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Managing Confidentiality

Three Things I Learned from My Small-Town Practice

Daniela Gitlin • 1 Comment

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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January Quandary: Should I Keep One Partner’s Secret in Couples Therapy?

Five Clinicians Give Their Take

Chris Lyford • 3 Comments

By Chris Lyford - Mark and his wife, Nicole, have been in couples therapy for almost six months. But Mark recently requested an individual session, where he revealed he recently shared a kiss with an old girlfriend and has plans to rekindle their friendship. He's asked his therapist to keep the whole thing a secret. Here's how five clinicians say they'd tackle the situation.

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VIDEO: Esther Perel on How to Talk with Men About Intimacy

Framing Intimacy as a Regular Part of Life

Esther Perel • No Comments

It's not always easy to get men to talk about intimacy and sex. But according to renowned sex therapist and author Esther Perel, there's a way to weave questions and observations about sexuality throughout your dialogue with reticent male clients that expands their understanding of its significance in all aspects of life.

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December Quandary: I Accepted a Gift from My Client!

Five Clinicians Give Their Take on What to Do Now

Chris Lyford • No Comments

By Chris Lyford - Asha recently gave her therapist a homemade necklace, which he accepted, thinking it innocuous enough. Now, she brings it up almost every session, asking why he's not wearing it and if he still likes it. Asha has a history of attachment issues, and her therapist worries his response might offend her or cause her to quit therapy. Here's how five therapists say they'd respond.

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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 • 1 Comment

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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The Mentor Who Changed My Therapy Practice

…And How Two Little Words Changed Everything

Chris Lyford • 1 Comment

By Chris Lyford - While therapeutic skill is the product of years of practice and self-determination, most clinicians need a mentor: someone who takes them under their wing and inspires them to be a better therapist. The five clinicians whose stories you’re about to read all agree on one thing: seeing how their mentors practice left an indelible mark on their personal and professional development that still resonates today.

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Reflections from a Millennial Therapist

The Highs, Lows, and New Realities of Starting a Therapy Career Today

Rachel Zar • No Comments

By Rachel Zar - I'm a millennial. And despite the negative connotation often imposed upon this generation by the media and by the generations that came before us, I don’t think it’s such a bad thing after all—especially for a therapist.

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VIDEO: Addressing Political Stress in the Consulting Room

Reevaluating What's Appropriate to Discuss in Therapy

William Doherty • 4 Comments

It's no surprise that, with all the political infighting going on, many people are anxious about the direction of our country. But is there room to discuss political matters with clients, or does this constitute an ethical breach? According to therapist Bill Doherty, clinicians are not only well-equipped to discuss politics, but sometimes have a duty to do so. In the following video clip from his 2017 Networker Symposium Keynote address, Doherty explains how to get the ball rolling.

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

Five Clinicians Give Their Take

Chris Lyford • 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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Remembering Catherine

Coming to Terms with a Client’s Murder

Maggie Mulqueen • 12 Comments

By Maggie Mulqueen - Over the course of my career, numerous world events have entered my office. But none of them prepared me for grieving the murder of Catherine, my client of 15 years.

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