Case Study
The Remarriage Triangle
Working with Later-Life Recouplers and their Grown ChildrenTherapists need to be prepared to go against the conventional clinical wisdom in helping later-life recouplers and stepfamilies handle the unique challenges... Read more
A Cure for the Yips
Brainspotting and Performance BlocksTraumatic experiences are often the root of athletic and other kinds of performance blocks. Read more
It’s Not about the Diet
Building a healthy relationship with foodToo often both clinicians and clients fall into the trap of pursuing weight loss as a therapeutic goal. Read more
The Challenge of Open Relationships
Can They Ever Work?While many therapists are skeptical of open relationships, some believe that, with the right couple, they can work. Read more
Rediscovering Happiness
The Use of Positive Childhood Triggers in PsychotherapyTo create deep change, we need to help people mine the sources of intense pleasure in their lives, wherever they may find them. Read more
Knowing When to Push
Balancing Safety and ChallengeWhen a client has been sexually abused, it can be difficult to find the balance between creating safety and challenging old patterns. Read more
The Mindfulness Explosion
The Perils of Mainstream AcceptanceBy replacing the exotic aura of spirituality with the language of science and a down-to-earth self-help approach, mindfulness has brought practices once... Read more
Creating a Sacred Space in Therapy
A Conversation with Jack KornfieldOpenness to the larger mystery of our lives can deepen the therapeutic encounter. Read more
Voices of Reason
Empowering clients to alter their internal experiencesThe case of a young man hearing voices shows how even problems that first appear to be extreme can be resolved by empowering clients to alter subtle aspects of... Read more
A Brief History of Anxiety
The Invention of a Modern MalaiseLife today is, in many ways, easier than it used to be. Therefore, shouldn’t we be less anxious than we once were? Read more
Get Out of My Life!
Working with Cut-off Family Members in the Consulting RoomHelping families heal cutoffs is painstakingly delicate work, with a high risk for stumbling over buried land mines. Read more
Questions of Gender
A therapist struggles with the clinical choices he’s madeA therapist takes an unflinching look at a puzzling case that spanned 14 years, wondering if he made a wrong turn. Read more
Letting Go of Hate
How to help clients change unconscious responsesMany well-intentioned therapists have suggested that their clients just “let go” of hate, as if it were a heavy load that they could simply drop to the... Read more
Rush to Judgment
Beware of the ADHD diagnosisPart of the epidemic of misdiagnosed ADHD in young children today results from a failure to understand how trauma often leads to difficulty learning in school. Read more
Whose Therapy Is It Anyway?
When Your Client Is Uncommitted to ChangeWhen we find ourselves haunted by a particular case, it may mean that we’re more invested in the client making changes than the client is himself. Read more
The ACE Studies: Calculating the Effects of Child Abuse
How the Effects of Child Abuse Have Become the Biggest Public Health Issue in AmericaSince the publication of DSM-IV in 1994, a massive body of neurobiological research has accumulated, revealing how protracted childhood abuse and neglect can... Read more
When Couples Therapy Causes Emotional Pain
Coming to Terms with Inflicting Emotional Pain in Order to Provide Good Couples TherapyWe don’t become therapists to inflict emotional pain, but eventually we learn that sadness, anger, shock, and disillusionment can be part and parcel of... Read more
Rewriting the Story
Entering the World of the Abused ChildTherapists must offer abused children a different felt experience of who they are. Read more
Facing a Fear of Confrontation in Couples Therapy
When Couples Issues Hit Close to Home, Moving Forward Means Putting Aside the Fear of ConfrontationWe frequently need to confront our clients, and putting aside a fear of confrontation—not to mention a fear of losing clients—means that we must risk the... Read more
The Black Shadow
Facing the Taboo Issue of Race in the Consulting RoomRaising the issue of race in therapy can help African American clients connect their personal struggles to an enduring cultural legacy that many insist isn’t... Read more
Evoking the Inner Artist: September/October 2013
How to Replace Pathology with CreativityWhen clients feel blocked, therapists can help them tap their inner artist and view feelings of vulnerability, doubt, and fear as part of a creative... Read more
Life After Betrayal
Getting Past the Victim IdentityWhen working with clients who’ve experienced an intimate betrayal, it’s important to empower them to move beyond a victim identity. Read more
When Therapy Is Going Nowhere
Escaping the “Groundhog Day” CycleWhen we’re spinning our wheels from one session to the next, the key to progress often lies in shifting the therapist-client relationship. Read more
Women Who Cheat
Understanding the Message of the AffairFar from being evidence of marital bankruptcy, a woman’s affair can be a way of expressing a desire for a different self and an opportunity to breathe life... Read more
Suffering and the Quest for Wisdom
A Dark PassageThere’s something about healing from the deep emotional suffering that feels like death and rebirth—not the quick kind that some claim to receive in... Read more
Sex, Lies, and the Long Road Back
Recovering from an Extramarital AffairHealing from an extramarital affair is rarely a simple process, especially when embarrassing sexual secrets and incompatibilities are exposed. Read more
Treating the Dissociative Child
The Road Back from the Ultimate Loss of SelfFew cases offer as eerie a therapeutic challenge as a suddenly noncommunicative child, lost in a dissociative shutdown. Read more
Being Meryl Streep
Learning to Distinguish Behavior from IdentityA therapist uses a Hollywood analogy to help a client learn an important lesson about distinguishing behavior from identity. Read more
The Coaching Edge
Helping Our Clients Take Their Best ShotThere are advantages to integrating an in-depth understanding of traditional therapy with a more coaching-oriented style—but therapists shouldn't lose sight... Read more
How to Heal the Angry Brain
Mad MenMen with anger problems are generally highly reluctant clients who come to our offices only because they’ve gotten “the ultimatum” from their wives... Read more