Edge of the Couch

Content note: This episode discusses suicide and abuse.  Are therapists crisis workers? We believe that the role of the therapist and the role of the crisis worker are distinct, yet, in certain situations, we can still find ourselves pulled into that role. In this episode, we break down the crucial differences between emergencies, crises, and general distress, and explore where our responsibilitie...

Did you hear the phrase “follow the client” in graduate school and wonder what it really means in practice? In this episode, we dive into the nuances of this concept, exploring how therapists balance the art of staying present with the client’s story while holding the bigger picture in mind. We talk about how goals in therapy can shift over time and how we can support clients by being curious abou...

Have you heard the phrase 'The worst person you know has a therapist encouraging and validating their behaviour'? In this episode, we tackle a tricky line in therapy-- when compassion tips into complicity in a client's harmful, toxic, or otherwise unkind behaviour. We talk about the skill and risk involved in calling clients in when they’re not acting in alignment with their own or...

Join us on Patreon for bonus content at www.patreon.com/edgeofthecouch , share your thoughts and questions via DM on Instagram, or email us at connect@edgeofthecouch.com. We have partnered with Janeapp, our favourite all-in-one practice management software. You can learn more at Jane.app/mentalhealth . Or, if you are ready to get started, mention Edge of the Couch in the note during sign-up for a...

In this special episode, we watch and react to our first recording together, before Edge of the Couch, an unpublished episode of a podcast that would never be: 'Reel Therapy Talk' where we would talk about pop culture from the perspective of therapists. On April 6, 2020, we recorded our first and only episode. Love is Blind was having a cultural moment, and it inspired us to talk about t...

In this special episode, Bhupie Dulay and Abby Chow come on the podcast to talk about how we can rather than rely on the reductionist approach to working with clients with marginalized identities, radically reimagine what relationality looks like in relationships inside and outside the therapy room. We talk about what it means to practice hope, how our work is essentially about love, and the immen...

In this episode, we talk about the roller coaster of emotions that come with getting "dumped" by clients. We discuss the different ways clients can terminate therapy, how each one hits us differently, and the common mistakes we make that might lead to their departure. We talk about mistakes that we make that have lead to clients terminating. We also explore whether or not it is wise to c...

Do all therapists engage in dream work, or is it more of a niche practice? We discuss what might hold newer therapists back from exploring their clients' dreams and share how we integrate dream work into our own practices. Plus, we open up about our experiences in an informal projective dream group and how it has shaped our approach as therapists. How do you incorporate dreams into your thera...

Sometimes clients will come right out and tell you what they are feeling frustrated, annoyed, or concerned about. Sometimes clients may have a harder time communicating “negative” things and their frustrations may come out in passive aggressive ways. But what do we do when clients are communicating passive aggressively? Do we let the little remakes pass, do we respond to them directly, or do we ac...

In this episode, we dive into a recent trend of clients secretly or openly recording their therapy sessions. We discuss how it might feel as a therapist to discover you're being recorded and wrestle with the ethical implications surrounding this practice. We discuss the different motivations behind recording—whether it’s for memory retention, accountability, or creating content for social med...

In this episode, we dive into who is responsible for creating a sense of continuity in therapy-- the client or the therapist. We discuss the role of homework, strategic note-taking, and what you might say at the beginning or end of sessions to keep the flow going. How do you ensure each session builds on the last? Share your thoughts with us! Join us on Patreon for bonus content at www.patreon.com...

After receiving 4 (FOUR!!!!) emails asking about an erotic transference episode, we finally had a chance to discuss the topic. Erotic transference happens in a lot of therapeutic relationships and some theoretical orientations lean in to its exploration (think psychoanalysis), but many of us were not given any guidance about what to do when it comes up. How should we respond when a client has a cr...

In this episode, we tackle the misuse of therapy speak and its impact. We delve into popular buzzwords, how these terms are being used (and misused), and discuss the important role therapists can play in educating clients on their proper use and definitions.  Join us on Patreon for bonus content at www.patreon.com/edgeofthecouch , share your thoughts and questions via DM on Instagram, or email us...

In this episode, we explore what might be happening with clients when there is silence. Sometimes it's an awkward silence, sometimes they are contemplating what to say next or they are dissociated, and sometimes they are waiting for us to take the reigns. We share our perspectives on sitting in the silence versus breaking it, and talk about the different types of silences that show up in ther...

Unconditional positive regard, a concept introduced by Carl Rogers, emphasizes accepting and supporting clients without judgment regardless of what the client says or does. We have thoughts! Join us on Patreon for bonus content at www.patreon.com/edgeofthecouch , share your thoughts and questions via DM on Instagram, or email us at connect@edgeofthecouch.com. We have partnered with Janeapp, our fa...

What do you do when a client describes a traumatic experience, but then proceeds to shrug it off? In this episode, we explore what might be going on when clients dismiss what we gather are traumatic experiences. We discuss possible reasons behind this phenomenon, including denial, dissociation, or simply seeing it as common and therefore, normal and not worth discussing. We use examples like Alec...

Now, we don’t believe that clients can be “too emotional” but many clients come to therapy with narratives around emotion that may make them feel that they are being too much when they are emotional in session - crying is a weakness, anger is a bad emotion, I’m a cry baby, stoicism is best etc. As clinicians we have to sit with the full spectrum of emotionality from clients, but we can sometimes b...

This week, we talk about therapist enmeshment - what it is, how it happens, and what therapists can do to ensure they have appropriate boundaries with clients. For this conversation, we’re placing the context at the feet of the therapists and exploring how some therapy practices and some therapists encourage emotional enmeshment with clients. We talk about how over-identification with a client (we...

We're in between seasons right now, but we feel it is long overdue to talk about Palestine and what therapists are wrestling with when it comes to speaking up about genocide in session and in public. We are taught "do no harm" but at what point is our silence more harmful than speaking out? As always, we ask for openness and curiosity as we engage with the nuance about this "co...

In this special episode, we look back at the history of our podcast, our favourite episodes, and the vulnerable things about doing the podcast. We read some recent DMs from Instagram, a one-star review, and we listen to some voice notes sent in by listeners. We recorded this one late at night (for us at least!) so we get a little loopy at the end saying thank you thank you thank you, but truly, th...

Our penultimate episode this season explores what can happen when the content of the session tugs at all of our own shit! Maybe we’re experiencing something similar to our clients in our own lives or the client says something that reminds us of ourselves. Maybe the client experience is pulling forward memories of something we’ve said or done before. This episode is all about what to do in the mome...

In this episode, we dive into a common struggle suggested by one of our awesome listeners: the nagging feeling of not "doing enough" in therapy. Join us as we unpack this topic and ask ourselves the question: Do trainings really make you a better therapist? We share our experiences and some controversial opinions. Whether you're a seasoned therapist or just starting out on your jour...

This is a highly requested topic that comes with so much charge and tenderness. This week, we’re talking about being rejected by a client. We explore the myriad of rejections that can happen in the relationship - both micro and macro moments. We tenderly share what can come up for therapists when a client stops scheduling sessions or tells us they want to stop seeing us. This is an especially vuln...

This week we are taking it back to the basics-- how to open and close sessions! We share our favourite opening questions/remarks, talk about why it can be valuable to avoid “how are you” as the opening question, and what to do when clients look to you, the therapist, to lead. On the flip side, we wrap up the session by talking about the benefits of an intentional closing with clients, why it’s so...

This week, we’re sharing how we respond when clients answer with “I don’t know”s. We talk about why “I don’t know” can feel so discombobulating, how to respond effectively and without panicking, what these responses might mean from clients, and why they can help deepen the therapy work. We explore both when clients who often have robust answers suddenly give us an “I don’t know” and when clients o...