Clinician's Quandary

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April Quandary: My Client Gets Distracted During Teletherapy!

Five Clinicians Weigh In

Psychotherapy Networker

Marcia's therapist has switched to doing teletherapy. But as a single mother of two adolescent girls all quarantining in a small apartment, sessions have been especially challenging for Marcia. She’s often distracted or pulled away to tend to the girls. When she returns to the screen, she’s flustered and unfocused. Here, five therapists offer tips for keeping the work on track during these sessions.

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March Quandary: Yikes, I’m Attracted to My Client!

Five Clinicians Weigh In

Psychotherapy Networker

A therapist finds her client attractive and says their conversations sometimes border on flirtatious. She says she'd never act on these feelings, but worries about how it might affect their work together. She's also not sure whether to bring this up, how she might do so, and whether to refer him out. Five clinicians share how they'd handle the situation.

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February Quandary: My Angry Client is Getting to Me!

Five Clinicians Weigh In

Psychotherapy Networker

Mark has anger issues, and his therapist finds herself getting extremely reactive when he loses his temper in therapy. Recently, he called her “a joke” and stormed out of the room. She wants to stand up for herself, but doesn't want to derail their work. Five clinicians share how they'd proceed.

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January Quandary: When One Partner in Couples Therapy Has Given Up

Five Clinicians Weigh In

Psychotherapy Networker

By Chris Lyford - A therapist is working with a couple in which one partner is clearly disengaged in therapy. She shows up and says she’s interested in improving the relationship, but it seems obvious that she’s not willing to put in the work. He's mentioned this in individual sessions with her, but she maintains her stance. Here, five therapists weigh in with how they'd proceed.

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December Quandary: Addressing Vicarious Trauma

Five Clinicians Weigh In

Psychotherapy Networker

A new client who survived a harrowing car crash is going through a deep depression. When she recounts her story, her therapist feels unusually affected, as if she’s reliving the event with her. She’s not sure how to deal with the vicarious trauma. Here, five therapists offer their advice.

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November Quandary: How Do I Bring Up My Client’s Rigid Perfectionism?

Five Clinicians Weigh In

Psychotherapy Networker

By Chris Lyford - A client sees his perfectionism as an advantage, even though it ramps up his anxiety, exacerbates his sense of shame, and keeps him living a very rigid life. He brushes off his therapist every time she brings it up. Five therapists weigh in with how they'd respond.

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October Quandary: Addressing the Idea of Meds with a Depressed Client

Five Clinicians Weigh In

Psychotherapy Networker

Sandra has been struggling with depression for many years. A psychiatrist has prescribed her an antidepressant, but she’s told her therapist she doesn’t like the “idea” of meds and doesn’t take them regularly. He's not sure how best to explore the issue with her. Five clinicians share how they'd proceed.

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September Quandary: Will a No-Suicide Contract Help My Client Stay Safe?

Four Clinicians Weigh In

Psychotherapy Networker

A new clinician is working with a client who’s expressed some suicidality at times. She's worried about him and thinks it might be a good idea to have him sign a no-suicide contract, but she's heard mixed things about them and isn't sure what to do. Here, four therapists offer their advice.

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August Quandary: How Do I Get Clients to Engage in Work Between Sessions?

Five Clinicians Weigh In

Psychotherapy Networker

A therapist recommends exercises like journaling prompts and guided mediations that she feels would benefit her clients between sessions. Although they seem interested when she introduces the idea, they always “forget” or can’t find the time to follow through. She's unsure how to proceed. Here, five therapists share what they'd do.

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July Quandary: I’m Feeling Burned Out!

Five Clinicians Give Their Advice

Psychotherapy Networker

Recently, a therapist has found herself losing steam. She mentally checks out when clients are talking, and constantly feels exhausted. She worries this burnout could be affecting her work, and is looking for some good, realistic forms of self-care beyond just taking a vacation or going to the spa. Here, five therapists offer their advice.

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