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November Quandary: My Client Hasn’t Paid Me but Still Wants to Meet!

Five Clinicians Give Their Take

Chris Lyford • 12/8/2018 • No Comments

By Chris Lyford - Carla has been seeing her therapist for almost six months. She’s been good about paying for sessions in the past, but she recently lost her job, is short on cash, and has missed her last five payments. She still wants to see her therapist weekly, but says she’s unsure when she’ll be able to pay in full. This isn't sustainable for him. Here's how five therapists say they'd respond.

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What Basketball Taught Me About Therapy

Learning to Stay in the Game with Challenging Clients

Barry Jacobs • 11/16/2018 • 1 Comment

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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VIDEO: Dafna Lender on Harnessing Your Social Engagement System

Strategies for Building the Therapeutic Alliance More Easily

Dafna Lender • 11/7/2018 • No Comments

We all know therapists who seem magically able to establish a powerful sense of trust and connection with even the most distrusting clients. But are there specific behaviors common to exceptionally gifted therapists that we can study, practice, and cultivate?

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October Quandary: My Clients and I Use the Same Dating Apps!

Five Clinicians Give Their Take

Chris Lyford • 11/6/2018 • 1 Comment

By Chris Lyford - A therapist recently joined a few online dating apps after finding herself newly single. She's seen several clients come up in these apps, and suspects they've seen her too. This puts her in an awkward position with these clients. Here's how five therapists say they'd tackle the situation.

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When Stagnation Sets In

Getting Off the Therapeutic Plateau

William Doherty • 10/17/2018 • 1 Comment

By William Doherty - Why do we get stuck in "Groundhog Day therapy"—cases in which we spin our wheels from session to session? Before lurching on to alternative treatment strategies, the key to progress is recognizing the need to shift the therapist–client relationship.

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When Your Client Drops a Last-Minute Bombshell

Four Common Scenarios and How to Handle Them

Daniela Gitlin • 10/6/2018 • 2 Comments

By Daniela Gitlin - When clients drop “bombshells” in the last few minutes of a session, it can be hard to end on time. Here's a framework for not only handling these unexpected moments, but welcoming them.

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August Quandary, Part Two: My Client Keeps Checking His Phone!

Five More Clinicians Give Their Take

Chris Lyford • 9/18/2018 • 1 Comment

By Chris Lyford - Our last Clinician’s Quandary received an overwhelming number of responses. Here are a few more that didn’t make it into Part One but offer other useful perspectives on addressing this tricky clinical scenario.

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August Quandary: My Client Keeps Checking His Phone During Sessions!

Five Clinicians Give Their Take on This Tricky Clinical Scenario

Chris Lyford • 9/7/2018 • 3 Comments

By Chris Lyford - Jonathan is in his 30s and struggles with intimacy, which is why he came to therapy. Sometimes during sessions, he checks his phone for emails or updates, even though his therapist has asked him not to. She suspects Jonathan's phone use may be affecting his “real life” relationships, but he insists it’s not a problem. Here's how five therapists say they'd tackle the situation.

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Why Are Narcissists So Hard to Treat?

How and When to Push Back

Wendy Behary • 8/17/2018 • 7 Comments

By Wendy Behary - Narcissists are notoriously difficult clients. The key to working with them is being direct about the roiling emotions they trigger in us, and remembering that their self-aggrandizement almost always covers up painful longings for true connection, intimacy, and a sense that they’re "good enough."

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What Comedians Can Teach Us About Therapy

A Comic-Turned-Therapist's Guide to Dealing with Unruly Clients

Kirsten Lind Seal • 8/16/2018 • 2 Comments

By Kirsten Lind Seal - Before I became a therapist, I spent 20 years as a professional performer, during which time I was a regular at standup comedy clubs. Many of the skills I learned as a performer have proven readily transferable to therapy, namely the skill of using humor to defuse tension, create alliance, and challenge what we often call resistance in difficult clients.

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