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Episodes

46: Managing Guilt; Does My Therapist Really Care?
46
Feb. 10, 2026

46: Managing Guilt; Does My Therapist Really Care?

In this episode an anonymous listener is struggling with guilt over how she treated others as a teenager. Her therapist thinks she has punished herself enough. Lizzie B (19:54) wonders if therapists actually care about their patients or if they are working an assembly line. Please send in your questions or feedback on our website .
45. Second Thoughts After Ending Therapy
45
Oct. 30, 2024

45. Second Thoughts After Ending Therapy

In this episode a listener recently ended a relationship with her therapist after she violated her trust. Now she is grieving the loss and wonders if she should go back.  We would love to hear from you! You can email or send a voicemail on our ...
44. Who Sets the Agenda in a Therapy Session?
44
June 14, 2024

44. Who Sets the Agenda in a Therapy Session?

Who is responsible for setting the agenda in a therapy session? Angie wonders if it’s really up to her to bring up hard topics with her therapist. Chelsea’s therapist (8:48) doesn’t ask questions about her life, making her feel like her therapist doesn’t care about her. Finally, Claire’s therapist (17:31) likes to explore the topics that interest him and she finds herself trying to please him by playing up those aspects of her life. We were warmed up by Act 3 so don't give up before the end. We'...
43. Love Languages; Therapist Not On My Side
43
May 10, 2024

43. Love Languages; Therapist Not On My Side

On this episode Karol asks for our opinion on The 5 Love Languages: are they useful or are they harmful? The study we referenced from University of Toronto which summarizes recent attempts at empirically validating the "love languages" can be found here . In part 2 (19:30), a listener feels like her therapist is not on her side and said something hurtful to her on purpose. We discuss confrontations and countertransference among other things. We'd love to hear from you! Send us a questions or fee...
42. Marijuana Use Before Therapy?; Burned Out Therapist?; Holiday Break
42
Jan. 31, 2024

42. Marijuana Use Before Therapy?; Burned Out Therapist?; Holiday Break

Krystal’s therapist would prefer she not use marijuana before a session even though she thinks it would be helpful to loosen her "emotional logjam". Michael (17:02) questions his decision to be a therapist and whether he is actually helping anyone. We discuss possible burnout and steps Michael could consider before making any major career changes. We have an update from Rachel from episode 40 (29:18) who feels bad she didn't end her relationship with her therapist sooner. Lastly, Christopher (34...
41. Final Session Revelation; Therapist Approached Me at Work
41
Jan. 18, 2024

41. Final Session Revelation; Therapist Approached Me at Work

On this episode Tess’s psychiatrist revealed a shared diagnosis in their final session, making Tess wonder if withholding information is necessary. Lilith's therapist (16:50) visited her at work, leaving her feeling confused, especially since she would like the relationship to be closer. If you have questions or feedback please send a message (voicemail or email) on our website .
40. Therapist Hiding; Prolonged Grief; Thank you note 2
40
Dec. 13, 2023

40. Therapist Hiding; Prolonged Grief; Thank you note 2

On this episode a listener’s therapist hid behind a magazine after they saw each other in public.  Yazmin (12:31) wonders if therapy could be helpful for the grief she’s experiencing a year after her husband died. The resource about prolonged...
39: Edges of Therapy; Too Smart for Therapy?; Thank You Note
39
Nov. 8, 2023

39: Edges of Therapy; Too Smart for Therapy?; Thank You Note

On this episode Yolanda has a question about the moments before and after a therapy session. Lindsay specifically wonders about her preference for the relationship she has with her therapist at this periphery of the therapeutic encounter Jim (18:14) worries that he may be too smart for therapy to work. Marion (25:49) wants to know if it would be weird to give her therapist a thank you note. If you have questions or feedback please send a message (voicemail or email) on our website You can also m...
38. Therapist Asking For Feedback; Therapist Changing the Rules
38
Oct. 13, 2023

38. Therapist Asking For Feedback; Therapist Changing the Rules

On this episode Amalia is annoyed that her therapist asks for lots of feedback at the end of each session. Kim (12:30) wants to address the "elephant in the room" after her therapist cut off all communication between sessions without an explanation....
37. Therapist Rubbing My Back; Therapist on Vacation 2
37
Aug. 28, 2023

37. Therapist Rubbing My Back; Therapist on Vacation 2

On this episode a listener’s therapist has started rubbing her back when she’s upset and she wonders if this is normal. Then we return to questions about vacation: A listener (9:03) is upset by their therapist’s upcoming vacation and is thinking...
36. Couple Seeing the Same Therapist; Therapist Discloses Religious Identity
36
July 22, 2023

36. Couple Seeing the Same Therapist; Therapist Discloses Religious Identity

Alice and her husband see the same therapist individually and as a couple. The therapist told Alice’s husband they should get a divorce. At (12:43) a 17 year-old listener feels like there are things he can’t talk to his therapist about after she...
35. First Therapy Session Not So Magical; Stalking My Therapist
35
June 29, 2023

35. First Therapy Session Not So Magical; Stalking My Therapist

Larissa was nervous during her first online therapy session with Betterhelp and wants some tips on how to be prepared for the next session. She was told the first session "is where the magic begins". An anonymous listener (16:57) has a history of stalking their therapist and has the desire to repeat those behaviors with a new therapist. They feel ashamed and want to stop. If you have questions or feedback please send a message (voicemail or email) on our website You can also message us on Facebo...
34. Fatherhood, Parenting; Transference in Psychotherapy
34
June 16, 2023

34. Fatherhood, Parenting; Transference in Psychotherapy

Danny has mixed emotions about Father's Day. He’s trying to balance his needs with the demands of parenting and wants to hear more about fatherhood. He’s also curious if being psychiatrists changes our views on parenting. Michelle (34:30) is a newly minted therapist and has questions about the role of transference and countertransference in our sessions. She’d also like to know if we have advice for someone just starting out as a therapist. _______ David argues that balancing personal and parent...
33. Therapist Hurts My Feelings; Ashamed of Therapy; Oprah Says Be Your Own Best Friend
33
May 25, 2023

33. Therapist Hurts My Feelings; Ashamed of Therapy; Oprah Says Be Your Own Best Friend

Therese’s feelings have been hurt by her therapist but she feels invalidated each time she brings it up. Candice (15:51) feels ashamed of being in therapy and wants to be more comfortable with the idea of talking to others about it. Lila (30:40) wonders about Oprah’s advice to be your own best friend. David guesses these sentiments come out of the story of codependency. We end with some discussion of the Oprah empire and Abby's undying love. If you have questions or feedback please send a messag...
32. A Good Therapy Session?; Realization of Abuse; Frozen at the End of a Session
32
May 4, 2023

32. A Good Therapy Session?; Realization of Abuse; Frozen at the End of a Session

We have 3 listener questions. In the first question Keith wants to know how therapists determine whether a session is good or bad. Then Ellen (11:35) tries to make sense of her reaction after her therapist names something in her past as abuse. Finally, Jane (17:42) was frozen at the end of her last therapy session and wonders if it’s worth going back. Feedback is at 10:52. If you have questions or feedback please send a message (voicemail or email) on our website: https://www.callthepsychiatrist...
31. Supervision; The Favored Client; Therapist Lost Weight But I Didn’t
31
April 20, 2023

31. Supervision; The Favored Client; Therapist Lost Weight But I Didn’t

In the first question a listener wonders why her therapist is talking about her in supervision. She's curious about what supervision is and how therapists make use of it.  In the second question (23:47) a listener is concerned that she feels...
30. Late cancellation; Is Psychoanalysis Right For Me?; Therapy Frequency and Cost
30
April 6, 2023

30. Late cancellation; Is Psychoanalysis Right For Me?; Therapy Frequency and Cost

In the first question a listener feels slighted by her therapist's cancellation policy. We start by discussing these policies more generally. It's a little dry but the discussion gets better by 12:25 when we talk about our listener's specific situation. In the second question (17:50), someone's therapist has suggested increasing the frequency of their sessions and beginning psychoanalysis. He wants to know what the benefits of this might be and how psychoanalysis differs from other forms of psyc...
29. Therapy Anxiety; Diagnosis; Good Enough Bond
29
March 8, 2023

29. Therapy Anxiety; Diagnosis; Good Enough Bond

In the first question, a listener gets really nervous around her therapist and wonders if it’s even worth it. Our second question (at the 16:40 minute mark) is from someone who wonders why her therapist isn’t talking about the diagnosis on her...
28. Crowdsourcing Decisions; Do I Need to Hate My Therapist?
28
Feb. 22, 2023

28. Crowdsourcing Decisions; Do I Need to Hate My Therapist?

In the first question a listener is struggling with her boyfriend's need to crowdsource information before making any decisions--from sharing personal details of their relationship with his family to checking Reddit to find the best pasta sauce. We start by discussing the lack of boundaries in the family. At 09:45 we start offering some advice on how to navigate the dilemma (it gets better the more you listen). At 14:19 we pivot to the demand that everything is rated on a 5 star scale. By 16:43 ...
27. When Interpretations Don't Land Well
27
Feb. 1, 2023

27. When Interpretations Don't Land Well

This episode is all about interpretations. We have questions from both sides of the therapy room. The first question comes from a listener who is a therapist. She wonders how to recover from the sting when an interpretation she makes doesn’t land well. The second question (18 minute mark) is from someone in therapy with a similar problem: how does she move forward when she isn’t in agreement with her psychiatrist's observations. If you have questions or feedback please send a message (voicemail...
26. Therapist's Office; Longing For My Therapist; Kids Leaving Football
26
Jan. 18, 2023

26. Therapist's Office; Longing For My Therapist; Kids Leaving Football

A listener finds security in her therapist's office and wonders about the thought that goes into the decor of an office. Our second question (starting at the 16 minute mark) comes from someone longing for her therapist and is curious where this comes from and why she monitors his physical appearance and body language so closely. Finally (at minute 24), a mother plans to stop her kids from playing football but is concerned about the emotional and social fallout in her Texas community. There's als...
25. Therapist Says I'm Not Trying; Better But It's Not Me
25
Jan. 4, 2023

25. Therapist Says I'm Not Trying; Better But It's Not Me

Our listener in part 1 is worried because his therapist doesn't think he's trying hard enough to get better and he's afraid his treatment will end as a result.  In part 2 (around 19 minutes) a listener says the antidepressant drug he is taking...
24. First Birthday: Questions About Us and the Show
24
Dec. 14, 2022

24. First Birthday: Questions About Us and the Show

To celebrate our first birthday, listeners ask us about the show. Among other things, we discuss our motivation for doing a podcast, what we've learned, and the experience of having patients listen to the show. It's self-indulgent; it's filled with neuroticism. It's like having family over for the holidays. So come and celebrate with us. There's also feedback from episode 5 and a final question related to the previous episode about Stutz. If you have questions or feedback please send a message (...
23. Ending a Long Therapy; Discussion of the documentary _ Stutz _
23
Nov. 30, 2022

23. Ending a Long Therapy; Discussion of the documentary _ Stutz _

In this episode we have a listener who has a question about terminating a long-term therapy. They ask, "How do you know when you're done?" We then discuss the new Jonah Hill documentary _ Stutts _ in which Jonah profiles his psychiatrist and his...
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