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behavioral change

The Best Therapist I Ever Had Was My Tennis Pro

By Dr. John S. Tamerin · 9 min read · March 15, 2025

The stories in my writing are drawn from over fifty years of practice. Names, details, and circumstances have been changed. No real patient is identifiable.

I still take lessons. I am eighty-eight years old and I drive to Purchase most weeks to hit tennis balls with a pro named Cameron.

Cameron has watched me swing a racket more times than anyone alive. In all those hours he has never once told me to concentrate. He has never told me to want it more. He has never suggested that my backhand might be expressing something unresolved from my childhood.

What he says is, “You’re late. Get the racket back.”

That is the most useful sentence anyone has said to me in a long while, and I am including in that comparison some very good analysts.

He Corrects the Body, Not the Person

Here is what Cameron actually says to me, week after week.

Turn. Get sideways before the ball arrives, not as it arrives. Find your distance, because most of your errors are not swing errors, they are spacing errors. Racket back earlier than feels necessary. Put the pressure into your front foot first. Stop reaching for the ball with your arm.

Notice what is absent. There is no assessment of my character in any of that. He is not telling me I am impatient, or that I rush, or that I have never been able to tolerate waiting, all of which happen to be true and none of which would help me hit the next ball.

He names one thing my body is doing, tells me what it produces, and gives me something to do on the very next point.

That is a good interpretation. Everything else is commentary.

He does not tell me I am impatient. He tells me my racket is late. One of those I can do something about in the next four seconds.

The Problem With Talking About Last Tuesday

Here is what happens in a great deal of therapy. You describe something that happened last Tuesday. Your therapist listens carefully. You explore it together. You arrive at some real insight about why you reacted the way you did. You leave feeling understood.

Then next Tuesday comes and you do exactly the same thing.

The insight was genuine. The understanding was genuine. But all of it happened in retrospect. By the time you are analyzing the mistake, the moment is long gone. You are reviewing game tape instead of playing the game.

Cameron does not wait until the end of the hour to tell me my shoulder never turned. He catches it on the ball where it happened. “There. That one. You never got sideways. Again.”

And I do it again. And again. Until the body learns the new pattern and the old one begins to fade.

Everything That Matters Happens Before the Ball Arrives

This is the correction that changed my tennis, and it is the one I think about most in my office.

For years I believed a shot was made at the moment of contact. It is not. It is made in the second and a half before contact, in the turn, in the racket coming back, in the small adjusting steps that put me the right distance from the ball. By the time the ball is on me, the shot has already been decided. All I am doing at contact is collecting the result.

Cameron kept telling me to get the racket back sooner. I kept thinking he was talking about my arm. He was talking about time. He was telling me to move the whole preparation earlier so that the moment itself would be unhurried.

People come to me at the moment of contact. The fight has already started. The panic is already in the chest. The drink is already poured. And they want to know what to do right then, in that second, and the honest answer is that by then there is not much.

The work is earlier. It is in noticing the turn you did not make, the distance you did not adjust, the ten minutes before the conversation when you already knew how it was going to go.

That is not a mystical idea. It is a mechanical one. You cannot hit a good backhand from a bad position, and you cannot have a good conversation from a body that is already braced for a fight.

The Arm Is the Last Thing That Should Move

My worst habit, the one Cameron has had to fix a thousand times, is reaching for the ball with my arm instead of moving my feet to it.

It is the lazy solution. The arm is quick and available and it lets me avoid the work of moving my legs. And it produces exactly the shot you would expect, off balance, late, with nothing behind it.

The correction is not “swing better.” The correction is to put my weight into my front foot first, to let the lower body carry me to the ball, and to let the arm arrive last, almost as an afterthought.

I have watched patients do the arm version of this for fifty-five years.

The arm is insight. It is the quick, available, articulate thing. A man can tell me, with real precision, why he is the way he is. He has the vocabulary. He can trace it to his mother. And he has not moved his feet in twenty years.

Understanding your marriage is the arm. Coming home an hour earlier is the legs.

Understanding your marriage is the arm. Coming home an hour earlier is the legs. Almost everyone would rather do the arm, because the arm is faster and it never makes you sweat.

The List Is the Point

I want to show you something, and I want you to notice how long it is.

This is what I carry in my head about one single thing, the toss on my serve. Not the serve. The toss.

Start by looking up rather than down, which also puts the weight where it belongs. Weight on the front foot and the front toe, knee bent, before anything else moves. Never lean back. Keep the weight on that left toe as the ball goes up and do not let it drift backward. Lift the ball by extending the knee, not by throwing the arm up. Extend the chest. Send the ball straight up. Open palm. Lift from the fingers. Lift with the shoulder, one smooth motion. Lift to a high finish and do not stop the lift halfway. Think of raising a full glass of water and holding it there. Start low, touch below the knee, end high. Toss into the court, because that is the only way the legs can be used and the only way the right leg gets in and gets set for the return. Hold the left arm up until the racket actually strikes the ball, which keeps the chest open instead of letting it collapse. Keeping that arm up is also what aligns the hips and produces a real trophy position. Feel the pressure in the left hip. Keep the left shoulder up. Feel it in the chest and the elbow. And do not drop the head.

That is eighteen corrections. For the toss.

Nobody handed me that list in a moment of insight. It accumulated, one item at a time, over years, each one arriving because Cameron saw a specific failure and named it while it was still warm. And I did not learn any of them by understanding them. I learned them by doing them wrong several hundred times each with someone patient standing nearby.

If you want to know what real change looks like, it looks like that list. Long, unglamorous, specific, and assembled slowly by someone who was watching closely.

It does not look like a breakthrough.

The Myth of the Single Breakthrough

Our culture loves the transformative moment. The session where everything cracked open. The night it all became clear.

Those moments exist. I have watched hundreds of them, and some of them were the beginning of something real. But they are not where change lives.

Change lives in the repetition. In the hundredth time you catch yourself doing the old thing and do the new thing instead. In the slow, dull, unphotogenic work of teaching a nervous system to respond differently.

Cameron has never promised me a lesson that will fix my serve. He promises that if I keep showing up, the serve will improve. Not through magic. Through mechanics and repetition.

The patients who get better are not the ones with the biggest insights. They are the ones who keep showing up, keep practicing, and keep tolerating the discomfort of doing it the new way while the old way still feels correct.

Patience Is the Whole Game

Here is what makes Cameron exceptional, and it is not his technical knowledge. A great many pros know the mechanics of a serve.

It is that he will tell me the same thing for the fortieth time without a flicker of irritation.

Not because he is being professionally pleasant. Because he genuinely understands that this is how learning works. The body does not learn in one try. Neither does the mind.

I have carried that into every hour I have ever conducted. When a patient falls back into the old pattern for the fifteenth time, I do not sigh. I do not think, we have been over this. I point it out again, the way Cameron resets my grip for the hundredth time, because that is simply what change costs.

If your therapist seems frustrated by your lack of progress, that is not your failing. That is theirs.

An Invitation

If your therapy has become an interesting weekly conversation about last week, and you are gathering insight without changing anything, something is missing. It may not be effort and it is almost certainly not intelligence.

What may be missing is someone who sees the mistake while you are making it, names one specific thing, and stays patient while you do it wrong two hundred more times.

That is what I try to be in the room. A reasonably good coach with a long memory and a decent eye for the shoulder that never turned.

The door is open if you want to try it that way.

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