Receiving Gifts in Psychotherapy

What does your ethical code say about accepting gifts from clients? Is it ethical to do so? If you’re a psychologist, social worker, or marriage and family therapist, you’re probably not sure. That’s because your official code doesn’t address it. Surprisingly, there’s not a word about gifts in any of the codes pertaining to those disciplines. And yet, virtually every mental health practitioner has, or will, face a situation where some client offers a gift of some sort at some…

Memories of Stonehenge, 1984: Conference of Women Family Therapists

In the summer of 1981 I was traveling around Ireland with Lynn Hoffman who was at that time- and for a great many years- a tremendous supporter of the work of a numerous others in family therapy. She was at that time especially supportive of therapy teams in many different places in the world and was telling me a good deal about all the creative women she had run into in her travels. I began to think about the need…

Empowering Clients in Couples Therapy

When I do couple therapy, I bring partners in on my concerns about what is happening in the session. If I am concerned that one partner might feel I’m siding against him or her, I might say, “Ben, I’ve just realized I spent more time today developing Lisa’s position today than I have yours. Is that your sense, too? And if so, do you feel left out or sided against or ganged up on?” The person (here Ben) often responds…

Ethical and Legal Issues in Telephone Therapy

With today’s technology we are an ever mobile yet increasingly connected society. For example, a client who you have been treating in office and perhaps with a few phone sessions when he was stuck downtown at his office has now relocated out of state and wants to continue his therapy sessions. With telephone, Skype and e-mail, why not? Why not expand your practice and “see” patients across the country, especially if you have expertise in an area of treatment? …

A Psychotherapist Returning from Vacation

It’s been twenty-plus years now of returning from some sort of summer vacation to resume seeing clients.  I wake up this morning, still unsettled from my dream life, reminded that my own anxiety, seemingly under wraps, is not too far from the surface. As I mentally ready myself to go back to work, images and memories seep in from prior years: early in my career nervously wondering whether any clients would return; other times eagerly anticipating seeing a specific client or…