Clinician's Quandary
Addressing Vicarious Trauma
Five Clinicians Weigh InA new client who survived a harrowing car crash is going through a deep depression. When she recounts her story, her therapist feels unusually affected, as if... Read more
How Do I Bring Up My Client’s Rigid Perfectionism?
Five Clinicians Weigh InA client sees his perfectionism as an advantage, even though it ramps up his anxiety, exacerbates his sense of shame, and keeps him living a very rigid life... Read more
Addressing the Idea of Meds with a Depressed Client
Five Clinicians Weigh InSandra has been struggling with depression for many years. A psychiatrist has prescribed her an antidepressant, but she’s told her therapist she doesn’t... Read more
Will a No-Suicide Contract Help My Client Stay Safe?
Four Clinicians Weigh InA new clinician is working with a client who’s expressed some suicidality at times. She's worried about him and thinks it might be a good idea to have him... Read more
How Do I Get Clients to Engage in Work Between Sessions?
Five Clinicians Weigh InA therapist recommends exercises like journaling prompts and guided mediations that she feels would benefit her clients between sessions. Although they seem... Read more
I’m Feeling Burned Out
Five Clinicians Give Their AdviceRecently, a therapist has found herself losing steam. She mentally checks out when clients are talking, and constantly feels exhausted. She worries this... Read more
My Client Ghosted Me
Five Clinicians Give Their TakeSara had been attending weekly therapy for three months. Her therapist thought they'd developed a strong bond, but Sara has missed her last two sessions. Her... Read more
Is It Ever Okay to Break Confidentiality If I Know My Client Is Dating an Abuser?
Five Clinicians Give Their TakeDiedre was widowed about three years ago, but was excited to tell her therapist about a man she's started dating. She's very happy. As her therapist heard... Read more
My Teenage Client’s Parents Say He’s Depressed, But He Disagrees
Five Clinicians Give Their TakeFourteen-year-old client Tyler’s parents brought him to therapy because they say he rarely engages with classmates or teachers, isn’t interested in... Read more
My Client is Being Bullied and Her School Won’t Help
Five Clinicians Give Their TakeRaisa is a sophomore in high school, and tells her therapist that the girls in her class are bullying her with insults like “slut” and “whore.” Her... Read more