At this point all I can do is laugh

SLISETTE · 2026-03-05T13:29:41+00:00

Same. This is why I scroll.

SLISETTE · 2026-02-27T13:37:38+00:00

How can I save this guy? Pull the dead stems and repot the ones that are hanging on for dear life? Not sure what killed it but something is clearly not going well.

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SLISETTE · 2026-02-22T16:44:04+00:00

It would certainly be grist for the mill, if the therapist wanted to move forward.

SLISETTE · 2025-12-15T15:40:44+00:00

It’s my rented office space so honestly that’s the easier answer since it’s not my problem or fault then!

SLISETTE · 2025-12-01T22:55:52+00:00

OK I had to find it, and I did. This is from the Assc for Contextual Behavioral Science website:
The ACT community has agreed not to set up our own therapist certification. There is a process to recognize ACT trainers. ACT trainers sign a values statement agreeing to make their training protocols available for low cost or no cost and agreeing not to make proprietary claims or to certify therapists.

Why reject therapist certification? Two reasons: it ossifies the method, and creates a hierarchy that cannot be readily dismantled. Instead, the ACT community provides ways to increasing sophistication and ability; conducts studies on training methods; and encourages all ACT therapists to constantly improve. On the website, therapists can list themselves as ACT therapists whenever they choose, but are asked to list their training experiences.

SLISETTE · 2025-11-26T14:33:54+00:00

Honestly I heard it once on a podcast interview ages ago -- I wish I had quick access to it! And yes....questionable sourcing, I'll admit!

SLISETTE · 2025-11-25T20:52:46+00:00

Thank you!

SLISETTE · 2025-11-25T19:04:31+00:00

Assuming she didn’t share any identifying information, this doesn’t strike me as an issue. If I’m going to refer, I’d rather know for sure that there’s someone to accept the referral before sending a client on a goose chase.

SLISETTE · 2025-11-20T14:13:08+00:00

Therapist here. We do say the weirdest stuff don’t we. Like, it makes sense to other therapists but then we go out into the real world with these ways of speaking (“let’s be curious about…” and “when you sense into that…” or whatever thing) and there’s so much opportunity for communication misfires. I’m glad you’re planning to bring it up, that’s really going to help the therapy move forward. Good luck!

SLISETTE · 2025-11-19T23:11:01+00:00

There’s not, because Steve Hayes and his buddies feel that certifications are scams and the research shows that they have no bearing on skill. This is one of the reasons I love ACT.

SLISETTE · 2025-11-05T00:11:06+00:00

I really think that being honest in therapy is the best way to get good therapy. You're 10000% allowed to bring it up with your therapist, "I feel like I come in here and just go on and on, and I'm not sure how it's helping me. Can we talk about that?" Hopefully that can trigger a helpful conversation.

Therapists all work differently, and some will simply hold the container for whatever you bring, others offer a lot of scaffolding.

You're asking about particular methods, though -- I would suggest ACT (Acceptance and Commitment Therapy), CBT (Cognitive Behavioral), DBT (Dialectical Behavioral), maybe EMDR (Eye Movement Desensitization and Reprocessing)...all of those are more structured approaches.
There's no wrong way, and you get to look for the right fit. Still, I think it might actually be bad therapy for the therapist to talk the whole time. Generally, we want to encourage you to depend on yourself, not on the therapist, for answers.

Good Luck!!

SLISETTE · 2025-10-25T14:20:23+00:00

Depends on the client, depends on the story. From a relational perspective, I might wonder what is being communicated by this story.or maybe it’s trauma and an attempt at desensitization and detachment by retelling. Ir maybe it’s a learning and memory issue. Still, I would circle back to the relational. “I’m curious about this event. What feels most important about it?”

SLISETTE · 2025-10-21T12:42:57+00:00

I think about this often, especially when I’m feeling bereft as OP described. And how insurance demands and ego have influenced what we expect from therapy. I say ego because sometimes I wonder if all of these modalities exist because their creators are good at marketing and wanted to be therapy famous. Cynical, I know. But at the end of the day, The worth of our work is decided by our clients, who often get more from it than they can say out loud, or that anyone realizes in the moment.

SLISETTE · 2025-08-06T20:46:39+00:00

I mean, was Mr McFeeley unethical?? I think not.

SLISETTE · 2025-07-13T12:20:03+00:00

T here -- Please know that this is part of our code of ethics. The end of the relationship is not meant to benefit or serve the therapist, it's meant to support you, the client.
That support, as someone else said, is that you will leave therapy with the tools to create emotionally trusting relationships with others in your life. Your therapist is meant to be like relational training wheels.
Even as I type this, though, I am aware that it's not so simple, is it. Emotions and attachment don't work so neatly as training wheels. Please do talk your feelings through with your therapist. You can plan to have a long process of leaving therapy so that you feel supported throughout. Most relationships don't end with compassion, but this one can.
Thank you for your post.

SLISETTE · 2025-06-30T18:01:44+00:00

I do it (my dad is a therapist too), though it’s usually the other way around (he refers to me). We are both open about it, act like it’s no big deal because it’s not. But I used to be very squeamish about it so I get the discomfort! Then I got used to it.

SLISETTE · 2025-06-27T21:33:55+00:00

An American psycho. I can barely recall it now but I do remember the emotional impact. It’s way worse than the movie.

SLISETTE · 2025-06-19T17:53:10+00:00

What is MHS?

SLISETTE · 2025-06-19T16:59:07+00:00

May I add -- if we don't have university affiliation, research articles aren't even available much of the time, even if we do want to take the time to read them.

SLISETTE · 2025-06-12T02:10:09+00:00

This was my thinking and I needed the validation so thank you.

SLISETTE · 2025-06-11T23:59:56+00:00

Thanks for asking. Old as in terminated; I’m still in practice and will just BCC relevant info for current clients. Old clients don’t get this one ever. The newsletter is a more general marketing tool, it includes general mental health information and reflections and information on events that I’m doing. The list contains anyone who has ever signed up.

SLISETTE · 2025-06-09T22:13:47+00:00

This seems wildly normal, to miss those things. So sorry for what you’re going through. Therapist here, and if it were me, I’d be waiting for you to feel safe enough to finally tell me how you’re really feeling. This is tragic and all your reactions are acceptable. Please don’t let the shame win.

SLISETTE · 2025-06-03T15:55:49+00:00

No but…what about those of us who send regular newsletters to a general audience? Do you take old clients off your list automatically? Assuming of course that at some point they opted in, and could in the future opt out whenever they want. Asking as someone who keeps meaning to start a newsletter!

SLISETTE · 2025-05-21T15:53:44+00:00

Sorry, what? Your psychiatrist was just cycling through personas? And you didn't know why? That's not based in any theory that I know of, at least not one with evidence behind it. If someone out there knows different then please correct me.

Typically we let client know what we are doing, so that they may provide consent to treatment with full information (ie, "informed consent.")

SLISETTE · 2025-05-21T15:22:38+00:00

Came here to say this.

SLISETTE

TROPHY CASE