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June Quandary: My Client Ghosted Me!

Five Clinicians Give Their Take

Chris Lyford, Chris Lyford

By Chris Lyford - Sara, 26, had been attending weekly therapy three months, and had developed concrete strategies with her therapist to help her manage her depression and anxiety. He thought they'd developed a strong bond, but Sara has missed her last two sessions. Her therapist texted her after the first missed session to ask if everything was okay, but still hasn’t heard anything. He keeps worrying he might've done something wrong. Should he reach out again? Here, five therapists weigh in.

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May Quandary: Is It Ever Okay to Break Confidentially If I Know My Client Is Dating an Abuser?

Five Clinicians Give Their Take

Chris Lyford, Chris Lyford

By Chris Lyford - Diedre was widowed about three years ago, but was excited to tell her therapist about a man she's started dating. She's very happy. As her therapist heard more, he realized this is the same man another client used to date, who slowly became controlling and abusive. Should Diedre's therapist share this info? Five therapists weigh in.

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Five Things Seasoned Therapists Wish They'd Known

. . . And the One Question You Should Always Ask Your Clients

Chris Lyford, Chris Lyford

By Chris Lyford - Whether they’ve been practicing for three months or three decades, therapists are continuously honing their craft. But much of what we learn through trial and error, and hours upon hours sitting across from clients, we were never taught in grad school. So we asked some seasoned therapists to pass on the lessons they wish someone had told them when they were first starting out.

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February Quandary: My Clients Are Asking Personal Questions!

Five Clinicians Give Their Take

Chris Lyford, Chris Lyford

By Chris Lyford - A therapist works from his home office, which means clients sometimes observe elements of his personal life. He's had clients ask about his electric car in the driveway, his dog, and where his kids go to school. He's gently asked these clients if they can stay on topic, but worries about seeming callous. Here are five creative examples of how other therapists have dealt with this.

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Digital Division

Now, More Than Ever, Our Society Needs What Talk Therapy Has to Offer

Sherry Turkle

By Sherry Turkle - Digital connection is a way to keep my job simple and my life tidier. But we have to support each other in remembering that the kind of conversations that may seem old-fashioned are actually most necessary and essential. Right now, digital culture closes down the questions that talk therapy knows how to open up.

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When Therapy Calls for a Boundary Crossing

A Story About When Professional Helping Meets Human Concern

Dea Silbertrust, Dea Silbertrust

By Dea Silbertrust - After surgery, my therapist's willingness to trade the comfort and security of her office for my apartment would be considered a boundary crossing by some. But in accommodating me, she demonstrated the difference between a boundary crossing and a boundary violation, and, more important, what it means to offer a simple act of grace to another human being.

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Managing Confidentiality

Three Things I Learned from My Small-Town Practice

Daniela Gitlin, Daniela Gitlin

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, Chris Lyford

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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December Quandary: I Accepted a Gift from My Client!

Five Clinicians Give Their Take on What to Do Now

Chris Lyford, Chris Lyford

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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The Mentor Who Changed My Therapy Practice

…And How Two Little Words Changed Everything

Chris Lyford, Chris Lyford

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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