Resistance is Fertile

Resistance is Fertile

One of the biggest questions in modern therapy is how to most-effectively work with what’s known as a “resistant” client.  The idea of resistance is a simple one that belies a complex reality: some clients wont respond well to what the therapist is doing, and progress will be slow or nonexistent.  It’s a little hard for me to write about any of this - resistance, progress - without throwing quotes on every other word, but since that looks awful in print please assume I view all of this askance.  It’s worth noting that the question of resistance is a question that has only shown up in the modern era of therapy; Freud and the analytic gang not only weren’t worried about “resistance”, they didn’t have even have a concept of it.  Why is that?

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Questions of Medication

Questions of Medication

As a non-prescribing therapist, I find myself being asked to counsel people on using medication to effect their mood very, very often.  People want to know if I think medication might help them, if it might harm them, what kind of medication might be useful, as well as how much.  The most frequent question I get from clients and others, though, is simply about whether or not I agree with the idea of medicating a person’s mood.  Make no mistake, this is a very popular topic in the therapeutic community.  And while I think the answer is simple, I don’t think it’s obvious...

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What Lies in the Shadow

What Lies in the Shadow

Clients offer a lot of reasons for coming to therapy, but at the bottom of all of them is this: it’s hard to be yourself.  The world we live in can seem like a dangerous place, and there are plenty of forces out there that want you to be just a piece of yourself, or something you’re not at all.  And though many of us were lucky to be told to just be ourselves when we were young, many people have a difficult time letting that lesson really sink in.  The truth is, we’re all made up of disparate internal elements; our personalities are complex...

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The Myth of Therapy

The Myth of Therapy

In honor of a dear old friend who visited me over the weekend, I’m choosing to write about something a little more esoteric than usual this week.  His visit reminded me of why and how I got on track to become a psychotherapist in the first place; he called to memory the philosophical grounds of the work I try to do in every session with my clients...

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The Strategy of Addiction

The Strategy of Addiction

On the home page of this site, I claim that everyone is a addicted to something, and I want to clarify such a big claim.  I understand addiction as a behavior, not a motivation.  While there is a lot of genetic and social nuance to consider, no one is addicted because they’re an addict - that’s simply not how people or logic work...

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