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General

The Question Sex Addiction Critics Don’t Want You to Ask…..

Guest Blog - Stefanie Carnes PhD, LMFT, CSAT-S

Over the years I have developed a tremendous amount of respect for Dr. Stefanie Carnes and her work as both a clinician and a trainer of clinicians. Currently, she serves as President of the International Institute for Trauma and Addiction Professionals and as a National Clinical Consultant for Elements Behavioral Health. She is also the author of numerous well-regarded...
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Wake Up California Therapists! Protecting Client Confidentiality per Proposed California Law AB 1775

The Current Situation vs. AB 1775

For a very long time, California psychotherapists have been required to break client confidentiality only when we believe a minor or dependent adult is in imminent danger of serious abuse or neglect or a life is imminently at risk (homicide and/or suicide with a clear plan). Over the years this has enabled us to privately counsel countless men and women seeking help with discontinuing illegal or potentially harmful behaviors, or...
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Therapists and Clients: Common Problems and How to Avoid Them

Therapists Are Not Perfect

As therapists, each of us would like to do exactly the right thing in each and every session. However, given the stressful nature of our work, the lengthy and sometimes sporadic hours, the occasional inability to feel secure in our continued income, and even our own not-yet-totally-resolved issues, we sometimes fall a bit short of this lofty goal. Simply put, despite our good...
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Do You Want to be Happy?

What is Happiness?

As a therapist, I often encounter clients who say things like: “I don’t know what’s wrong with me. I have everything I want and yet I never feel satisfied. There’s no joy in my life. Maybe I’m just not a happy kind of person. Maybe I’m just a glass-half-empty person.” When I get hit with that sort of proclamation, I typically respond with a few probing questions: “What...
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Understanding LGBTQ-Affirmative Psychotherapy

I don’t understand the concept of having a “gay agenda.” In my belief system caring people closely hold to a “human agenda” of loving, accepting, and helping all people.
What are L, G, B, T, and Q?

We live in a heteronormative society. In other words, heterosexual relationships are the cultural norm, and anything different is, well, different. Yes it is true that things are changing rapidly in parts of the Western...
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Fame and Fortune in Psychotherapy

The (Non)Importance of Media

Prior to speaking, along with my friend and colleague Dr. Christine Courtois, at the amazing Psychotherapy Networker Symposium in DC last weekend, I spent several days in New York interacting with one media outlet after another in the service of promoting my latest book , Closer Together, Further Apart, coauthored with Dr. Jennifer Schneider. The book examines the intersection of human relationships and digital...
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Men and Depression: Not Just the Same Sad Face

Feeling Down?

Scenario 1: Joan, a 32-year-old working mother of two young children

Joan arrives in therapy complaining that over the past six to eight months she has experienced growing feelings of both sadness and fatigue. She admits to frequent crying jags over what she accurately describes as relatively minor incidents. She also reports difficulty falling asleep, usually because she’s worrying that her children need more from her than...
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