Here’s the secret:

Treating inappropriate shame is one of the hardest jobs in psychotherapy. Knowing this and understanding why will help you know what to do and how to manage expectations. The surprising thing is that, as far as I can tell (and I’d love to know otherwise) no one has noticed how di...

What does that sound like? Perhaps, “I’m feeling a tug to somehow get this therapy moving, but I can’t think of anything successful I could do right now. I wonder if in some way you have been waiting for me?” And indeed, the inner child may have been hoping to avoid painful acceptance or responsibil...

I am not comfortable with the concept of “supportive therapy” and here’s why:

“Insight psychotherapy is an expensive, prestigious treatment conducted by a relatively few highly trained professionals. Supportive psychotherapy, on the other hand, is conducted, in a skilled fashion or naively, by...

A consumer wrote this. I’ll call her Joan:

"How can adults who have never had safe secure attachment, meet these needs and become healthy well adjusted adults? If we are not able to see a good therapist because of being too debilitated by complex trauma to be able to work and therefore have benefit...

The Problem

For the past 11 years I have been blogging about serious psychotherapy, especially about “attachment to your therapist.” Far too often I have been saddened to hear about patients abandoned by their therapists or harshly discharged by clinic administrators when they dared to disclose the...

One of the most common problems patients struggle with is low self-esteem and negative self-talk. In this TIFT, I want to bring psychodynamics together with CBT and more to go deeper into the subject.

Why People develop Low Self-Esteem

Watson's declaration that why was necessarily subjective an...

You probably haven’t heard the term antidote used in this context, but I’m proposing it because it is really helpful in bringing together elements from many therapies. It describes one of just three core elements that need to be present for psychotherapeutic change, regardless of orientation or s...

Dear {{name}}

In the last TIFT I talked about how inner children signal their unmet needs. This article is to show how understanding the developmental context helps the therapist navigate. At every level, inner children are likely to expect the therapist to be unwilling, like the parent, so they ma...

This is the first of a series of Tuesday emails offering useful tidbits for clinical psychotherapy. Normally this will be on Tuesday, but this is the first time. Oh well...

This post is about making sense of some very difficult problems in psychotherapy through a developmental point of view. For...