Clinical Skills & Experience

My Nightmare Client, My Greatest Gift

Sometimes Our "Worst" Clients Are Our Best Teachers

My 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

Psychotherapy Networker

A 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 Clients

Let'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

Sandra 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 Up

Our 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 Stroll

What 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 Stress

Adapting mindfulness practices for young kids can be as easy as ABC. Read more

The Family Album

Growing Up in the Shadow of Depression

A 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 Pitfalls

When 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 Clients

Although 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 Moment

Of 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

Psychotherapy Networker

A 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 Self

At 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 Therapy

What to do about addressing microaggressions in therapy. Read more

Have we unfairly pathologized clients diagnosed with borderline personality disorder? Read more

Psychotherapy Networker

A 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 Connect

Back 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 Boundaries

I 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 Today

Therapists 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 Change

Do 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 Practice

Some 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 Real

A 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

Psychotherapy Networker

Diedre 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-Discovery

Although 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 Diagnosis

Pioneering 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