Many couples suffer from ongoing low-level conflict that’s like a low-grade fever. They never feel well, and never get better. Learning to fight can help break the fever and return the couple to health.
Sexual problems in a relationship, including erectile dysfunction, typically reflect a more subtle dysfunction in the underlying dynamic of the couple. Helping the guy to become less cautious with his wife can be a powerful libido-stimulator
Dave Keith reflects on the relationship between the “I”– our Self–and the system of social selves, a community of selves. The social selves are roles that we play. We all have multiple personalities. Personalities are context dependent.The social selves are how we are known. No one knows our core self.
Dave continues his meditation on the tensions and play between our multiple “selves”; the social, fantasy and core parts of our being–and what this means for our relationship with others.
An X-ray, or CAT scan, is designed to show what’s invisible to the naked eye. An X-Ray of a couple, in the therapeutic setting, exposes the anatomy of the couple, revealing what’s beneath the surface in the relationship. Sometimes the patient doesn’t like the results.
Surgeon Atul Gawande’s book, Being Mortal: Medicine and What Matters in the End, has a lot to say about the unintended consequences of doctors’ failure to acknowledge the dying process. Here’s a case of a young woman whose complicated grief over her mother’s death reflects this failure.
This is a Two-Part Post: Dave: This illustration gives a picture of how the use of a psychiatric diagnosis and treatment with medication can affect a family’s living over a […]
Dave: Just one month after Trish left for college, her mother, Carol Marie, called me. I was surprised because she wanted to be a patient and come in to see […]
Our current cultural model for conditions like anxiety and depression uses language like “chemical imbalance”, implying that suffering is related to our brain chemistry. In this post, Dave Keith offers another perspective that looks at our moods as dynamic states related to the context of our living patterns.
Many doctors feel under pressure to prescribe medications to patients with even moderate anxiety or depression. But it doesn’t have to be that way: Here’s a case of a physician with courage and imagination who takes an unexpected path to help her patient.
In this post, Dave shares his clinical story about a young woman with severe depression and her recovery, without the use of medications. It again reminds us about the power of relationship, and the power of creative caring.
In this post, Dave Keith reflects on how he came to understand psychosis as a symbolic expression, embedded in a person’s relationships and experiences. This offers an alternative, dynamic and life-affirming perspective on what is often considered the “destiny” of mental illness.
Anxiety is a common human emotion, one that we all experience at one point or other. Though most of us feel anxiety as a painful feeling that we want to “go away”, our anxiety in fact may be a helping us learn something important about ourselves.
Amy: Check out this small, funny reflection on “confidence” from Alain de Botton’s The School of Life. The video points to the liberating effects of allowing for, and accepting, our innate craziness […]
“Chemical Imbalance” has become a generally accepted way to think about psychological conditions like depression and anxiety. But David Keith offers another perspective: In fact, emotional problems may be a sign of mental health.
While it’s always tricky to try to understand how someone becomes an alcoholic, stories from patients “in recovery” reveal some patterns. In this post, we get a glimpse into a couple’s therapy, where we learn what “pre-alcoholism” looks like. It can tell us a lot about some of the ingredients that go into making an alcoholic.