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David F Khalili, LMFT
David F Khalili is a licensed marriage and family therapist, board-certified sexologist, and founder of Rouse Relational Wellness, a boutique couples and sex therapy center in San Francisco. He authored the recently published Mental Health Workbook for Men to enhance men's relationships with themselves and others. David aims to help men feel less lonely and more connected with their communities. Specializing in couples and sex therapy, David draws from his diverse background, which includes peer sex education, work in adult boutiques, and a Master's degree in Sexuality Studies from San Francisco State University. For more information about David's practice, visit rousetherapy.com.
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Date: April 30, 2027
Time: 3:30 pm – 4:30 pm
CEs: 1.5
Description:
Most men know the "shame hangover" — the morning-after replay of the thing they said, didn't say, or should have said, running on a loop in front of the bathroom mirror. Clinicians see its effects constantly: the client who cancels after a vulnerable session, the partner who goes silent for three days after a conflict, the father who can't apologize because the apology would confirm he is the problem. Shame tells men to hide, and masculine socialization — which narrows the acceptable emotional range to roughly "horny, happy, or angry" — routes it through anger, withdrawal, or humor before anyone can work with it. The result is a trap many male clients are caught in: they either collapse into "I am a bad person" or defend against it entirely, and neither path leads to change.
This workshop draws on the presenter's Mental Health Workbook for Men (Rockridge Press) to give clinicians a practical sequence for moving male clients from toxic shame toward accountability. Participants will learn to recognize shame when it presents as rumination, irritability, or shutdown; to unpack a shame episode using the six-column Shame Hangover worksheet, which ends with the pivotal question "Did I actually cause harm?"; and to help clients answer that question honestly. When the answer is no, the work is self-compassion in language men will tolerate, including the Shame Game reframe ("Just because I did X does not mean I am Y"). When the answer is yes, the work is accountability — owning the impact, understanding what the behavior was protecting, and replacing it — without the self-punishment that turns repair back into hiding. The framework integrates current research on self-critical rumination, self-compassion, and gender-sensitive engagement of men in psychotherapy.
Participants will practice each tool live using composite case vignettes and dyad exercises, and the session closes with the workbook's Holding Yourself Accountable exercise, applied first to a client and then, optionally, to themselves. Particular attention is given to how shame and accountability are shaped by race, culture, immigration history, sexual orientation, and gender identity, so that interventions do not assume a single, white, straight, middle-class masculinity. Clinicians will leave with a worksheet set they can use in the next session and a clear map of when shame needs dissolving and when it is pointing toward repair.
Learning Objectives:
By the end of this session, participants will be able to:
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