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The Challenge of Harm Reduction

Changing Attitudes Toward Addiction Treatment

September/October 2019
Until they’ve done the challenging and sometimes painful work in therapy, many people can’t even begin to imagine curtailing their drug use. For them, therapy is a before, not an after; and their engagement in therapy, rather than their abstinence, is the primary goal of treatment.

Case Study

The Biotech Dragon: A Kid-Friendly Approach to Self-Regulation

July/August 2019
Engaging kids in talk therapy is often a frustrating struggle. So what happens when you introduce a video game and some cool bioresponsive tech?

Kindling the Spark

The Healing Power of Expressive Arts

March/April 2019
Aliveness is not an experience we think or talk ourselves into; it’s a state of being we feel in our bodies. An expressive arts therapist shows how creativity, movement, and play can help traumatized clients find their way toward vitality and healing.

Therapy’s Psychedelic Renaissance

A Different Kind of Healing Journey

September/October 2018
It’s been nearly 30 years since SSRIs came on the scene, but despite their ubiquity and pairing with a variety of talk- and body-centered treatments, the rates of PTSD, depression, and anxiety are soaring. Could the ineffable insights and experiences of psychedelic drugs revolutionize the practice of psychotherapy?
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Chronic Pain Reconsidered

A New Role for Therapists

September/October 2018
Only one percent of patients suffering from acute back pain have a significant structural abnormality in their back, and a remarkably low percentage of back surgeries are successful. A physician inspired by the pioneering work of physician John Sarno describes his journey to develop a radical alternative to standard medical interventions with chronic pain.
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In the Shadow of Depression

How Can We Manage to Stay Well?

July/August 2018
Most clinicians know that if a person has suffered one bout of serious depression, he or she is much more vulnerable to another one. But most therapists still don’t address a vital question with their clients—how can they stay well once their most recent bout of misery has ended and they’ve left therapy?
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Editor's Note

January/February 2018

January/February 2018
Three decades ago, doing therapy was a relatively uncomplicated affair. After graduate school, you set up shop as a family therapist, a psychodynamic healer, or a cognitive-behavioral specialist. Whichever model you adopted, you were likely to see yourself as firmly in charge of the process, with your client (or “patient”) following your lead. You, after all, were the expert. Few clinicians felt the need to explain how therapy was going to proceed, or if, indeed, it would even work. It’s a different world now.
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Therapy and Transformation

What Are We Promising Our Clients?

January/February 2018
Decades ago, trainees in our field were imbued with the notion that therapy was about transformation: big, dramatic changes in the direction of self-actualization. Was this an overpromise? And now, when the average length of therapy in the United States is less than eight sessions, is it even desired by clients anymore, or necessary for successful therapy?
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Who's Steering the Boat?

Navigating Therapy with Today's Clients

January/February 2018
Today’s clients are shifting out of their customary position of mannerly deference and asserting far more specifically what they want—and don’t want—from therapy. Increasingly, therapists are moving from the role of acknowledged expert in the room to something approaching an informed colleague. For some, it’s a sea change in professional identity, but a growing body of evidence suggests it pays off.

Clinician's Digest

Did England's Ambitious Mental Health Care Experiment Deliver?

January/February 2018
Nearly a decade ago, England embarked on one of the largest expansions of mental health care in modern history. What can be said of the outcome of this bold experiment?
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