Telehealth Psychotherapy

A man I talked to the other day seldom looked me in the eye. His gestures were not in rhythm with the things he was saying. At times, he skipped half the words in a sentence. Once, he disappeared entirely and went on talking as if we were still together. He seemed oblivious to manyContinue reading “Telehealth Psychotherapy”

The Therapeutic Milieu

Some milieux (the plural form of a fancy French word for social settings) are therapeutic, meaning they bring out the best in people; others bring out the worst. If you need an example of those that consistently bring out the worst, think of a maximum-security prison, a busy highway, the cafeteria of a middle school,Continue reading “The Therapeutic Milieu”

Eleanor Oliphant Might Be Completely Fine But Using Therapists to Resolve Your Plot Isn’t

Ordinarily, I avoid reading books and watching movies that portray head shrinking because I’m careful to maintain a work/life balance. But I couldn’t ignore Eleanor Oliphant. Too many people recommended the novel as a delightful portrayal of someone with serious troubles. I soon saw they were right, and so was I. Eleanor is truly delightful,Continue reading “Eleanor Oliphant Might Be Completely Fine But Using Therapists to Resolve Your Plot Isn’t”

Evidence-Based Therapy

In the peculiar land of shrinks, evidence-based therapy is a phrase we use a lot. It’s supposed to refer to therapy that’s backed by scientific evidence. But what they call evidence-based therapy is not evidence-based therapy. It’s a term for a standardized, manualized, commoditized therapy protocol. It’s not necessarily the best therapy for you.

Psychotherapy During a National Emergency

Here’s a report from the front lines, where shrinks like me, devoted to maintaining or attaining the mental health of their clients, closed their offices, and opened their laptops or tapped their phones to stay in touch in a new world of social distance.

See, Do, Teach

If you think that going to therapy means you can go to a shrink’s office, unload all your problems, and walk away a new man, you’ll be disappointed. You might feel better for a minute, but if you go home and do the same things you’ve always done, you’ll get what you’ve always got. TherapyContinue reading “See, Do, Teach”

Stop the Madness

I have many role models, but two of them are of the negative type: people who have made mistakes I want to avoid. The first is James Nasmith, the inventor of the game of basketball; the second is Thomas Jefferson. The reason I don’t want to be like Nasmith is not because he invented basketball.Continue reading “Stop the Madness”

Freud, Explained

Of all the figures in shrinkdom, Freud is the most revered and reviled, the most quoted and misquoted, and the most influential and ignored. It used to be that every shrink wanted to be like him, now we want to challenge him and be as different as we can. Perhaps this is what he getsContinue reading “Freud, Explained”