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MQ Jan/Feb 2013


Treating the Anxious Client

New Directions for Psychotherapy’s Most Common Problem

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The Anxiety Game

It’s rigged, so let’s change the rules

Reid Wilson • Therapists make clients feel safe and secure, right? Well, when it comes to treating anxiety, more clinicians are instructing clients to ramp their fears, while telling themselves how much they welcome the experience.


Living With the Devil We Know

We may be anxious, but not to change

By David Burns • As therapists, we typically assume that a person suffering from severe anxiety is eager and motivated to receive the help we offer. But we should never naively underestimate clients’ hidden antipathy to change, despite their discomfort.


Taming the Wild Things

Helping anxious kids and their parents

By Lynn Lyons • In this age of helicopter parents and protective child professionals, we can often recreate a potent anxiety- reinforcing system around children that not only rewards anxiety, but encourages it to grow and take over even more of the child’s life.


Sympathy for the Devil

Mendota, youth-treatment of last resort

By Katherine Ellison • The word psychopath distinguishes hard-bitten predators. Research shows a treatment center—run by shrinks, not wardens—has reduced new violent offenses by 50 percent. What accounts for the Mendota Treatment Center’s success?