When East Doesn’t Meet West: Buddhism and Psychotherapy

Two statements from the Dalai Lama suggest a conflict between the approach of Buddhist meditation and the type of self-awareness we develop in psychotherapy. The first statement has fascinated and puzzled me for decades. A friend, who meditates regularly, repeated to me that the Dalai Lama had said the following in conversation with an American psychiatrist: “When someone has been shot with an arrow you psychologists ask how the arrow got there, who shot it, how long ago, with what…

Michael Lambert on Preventing Treatment Failures (and Why You’re Not as Good as You Think)

Dr. Michael Lambert's groundbreaking work on tracking client outcomes has revealed a huge blindspot for psychotherapists: We don't notice when our patients are getting worse. But he's got the solution if you're willing to try something new.

The “L” Word

Lisa hefts herself heavily up the stairs to my office. She must come up two feet to a stair, like a small child. She is breathless by the time she gets to my office and has to take a few moments to collect herself. As she settles in, I realize she has gained even more weight in the few weeks since I last saw her. She is huge, solemn, powerful, inert. Once she is seated, nothing moves but her head and…

Treating a Couple After an Affair

The couple in my office is connected mostly by the spaces they hold between them. Sitting on the loveseat in my office, they do not touch, although their arms, legs, and elbows and hands shift in an unconscious echo of each other’s movements. They are not so much mirroring each other as performing an elaborate dance of avoidance and retreat, their bodies’ dialogue spoken even through their many silences. On a larger scale, the same thing happens where they live:…

Why Its Time to Take Mobile Seriously

I was looking over my Google Analytics stats last month, and was shocked to see that 19% of my clicks in Google AdWords for psychotherapy searches were done on smartphones. People of all ages are now looking for a therapist on their phones, with almost all of the searches being done on iPhone and Android devices. And while Google owns about 2/3 of the search results on desktops and laptops, they command an astonishing 97% of all searches on mobile…