"[The therapist] avoids being too supportive, because he hopes not only to offer sustaining help but also, through his therapeutic attitude of being nonjudgmental, noncondemning, n...

Goddamn, just from the abstract alone “Specifically, standard mental health scales appear unable to distinguish between genuine mental health and the facade or illusion of mental...

This is not what happens in real psychotherapy. This is not what skilled psychotherapists do. It may be called "therapy." It may be marketed as "therapy." But it is not psychothera...

1/ If a therapy patient describes something & omits how they feel, *there's a reason* for the omission, not necessarily conscious. It's more helpful to be curious about the omissio...

1/ Transference 🧵 "A person starting therapy is entering an unfamiliar situation & a new relationship & necessarily applies their previously formed templates, scripts, or schemas...

1/ When you're feeling awful about therapy with a particular patient—hopeless, despondent, overwhelmed, incompetent, furious—it may be because they are (unconsciously) communicatin...

2/ More specifically: we assume no one fully knows their own heart and mind & there is value in greater self-knowledge ("shadow work"), we understand problems in the context of the...

1/ Poll by @GoldfriedMarvin shows how CBT fails to grasp the role of the therapy relationship in psychodynamic treatment He can't conceive of a 3rd option 🔥The therapy relationsh...

@JonathanShedler Also, this hate is not to be used as an example of a “cognitive distortion” where one can deploy CBT techniques to realize it is irrational. In a therapy relations...

This is from Amy Wenzel, Handbook of Cognitive Behvioral Therapy (2021) chapter on therapeutic relationship, & special attention to @JonathanShedler ☺️ and it turned on she shares...

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...

I’m going to talk about therapy. The world needs more high-profile people to talk about it, help normalize it, explain why it’s good, and remove the stigma surrounding it. I have...

Imagine a relationship where the other person will not exploit or take advantage of you in any way, nor let you exploit them. Imagine they say what they mean & mean what they say,...

"Find a therapist" is useless advice >95% of the time, you're better off just saying "I don't know what to do" People want to believe "therapy" is the cure for any mental issue, j...

@morgenschlau Hi Rene, appreciate you taking the time to better explain your remarks. I agree with most of what you said, you are right, things are a lot more nuanced. I am not a...

1/ Listening non-judgmentally is not something therapists learn from a book or class. It takes years of work. We can listen without judging because we have examined the dark corner...

1/ Pt: I just want you to support me. Is that too much to ask? That's what I pay you for, isn't it? T: Well, I guess a lot depends on what you mean by support. Help me understand w...

@Freudandbeyond @bitesizetherapy @DrHoevet @Lmsnow3 @therapiworks Here's a tidbit for later (from a handout I give students). For now, just look at the rationale for the seating ar...

Thank you all for 30k! 🥰 Community matters—so a shoutout to a few dear folks who are part of mine (& some great follows here!) circle 1 @bitesizetherapy @PoetryofAfter @rascality...

This needs unpacking. We repeat our relationship patterns throughout our lives & we repeat them in therapy too (transference). We *want* them in the therapy relationship, with all...

I made a post about likely signs that you have Relationship OCD and I got Dms asking what can be done about it. In this thread, I have put together PRACTICAL steps to take in gett...

If you have social anxiety, then read this: https://t.co/j6acXoomcq

Mary Jo Peebles - “Knowing where to begin simply means having a grasp on whether we will need to repair or explore, confront or stabilize, and which needs to be done first.”

"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...