Case Study
Letting Go of Hate
How to help clients change unconscious responsesMany well-intentioned therapists have suggested that their clients just “let go” of hate, as if it were a heavy load that they could simply drop to the... Read more
Rush to Judgment
Beware of the ADHD diagnosisPart of the epidemic of misdiagnosed ADHD in young children today results from a failure to understand how trauma often leads to difficulty learning in school. Read more
Whose Therapy Is It Anyway?
When Your Client Is Uncommitted to ChangeWhen we find ourselves haunted by a particular case, it may mean that we’re more invested in the client making changes than the client is himself. Read more
The ACE Studies: Calculating the Effects of Child Abuse
How the Effects of Child Abuse Have Become the Biggest Public Health Issue in AmericaSince the publication of DSM-IV in 1994, a massive body of neurobiological research has accumulated, revealing how protracted childhood abuse and neglect can... Read more
When Couples Therapy Causes Emotional Pain
Coming to Terms with Inflicting Emotional Pain in Order to Provide Good Couples TherapyWe don’t become therapists to inflict emotional pain, but eventually we learn that sadness, anger, shock, and disillusionment can be part and parcel of... Read more
Rewriting the Story
Entering the World of the Abused ChildTherapists must offer abused children a different felt experience of who they are. Read more
Facing a Fear of Confrontation in Couples Therapy
When Couples Issues Hit Close to Home, Moving Forward Means Putting Aside the Fear of ConfrontationWe frequently need to confront our clients, and putting aside a fear of confrontation—not to mention a fear of losing clients—means that we must risk the... Read more
The Black Shadow
Facing the Taboo Issue of Race in the Consulting RoomRaising the issue of race in therapy can help African American clients connect their personal struggles to an enduring cultural legacy that many insist isn’t... Read more
Evoking the Inner Artist: September/October 2013
How to Replace Pathology with CreativityWhen clients feel blocked, therapists can help them tap their inner artist and view feelings of vulnerability, doubt, and fear as part of a creative... Read more
Life After Betrayal
Getting Past the Victim IdentityWhen working with clients who’ve experienced an intimate betrayal, it’s important to empower them to move beyond a victim identity. Read more
When Therapy Is Going Nowhere
Escaping the “Groundhog Day” CycleWhen we’re spinning our wheels from one session to the next, the key to progress often lies in shifting the therapist-client relationship. Read more
Women Who Cheat
Understanding the Message of the AffairFar from being evidence of marital bankruptcy, a woman’s affair can be a way of expressing a desire for a different self and an opportunity to breathe life... Read more
Suffering and the Quest for Wisdom
A Dark PassageThere’s something about healing from the deep emotional suffering that feels like death and rebirth—not the quick kind that some claim to receive in... Read more
Sex, Lies, and the Long Road Back
Recovering from an Extramarital AffairHealing from an extramarital affair is rarely a simple process, especially when embarrassing sexual secrets and incompatibilities are exposed. Read more
Treating the Dissociative Child
The Road Back from the Ultimate Loss of SelfFew cases offer as eerie a therapeutic challenge as a suddenly noncommunicative child, lost in a dissociative shutdown. Read more
Being Meryl Streep
Learning to Distinguish Behavior from IdentityA therapist uses a Hollywood analogy to help a client learn an important lesson about distinguishing behavior from identity. Read more
The Coaching Edge
Helping Our Clients Take Their Best ShotThere are advantages to integrating an in-depth understanding of traditional therapy with a more coaching-oriented style—but therapists shouldn't lose sight... Read more
How to Heal the Angry Brain
Mad MenMen with anger problems are generally highly reluctant clients who come to our offices only because they’ve gotten “the ultimatum” from their wives... Read more
The Anatomy of Self-Hatred
Learning to Love Our Loathed "Selves"With stalemated cases in which the task of self-acceptance feels impossible, the therapist needs to offer more than compassion and encouragement. Read more
Using Men’s Groups to Enhance Couples Therapy
Men Helping MenFor men who still consider entering couples therapy a stroll into a lion’s den of shame, humiliation and failure, a men’s groups can be both a crucial... Read more
Using Neuro-Linguistic Programming to Help a Panicked Client
From Certainty to UncertaintyOften clients come to therapy to resolve ambivalence or because they can’t make up their minds. But sometimes, the problem is that they’re too certain... Read more
Beyond Clinical Correctness
Unearthing the logic of the client’s solutionAn understanding of the unconventional ways people demonstrate resilience is important in helping us avoid pathologizing clients and stop believing there’s... Read more
Going Beyond Meditation with IFS
How to Move from Acceptance to HealingMeditation supports clients in being more present and accepting. But if it’s transformation they want, IFS can help them take the next step. Read more
The Five “A’s” of Transformation
The Enneagram as a Clinical ToolThe Enneagram and the 5 A’s of transformation. Read more
In Search of a Lost Self
Reclaiming Our Missing ExperiencesA primer on the specifics of incorporating mindfulness into therapeutic practice. Read more
Each of Us Owes the Universe a Death
Reflections on Saying GoodbyeIn a very dark corner of each of our minds is a voice that says, “I’m going to die. One day, I’m going to die.” How we react to this voice determines... Read more
Dancing with the Unconscious
A Mindful Approach to CommunicationSometimes conversation isn’t the best way to communicate with clients. There are times when therapists must go beyond the words. Read more
From Conflict to Alliance
A road map for family interventionsThere's no substitute for a clear clinical model that can guide you through the therapeutic change process. Read more
Breaking Free
A Mind-Body Approach to Retraining the BrainPutting the power of neuroplasticity to work in the consulting room. Read more
Stop the Merry-Go-Round
Strategies for Angry CouplesWhile partners caught in the anger merry-go-round invariably blame the other, both typically pass the anger back and forth like a shared virus. Read more