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Our day-to-day lives are chaotic and filled with distressing news, world events, and other causes for stress that we have no control over. Meditation practice has long been established as a path towards mental, emotional, and physical healing. The mind-body connection is one that is often neglected. You may have tried meditation before and decided it is not for you for one of the following reasons:
Meditation has a lot of misconceptions tied to it, and a lot of the concerns people have when trying meditation revolve around those misconceptions and set them up for feeling like failures. The goal of meditation does not have to be to reach the point where you can meditate for hours, with no thoughts, and full control over your mind and body to the point where you can levitate off the ground. We’ll save those aspirations for the Monks. The goal of therapeutic meditation is simply to practice. Practice checking in with your body, emotions, and thoughts. Practice slowing down enough to be able to communicate with your body, recognize your emotions, hear out your thoughts, and spend some time addressing the concerns brought to your attention. We are not looking for a blank slate- we are looking for what we have been ignoring or neglecting. Another great benefit to practicing meditation is learning how to engage or disengage with your anxious thoughts. The meditation linked below is called a “Leaves on a Stream” meditation. The idea is to practice observing your thoughts, especially the anxious ones, as they come up, acknowledge them, and then let them continue flowing downstream without attaching any judgment or action to them. I encourage you to try it out! It is less than 10 minutes long and is something you can do from anywhere during your day. Now, it will not be something that you are automatically good at, and it may go differently each time you practice it, depending on your headspace when you start. However, the only objective here is to try. Try it, practice it, and keep practicing it. If you do that, you have succeeded! You will have connected with your mind and body even for just 6 minutes, and that is 6 more minutes of connection that you would otherwise have. Despite my encouragement, you may not believe that meditation can make a difference, but I dare you to try it and be curious about what effects it can have." Author: McKayla Kagie Robinson, MS, PLMFT McKayla is a Therapist at Healing Reflections Therapy. She is currently accepting clients.
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Revisiting When Rapists Don't Know They are Rapists: Why This Conversation Still Matters in 20264/20/2026 A decade has past since my original post-#metoo era article on when rapists don't believe they are rapists. In 2026, just in time for sexual assault awareness month we are once again confronted with headlines that force us to face the same uncomfortable truth. From the ongoing Epstein sex trafficking investigation (or lacktherof), to the recent sexual assault allegations about Representative Eric Swalwell, Russell Brand's rape trial, and Katy Perry being met with a flurry of Sexual assault allegations after Ruby Rose began speaking out about an encounter decades earlier. All of course, denying the allegations. The major headline this month being the bombshell CNN news investigative report that revealed that 62 million visitors in a single month viewed a website dubbed a "rape academy" where men exchanged tips on how to drug and rape their wives, and even exchanged video content of their crimes. The scale is staggering. People have been rightly horrified at the implications and scale. Women are being forced to question whether they really know and trust their partners. Alongside this, a recently published 2026 study by O'Sullivan and Ronis titled "Isolate, inebriate, intimidate, Repeat: High Rates of Sexual Force Against Women are Reported when Young Men Given Anonymous Surveys." The study of 2,689 US and Canadian men aged 18-34 reported recently using at least one strategy to "force a woman to have sex" i.e. rape them. They reported an average of about 9 strategies being used, mostly being versal coercion or using their peers to manipulate the women. In 8% of the cases, the men explicitly reported drugging women for sex (i.e. drug-facilitated sexual assault) on one or multiple occasions. People have been rightly outraged and ask: How is this possible? Many women indicate they are not shocked. As a sexual trauma therapist, the answer is not abstract. These stories echo of painfully familiar stories I have heard from clients before. And they Point to a deeply unsettling reality: Many Perpetrators do not believe they are perpetrators. Once again, the talk about why women choose the bear re-enters that chat. The Problem isn't just Violence-It's Perception When I was working on my thesis almost 2 decades ago comparing the sequelae of adult vs child onset of child sexual abuse I came across similar findings about sexual coercion. Our original survey packet administered to study participants included several different measures on sexual abuse, and one survey that assessed sexual coercion. Ultimately, we excluded the data from that survey after finding that 100% of the both male and female participants in the study reported experiencing sexual coercion. At the time, we suspected the instrument lack validity, seemingly not being sensitive enough to measure what we were intending it to measure. Now, I believe the opposite was true: Our systems were not prepared to face how widespread the problem actually is. Sexual coercion exists in direct opposition to enthusiastic consent, and it has criminal consequences. But when it is normalized, minimized, joked about, or reframed, it stops being recognized for what it is. The Mental Gymnastics of "Good People" With these new headlines, people are enraged at the numbers. How could this many men be visiting these sites? How could husbands do this to their wives? How could so many people willingly talk about sexually assaulting their partner? The truth is, many men do not know they are rapists. They see themselves as a good person, and good people do not rape, therefore what they are doing cannot be rape. That is when the mental gymnastics start. Pioneering research by Mary Koss demonstrating the mental gymnastic people do, finding that when you ask people about their abuser/abuser experiences without labeling them "Rape" or "abuse", and just using the definitions that make them abuse, people are much more likely to endorse engaging in or having experienced those abuses.... So, now I am going to provide an update to my original article and once again address this theme- what if my rapist does not know he is a rapist. "It has been almost a month since #MeToo flooded social media. Since then, almost a daily parade of new sexual harassment, abuse, or assault allegations are being brought to light about accused perpetrators like Harvey Weinstein, James Toback, Charlie Sheen, Louis C.K., Ed Westwick, Roy Moore, and Kevin Spacey. The responses by the accused have varied from silence, to deflection, to admission, to outright denial. What Survivors Experience Some statements have puzzled people, wondering how could they not know what they were doing was wrong or would upset someone else? Sadly, this relates to a concept frequently found in my therapy practice, in which many victims are astounded when they realize that their rapist doesn't know he is a rapist. After the assault the perpetrator may act casual, inviting them for breakfast, acting affectionate, kiss them, or invite them on another date. They behave as though what had occurred was completely consensual despite the fact that moments or hours before they were holding the victim down, whispering threats in the victim's ear, ignoring the victim's cries of pain or profound lack of interest or engagement, or ignored the fact the victim was intoxicated, passed out, or vomiting and while they pursued sex. The husband that secretly drugs and rapes his wife for years may tell himself that this is his right as a husband. The abusive family member may appear at holiday events and initiate hugs and pretend like nothing ever happened. They may be the charismatic, smiling life of the party. Even worse, family members often rally to protect the accused perpetrator. Sometimes the victim will run into the perpetrator months or years later and be astounded at how "normal" they act. They may approach them like friendly, long lost friends seeking to engage in polite conversation. They may reach out to the victim over social media with casual "hellos" and "how have you beens?" The victims may react in paralysis, fear, or rage and are additionally astounded when they see the look of confusion reflected in their perpetrator's face. The victim/survivor comes into my office begging the question: Is it possible that my rapist does not know he raped me? Sadly, in some instances, the answer may be yes. For those that lack empathy, awareness of others boundaries or feelings may not exist. The default is: if this benefits me, my actions are ok. Lack of empathy can be the bi-product of someone in a status of power or privilege, "Just boys being boys," "locker room talk," or "old school." For other sexual violence perpetrators, they may have a sense, if not clearly know what they did was wrong, but use elements of denial, minimization, deflecting blame, or manipulation to escape any form of personal accountability to seep into their conscious awareness. Power, Privilege and Normalization Is it possible that some of these celebrities really did not know that what they were doing was wrong? Well, since they kept the secret and did not exhibit those behaviors in public, then probably on some level they did know. I would argue that they probably were in a position that did not serve them well to think it was wrong. "He/she really wants this," "They deserve this," "I deserve this," "They like how it feels," "Everybody does it" are all arguments used to justify sexual violence. Think of it this way: if you were about to step on an ant and crush it, you would probably tell yourself that have good reason to do so, that it won't matter, that they cannot feel anything, that you are really being helpful...but you can do this because essentially you see the ant as significantly less powerful and less important than yourself. By contrast, if you think about killing a shark you may still justify the kill, but you will still probably worry about the consequences to yourself because the shark is inherently more powerful. Power, control, status, privilege, and lack of empathy play important roles in supporting rape culture. When we are so inundated in rape culture, like a lobster in pot slowly brought to a boil, we may not even realize we are in danger of becoming the next meal because the environment around us was already so unhealthy in the first place." So what can we do about it? I challenge men to embody the coveted protector role and to challenge other men. It is your job to start calling out the bad behavior of your peers instead of silently standing by or bearing witness in what translates into tacit complicity. Report website like the rape academy. Stand up to your friend that it trying to hit on the drunk girl at the club. Call out when you hear adults making sexual comments about teenagers. Don't laugh at the "locker room talk", make the other person visibly uncomfortable by having them repeat it until it loses its power. It may not be all men, but most violent crimes are committed by men, and all men have a responsibility to do better. References https://www.hopehealreflect.com/mental-health-articles/when-rapists-dont-know-they-are-rapists O'Sullivan & Ronis (2026) https://journals.sagepub.com/doi/10.1177/08862605261432630#tab-contributors https://www.cnn.com/interactive/2026/03/world/expose-rape-assault-online-vis-intl/index.html Conley & Garza (2011). https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1559-1816.2011.00828.x Koss M. P., Gidycz C. A., Wisniewski N. (1987). The scope of rape: Incidence and prevalence of sexual aggression and victimization in a national sample of higher education students. Journal of Consulting and Clinical Psychology, 55(2), 162–170. https://doi.org/10.1037/0022-006X.55.2.162 Author: Megan Garza, MA, LMFT Sexual Trauma Specialist and Co-Owner at Healing Reflections Therapy April is Sexual Assault Awareness Month: How to Access Support that Many People Don't Know Exists4/13/2026 April is Sexual Assault awareness month. We are seemingly inundated with news about sexual violence in the headlines lately. So, let's talk about some resources that many people don't know about for seeking help with domestic or sexual violence. These resources are primarily for Missouri, but there are national resources available as well.
Victim Advocates Did you you know that you can get an advocate to accompany you to to the hospital or make a police report? You can pre-arrange this with them to ensure you have the safest experience where they can even schedule the meeting with a detective and give you follow-up updates on your case. Places like the YWCA Metro St. Louis and Crime Victims Advocacy Center, and Children's Advocacy Center are great for this kind of work Safe at Home Program Sometimes after folks have been in an abusive relationship or have experienced an interpersonal violence episode, they struggle with feeling safe at home. Survivors may worry about their perpetrator having access to them, or stalking them. Did you know that that you can sign up for the Safe at Home Address confidentiality program to keep your address out of public record, to ensure your privacy where you live. You can sign-up here for free https://www.sos.mo.gov/business/safeathome Offender research tools Another tool people have in Missouri to help keep themselves safe is using Casenet to research individuals name to see if they have criminal or civil cases of public record in the state. Sometimes knowing someone's history can be a great tool for personal advocacy and protection, especially when dating. Case update Tools If you experienced a crime where your offender has been adjudicated and want to know the release date status of your offender, you can use MOVANS to get automatic updates on them. This is designed to help victims stay notified of their case and when their future safety may potentially be threatened. Crime Victims Compensation Many people don't know this, but if you experienced certain types of crimes and filed a police report and are actively participating with the police in the investigation, you may be eligible for have any expenses incurred by you as a result of the crime, reimbursed to you. This may include medications, medical visits, therapy costs, funeral expenses, and lost wages. There are stipulations involved, but filing a claim is relatively simple, though the re-imbursement process may take some time. If you think you or a family member are eligible, you can seek info here https://dps.mo.gov/dir/programs/cvc/crime-victims-compensation.phpdps.mo.gov/dir/programs/cvc/crime-victims-compensation.php Therapy Support An extraordinarily valuable tool in the healing process from trauma is getting therapy. Our therapists at Healing Reflections Therapy: Diversity, Trauma, and Wellness Services are experts at understanding the complexity of trauma and treating the resulting wounds. We utilize evidence-based approaches to help clients address their acute traumas from recent events as well as addressing chronic concerns from traumas that occurred decades ago. Reach out to us today, and we can help you find the help you need https://www.hopehealreflect.com/contact-us.html . For those not local to St. Louis, you can use Rainn.org to lookup a sexual assault near you. Group Therapy Support Another valuable tool is group therapy. I often recommend individual therapy paired with group therapy as a part of the healing journey. It is a wonderful opportunity to share your story with other survivors and see that you are not alone. Places like Safe Connections and YWCA Metro St. Louis are known to offer this for free. Survivors.org also offers a virtual support group. Healing Your Body As many people are now aware due to education on ACES and the popularity of Bessel van der Kolk's "The Body Keeps the Score," the body is often impacted by trauma and carries a health cumulative impact. Resources like trauma-informed yoga have come about to help this process. This month, Survivors.org is offering free virtual trauma informed yoga workshops as well as art therapy workshops. Joining the survivor community can be a transformative experience. It can help reframe your relationship with your victimized self, help release you from the bonds of secrecy with your perpetrator, and empower you to find a community of others that understand and empathize with your experience. You don't have to go through this alone. It's never too late. For more resources and information, you can check out our trauma resources information page and our sexual trauma resources page. Author: Megan Garza, MA, LMFT Megan is a Co-owner of Healing Reflections Therapy and Sexual Trauma specialist. You can schedule an appointment with her today here. Photo by Engin Akyurt: https://www.pexels.com/photo/red-couch-on-the-floor-4177669/ We recently shared an article addressing therapists ghosting clients, and I wanted to touch on the occasions where clients ghost their therapists. There are lots of reasons that a client might stop responding to their therapist or scheduling sessions: most of which are centered around avoiding discomfort and fear.
Fear of Embarrassment Whether it is a misunderstanding about session times, location, or cost, sometimes a client gets upset with their therapist and then realizes they made a mistake. As a result, they feel embarrassed enough that they don’t want to face the therapist. If anyone is going to understand making a mistake, it is a therapist! I know I will certainly make my own fair share and embarrass myself regularly, but I would hate to let that embarrassment get in the way of all the good work we can do together. Fear of Confrontation Our therapists are human and make mistakes; therefore, from time to time, they may do or say something that upsets us. Maybe they made a comment you didn’t appreciate or rubbed you the wrong way, maybe they seemed upset with you or like they weren’t paying attention, maybe you didn’t feel heard or understood, or maybe they guided a session in a way that didn’t feel helpful to you. Speak up! It’s scary to confront anyone, really, but people also put therapists on a pedestal that makes it all the more intimidating. As a therapist, I am here to work alongside you, not dictate how you live your life or lord over you with my great and powerful wisdom. As therapists, we strive to be very aware and informed for the safety and comfort of all of our clients, but we still have blind spots. If I said or did something unhelpful, I want to know. Fear of Shame Let’s say you didn’t finish, or even start, the assignment your therapist gave you in the last session, and it feels like it would be easier or more comfortable to cancel the session or not show up. After all, who wants to hear, “That is so disappointing, it’s a shame you didn’t do the work between sessions. What are we even doing here?” I’m not going to shame you for not doing “the homework.” There are no grades in therapy, and if something I asked you to do was difficult, then let’s talk about it. If doing things that are good for you were easy, then you probably wouldn’t be in therapy to begin with. When something is difficult, it is the perfect place to dive deeper. Avoiding Responsibility With that said, there will be times when I will challenge something you said or push back against a core belief, and that can trigger feelings of shame and blame as a gut reaction. This is especially relevant in couples therapy since there is likely already an established pattern of blame. Often, someone coming to therapy falls into one of three categories: the visitor, the complainant, or the customer. The Visitor: This person doesn’t feel ownership over what brought them to therapy, and they are likely there because someone else has asked them to be, either a loved one requested they go, or they are court-mandated to be there. They are just visiting therapy and passing through with no real intention of using the time to their advantage. The Complainant: This person can identify a problem and is upset by it, but they see it as mainly external.
The Customer: This person is willing to acknowledge their role in the problem and ready to work and take action to create change. They are aware of the investment they are putting into this process and are motivated to make the most out of it. Individuals who fall into the visitor or complainant category may ghost their therapists as soon as they can. Oftentimes, the ghosting comes when they have grown tired of being asked to take accountability before they are ready to do so. Going to therapy in one of these mindsets isn’t wrong and is a great first step towards becoming ready for the work. Down the road, you may find yourself more motivated or self-aware and want to try again. Do it! We’re ready when you are and will meet you where you’re at, no matter your level of readiness. Fear of Judgement You might have done something you’re not proud of between sessions. Maybe you got into an argument with your partner or engaged in self-injurious behaviors. Maybe you’re afraid to bring up a taboo subject with your therapist because they might be offended or judge you. My job as a therapist is to make sure you feel welcome and safe, but even with those efforts, doubt might creep in. Allow me to provide reassurance - I’m not here to judge you. I’m here to support you. I hope you feel comfortable coming to me about anything, but tell me if you’re feeling uncertain, and we can work through it. Fear of Discomfort Therapy is not a comfortable process. Often, the things that brought you to therapy in the first place are painful, and frankly, healing is too. Sometimes we confuse discomfort and pain with being dangerous or harmful. However, discomfort does not equal danger. Sometimes our nervous system has a hard time telling the difference, and that discomfort can send us into fight, flight, freeze, or fawn mode. A big part of therapy is learning how to cope with that nervous system activation and teach your body and mind the difference between discomfort and danger. Financial Distress The economy is TOUGH, and money is TIGHT, which often means that people drop therapy in order to afford other, more pressing bills. What if you are in a crisis? If the economy is trash, your life is likely on fire, and your mental health is suffering. Let’s be real, we’re all going through it. If you are not able to afford therapy, REACH OUT. I may have ways to help with the cost, such as a sliding scale, payment plans, and resources for low-cost or free therapy services elsewhere. It’s not ideal to have to change therapists, but getting you the help you need is my top priority, even if that is with someone else. Feeling “Too Bad” You wake up and are having a rough day. Therapy sounds like a chore and not a relief. You don’t want to just cry while your therapist watches. Hear me out… The days we WANT therapy the LEAST are the days we NEED therapy the MOST. I know that has been true for me, and I’ve heard it from clients, too. When we’re low on energy and motivation, our mask tends to drop, and we can see through to some of the issues we may be hiding from. There is valuable insight behind that feeling of resistance. People Pleasing When you’ve worked with a therapist for a long time or when you have just met a new therapist, you may be tempted to be the “model client.” You might feel bad about having a bad day, especially when you’ve been working with a therapist for a long time and have seen a lot of progress. Healing isn’t linear! Having a bad day, having trauma resurface, or having symptoms return does not mean you have lost all of your progress. Our journeys have hills and valleys, and as a therapist, I’m there for them all. You don’t have to impress your therapist. Rupture in Rapport Something happened, and you’re really mad at your therapist even though you generally really like them. Whatever the injury, you’d rather run for the hills than risk hurting your therapist’s feelings, but you’re still upset enough that you don’t want to go back for sessions. Maybe if I just avoid the problem, it’ll go away? Avoidance is a tempting coping skill, and one that usually shows up in all areas of our lives, not just therapy. However, avoidance only puts us in our own way and keeps us from progressing. Challenge the avoidance; you might be surprised by what happens. Running away from your feelings and to a new therapist may provide some temporary relief, and it can reinforce previously established patterns of avoidance. It may be worth the effort to try to address discomfort, work through the issue, practice using your voice, and work towards repair in a safe environment. Questionable Practitioners In some cases, moving on to a new therapist is unavoidable. Naturally, it is within your prerogative to leave a therapist who crossed your boundaries, did something legally or ethically questionable, or is just plain offensive. The field of psychology can attract people who are in it for the wrong reasons and use their position for personal gain. That kind of behavior should not be tolerated, and you have the option to report them. In this case, “ghosting” is actually self-advocating and necessary. Good job! Ethical and compassionate therapists will be here when you’re ready to try again. Ask friends, family members, coworkers, and other people in your community who they see or recommend. Word of mouth is an amazing way to find the therapists who are here for the right reasons and will prioritize your best interests. Outgrowing your Therapist Sometimes folks make progress with a therapist, but reach a plateau. You might need a new perspective, or a new therapeutic orientation to shake things up a bit. If you like your therapist enough, you might not know hot to tell them that it's just not a good fit anymore because you don't want to hurt their feelings, so you avoid it and ghost or gradually fade away. Your therapist may be sad to see you go, buy often we love these closing conversations and seeing you self-advocate. We can be great at helping to guide you to the next person on your healing journey. It all boils down to fear and discomfort. Don’t let temporary discomfort and fear keep you from pursuing the things that are going to help you and better your life long term. It’s so tempting to run and hide, but if that worked, you’d have already solved all of your problems. Sit with the discomfort. Push back against the urge to flee- recognize that as your learning edge and lean into it. See what happens. It might be something wonderful. Author: McKayla Kagie Robinson, MS, PLMFT McKayla is Therapist at Healing Reflections Therapy. Contact her here to setup an appointment https://www.hopehealreflect.com/mckayla-kagie-robinson-plmft.html As therapy enters the main stream more and more comedians, actors, influencers, and layfolk are talking openly about their experiences. It’s wonderful to see the stigma breaking down and people accessing the mental health care they need, yet at the same time when I read comments sections, I see so many people who had negative experiences with their therapist. Many folks report believing that their therapist ghosted them, while others fear that they have hurt their therapist or that their therapist couldn’t handle them, or worse yet, fears that their therapist left the field entirely because of them. Having worked with many mental health professionals over the span of my 25+ year career, I wanted to take a few moments to pull back the curtain and help people understand what is happening on the other side and provide insights into what the therapists may be going through and what are some of the other reasons why they may be responding or not responding in the way that way that is most helpful to you, the client.
Ghosting I often see people posting that their therapist has ghosted them, which is never something that we want to hear about. There are ethical obligations that therapist should be fulfilling regarding maintaining contact with clients and being responsive. It’s important to understand reasons why a perceived ghosting may happen. Sometimes therapists have their own mental health crisis and are just not functioning well. I have known clinicians who have at times been unable to return phone calls or messages because their own anxiety levels have become debilitating. This is obviously something for which they need to be receiving their own treatment. Sometimes therapists ghost because of severe medical issues where they are sick, ill, injured, and just physically not able to communicate, and in rare cases the therapist has passed away. More commonly, sometimes therapist ghost because of basic communication misunderstandings or errors. Sometimes they just didn’t see a client's message in their inbox. Has that ever happened to you? You scrolled past a message or accidentally put it in the trash and didn't even know you missed it or discovered it months later? Yeah, unfortunately it can happened in overwhelmed mental health care too. Or maybe they were expecting the client to message them back (but the client was awaiting an initiation from the therapist). The communication break down comes when the therapist was expecting the client to return the call and follow up to say when they wanted their next session. When the therapist doesn't think the client has responded, they assume the client is taking a break and they give the client autonomy and respect for choice, putting the ball in their court by leaving it up to the client to reach out when they want services. Like any good novel, the misunderstanding on each side can pave the way for a lot of confusion, hurt feelings, and ultimately missed connections. Some clients though, especially those that have attachment needs, they feel abandoned by their therapist when the therapist is not maintaining consistent connection and keeping them in their thoughts, and so a miscommunication error can feel like an activation of a rejection wound, and thus the client stops reaching out. Sometimes there’s just a missed connection because a message has just disappeared and did not reach its intended destination- you know, like in the interwebs when something has gotten caught in a spam box or was chunked into massive google thread that was missed, and so there was just a moment where someone thought they had returned a message and they didn’t. Just human and technical errors that naturally occur or are normal things that happen to most people at some point. There is tremendous value in assuming positive intent, and not assuming the worst. Therapists have a responsibility to be consistent in checking back with their clients and clients have a responsibility to reach out and connect with their therapist about what their wants and needs are regarding therapy. Another reason a therapist may stop communicating may have to do with their relationship with the organization they worked for. I have seen examples of therapists being dismissed from positions at their workplace and have been removed from computer access, client files, and call lists, resulting in them being unable to contact their clients any further, nor provide a termination session, which may be no fault of their own. Most of these dismissals usually come because of problems on an administrative vs client level. If they have been dismissed under those circumstances, the agency has a responsibility to contact and follow up with those clients. Unfortunately, that doesn’t mean that it has always been done and clients can fall through the cracks leaving them hurt with unanswered questions. In private practice, I also see a lot more clinicians put the onus fully on the client to reach out for services and automatically close files after a month or two of no-contact or no sessions. And yes, there are those folks that just don't return messages. That do just disappear from clients and drop them with no other reason than their poor organizational skills or desire not to work, or to avoid working with someone. Therapists do have legal and ethical duties to not abandon our clients, so clients who feel there has been a violation have the right to seek remuneration. A note should also be said about when clients ghost therapists. Unfortunately this does happen and it often haunts us. We worry about you. We wonder what happened? Are you safe? Did we do something wrong? We replay every moment of our last few sessions scouring for evidence of ruptures in rapport. Sometimes we check obituaries. We go to our supervisors or therapists to discuss our fear and worries. We try to think of what we could have done better. Therapy is a unique type of relationship, often a microcosm of relationships in the outside world. Clients often repeat the same patterns with therapists as they do with others in their life, and we are not immune to being hurt by it. Although there are some sucky therapists out there, most therapists I have known are genuinely well meaning and deeply concerned about their clients. “I Broke My Therapist” On more than a few occasions clients have relayed that they feel that their past therapist had experienced a crisis or a mental health breakdown and had left the field because of them. Therapists are human and can be vulnerable to their own mental health crises, which may prompt them to leave the field. It is not usually because of the client. Most of the time those therapists have already been experiencing a multitude of things in their life that have culminated in significant levels of distress and their ability to fully be there for a client has been limited. There are rare instances where a client has directly traumatized the therapist- usually through physical violence or some other boundary crossing, which has led to significant levels of distress that may prompt them to re-examine their commitment to the field. Sometimes when therapists get burnt out, they want to do something that involves the least amount of emotional investment, like fantasizing about folding towels at a salon. Trust me when I tell you, if anything is going to drive a therapist out of the field, it is more than likely their relationship with their workplace leadership than any of the clients. Sometimes clients relay that their therapist cried during session, which made them feel like the clinician could not handle their concerns. In psychotherapy there are different schools of thoughts on this, some will argue that therapists should never emote, because it conveys to the client that we cannot hold space for them, that it brings the focus on us, that "people pleasing" clients will feel the need to take care of us. Conversely, others will argue that crying in front of a client in response to their story can convey empathy, model appropriate affect expression, and be a display of authenticity and humanity that may build rapport. Occasionally, I will hear stories about therapists who were unable to keep the focus on the client’s needs, were triggered and became dysregulated. This is exactly why therapists are recommended to get their own therapy before become therapists as well as getting good clinical supervision training that focuses on countertransference and self-of-the-therapist concerns. Therapy is an experiential process and we may not know how our body is going to react to a client’s disclosure, but most therapists do their best to try to meet their client’s needs. While one client may feel touched that the therapist teared up and feel closer to them, another may feel triggered and unsafe and promptly drop out of therapy. You should know, that your therapist is likely stewing over this and beating themself up over not being a “good enough” therapist. I’ve seem many clinicians express distress over their own reactions in sessions. It is never the clients job to take care of the therapist. Clinicians should be trained to use their resources to take care of themselves. “You Don’t Really Care About Me and Are Only in it For the Money” Clients with abandonment, trauma, attachment, and trust issues may sling this arrow of words at us as a defense mechanism. We know this, it still hurts all the same. Some clinicians have over $100k in student loan debt and only make $38k a year. I’ve had clients without college educations getting free therapy at non-profits from me that were making more money than me. If we wanted a job for the money, we would have gone into finance. I don’t think I have ever met a clinician who was in it just for the money. Most of us tie ourselves in knots, expose ourselves to vicarious trauma, wear ourselves thin, have sleepless, anxious nights worrying about clients, battle it out with difficult employers because we are passionate about serving our clients. Seeing what's going on behind the curtain in therapy really just means that your therapist is likely just doing their best. They are human, with human emotions, triggers, and flaws. It is an art that requires constant learning and refinement. We do our best to be there for clients, but sometimes we mess up. Most are well meaning, some are inexperienced, some have experience that works against them, and sometimes you have a therapist that just plain sucks. Even the best ones can make big mistakes. If they suck so bad to where they breach legal and ethical codes, then you have options to report them. Most frustrations in therapy are interpersonal - they do not breach any regulations, but they cause harm. Recognizing that therapy is a fluid, relational process built on trust, communication, and making repairs, extending grace, and forgiveness, and perspective taking can go a long way in learning how to make changes in patterns of relationship injuries outside the therapy room. -And to any clients with whom I've ever made one of these mistakes. Please accept my humble apology. I would love to hear from you. Author: Megan Garza, MA, LMFT Are you in a relationship with AI?: When a therapeutic tool becomes the third person in the room2/24/2026 More and more people are using AI to assist with their mental health needs, and new tools and platforms are being built to expand on this. Clients are using AI to keep them accountable, to locate therapists, to learn coping skills and emotion regulation skills, to track their sobriety, to create mood logs, and to help them recognize patterns in their behavior and symptoms. Some clients are using AI to create healthy meal plans. Others are using it to identify red flags in dating conversations or to help them figure out signs if someone is into them. But as AI gains familiarity, some folks are turning to AI for much more than resources; they are using it to fill gaps in their emotional intimacy needs. They are using AI as a pocket therapist, an in-home life coach, as a friend, and sometimes as a romantic or sexual companion. How did we get to where AI filled such a void within us? In 2023, the surgeon general declared loneliness an epidemic negatively impacting mental health. Between political values dividing the dating scene, the disappearance of traditional third spaces like churches for meetups, and decreasing alcohol usage, the fuel and kindling that historically gave rise to so many relational fires, albeit disastrous ones, many folks today just don’t know where or how to authentically connect. Now add the economic crisis and rising costs of insurance, making mental healthcare difficult to access, and you have the perfect condition for relationship problems and isolation. Enter AI. The AI Affair AI chatbots are being used as tools for social connection, a friend, a helper, a nonjudgmental encourager, with some people stating their family members think they are directly talking to a human friend at-the-ready. Some are crossing the dimensions into developing intimate relationships with AI, where they substitute human companionship. As so many sci-fi movies have predicted, the future is here, and of course, humans being humans, people have also started using AI for sexting with chatbots. Arguably, a more ethical arm of the porn industry, due to not requiring the exploitation of vulnerable women and other individuals, but not without its own problems. AI porn is built by stealing the art and original imagery of real humans, some of whom may have consented, others may not have to their original use, reproduction, or misrepresentation. For those in relationships, finding out your partner is in a sexual relationship with a chatbot without your knowledge or consent can lead to problems with trust, anger, resentment, betrayal trauma, breakups, and divorce. And those folks are already showing up in therapy rooms and divorce courts. The AI Substitute Therapist Over the past year, I’ve encountered more and more people using AI to assist in their therapy between sessions. Indeed, I rarely go a day anymore without hearing clients talking about their collaborative use of AI to aid the therapeutic healing, most of which they find very effective. The AI Couple Therapist Some folks are turning to AI to determine whether or not they are in domestic violence relationships and how to communicate with their emotionally abusive partner. We have heard multiple women report putting their partner’s words into the chat and then using the chat’s response to send back to their partners in an effort to de-escalate or set clear boundaries. The AI Family Therapist Similarly, we have heard multiple family members report trying to resolve family conflicts through AI chat. One family member will hurt another family member, then turn to AI to write an apology letter for them. Sometimes, the AI-assisted apology letter is a considerably better attempt at repair than anything the other person has historically offered verbally. Sometimes, family recognizes the AI assist, sometimes they don’t and are seemingly content with the attempt at repair. But what happens when both people are using chat to write their responses? It comes down to a question of whether any true skills are being developed, or whether people are outsourcing their relationships and avoiding conflict, and how to learn conflict resolution skills. AI should be a tool, not a replacement; otherwise, we would be left with a modern-day dystopian Cyrano De Bergerac where two AI machines are transferring messages back and forth to one another, masquerading as their human puppets who show up with placid smiles after the conflict, ready to hug and make up. The AI Psychologist Some are using AI to try to diagnose their mental health concerns. The problem, of course being that AI results are largely based on the information you give it, and frankly, it can be a bit of a brown-noser in trying to get your approval. More often than not, it tells you what you want to hear. It cannot tell you what you do not know or understand about yourself, which is especially problematic for folks who lack insight or are poor reporters. Nor can it observe your body language, tone, and micro-expressions that are key to understanding human behavior. Recently, in 2025, an AI mental health software firm, Yara AI, closed after the developers determined that further development of their product was “too dangerous” for users in crisis and would cause more harm than good. It was preceded by similar closures from Woebot, Tessa, and Clarigent Health. One AI company has already come under fire for contributing to psychosis and suicide. In one recent case, a 16-year-old who died by suicide was discouraged by AI from seeking help and was offered assistance in writing a suicide note. There have been reports from psych hospitals receiving an increase in AI-related psychosis. Adding onto the problem, recently OpenAI came under fire after it was discovered that the shooter in a mass killing event in Tumbler Ridge Canada had been using their service and was detected for “furtherance of violent activities” and was kicked off the platform months prior, but the failure of the developers to report the issue to authorities has created a question of liability and whether or not the crisis could have been averted. Multiple states have started to initiate legislation to rein in the expanse of AI in mental health spheres as recognition of the problems and limitations grows. Certainly, as a clinician, there has already been growing fear of jobs being encroached on by the tech and venture capitalist sector, but more important is the larger human risk. As therapists, we know that the research has been clear that the biggest indicator of successful outcomes in therapy are not about what tools are used, what certifications someone has, the type of modality or intervention applied that could be replicated by an algorithm, but by the therapeutic relationship itself. The healing art of dynamic human connection. The unquantifiable algorithmic element. Much like the development of the printing press, the automobile, the assembly line, the computer, and the internet, AI is not going away, nor is the human demand for it. The question remains, how do we best use the tools to our benefit? And perhaps the larger question remains for both users and developers exists in the bioethics realm, similar to that of growing the Jurassic Park dinosaurs: Are we so focused on what we could do with AI to meet our intimacy needs, that we are forgetting to stop and ask ourselves if we should? So, in conclusion, this is just your friendly neighborhood therapist reminding you o remember to stay connected to real people and use AI only a tool/resource, not a replacement for human connection. This article was written by a human without the aid of AI.
Author: Megan Garza, MA, LMFT Sources https://www.ama-assn.org/public-health/population-health/loneliness-public-health-crisis-learn-how-screen-it https://www.theguardian.com/world/2026/feb/21/tumbler-ridge-shooter-chatgpt-openai https://stateline.org/2026/01/15/ai-therapy-chatbots-draw-new-oversight-as-suicides-raise-alarm/ https://www.npr.org/sections/shots-health-news/2025/09/19/nx-s1-5545749/ai-chatbots-safety-openai-meta-characterai-teens-suicide https://www.pbs.org/newshour/amp/show/what-to-know-about-ai-psychosis-and-the-effect-of-ai-chatbots-on-mental-health https://fortune.com/2025/11/28/yara-ai-therapy-app-founder-shut-down-startup-decided-too-dangerous-serious-mental-health-issues/ The Working Alliance (1994) Horvath & Greenberg. John Wiley & Sons: NY Jurassic Park (1993) Help us congratulate Jordan Langley, our former intern and recent graduate from the National University MFT program. She is now employed at Healing Reflections Therapy: Diversity, Trauma and Wellness Services and is accepting news clients as she is pursuing her license as a Marriage and Family Therapist. Feel free to send folks her way! Private pay or Aetna insurance. She has afternoon and evening availability, both virtual and in-person in South City St. Louis. The level of social support is the number one predictor of outcomes after trauma. Having support from a loved one came be a critical step in the healing process. Many family members ache when they see their loved one's suffer and are desperate to help them find relief, and to find relief for themselves of the anxiety and distress the helpless creates.
Seeking mental health support from a family member has some pros and cons. In general, seeking out therapy can be helpful, however not everyone is ready to take that step for themself. This can become a point of distress as family members get desperate for change with ongoing worry. Here are some things that therapists want you to know when you reach out on their behalf. 1)Reaching out to therapists on behalf of someone else takes away their sense of agency/responsibility for their therapy process and can be a sign of patterns of enabling or codependence. All too often well meaning loved ones reach out on someone else's behalf for therapy, but more often than not those individuals have little motivation to participate in the process. When you make the call for them, it takes away their ownership of the issue. Well meaning family members can become enablers by allowing these individuals to not have to take the role of responsible adults. Women often complain that they get cast in the role of mother to their spouses, but they often enable the very problem they are frustrated with by continuing to make the calls for doctors visits and setting up the appointments for them. 2) Lack of motivation to reach out to a therapist is often predictive of one's motivation to participate in the treatment process. Often therapists find that when someone else makes the arrangement for someone to attend therapy, the person making the call is more distressed and ready for change than the client is. As much as you want them to change, they may not be ready to. Part of the process of reaching otu to a therapist, filling out the intake forms, and coming to the first session is all part of someone's preparation for change. It involves accepting there is a problem, that you need help, and that you are willing to take steps to make change. When people are just "visiting" therapy and not ready to make change, they usually do not attend past the intake sessions, if they bother to show up for the intake at all. Prochaska & Diclemente (1983) developed the stages of change model that highlights the cycle and one's readiness to change, particularly as it applies to addiction, though this pattern is applicable to the overall therapy process. 3) Confidentiality is a barrier for us. While you may want to advocate for them, your advocacy can only go so far when we are dealing with another adult who is their own guardian. Therapists are required to maintain confidentiality with their clients, so once they make contact, we cannot really communicate with you about them without a release. What about when your family member is too ill or depressed to advocate for themself or is a poor reporter/historian? If someone is in a mental health crisis situation there a few options to consider. This situation is different than a situation where someone is enabling, but more occurs when the client is in such a poor state, they lack the capacity to take the steps for themself. For example, someone who is experiencing psychosis and cannot distinguish reality from a delusion, someone that is so depressed they are near catatonic and bed ridden, someone whose OCD has lead to a hazardous hoarding situation, or someone who is experiencing a manic episode and is engaging in high risk behavior, or someone who has been abusing substances or has been having a reaction to medication and they are seemingly not themself. In each of these scenarios, these folks likely need immediate help. Going to an ER or the nearest psychiatric facility may be the best option to immediately manage the crisis. If a person already has a psychiatrist or therapist, reaching out to them to let the know what is going on can be a tremendous help. Generally, you can send mental health professionals information, but we cannot acknowledge it or send anything back to you without a consent to release information from the client. Exceptions to this rule may apply if there is an imminent threat to the life of the client or someone else. As much as I encourage clients to take responsibility for their mental health and challenge when folks are enabling, there have been many times over the years that I have encouraged family members to write letters to their loved one's doctor or to call the office and leave a message to inform them if a crisis has developed or if there are significant pieces of information about symptoms necessary for the clinician to make an adequate diagnosis and appropriate treatment plan, and for their doctor to be able to prescribe the appropriate medications. These methods, when necessary can be absolute game changers in the trajectory of a client's mental health outcomes. When we have a release and family therapy or coordination of care is part of the treatment As family therapists, especially when working with children it is very difficult to make changes with the child if the rest of the family is not on board and participating in the treatment. Some of the best results I have ever seen as trauma therapist have come immediately after sessions using Trauma Focused Cognitive Behavioral Therapy (TF-CBT) when parents are brought into the session to help process/witness the trauma of their child. Secrets are eliminated and parents are coached on how to be effective supporters in the present. The shame the child was experiencing dissipates and healing takes place in the family system. Although interventions with loved one's have long been used in substance abuse recovery, there are mixed reviews of the efficacy of these attempts. What about if it's a Britney situation and we think we need to become guardians or conservators in order to help our family member? Sometimes a person is not well enough to take care of themself. They refuse treatment. They struggle with having the capacity to recognize the risk to themselves. In some cases, a person can apply for a conservatorship or guardianship with the courts. The court determines if this is appropriate. Sometimes, when a family member is severely chronically ill and it no longer feels like there is another way to get them help to save their life, this step can be helpful. However, it can also come with a large price. Family members have the burden of assuming medical and financial responsibility for their impaired family member, which is often a thankless, tiring, and exhausting job. The task and the subsequent blowback of resentment and fight for control from the client can result in major conflicts, and sometimes complete dissolution in the relationship between family members. As they say, no good deed goes unpunished. As we all saw with what happened with Britney Spears and her family over the conservatorship and when it was lifted, the process and outcome were complicated in their impact. So, should you help a family member? Absolutely! But before you take those next steps, carefully consider your role, expectations of them, ask yourself whether it is possible they can do this for themself and how your involvement may help or hurt. Consider the impact that your helping may have on your own mental health. Remember local resources like the 988 mental health crisis line as well as NAMI, AA, Al-Anon, SAMHSA, and Psychology Today are all excellent ways to help for yourself or to send the information to a loved one to encourage them to take steps for their own mental well being. If you think that maybe you are struggling with codependence with a family member, you can look into a CODA group for yourself. Author ~Megan Garza, MA, LMFT We hope to see you all join us for a day of therapeutic and relaxation related activities at this year's Tower Grove Pride Festival in St. Louis City. The festival is all weekend, but we are just there on Sunday. Whether you want therapy dog cuddles, need a quiet moment to color, want to learn some new guided relaxation skills, or want to make some fun stress balls or make a packet of coping skills, we are here to help! Sign-up today. Free events all day! |
AuthorSMegan Garza, MA, LMFT is a certified Specialist in Treating Trauma at a Supervisory level and is Licensed as a Marriage and Family Therapist. She specializes in work with complex trauma, sexual abuse survivors, and relational therapy. Archives
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