Top Stories

Treating Complex Depression Symptoms with Bill O’Hanlon’s “Exceptions” Technique

Rarely is someone always depressed, or always empty, or always without energy, or always suicidal. If you (or the person you’re helping) explores exceptions to the usual problem, feeling, or thought, you can usually find moments when it’s not occurring. A lot can be learned from these exceptions that may be helpful in finding relief from the depression.   Read More

Helping Couples in Therapy Understand Desire

The provocative core of new research is this: each of us approaches our erotic encounters already primed by a premixed neurochemical and hormonal “cocktail” that influences both the strength and staying power of sexual passion. Having delved into this new biological evidence and observed its impact in my own couples therapy practice, I’m convinced that as long as our clients remain unaware of these bodily processes, they’re at high risk for making disastrous decisions about their intimate commitments.   Read More

Transgender Counseling: A Therapist Struggles with his Clinical Choices

I was stunned. “So, Glen, it seems like you’re really hurt that Julie would bring this moment up in our therapy without warning,” I said. I tried to be a comfort to each of them, normalizing how embarrassing secrets can sometimes be blurted out in the supposed safety of the therapy room. Meanwhile, the couple huddled in their separate corners of the sofa without looking at each other. They endured the rest of the hour and got out of there as fast as they could—without making another appointment. In the following weeks, they didn’t return my phone messages, and I felt as if I’d blown the case. But after a month and half, I was delighted when they phoned to set up another appointment.   Read More

Combining Trauma Treatment with Family Therapy

Far too often, trauma survivors appear to progress in therapy and then go home and fall right back into the same old patterns of negative emotion and dysfunctional relationships. According to Mary Jo Barrett, author of Treating Complex Trauma, a client’s family can be the therapist’s biggest ally in making sure progress is sustained outside the consulting room. Still, she says, many clinicians overlook how family therapy can support recovery.   Read More

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