hierarquias, alian&#231;as e fronteiras pode mudar profundamente a formula&#231;&#227;o do caso e a qualidade da interven&#231;&#227;o.</p><p>Quando voc&#234; desenvolve esse olhar, ele deixa de responder apenas ao que emerge na fala e passa a trabalhar com mais estrat&#233;gia, mais clareza e mais consist&#234;ncia cl&#237;nica.</p><p>Fabiane Siqueira</p><p></p>]]></content:encoded></item><item><title><![CDATA[Uma folha pode mudar completamente a forma como você entende um caso]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/uma-folha-pode-mudar-completamente</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/uma-folha-pode-mudar-completamente</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Tue, 24 Mar 2026 14:01:51 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!MqoS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaea446f-5ab3-45d2-bfdf-6f5581e22184_1344x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Existe um momento curioso na pr&#225;tica cl&#237;nica.</p><p>Voc&#234; escuta o paciente por v&#225;rias sess&#245;es.</p><p>A hist&#243;ria vai se desenrolando aos poucos.<br>Novos fatos aparecem.<br>Rela&#231;&#245;es come&#231;am a fazer mais sentido.</p><p>Mas muitas vezes isso leva meses.</p><p>Foi exatamente para encurtar esse caminho que surgiu uma ferramenta muito utilizada na terapia familiar: o genograma.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!MqoS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaea446f-5ab3-45d2-bfdf-6f5581e22184_1344x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!MqoS!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaea446f-5ab3-45d2-bfdf-6f5581e22184_1344x768.heic 424w, https://substackcdn.com/image/fetch/$s_!MqoS!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaea446f-5ab3-45d2-bfdf-6f5581e22184_1344x768.heic 848w, https://substackcdn.com/image/fetch/$s_!MqoS!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaea446f-5ab3-45d2-bfdf-6f5581e22184_1344x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!MqoS!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaea446f-5ab3-45d2-bfdf-6f5581e22184_1344x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!MqoS!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feaea446f-5ab3-45d2-bfdf-6f5581e22184_1344x768.heic" width="1344" height="768" 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class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Com ele, voc&#234; consegue colocar em uma &#250;nica folha toda a hist&#243;ria de vida familiar do seu paciente e come&#231;ar a enxergar padr&#245;es de comportamentos que normalmente demorariam muito mais tempo para aparecer na conversa.</p><p>O genograma mostra de forma objetiva e visual:</p><p>Rela&#231;&#245;es de conflito.<br>Alian&#231;as invis&#237;veis.<br>Distanciamentos.<br>Repeti&#231;&#245;es entre gera&#231;&#245;es.</p><p>Quando voc&#234; aprende a construir e ler um genograma, o atendimento muda de n&#237;vel. Porque voc&#234; deixa de trabalhar apenas com o que o cliente lembra ou decide contar na sess&#227;o. Voc&#234; passa a investigar a hist&#243;ria relacional que est&#225; por tr&#225;s do problema.</p><p>Eu gravei um v&#237;deo mostrando exatamente isso.</p><p>Nele eu explico:</p><p>&#8211; o que &#233; o genograma<br>&#8211; como essa ferramenta surgiu dentro da terapia familiar<br>&#8211; como construir o genograma passo a passo<br>&#8211; e como fazer a leitura cl&#237;nica para levantar hip&#243;teses sobre o caso</p><p>Se voc&#234; trabalha com atendimento terap&#234;utico, vale assistir.</p><p>Aqui est&#225; o v&#237;deo: <a href="https://youtu.be/M8V-bZ5f_A8">clique aqui</a> para ver o treinamento</p><p>Fabiane Siqueira</p>]]></content:encoded></item><item><title><![CDATA[O que a família revela que a queixa do paciente não mostra]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/o-que-a-familia-revela-que-a-queixa</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/o-que-a-familia-revela-que-a-queixa</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Thu, 19 Mar 2026 14:02:50 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!shU6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e9ff408-2dcf-432b-b98b-0cba2dde4926_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>&#192;s vezes o paciente melhora e a fam&#237;lia piora.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!shU6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e9ff408-2dcf-432b-b98b-0cba2dde4926_1408x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" 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srcset="https://substackcdn.com/image/fetch/$s_!shU6!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e9ff408-2dcf-432b-b98b-0cba2dde4926_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!shU6!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e9ff408-2dcf-432b-b98b-0cba2dde4926_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!shU6!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e9ff408-2dcf-432b-b98b-0cba2dde4926_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!shU6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6e9ff408-2dcf-432b-b98b-0cba2dde4926_1408x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Isso acontece porque muitos sintomas n&#227;o existem isoladamente.</p><p>Eles cumprem uma fun&#231;&#227;o dentro do sistema familiar.</p><p>Quando o sintoma come&#231;a a desaparecer, a organiza&#231;&#227;o da fam&#237;lia precisa mudar.</p><p>E &#233; a&#237; que voc&#234; precisa enxergar al&#233;m do que &#233; individual.</p><p>Esse &#233; um tema t&#227;o importante que eu criei um v&#237;deo onde explico por que <strong>a fam&#237;lia &#233; uma das bases mais importantes para compreender os problemas que aparecem no dia a dia dos seus atendimentos.</strong></p><p>Se voc&#234; trabalha com pessoas, isso muda completamente a forma de escutar uma queixa.</p><p><a href="https://youtu.be/_4JNtFdlKb4?si=1RozaK4ZxXEIuxUc">**Clique aqui</a> e assista ao v&#237;deo completo:</p><p></p>]]></content:encoded></item><item><title><![CDATA[O livro que você começa, mas nunca termina]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/o-livro-que-voce-comeca-mas-nunca</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/o-livro-que-voce-comeca-mas-nunca</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Wed, 18 Mar 2026 14:02:43 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!4ClO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Voc&#234; come&#231;a a ler com interesse.</p><p>Nas primeiras p&#225;ginas, tudo faz sentido.</p><p>Voc&#234; sublinha trechos.<br>Dobra cantos.<br>Marca frases que parecem importantes.</p><p>Mas em algum momento o ritmo muda.</p><p>A rotina aperta.<br>Outras coisas aparecem.<br>E o livro vai ficando ali.</p><p>Primeiro na mesa de cabeceira.<br>Depois na estante.</p><p>Com um marcador parado exatamente no mesmo lugar.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!4ClO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!4ClO!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic 424w, https://substackcdn.com/image/fetch/$s_!4ClO!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic 848w, https://substackcdn.com/image/fetch/$s_!4ClO!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!4ClO!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!4ClO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic" width="1344" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1344,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:124513,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/191255374?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!4ClO!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic 424w, https://substackcdn.com/image/fetch/$s_!4ClO!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic 848w, https://substackcdn.com/image/fetch/$s_!4ClO!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!4ClO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ae600d2-aa5f-43df-b524-89486138b662_1344x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Na sua jornada profissional, isso acontece com frequ&#234;ncia.</p><p>N&#227;o por falta de interesse.</p><p>Mas porque a sua vida costuma ser feita de interrup&#231;&#245;es.</p><p>Atendimentos.<br>Demandas.<br>Rotina da casa e filhos&#8230;</p><p>E no meio disso, voc&#234; come&#231;a cursos importantes de aprofundamento&#8230;<br>mas n&#227;o chega at&#233; o n&#237;vel de maturidade que gostaria de viver&#8230;</p><p>O resultado n&#227;o &#233; apenas falta de conhecimento. &#201; algo mais silencioso.</p><p>Um ac&#250;mulo de leituras, cursos e ideias que nunca chegaram a ser realmente integradas na pr&#225;tica cl&#237;nica.</p><p>Como um livro que foi iniciado&#8230;<br>mas nunca terminou de ser lido.</p><p>E talvez a pergunta mais honesta n&#227;o seja quantos cursos voc&#234; j&#225; come&#231;ou.</p><p><em>Mas quantos realmente chegaram a transformar a forma como voc&#234; atende?</em></p><p><strong>Fabiane Siqueira</strong></p><p></p>]]></content:encoded></item><item><title><![CDATA[O que é, de fato, Terapia Sistêmica Familiar?]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/o-que-e-de-fato-terapia-sistemica</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/o-que-e-de-fato-terapia-sistemica</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Tue, 17 Mar 2026 14:02:26 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!UmUl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Existe uma coisa curiosa quando voc&#234; come&#231;a a estudar Terapia Sist&#234;mica Familiar.</p><p>Voc&#234; percebe que muitas situa&#231;&#245;es que pareciam &#8220;problemas individuais&#8221; come&#231;am a fazer mais sentido quando olhadas dentro das rela&#231;&#245;es.</p><p>N&#227;o porque o paciente deixa de ser importante.</p><p>Mas porque o comportamento dele quase sempre est&#225; conectado a v&#237;nculos, hist&#243;rias e din&#226;micas que v&#227;o al&#233;m dele.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!UmUl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!UmUl!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!UmUl!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!UmUl!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!UmUl!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!UmUl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic" width="1408" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1408,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:91611,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/191252669?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!UmUl!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!UmUl!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!UmUl!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!UmUl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F41219b77-3f8a-46c7-8775-af00d6d6d721_1408x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Foi essa mudan&#231;a de olhar que transformou a minha forma de atender e a dos meus alunos tamb&#233;m.</p><p>Por isso eu preparei um v&#237;deo explicando, de forma bem direta:</p><ul><li><p>O que &#233; a Terapia Sist&#234;mica Familiar</p></li><li><p>De onde essa abordagem surgiu</p></li><li><p>Quais s&#227;o as principais escolas que estruturam esse conhecimento</p></li><li><p>Como cada uma delas amplia o racioc&#237;nio cl&#237;nico nos atendimentos.</p></li></ul><p>Durante o treinamento eu tamb&#233;m uso um caso fict&#237;cio para mostrar como diferentes escolas da terapia familiar pensariam o mesmo atendimento.</p><p><a href="https://youtu.be/7R7ffv8bN38">Clique aqui</a> e acesse o v&#237;deo agora</p><p></p><p>Fabiane Siqueira</p>]]></content:encoded></item><item><title><![CDATA[Viver da terapia exige mais do que agenda cheia]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/viver-da-terapia-exige-mais-do-que</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/viver-da-terapia-exige-mais-do-que</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Thu, 12 Mar 2026 14:01:10 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!LGP2!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Existe uma ideia silenciosa no nosso meio de que &#8220;viver da terapia&#8221; significa ter agenda cheia, pacientes recorrentes, fila de espera e estabilidade financeira. E, claro, isso importa.</p><p>Mas h&#225; algo que raramente &#233; dito: &#233; poss&#237;vel ter agenda cheia e ainda assim sentir que a sua pr&#225;tica cl&#237;nica est&#225; superficial.</p><p>Atender muito n&#227;o &#233; o mesmo que atender com densidade.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!LGP2!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!LGP2!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!LGP2!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!LGP2!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!LGP2!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!LGP2!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic" width="1408" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1408,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:66507,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/189377147?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!LGP2!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!LGP2!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!LGP2!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!LGP2!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F137cf439-43c6-430a-8354-7d792879d3de_1408x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Quando o racioc&#237;nio cl&#237;nico n&#227;o amadurece na mesma propor&#231;&#227;o que a agenda cresce, o trabalho come&#231;a a se tornar repetitivo. Os casos mudam, mas as interven&#231;&#245;es permanecem parecidas. O repert&#243;rio t&#233;cnico aumenta, mas a profundidade relacional n&#227;o acompanha.</p><p>Com o tempo, isso gera cansa&#231;o. N&#227;o o cansa&#231;o f&#237;sico, mas o cansa&#231;o de quem trabalha muito e, ainda assim, percebe que poderia estar conduzindo melhor.</p><p>Viver da terapia, de forma sustent&#225;vel, exige maturidade cl&#237;nica. Exige capacidade de sustentar casos complexos sem se desorganizar internamente. Exige leitura sist&#234;mica refinada e supervis&#227;o para n&#227;o naturalizar padr&#245;es que deveriam ser questionados.</p><p>Quando essa maturidade se constr&#243;i, algo muda. A seguran&#231;a aumenta, as decis&#245;es cl&#237;nicas ficam mais claras, a comunica&#231;&#227;o com o paciente se torna mais firme e o posicionamento profissional se fortalece. E isso impacta, inevitavelmente, a forma como o mercado percebe o seu trabalho.</p><p>A cl&#237;nica deixa de ser apenas um conjunto de atendimentos. Passa a ser um campo de atua&#231;&#227;o estruturado.</p><p>Por isso, viver da terapia n&#227;o come&#231;a na agenda. Come&#231;a na forma como voc&#234; organiza o seu racioc&#237;nio diante de cada caso.</p><p>Hoje est&#227;o abertas as inscri&#231;&#245;es para a nova turma do Programa de Terapia Familiar Sist&#234;mica. A proposta &#233; aprofundar exatamente essa constru&#231;&#227;o ao longo de 12 meses, com forma&#231;&#227;o estruturada e acompanhamento cont&#237;nuo.</p><p>A condi&#231;&#227;o especial &#233; v&#225;lida apenas at&#233; amanh&#227;. </p><p>Se este &#233; o momento de fortalecer a base da sua atua&#231;&#227;o cl&#237;nica, as informa&#231;&#245;es est&#227;o dispon&#237;veis apenas no grupo exclusivo. <a href="https://fabianesiqueira.com.br/terapiafamiliarlpl/">Clique aqui</a> para acessar.</p><p></p><p>Fabiane Siqueira</p>]]></content:encoded></item><item><title><![CDATA[Por que a Terapia Familiar muda a forma como você conduz qualquer caso]]></title><description><![CDATA[Voc&#234; pode nunca atender uma fam&#237;lia inteira e, ainda assim, precisar da Terapia Familiar na sua pr&#225;tica.]]></description><link>https://fabianesiqueira.substack.com/p/por-que-a-terapia-familiar-muda-a</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/por-que-a-terapia-familiar-muda-a</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Wed, 11 Mar 2026 14:02:50 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!FKIw!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F980ef5fc-d3e3-41e9-84be-e2550556719c_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Voc&#234; pode nunca atender uma fam&#237;lia inteira e, ainda assim, precisar da Terapia Familiar na sua pr&#225;tica.</p><p>Existe um equ&#237;voco comum de que Terapia Familiar &#233; uma especialidade voltada apenas para atendimentos com v&#225;rios membros presentes na sess&#227;o.</p><p>Mas a Terapia Familiar Sist&#234;mica n&#227;o &#233; um formato de atendimento.</p><p>&#201; uma forma de organizar o racioc&#237;nio cl&#237;nico.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!FKIw!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F980ef5fc-d3e3-41e9-84be-e2550556719c_1408x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!FKIw!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F980ef5fc-d3e3-41e9-84be-e2550556719c_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!FKIw!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F980ef5fc-d3e3-41e9-84be-e2550556719c_1408x768.heic 848w, 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srcset="https://substackcdn.com/image/fetch/$s_!FKIw!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F980ef5fc-d3e3-41e9-84be-e2550556719c_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!FKIw!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F980ef5fc-d3e3-41e9-84be-e2550556719c_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!FKIw!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F980ef5fc-d3e3-41e9-84be-e2550556719c_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!FKIw!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F980ef5fc-d3e3-41e9-84be-e2550556719c_1408x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Quando voc&#234; come&#231;a a pensar sistemicamente, algo muda na forma como escuta um caso individual. O sintoma deixa de ser visto como caracter&#237;stica da pessoa e passa a ser compreendido dentro de uma rede de v&#237;nculos, lealdades, posi&#231;&#245;es e equil&#237;brios invis&#237;veis.</p><p>Voc&#234; passa a perguntar:</p><p>Que fun&#231;&#227;o esse sintoma cumpre?<br>Que lugar ele organiza?<br>Que tens&#227;o ele evita?<br>Que hist&#243;ria ele protege?</p><p>Mesmo quando s&#243; h&#225; uma pessoa na sala.</p><p>&#201; isso que transforma a pr&#225;tica.</p><p>A Terapia Familiar amplia o campo de vis&#227;o. Ela desloca o foco da personalidade para a rela&#231;&#227;o. Do comportamento isolado para a din&#226;mica que o sustenta. Da queixa expl&#237;cita para a organiza&#231;&#227;o relacional que a mant&#233;m.</p><p>E quando essa leitura se consolida, a condu&#231;&#227;o do atendimento muda.</p><p>Voc&#234; sustenta mais tens&#227;o.<br>Interv&#233;m com menos impulsividade.<br>Reconhece padr&#245;es antes que se cristalizem.<br>Percebe quando a estagna&#231;&#227;o &#233; funcional.</p><p>O Programa de Terapia Familiar Sist&#234;mica nasce exatamente dessa proposta: estruturar essa forma de pensar de maneira aplic&#225;vel, organizada e supervisionada ao longo do tempo.</p><p>N&#227;o &#233; apenas estudar teoria sist&#234;mica.</p><p>&#201; aprender a utiliz&#225;-la como lente permanente de leitura cl&#237;nica, seja no atendimento familiar, de casal ou individual.</p><p>Porque, no fundo, nenhum caso &#233; isolado.</p><p>Toda cl&#237;nica &#233; relacional.</p><p>Nos pr&#243;ximos dias, abrirei a nova turma para quem deseja aprofundar essa metodologia com acompanhamento estruturado.</p><p>Se voc&#234; sente que sua pr&#225;tica pode ganhar densidade quando amplia o olhar para al&#233;m do indiv&#237;duo, talvez este seja o momento de conhecer essa proposta mais de perto. <a href="https://fabianesiqueira.com.br/terapiafamiliarlpl/">Clique aqui</a> e entre no grupo VIP para saber mais.</p><p></p><p>Fabiane Siqueira</p>]]></content:encoded></item><item><title><![CDATA[Tem paciente que chega com sintomas individuais… mas tudo muda quando você escuta com lentes familiares.]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/tem-paciente-que-chega-com-sintomas</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/tem-paciente-que-chega-com-sintomas</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Tue, 10 Mar 2026 14:03:19 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!hQ0c!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Tem paciente que chega com sintomas muito claros... mas a resposta n&#227;o est&#225; onde ele pensa.</strong></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!hQ0c!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!hQ0c!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic 424w, https://substackcdn.com/image/fetch/$s_!hQ0c!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic 848w, https://substackcdn.com/image/fetch/$s_!hQ0c!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic 1272w, https://substackcdn.com/image/fetch/$s_!hQ0c!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!hQ0c!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic" width="1270" height="720" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:720,&quot;width&quot;:1270,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:63055,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/190445039?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!hQ0c!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic 424w, https://substackcdn.com/image/fetch/$s_!hQ0c!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic 848w, https://substackcdn.com/image/fetch/$s_!hQ0c!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic 1272w, https://substackcdn.com/image/fetch/$s_!hQ0c!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d2e7f63-bc43-445b-91b3-330457cd959b_1270x720.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>&#201; comum ouvir sobre ansiedade, baixa autoestima, tristeza cr&#244;nica ou dificuldades nos relacionamentos e o discurso conduzir para um olhar exclusivamente individual.</p><p>Mas, muitas vezes, <strong>o que sustenta esse sofrimento n&#227;o est&#225; s&#243; na experi&#234;ncia atual.</strong></p><p>Est&#225; nas din&#226;micas familiares que ele aprendeu a viver. Nos pap&#233;is que assumiu. Nas lealdades que mant&#233;m sem perceber.</p><p>&#201; a&#237; que o racioc&#237;nio cl&#237;nico muda de n&#237;vel.</p><blockquote><p>No v&#237;deo de hoje, trago 5 maneiras de aprofundar o atendimento individual com o olhar da Terapia Familiar Sist&#234;mica sem precisar da presen&#231;a da fam&#237;lia em sess&#227;o.</p></blockquote><p>&#127909; <a href="https://youtu.be/RZ2Rk_egbJU">Assista clicando aqui</a></p><p>E me conta como isso aparece na tua pr&#225;tica.</p><p>Fabiane Siqueira</p>]]></content:encoded></item><item><title><![CDATA[Antes de intervir, responda a estas três perguntas]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/antes-de-intervir-responda-a-estas</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/antes-de-intervir-responda-a-estas</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Fri, 06 Mar 2026 14:03:28 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!7fKj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Muitos impasses cl&#237;nicos porque a interven&#231;&#227;o foi pensada antes que a din&#226;mica estivesse suficientemente compreendida.</p><p>Na pr&#225;tica sist&#234;mica, existe uma invers&#227;o sutil que transforma a condu&#231;&#227;o da sess&#227;o: em vez de perguntar &#8220;o que eu fa&#231;o agora?&#8221;, o profissional passa a perguntar &#8220;o que est&#225; sendo mantido aqui?&#8221;.</p><p>Antes de intervir, costumo orientar meus alunos a organizarem o racioc&#237;nio a partir de tr&#234;s perguntas simples, mas estruturalmente decisivas.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!7fKj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!7fKj!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!7fKj!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!7fKj!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!7fKj!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!7fKj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic" width="1408" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1408,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:189664,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/heic&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://fabianesiqueira.substack.com/i/189372255?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!7fKj!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!7fKj!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic 848w, https://substackcdn.com/image/fetch/$s_!7fKj!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic 1272w, https://substackcdn.com/image/fetch/$s_!7fKj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0f65f89e-c408-4c9a-adb3-a4edac6eb2ef_1408x768.heic 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><strong>Qual &#233; a fun&#231;&#227;o desse sintoma dentro da din&#226;mica relacional?</strong></p><p>Sintomas n&#227;o aparecem no vazio. Eles cumprem pap&#233;is, regulam tens&#245;es, protegem v&#237;nculos e sustentam equil&#237;brios fr&#225;geis. Quando voc&#234; interv&#233;m apenas para reduzir o sintoma, pode estar desorganizando algo que ainda n&#227;o compreendeu em profundidade.</p><p><strong>Quem perde e quem ganha se essa din&#226;mica mudar?</strong></p><p>Toda reorganiza&#231;&#227;o implica deslocamento de posi&#231;&#227;o. O que parece resist&#234;ncia pode, muitas vezes, ser por exemplo uma lealdade. Em outros casos, pode ser o medo de romper um equil&#237;brio que sustenta pertencimento. Assim como existem outros fatores para se atentar. Sem considerar isso, a interven&#231;&#227;o corre o risco de ser superficial.</p><p><strong>Onde estou me posicionando dentro dessa din&#226;mica?</strong></p><p>Nenhum profissional &#233; neutro. A forma como escutamos, validamos ou levamos nossos pacientes a refletir altera o campo relacional. Sem consci&#234;ncia do pr&#243;prio posicionamento, &#233; f&#225;cil refor&#231;ar alian&#231;as invis&#237;veis ou sustentar padr&#245;es que se desejava transformar.</p><p>Essas tr&#234;s perguntas n&#227;o s&#227;o t&#233;cnicas.</p><p>S&#227;o organizadoras de racioc&#237;nio.</p><p>Quando internalizadas, reduzem a impulsividade interventiva e ampliam profundidade cl&#237;nica.</p><p>Muitos profissionais conhecem os conceitos sist&#234;micos. O desafio raramente est&#225; na teoria, mas na capacidade de sustentar essas perguntas em tempo real, especialmente quando a sess&#227;o se intensifica.</p><p>Forma&#231;&#227;o cont&#237;nua, nesse contexto, n&#227;o &#233; acumular ferramentas. &#201; desenvolver a estrutura interna necess&#225;ria para sustentar hip&#243;teses at&#233; que a interven&#231;&#227;o seja consequ&#234;ncia, e n&#227;o rea&#231;&#227;o.</p><p>No dia 12 de mar&#231;o abrirei as inscri&#231;&#245;es para a nova turma do Programa de Terapia Familiar Sist&#234;mica, com condi&#231;&#227;o especial v&#225;lida apenas nos dias 12 e 13.</p><p>Se voc&#234; deseja aprofundar exatamente esse tipo de organiza&#231;&#227;o cl&#237;nica com acompanhamento estruturado ao longo de 12 meses, <a href="https://fabianesiqueira.com.br/terapiafamiliarlpl/">clique aqui</a> e entre no grupo vip para saber mais.</p><p></p><p>Fabiane Siqueira</p>]]></content:encoded></item><item><title><![CDATA[A maturidade clínica nem sempre cresce na mesma proporção que os anos de prática.]]></title><description><![CDATA[Cartas para viver da terapia]]></description><link>https://fabianesiqueira.substack.com/p/a-maturidade-clinica-nem-sempre-cresce</link><guid isPermaLink="false">https://fabianesiqueira.substack.com/p/a-maturidade-clinica-nem-sempre-cresce</guid><dc:creator><![CDATA[Fabiane Siqueira]]></dc:creator><pubDate>Thu, 05 Mar 2026 14:03:03 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!6yYf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F892e4d5a-c1a9-4b62-a358-e8389a69191d_1408x768.heic" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>A maturidade cl&#237;nica nem sempre cresce na mesma propor&#231;&#227;o que os anos de pr&#225;tica.</p><p>Observe um quadro que costuma acontecer na trajet&#243;ria profissional.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!6yYf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F892e4d5a-c1a9-4b62-a358-e8389a69191d_1408x768.heic" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!6yYf!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F892e4d5a-c1a9-4b62-a358-e8389a69191d_1408x768.heic 424w, https://substackcdn.com/image/fetch/$s_!6yYf!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F892e4d5a-c1a9-4b62-a358-e8389a69191d_1408x768.heic 848w, 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class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Mesmo ap&#243;s muitos anos de estudo, forma&#231;&#245;es consistentes, leitura de autores relevantes e participa&#231;&#227;o constante em cursos e especializa&#231;&#245;es, mesmo compreendendo intelectualmente os conceitos, diante de determinados casos algo mais sutil come&#231;a a se manifestar.</p><p>H&#225; atendimentos em que tudo parece caminhar dentro do esperado, mas a sensa&#231;&#227;o de avan&#231;o n&#227;o se consolida. A sess&#227;o n&#227;o fracassa, o sintoma at&#233; pode diminuir, por&#233;m a profundidade n&#227;o se altera na mesma propor&#231;&#227;o, porque a din&#226;mica relacional que sustenta aquele funcionamento permanece praticamente intocada.</p><p><em><strong>&#201; nesse ponto que muitos profissionais come&#231;am a perceber que estudar, por si s&#243;, j&#225; n&#227;o reorganiza a pr&#225;tica.</strong></em></p><p>Atender fam&#237;lias, casais ou indiv&#237;duos a partir de uma perspectiva relacional exige mais do que dom&#237;nio conceitual. Exige capacidade de formular hip&#243;teses enquanto a sess&#227;o acontece, perceber deslocamentos sutis de posi&#231;&#227;o e sustentar tens&#227;o sem se deixar capturar por ela.</p><p>Essa habilidade raramente amadurece em isolamento.</p><p>Ela se desenvolve quando o racioc&#237;nio &#233; tensionado por outro profissional, quando algu&#233;m questiona a leitura constru&#237;da, amplia o enquadre e aponta aspectos que passaram despercebidos porque est&#225;vamos implicados demais na din&#226;mica.</p><p>J&#225; acompanhei psic&#243;logos e terapeutas tecnicamente muito competentes que, diante de alian&#231;as cruzadas ou lealdades invis&#237;veis mais enraizadas, sentiam uma oscila&#231;&#227;o interna dif&#237;cil de nomear. O trabalho n&#227;o se desorganizava, mas tamb&#233;m n&#227;o aprofundava. A cl&#237;nica seguia, por&#233;m o impasse permanecia sustentado pela mesma configura&#231;&#227;o relacional.</p><p>Supervis&#227;o estruturada, nesse contexto, n&#227;o &#233; corre&#231;&#227;o, julgamento ou depend&#234;ncia. &#201; refinamento de racioc&#237;nio. &#201; constru&#231;&#227;o gradual de maturidade cl&#237;nica. &#201; a possibilidade de reorganizar o pr&#243;prio pensamento antes que a interven&#231;&#227;o se torne apenas tentativa.</p><p>Estudar continua sendo indispens&#225;vel. Mas chega um momento em que o desenvolvimento profissional deixa de depender da quantidade de conte&#250;do consumido e passa a depender da qualidade da sustenta&#231;&#227;o cl&#237;nica constru&#237;da ao longo do tempo.</p><p>No dia 12 de mar&#231;o, abrirei as inscri&#231;&#245;es para a nova turma do Programa de Terapia Familiar Sist&#234;mica, com condi&#231;&#227;o especial v&#225;lida apenas nos dias 12 e 13.</p><p>O programa &#233; uma forma&#231;&#227;o estruturada com acompanhamento cont&#237;nuo ao longo de 12 meses, voltada para psic&#243;logos e terapeutas que desejam organizar o racioc&#237;nio cl&#237;nico e sustentar casos complexos com maior clareza e seguran&#231;a.</p><p>Se essa reflex&#227;o dialoga com o seu momento atual, talvez este seja o momento de dar um passo mais estruturado na sua evolu&#231;&#227;o profissional.</p><p>As informa&#231;&#245;es completas sobre o programa ser&#227;o enviadas apenas para quem estiver no grupo VIP. Se voc&#234; deseja receber os detalhes <a href="https://fabianesiqueira.com.br/terapiafamiliarlpl/">clique aqui</a> e entre no grupo.</p><p>Fabiane Siqueira</p>]]></content:encoded></item></channel></rss>