Turning Therapy Inside Out

Turning Therapy Inside Out

What is therapy anyhow? When I put this question to clients, they usually mention talking, personal problems, and solutions, which everyone seems to assume lie within you. The insurance companies that pay me would ratchet up the definition to specify medical problems...
Payback?

Payback?

It is tempting to go for payback when someone disses you. If you cut me dead on the street last week, or failed to respond when I as a neighbor asked for your help, the angry part of me might have wanted to hurt you. How could you do this to me? I probably wondered. A...
Psychotherapy, Coaching, and Skateboards

Psychotherapy, Coaching, and Skateboards

Recently an alternative healer suggested that further training as a personal development coach could make me a far more effective therapist. This well-intentioned advice puzzled me, especially since the healer did not know my work.  How does what I do differ from...
The Upside of Anxiety

The Upside of Anxiety

The passage from winter into spring can be a tough time: problems at work, family with cabin fever, hostile winter weather clasping the earth in a viselike grip, and the approach of April 15, the dreaded deadline for Americans’ filing of income taxes—all hard, bad...
On Becoming a Psychotherapist

On Becoming a Psychotherapist

As a psychotherapist in solo private practice, I don’t see too many people outside of work. It’s not that I’m socially phobic or antisocial—I’d be in the wrong profession if I were—but that I work at times when other people play. When evenings and Saturdays roll...
Anxiety, Control, and Taking Charge

Anxiety, Control, and Taking Charge

Many people come to see me in hopes that I can help them get rid of their anxiety. But as Irvin Yalom wrote in his wonderful book Existential Psychotherapy, anxiety comes with being human. You can’t erase it. You can manage it. In fact we all do so—by finding ways to...
Talk Therapy: Who’s on First?

Talk Therapy: Who’s on First?

What do people want from therapy? Any solution depends on how the problem is defined, of course. The question you ask determines the answer you get.  We therapists must all assess before we treat. When they take a history, social workers factor in each person’s life...
I Can’t Help It

I Can’t Help It

As a psychotherapist, I work in a “helping profession.” It’s a label that many people swallow whole, without chewing. But what does it even mean? Most people think professional caregivers focus not on making money but on serving others. Still, help is in the eye of...
What My Clients Have Taught Me

What My Clients Have Taught Me

I chose psychotherapy as my work in the world because it lets me imagine how it might have felt to be born as someone else. I feel privileged to hear other people talk about their lives. My hours of listening have taught me many things. Most of us licensed therapists...
When Do Habits Become Bad?

When Do Habits Become Bad?

No matter how you think or feel, the Diagnostic and Statistical Manual seems ready to produce evidence that something is wrong with you. Obsessions and compulsions are a case in point. Ever find yourself plagued with a thought or a worry? It’s as if a bar of music had...
A Psychotherapist, a Psychiatrist, or Both?

A Psychotherapist, a Psychiatrist, or Both?

Most people come to see me for help not with serious mental illness but with problems dished out by the school of hard knocks. On a first visit we scope the territory, I set up a mental database, and we set goals for our work together. No matter what the issues are,...
How I Do Therapy with Children

How I Do Therapy with Children

You are worried that something is wrong with your child. Perhaps worse, you doubt your own ability to fix it, and so you are bringing your child to see me, a therapist. It seems only fair, under the circumstances, that I should tell you up front what I can do for you...
Ten Reasons to Fire Your Therapist

Ten Reasons to Fire Your Therapist

Back in the days before I became a therapist, I went to see therapists. Lots of them. Over a period of decades. Most of them have all but vanished from memory. I got nothing out of most of the sessions. So why did I keep on going? My mother died when I was twelve. I...