Clinician's Quandary

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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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