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...

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...

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...

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...