A decades-long therapeutic relationship shares some of the same elements as a marriage of similar length: the commitment to stay, the ups and downs, the intimacy, and the tendency to fall into the rut of assuming you know the other person. Keeping both fresh requires a strong bond, a willingness to be vulnerable, and most importantly, a willingness to learn from the consequences of your actions.

Some clients and therapists strongly prefer the old-fashioned phone to video sessions. What’s so transformative about turning off the camera?

When you practice in a rural town, sometimes it can feel like everyone is connected to each other. Instead of worrying about boundary and confidentiality violations, I've learned a strategy that embraces the dilemma instead of avoiding it.

The therapist’s office is a zone of creative adventure and unpredictability, where the most powerful moments often come out of the blue.

In an unexpected twist, one therapist is finding phone sessions more effective than video sessions. Here's why.

By Daniela Gitlin - When clients drop “bombshells” in the last few minutes of a session, it can be hard to end on time. Here's a framework for not only handling these unexpected moments, but welcoming them.

Some down-to-earth advice on practicing in a small town, where there’s no way to escape being seen and talked about.

How to handle end-of-session bombshells therapeutically—and still wrap up on time.