Edge of the Couch When Therapists Miss Key Information
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Apr 16, 2025 Therapists often miss crucial information during sessions, leading to significant consequences for clients. They discuss how sensitive topics like self-harm and substance use can slip through the cracks. The conversation emphasizes the need for open communication and reflection on therapy practices. It highlights the importance of addressing the complexities of mental health diagnoses and the necessity for ongoing education in the field. Finally, they advocate for a compassionate, harm reduction approach to therapy, urging therapists to engage actively with their clients.
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Overlooking Psychosis in Therapy
- Jordan Piquel shared an early supervision story where psychosis was missed in a client.
- Psychosis can be subtle and appear in varied forms, making it easy to overlook even by new therapists.
Assumptions Hide Key Info
- Therapists often miss key information due to assumptions about clients' appearances or histories.
- Long-term relationships can create blind spots, reinforcing outdated client perceptions.
Ask Uncomfortable Questions
- Do not avoid uncomfortable topics like substance use or self-injury; ask directly and with curiosity.
- Recognize clients may intentionally withhold information, making repeated inquiry important.