Edge of the Couch

No-show and cancellation conversations are some of the most charged and controversial among therapists. There are constant debates about whether to charge for cancellations or not, how much notice is reasonable to therapists, and how strict or flexible to be with these policies. This week we deep dive into the huge importance of having clear policies that have been communicated to clients, buildin...

Many clients come to therapy with a history of charged relationship dynamics. Maybe they’ve been people-pleasing, maybe they shut others out, maybe they have difficulty being vulnerable with friends, maybe they crave closeness but don’t know how to get it, maybe they dance between investing too little in relationships to putting everything into them, maybe they never rock the boat for fear of aban...

If you’re on any therapy forums, part of a therapist group, or even currently becoming a therapist, you’ve undoubtedly seen people talking about therapists leaving the field. One of the most common questions we get from new therapists is how to know if the field is right for them given how much of a hard time they are having. This week we discuss our theories about why so many new and seasoned the...

The COVID-19 pandemic drastically changed the landscape of therapy. Where before 2020 online therapy was met with a great deal of skepticism and judgment, once in-person sessions were no longer possible, clinicians across the world had to pivot into virtual work. At first, it seemed that the changes may only be temporary (“just until it’s safe to be in-person again”) but here we are almost four ye...

Major major MAJOR caveat: what clients bring to sessions is important regardless of the ‘size’ of it. We used the terminology “small things” as it felt that it explained the situation in the most precise way but we know that nothing is ever really “small” when we consider context, our clients’ lives, and the power of little things in our day-to-day existence. With that clarified, this week’s episo...

Join us in a candid conversation about policies and power in therapy. We delve into the topic of therapist boundaries, drawing parallels with dynamics with supervisors and bosses. We get real about the challenges of asserting boundaries within complicated power dynamics, whether you're the therapist with your own clients or you're navigating dynamics with your supervisor or boss. We hope...

Let’s imagine that in the course of a session, a client casually mentions something that feels big but the conversation moves beyond it quickly. As the therapist, we may have a sense that we need to go back to that big thing (such as a history of abuse or an upcoming grief anniversary or that they lost their job) but we may not know how or when to do so! Or let’s imagine that a client hasn’t paid...

Shame is often talked about in pop psych, but what does it mean? In this episode all about this tender emotion, we describe how the different theoretical frameworks understand how shame operates and how to work with it to move the therapy forward. From childhood trauma and abuse to marginalized identities and privilege, we unpack how shame might show up for people and the various ways we can help...

In our therapeutic work, we think of ourselves as ‘fellow travellers’ who journey alongside our clients in the evolving, changing, learning etc. But recently we were asked by a listener, “what does being a fellow traveller actually mean?” We realized then that we’ve never taken the time to dive into what we really mean when we use this metaphor. This episode is all about how we conceptualize the r...

We’re back and excited for Season 6!! We’re opening the season with a juicy question that we get a lot - what are practicum supervisors looking for? We can’t speak for all supervisors but we had a great time recording this episode explaining what we both look for in student applications. Applying to a practicum site or a new therapist job is a pretty vulnerable process. Students are often anxious...

From celebrating clients' milestones and triumphs to helping them navigate the darkest seasons of life, in our final episode of Season 5, we'll share what makes being a therapist especially meaningful. We also discuss what happens when clients have news and we have very different feelings about it than our clients. If you have enjoyed listening along this season, please give us a review...

Alison McCleary www.alpenglowcounselling.com @alpenglow_counselling on Instagram Jordan Pickell www.jordanpickellcounselling.ca @jordanpickellcounselling on Instagram Edge of the Couch www.edgeofthecouch.com @edgeofthecouchpod on Instagram We have partnered with Janeapp, an all-in-one practice management software. You can learn more at Jane.app/mentalhealth . Or, if you are ready to get started, m...

We’ve often joked that if we were to start a counselling school, the basic skills training would look very different than the program we completed together. In this episode, we share with you the foundational therapy skills that guide our practice and that we think therapy school should focus on instead-- empathy, presence, comfort, attunement, and accuracy. Alison McCleary www.alpenglowcounsellin...

We met on zoom with listeners for a LIVE Q&A episode where members of our community asked questions in real time. We discuss how to help clients sit with their difficult feelings, how to manage the moments when a client is seeking answers but doesn’t seem satisfied with the tools you’re offering, how to be thoughtful about maintaining privacy during virtual sessions when the client is unbother...

Grief and loss are inevitable parts of therapeutic work. Clients' pain (or anger or confusion) is sometimes so big and it can feel delicate for new therapists to know how to hold all of the bigness. Many programs don’t prepare new therapists for how to support clients who have experienced a significant loss. We know that new and seasoned therapists alike have moments of "What do I do her...

There is a welcome discourse about the humanity of therapists. But with this new perspective, we risk losing sight of the reality that some therapists are actively harmful. In this episode, we talk about egregious mistakes therapists make. Alison McCleary www.alpenglowcounselling.com @alpenglow_counselling on Instagram Jordan Pickell www.jordanpickellcounselling.ca @jordanpickellcounselling on Ins...

The therapeutic hour is such a unique space in which full attention is dedicated to the client. As clinicians, we are all set to really centre the client in the conversations and skill-building. We want to know all about that singular person and we want them to take up the space for their hour. Not only do they pay for that time, but it’s also a sacred practice of singular attention that is unlike...

The big question this week is about whether clients owe us the truth. We believe that as therapists, we are always working from the foundational assumption that clients are telling us the truth. We listen and believe their stories, offering reactions to whatever is present at any given time. Even if we are getting partial truths, stories without specific details, or we are hearing a fabrication, o...

At the midway point of our season, we’re talking all about what an ideal client really is. We’re also navigating the controversial topic about whether therapists are permitted to be highly selective about the clients they work with. While these topics tend to come up in marketing conversations (how to ensure your website attracts your ideal client, for example), we want to talk about what they mea...

As new therapists, we are often exploring what we like, how we want to speak, what our approach really is. And as such, we may adopt an approach that we think fits with our theoretical orientation (“this is probably how an AEDP therapist does therapy”). This week’s episode is all about how to hold our theoretical orientation in mind as a framework while allowing ourselves to develop our own unique...

Lots of the conversations about being a therapist are heavy and that’s simply the nature of the work. We know that and we love being in the heaviness. But therapy isn’t all heaviness. As therapists, we share many moments with our clients that are sunny and joy-filled, too. This week’s episode is all about lightness, fun, and silliness being used as intentional tools in the therapy space. We explor...

In this episode, we discuss the various ways metaphor and analogy come up in therapy. We invite you to use these as tools for deepening the therapeutic relationship, deepening client understanding, and creating a shared vocabulary that you can use with each client. And we have a great time swapping stories of times that these tools have been most helpful! Alison McCleary www.alpenglowcounselling.c...

Content note: Mentions of childhood sexual abuse No matter what your modality, the client goals, or the presenting issue, all clients will mention parenting at some point. This episode explores the complex nature of parents and parenting. We talk about how to do therapy with adult children processing how they were parented. We discuss how to work with parents who want to be more effective. And we...

In this listener-requested episode, we define what relationship processing is, why it’s valuable in therapy, and how to have conversations with clients about the therapeutic relationship. We also gently examine if there are moments where relational processing is ill-advised and if there can be too much of a good thing? Alison McCleary www.alpenglowcounselling.com @alpenglow_counselling on Instagra...

This week’s episode is all about navigating the moment when a client can’t (or won’t?) see the impact and/or benefits of therapy. We share all of the ways that we respond in these types of hard moments. We also share how we have learned to reframe these moments as opportunities for deepening the relationship with the client and for understanding them better. An important takeaway from this episode...