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Edge of the Couch

Author: Jordan Pickell and Alison McCleary

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Two good friends and experienced therapists explore the topics that were either shied away from or dismissed because they were too big, too nuanced, too risky, or too uncomfortable to address in school or even in supervision. We want to inspire and encourage new therapists to think more deeply, show up more fully, and find humour and self-compassion in navigating the messier parts of being a therapist.
119 Episodes
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How can we support clients in navigating the big life decisions, including to stay or leave relationships, choose career paths, or family planning? In this episode, we explore the therapeutic role of discernment. Often, people are grappling with the pros and cons of each choice. Some of these conversations are vital and productive, and other times, it feels like we are spinning our wheels. As the therapist, we can find ourselves frustrated or stuck not knowing where to go next. In the context...
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 responsibilities begin and end in a private practice setting. We discuss why it's essential to connect clien...
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 about what’s beneath the surface.Join us as we reflect on what it looks like to trust the client’s pr...
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 our shared ethics. We reflect on our own struggles and strategies for working with clients who might be stuck in...
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 the reality show characters, Jessica and Marc. In 2024, our rewatch brings up tender and surprising feelings...
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 immense responsibility and power we have as therapists. To learn more about their upcoming summit, Lea...
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 chase down a client after they've left, why the urge to email them can be so strong, and why, more often tha...
Working with Dreams

Working with Dreams

2024-08-2826:01

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 therapeutic work, or is it something you’re curious to try?
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 actively avoid them out of discomfort?This week’s episode is about navigating the complexities of c...
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 media. Does the fear of being recorded reveal deeper concerns about avoiding accountability in our profes...
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!
Erotic Transference

Erotic Transference

2024-07-3143:40

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 crush on us, wants to keep seeing us because of their erotic feelings towards us, or wishes to have...
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.
The Meaning of Silence

The Meaning of Silence

2024-07-1028:35

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 therapy. What happens if there are no silences? Join us as we uncover the significance behind these quiet ...
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!
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 Baldwin's 2007 voicemail to his daughter and an anecdote about Gabor Mate. This conversation most...
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 be shocked by our own reactions to client emotional expressions (and many programs don’t specifica...
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’ve experienced the same things so we must feel the same way), lack of energetic and relational bo...
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, thanks for listening and being a part of our Edge of The Couch community. This marks both our 100th...
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