The After Visit Summary

And my take on Dr Melfi and Tony Soprano The best idea I’ve had about how to conduct psychotherapy, I got from visiting my allergist. Whenever I have tears in my eyes during a session, it might be because of what the client was saying; sometimes I’m deeply moved, but probably my allergies were responsible.Continue reading “The After Visit Summary”

A Good Faith Estimate of What Therapy Will Cost Without Insurance

Recently Congress passed the No Surprises Act, which is supposed to correct a wrong that’s committed when a patient enters medical treatment and later finds that not all their health care providers are in-network with their insurance company. These unfortunate souls have been stuck with high bills they had to cover. The act is alsoContinue reading “A Good Faith Estimate of What Therapy Will Cost Without Insurance”

Is Your Doctor Going the Way of the Family Farm?

I used to be a farmer. I should say, I used to be a farmer the way farmers used to be. I raised pigs, chickens, goats, and cows. I tried to raise ducks and geese, but they flew away. I had a quarter acre garden and grew acres of buckwheat and corn. I helped theContinue reading “Is Your Doctor Going the Way of the Family Farm?”

The Perils of Understanding

And how your prejudices can help you understand better I once worked as a therapist with a deaf female client in my office by having her type what she wanted to say to me, as I typed to her. I didn’t know much sign language but was eager to show off what little I had.Continue reading “The Perils of Understanding”

Don’t Be Mindless About Mindfulness

It doesn’t have to involve meditation If you have any connection to psychotherapy or psychotherapists and have been paying attention to trends, you’ve noticed that everyone in shrinkland is talking about something called mindfulness. I don’t know if mindfulness has infiltrated everywhere else as much as it has the land of shrinkishness; but if itContinue reading “Don’t Be Mindless About Mindfulness”

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’sContinue reading “Reflections on “In Treatment”: Season 1, Episode 1”

Fifty Minutes Set Apart: Psychotherapy’s fraught relationship with time

When you meet with me, you and I are not alone. We share the psychotherapy session with an ordinary, unobtrusive, but tyrannical object. A clock. My relationship with the clock is a troubled one. Sometimes it’s my savior, my teammate, my partner, other times it’s my rival. It’s a valuable tool and a necessary evil.Continue reading “Fifty Minutes Set Apart: Psychotherapy’s fraught relationship with time”

Multiple Views of Dissociative Identity Disorder

There aren’t many mental illnesses that therapists are accused of creating, but dissociative identity disorder (DID), or multiple personality disorder, as it officially used to be known, is one of them. Continue reading →