Working with complex clients can quietly invite an understandable fantasy: If I get the formulation right, if I find the right modality, if I stay steady enough… I can carry them through. It often comes from care, not ego. Many of us entered this work because we genuinely can’t bear unnecessary suffering. But here’s the tension: the more responsibility we take for a client’s progress, the more accountable we become when progress stalls, reverses, or fractures. If we’re not ca

A new approach to managing difficult emotions through radical open dialectical behaviour therapy

What are your reasons to stay or go in a relationship

In little over two month's time, possession and use of small amounts of the most commonly used illicit drugs will be decriminalised in...

Gottman The Four Horsemen