How Do You Know If Therapy Is Actually Working?

When one of my clients first came to therapy, she believed there were certain triggers she would never get past. Her anxiety sometimes made her vomit. She had flashbacks and carried a tremendous amount of shame, both about what had happened to her and about the way...

When Competence Becomes Armor

I am usually the person who remembers the appointments and the details of what needs to be done at home. I notice when we are almost out of toothpaste or garbage bags. None of these things is difficult on its own. It is the accumulation of them and the fact that they...

What If We Stop Optimizing?

I have been thinking lately about how much time we spend trying to make ourselves better. If my IG algorithm knows something about this, it’s that I am not immune. Most of us want to grow and develop and some of us want to become “better” people. That all...

What If I’m Not Unhappy?

I have been thinking a lot lately about what actually makes us satisfied with our lives. Or maybe satisfaction isn’t even the right word. For a long time, I think I assumed happiness and satisfaction were more or less the same thing and that both were somehow the...