Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado. Author of The Complex PTSD Workbook and EMDR Therapy and Somatic Psychology; writes on trauma, attachment and the nervous system.

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  Innovations in Psychotherapy Conference

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  Honored to be speaking at the 2026 Innovations in Psychotherapy Conference (Nov 10–13 in Anaheim & Online)! Join us for evidence-based education & practical strategies to enhance your practice. Use code SPEAK26 to save $50:

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Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado. Author of The Complex PTSD Workbook and EMDR Therapy and Somatic Psychology; writes on trauma, attachment and the nervous system.

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  Therapeutic Yoga for Trauma Recovery: A Clinical Summit for Mind-Body Healing

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  There’s still time to join me for Therapeutic Yoga for Trauma Recovery: A Clinical Summit for Mind-Body Healing!

  x.com

Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado. Author of The Complex PTSD Workbook and EMDR Therapy and Somatic Psychology; writes on trauma, attachment and the nervous system.

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  The body is not an archive of trauma: what feels like a memory stored in the hips or the jaw is a mind-body feedback loop, and the loop is what therapy interrupts.

  PsychotherapyTrauma

  Their words

  It may not be stored there, but what you're tapping into, it's not a repository of the memory, but it's part of this mind-body feedback loop where there's a sensation that your brain has an association to that might have a familiarity to a time in which you felt sad or scared.

  If the Body Doesn't Keep the Score, What Does?drarielleschwartz.com

Psychiatrist and clinical assistant professor at Case Western Reserve University. Writes Psychiatry at the Margins on the philosophical and scientific arguments inside psychiatry and the psy-sciences.

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  A prescriber cannot outsource containment to the therapy hour: the emotional and relational dynamics are part of prescribing, not an intrusion on it.

  Psychotherapy

  Their words

  The emotional and relational dynamics are not an intrusion upon the work of prescribing. They are a part of the work itself.

  psychiatrymargins.com

Clinical psychologist and clinical professor of psychiatry at UCSF. His 2010 meta-analysis established psychodynamic therapy as an evidence-based treatment; he has argued ever since that "evidence-based therapy" is used as a marketing term.

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  Telling a patient "your feelings are valid" is not therapy: it is the mirror image of "get a grip", and it makes the therapist a judge of feelings instead of a companion in them.

  Psychotherapy

  Their words

  The phrase "your feelings are valid" does not invite curiosity or deeper self-understanding, which is the point of psychotherapy. It is the mirror image of "stop whining and get a grip." One sounds warm and one sounds harsh, but neither deepens self-awareness.

  jonathanshedler.substack.com

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

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  Outcome Rating Scale (ORS)

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  The ORS is a brief, 4-item measure designed to assess areas of life functioning known to change as a result of therapeutic intervention. It takes less than one minute to complete and score.

  scottdmiller.com

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  Session Rating Scale (SRS)

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  The SRS is a brief, 4-item measure designed to assess the therapeutic alliance. It provides immediate feedback on the quality of the relationship and allows for course correction in real time.

  scottdmiller.com

Psychiatrist and clinical assistant professor at Case Western Reserve University. Writes Psychiatry at the Margins on the philosophical and scientific arguments inside psychiatry and the psy-sciences.

From one piece The Rumpelstiltskin effect: therapeutic repercussions of clinical diagnosis (with 1 co-authors) 3 beliefs, in the piece's order there

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  Self-diagnosis is an attempt to secure the therapeutic effect of a medical intervention patients cannot officially access.

  Psychotherapy

  Their words

  Likewise, self-diagnosis should be understood as an attempt to secure the therapeutic effect of a medical intervention to which patients do not have official access.

  doi.org

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  Diagnoses that have therapeutic effects are medical interventions and should be treated and researched as such.

  Psychotherapy

  Their words

  If a clinical diagnosis can have a therapeutic effect, then, at least in some instances, diagnoses are medical interventions in themselves and ought to be treated and researched as such, with an eye to both positive effects and potential iatrogenic harms.

  doi.org

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  Clinical diagnosis can have a therapeutic effect independent of any other intervention.

  Psychotherapy

  Their words

  Their experiences highlight a striking, neglected and unchristened medical phenomenon: The therapeutic effect of a clinical diagnosis, independent of any other intervention, where clinical diagnosis refers to situating the person's experiences into a clinical category by a clinician or the patient.

  doi.org

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

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  A therapy is only shown to be more effective if it is compared against another treatment intended to help, not against a control nobody expected to work.

  EMDRPsychotherapyCBT

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  If one really wanted to know whether a treatment (e.g., CBT, IPT, ACT, EMDR) was more effective, it had to be directly compared to an approach intended to help - what Wampold and colleagues termed, a "bona fide" treatment. Doing otherwise, they argued, conflated artifacts of research design with actual research results.

  writings.scottdmiller.com

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

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  Therapists overestimate their own effectiveness by about 65%, and it is not a Western cultural artifact.

  Psychotherapy

  Their words

  Since 2012 when the first study appeared in the literature, others have been published documenting the tendency of practitioners to overestimate their effectiveness - on average, by 65% (1, 2).

  Alas, it seems everyone comes from Lake Wobegonwritings.scottdmiller.com

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

From one piece How to (and not to) become a more effective therapist 2 beliefs · writings.scottdmiller.com

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  What does make a therapist more effective is trainable interpersonal skill, not treatment technology.

  Psychotherapy

  Their words

  It turns out that therapists who perform well on the FIS establish stronger relationships and are more effective (2). More to the point, the evidence shows FIS-related skills are trainable and that such training leads to better results (3, 4, 5).

  writings.scottdmiller.com

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  Training a therapist in a treatment model does not make them more effective, however well the model performs in a trial.

  Psychotherapy

  Their words

  Over the last 50 years, treatment methods have proliferated despite a lack of evidence of differential effectiveness between approaches. And even when a randomized controlled trial indicates a particular approach works, none show practitioners become more effective when they are trained in that modality.

  writings.scottdmiller.com

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

• Our readingkorrents.com

  Therapists do not improve with experience: on average they become less effective, and their clients drop out more the longer they have practised.

  Psychotherapy

  Their words

  Indeed, as I've reported in previous posts, research not only shows therapists do not improve with time and experience in the field, but on average become less effective (1, 2, 3, 4).

  writings.scottdmiller.com

Family therapist and founder of Relational Life Therapy. Author of I Don't Want to Talk About It, How Can I Get Through to You? and Us; argues that Western individualism is what makes couples' work hard.

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  Character is not fixed: therapy works because habitual neural pathways can re-form, sometimes within minutes.

  Psychotherapy

  Their words

  In my practice, I have seen that opening neural pathways can lead to profound change, to brand-new traits and behavior, sometimes in a matter of minutes.

  The Myth of the Individualterryreal.com