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Good and Bad Reasons to Take an Antidepressant

Many people take antidepressants, not because they're depressed, but because doing so helps them to avoid confronting important feelings or problem areas in their lives. Continue reading →The post Good...

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Countertransference Issues in Treating Depression

Countertransference in the broad sense means all your thoughts, feelings and fantasies during a psychotherapy session. It's a useful tool for understanding your clients, especially those suffering from...

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Depression Symptoms and the Role of Rage

Unconscious rage plays an important role in depression symptoms. Bringing that rage into awareness often leads to an improvement in those symptoms. Continue reading →The post Depression Symptoms and...

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ADHD Symptoms Revisited

A reconsideration of Alan Sroufe's article in the New York Times about ADHD symptoms, as well as the rebuttals and reactions from Harold S. Koplewicz and Judth Warner. Continue reading →The post ADHD...

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Listening to Pain

Early in my practice, a client said something that has stuck with me for the last 30 years. A trained dancer, she told me she avoided taking pain relievers because, in her view, pain was her body’s way...

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Self-Loathing

About 30 years ago during analytic training, my good friend Tom Grant was describing a difficult case in seminar — a man in his mid-30s whom Tom had already been treating for quite some time. Tom’s...

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Time Management Problems

I have a good friend, a woman close to my own age, who struggles with time management problems. She usually arrives late for social events and often fails to meet deadlines at work. In her free time,...

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Some Thoughts About Mania

During my recovery from overload (the result of having ignored my personal limitations), I’ve found my thoughts turning to the psychodynamics of mania. Over the last few years as my clinical and...

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Benzodiazepines and Dementia

I haven’t written about my opposition to the widespread use of psychiatric medications in quite some time, mostly because I feel I’ve already said most of what I have to say on this issue. (See the...

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Seasonal Affective Disorder and the Healing Power of Sunlight

The effect of sunlight upon mental health has been obtruding into my consciousness of late. To begin with, when I needed continuing education hours to renew my license, I took an online video course a...

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