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Burnout Reconsidered

What Supershrinks Can Teach Us

Mark Hubble, Scott Miller

By Scott Miller, Mark Hubble, and ⁠Françoise Mathieu - An entire industry has sprung up to address the problem of compassion fatigue, but research indicates that the most commonly proposed answer, improved self-care, doesn’t work. In fact, the study of the most highly effective clinicians suggests that burnout isn’t related to caring too much, but continuing to care ineffectively.

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Are You Suffering from "Nightblindness"?

Curing Our Culture of Insomnia

Rubin Naiman

By Rubin Naiman - Traditionally, sleep and darkness have had positive connotations. Yet many of us don't go gently into the night: we knock ourselves out with alcohol, sleeping pills, or sheer exhaustion. Our widespread fear of and disregard for darkness may be the most critical, overlooked factor in the contemporary epidemic of sleep disorders.

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Challenging the Stereotype of the Paralyzed Trauma Victim

A Review of Jim Rendon's Upside: The New Science of Post-Traumatic Growth

Diane Cole

In Jim Rendon’s new book, Upside: The New Science of Post-Traumatic Growth, he challenges an all-too-common stereotype: that most trauma survivors remain forever stuck in place, embittered, broken in core ways. As psychotherapists know, the emotional (and sometimes physical) damage may sometimes be so vast and entrenched that repair comes slowly, if at all. But as therapists also know, this isn’t always the case. Many trauma victims have managed to make life go on---and even thrive.

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How to Prepare for Insurance Company Treatment Reviews

Tips for Proving Your Therapy is Medically Necessary

Barbara Griswold

While treatment review has always been a part of insurance reimbursement, therapists in the last few years have reported an increase in such phone calls from insurance companies. But what’s the health plan looking for when reviewing for medical necessity? What does the language of medical necessity sound like, and how can you learn to speak it fluently? Here are a few tips.

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Revisiting Our Relationship with Insomnia

Why Our Trouble Sleeping Is More Normal Than We Think

Mary Sykes Wylie

Insomnia. Almost everybody has it at one time or another. Some poor souls live (or barely live) with it. It's hard to know exactly how widespread it is—prevalence rates are all over the map. But some researchers are drawing the conclusion that midnight or early-morning insomnia is possibly more "natural" than the pattern of eight hours straight sleep that we've come to expect, but often fail to achieve. Perhaps, the implication is, we ought to accept the reality of those hours awake and cultivate a better attitude toward the inevitable---we should accept and make friends with those wakeful hours in the middle of the night.

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Sleepless in America

Making it Through the Night in a Wired World

Mary Sykes Wylie

Insomnia. Almost everybody has it at one time or another. Some poor souls live (or barely live) with it. It's hard to know exactly how widespread it is—prevalence rates are all over the map. As many as 30 percent of the population, or as few as 9 percent (depending on the source of the statistic, or how insomnia is defined, or what impact it has), suffer from some form of it at least some of the time. What's undisputed, however, is that sleep is as necessary to physical and mental health as air and water, and that, without it, we suffer—often severely. So, those annoying world-beaters, who brag about needing only four hours of sleep a night (the better to forge multimillion-dollar start-ups and do their Nobel Prize–winning research) are perhaps not being entirely candid.

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VIDEO: Adjusting Lifestyle Habits for Mental Health

Connecting the Dots between Biology and Brainwork

Rubin Naiman

If you’ve got a client who frequently oversleeps, binges on junk food and alcohol, and passes up fresh air for hours in front of the television, there’s a good chance these bad habits will hinder any progress you make in therapy sessions.

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