Clinician's Quandary

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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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