Clinical Skills & Experience
My Nightmare Client, My Greatest Gift
Sometimes Our "Worst" Clients Are Our Best TeachersMy young client, Brian, can reduce even confident mid-life adults to an infantile puddle, one provocative comment at a time. He's a therapist's nightmare... 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
VIDEO: Handling Microaggressions in Therapy
An Eight-Step Process for Talking About It With Your ClientsLet's say your client lets a microaggression slip during a session. Do you bring it up? Therapist and author Anatasia Kim shares her eight-step process for... 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
In Search of the Perfect Office
A Therapist Moves On UpOur offices don’t make people well, but they extend an invitation. They provide a comforting consistency in the midst of hard, often unsettling work. So a... Read more
Walk and Talk
Psychotherapy Takes a StrollWhat if a park bench was your waiting room, and nature your co-therapist? A growing group of practitioners, who stroll with their clients not just every once... Read more
ABCs of Mindfulness
Helping Children Manage StressAdapting mindfulness practices for young kids can be as easy as ABC. Read more
The Family Album
Growing Up in the Shadow of DepressionA troubled father casts a mysterious shadow over a little girl’s world. Read more
The Do's and Don'ts of Self-Disclosure
Avoiding Ethical PitfallsWhen I've asked people who've gone to therapy what was most helpful, again and again, they've described times when their therapists shared something about... Read more
Self-Compassion for Painful Emotions
An Eight-Step Practice for Parents“I’m so distressed,” Stephanie said, immediately reaching for the box of tissues in our first session. “I’ve never felt this much sadness in my... Read more
VIDEO: Learning to Draw the Line
A Special Story about Working with Difficult ClientsAlthough it’s not usually acknowledged, change in the consulting room goes both ways. Even as they help clients wrestle with their issues, it’s the rare... Read more
VIDEO: Crossing to Safety
A Master Clinician Shares Her Most Therapeutic MomentOf all the meaningful sessions that take place in a therapist’s career, what makes certain ones stand out? Sometimes, it’s taking creative leaps in... 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
VIDEO: Bill Doherty on Deepening Our Therapeutic Vision
The Importance of Cultivating a New Kind of SelfAt the 2016 Psychotherapy Networker Symposium, Bill Doherty offered his take on how psychotherapy can reassert its cultural relevance by deepening its vision... Read more
When to Speak Up
Handling Microagressions in TherapyWhat to do about addressing microaggressions in therapy. Read more
The Problem with the Borderline Diagnosis
Getting Beyond the LabelHave we unfairly pathologized clients diagnosed with borderline personality disorder? 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
Moving in Our Own Way
A Catatonic Client Teaches a Dance Therapist What It Means to ConnectBack in 1979, I was a young dance therapy intern at St. Elizabeth’s, the country’s first federally operated psychiatric hospital, which opened in 1855. St... Read more
Confessions of a Former People Pleaser
The Radical Act of Rethinking Your BoundariesI used to view boundaries as a fancy way of dressing up rejection, incompetence, and selfishness. But after a decade of working as a couples counselor, I've... Read more
Craving Device-Free Attention
Technoconflicts in Families TodayTherapists are used to adolescent girls grumbling about their hovering, overinvolved parents. But these days, many have a new complaint—technoference in the... Read more
VIDEO: David Burns on Overcoming Resistance
Exploring Why Clients Might Not Want to ChangeDo you have a client who you can't seem to help, no matter what techniques you try? In this brief video, master clinician David Burns—one of the developers... Read more
Working with Difficult Men
Where’s the Leverage for Change?The conflict between an older, more traditional view of masculinity and a newer, more progressive one is the underlying issue in many marriages today. Helping... Read more
Therapists in a Fishbowl
The Challenges of Small-Town PracticeSome down-to-earth advice on practicing in a small town, where there’s no way to escape being seen and talked about. Read more
Mondays With My Girls
Lessons in Being RealA group of preteen girls in a long-term shelter teach a budding therapist some unexpected lessons about the true meaning of resilience and the power of... 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
When Therapy Changes the Therapist
Five Tales of Self-DiscoveryAlthough it’s not usually acknowledged, change in the consulting room goes both ways. Even as they help clients wrestle with their issues, it’s the rare... Read more
Piercing the Illusion of Intimacy
From Symposium Storytelling Evening 2019“Whoops,” I said, thinking this was a lighthearted moment. “Looks like you should’ve gone with that other psychologist.” But Ted didn’t joke back. Read more
Learning to Draw the Line
From Symposium Storytelling Evening 2019"In one session, she said that her life outside of therapy was going great, and seeing me was her main problem." Read more
What Greg Taught Me
From Symposium Storytelling Evening 2019"Even though I’d been out as a gay man for decades, I still felt disgust at my erotic interests. Although several therapists over the years had told me I... Read more
The Politics of Mental Health
The Story of the PTSD DiagnosisPioneering trauma specialist Bessel van der Kolk took aim not only at the politics within the therapy field that determine what diagnoses get into the DSM, but... Read more