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You want to know how I actually work

These are about the practice rather than about you. Read them if you are deciding whether I am the right person, or if you are a clinician.

14 articles

Articles for this situation

ai-and-therapy

AI Empathy Is Counterfeit. Here's How to Tell.

AI empathy sounds perfect. That's exactly the problem. Real empathy is messy, physical, and sometimes uncomfortable. Here's how to spot the difference.

September 17, 2026 · 9 min read

ai-and-therapy

The Economic Force That's Killing Therapy, and It's Not AI

Everyone's panicking about chatbots replacing therapists. Meanwhile, the prescription pad already did. The real extinction event is economics.

August 17, 2026 · 9 min read

therapeutic-relationship

Most Therapy Has Too Many Words

Therapy is the 'talking cure.' But the most powerful moments in my office happen when nobody is saying a damn thing.

April 15, 2026 · 8 min read

ai-and-therapy

Will AI Replace You as a Psychotherapist?

An 88-year-old psychiatrist with 55 years of evidence takes on AI. Not with fear. With the truth about what happens in a room.

December 15, 2025 · 14 min read

ai-and-therapy

Your Therapist Has a Gut Feeling About You. ChatGPT Doesn't.

AI's bedside manner is impeccable. That's the problem. What clinical intuition does that pattern-matching never will.

November 20, 2025 · 10 min read

ai-and-therapy

The Algorithm Can't Tell You're Not Looking at Me

What happens in a therapy room that no sensor can capture. The micro-observations that change everything.

November 1, 2025 · 9 min read

therapeutic-relationship

I Need My Patients as Much as They Need Me

No psychiatrist I know would say this. But it's the truth, and it's exactly why the relationship works.

October 15, 2025 · 11 min read

therapeutic-philosophy

Feelings Are the Insight (Not the Other Way Around)

The Freudian model got it backwards. Insight isn't the destination. The feeling is. And most therapists are still teaching it wrong.

July 15, 2025 · 9 min read

clinical-stories

Why I Offered to Meet My Patient's Father

Most therapists stay in their lane. I offer to meet family members, step into real life, and close the gap between the session and the world.

May 1, 2025 · 8 min read

therapeutic-philosophy

What I Learned from 55 Years of Being Wrong

My own analysis was a waste of time. I say that openly. The best clinicians aren't the ones who got it right. They're the ones who kept growing.

April 1, 2025 · 10 min read

therapeutic-technique

Do You Know What I'm Thinking Right Now?

It's a question that stops patients cold. 'What do you think I'm thinking about what you just said?' Forces a shift that changes everything.

March 1, 2025 · 8 min read

therapeutic-philosophy

God Walked Into My Therapy Room (And Nobody Asked Him to Leave)

I'm not religious. But some therapeutic moments have a quality I can only describe as spiritual. When two people are fully present, something sacred happens.

February 1, 2025 · 9 min read

therapeutic-philosophy

Questions Are More Important Than Answers (Especially in Therapy)

A good therapist doesn't give you answers. A good therapist teaches you how to ask the right questions, and then gets out of the way.

January 15, 2025 · 8 min read

understanding-violence

The Tragedy in Aurora and James Holmes

The Aurora tragedy forces us to revisit questions of free will, personal responsibility, and mental illness.

July 25, 2012 · 6 min read

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