Grief
The film Beautiful Boy concludes with the statement in the closing credits that drug overdose is now the leading cause of death in Americans under age 50. Hardly a spoiler, this stressful statistic is the backdrop of the central question of film – why are so many young people getting hooked on drugs and dying…
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Can spouses gage one another’s mental health? Can therapists and metal health professionals rest assured that a client who appears to be functioning well is safe and stable? Can we take responsibility for the emotional well being of people we love and heal their psychological pain? Lady Gaga and Bradley Cooper’s tremendous remake of the…
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Therapists are always asking about the intricacies of marriage, and so we learn a lot about our clients’ personal lives. But what actually happens within the dome of an intimate married life is ultimately private. Tayari Jones’s beautiful novel, An American Marriage, offers a layered exploration of the inner emotional lives of a married couple,…
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Each summer, as September approaches, I find myself remembering the morning of September 11, 2001. I was seeing a therapy client in my office on Washington Circle in Northwest DC. My office sat on one side of the circle, and GW Hospital sat directly across. I could easily see the hospital from my office window.…
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I find it helpful to ask clients in the early stage of therapy to pay attention to where they notice the experience of being in therapy coming up when they are not in my office. The most common response I hear sounds something like this: “It’s hard to describe a concrete difference, but in the…
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Emotional maturity is a critical concept that underpins all couples therapy. If there is one consistent goal I have for therapy clients seeking couples therapy, it is to develop greater emotional maturity through engaging in the therapy process. The psychological school of Systems Theory places emotional maturity at the centerpiece of its conceptual framework. This…
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If either of my teenage daughters suggest to watch a movie with me, I eagerly agree. (A bit too eagerly, they would say.) My sixteen year old and I missed Taylor Sheridan’s Wind River in theaters, and we both enjoy a good murder mystery, especially if a strong female detective is featured. As a therapist…
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Love and connection drive the human experience. But balancing separateness and togetherness can feel much more challenging than we are socialized to expect. This balancing act – threading the needle between existing as a separate self while developing intimacy with another — is a frequent conversation topic in therapy. When falling in love generates anxiety,…
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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…
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Grieving the loss of a spouse or immediate family member can involve an unpredictable journey. Researcher Elisabeth Kubler Ross categorized the expected stages of the grieving process — denial, anger, bargaining, depression, acceptance – but people move through these stages in their own way, and sometimes in an unexpected sequence. One of the most common…
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