#therapist-selection

#therapist-selection

Many situations contain irreducible uncertainty. No matter how many variables we try to control, we can't reduce uncertainty to zero. It's inherent in the messiness of life.

Coping with the death of a loved one is individual and, like anything else, exemplified by what works for you. Grief rituals can be practiced alone or with others, created uniquely by you or replicated over centuries.

Currently I'm working on a virtue ethics approach to the issue of whether examples of moral badness should be allowed in machine learning with artificial moral agents. Motivating the side that we should do so is of special interest to me, with a focus on actions that are not wrong yet worse than morally indifferent.

Psychotherapy and counselling psychology, however, did not emerge from institutional logic. The field was forged within relational, psychoanalytic, and depth-oriented traditions that prioritize lived experience, symbolic meaning, cultural complexity, and human nuance over procedural standardization. Bureaucracy seeks predictability, yet psychotherapy was built upon a disciplined engagement with uncertainty.

Evidence Based Medicine was formalized in the 1990s, largely by Canadian physician David Sackett. Sackett described the goal of EBM is to replace hunches and habits with data and clinical trials. Clinical guidelines were developed involving protocols that tell doctors which drug to prescribe first, what dose to use, when to escalate treatment, and when to refer a patient to a specialist.

If we treat ADHD as binary (you have it or you do not), we are missing the possibility that we all lie somewhere on a continuum with diagnosed ADHD towards one end (and perhaps an ability to focus and concentrate at the other). A diagnosis of ADHD then depends on where the line is drawn. I suggest that this line has been moved in recent years, so that a large group of people have been caught up in the positive ADHD group, who would not have been previously.

They arrive on time, think clearly, and care about their clients. Outwardly, everything seems fine. In private, though, things can feel very different. A clinician's depression may not show up as clear despair. More often, it feels like emotional numbness, quietly withdrawing, or slowly losing interest in things that once mattered. Pleasure fades, curiosity lessens, and the work goes on, but it feels heavier and less alive.