Being in Crisis
It’s probably not surprising that as a psychiatric mental health provider, I work daily with people who are in crisis. Over the years, I’ve noticed that fewer and fewer people are aware they are in crisis when they come to see me. There are...
What to do with defenses before we have a conscious therapeutic...
What do we do when defenses and resistances crop up early on in a session before a conscious therapeutic alliance and an...
On the “talking down to the superego” intervention
There are patients who no matter how much the therapist asks and invites: “Do you notice, do you notice… would it not...
Online Therapist Reviews: To Trust or Not To Trust?
Which would you rather use? A plumber you found on Yelp with 5 stars or one without any? How about a restaurant with 5 stars on Google as opposed to a restaurant only rated 1 star? Would you choose a therapist with a 5 star rating over one with none &m...
When supportive therapy is not supportive
Consider the idea of pseudo-contact: the patient who is using the relationship with the therapist as a defense.
The patient uses the supportive relationship with...
Let’s Talk about a Healthy Sexual Lifestyle
“Healthy lifestyle” – You hear this often in the media, but what about a having a healthy sexual self?
Let’s discuss what healthy sexuality is and how do you achieve it.
Healthy Sexuality may have different mea...
4 Behaviors That Lead Straight to Divorce
How to Save Your Marriage from These Relationship Killers.
Wouldn’t it be great to have a crystal ball and to be able to see all the avoidable problems in your marriage or relationship and do whatever it takes to keep love alive?
Actually, than...
A relational approach: perceptual flexibility, holding space to not know, (not...
We are always filtering the data out patients share with us through the lens of our training and previous experiences. We would not be...
Rousing Sleeping Dogs
I recently found a recorded conversation I had with Marvin Skorman about the head-on collision and the importance of not addressing superego...
How Do I Support?
I have had several sister friends reach out to me because they are experiencing difficult times. Some are dealing with the end of a marriage. Others are grieving because they have not attained their goals relative to career, relationship, f...































