Getting old is often a surprise, even when we’ve spent decades trying to get comfortable with the vicissitudes of aging. Read more

As young people move forward with new, more flexible frameworks for thinking about gender, it’s not always easy to bring parents along. Read more

Suicide isn't simply the tragedy of someone taking their own life: it's also the long, excruciating nightmare of being left behind. Read more

The session was supposed to be a consultation between two middle-aged sisters—my client, Annie, and her sister, Carol—about sharing their multigenerational... Read more

When a therapist finally confronts his tendency to dissociate, his work takes a life-changing turn. Read more

During the pandemic, our clients’ relationships need special attention and nurturing. Sometimes that means helping them recalibrate what they can hold for... Read more

It takes creativity to apply basic therapy tools, especially when depression has set in and negative cognitions have taken over. Read more

As therapists, our job is to do our best for our clients. But even our best efforts can’t always ensure that therapy will help, or even that we don’t do... Read more

What happens to a buttoned-up young therapist when things get out of hand in his office? Read more

Motivating couples to do their therapy homework may be the key to successful outcomes. Read more

December 29, 2013. It was still dark as I was walking the unlit path to my friend’s house for our weekly meditation meeting. Suddenly, my feet went out from... Read more

A therapist takes an unflinching look at a puzzling case that spanned 14 years, wondering if he made a wrong turn. Read more

Far from being evidence of marital bankruptcy, a woman’s affair can be a way of expressing a desire for a different self and an opportunity to breathe life... Read more

Paul, a slim, attractive, 29-year-old white man who owns a landscaping company, was referred to me by his therapist (with whom he was making no progress... Read more

Letting go of our childlike fascination with the promise of the future is one of the hardest challenges of truly being in the moment. Read more

"Complicated grief" resulting from unresolved guilt, anger, shame, and regret can fester on for many years. Read more

Take, for instance, Paula and Keith. They were in their early thirties and had been together for four years and married for nearly two when they came for their... Read more

I nod numbly as I try to absorb the image of building a coffin for one's child. [Eric]'s son, Paul, is 15 years old. He's slowly dying from a brain tumor. n... Read more

Despite all the hoopla, the dropout rate for Viagra exceeds 40 percent. A case explores the aspects of middle-aged sexuality that no drug can address. Read more

Everything you ever wanted to know about surviving burnout Read more

"Mom, I think it's time to really forgive you, and maybe even me. But I'm still mad. I just don't know how to let go of it. Believe it or not, I've been trying... Read more