Thoughts From a Therapist
How Therapy Works
What changes in therapy, symptoms as adaptations, the relationship as the work, and notes for clinicians.
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What Is Happening to Me When My Trauma Is Triggered? The Four Stages of a PTSD Response
Why PTSD triggers feel like the trauma is happening again. A therapist tracks three of his own traumas through the four stages: spike, interpretation,…
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Why Are We So Afraid of Artificial Intelligence?
Are we afraid of artificial intelligence, or of what we have already done with our own? A therapist on projection, ecology, and the fear…
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Why Do I Get Triggered So Easily? The Four Stages of an Emotional Reaction
Why we still react after years of work: the three stages of an emotional reaction, what can and cannot change, and why sensitivity is…
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Understanding Anxiety Is Only the Beginning | The Gap Between Insight and Action
Understanding anxiety is only the beginning. Learn how insight, physiology, habits, and values work together to reduce anxiety by turning awareness into meaningful action.
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Using Immediacy in Therapy | Staying With Experience When the Mind Moves On
Immediacy in therapy brings attention back to the client’s present-moment experience—especially when the pull to move past emotion and into explanation begins to take…
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An Integrative Alternative to the DSM | A Coherence Map of Mental Health
An integrative framework for understanding mental health beyond symptom classification. The Fractal Field model maps how identity, relationships, embodiment, values, and meaning interact to…
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Somatic Descent Into the Hidden Narrative: A Clinical Vignette about Anger and Grief
She came into therapy with a sharp, immediate reaction whenever the subject of suicide emerged. Her face tightened. Her posture stiffened. The anger arrived…
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Nature, Nurture, and the Rhythm of Our Relationships | When Strengths Become Overused Skills
This content challenges the notion that all relational patterns stem from childhood experiences, emphasizing the importance of both nature and nurture. It highlights how…
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The Fractal Field of Mental Health
The text outlines a fluid and dynamic model of mental health, emphasizing that it encompasses multiple interdependent dimensions: Individual, Relational, Embodied, Integrity, Dialectical, Engaged,…
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Curiosity Without Judgment: Understanding the Adaptive Logic of Our Behavior
The article explores the importance of distinguishing between judgmental and curious forms of questioning when reflecting on our behaviors. It emphasizes that understanding the…
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