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Why Clients Choose Online Therapy

Posted by Anastasia Piatakhina Gire on 2/9/17 - 2:26 PM
Online psychotherapists ponders the reasons that people choose online therapy over face-to-face therapy.

Wisdom from a Customer

Posted by Victor Yalom, PhD on 1/21/17 - 5:39 PM
One of the joys of running Psychotherapy.net is my interactions with customers. But of all the correspondence I’ve had over the years, this a recent exchange I’ve had has been perhaps the most intriguing. It began with this email describing our videos: Good evening Victor, I have enjoyed the almost freakishness of Albert Ellis telling it like it is, he was a man to be respected by the way he wanted the patient to come clean, and at the same time to...

Dreamwork in Stereo

Posted by Anastasia Piatakhina Gire on 9/15/16 - 4:16 PM
Have you ever struggled to share your dream with somebody in the morning? What seemed most vivid and realistic just a moment ago, when verbalized, turns into senseless gibberish, doesn’t it? What about adding another difficulty to recounting a dream, namely telling it in a foreign language? Which of their languages to use is a dilemma faced by many of my multilingual clients in therapy. It may also open doors that neither they nor I would have dreamt of. Francesca was Italian, living...

Intuitive Therapy

Posted by Margaret Arnd-Caddigan on 5/17/16 - 5:22 PM
Janice is sitting on the loveseat in my office. The sun slants through the Venetian blinds behind her, casting a warm glow that looks like an aura around her. She is a beautiful woman. This is just a fact. “I was talking at a meeting at work. I really think the policy they’re considering is dangerous. I was ticking off point after point for some of the unintended consequences I see in the distance, and it’s like . . . like...

The Multiple Languages of Therapy

Posted by Anastasia Piatakhina Gire on 4/26/16 - 4:20 PM
We only had one therapy session with Inna. It ended with the bubbly feeling for me of a “perfect fit” that I get when I intuit that good work can be done with a prospective client. We had the same cultural background and four fluent languages in common. It was the first time I saw such a fit in my therapy room, in fact. Maybe too perfect a fit, as I was to find out later. Inna shared her experience of displacement,...

Look at me!

Posted by Anastasia Piatakhina Gire on 2/16/16 - 1:22 PM
Many people struggle to fully meet their therapist’s eyes the beginning. Particularly those who are shy or introverted. The warmth, care, interest or love that we may perceive in a therapist’s compassionate gaze may seem “too much” or even unbearable for many who missed or never received it from their original caretakers. Rachel was my first therapy client totally unable to tolerate the eye contact during a session. The first time we met, this lack of eye contact made me sense her...

House Call Revival

Posted by Anastasia Piatakhina Gire on 2/4/16 - 1:16 PM
Welcome to my house. We had been meeting for a month already, but this was the first time Nick connected from his flat for our weekly online psychotherapy session. Because of our time difference—I am based in Europe, and Nick lives in the US, we were usually connecting during his early morning hours. I was by now fairly familiar with his work surroundings: a small office cubicle, neon lights, grey doors shut tight. This time everything was different, and Nick looked younger and...

A Little Girl in a Dark Corner

Posted by Anastasia Piatakhina Gire on 11/17/15 - 12:18 PM
Some mornings Nora would wake up, and the little girl would be there. She would always be curled up in the darkest corner of the room, concealed behind the curtains. Her un-natural white skin, her bare feet, and a part of her burgundy-red dress would be clearly visible in the early morning light. She looked wicked, and the very fact of her presence in the room seemed uncanny. But at the same time, Nora felt a compelling desire, almost a necessity,...

Hide-and-Seek in Online Therapy

Posted by Anastasia Piatakhina Gire on 9/22/15 - 2:42 PM
I thought we had our session today… My client Jane was right, I had just missed the therapy session we had booked. It had not happened to me before, and I felt guilty. Online therapists know how the virtual and body-less nature of the encounter makes it easier to fail each other, be it for the client, or for the therapist. The precious relational tissue seems even more fragile. I always attend to mending these ruptures as well as I can, but...

Statistics Don't Lie...Except When They Do

Posted by Howard Rosenthal, EdD on 9/22/15 - 2:27 PM
As I was working on my doctorate I became interested in home stereo amplifiers. Armed with a fellow doctorate student who possessed infinite knowledge in this area I began the search for the perfect amplifier. My interest rapidly escalated into what could arguably have been diagnosed as a full-blown obsession. I visited stereo stores near and far. I read an endless stream of articles in the stereo magazines. I spoke with salesmen, saleswomen, and manufacturer's representatives. I attended stereo conventions. But...
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