Why psychotherapy hurts — and why that is often the sign it is working
Many patients leave their first analytic sessions feeling worse and think about stopping. Freud and André Green help explain why this pain is often a sign that the work has begun — and how to tell the pain of working through from the pain of a technical problem.
Psychotherapy once, twice, or three times a week: why higher frequency does not mean greater severity
More frequent psychotherapy is not a sign of severity — it is a choice of depth. Why two or three sessions a week open up work that weekly sessions do not, and why confusing these two axes costs clinical opportunity.
When the psychiatrist is your own psychotherapist: the advantages of combined treatment with the same professional
An integrated model in which the same psychiatrist prescribes medication and conducts psychotherapy. The clinical advantages of treating mood and history in a single setting, with no lag between professionals, and with the psychoanalytic reading informing pharmacological choices in real time.
When keeping everything in order becomes suffering: perfectionism, anxiety, and the exhaustion of never quite getting there
Always worrying about keeping everything clean and organized, and never feeling it's enough, may be more than personal standards. Understand what sustains this exhaustion — and why it can change.
How long does lithium take to work
Lithium's effect doesn't arrive all at once: what acts on the elevated phase shows up in days, the effect on the depressive side takes weeks, and stabilization can only be measured in months. What to expect at each stage — and when waiting is not the answer.
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