The Work of Change

Thoughts on counseling, addiction, recovery, and meaningful change

Therapy Thoughts

Behavior Contracts

Behavior Contracts

A family came to me with their 17-year-old son, who was running – not walking – through every house rule. He wasn’t checking in with his parents as they requested. He was dabbling in substances, coming home high and/or drunk, well past his established curfew. Grades...

Compassion Fatigue. It’s Real, Y’all.

Compassion Fatigue. It’s Real, Y’all.

This past week, I got hit -  and I mean, hit hard - by compassion fatigue. I didn’t recognize the signs at first but here they are, in no particular order: I wasn’t sleeping well. I was thinking about my clients round the clock. I was leaving as late as I could from...

Why Your Therapist Needs Therapy

Why Your Therapist Needs Therapy

I rarely self-reveal to my clients during session, but a question I’ll always answer is this one: Do you see a therapist? Yes. Hells yes I do. I’m always more than baffled when I talk with a counseling colleague and I discover they are not seeing a therapist. If you...

Chronicles of Private Practice