Notes from Practice

More clients are asking about ketamine. They have seen the headlines, heard a friend’s story, listened to a podcast, or come across a clinic promising rapid relief from depression or anxiety. Increasingly, they are bringing the question into therapy and asking: What do you think? If you are a therapist, you do not need to become an expert in ketamine or psychedelic medicine to have that conversation. But I do think it helps to understand what ketamine-assisted psychotherapy (

If you have not seen Shrinking on Apple TV, stop reading and go watch it. I'll wait. Back? Good. Now let's talk about what is missing. The show has Jimmy, a therapist who is also quietly falling apart from grief, and decides the best way to handle that is to just say exactly what he thinks to his patients. No filter. Ethically complicated. Extremely entertaining. It has Gaby, warm and funny and somehow giving the best advice while her own life is held together with sarcasm a