Family Secrets
The slippery criteria that define substance abuse are notoriously difficult to distinguish in a client’s behavior. Sometimes the signs are obvious. But often, therapy clients hesitate to report the full extent of their usage. Practicing therapists must ask the right questions, usually more than once. I was trained to begin therapy asking several background inquiries…
Read More
Breakups can be heartbreaking, traumatic and disorienting. Therapists are intimately familiar with breakups, because a relationship’s demise is often the catalyst for therapy. A surprising outcome of certain breakups is that sometimes, they ultimately save the relationship. Director Michael Showalter’s hilariously raw romantic comedy, The Big Sick, illustrates a compelling roadmap to the ways in…
Read More
Elizabeth Stroud’s 2017 follow-up to “My Name is Lucy Barton” stands alone as an engaging, page-turning tale about how two people can have vastly different experiences of the same relationship. A group of character studies follows the same characters that played roles in “My Name is Lucy Barton”. This time around, their stories are excavated…
Read More
Elizabeth Stroud’s 2016 best-selling novel, My Name is Lucy Barton, examines the literary challenge of capturing an internal emotional experience and translating it to tell a meaningful story. The novel begins from Lucy’s hospital bed in Manhattan where she is battling a substantial but undiagnosed illness. Lucy’s husband is struggling to balance work, caring for…
Read More
Deepak Chopra famously said: “When you blame and criticize others, you are avoiding some truth about yourself.” The tendency to focus on the flaws of others in order to deny scary or painful dimensions of the self comes up often in therapy. Sigmund Freud described this process as projective identification. Projective identification — often called…
Read More
Family Systems theory is a school of psychology through which individual functioning is best understood in the context of their most intimate relationships. This “systemic” perspective emphasizes how each individual is shaped by the culture of their “family of origin”. (Family of Origin refers to the family in which we were raised.) The theory focuses…
Read More
Discovering infidelity is a common reason that couples seek therapy. Infidelity is much more frequent than one might expect, and the popular culture tends to equate infidelity with a loveless or passionless marriage. In my work as a couples therapist, I often discover marriages that have experienced infidelity but that clash with this popular conception.…
Read More
Parents of teenagers are bound to struggle to communicate and connect with their kids. It’s hard enough to lure a teen out of their bedroom, let alone to convince them to engage in an authentic conversation. One strategy to connect with teens is to create scenarios that set the stage for conversation. Driving to and…
Read More
Sibling relationships are frequently the longest intimate relationship of a person’s life. Brothers and sisters share memories about each other’s childhoods, and are likely to remember each other’s past from common and relatable vantage points. Parents, understandably, are prone to remember their children’s past from a more mature but inherently different viewpoint. As a result,…
Read More
Relocation is an interesting psychological process. My experience as a therapist is shaped by geography, and practicing in DC means that relocation is a recurring theme. A typical day of office hours might include sessions with clients from the Middle East, Europe, the Midwest as well as the South. Some of my clients grew up…
Read More