When something shifts in a session and you are not sure what to do next, the first question is not which technique — it is whether the client is in their window of tolerance. A clinical guide to reading the room and choosing a direction.
Affirming therapy is a clinical competency, not just a values statement. A practical guide to what affirming practice looks like in session, what mistakes to avoid, and how to support clients through the specific challenges LGBTQ+ people face.
A practical therapist guide to recognizing shame in session, checking responsibility before reassuring, responding to self-attack, and deciding what to do next.
Chronic suicidal ideation requires a different clinical approach than acute crisis. A guide to assessing baseline versus elevated risk, holding SI over time, and what to do when the chronic becomes acute.
OCD is one of the most misunderstood presentations in outpatient therapy — and one of the most reliably worsened by the wrong approach. A clinical guide to what OCD actually is and what therapists need to know.
The instinct to say “just leave” is almost always the wrong clinical move. A guide to understanding why leaving is dangerous, how to hold ambivalence, and what safety planning actually looks like.
How a therapist responds in the first moments of a substance use disclosure shapes whether the client ever tells the full truth. A clinical guide to receiving the disclosure, working with ambivalence, and knowing when to refer.
Anger in therapy is information, not a problem to manage. A clinical guide to the different forms anger takes in session and what each one actually needs from the therapist.
Eating disorders are among the most mishandled presentations in general outpatient therapy. A clinical guide to the conversations that come up most and how to handle them without doing harm.
Grief is one of the most common and most mishandled presentations in therapy. A clinical guide to what therapists get wrong, what different kinds of grief actually need, and what helps.
