Reflections on “In Treatment”: Season 1, Episode 1

Can You Fall in Love with Your Therapist?

And what should happen if you do?

I heard the critically acclaimed series, In Treatment is coming back this year for a new season, so I thought I’d catch up and see what the excitement is about. It’s an unusual show that’s set entirely in a therapist’s office. I’ve avoided the series so far because, why I would want to watch therapy in my time off when I’m seeing clients as a therapist all day long? It seemed to be a drama best left for a wanna-be therapist, in the same way as, when I watch football, I imagine myself as Buffalo Bills quarterback Josh Allen.

However, Josh Allen may like to watch football from time to time. He can appreciate how Tom Brady picks apart defenses. I should be able to enjoy seeing the therapeutic expertise of Dr Paul Weston. Weston is no slouch when it comes to overcoming defenses, in his own way.

The scene of episode one, season one, opens with Weston’s patient, Laura Hill, in agony on the couch. She arrived hours early and waited in the parking lot, but now does almost everything possible to avoid talking about what she needs to talk about.

[Spoiler alert] Continue reading →

Why Ask Why?

Sooner or later, if you come to me for therapy, I’ll ask you to put, in a single sentence, your objective in seeing me. I ask this because I want to know how to be successful. I also want you to define your goal. The most common answer I get is something like, “I want to know why I am the way I am.” In other words, why do I drink more than I should, why can’t I get the courage to leave my husband, or why am I so depressed, so anxious, or so angry?

I used to be surprised by this, especially if it came after a long, intense description of how unhappy they were. Wouldn’t they rather know how to stop drinking, how to be less depressed, anxious, or angry, or how to leave their husband? Why ask why? Continue reading →

How Stories Can Harm

But they can heal the harm, too

If someone pointed a gun to my head and forced me to admit, as a psychotherapist, what my preferred counseling method was, I could not say I was a reflective eclectic. That would get me shot. It’s not really an answer. Instead, I would have to confess that I have a soft spot for narrative therapy. I might get shot anyway because few people know what that is. Continue reading →