Mental Health

The Logic of Burn-Out: Why We Tolerate the Intolerable

I notice a pattern among clients who suffer from burn-out. In the clutch of demanding responsibilities, people fear that everything will collapse without their involvement. Duties wither their spirits, but they cannot shirk their tasks. “My children need me,” they might say. “The team will cease to function without me.” Thus, they are caught in […]

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Simplicity: Sanity in Mad Times

I meet clients who come to therapy when they are hanging by a thread.  Their careers are unforgiving, academic pressures unrelenting. Parents are walloped by the rigours of child-rearing; others are worn thin caring for aging parents. Responsibilities multiply, but the hours remain few. Despite a profusion of duties, they are weighed down by expectations that

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Nature and Mental Health: The Call to Come Home

I am standing by the harbour, peering past the sailboats and skycrapers into the mountains in the distance. A bar of sunlight lifts the hillside, cold and deep. Clouds curl into flakes and break over waters glistening with the starkness of light.  The nip of winter air, sharp and bristling. Black mountaintops dotted with snow.  The city

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“I know. . . but. . .”: Notes for Those Who Wrestle with Themselves.

In my clinical practice, I often meet clients who are at odds with themselves, caught between one commitment and another. They wrestle between aspiration and duty, self-care and care for others. There are teenagers who struggle to assert independence against the authority of their parents, lovers who cleave to each other despite the call of

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Mental Health in the Dark: How to Cope with Seasonal Affective Disorder

Festive lights during the holiday season brighten up the long cold nights, but the shorter days can dampen our moods and spoil our outlook. Seasonal Affective Disorder (SAD) is the common name for a subtype of depressive disorder.  The northern hemisphere sees fewer hours of daylight during the autumn and winter. We are less exposed to

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In Search of Elusive Balance

For many living in western societies, modernity brings with it the blight of busyness.  Stress weighs us down; the onerous demands of studies, career and family can leave our bodies neglected and minds frazzled.  Hives of self-help advice tend to underscore the importance of balance.  Here, balance serves as a central metaphor for that harmonious

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Meditation and the Fictive Final Goal

Through his analysis of personality and psychic development, honed over many years of practice, Alfred Adler proposed the notion of the fictive final goal as the organizing principle at the core of personhood.  The fictive final goal is a vision of completion, the ultimate end that holds the aim of all striving; it is the

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The End of Summer: How the Climate Crisis Upends the Cheery Season

On my way to work one morning in late April, I noticed that my surroundings were tinged in amber. The sky was a chalky gray and the sunlight was diffuse and faint, a hue that reminded me of previous summers when smoke blotted out the sun and shrouded Vancouver, where I have lived for over

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