It is possible -and often pernicious- to see psychotherapy as a kind of soothing lullaby for adults, where the therapist sings the client into being calm, sedate, safe in the crib....

I have a lot of sympathy for the idea expressed her, but one thing is missing. As a psychotherapist (or psychiatrist) you help people by helping them grow capacities to respond to...

Looking very forward to attending this!☺️ Will make for a pleasant lunch hour (for those of us in the US) @IPAonline @JonathanShedler Tuning in now...👀 https://t.co/nlnog97Abm

What are the virtues needed to be the kind of psychotherapist who is likely to form a therapy relationship that leads to growth and change? IMO, contemp psychoanalysis would say al...

1/5 One goal of psychotherapy is to insert spaces for reflection where they have not previously existed—and thereby create opportunities to know ourselves more fully, connect with...

I have been doing self-administered Eye Movement Desensitization and Reprocessing (EMDR). Impressive results; - Less attached to past shortcomings - Reduced fear towards triggers...

1/ At the risk of alienating all colleagues of all orientations... I don't believe there's such a thing as psychoanalytic therapy. You can't go and "get" psychoanalytic therapy. Yo...

For some people in psychotherapy, the core psychological issue is *they cannot maintain relationships* OF COURSE they will want to end the therapy relationship before real therapy...

"A not infrequent and easily overlooked function of [psychotherapeutic] rituals is to provide a face-saving way for a patient to abandon a symptom or complaint without admitting th...

I do not practice a "type" of psychotherapy. The therapy I provide is based on my case formulation for a specific person. I have never provided the same therapy twice. It is thera...

Here are psych diagnostic terms that name VERY real phenomena. If you don’t believe at least some of these terms, or similar terms, name real things, you’re not really a psychother...

Most RCT data on "psychotherapy" for depression is from manualized therapies of 8-12 sessions—woefully inadequate to treat anything. Meaningful change (vs initial placebo effects)...

Healthy boundaries shouldn’t prevent you from connecting with people. Here are four ways to know your boundaries are rigid and unhealthy. 🧵

I sometimes think contemporary psychotherapy that is at all relational is a bit Epicurean. If psychotherapy has an implicit ethics it’s Epicurean, except CBT, which is Stoic, of co...

When someone drops their ego to genuinely apologize to you, just saying “it’s ok” is very lame. Here are five different sentences you can say instead:

What’s required for a psychotherapy relationship? I don’t mean from a psychodynamic POV. I mean for all therapies that assert the relationship is primary? I’ll state my thoughts b...

A thing that being a psychotherapist has proven to me is that wide swaths of people don’t tend to value, focus on, understand, prioritize their inner life: thoughts, wishes, feelin...

Here are some core principles of psychoanalytic psychotherapy that over time have become well supported empirically: -Winnicott’s theory about the importance of a “good enough” ma...

"in psychotherapy we focus on what can be changed because we are hired as agents of change. Nonetheless, for many reasons, we need to acknowledge and appreciate the significance of...

"Call it projective identification or nonverbal communication, the fact is that our patients will activate inside us resonances of their own experience. The crucial point here is a...

Some therapy patients have never experienced a relationship that works for two. Their relationship experience is using others or getting used. Psychotherapy means developing the c...

1/ Physical touch in psychotherapy—a story. I knew someone who had been physically & sexually abused & so traumatized that the most casual physical touch triggered a flashback & fu...

Here is a series of tweets that list the books I recommend reading for beginners and students interested in training in the field of psychoanalytic and psychodynamic psychotherapy....

Dear @gorskon, have you read the UK NICE systematic review of evidence for pediatric transition? The conclusions are: very low certainty of evidence (modified GRADE). Unclear how t...