"In one session, she said that her life outside of therapy was going great, and seeing me was her main problem."

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.

Have we unfairly pathologized clients diagnosed with borderline personality disorder?

As therapists, our job is to do our best for our clients. But even our best efforts can’t always ensure that therapy will help, or even that we don’t do harm.

How do you work with a client who intentionally tries to break every rule of therapy, spoken and implicit?

The pandemic continues to strain small addiction clinics and their struggling clients.

An expert on narcissism discusses how to help clients get clear about gaslighting and other abuses in their relationships.

Although it’s never been easy to take oh-so-familiar systems principles and put them to work in real life, the devastating sweep of the pandemic has made collaboration between schools and therapists more important than ever.

Self-harm is not a culturally specific phenomenon, but it’s often misunderstood and overlooked in Black children by a society that forces them to grow up faster than white children.

Building a relationship with heavily armored, developmentally regressed, profoundly sad adolescents is no small feat. They don’t exactly let you in the front door.