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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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Submit to Clinician's Quandary!

Let Us Know How YOU Would Tackle This Sticky Situation in Your Practice...

Psychotherapy Networker • No Comments

Even the best therapists rely on advice from peers. In the spirit of building community, we're introducing Clinician's Quandary, a new forum where you can weigh in on how you'd handle a particular clinical quagmire. Here's this month's Quandary.

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March Quandary: My Client is Being Bullied and Her School Won’t Help!

Five Clinicians Give Their Take

Chris Lyford • No Comments

By Chris Lyford - Raisa is a sophomore in high school, and tells her therapist that the girls in her class are bullying her with insults like “slut” and “whore.” Her mother has been in touch with her school, but administrators say there’s not much they can do. Raisa is incredibly distressed. Here's how five therapists say they'd proceed.

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February Quandary: My Clients Are Asking Personal Questions!

Five Clinicians Give Their Take

Chris Lyford • No Comments

By Chris Lyford - A therapist works from his home office, which means clients sometimes observe elements of his personal life. He's had clients ask about his electric car in the driveway, his dog, and where his kids go to school. He's gently asked these clients if they can stay on topic, but worries about seeming callous. Here are five creative examples of how other therapists have dealt with this.

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The Four Types of Depression and How to Overcome Them

Using the "Microtherapy" Approach

Margaret Wehrenberg • No Comments

By Margaret Wehrenberg - Rather than seeing depression as some kind of monolith, I've found it useful to see depressive symptoms as falling into four basic clusters. By immediately addressing the attitudes and distinctive vulnerabilities that lie at the core of each cluster, treatment can begin to bring about a shift in brain function that makes longer term work easier.

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

Five Clinicians Give Their Take

Chris Lyford • No 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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Revisiting Masculinity in the Age of #MeToo

40 Years After Therapy's Feminist Corrective, More Clinicians Are Talking About Gender. Are You?

Lauren Dockett • No Comments

By Lauren Dockett - We live in a time when gender identity has gained a new visibility under the banner of #MeToo. But therapists are struggling with how to actually address the highly charged issues it can raise in the therapy room. The goal this time is a more encompassing conversation about the way society genders and is gendered that has profound implications for both men and women.

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The Gladwell Phenomenon

Therapists Say Fellow Clinicians Can Take a Page from Malcom Gladwell's Approach to Marketing

Lauren Dockett • No Comments

By Lauren Dockett - Even if you’re not one of the millions who’ve cracked his books, read his articles, or listened to his talks, you’re still probably aware of Malcolm Gladwell as someone who’s carved out a distinctive cultural niche. Therapists say fellow clinicians interested in reaching a wide readership can take a page from Gladwell’s practice for understanding the marketplace for ideas.

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

Five Clinicians Give Their Take

Chris Lyford • 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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