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Managing Confidentiality

Three Things I Learned from My Small-Town Practice

Daniela Gitlin • 1 Comment

By Daniela Gitlin - 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.

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January Quandary: Should I Keep One Partner’s Secret in Couples Therapy?

Five Clinicians Give Their Take

Chris Lyford • 3 Comments

By Chris Lyford - Mark and his wife, Nicole, have been in couples therapy for almost six months. But Mark recently requested an individual session, where he revealed he recently shared a kiss with an old girlfriend and has plans to rekindle their friendship. He's asked his therapist to keep the whole thing a secret. Here's how five clinicians say they'd tackle the situation.

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A Rare Moment of Self-Disclosure

Revealing Ourselves to Clients

Deborah Buckwalter • 2 Comments

By Deborah Buckwalter - The first time I saw Michael, I could barely distinguish his form as human.  A young man in his 20s, Michael had been the sole survivor of a plane crash. The sight of him was unlike anything I’d witnessed before, as was his question that left me confronting everything I'd come to believe about therapist self-disclosure.

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December Quandary: I Accepted a Gift from My Client!

Five Clinicians Give Their Take on What to Do Now

Chris Lyford • No Comments

By Chris Lyford - Asha recently gave her therapist a homemade necklace, which he accepted, thinking it innocuous enough. Now, she brings it up almost every session, asking why he's not wearing it and if he still likes it. Asha has a history of attachment issues, and her therapist worries his response might offend her or cause her to quit therapy. Here's how five therapists say they'd respond.

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Increasing Access to Mental Health Care for Seniors

What Therapists Can Do to Help

Lauren Dockett • 4 Comments

By Lauren Dockett - American seniors suffer disproportionately from mental health issues and suicide. And many, these days, are having trouble getting the therapy they need through Medicare. Now, a bipartisan bill that could increase seniors’ mental health care options is being brought before Congress, and therapists can play a part in getting it passed.

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The Mentor Who Changed My Therapy Practice

…And How Two Little Words Changed Everything

Chris Lyford • 1 Comment

By Chris Lyford - While therapeutic skill is the product of years of practice and self-determination, most clinicians need a mentor: someone who takes them under their wing and inspires them to be a better therapist. The five clinicians whose stories you’re about to read all agree on one thing: seeing how their mentors practice left an indelible mark on their personal and professional development that still resonates today.

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Reflections from a Millennial Therapist

The Highs, Lows, and New Realities of Starting a Therapy Career Today

Rachel Zar • No Comments

By Rachel Zar - I'm a millennial. And despite the negative connotation often imposed upon this generation by the media and by the generations that came before us, I don’t think it’s such a bad thing after all—especially for a therapist.

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VIDEO: Addressing Political Stress in the Consulting Room

Reevaluating What's Appropriate to Discuss in Therapy

William Doherty • 4 Comments

It's no surprise that, with all the political infighting going on, many people are anxious about the direction of our country. But is there room to discuss political matters with clients, or does this constitute an ethical breach? According to therapist Bill Doherty, clinicians are not only well-equipped to discuss politics, but sometimes have a duty to do so. In the following video clip from his 2017 Networker Symposium Keynote address, Doherty explains how to get the ball rolling.

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October Quandary: My Clients and I Use the Same Dating Apps!

Five Clinicians Give Their Take

Chris Lyford • 1 Comment

By Chris Lyford - A therapist recently joined a few online dating apps after finding herself newly single. She's seen several clients come up in these apps, and suspects they've seen her too. This puts her in an awkward position with these clients. Here's how five therapists say they'd tackle the situation.

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Remembering Catherine

Coming to Terms with a Client’s Murder

Maggie Mulqueen • 12 Comments

By Maggie Mulqueen - Over the course of my career, numerous world events have entered my office. But none of them prepared me for grieving the murder of Catherine, my client of 15 years.

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