Is it crazy for a therapist to use the word crazy? I need to begin with a qualifier: As an established therapist in NYC, some of you may be a bit thrown off by my casual use of the word crazy. I get it. It may not fit your expectation of a therapist. If you’veRead more
Therapy for depression or something else?
Ame Otoko / Foter / CC BY-NC-SA Therapy for depression? More complicated than you may think This article “It’s Not Always Depression” from the New York Times has me thinking about what any good therapist knows about therapy for depression: depression is but one mode of understanding an emotional experience that needs to be lookedRead more
Family therapy: For New Yorkers an unconsidered psychotherapy option
JenGallardo / Foter / CC BY-NC-ND New York family therapists love family therapy Therapists who offer family counseling love family counseling. And often, those who aren’t family therapists find the idea of family counseling terrifying. Ironically this is often for the same reasons. Families are tough. If you’ve spent time in one, it’s like thatRead more
More on drug and alcohol counseling and criticism of AA
The Atlantic takes a turn at criticizing the approach drug and alcohol counseling of Alcoholics Anonymous Last week I wrote about a Salon.com piece on drug and alcohol counseling and the ineffectiveness of AA (the article cited a 5-10% effectiveness rate for AA drug and alcohol counseling). This week the Atlantic weighs in with itsRead more
Sexual abuse and rape: Still in denial
Andrea Marutti / Foter / CC BY-NC-SA All therapists work with sexual abuse (though some are in denial) I work with survivors of sexual abuse in therapy in my NYC practice. A short while ago a request for came across my inbox via a networking group for NYC therapists I subscribe to (often reluctantly). “LookingRead more
Drug and alcohol counseling: Salon on the success of AA
Salon.com lands a harsh critique of Alcoholics Anonymous as the prevailing model of drug and alcohol counseling, referring to the 80-year old, peer-led program as a “monopoly” that has “made it impossible to have real debate about addiction.” The article, which is worth a read, is long on empirics: Salon points out that “Peer-reviewed studiesRead more
That it could be other: The therapy of possibilities
Therapy at its best is about expanding the edges if what we see as possible, from our therapy and from our lives. In a sense, my concern when I encounter a new therapy patient in my NYC office is less with what they’re asking for and more with what they aren’t asking for–what they refrainRead more
Less tolerance for tolerance in therapy
stumayhew / Foter / CC BY-NC-ND Tolerance is a word that comes up most often in two related forms of usage. In psychology and psychotherapy, following the term’s use in medicine (pain tolerance, drug tolerance), tolerance is constructed as a skill in need of development, as in “increasing one’s frustration tolerance” or “tolerating disappointment.” InRead more
What’s the therapy for emotional allergies?
What’s the therapy for emotional allergies? I’m not thrilled to add even more medical language to the lexicon of diagnoses flooding psychotherapy, but I’ve come to find a useful analog in a medical experience many of us are familiar with that lends a new understanding to experiences that present themselves in therapy like anxiety andRead more
Lexapro is not a lotion, Geodon is not a hand sanitizer
I had dinner a few months ago at the home of a friend who’s wife is a psychologist at a New York City psychiatric hospital. Outside of my NYC therapy office, where I could have made the connection more quickly, I had one of those out-of-context moments when I went to wash my hands inRead more
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