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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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Is Antidepressant Ketamine a Game-Changer?

Despite Its Growing Popularity, Some Therapists are Cautious

Chris Lyford

By Chris Lyford - In just a few years, the number of clinics administering ketamine, an anesthetic-turned-antidepressant, has spiked rapidly. After about six ketamine infusions, 70 to 80 percent of participants with treatment-resistant depression no longer experience symptoms, and usually within hours. But despite the hype, some therapists are recommending caution.

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Marijuana and Mental Health

How Concerned Should Psychotherapists Be?

Tori Rodriguez

By Tori Rodriguez - The more marijuana legalization reaches mainstream acceptance, the more the divisions of opinion within the mental health field—presumably the professionals who have the most scientifically informed perspective on the debate—become apparent.

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The Mentor Who Changed My Therapy Practice

…And How Two Little Words Changed Everything

Chris Lyford

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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Battling the Opioid Epidemic in Rural America

A Spotlight on Community Mental Health in High-Need Areas

Chris Lyford

By Chris Lyford - Synthetic opioids claim an average of 91 American lives per day. But the opioid epidemic hits especially hard in rural America, where treatment options are scarce and costly, trained clinicians are in short supply, and a lack of public transportation makes it difficult to get high-quality care. Here are the stories of clinicians working in these areas.

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A Look Inside MDMA-Assisted Therapy

A Trauma Specialist Straddles Two Worlds

Marcela Ot’alora G.

By Marcela Ot’alora G. - As every trauma therapist knows, getting free of the debilitating symptoms of PTSD, if it happens at all, can take years. In my work on an MDMA-research project, I’ve observed close-up the profound effect psychedelic drugs can have in facilitating—and sometimes transforming—the often lengthy and difficult process of healing from PTSD.

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The Limits of Big Pharma

Psychopharmacology Has Plateaued. Does It Have a Future?

Talia Puzantian

By Talia Puzantian - In the more than quarter century since the arrival of Prozac, few medications since then have represented any real expansion of our understanding of how to regulate the nervous system with chemicals. So what lies ahead for psychopharmacology? And where might the new advances come from?

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How Psychedelic Therapy Could Change Your Practice

Author Michael Pollan on the Promises and Challenges of a Growing Movement

Rich Simon

By Rich Simon - Author Michael Pollan talks about his latest book on the science of new psychedelics, as well as the many challenges therapists face in integrating the lessons of psychedelic therapy into their work.

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Inside the Ayahuasca Experience

Gabor Maté on When Shamanism Meets Psychotherapy

Gabor Maté

By Gabor Maté - Several years ago, I began to receive inquiries about what I knew regarding the use of ayahuasca in the healing of addiction. Since then, I've developed deep respect for the collaborative power of shamanic medicine allied with the insights and practice of depth psychology. Respect may be too mild a word—awe hits closer to the mark.

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Therapy's Transformational Moments

Finding Hope in Seemingly Hopeless Times

Barry L. Duncan

By Barry Duncan - A recent consult I did illustrates the intrinsic rewards of healing involvement and intimate connection. It also taught me that anything is possible—that even the bleakest sessions can have a positive outcome if you stay with the process.

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