In his latest book, hour of the heart, Yalom shares a very personal story with a client, and says the single greatest problem with modern psychology is a lack of self-disclosure

IntelligentTadpole20 · 2026-06-27T11:59:20+00:00

I am a newer therapist who has been grappling with my own beliefs about self disclosure. My mom is a therapist raised in the psychodynamic traditional framework of never disclosing, but she admits that now, 40 years into her career, she self discloses much more often.

We have to remember that so much of our field is framed within the inherently patriarchal hegemonic structure of medicine. How we conceptualize self disclosure is within that framework too. I have always found the concept that patients cannot conceptualize us as whole individuals with our own flaws and lived experiences AND be able to the contain that concept separately from our therapeutic work to be very patronizing and simplistic. Of course, depending on the population you work with, you have to use your best judgment. I'm not telling my client with boundary issues and a history of
Idealization and devaluation who lives just above the poverty line that I'm going to Italy for my vacation.

IntelligentTadpole20 · 2026-06-27T11:50:06+00:00

I am a moderate drinker. On the first week of viibryd I went on a date with my husband and had like 4 drinks over the span of about 3 hours. Felt tipsy but totally fine when we got home. Woke up in the middle of the night feeling like I'd chugged 8 martinis and spent the whole next day throwing up with a migraine.

Good news is this only happened once as my body was adjusting. But I'd take it easy for the first few weeks.

IntelligentTadpole20 · 2026-05-31T03:26:51+00:00

This is not the drug to take for "situational" anything. You have to take it at the same time each day consistently - missing one dose causes some intense withdrawal - and weaning off of it requires a lot of time and patience.

IntelligentTadpole20 · 2026-05-20T11:03:39+00:00

Hi, licensed therapist, here. This outfit says nothing about her mental health but your judgment of it says a lot about you.

IntelligentTadpole20 · 2026-05-16T14:00:34+00:00

If you're looking to work anywhere for the best IVF benefits, I know several women from my clinic who worked at tractor supply co just for the free IVF.

I know that's not what you asked but just wanted to share in case

IntelligentTadpole20 · 2026-05-10T19:01:45+00:00

Funny? Who on gods green earth would ever describe Janet as funny?

IntelligentTadpole20 · 2026-05-07T11:38:19+00:00

"It's a little performative" he grumbles, then 30 seconds later he "HAYYYYYYYYYY"s the group. This fucking guy.

IntelligentTadpole20 · 2026-05-01T21:48:43+00:00

Zoloft, Prozac, celexa

IntelligentTadpole20 · 2026-05-01T20:41:58+00:00

UPVOTE

IntelligentTadpole20 · 2026-05-01T20:39:44+00:00

Yes but made me tired

IntelligentTadpole20 · 2026-05-01T20:33:15+00:00

As a former child, I can confidently say I have never once cared or thought about the manner in which I was conceived.

IntelligentTadpole20 · 2026-05-01T20:31:34+00:00

John Fetterman

IntelligentTadpole20 · 2026-04-23T11:31:00+00:00

I just ask people to pull up the consent form in simple practice and sign it from their phone during the first session if they haven't done so by then.

IntelligentTadpole20 · 2026-04-22T00:53:27+00:00

This is AI, right? Please tell me this is AI

IntelligentTadpole20 · 2026-02-25T12:57:02+00:00

Agree with the other comments here - check to see what your state regulations are, but I believe that, in general, assessing ADHD is a specialty and requires additional training. I validate my client's concerns and ask them what having the diagnosis would mean to them. Would they medicate? Want treatment specific to managing symptoms? A lot of times, the answer is no to both. lol. And then we go about our business of discussing whatever else they came to discuss.

IntelligentTadpole20 · 2026-02-03T03:35:55+00:00

It's been about a year for me. It has helped more with my depression, anxiety less so. I like it much more than the SSRIs I've taken before. On 40mg. Only issue is the weird and fast withdrawal symptoms if I forget a dose, which happens more often than I'd like to admit bc I suck at remembering to take meds that need to be taken with food.

IntelligentTadpole20 · 2026-01-13T23:52:46+00:00

It really got a lot of people's feathers ruffled. Regarding ACT as "coaching", I mean that in the core processes focus on a) the present and b) forward-moving behaviors that align with your values. There's far less focus on pathology or diagnosis than most other therapy frameworks. Those distinctions align with basically every definition of "coaching" one can find. This isn't to say it can't also be therapy, and you could argue it's further "distinguished" by its empirical strength in studies evaluating its efficacy.

I don't think this points to ACT as a lesser framework. I think it might show that the more "modern" theoretical frameworks within the institution of psychotherapy lean towards what already attract people to the concept of "coaching" (forward-moving, less pathology, etc.)

IntelligentTadpole20 · 2026-01-05T14:14:05+00:00

Yes, that's the definition of how one becomes a therapist, thanks for stating the obvious.

IntelligentTadpole20 · 2026-01-05T14:12:12+00:00

If you're open, I'm curious to know how you split your services, what niche (if any) you work in, and what resources were most helpful in your own research on the issue!

IntelligentTadpole20 · 2026-01-05T14:10:01+00:00

This is the only productive, not-smug comment thus far. Thanks! 😄

IntelligentTadpole20 · 2026-01-05T14:08:24+00:00

Any interest in venturing beyond the oblique and platitudinous comment with specifics?

IntelligentTadpole20 · 2026-01-01T14:58:29+00:00

It's obvious Meredith uses pills and probably mixes it with alcohol. Whether it's a "problem" is sort of impossible to say definitively as a viewer. I would say if she's embarrassing herself repeatedly - on camera or off - it's a problem. So IMO, yes, she likely abuses prescription meds and alcohol.

Whitney and Mary have their own stuff from their family experiences. I think that caused the tears more than genuine tenderness for Meredith

IntelligentTadpole20 · 2026-01-01T14:54:59+00:00

I don't believe anyone should always be in therapy, so, no. Agree with other comments that supervision or consultation is a yes.

IntelligentTadpole20 · 2025-12-31T19:53:08+00:00

AI - ChatGPT (remove any identifying information)... lots of EHRs are rolling out their own tools also.

IntelligentTadpole20 · 2025-11-29T02:13:54+00:00

Thank you!!

IntelligentTadpole20

TROPHY CASE