Why Couples Therapy Is Different From Individual Therapy Couples enter therapy with a different set of constraints and goals than individuals. Two people are in the room. The therapeutic alliance is not with one patient but with the relationship itself. The skills the therapist needs are not the same as those used in individual mental health … Read more
Frank, a 67-year-old former hospital systems engineer in Tucson, retired on a Friday afternoon in March with a sheet cake, an engraved clock, and a folder of HR paperwork his wife Marta still has somewhere in a kitchen drawer. By the following October, Frank had stopped shaving on weekdays, was sleeping until 9:30, and had … Read more
Priya from Boston walked into a heated power yoga studio in Cambridge eight months after the assault, hoping the class would help her sleep. The teacher, well-meaning and certified through a 200-hour program that had spent maybe ninety minutes on trauma, walked the room with bare feet and a strong adjusting hand. He pressed her … Read more
Mindfulness as a Mental Health Tool, Not a Lifestyle Trend The cultural visibility of mindfulness and meditation has grown so much in recent years that the techniques are now associated more with corporate wellness programs and Instagram influencers than with their actual evidence base. The truth underneath the cultural noise is that mindfulness, when practised … Read more
Marcus, a 34-year-old combat veteran living in Austin, Texas, came home from his second deployment with PTSD that nightmares could not loosen. He tried weekly therapy. He tried sertraline. He tried a meditation app his wife downloaded for him. The first time the panic crested in line at H-E-B, he abandoned a half-full cart and … Read more
Jared Vasquez, twenty-eight, an Army veteran living in Colorado Springs, took a fall from a second-story balcony at a friend’s wedding in late September. He was knocked unconscious for maybe ninety seconds. The ER did a CT scan, told him it was a concussion, gave him a one-page printout about rest, and sent him home. … Read more
The Conversation That Saves Lives For most of the twentieth century, mainstream advice in mental health care cautioned against asking people directly about suicide. The unspoken theory was that direct questions would plant ideas, lead to action, or destabilise a fragile person. Decades of research have decisively reversed that view. Direct questions about suicide reduce risk rather … Read more
Reece Tomlinson had survived two combat deployments to Helmand Province with the Marines and the homicide of his older brother in 2019. By the time the 38-year-old San Antonio veteran walked into a Sheppard Pratt admissions office in December 2024, he had completed two 30-day stays that had not held. The first program in Arizona … Read more
Hannah Whitaker was 33, a homeschooling mother of four in Greenville, South Carolina, and her family had been members of Christian Healthcare Ministries for seven years. They paid their monthly share, attended church every Sunday, and felt grateful for the community that had helped pay for her second daughter’s tonsillectomy without a single billing fight. … Read more
Why Relapse Plans Are the Quietly Important Part of Therapy Most patients who recover from depression or anxiety experience at least one period of recurrence in their lifetime. The numbers depend on the condition and the population, but for major depressive disorder, the chance of a second episode within five years of the first is … Read more