Latest Episode:
Episode 75 - How Not To Handle Fee Increases
The cost of therapy, like most everything else, increases over time. This can lead to some difficult conversations about money and rate changes. How should therapists talk with their clients about fee increases? In today’s episode, Marwa shares her experience of very good therapy that ended very poorly when her therapist used Hunger Games logic to determine her new sliding scale availability.
Episode 74 - Very Bad Sex Therapy (with Danielle Kramer, LIMHP)
Conversations about sex – even in therapy – are often constrained by harmful cultural narratives. In today’s episode, Leah describes her experience of being shamed and blamed by her sex therapist, and Danielle Kramer provides an expert perspective on how therapists can prevent their sexual biases from negatively influencing clients. Plus, Carrie passionately revisits the topic of silence in therapy.
Episode 73 - Silence in Therapy: What's the Story? (with Dr. Gene Combs)
Silence in therapy can feel awkward, helpful, expansive, or even punitive. There is no consensus on its usefulness, but it can certainly contribute to very bad therapy. Ella joins us to share her experience of feeling punished by her therapists’ use of silence, and Dr. Gene Combs provides a narrative perspective on silence, sanctity, and power in the therapeutic relationship.
Episode 72 - All About Psychiatry (with Dr. Patrick Wiita)
It’s not a secret that rapport contributes to outcomes in all types of healthcare. How, then, to make sense of our guest C’s story about a psychiatrist who ranted about Christmas, laughed at her suicide plan, and gave terrible marital advice? Dr. Patrick Wiita joins the show to talk about education, training, and ethics in the field of psychiatry and how to make the most out of every session with your patients.
Episode 71 - Very Bad Family Therapy (with Dr. Eli Karam)
In this week’s episode, Amy shares her childhood experience as a sexual abuse survivor being told by a therapist that her behavior was the problem and needed to be called out by her family. We also speak with Dr. Eli Karam about the importance of thinking systemically, the practice of family therapy, and how to help traumatized children feel supported instead of stigmatized as the identified patient (IP).
Episode 70 - Missed Attunement (with Dave Segal, RCC)
Dave Segal is a nature-based therapist and the executive director of Human-Nature Counselling in Victoria, British Columbia. He discusses his own experience of bad therapy, the importance of attunement and attachment, and how being with nature can bring about healing. Plus, Carrie and Ben give each other empirically supported Thanksgiving compliments.
Episode 69 - Culture, Stigma, and Very Bad Psychiatry
Today’s guest Cherry shares her experience being prescribed benzodiazepines and God instead of receiving the emotional support she was seeking. We explore the impact of culture and stigma on mental health services, the heroism of clients, and what we can learn from the remarkable conclusions of antidepressant outcome studies.
Episode 68 - Misdiagnosing Clients (with Dr. Christine King and Dr. Ben Caldwell)
Dr. Christine King experienced three concussions when she was a child. The symptoms of her brain injury were misunderstood and later assumed to be the result of childhood sexual abuse, sending Christine on a pathologized path that took decades for her to undo. We hear her story and also speak with Dr. Ben Caldwell about how therapists can attune to client symptoms, make good referrals, and avoid misdiagnoses when they lack relevant knowledge beyond their scope of practice.
Episode 66 - Questioning Trans Identities (with Beck Gee-Cohen, CADC-II)
In today’s episode, Jonathan shares his story as a teenager working with a gender therapist who dismissed his preferences for treatment in favor of uncovering his “reasons” for being trans. We also speak with Beck Gee-Cohen about best practices in working with trans kids and how many modalities of psychotherapy exclude trans narratives.
Episode 65 - When Treatment Fails (with Henk Spierings)
Henk Spierings has had a wide range of experiences in therapy – most of them unhelpful, if not outright harmful. He joins us to discuss his new book, Becoming Compliant, and share the lessons he’s learned from decades of bad therapy. Plus, Ben and Carrie get on their soapbox to explain why it’s necessary to talk with clients about how therapy works and the risks of treatment failure.
Episode 64 - Is Bad Therapy Unethical Therapy? (with Dr. Christopher Taylor)
What’s the difference between very bad therapy and very unethical therapy? Today’s guest Lisa shares her experience with a logotherapist that was many things – insulting, disturbing, oddly prophetic – but did any of it constitute an ethical violation? Dr. Christopher Taylor joins us to answer these questions and more about the surprisingly interesting world of ethics in psychotherapy.
Episode 63 - Therapy in Prison (with Kenneth E. Hartman)
Kenneth E. Hartman is a prison reform activist who served 38 years of a life sentence in the California prison system. He discusses his advocacy work, what mental health care looks like in prison, and his personal experiences of therapy – both good and bad. He also shares his thoughts on how therapists can play a role in the necessary social change at the heart of effective prison reform. Plus, Carrie discusses if it is ever justified to warn clients about using insurance.
Episode 62 - Overcoming Systemic Transphobia in Mental Health (with Rachel Bennett and Dr. David Nylund)
Rachel Bennett shares her experience navigating the historically misguided gatekeeping requirements for gender reassignment surgery. She discusses how therapists can better advocate for trans-affirmative care, and we speak with Dr. David Nylund to explore a paradigm that challenges the oppressive notion that transitioning is a psychiatric issue. Plus, how can feedback-informed treatment be used as a tool of social justice?
Episode 61 - What Heals Trauma? (with Chrissy Gillmore, MCoun)
An interview with Chrissy Gillmore about the primacy of client strengths, resilience, and culture in healing trauma, and how a pathology-focused approach can result in bad therapy. Plus, Carrie and Ben explore the controversy behind the APA Clinical Practice Guidelines for PTSD and discuss whether being trauma-informed is an ethical requirement, clever marketing, or both.
Episode 59 - Don't Be Weird (with Bronwen Clark)
Bronwen Clark is the author of Don’t Be Weird: A Memoir of Food and Feelings. She joins us to share experiences of bad therapy from her healing journey that include being kicked out of eating disorder treatment for being too depressed – only to almost be kicked out of mood disorder treatment for being too eating disordered. This is a compelling story of trauma and resilience.
Episode 57 - Addressing Cultural Complexities (with Dr. Pamela Hays)
In today’s episode, our guest J shares two experiences that highlight the difficulties therapists can have in intercultural therapeutic relationships. We also speak with Dr. Pamela Hays about the ADDRESSING model and other strategies therapists can use to mitigate the impact of their cultural biases in session with clients.
Episode 54 - How Much Therapy is Necessary?
This week’s guest Adam shares his experience of seeing a therapist for five years without any noticeable benefit. When should clients – or therapists – start to wonder if it’s time to end the therapeutic relationship? As it turns out, there’s a lot of research suggesting that therapists need to do much more than simply wait for their approach to start working…including accepting the likelihood of treatment failure.
Episode 52 - On Grief and Loss (with Dr. Michael Morad-McCoy)
Conversations about death, dying, and bereavement can be difficult, but they are often an important part of the therapeutic process. Dr. Michael Morad-McCoy joins us to share his experiences with “not very helpful” clinicians who were unable or unwilling to explore dark areas, and we discuss how therapists can best support their clients in a time of ubiquitous grief and loss.
Episode 50 - A Story of Strength
In this week’s episode, Samuel discusses his experiences with conversion therapy in Provo, Utah. This is a beautiful story of resilience, compassion, and thriving. Thanks to our listeners, experts, and most of all the inspiring guests who have shared their stories with us for 50 episodes. It is a privilege for us to be a part of this growing community.
Episode 49 - Radical Acceptance of Clients (with Dr. Nathan Castle)
Therapist defensiveness is a recurring theme in stories of bad therapy. In this week’s episode, Suzanne shares her experience with a therapist whose defensiveness was expressed in gratuitous displays of power and dismissive remarks. Plus, Dr. Nathan Castle rejoins the show to explore the topics of defensiveness, radical acceptance of clients, and the importance of transparency.