

Are Therapists Crazy? Andrew Hartz's quest for sanity in clinical psychology
18 snips Sep 18, 2025
Andrew Hartz, a clinical psychologist and founder of the Open Therapy Institute, discusses current challenges in mental health care. He identifies the rise of "everyday dissociation" linked to screen use and the pitfalls of online diagnostic labels. Hartz reveals how anxiety has transformed into a form of social currency and critiques the limitations of traditional talk therapy. He advocates for Acceptance and Commitment Therapy (ACT) as a more effective approach and shares insights about the politicization of therapy training and the role of AI.
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Everyday Dissociation From Screens
- Andrew Hartz observes rising dissociation linked to screens, social media, and Zoom reducing embodied presence.
- He suggests this yields vague distress, less feeling, and harder interpersonal attunement.
Prioritize Embodied Interventions
- When dissociation is present, prioritize body-based and experiential interventions over purely talk-based work.
- Connect therapies to behavior and physical experience to restore feeling and presence.
Attention Failures Signal Presence Loss
- Hartz links inability to sit through movies or sustain attention to broader presence deficits in relationships.
- He proposes talk therapy can miss dissociation that needs embodied, experiential work.