Psychotherapy Notes — High Dose Psychotherapy

Two patients came from extraordinarily dysfunctional families.
Both of them simply didn’t know how to live a life that the rest of us would have considered even ‘somewhat normal.’  Both went in and out of numerous therapeutic relationships, tried countless legal and illegal drugs, but they never could break away from their legacies. It was as [...]

Psychotherapy Notes — It’s where I’m going that’s scary

She’s the victim of incredible emotional abuse and multiple real illnesses. For years she used cocaine to lift her spirits. 
We spoke about how she’s got to leave the past, to accept the fact that sometimes in life justice isn’t available the way we would like it to be, and that she has to revise her [...]

Psychotherapy Notes — The Difficult Part of Hard

What a great saying, “the difficult part of hard.” 
The patient entered treatment six months ago, suffering depression, repeated business failures, a lousy self-image, poor social interactions, and feeling rather hopeless. Looking at his cluster of symptoms, it was classic depression. He knew the process would be hard.  He responded nicely to medications, though it took [...]

Society’s Tonic – Years of child abuse in Irish religious residental care organizations

A disturbing report from Ireland now exists on years of child abuse by religious organizations. Known as the The Commission to Inquire About Child Abuse , it was released May 20, 2009.   The five volume report has a good executive summary.  “The Commission to Inquire into Child Abuse was established in 2000 with functions including the investigation of abuse [...]

Psychotherapy Notes – The showroom vs. workshop

A pleasant 32 year woman struggled with identity issues. She was exceptionally bright, and far more earthy than her social climbing and narcissistic  mother.  She felt as if her intellectual accomplishments were displayed, like a personal and prized possession, in front of  her mother’s friends.   “It was beyond being a proud parent. My mother displayed the bounty of [...]

Psychotherapy Notes — Children in the Pennsylvania Courts

The NY Times reported that two Pennsylvania  judges took $2.6 million in kick backs to put children into two private treatment facilities. This is shameful and outrageous. It mocks the essence of what the courts and treatment is supposed to be all about. It speaks to ugly splinters in our society. We should be able to hold certain [...]

Psychotherapy Notes — Too Much Electronic Memory of the Deceased?

We were talking about what a difference exists in our lives because we have non-fading audio and video snapshots of those who have died. It keeps them alive. Our grandparents usually had only a few photos or paintings, but we can hear their voices, see their facial innuendos — it is almost as if part of [...]

Psychotherapy Notes – Separating from a child

Her adult daughter seemed  incorrigible. She stole, was in and out of jail, abandoned her own children, mis-used drugs, and after years of genuinely and aggressively trying every known legal and psychiatric intervention, the parents had to give up. Finally the daughter was sentenced to jail, and from jail she wrote apologetic letters to her [...]