Challenging Cases & Treatment Populations

Terry Real on Achieving Breakthrough Results with Difficult Men

Transforming Behaviors by Facing Narcissists, Bullies, and Avoidants Head On

Learn how to work with narcissists, bullies, avoidants and other difficult male clients with leading expert Terry Real. Read more

Covert Narcissism Unmasked

What Are We Really Treating?

A covert narcissist’s eagerness to share their suffering can make them feel like ideal clients. And that’s what’s so vexing for clinicians. Read more

Are You A Conflict-Avoidant Therapist?

Harnessing Antagonism in the Therapy Room

For therapists who shy away from confrontation, harnessing their reactions to an antagonistic client in clinically useful ways may require learning new skills... Read more

Harry Ayling

A therapist must abandon his treatment plan to provide mental health services to the homeless population. Read more

Clinician's Quandary December 5, 2022

When Medication Gets in the Way

Listening, Collaborating, and Helping Clients “Choose Their Own Adventure”

"One of my clients takes prescription medication for anxiety and often complains about the negative side effects. I can’t help but feel it’s getting in the... Read more

Clinician's Quandary October 26, 2022

How Do I Make Therapy Stick?

Creating a Vision, Building Momentum Between Sessions, and More

Sure, your clients may find therapy helpful. But do they find it memorable? How can we get clients to retain all the wonderful information they learn in... Read more

Therapy for People Living with Dementia

Creating Possibilities for Clients and Their Families

With an estimated 6.2 million Americans in need of mental health support tailored to the challenges of dementia, why are so few therapists working with them? Read more

A Feeling of Fullness

Reflections on Therapy with Kids in Foster Care

With plenty of misconceptions about treating traumatized children, one clinician shares why it's a chance to help them share their stories and a personal... Read more

Clinician's Quandary July 27, 2022

The Narcissistic Client

Four Ways to Break Through

Whether it's vanity, a failure to take constructive criticism, mistreating family and friends, or lacking empathy for others, clients with narcissistic traits... Read more

Three Myths About Domestic Violence

…And How Social Media is Changing the Way Clients Think About It

Before talking to your own clients about domestic and intimate partner violence, here are three myths you should know about. Read more