Archive for June, 2011

Starting a Psychotherapy Private Practice

There are many reasons that people consider starting a private practice. They range from personal to financial. Maybe you are motivated by a desire to take your professional life to another level. Many social workers and people in the mental health field, after years of providing counseling and advocacy services in the public sector would like to continue to provide these services in the private sector. This may be your motivation. The desire also to be your own boss and build a business that you are in control of is also a good motivator. Anyone who has worked in any agency setting knows that there is politics and organizational stressors that may be present, and being your own boss is a good alternative to having to negotiate these minefields. So whatever your motivation, you’re here and you want to know how to start.

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Is Psychotherapy Out of Date?

He looked like Bradley Cooper but he didn’t have a job. At cocktail parties, I’m used to receiving a show stopper response when I reply that my profession is “therapist” or “shrink,” but this was a new one. “Psychotherapy,” he said. “That was cool in the ’80s, right?”

It’s true that today’s mainstream culture encourages shallow pursuits. Eighty-one percent of today’s college students state that getting rich is their number one priority. The media attempts to continually brainwash us that physical appearance, possessions, and leisure are the most important things in life. Yet there’s also a 50-80 million person subculture evolving who state that their highest values include authenticity, helping others, being involved in creating a better way of life, and psychological and spiritual development. These longings may not be nurtured by the society at large, but they are timeless human ideals.

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Psychotherapy and the Struggle to Individuate

Having trouble individuating creates a wide variety of problems. When you haven’t sufficiently individuated, it is often difficult to know what you want and need. If that is the case, finding satisfaction in life is not easy. You are stuck with questions such as: “What do I want?” “Do I like X?” “Should I be feeling this?” Marla* is an example of someone struggling with individuation.

Marla came to therapy at the age of 29. She was a young woman who could find little satisfaction in her life. Her job as a computer programmer in a small retail company offered little satisfaction. She had one or two people at work whom she felt some connection to, but had no relationships with either of them outside of work. She had never been in a relationship with a man for more than two months. At the time she came to see me, she was using an internet dating service, but rarely found a man she was interested in. Her perfectionism resulted in her ruling most potential matches out as either not educated enough, not good looking enough, not rich enough. Marla had two friends from college whom she was in some contact with. One, Fred, was in a committed relationship with Philip, his partner of 3 years. The other, Connie was single and also using the internet to find a relationship. However, Connie frequently found men to go out with and was not as available for socializing with Marla as she would like. Connie was also (according to Marla) very beautiful and this created a lot of envy for Marla.

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