The Podcast by KevinMD Understanding therapy beyond crisis management
Anesthesiologist and psychotherapist Maire Daugharty discusses her article, "Why real therapy isn’t just about crisis." She challenges the common misconception that therapy is only necessary or effective during acute crises ("crisis-hopping"), explaining that this view can lead to premature termination—a "flight to health"—when underlying work remains. Maire emphasizes that periods of calm in therapy are essential for integrating positive changes, processing accomplishments, and solidifying shifts in perspective and self-structure. The conversation also explores the critical importance of respecting patient autonomy and boundaries in both therapeutic and medical settings, acknowledging that clinicians cannot fully know a patient's inner world. Furthermore, Maire clearly distinguishes the deep, exploratory work of psychotherapy, which often involves confronting difficult truths ("approaching the shattered mirror") and altering implicit assumptions, from the explicit skill-building and goal-oriented approach of coaching, which works with the existing self-structure.
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