The Field

Editor's Note: March/April 2025

Understanding PDA, High-Masking Clients, and Neurodivergent Burnout

Putting together this issue has changed me. And I hope it helps all therapists update their understanding of the wide spectrum of neurodivergence, and the... Read more

The Wilderness Therapy Controversy

Lifelong Trauma or Lifesaving Treatment?

An unflinching look into a shadowy corner of the for-profit troubled teen industry: wilderness therapy. Read more

Is Therapy Slipping into Pseudoscience?

Recognizing the Warning Signs

Are we doing enough as clinicians—and as a field—to ensure we’re using truly science-based treatments? Read more

Unlearning Behaviorism

The Mindshift of PDA-Informed Care

Tried-and-true behavioral strategies have been failing spectacularly in households with Pathologically Demand Avoidant children. Helping PDA families feel safe... Read more

Inside The PDA Safe Circle

Supporting Vulnerable Nervous Systems in Chronic Distress

Vulnerable nervous systems that are in chronic distress require a unique approach to understanding and creating a felt sense of safety. Read more

The Transgender Community in Crisis

Confronting the Political Erasure of Trans and Nonbinary Identities

The impact of a series of executive orders targeting trans and nonbinary people has been immediate and devastating. How can therapists help? Read more

Healing a Lifetime of Neurodivergent Trauma

Accommodation, Validation, and Autistic Attunement

For many Autistic people, the trauma they carry is a result of society treating them like broken neurotypicals. Neuro-affirming care begins with providing... Read more

What Not to Do in Neuro-Affirming Intakes

And What You Should Always Do

Neuro-affirming intakes need to begin with doing no harm. Read more

Autism and Disordered Eating

What You May Be Missing and Misdiagnosing

The overlap between autism and eating disorders is poorly understood, even by many eating disorder specialists. Read more

Neurodiverse Couples Therapy

The Truth about Relationships through a Neurospicy Lens

Couples therapy was designed for neurotypical people—yet we know that neurodivergence is everywhere. How can we better identify, help, and support... Read more

Today's Autism and Teens

Grappling with Identity, Belonging, and Self-Acceptance

When it comes to teens who’ve found belonging and understanding in the autism community, our job is more about validating than diagnosing. Read more

Forging a Multicultural Identity

How to Move from Isolation to Fusion

How can we help our clients work through the inner torment of trying to occupy two cultural identities at once when they don’t fully feel they belong to... Read more

IFS and Addictive Processes

Bridging the Gap Between Psychotherapy and Recovery

When therapists fail to recognize that the primary goal of addict parts is to protect clients, they may end up getting sidetracked—or worse, causing... Read more

7 Benefits of Concurrent Couples Therapy

Revisiting an Underappreciated Approach

Concurrent couples therapy has advantages over conjoint therapy that get overlooked by many therapists. Discover 7 ways concurrent couples therapy can improve... Read more

Supercharging Art Therapy with AI

A Surprising New Tool to Enhance Trauma Healing

Using AI art therapeutically is still a novel idea in the field of art therapy. For clients wary of traditional forms of creative expression, it allows them to... Read more

Editor's Note: January/February 2025

Spirituality and Psychotherapy

Many therapists have been trained to avoid exploring people’s religious or spiritual beliefs, lest they accidentally question them or unknowingly pull at the... Read more

The Beauty of Longing and Melancholy

Susan Cain Celebrates the Sensitive Client

"Bittersweet" invites us to better understand and celebrate the wistful, sensitive people in our lives—and in our therapy practices. Read more

Treating the Trauma in Religious Trauma

Body-Based Healing for Faith-Based Harm

High-control religions can disconnect people from themselves—and somatic therapies are the key to helping them heal. Read more

5 Therapy Trends to Watch in 2025

The Future of Diagnosis, Trauma Treatment, Psychedelics, and More

These hot takes from Steve Hayes, Nadine Burke Harris, Ruth Lanius, and others will keep you informed and prepared for what's changing in the field of... Read more

The Spiritual Therapist

Healing and the Secular Priesthood

Most therapists don’t shy away from discussing charged topics like sex and drugs. But religion and spirituality? That’s a different story—one that a... Read more

When Clients Ask for Session Notes

Tips for Navigating a Legal Gray Zone

Few things can spook therapists as much as emails from former clients requesting session notes for a legal proceeding, but handling these requests thoughtfully... Read more

How Do You Know if You're a Culturally Responsive Therapist?

Measurement-Based Care with Diverse Clients

Evidence-based tools can help us embrace our clients' feedback, greatly increase our cultural competence. and improve therapy outcomes. Read more

Terry Real Responds to Trump’s Reelection

Facing the Reality of Patriarchal Dominance

The Founder of Relational Life therapy Terry Real offers his reflections on how to make sense of Trump's reelection, and what we can do to promote an... Read more

Therapists Are Superheroes

Seven Ways We Go Above and Beyond

Therapists may not don red capes, or travel faster than a speeding bullet, but that doesn’t mean we aren’t superheroes in our own right. We occupy a... Read more

Is Climate Change an ACE?

The Global Neglect of Our Children’s Future

How do we empower kids in the midst of big environmental challenges? Read more

Will Space Aliens Get Therapy?

A Cosmic Perspective on Home

Maybe it’s time for therapists and planetary scientists to hang out more. Read more

The Cultural Competence Dilemma

How Much Can We Rely On a Shared Identity with Clients?

Black Men Heal’s therapy outcomes are defying the odds—and raising questions about what it means to be truly culturally competent. Read more

Sue Johnson changed the field, creating a ripple effect of healing that continues to transform countless relationships. In a mosaic of anecdotes drawn from the... Read more

Bessel van der Kolk: 'There's More to Life than Trauma'

The Question You Should Be Asking In Session

From his Symposium workshop, Bessel van der Kolk singles out the one question therapists should be asking their traumatized clients. Read more

In the Weeds

The Costs of Believing the Cannabis Hype

The U.S. cannabis industry has created a market worth up to 35 billion dollars, in part by convincing the public that THC is medicinal and safe. Are the people... Read more