Context More and more, I notice therapy clients asking directly for insight. They want to understand why they dilly-dally on their goals, waffle on difficult decisions, envision change but don’t plan for it. “…If I feel I want to do X, and I say I want to do X, why can’t I just do it?” […]

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Clinical Notes with Dr. J Psychotherapy and the therapeutic space are intended to be sanctuaries overseen by an ever-present, always-supportive clinician, but they not immune to societal pressures and challenges, such as racism and prejudice. Given my previous experience in psychotherapy as a young child and my recent experiences as a clinician, I truly value […]

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Premature termination in therapy occurs when a client discontinues therapy prior to recovering from his or her presenting concern and against clinician recommendation. Although research indicates that premature termination has decreased in recent years from 47% (Wierzbicki & Pakarik, 1993) to 20% (Swift & Greenberg, 2012), it still presents a major problem. The effectiveness of […]

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Our study published in Psychotherapy in December 2014 focused on psychotherapy motivation among patients with substance use disorders (SUD) based on Self Determination Theory (SDT; Ryan & Deci, 2000). The study showed that SUD patients’ amotivation predicted increased dropout rate in the step from assessment to starting therapy (Philips & Wennberg, 2014). These results add […]

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