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"When I'm good, I'm very good, but when I'm bad I'm better": A New Mantra for Psychotherapists
by Barry Duncan, PhD and Scott Miller, PhD
Barry Duncan and Scott Miller provide a comprehensive summary of the Outcome-Informed, Client-Directed approach and a detailed, practical overview of its application in clinical practice.
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9/11 One Year Later: A Psychotherapist Reflects on His Experiences at Ground Zero
by Tab Ballis
We weren't expected to have any words of wisdom... and nobody did.


A Crash Course in Psychotherapy: Moving through Anxiety and Self-Doubt
by Charlotte Dailey
A challenging client plunges a beginning therapist into a state of anxiety.
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A Few Simple Questions
by Saul Spiro
A satiric take on the Mental Status Exam.


A Psychotherapist's Guide to Facebook and Twitter: Why Clinicians Should Give a Tweet!
by Keely Kolmes
Dr. Kolmes offers firsthand insights into the uses of social media as a professional tool.
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After the Diagnosis: Helping Patients Cope With their Emotions
by Gary McClain
Psychotherapist Gary McClain discusses the importance of understanding clients' reactions to new diagnoses, the three main responses they have, and advocating for them with healthcare providers.
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Angels in Crisis: How Mobile Crisis Intervention Changes Lives
by Bill Martin
A psychologist's poignant account of a challenging case referred by Child Protective Services while working on a mobile mental health crisis team.


Are High-Risk Clients Suitable for Online Psychotherapy?
by Anastasia Piatakhina Giré & Joseph Burgo, PhD
Two psychotherapists seasoned in long-distance Skype therapy discuss the unique challenges—and advantages—to treating high-risk clients online.


Assessing Partner Abuse in Couples Therapy
by Albert Dytch
Learn how to spot the often subtle signs of partner abuse in couples therapy, and how to take effective action. This article includes the author's Abusive Behavior Inventory as a free download.
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Awakening to Awe: A Book Review
by Bob Edelstein
A review of existential psychologist and author Kirk Schneider’s latest work, which explores the nature and power of awe through interviews of people personally transformed by an emotion which has been much neglected by psychology.


Ayahuasca Is My Therapist (Or Is It?)
by Sean O'Carroll
Can Ayahuasca or other psychedelic medications aid or replace traditional psychotherapy, or is there a danger of "spiritual bypass"?


Bad Therapy: What You Didn't Learn in Grad School
by Deb Kory
Psychologist and Psychotherapy.net content manager Deb Kory pulls no punches in critiquing what is missing from our training programs, and calls for more authenticity, humor and humility in the ways we teach and learn to practice therapy.


Bad Therapy: When Firing Your Therapist Is Therapeutic
by Charlotte Fox Weber
Therapist Charlotte Fox Weber describes an agonizing 5-year therapy as the client of a cold and withholding therapist, and the lessons she learned about what NOT to do with her own clients.
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Beyond Psychotherapy: Working Outside the Medical Model
by John A. Martin
Dr. Martin shares his reasons for leaving the insurance game.


Black and White Witchcraft: A Cultural Crossroads in Paris Inspires Therapeutic Innovation
by Tamar Kaim
An American psychology student reflects on her year of research at an ethnopsychiatric clinic in Paris, France.
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Breaking Barriers to Doing Corporate Consulting
by Louis A. Perrott
"Today's most enterprising therapists are realizing that the most promising opportunities for new business lie outside of the healthcare system."
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Brooklyn Zoo: The Education of a Psychotherapist
by Darcy Lockman
In this excerpt from psychologist Darcy Lockman's book, Brooklyn Zoo: The Education of a Psychotherapist, follow Lockman through an ordinary day as a post-doc at a notorious Brooklyn psychiatric hospital. 


Cancer and The Secret
by Regina Huelsenbeck
Positive thinking isn't everything; life has a rhythm we must honor for our own mental health.


Clinical Wisdom: A Psychoanalyst Learns from his Mistakes
by Herbert Rabin
Dr. Rabin shares lessons culled from 40 years of psychotherapy teaching and practice.
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Complex PTSD: From Surviving to Thriving
by Pete Walker
In this excerpt from his newly-released book, Pete Walker offers therapists an accessible, compassionate and refreshingly de-pathologizing framework for treating clients whose childhood abuse and neglect have created lifelong suffering and instability.
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Couch Fiction
by Philippa Perry and Junko Graat
Couch Fiction allows you to peep through the key-hole of the therapy room door and read the mind of the protagonists.


Creatures of a Day
by Irvin Yalom
Read a story, "The Crooked Cure," excerpted from Irvin Yalom's new book, Creatures of a Day, about a peculiar client with writer's block. Signed copy of book available.


Duped and Recouped
by Nancy Fishman, PhD and Jeffrey Kottler, PhD
Empathy and compassion generally serve us well with our clients, but aren't necessarily the skills we need to navigate the world of running a practice. This story, excerpted from Duped: Lies and Deception in Psychotherapy serves as a cautionary tale.


Embracing Your Demons: An Overview of Acceptance and Commitment Therapy
by Russell Harris
ACT trainer Russell Harris distills the essential components of Acceptance and Commitment Therapy (ACT) into a simple framework, with case studies to help illustrate the theory and practice of ACT.
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Emotional Flashback Management in the Treatment of Complex PTSD
by Pete Walker
Pete Walker provides a convincing argument for the recognition and proper treatment of emotional flashbacks and complex PTSD, which result from childhood neglect and emotional abuse.
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Encounters with Suicide: A Psychotherapist Remembers Not to Forget
by Catherine Ambrose
A psychotherapist treating a suicidal client struggles with memories--and forgetting--of suicide in her own family.


Existential Poems
by Tom Greening
Lyrical reflections on psychotherapy.


Family Therapy and Resistant Parents: The Child Cannot Wait
by Leon Rosenberg
When do we shift from trying to work within the parent-child relationship to seeing the child as a separate entity needing to cope with a destructive parent?
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Family Therapy with Families Facing Catastrophic Illness: Building Internal and External Resources
by Ellen Pulleyblank Coffey
Dr. Coffey discusses common challenges and interventions for families coping with terminal illness.
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Food for the Soul
by Myrtle Heery
Dr. Heery travels to Russia at the summoning of her soul, and rediscovers the living moment.


Getting Off to a Powerful Start in Couples Therapy
by Ellyn Bader
Dr. Bader, a renowned couples therapist, gives an overview of essential first steps in therapy with every couple.
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Gottman and Gray: The Two Johns
by Hara Estroff Marano
One is the gold standard; the other the gold earner. Take a wild guess which is which.


Grief and Gratitude: Working with Stroke Survivors
by Carol Howard Wooton, MFT & Gwyn Fallbrooke
After suffering from a stroke herself, a therapist recounts her journey from patient to professional, culminating in her leading  groups for other stroke survivors.
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H2O Under the Bridge: A Case of Trichotillomania
by Elias Aboujaoude
Dr. Aboujaode provides an engaging and informative account of hair-pulling, in this exclusive excerpt from his book, Compulsive Acts: A Psychiatrist's Tales of Ritual and Obsession.
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Healing Trauma Through the Body: The Way In is the Way Out
by Ariel Giarretto
Peter Levine's Somatic Experiencing Approach is brought to life in this in-depth case study of body oriented therapy.
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Hollywood on the Couch
by Dennis Palumbo
An entertaining look behind the the scenes of the entertainment industry.
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How Therapists Fail: Why Too Many Clients Drop Out of Therapy Prematurely
by Bernard Schwartz, PhD and John Flowers, PhD
If we could learn from all of our less-than-optimal therapy outcomes, we'd really acquire some true clinical wisdom.  Here are some practical tips to increase your odds of success.
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How To Be A Grown-up Even Around Your Own Parents
by Frank Pittman
People don't become grown-ups until they realize that their parents, however wonderful, were badly misinformed and sometimes stark, raving mad.
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If You Kill Yourself, Don’t Make a Mess: Paradoxical Intention with a Suicidal Client
by Dan Williams
In this raw but compelling clinical vignette, therapist Dan Williams uses paradoxical intention in an all-out effort to save his client from committing suicide.
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In Bed With Your Therapist: The Paradoxical Intimacy of Online Psychotherapy
by Anastasia Piatakhina Giré & Joseph Burgo, PhD
Psychotherapists Anastasia Piatakhina Giré and Joseph Burgo, who conduct therapy with clients around the world over Skype, share about the unique aspects of being let into the intimate spaces of their clients homes.


In Search of Self: My Therapy with Rogers, Satir, Bugental, Polster, Yalom, & Maslow
by Deb Hammond
A psychotherapy student assembles her dream team for guidance toward self-actualization.
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Infertility on Both Sides of the Couch
by Wendy Iglehart
A psychotherapist treats a client struggling with infertility while facing it herself.
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Interrupting the Conversation: Gestalt Therapy Here and Now
by Norman Shub
Using a case study with a disconnected client, a contemporary Gestalt therapist debunks myths that have lingered from the heyday of Fritz Perls. 


It's Over Now: Termination and Countertransference
by Melissa Groman
A therapist explores the complex feelings that arise when a client terminates abruptly.
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Lessons from the Depths: Scuba Diving and Psychotherapy with Men
by Jeff Sharp
An insightful look into working with typical male concerns in therapy, including pride, shame, armoring, and competitiveness.
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Letting the Patient Matter: Some Thoughts on Irvin Yalom's View of the Therapeutic Relationship
by Barbara Jamison
Jamison reviews highlights of Yalom's new book, The Gift of Therapy. focusing on his willingness to engage fully and reveal himself in the therapeutic relationship. Signed copy of book available.


Looking Out the Patient's Window Redux: Self-disclosure and Genuineness
by Irvin Yalom
Yalom is confronted to live up to his ideals of therapist self-disclosure and authenticity. Excerpted from the recently updated version of The Gift of Therapy. Signed copy of book available.


Losing Faith: Arguing for a New Way to Think About Therapy
by Scott Miller
Psychologist Scott Miller, who has spent years researching what works in psychotherapy, details the dark days after losing his faith in the profession, and his long journey back to loving and believing in his vocation once again.
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Love Sense: The Revolutionary New Science of Romantic Relationships
by Sue Johnson
In this excerpt from her most recent book, Love Sense: The Revolutionary New Science of Romantic Relationships, EFT founder Sue Johnson offers tools for couples and their therapists to repair wounded bonds and navigate the cycles of disconnection and reconnection that can make—or break—relationships.
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Lowering Fees in Hard Times: The Meaning Behind the Money
by Melissa Groman
One therapist's good, hard look at the question of negotiating therapy fees with clients.


Motivational Interviewing in End-of-Life Care
by Ellen Young
A social work intern grapples with a situation that would challenge even an experienced clinician: helping a loving wife decide whether to stop feeding her dying husband of 64 years.
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My, How Couples Therapy has Changed! Attachment, Love and Science
by Sue Johnson
Renowned family therapist Sue Johnson discusses Emotionally Focused Couples Therapy (EFT) in light of new research on attachment in adult love relationships.
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On Quitting The Practice of Psychotherapy
by Michael Sussman
Former psychotherapist Michael Sussman discusses the perils of psychotherapy practice and the wisdom of knowing when to quit.


Our Hungry Selves: Women, Eating and Identity
by Kim Chernin
Famed feminist and psychotherapist, Kim Chernin, discusses her work with women, body image and eating disorders over the past 40 years. Not surprisingly, eating disorders are at an all time high in our culture. She discusses what has changed and what seemingly never will.
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Paradise Lost: When Clients Commit Suicide
by Marian Joyce*
A psychologist describes the trauma of losing a patient to suicide.
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Practical Psychoanalysis for Therapists and Patients
by Owen Renik
Renik argues that psychoanalysis must move beyond theory and focus instead on effectiveness.
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Preventing Psychotherapy Dropouts with Client Feedback
by Tony Rousmaniere
One beginning therapist shares his success with the Session Rating Scale in improving his practice.


Psychiatry by the Dumpster: One Man's Struggle with OCD
by Elias Aboujaoude
Psychiatrist and OCD specialist Elias Aboujaoude gives a poignant account of one man's struggles with severe OCD and his journey to recovery.
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Psychotherapy and the Care of Souls
by Thomas Moore
Famed Care of the Soul author, Thomas Moore, offers insights into what makes a good therapist. Hint: You can't learn it from a manual.


Psychotherapy for Oppositional-Defiant Kids with Low Frustration Tolerance—and How to Help Their Parents, Too
by David Rice
Dr. Rice offers a new perspective on oppositional-defiant children based on temperament, and suggests effective therapeutic interventions for both parent and child.
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Psychotherapy in China: Western and Eastern Perspectives
by Stephen F. Myler, PhD & Hui Qi Tong, MD
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Psychotherapy Isn't What You Think: Bringing the Psychotherapeutic Engagement into the Living Moment
by James Bugental
In this exclusive excerpt from his book, renowned existential-humanistic psychologist Jim Bugental reflects on his philosophy of psychotherapy.
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Psychotherapy with Alien Beings: Cultural Competence (and Incompetence) in Psychotherapy Practice
by Laura Brown
Psychologist Laura Brown critiques the limited and limiting methods so often used in psychotherapy training programs to promote cultural competence, and offers a model of intersectionality and integration that honors the full complexity of modern identities—including those of psychotherapists.
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Psychotherapy with Former Cult Members
by Patrick O'Reilly
A specialist in cults discusses a real-life example of a former cult member's struggle to recover from his traumatic experiences within the group, and offers treatment advice for this unusual and challenging population.
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Psychotherapy with Medically Ill Patients: Hope in the Trenches
by Tamara McClintock Greenberg
Working with clients who are medically ill not only requires us to learn more about the seemingly distant and disembodied relational aspects of medicine, but also forces us to confront painful existential realities on a daily basis.
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Psychotherapy with Older Adults: Unjustified Fears, Unrecognized Rewards
by George Kraus
A geriatric clinical psychologist debunks the stereotypes about working with elderly populations, and shares his discovery of the joy and gratitude that come from intimate contact with wise elders.
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Psychotherapy with Transgender and Gender Nonconforming Clients
by Karisa Barrow
With attempted suicide rates greater than 40% in the transgender community, it's important for clinicians to be aware of the issues gender nonconforming clients bring to therapy, and to be knowledgeable about how best to support them. Karisa Barrow challenges therapists to deconstruct the gender binary, identify and work through prejudices, and seek guidance from gender specialists to ensure that we "do no harm."
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Queer Couch for the Straight Girl
by Mark O'Connell
Queer therapist, Mark O'Connell, describes therapy with a heterosexual woman client, and how claiming his queerness, rather than playing a role of "expert," helped his client create a new story for her life.


Resistant Clients: We've All Had Them; Here's How to Help Them!
by Clifton Mitchell
Encountering resistance is likely evidence that therapy is taking place. In fact, successful psychotherapy is highly related to increases in resistance, and low resistance corresponds with negative outcomes.
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Self-Help Snake Oil and Self-Improvement Urban Legends
by Steven Kraus
A psychologist's skeptical look at the science (or lack thereof) behind much of the self-help industry,
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Shades of Gray: When a therapist and her client are survivors of child abuse
by Lisa Cassidy
When are we far enough down the path of our own healing that we can safely go back and help someone else along? A therapist shares the story of confronting this urgent question with a traumatized client suffering from Dissociative Identity Disorder.
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Sleep and the Therapist: A Poem
by Esther W. Wright-Wilson
A therapist poetically chronicles an underreported occupational hazard.


Staring at the Sun: Overcoming the Terror of Death
by Irvin Yalom
In this exclusive excerpt from his latest book, Irvin Yalom delves into the ultimate existential concern, and how therapists can help clients in facing death anxiety. Signed copy of book available.
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Straight Life Cycle/Queer Life
by Mark O'Connell
Queer therapist and writer Mark O'Connell shares a psychotherapy vignette about navigating traditional heterosexual milestones as a gay man.


Supershrinks: What is the secret of their success?
by Barry Duncan, PhD and Scott Miller, PhD
Clients of the best therapists improve at a rate at least 50-percent higher and drop out at a rate at least 50-percent lower than those of average clinicians. What is the key to superior performance?
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Tea with Freud: An Imaginary Conversation About How Psychotherapy Really Works
by Steven B. Sandler
In this delightfully imaginative excerpt from Tea with Freud: An Imaginary Conversation About How Psychotherapy Really Works, psychiatrist and author Steven B. Sandler, travels back in time to consult with Freud on some of his most challenging cases, and challenges Freud to think about his famous theories in new ways.


The Anxiety Disorder Game
by Reid Wilson
Anxiety Disorder expert Reid Wilson, PhD, offers a unique twist on traditional cognitive-behavioral treatment of anxiety disorders. 
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The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma
by Bessel van der Kolk
Read an excerpt from the highly acclaimed new book by world renowned trauma expert Bessel van der Kolk, MD.


The Book of Woe: The DSM and the Unmaking of Psychiatry
by Gary Greenberg
In this excerpt from his best-selling exposé, The Book of Woe: The DSM and the Unmaking of Psychiatry, psychotherapist Gary Greenberg pulls back the curtain on the DSM's surprising evolution and deconstructs the very notion of "diagnosing" our clients.


The Dark Intruder
by Esther W. Wright-Wilson
Psychotherapist-poet Esther Wright-Wilson muses about the moment an insect intrudes on a therapy session.


The Empty Chair: Making Our Absence Less Traumatic for Everyone
by Ann Steiner
What happens when a therapist becomes ill or dies? Dr. Steiner provides a valuable blueprint for therapists to prepare for unexpected absence and termination.


The Family Research Project: A Summary
by Stephanie Brown
Renowned substance-abuse specialist Stephanie Brown discusses effective therapeutic interventions for families of alcoholics during the recovery process.
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The Gift of Therapy
by Irvin Yalom
Existential psychotherapist Irv Yalom offers insights into the therapist's role as an obstacle remover and fellow traveler. Excerpted from his book The Gift of Therapy. Signed copy of book available.


The God of Hellfire Will See You Now
by Matt Wolff
How often does a proto-Goth heavy metal rock star become a psychotherapist?


The God of Psychoanalysis
by Simon Yisrael Feuerman
A psychotherapist shares the agonies and ecstasies of being in psychoanalytic group therapy and asks: Is psychoanalysis a religion after all?


The Gossamer Thread: My Life as a Psychotherapist
by John Marzillier
Using three different case studies with clients, a British therapist describes his personal journey from his early career as a behavioral psychologist, to his later years, where he embraced a more intuitive and reflective psychodynamic approach.
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The Imprisoned Brain: Psychotherapy with Inmates in Jail
by Sudhanva Rajagopal
Sudhanva Rajagopal, a clinical psychology graduate student, ponders our animal nature as he relates the poignant complexity of working with inmates in jail.


The Man with the Beautiful Voice
by Lillian B. Rubin
Lillian Rubin's moving account of her challenging psychotherapy with a man struggling with his disability. Reprinted from the book of the same title.
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The Path to Wholeness: Person-Centered Expressive Arts Therapy
by Natalie Rogers
Therapist Natalie Rogers shares an overview of this growing field of humanistic psychotherapy.
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The Psychiatric Repression of Thomas Szasz: Its Social and Political Significance
by Ron Leifer
Psychiatrist Ron Leifer gives a compelling account of the historical context of Thomas Szasz's career as the leading critic of the medical model of psychiatry, along with its implications for the profession of psychiatry and for free thought and speech in the United States.
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The Schopenhauer Cure
by Irvin Yalom
An excerpted introduction to psychiatrist Irv Yalom's new novel about the challenging reunion between a therapist and his long-ago patient, who is now a philosophical counselor. Signed copy of book available.


The Spinoza Problem: An Excerpt
by Irvin Yalom
By imagining the unexpected intersection of Jewish philosopher Spinoza’s life with that of powerful Nazi ideologue Alfred Rosenberg, bestselling novelist Irvin Yalom explores the mindsets of two men separated by 300 years. Psychotherapy.net is pleased to publish this exclusive excerpt, as well as offer signed copies of this book. Signed copy of book available.


The Tao of Anger Management: A Yield Theory Approach
by Christian Conte
Anger management expert, Christian Conte, PhD, describes his unique and highly effective approach to teaching and counseling violent offenders.
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The Tao of Direction: Structure and Process in Clinical Supervision
by Jay Reeve
Therapist Jay Reeve offers advice on balancing structured, direct instruction and process-oriented exploration in supervision sessions with new therapists.
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The Therapist Mourns His Mother's Death: Being With Clients While Heartbroken
by Bob Livingstone
Therapist Bob Livingstone offers grieving therapists advice about the effects of mourning upon therapeutic practice.
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The Whole Truth: Coping Creatively with the Dark Side of Therapeutic Practice
by Lisa Mitchell
A therapist reflects upon the dark side of the profession—stress, anxiety, and burnout—and offers helpful insights as well as activities for combating these negative states using professional community building and art making.
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Therapeutic Alliance, Focus, and Formulation: Thinking Beyond the Traditional Therapy Orientations
by Robert-Jay Green
The main elements of successful therapy include a positive therapeutic alliance, a clear focus, a coherent problem formulation, and improvised techniques—not a particular theoretical orientation.
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Therapy: A Poem
by Kerry Mulholland
A poem about the therapy experience from the vantage point of a client.


Transforming the Wounds of Racism: An Autoethnographic Exploration and Implications for Psychotherapy
by Saira Bains
A therapist explores her experiences of racism by investigating her family's history of racist trauma.
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Transforming War Trauma: The Healing Power of Community
by Joseph Bobrow
Psychoanalyst and Zen master, Joseph Bobrow, PhD, describes his groundbreaking work providing healing retreats for traumatized veterans and their families. 
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Transition Into Sports Psychology
by Joan Steidinger
Dr. Steidinger discusses the benefits of joining the growing field of sports psychology.


True Refuge: Finding Peace and Freedom in Your Own Awakened Heart
by Tara Brach
Clinical Psychologist and Buddhism expert Tara Brach, PhD, shares her insights about working with pain and suffering, meeting our edge and softening, and the simple but profound technique she uses with clients to bring mindful awareness into their daily lives.
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Trusting the Client as the Agent of Change
by Tracy A. Knight
Reflections on the client's capacity for change, including a case study of a successful single-session therapeutic intervention.


Two Therapy Poems
by Esther W. Wright-Wilson
Poems by Esther Wright-Wilson about those unsettling moments in therapy that we can all relate to.


Tyranny of Niceness: A Psychotherapeutic Challenge
by Evelyn Sommers
Dr. Sommers discusses the prevalent problem of cultural silencing called "niceness," and offers case studies and advice for addressing associated client issues of anxiety and helplessness.
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Walking A Tightrope: Family Therapy with Adolescents and Their Families
by Kenneth V. Hardy
Hardy brings family therapy to life with this compelling and instructive case vignette of his work with an African-American family.
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Weekends At Bellevue: A Memoir
by Julie Holland
A no-holds-barred account from the front lines of the psychiatric emergency room at America's oldest public hospital.
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What Do We Believe and Whom Do We Trust?
by Jeffrey Kottler
We all know that clients may withhold critical information, but what do we do when they deliberately lie? Jeffrey Kottler explores this in an excerpt from his latest book, The Assassin and the Therapist: An Exploration of Truth in Psychotherapy and in Life.
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What Remains: The Aftermath of Patient Suicide
by Margaret Clausen
Psychologist Margaret Clausen shares poignantly about the loss of her client to suicide,  the steps she took to heal her grief, and the isolation and shame that many clinicians needlessly suffer in the wake of client suicide.
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When a Patient Dies . . . Should the Therapist Attend the Funeral?
by Richard P. Halgin
Richard Halgin shares the story of a long-term client's unexpected death, and how he managed his professional boundaries around this tragic event.


When the Therapist Leaves: A Personal Account of an Unusual Termination
by Amy Urdang
A psychotherapist explores client-therapist boundaries and termination issues in a particularly intensive course of therapy.
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When the Therapist Loves and Hates
by Chris Peterson
Psychotherapist Chris Peterson makes a strong case for welcoming all of our intense feelings-—both loving and hateful—into the therapy process with clients to deepen the therapy relationship and its healing potential.


Where's the Bear?
by Susan S. Hardy
Marriage and family therapist Susan Hardy explains the usefulness of "acting as if" in changing emotions and behavior.


Whiteness Matters: Exploring White Privilege, Color Blindness and Racism in Psychotherapy
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Words Against the Void: Poems by an Existential Psychologist
by Tom Greening
Humorous yet profound musings on psychotherapy and the human condition, excerpted from his recent book, Words Against the Void.


Work Is Life: A Psychologist Looks at Identity and Work in America
by Ilene Philipson
In a discussion of the growing problem of work-life balance in American culture, Dr. Philipson shares the stories of clients whose overidentification with work ended in disaster.


Working in the Here-and-Now of the Therapeutic Relationship
by Nancy Gunzberg
Working in the here-and-now of the therapeutic relationship requires therapists to be fully engaged, and take risks in revealing themselves. But utilizing the transference and counter-transference makes for rewarding and powerful therapy.
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