In the past two decades, psychotherapy has witnessed a significant development known as Routine Outcome Monitoring (ROM), which has garnered recognition in global clinical practice. Nevertheless, its...
The Myth of Multiple Outcome Measures
August 28 2023
There is nothing wrong with using an additional outcome measure. For example, using the PHQ-9 as a periodic measure in addition to the every session Outcome Rating Scale (ORS) makes total sense with...
Implementing Measurement Based Care
August 01 2023
Measurement based care (MBC), sometimes called routine outcome monitoring (ROM) or systematic client feedback (our favored term), is gaining traction across behavioral health settings. In fact, it is...
Nothing Wrong with Long Term Therapy, But...
June 27 2023
A long time ago in a galaxy far away I became enamored of so-called, “brief therapy.” I appreciated longer term approaches, especially existential and client centered models, but I was drawn to the...
The Alliance IS the Therapy
May 26 2023
The fact of the matter is that the alliance is our most powerful ally and represents the most influence that we can have over outcome. The alliance is the soul of change. But it’s hard not to take it...
An article just published in the journal, Psychotherapy by Boswell et al advocated for measurement based care (MBC) to be recognized as a Professional Practice Guideline (PPG) for psychotherapy...
The Myth of the Silver Bullet Cure
March 21 2023
Believe those who are seeking the truth. Doubt those who find it.--Andre Gide There is so much nonsense out there that it would take a compendium of volumes the size of Wikipedia to do it justice,...
The Myth of the Magic Pill
February 17 2023
"When money speaks, the truth stays silent." - Russian Proverb There is so much nonsense out there that it would take a compendium of volumes the size of Wikipedia to do it justice, but I have...
The Myth of Psychiatric Diagnosis
January 19 2023
The judges of normality are present everywhere.
Who Benefits From Ubiquitous Screening?
December 20 2022
Before I answer the question posed in this blog, first let me say that there is nothing wrong with trying to identify folks who are struggling so that help can be provided. And there is nothing...