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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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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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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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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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When Your Client Drops a Last-Minute Bombshell

Four Common Scenarios and How to Handle Them

Daniela Gitlin • 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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September Quandary: My Client Invited Me to a Family Barbecue!

Five Clinicians Give Their Take

Chris Lyford • 1 Comment

By Chris Lyford - A therapist recently moved to a new town and discovered that his client's daughter attends the same school as his son. The client recently invited his family to a barbecue, but he feels uncomfortable attending. Here's how five therapists say they'd tackle the situation.

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Helping People Pleasers Set Boundaries

…And What to Do When It Backfires

Alicia Muñoz • No Comments

Alicia Muñoz - Boundaries bind. They limit, stop, and inhibit. But they also free people up to be themselves. In couples where one partner is a people-pleaser, things can get even more complicated.

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July Quandary: My Client Uses Me in Inappropriate Hypothetical Examples!

Six Clinicians Give Their Take on This Tricky Clinical Scenario

Chris Lyford • No Comments

By Chris Lyford - A male client uses his therapist in hypothetical examples, which the therapist finds inappropriate. Recently, when they were discussing healthy dating habits, he said, “So if you and I went to a movie, would it be okay to hold your hand afterwards?” The therapist wants to bring it up in their next session but is unsure how to do so. Here's how six clinicians say they'd tackle the situation.

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Partnership within Therapy

How a Coaching Approach Can Promote Faster Change

Lynn Grodzki • No Comments

By Lynn Grodzki - In my early training as a psychodynamic therapist and a social worker, I was taught that my primary role was to follow, not lead. But I've since learned that working “close in” with clients can grease the wheels of motivation, helping them take action faster, and with more behavioral compliance.

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