Introducing Clinician's Quandary!

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

Psychotherapy Networker • 5/29/2018 • 1 Comment

Have you ever heard about a tricky clinical scenario and thought, "I know exactly how I'd handle that"? We've all been there.

In the spirit of sharing and community, we're introducing a forum called Clinician's Quandary, where you, the reader, offer your take on how you'd address a clinical dilemma from a real practice.

Once a month, we'll pose a Quandary and collect reader responses. Top answers will be published in a blog shared with your colleagues worldwide. See below for more details.

Here's this month's Quandary:

My client Diane just told me she intends to move overseas to marry a man she recently met online, but has never spent time with in person. She’s divorced, and has said on multiple occasions that she hasn’t healed completely from the split. This raises an alarm for me, but I don’t think she'd respond well to my being overly directive. How should I proceed?


We want to hear from you:

  • Send your response in 300 words or less to Include "Clinician's Quandary Submission" in the subject line.* Include your name and country, city, or state.
  • Please provide detail in your response that paints a picture of what your solution looks like in practice. Don't be afraid to get creative!
  • Please allow up to one month for our editors to review your submission. We'll let you know by email if your response is selected for publication.

Stay tuned to our pages on Facebook, Twitter, and LinkedIn, as well as to our Week in Review e-newsletter for upcoming Quandaries. We hope you enjoy this latest Networker creation!

*Responses may be edited for clarity.

Topic: Professional Development

Tags: case study | Personal & Professional Development | Professional Development

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1 Comment

Sunday, June 3, 2018 8:04:12 PM | posted by Mark Glat
I would approach this situation by asking D what she thought the meaning of her recently ended marriage had been for her. By suggesting that she was still in a period of “mourning” the end of this relationship I would urge her to consider what this relationship and its demise meant to her in terms of how she saw herself in relationship to the world and what it signified in terms of how she imagined her future unfolding. Leading her through this process of reflection and “re-consolidation” (of her “emotional thoughts” and their relationship to making decisions and undertaking actions) would hopefully allow her to be better able to see the significance and the implications of her current plans. Note that this approach combines elements of several different theoretical perspectives ( e.g. grief counseling, attachment theory, the cognitive triad, and CBT) and provides a coherent focus and a rich set of words and ideas that can be used to increase both mindfulness and intentionality as she approaches this critical "learning task” of how best to move forward in her life.