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Against the Odds

On the Front Lines of Inner City Social Work

Howard Honigsfeld

By Howard Honigsfeld - As a school social worker in a South Bronx elementary school, the kids I see have a vast range of personal, social, economic, and medical issues. With so much stacked against these children, what can a school counselor do? The rewards of time, dogged persistence, and ordinary kindness in a supportive school environment can work their own kind of wonders.

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When Helping Doesn't Help

What to Do When Your Client Doesn't Want to Change

David Burns

By David Burns - What if a client's resistance to change reveals something positive, beautiful, and even healthy about them—something that we’ve overlooked? If we can learn to put unconscious resistance front and center in our clinical work, we can lessen or even eliminate our clients’ resistance altogether.

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VIDEO: Helping Kids Find the Answers Inside

Here's a Fun Exercise That Gets Your Young Clients Involved

Charlotte Reznick

Wouldn’t it be great if we had a magic therapy wand to wave in front of our young clients and give them all the answers they need? What if this magic wand could conjure rainbow lizards and talking dogs to sit on our clients’ shoulders, bypass their defense systems, and whisper good, therapeutic advice in their ears? That’s exactly the kind of approach Charlotte Reznick uses with her young clients.

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Overcoming Standoffs with Tough Teens

...And the Three Questions You Should Ask Them in the Very First Session

Matthew Selekman

By Matthew Selekman - Trying to get in the door with provocative, therapy-savvy adolescents can be a challenging task for even the most seasoned of therapists. I've developed several engagement strategies that I regularly use, singly or in combination, that have consistently helped me to establish a therapeutic alliance with even the toughest teen client.

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How Childhood Trauma Affects Health Across a Lifetime

Pediatrician and TED Speaker Nadine Burke Harris on Treating the "Whole Person"

Ryan Howes

By Ryan Howes - Several years ago, pediatrician Nadine Burke Harris had a eureka moment when she discovered the adverse childhood experiences study (ACEs), which helped her realize her young patients with the most stubborn physical ailments were coping with all kinds of traumas.

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VIDEO: Helping Teen Clients Make Good Decisions

...And What to Do When They Talk About Risky Behavior

Britt Rathbone

Networker’s Lauren Dockett talks with teen therapist Britt Rathbone about navigating the tricky issues of confidentiality, risky behavior, and improving teen judgment and self-control.

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When Three Threatens Two

Must Parenthood Bring Down the Curtain on Romance?

Esther Perel

By Esther Perel - Sex makes babies. So it is ironic that the child, the embodiment of the couple's love, so often threatens the very romance that brought that child into being. But the brave and determined couple who maintains an erotic connection is, above all, the couple who values it. They know that it's not children who extinguish the flame of desire: it's adults who fail to keep the spark alive.

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I’m Funny and I Faint

A Story of Vulnerability and Possibility

Lynn Lyons

By Lynn Lyons - Believe me, I like boundaries. My office is attached to the back of my house, and the rules surrounding that are made clear to my clients. But how can I teach my young worriers (and the older ones, too) to relish the uncertainty of human connection if I’m unwilling to connect genuinely with them?

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Helping Children Conquer the OCD "Worry Hill"

A Child-Friendly Approach to Obsessive-Compulsive Disorder

Aureen Pinto Wagner

By Aureen Pinto Wagner - While CBT is widely considered the treatment of choice for children with OCD, effectiveness is contingent on overcoming a formidable obstacle: children's reluctance to engage in exposure therapy because they think that facing their fears without performing rituals will be too scary and impossible. Here's a fun yet effective approach that tackles this problem.

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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

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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