By Silvina Irwin - It’s my first session with Jeff and Miranda. “Honestly, I don’t know why I’m here,” Miranda spits out. “He's cheated on me since we started dating 25 years ago." Can I avoid doing further damage to their precarious relationship? Do I tell Miranda to run for the hills? What if Miranda takes a leap of faith and decides to trust Jeff once more—and he betrays her yet again?

By Margaret Wehrenberg - Rather than seeing depression as some kind of monolith, I've found it useful to see depressive symptoms as falling into four basic clusters. By immediately addressing the attitudes and distinctive vulnerabilities that lie at the core of each cluster, treatment can begin to bring about a shift in brain function that makes longer term work easier.

Psychotherapy Networker’s Lauren Dockett speaks with Judith Matz about the paradigm shift she’s helped design around dieting and weight stigma.

By Martha Manning - My family is haunted by depression. My mother can trace it back in her family at least six generations. When it hits, it hits hard. My own battle with depression has focused on developing an understanding of the commonalities I share with my mother and grandmother, appreciating aspects of our shared legacies as some of the things I most valued in myself. Being haunted is not the same as being cursed.

In the following interview, ecotherapist Patricia Hasbach explains how practitioners can address the rise in eco-anxiety and depression.

By Lauren Dockett - In 2017, the American Psychological Association published a guide to the psychological impact of today’s grim environmental realities on clients and communities, and says therapists should expect to deal with increased levels of eco-anxiety, depression, fatalism, suicide, PTSD, and aggression as natural disasters increase. Their advice? Let clients acknowledge their sorrow and fears, and then help them find empowerment through action.

It can be difficult to leave your emotions in the consulting room at the end of the day, especially when a client's story is heartbreaking or horrifying. But being shadowed by a client's pain can leave you depleted and ultimately interfere with your ability to be present and effective in session. Jack Kornfield explains how to keep a wise and compassionate balance.

By Roy Clymer - My main objection to the way we understand and use PTSD is that it tempts all of us—providers, society, and veterans—to view the veteran as a victim. We owe it to veterans to give them a form of help that fully acknowledges their experience of unimaginable terror and horror. More than this, however, we must convey to them that they're affected, but not damaged, and they're capable of responsible, rather than simply reflexive, behavior.

By William Doherty - When I began my therapy practice, I was strictly neutral about divorce. It was the clients’ decision, not mine. But eventually, I was propelled out of my denial about the seriousness of divorce. We have a hundred ways to ask “What would be right for you?” and hardly any to ask “What would be right for others in your life?”

By Kristin Neff - An impressive and growing body of research demonstrates that relating to ourselves in a kind, friendly manner is essential for emotional wellbeing. More pointedly, research proves false many of the common myths about self-compassion that keep us trapped in the prison of relentless self-criticism.