Why Therapy Feels Worse Before It Gets Better: The Psychological Desert

Minimal desert landscape with solitary tree symbolising the psychological "desert phase" of therapy and transformation

This essay forms the third part of a four-part series on psychological thresholds: The Desert Phase of Psychological Change. In the previous essay, I explored why psychological thresholds are so difficult to cross. Here I turn to what can happen when we finally do. The first experience of real psychological change is rarely relief. It […]

Looking For an English-Speaking Therapist in Berlin? What Actually Matters

Architectural columns in Berlin with strong light and shadow.

Many of the people who contact me are unsure what they are looking for as they begin searching for an English-speaking therapist in Berlin. The process can feel surprisingly opaque. I hope to offer some orientation here, to make it more navigable. Berlin offers no shortage of therapists who work in English. A brief search […]

When Certain Interpretations Become Unspeakable

A dimly lit corridor with shadowed walls and streaks of light falling across the surface

I recently attended a webinar on case formulation in therapy led by a senior clinician whose work I respect. What stayed with me was not just the psychodynamics of the case, but a parallel process in the group that seemed to reflect a broader cultural difficulty. What happens to clinical thinking when certain observations become […]

Staying With What Is: Why Psychological Thresholds Are Difficult to Cross

A series of arched stone doorways leading to a closed wooden door, lit by soft natural light.

This is the second part of a three-part series inspired by a shared feeling that we are standing on a threshold. In my January essay, Crossing the Threshold, I explored the psychological thresholds and mythic dimensions of this moment. Here, I want to look more closely at why thresholds are so difficult to cross, and […]

Psychotherapy is Not Neutral Work

stone sculpture of a bent-over human figure in low light.

”No-one who, like me, conjures up the most evil of those half-tamed demons that inhabit the human breast, and seeks to wrestle with them, can expect to come through the struggle unscathed.” Sigmund Freud On the 19th January, 2026 Rebecca White, a 44 year old therapist was murdered in her office in Orange County, Florida. […]

The Return of the Sacred: Psychedelic Therapy and the Longing for Depth

Split composition of a modern laboratory and a dawn forest, symbolising the balance between scientific containment and mystery in psychedelic therapy

This essay is the final piece in a three-part series exploring how therapy both reflects and resists our cultural moment. In Part One, “Are We All Becoming Avoidantly Attached?”, I looked at our collective retreat from emotional discomfort. In Part Two, “The Validation Trap,” I examined how therapy itself can collude with that avoidance, offering […]

The Validation Trap: How Affirmation Therapy Threatens Depth

A calm hand holding a soothing cup with neutral tone to symbolize emotional safety and comfort culture in modern psychotherapy

This essay is the second in a three-part series exploring how therapy both reflects and resists our cultural moment. In part one, “Are We All Becoming Avoidantly Attached?”, I looked at our growing tendency to flee emotional discomfort. Here, I turn to the rise of what I call “affirmation therapy”, a comfort-first approach that prizes […]

Are We All Becoming Avoidantly Attached? Emotional Withdrawal in the Digital Age

Person in a soft fleece jacket holding a smartphone, evoking emotional withdrawal and digital detachment.

Attachment Theory and the Algorithmic Age Attachment theory, first developed by British psychoanalyst John Bowlby, has long been a cornerstone of psychotherapeutic thinking. It helps us understand how early relational experiences shape the ways we seek connection, handle conflict, and navigate intimacy. But in recent years, attachment language, including that of avoidant attachment, has gone […]