Can AI Replace the Therapeutic Relationship?
AI Ethics Series • March 2024
As chatbots and AI-driven mental health apps proliferate, we must ask critical questions about what can and cannot be automated in healing work. This essay examines the irreplaceable elements of human connection in therapy while acknowledging the legitimate role technology can play in expanding access to support.
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Why DBT Works in Schools (When Implemented Correctly)
Educational Practice • January 2024
After a decade of bringing dialectical behavior therapy into K-12 settings, I've learned that fidelity to the model matters less than fidelity to its principles. This piece explores what makes DBT effective in classrooms and why many well-intentioned implementations fail to create lasting change.
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The Myth of Self-Care as Individual Responsibility
Professional Development • November 2023
Burnout in helping professions is framed as a personal failing, solvable through better boundaries and bubble baths. This framing ignores systemic issues: unsustainable caseloads, inadequate compensation, and organizational cultures that prioritize productivity over sustainability. Real solutions require structural change.
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Measuring What Matters in Mental Health Programs
Program Evaluation • September 2023
We default to easy metrics: attendance rates, satisfaction surveys, pre-post symptom scales. But do these numbers capture meaningful change? This essay proposes alternative frameworks for evaluating impact that honor both rigor and the complexity of human experience.
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Adapting Evidence-Based Practice for Real-World Settings
Clinical Practice • June 2023
Research-supported interventions are developed in controlled environments with ideal conditions. Community mental health centers operate under entirely different constraints. This piece explores the tension between fidelity and flexibility, offering a framework for responsible adaptation.
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What Teachers Need (And What We Give Them Instead)
Educational Systems • April 2023
We burden educators with the responsibility of addressing student mental health without providing adequate training, time, or support. This essay examines the gap between expectations and resources, proposing realistic approaches to school-based mental health that honor teachers' actual capacity.
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The Question AI Can't Answer: Should We Use This Technology?
AI Ethics Series • February 2023
Just because we can deploy AI in mental health settings doesn't mean we should. This piece examines the ethical questions we must answer before implementing algorithmic tools in clinical practice, from consent and transparency to the preservation of human judgment in complex situations.
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Building Programs That Outlast Their Founders
Organizational Development • December 2022
Sustainability isn't an afterthought. This essay shares lessons learned from programs that thrived after their initial creators moved on, and those that collapsed without ongoing external support. The difference comes down to intentional capacity-building from day one.
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Trauma-Informed Practice Beyond Buzzwords
Clinical Framework • October 2022
Organizations rush to label themselves trauma-informed without examining their policies, power structures, or practices. Real trauma-informed care requires more than training workshops and awareness posters. It demands systemic change that prioritizes safety, choice, and dignity at every level.
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Why Free Mental Health Resources Matter
Access & Equity • August 2022
The commodification of wellness has created a two-tiered system where those with resources access comprehensive support while others are left with crisis hotlines and waiting lists. This piece makes the case for no-cost, high-quality mental health education as a matter of equity, not charity.
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