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April Quandary: My Teenage Client’s Parents Say He’s Depressed, But He Disagrees!

Five Clinicians Give Their Take

Chris Lyford • No Comments

By Chris Lyford - Fourteen-year-old client Tyler’s parents brought him to therapy because they say he rarely engages with classmates or teachers, isn’t interested in extracurriculars, and heads straight to his room after school to play video games. They worry he’s depressed, but he’s mostly responsive in therapy and insists he’s happy. Here's how five therapists say they'd proceed.

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Dying as a Rite of Passage

There's a Gap Between How We Hope to Die and How We Really Do

Katy Butler • No Comments

By Katy Butler - There’s a gap nowadays between how we hope to die, and how we really do. More than three-quarters of Americans hope to die at home like their ancestors, but more than two-thirds die in hospitals, nursing homes, and other institutions. It doesn’t have to be this way. There’s a pathway to a peaceful, empowered death, even in an era of high-technology medicine.

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The Power of Expressive Arts

A Three-Part Process for Engaging the Body in Therapy

Cathy Malchiodi • No Comments

By Cathy Malchiodi - For thousands of years, humans have been turning to the healing rhythms of the arts to confront and resolve distress. Expressive arts therapy uses the body’s sensory and kinesthetic experiences as a foundation for the exploration of emotions and personal narratives.

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What Works with Teen Clients

Forget Everything You Know About the Therapeutic Alliance

Janet Sasson Edgette • No Comments

By Janet Edgette - It’s probably fair to say that most teens loathe the very idea of therapy. Yet, with confused and troubled adolescents needing our help more than ever, the gap between our grad school training and what works in real-life practice continues to widen.

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Managing Confidentiality

Three Things I Learned from My Small-Town Practice

Daniela Gitlin • No Comments

By Daniela Gitlin - When you practice in a rural town, sometimes it can feel like everyone is connected to each other. Instead of worrying about boundary and confidentiality violations, I've learned a strategy that embraces the dilemma instead of avoiding it.

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Increasing Access to Mental Health Care for Seniors

What Therapists Can Do to Help

Lauren Dockett • No Comments

By Lauren Dockett - American seniors suffer disproportionately from mental health issues and suicide. And many, these days, are having trouble getting the therapy they need through Medicare. Now, a bipartisan bill that could increase seniors’ mental health care options is being brought before Congress, and therapists can play a part in getting it passed.

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A New Year's Conundrum

A Stumped Therapist's Attempt to Help Two Parents Set Boundaries Has a Surprising Result

Ron Taffel • No Comments

By Ron Taffel - At 15, Jenny regularly breaks her curfew, flirts with drugs, and is getting close to being suspended from her Manhattan public school. Today, she and her parents are in my office discussing the latest issue: New Year’s Eve is coming up, and Jenny and her posse have plans.

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How Millennials are Changing Therapy

Staying Remembered in an Age of Fast-Talking and Fast-Forgetting

Ron Taffel • No Comments

By Ron Taffel - Millennials are asking that therapists offer a therapeutic version of the responsive immediacy and role-fluidity they expect at home and experience online. If the world is in the room, how does it change the therapy relationship? Given the constant noise and stimulation of contemporary life, we might begin by learning how to stay remembered between sessions.

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What Basketball Taught Me About Therapy

Learning to Stay in the Game with Challenging Clients

Barry Jacobs • No Comments

By Barry Jacobs - Basketball has taught me many lessons. I learned about trust, relationships, and teamwork. I learned the power to regulate feelings. It would shape my clinician's game too. I developed a knack for handling male aggression, as well as physical decline and loss.

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The New Realities of Dying

A Daughter Struggles with the Medical System's Epidemic of Overtreatment

Katy Butler • No Comments

By Katy Butler - Although many doctors assume that people want to extend their lives, many do not. I believe that my father’s doctors did their best within a compartmentalized and time-pressured medical system. But in the absence of any other guiding hand, there is no doubt that economics helped shape the wider context in which doctors made decisions.

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