Inpatient Substance Use Step-Down Programs: From Detox to Residential to Outpatient Pathway

Free stock photo via Pexels

Pavel arrived at a Detroit medical detox unit on a Wednesday in February with a blood alcohol level of .31, mild seizure-precursor tremors, and the phone number of an outpatient counselor he had been dodging for eight months. Six days later he was discharged to a 60-day residential program in Brighton, Michigan, the next step … Read more

Reading and Bibliotherapy: How Books Heal Anxiety, Depression, and Trauma

Free stock photo via Pexels

Helena Vasquez, a 29-year-old paralegal in Sacramento, walked into a public library on a Saturday in February because her therapist, after fourteen sessions, had said something that surprised her. “Read Mind Over Mood, slowly, do the worksheets.” Helena had expected another referral or a new medication conversation. She got a book recommendation and a soft … Read more

Health Insurance Mental Health Reimbursement: Submitting Superbills for Faster Payment

Free stock photo via Pexels

Priya, a 29-year-old elementary school teacher in Minneapolis, started seeing an out-of-network EMDR therapist last September after a near-miss car accident left her with intrusive flashbacks and panic attacks at red lights. The therapist charged $190 a session, did not bill insurance directly, and handed Priya a single sheet of paper at the end of … Read more

Polyamory and Open Relationship Therapist: Finding Kink-Aware and Non-Monogamy-Affirming Care

Free stock photo via Pexels

By the time Devon and Priya walked into a Boston counseling office with their partner Jules, they had already burned through two therapists. The first one, well-meaning, kept asking when one of them was going to “pick” the other. The second framed their five-year relationship as a phase Devon would outgrow once he “did the … Read more

Hobby and Craft for Anxiety: Knitting, Painting, and the Flow State Research

Free stock photo via Pexels

Marcus Reyes, a 41-year-old emergency-room nurse in Tucson, picked up knitting after his second pandemic burnout. He chose it almost at random. A coworker brought a half-finished baby blanket to a debrief and Marcus, who had spent the previous month doomscrolling between shifts, asked her where she had bought the yarn. Six months later he … Read more