If I accused you of being a Martian...

Cross-posted from “Sacramento Street Psychiatry“.

In dynamic psychotherapy, patients often say how hurt and victimized they feel as a result of unkind judgments or criticisms by others:

“My coworker called me a hypocrite!”

“My mother told me I neglect her by not visiting enough.”

“My husband complains I’m too self-centered.”

Although sharing such complaints with […]

Carlat on mindless psychiatrists

My fellow psychiatrist and blogger Dr. Daniel Carlat has an article in this weekend’s New York Times Magazine. “Mind Over Meds” is a memoir of Dr. Carlat’s growing realization that psychiatry can’t be done well in 15-20 minute medication visits, that talking to patients as people is important too.

I’m generally a fan of Dr. […]

Does knowledge dilute the magic of therapy?

A reader named Kim wrote:

I do tend to be cerebral and look for stuff on the internet like this blog to try to get more insight into what my therapist is doing. I am curious, do you think this dilutes the “magic” of the therapy somewhat, or do you think it is helpful or […]

Sailing between support and insight in therapy

Cross-posted from “Sacramento Street Psychiatry“

For more than a decade I’ve taught a seminar in dynamic psychotherapy to psychiatry residents. One tricky issue that arises every year is the apparent choice between conducting a “supportive” psychotherapy, versus an “analytic” or “insight-oriented” one. I developed a sailing analogy to clarify this issue, and to teach an […]