At one time in my career, I’d have considered divorce as an outcome of therapy to be a failure—by the couple and by me. But over the years, I’ve learned to think of it as another opportunity to help. I’ve learned that I can help couples end their union in as thoughtful and pragmatic a way as possible. In other words, both partners can come through the experience with their dignity intact, their sanity whole, and in a greater spirit of cooperation and goodwill—attributes they’ll need as they continue to share responsibilities for their investments, their interests and their children.

Who has time to change the world when we already have our hands full trying to make a living and get through the obstacle course of a normal work week? It's not impossible. I now spend several months each year working in remote regions of Nepal, helping lower-caste girls, who are at the greatest risk of being forced into early marriage or trafficked into sex slavery, by making it possible for them to attend school. It's when I'm here that I feel most alive, and at least for the few months after I return, I feel a new clarity and focus about what's most important.

As a practice-building coach for the last seven years, I've met a lot of therapists who are working hard to implement marketing strategies that just don't work in today's therapy environment, although they worked well in the past. So what's changed? One word: the Internet. If the Internet continues to grow in importance as a communication and information medium, as it almost certainly will, it'll increasingly be the most effective way for you to attract clients. So how do you create a web presence? Here are a few possibilities.

Psychotherapy as we know it came out of the particular cultural milieu of the mid- to late-20th century. But the culture has moved on, and we haven’t adapted very well. As a result, we’re suffering the same fate as many other professions that have declined in their cultural support and public clout. Many of us are practicing in another century for another culture. It’s still unclear what we have to offer in a world that’s both hyperconnected and fragmented. What to do? Here’s a road map to a future of relevance.

I live in a small city in Upstate New York, and most people in town know somebody who knows me, my husband, or one of our four engaged and energetic sons. Despite all this, I managed, for two decades, to maintain (in my own mind, at least) a fire wall between my personal and professional lives. In the consulting room and the classroom, I worked to present an air of calm worldliness, an expert with the answers to all sorts of painful therapeutic and family dilemmas. Until one day, I was caught being myself, and everything changed.

Marianne Walters didn't invent a brilliant new therapeutic paradigm, publish a large and magisterial body of research, or establish her own unique school of clinical practice. Yet Walters probably had as great an impact on the overall clinical zeitgeist of family therapy as any of the master theory-builders and gurus. Along with her three comrades in arms---Betty Carter, Peggy Papp, and Olga Silverstein---she formed The Women's Project in Family Therapy in 1977, once called "the first, biggest, longest-running feminist road show." It was a combination feminist think tank and SWAT team, which, in public workshops all over the country, challenged the underlying sexism in some of the most basic notions of family therapy.

How do you create an atmosphere that your teen clients will value rather than resist? According to Ron Taffel, teens are looking for authenticity. When they find the real thing, they’ll engage.

Many therapists define the type of therapy they practice by taking a head count: if one person is present, they're practicing individual therapy; if two or more people are present, it's couples or family therapy. I believe this is misguided. The key to determining which brand of therapy is in use at any given point lies in the therapist's orientation and focus, not the number of people occupying space in the room. In contrast to therapists who question the value of doing couples therapy with individuals, this approach is often my method of choice for a variety of reasons. I find it can empower people by showing them that they no longer have to play the waiting game of "I'll change if you change first." Instead, they find themselves back in the driver's seat of their own lives.

After 22 years, I can still see Amy sitting there, cross-legged, with her arms folded across her chest. This case had been emotionally devastating for me. Amy began calling me at home. Then she began making hang-up phone calls, started cutting her wrists again and threatened suicide. Years after terminating therapy with Amy, she called me again, begging for me to treat her. I agreed. She was caught in the vortex once more and, like a complete fool, so was I.

In previous decades, we came to see sexism and racism as problems we could no longer ignore in our work. I have a nomination for the problem of this decade: for many kids, childhood is becoming a rat race of hyperscheduling, overbusyness, and loss of family time. The problem is all around us, but we haven't noticed how many of our children need daily planners to manage their schedules of soccer, hockey, piano, Boy Scouts and Girl Scouts, baseball, football, karate, gymnastics, dance, violin, band, craft clubs, foreign-language classes, academic-enrichment courses, and religious activities. Parents have become recreation directors on the family cruise ship.