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	<title>Tucson Counseling Associates</title>
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		<title>Why Your Therapist&#8217;s Landlord Matters: A Case for Shopping Local When You Seek Mental Health Care</title>
		<link>https://www.tucsoncounselingassociates.com/why-your-therapists-landlord-matters-a-case-for-shopping-local-when-you-seek-mental-health-care/</link>
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		<dc:creator><![CDATA[Kate Kincaid]]></dc:creator>
		<pubDate>Tue, 30 Jun 2026 21:11:19 +0000</pubDate>
				<category><![CDATA[Adolescent Therapy]]></category>
		<category><![CDATA[AI in Mental Health]]></category>
		<category><![CDATA[Couples/relationship therapy]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[Dreamwork]]></category>
		<category><![CDATA[EMDR]]></category>
		<category><![CDATA[Ethical Non-Monogamy and Polyamory Therapy]]></category>
		<category><![CDATA[Insurance]]></category>
		<category><![CDATA[Ketamine Assisted Psychotherapy (KAP)]]></category>
		<category><![CDATA[LGBTQ2IA+]]></category>
		<category><![CDATA[Medication Management and Psychiatric Evaluations]]></category>
		<category><![CDATA[Neurodivergence]]></category>
		<category><![CDATA[OCD]]></category>
		<category><![CDATA[Perinatal]]></category>
		<category><![CDATA[Somatic Psychotherapy]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=7891</guid>

					<description><![CDATA[<p>The post <a href="https://www.tucsoncounselingassociates.com/why-your-therapists-landlord-matters-a-case-for-shopping-local-when-you-seek-mental-health-care/">Why Your Therapist&#8217;s Landlord Matters: A Case for Shopping Local When You Seek Mental Health Care</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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										<content:encoded><![CDATA[<div class="et_pb_section et_pb_section_0 et_section_regular" >
				
				
				
				
				
				
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				<div class="et_pb_text_inner"><h1 class="p1">When you choose where to get your morning coffee, buy your groceries, or find a mechanic, many of us have learned to think about what that choice means for our community.</h1>
<h2 class="p1">Local businesses keep money circulating in the neighborhood. They employ your neighbors.</h2>
<p class="p1">They&#8217;re accountable to the people they serve in a way that a corporate chain simply isn&#8217;t.</p></div>
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				<span class="et_pb_image_wrap "><img fetchpriority="high" decoding="async" width="1365" height="1198" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/feministclock-e1766934908472.jpg" alt="plants on a counter with a coffee mug" title="Tucson Counseling Associates" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/feministclock-e1766934908472.jpg 1365w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/feministclock-e1766934908472-1280x720.jpg 1280w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/feministclock-e1766934908472-980x551.jpg 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/feministclock-e1766934908472-480x270.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1365px, 100vw" class="wp-image-1343" /></span>
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				<div class="et_pb_text_inner"><h3 style="text-align: center;"><strong>Most people haven&#8217;t applied that same thinking to therapy. But maybe it&#8217;s time we did.</strong></h3></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1066" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/chairsinconference.webp" alt="Two chairs in an office" title="chairsinconference" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/chairsinconference.webp 1066w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/chairsinconference-980x1471.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/chairsinconference-480x720.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1066px, 100vw" class="wp-image-6854" /></span>
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				<div class="et_pb_text_inner"><p class="p1"><b>Something Is Shifting in the Mental Health World</b></p>
<p class="p1">Over the past several years, the mental health industry has attracted enormous amounts of outside investment. Venture capital firms, private equity groups, and even large insurance corporations have recognized that demand for therapy is growing- and they&#8217;ve moved in accordingly.</p></div>
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				<div class="et_pb_text_inner"><p class="p1">What this looks like on the ground: therapy platforms that advertise heavily on social media, promise fast access and low prices, and operate at massive scale across dozens of states. Independent practices that were once owned by a local clinician get acquired and absorbed into larger networks. Insurance companies have begun investing in or partnering with the very therapy platforms they reimburse, creating a cozy arrangement that raises real questions about whose interests are actually being served.</p>
<p class="p1">We want to be clear- we&#8217;re not saying everyone who works at or uses these platforms is doing something wrong. Many good therapists work within these systems because they have to, and many clients find them because they don&#8217;t know there&#8217;s another option. What we are saying is that the forces reshaping the mental health landscape right now are primarily driven by profit, not care. And that matters.</p></div>
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				<div class="et_pb_text_inner"><h3 class="p1" style="text-align: center;"><b>When Therapy Becomes a Product</b></h3></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1600" height="1066" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0458.jpg" alt="a private session outside" title="Tucson Counseling Associates" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0458.jpg 1600w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0458-1280x853.jpg 1280w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0458-980x653.jpg 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0458-480x320.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1600px, 100vw" class="wp-image-1363" /></span>
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				<div class="et_pb_text_inner"><p class="p1">There&#8217;s a reason therapy has traditionally been a deeply local, deeply human practice. Healing happens in relationship. It happens in the particular way your therapist remembers what you said three sessions ago, or notices something shift in your body before you&#8217;ve found the words, or stays curious about you as a whole person rather than a set of symptoms to be managed.</p>
<p class="p1">That kind of care is hard to scale. And scale is exactly what large, investor-backed platforms are trying to achieve.</p>
<p class="p1">One concern we hear more and more in our field is the push- quiet for now, but real- toward replacing human therapists with AI-driven tools. Chatbots. Automated check-ins. Algorithmically generated coping suggestions. We want to name this plainly: we don&#8217;t believe an AI can provide therapy. We believe therapy is a fundamentally human exchange, and that any system that positions automated tools as a substitute for a real therapeutic relationship is cutting corners in ways that can genuinely harm people. This isn&#8217;t technophobia. It&#8217;s a values statement. Humans deserve to be cared for by other humans, especially when they&#8217;re vulnerable.</p></div>
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				<div class="et_pb_text_inner"><h3 class="p1" style="text-align: center;"><b>What Gets Lost When Local Practices Disappear</b></h3></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1066" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/chairsinconference.webp" alt="Two chairs in an office" title="chairsinconference" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/chairsinconference.webp 1066w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/chairsinconference-980x1471.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/chairsinconference-480x720.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1066px, 100vw" class="wp-image-6854" /></span>
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				<div class="et_pb_text_inner"><p class="p1">When a locally owned therapy practice closes or gets absorbed into a larger network, the community loses something specific and hard to replace.</p>
<p class="p1">Local therapists are embedded in the communities they serve. We know Tucson. We know its particular stressors- the heat, the border politics, the housing crunch, the tension between rapid growth and a city that wants to *stay weird*. We have relationships with other local providers, with community organizations, with the social and cultural fabric of this place. That context matters clinically. A therapist at a national platform handling hundreds of clients across five states doesn&#8217;t have it, and can&#8217;t.</p></div>
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				<div class="et_pb_text_inner"><p class="p1">Local practices also tend to be more accountable. If something goes wrong, or if your needs aren&#8217;t being met, you can have a real conversation with a real person who has a stake in this community. That accountability disappears inside a large corporate structure or when admin is outsourced to AI or virtual assistants on the other side of the world.</p>
<p class="p1">And economically: when you pay a locally owned practice, that money largely stays here. It pays local salaries, supports local families, and gets spent in local businesses. When you pay a venture-capital-backed platform, a significant portion of that money leaves Tucson entirely.</p></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1080" height="1350" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Copy-of-Employee-photos-1.webp" alt="location outside with plants out front" title="Copy-of-Employee-photos-1" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Copy-of-Employee-photos-1.webp 1080w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Copy-of-Employee-photos-1-980x1225.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Copy-of-Employee-photos-1-480x600.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1080px, 100vw" class="wp-image-6858" /></span>
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				<div class="et_pb_text_inner"><h1 class="p1" style="text-align: center;"><b>How to Shop Local for Your Mental Health Care</b></h1></div>
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				<div class="et_pb_text_inner"><h2 class="p1" style="text-align: center;">So what can you actually do? Here are some concrete steps:</h2>
<p class="p1"><b>Ask who owns the practice.</b> It&#8217;s a completely reasonable question. Is this a locally owned business, or is it part of a larger network or platform? Independent practices will usually be proud to tell you.</p>
<p class="p1"><b>Be skeptical of heavy advertising.</b> Local therapists generally don&#8217;t have marketing budgets. If you&#8217;re seeing a lot of polished ads for a therapy service on social media, it&#8217;s worth asking how they&#8217;re funding that- and what they expect in return.</p>
<p class="p1"><b>Check Psychology Today and TherapyDen.</b> Both directories let you filter for independent practitioners. TherapyDen in particular has a strong emphasis on values-aligned, social-justice-oriented therapists if that matters to you.</p>
<p class="p1"><b>Ask about insurance arrangements.</b> Some large platforms have exclusive or preferred relationships with certain insurers. A local therapist who takes your insurance independently is a different arrangement than one whose practice is effectively co-owned by the company reimbursing them.</p>
<p class="p1"><b>Refer your people to local therapists.</b> Word of mouth is how independent practices survive. If you&#8217;ve had a good experience with a local therapist, tell someone. That referral is genuinely valuable in a way that liking a social media post is not.</p>
<p class="p1"><b>If cost is a barrier, ask directly.</b> Many local therapists offer sliding scale fees. We would rather work with you at a reduced rate than lose you to a platform that doesn&#8217;t actually have your best interests at heart. The conversation is always worth having.</p></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1600" height="1066" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0449.jpg" alt="a group session" title="Tucson Counseling Associates" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0449.jpg 1600w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0449-1280x853.jpg 1280w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0449-980x653.jpg 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0449-480x320.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1600px, 100vw" class="wp-image-1360" /></span>
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				<div class="et_pb_text_inner"><h3 class="p1" style="text-align: center;"><b>This Is About More Than Therapy</b></h3>
<p class="p1">We&#8217;re living in a moment when consolidation of power and money is happening everywhere- in healthcare, in media, in housing, in retail. Small, human-scale institutions are being steadily replaced by large ones optimized for shareholder returns. Therapy is not immune to this, and neither is Tucson.</p>
<p class="p1">Choosing a local therapist is a small act, but it&#8217;s a meaningful one. It&#8217;s a vote for the idea that care should be provided by people who are genuinely invested in your wellbeing and in the health of this community not by platforms that see your mental health as a market to be captured.</p>
<p class="p1">We&#8217;re here because we love this work and we love this city. We&#8217;d be honored to be your choice for such personal, healing work.</p></div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/why-your-therapists-landlord-matters-a-case-for-shopping-local-when-you-seek-mental-health-care/">Why Your Therapist&#8217;s Landlord Matters: A Case for Shopping Local When You Seek Mental Health Care</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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		<title>Common Ground: Reflections on the Chacruna Psychedelic Culture Conference</title>
		<link>https://www.tucsoncounselingassociates.com/common-ground-reflections-on-the-chacruna-psychedelic-culture-conference/</link>
					<comments>https://www.tucsoncounselingassociates.com/common-ground-reflections-on-the-chacruna-psychedelic-culture-conference/#respond</comments>
		
		<dc:creator><![CDATA[Tucson Counseling Associates]]></dc:creator>
		<pubDate>Wed, 17 Jun 2026 15:27:45 +0000</pubDate>
				<category><![CDATA[Ketamine Assisted Psychotherapy (KAP)]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=7745</guid>

					<description><![CDATA[<p>The post <a href="https://www.tucsoncounselingassociates.com/common-ground-reflections-on-the-chacruna-psychedelic-culture-conference/">Common Ground: Reflections on the Chacruna Psychedelic Culture Conference</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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				<div class="et_pb_text_inner"><h1 style="text-align: center;"><span style="font-weight: 400;">Kate Kincaid and Amy Davis, authors of <a href="https://www.tucsoncounselingassociates.com/the-ketamine-assisted-psychotherapy-treatment-companion-optimize-your-treatment-sessions-improve-your-mental-health-and-make-lasting-positive-change/" target="_blank" rel="noopener">Ketamine-Assisted Psychotherapy Treatment Companion</a> reflect on their take-aways from the Chacruna Psychedelic Conference</span></h1>
<h2 style="text-align: center;"><span style="font-weight: 400;">Check it out!</span></h2></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="256" height="197" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/chacrunablog.jpeg" alt="" title="chacrunablog" class="wp-image-7748" /></span>
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				<div class="et_pb_text_inner"><p class="p1" style="text-align: center;"><em>Integrative Science Vision, aka Common Ground,</em> painting by Basma Kavanagh retrieved from Google 5/7/26</p></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1080" height="1350" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Copy-of-Employee-photos-1-2-1.webp" alt="Amy Davis (she/her), LPC, ACS" title="Copy-of-Employee-photos-1 (2)" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Copy-of-Employee-photos-1-2-1.webp 1080w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Copy-of-Employee-photos-1-2-1-980x1225.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Copy-of-Employee-photos-1-2-1-480x600.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1080px, 100vw" class="wp-image-6951" /></span>
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				<div class="et_pb_text_inner"><h1><strong>Amy&#8217;s Reflections</strong></h1></div>
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				<div class="et_pb_text_inner"><p class="p1">The Psychedelic Culture conference is hosted by Chacruna, the institute for psychedelic plant medicines, gathers speakers from all over the world — including Indigenous leaders who practice traditional medicine healing — to encourage conversation and education about social justice issues in the Psychedelic Renaissance.</p>
<p class="p1">Research into the use of psychedelic medicines to treat mental health concerns has been accelerating since its resurgence in the late 1990s.</p>
<p class="p1">On April 18, 2026, the President of the United States signed an executive order directing the FDA to fast-track its review of psychedelic medicines, including Ibogaine, a psychoactive compound derived from the Iboga plant native to Central Africa, shown to be effective in treating addiction and traumatic brain injury. This order was signed while several hundred people were gathered at the Chacruna conference.</p>
<p class="p1"><strong>Reactions in the room were mixed.</strong></p></div>
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				<div class="et_pb_text_inner"><p class="p1">People were excited that these developments signal a shift in how Western medicine is beginning to engage with substances that Indigenous communities have used ceremonially and therapeutically for centuries. There was also a palpable urgency to ensure that policy, practice, and research honor the important responsibility they carry regarding what gets studied, how it is measured, and which knowledge systems are considered valid.</p>
<p class="p1">One primary concern in this renaissance is the tendency of Western science to position itself as the ultimate authority while simultaneously reaching for Indigenous knowledge to frame research protocols — preparation, ceremonial music, therapeutic support — and leaving Indigenous leaders out of the conversation, dismissing that very knowledge system as irrelevant to understanding how these medicines work.</p></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1000" height="714" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/2.png" alt="chair with a side table with book and a plant" title="2" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/2.png 1000w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/2-980x700.png 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/2-480x343.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1000px, 100vw" class="wp-image-7753" /></span>
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				<div class="et_pb_text_inner"><h2 class="p1" style="text-align: center;"><strong>Western science often focuses narrowly on the drug&#8217;s interaction with the brain, stripping away cultural and contextual factors.</strong></h2></div>
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				<div class="et_pb_text_inner"><p class="p1">The field risks producing findings that are not only incomplete, but extractive —taking from Indigenous traditions without accountability to those communities and dismissing the wisdom of the very knowledge systems from which this healing modality originated.</p></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1000" height="714" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/2.png" alt="drawing of a branch with leaves" title="2" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/2.png 1000w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/2-980x700.png 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/2-480x343.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1000px, 100vw" class="wp-image-7753" /></span>
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				<div class="et_pb_text_inner"><p class="p1">The most important takeaway I received from this conference is the importance of relationships. Many presenters spoke about reciprocity, a concept I have been immersed in this semester through a class in my doctoral program called Traditional Indian Medicine (TIM). TIM is a worldview encompassing scientific philosophy, ceremonial practices, and healing traditions centered on relationships — to land, water, air, animals, people, ancestors, and the cosmos. At its foundation is the understanding that all things are composed of energy, which TIM calls spirit. A core teaching is that human survival depends on the earth, and through the principle of reciprocity, we are responsible for protecting her, most especially water, recognized as a living being.</p>
<p class="p2">
<p class="p1">Reciprocity holds that when we are cared for, we return that care through gratitude, protection, or caring for others — a circular, self-sustaining exchange of energy.</p></div>
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				<div class="et_pb_text_inner"><p class="p1">This is why there is such a significant need to indigenize clinical research into plant medicines and psychedelic compounds. Scientific inquiry will be most impactful when conducted through the lens of Native scientific philosophy, which relies on observation much as Western science does, but with a broader scope. Rather than isolating the relationship between two variables, it situates those variables within larger systems and includes the subjective experience of the observer as part of the inquiry — with the understanding that all phenomena exist through the nature of energy and relationships.</p>
<p class="p1">In psychedelic-assisted care, the relationship between participant, medicine, environment, and support systems all potentially contribute meaningfully to outcomes. Yet some researchers maintain that the mechanism of action is purely the drug&#8217;s interaction with the brain, and that contextual factors are merely safety measures with no relevance to outcomes. This debate is not new to mental health. Researchers Wampold and Imel spent three decades investigating which therapeutic factors actually drive healing, initially expecting to confirm that specific interventions like cognitive behavioral therapy were most responsible. What they found instead was that so-called &#8220;extratherapeutic factors&#8221; — the client&#8217;s motivation, the therapeutic relationship, social and cultural context — contribute to healing in a much larger way.</p>
<p class="p1">
<h2 class="p2" style="text-align: center;"><strong>These findings mirror what Indigenous epistemology has long held: that healing cannot be understood by isolating its parts.</strong></h2>
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<p class="p2">These ideas have been central to my doctoral work, and they brought me to the Two-Eyed Seeing model, developed by aboriginal elders Cheryl Bartlett and Murdena and Albert Marshall of the Mi&#8217;kmaw Nation in Canada. The model represents Indigenous ways of knowing coming to a common fire with Western ways of knowing, so that the two can share wisdom. My professor, Dr. Milicent Pepion, said that a fire does not discriminate against who she warms — she invites all to come and be warmed. Each knowledge system has something to offer.</p></div>
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				<div class="et_pb_text_inner"><p class="p1">It can be hard to see what Western science has to offer when so much of it has been used to erase and oppress. We are taught from an early age to privilege this system above all others, and that history makes one ready to &#8220;throw the baby out with the bathwater&#8221; (thanks, grandma) because so many have been harmed. And yet, there are aspects of Western thought worth keeping — the reservation of judgment until sufficient evidence has been gathered, and the effort toward a neutral stance that keeps us in a learner&#8217;s mind, less likely to bias our findings with our own hopes and expectations. These are useful tools.</p>
<p class="p1">When people on either side of the fire feel rejected by the other, defensiveness arises. The Two-Eyed Seeing model offers a different possibility — one where the two knowledge systems are in conversation rather than competition, and where we begin to recognize that they often converge on the same conclusions. I left this conference more committed than ever to the idea that the most meaningful research in this field will emerge not from one system dominating the other, but from genuine relationship between them. I hope my future research and writing can be a place of common ground and balance — and a fire that warms everyone who comes to it.</p></div>
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				<div class="et_pb_text_inner"><h1 style="text-align: center;"><strong>Kate&#8217;s Take-Aways</strong></h1></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1080" height="1080" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/employeephotos-1-8.webp" alt="Kate Kincaid (she/her), LPC Executive Director" title="employeephotos (1)" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/employeephotos-1-8.webp 1080w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/employeephotos-1-8-980x980.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/employeephotos-1-8-480x480.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1080px, 100vw" class="wp-image-6957" /></span>
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				<div class="et_pb_text_inner"><p class="p1">The conference was held over Bicycle Day, the anniversary of Albert Hofmann&#8217;s first intentional LSD trip in 1943. One of the speakers made the observation that we are all on that bicycle right now, not entirely sure what is happening or where we are going, and that the task is to sit with the discomfort and the contradictions rather than reach for false clarity. That felt true to me all weekend.</p>
<p class="p1">I went to this conference as a therapist and as a founder, but also as a queer person, a neurodivergent person, a parent, and someone who has her own lived relationship with altered states of consciousness. I was not there as a neutral observer. And one of the things the conference kept returning to was that there is no such thing, really. The presence of the observer is always part of the inquiry.</p>
<p class="p1">One of the things that moved me most was a line from Bia Labate&#8217;s opening remarks. She asked:</p>
<h2 class="p1" style="text-align: center;"><strong>&#8220;How did we arrive here? Where a trial has more legitimacy than a ceremony? Where a licensed therapist has more than a curandera? Can we name what has happened? We must.&#8221; </strong></h2>
<p class="p1">I kept coming back to that question all weekend.</p></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1000" height="714" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/1-1.png" alt="" title="1" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/1-1.png 1000w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/1-1-980x700.png 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/06/1-1-480x343.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1000px, 100vw" class="wp-image-7755" /></span>
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				<div class="et_pb_text_inner"><p class="p1">At TCA, we have been doing ketamine-assisted psychotherapy for some time now, and I have sat with clients in those spaces and felt something that data alone does not capture. Sound is one example. I had my own experience with Joe Tafur that involved icaros, the healing songs used in ayahuasca ceremony. I felt the music as something physical, something that moved through the body rather than simply into the ears.</p>
<p class="p1">Sound is touch. That is not a metaphor.</p>
<p class="p1">The conference kept pointing at this kind of knowing, the kind that lives in the body and in relationship, and asking us to take it seriously as evidence.</p></div>
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				<div class="et_pb_text_inner"><p>There was a talk on neurodivergence that I did not expect to hit me the way it did. The presenter, Staeven, was unapologetically queer and neurodivergent and fully himself, and the room loved him for it. I sat next to a woman who made me laugh the whole time. He said something I want to carry into how I show up at TCA: wanting to know what comes next is not anxiety. For neurodivergent people, clear expectations are not hand-holding. They are what makes presence possible. I have been thinking about how often we ask clients, and honestly ourselves, to just tolerate uncertainty when what would actually help is someone describing clearly what happens next, and then what happens after that.</p></div>
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<p class="p2">I also attended a workshop that wove together parenting, ritual, and psychedelic states in a way I was not prepared for. The presenter talked about mothering as a form of ritual practice, and care as a kind of ceremony. I thought about rubbing lotion on my 3 year old daughter’s feet and suddenly that small nightly act felt like something worth honoring. The workshop talked about lullabies as tools for helping children develop what they called agency, the capacity to navigate state changes, to self-soothe, to enter and exit altered states of consciousness with some sense of authorship. The idea that we can teach our children to be agentic in their dreams, to turn and face the monster rather than run, and that this develops a skill they will carry into waking life, was one of the more quietly radical ideas I encountered all weekend.</p>
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<p class="p2">There was also a line that has stayed with me from the storytelling session. Mikaela de la Myco talked about the importance of telling your story to people outside of this community, people who are not already convinced. She said: <strong>just tell your story and the right people will hear it. And when you tell your story, you get it right.</strong> It inspired me to share more and reminded me to make time to do it.</p></div>
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				<div class="et_pb_text_inner"><p class="p1">The conference closed with some tension, a protestor stood up and challenged one of the MAPS founders about the organization&#8217;s work in Israel rather than Gaza. The room got uncomfortable. But Bia had told us at the very beginning that we would need to practice sitting with discomfort, and there it was, right at the end, a chance to do exactly that.</p>
<p class="p2">
<h2 class="p1" style="text-align: center;"><strong>Complexity is a precondition to progress.</strong></h2>
<p class="p2">
<p class="p1">That was another line I wrote down and did not want to forget. I left feeling the way I sometimes feel after a good ceremony. A little tender. More porous than when I arrived. Recommitted to the work, and to doing it with more honesty about who I am and what I am still learning. At TCA, we talk a lot about being a practice that is for humans, by humans. What this conference reminded me is that being fully human means staying in relationship, staying curious, and being willing to not yet know.</p></div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/common-ground-reflections-on-the-chacruna-psychedelic-culture-conference/">Common Ground: Reflections on the Chacruna Psychedelic Culture Conference</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">7745</post-id>	</item>
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		<title>Before You Fill the Prescription</title>
		<link>https://www.tucsoncounselingassociates.com/before-you-fill-the-prescription/</link>
					<comments>https://www.tucsoncounselingassociates.com/before-you-fill-the-prescription/#respond</comments>
		
		<dc:creator><![CDATA[Tucson Counseling Associates]]></dc:creator>
		<pubDate>Sun, 17 May 2026 15:44:58 +0000</pubDate>
				<category><![CDATA[Adolescent Therapy]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[Medication Management and Psychiatric Evaluations]]></category>
		<category><![CDATA[Neurodivergence]]></category>
		<category><![CDATA[OCD]]></category>
		<category><![CDATA[Somatic Psychotherapy]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=7453</guid>

					<description><![CDATA[<p>The post <a href="https://www.tucsoncounselingassociates.com/before-you-fill-the-prescription/">Before You Fill the Prescription</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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										<content:encoded><![CDATA[<div class="et_pb_section et_pb_section_2 et_section_regular" >
				
				
				
				
				
				
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				<div class="et_pb_text_inner"><p><a href="https://communicatehealth.com/wehearthealthliteracy/how-can-health-communicators-support-patient-self-advocacy/"><i>Image Source</i></a></p></div>
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				<div class="et_pb_text_inner"><h1 style="text-align: center;"><span style="font-weight: 400;">You made an appointment to see someone for help, well done! Anxious for the appointment? </span></h1>
<h2 style="text-align: center;"><span style="font-weight: 400;">Here’s what you need to know.</span></h2></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1066" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378.webp" alt="a wall hanging with a plant on the wall" title="Photo_0378" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378.webp 1066w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378-980x1471.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378-480x720.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1066px, 100vw" class="wp-image-6905" /></span>
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				<div class="et_pb_text_inner"><p><b>This can feel really overwhelming or even a little scary and that makes sense. </b><span style="font-weight: 400;">A reminder: doctors are there to help and guide you, not judge you. Not every doctor is the right match for every person. </span></p>
<p><span style="font-weight: 400;">Unsure what to expect going into the appointment? First up…paperwork! (how exciting). This includes two forms called the PHQ-9 and GAD-7, these measure the level of anxiety and depression symptoms you are having, and how much they interfere with your day. </span><b>Honesty is key.</b><span style="font-weight: 400;"> It helps your doctor know how to best help you!</span></p></div>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;"><strong>Self-check: What stressors do I have around me? Stress in me (how do I talk to myself and treat my body)?</strong></h2></div>
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				<div class="et_pb_text_inner"><p><b>Questions to ask your doctor when deciding if medication is the best choice</b></p>
<ul>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">What does this medication do? And why did you choose this one over others?</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Someone I know told me they take ___ and that really helped them. Why is mine something different?</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">How long will it take until I notice any changes in my symptoms?</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">What are the most common side effects and what should I do if I notice them? (Start to track them!)</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Are there side effects to be extra cautious of? </span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">How long will I need to be on this medication and how will we know when it’s time to stop? (Medication is not always permanent!) </span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Is it safe to stop taking this abruptly? What would happen if I did?</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">What happens if this doesn’t make me feel better?</span></li>
</ul></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1067" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/pexels-cup-of-couple-6963787.webp" alt="chair with a side table with book and a plant" title="pexels-cup-of-couple-6963787" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/pexels-cup-of-couple-6963787.webp 1067w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/pexels-cup-of-couple-6963787-980x1470.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/pexels-cup-of-couple-6963787-480x720.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1067px, 100vw" class="wp-image-6902" /></span>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;"><b>Self-check: Did any other questions come to mind? What worries do you have? </b></h2></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1600" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/Untitled-design-98-copy.png" alt="drawing of a branch with leaves" title="Untitled design (98) copy" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/Untitled-design-98-copy.png 1600w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/Untitled-design-98-copy-300x300.png 300w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/Untitled-design-98-copy-100x100.png 100w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/Untitled-design-98-copy-600x600.png 600w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/Untitled-design-98-copy-1024x1024.png 1024w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/Untitled-design-98-copy-150x150.png 150w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/Untitled-design-98-copy-768x768.png 768w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/Untitled-design-98-copy-1536x1536.png 1536w" sizes="(max-width: 1600px) 100vw, 1600px" class="wp-image-890" /></span>
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				<div class="et_pb_text_inner"><p><span style="font-weight: 400;">Don’t want to take medication or not ready? Other alternative treatment or combination treatment:</span></p>
<ul>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Talk therapy 🙂</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Lifestyle approaches (this may be challenging due to the intensity of your symptoms and that’s okay!)</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Track your mood daily to highlight any patterns</span> <a href="https://drive.google.com/file/d/1EKuOXbEluxH6VK057HV3OfRaan-PuSA6/view?usp=sharing"><span style="font-weight: 400;">here</span></a><span style="font-weight: 400;"> </span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Peer support groups</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Mindfulness or meditation </span><a href="https://www.youtube.com/watch?v=t24v0CtNSkA"><span style="font-weight: 400;">try this!</span></a> <a href="https://www.youtube.com/watch?v=Ytr1V1R1rOw"><span style="font-weight: 400;">or this one!</span></a><span style="font-weight: 400;"> </span></li>
</ul>
<p><span style="font-weight: 400;">Ketamine assisted therapy (</span><a href="https://www.tucsoncounselingassociates.com/ketamine-assisted-psychotherapy/"><span style="font-weight: 400;">we have this at TCA</span></a><span style="font-weight: 400;">)</span></p></div>
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				<div class="et_pb_text_inner"><p style="text-align: center;"><b>Quick reminder</b><span style="font-weight: 400;">: Depression can be a normal reaction to abnormal life events. The human experience is impacted greatly by the things happening around us. Medication is not meant to be a bandaid to the concerns. It is meant to be a tool that supports lifting you up, to allow you the space to process and grow. This is also where therapy comes in! A combination of talk therapy and medication can improve outcomes and lower changes of recurrent symptoms. </span></p>
<p style="text-align: center;"><span style="font-weight: 400;">Whatever you decide to do, trust yourself! You know yourself and your symptoms best! You can always speak about it to a therapist as well. Reach out using the button below to schedule with one of ours.</span></p></div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/before-you-fill-the-prescription/">Before You Fill the Prescription</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">7453</post-id>	</item>
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		<title>More than just a bad day: Identifying Depression</title>
		<link>https://www.tucsoncounselingassociates.com/more-than-just-a-bad-day-identifying-depression/</link>
					<comments>https://www.tucsoncounselingassociates.com/more-than-just-a-bad-day-identifying-depression/#respond</comments>
		
		<dc:creator><![CDATA[Tucson Counseling Associates]]></dc:creator>
		<pubDate>Mon, 04 May 2026 16:36:00 +0000</pubDate>
				<category><![CDATA[Depression]]></category>
		<category><![CDATA[mental health]]></category>
		<category><![CDATA[mood disorders]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=7405</guid>

					<description><![CDATA[<p>The post <a href="https://www.tucsoncounselingassociates.com/more-than-just-a-bad-day-identifying-depression/">More than just a bad day: Identifying Depression</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
]]></description>
										<content:encoded><![CDATA[<div class="et_pb_section et_pb_section_3 et_section_regular" >
				
				
				
				
				
				
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				<div class="et_pb_text_inner"><p><em>written by Amanda Fortwangler</em></p></div>
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				<div class="et_pb_text_inner"><h1><span style="font-weight: 400;">While mental health continues to be discussed and less stigmatized, it can still be uncomfortable to discuss. Let’s change that! </span></h1></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="512" height="512" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/cropped-Screenshot-2020-07-16-at-11.57.17.png" alt="drawing of a flower" title="cropped-Screenshot-2020-07-16-at-11.57.17.png" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/cropped-Screenshot-2020-07-16-at-11.57.17.png 512w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/cropped-Screenshot-2020-07-16-at-11.57.17-480x480.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 512px, 100vw" class="wp-image-887" /></span>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;"><b>Self-check: How do you and those around you view mental health? How was it viewed growing up?</b></h2></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1076" height="1078" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2020-07-20-at-09.21.53.png" alt="A drawing of a branch in gold" title="Screenshot-2020-07-20-at-09.21.53" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2020-07-20-at-09.21.53.png 1076w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2020-07-20-at-09.21.53-980x982.png 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2020-07-20-at-09.21.53-480x481.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1076px, 100vw" class="wp-image-7288" /></span>
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				<div class="et_pb_text_inner"><p><span style="font-weight: 400;">More than 1 in 5 U.S. adults experience mental illness every year, with 15.5% of U.S. adults experiencing Major Depressive Disorder .</span><span style="font-weight: 400;"> Depression symptoms are common and can be debilitating, impacting day to day functioning at work, school, or at home. </span></p></div>
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				<div class="et_pb_text_inner"><p style="text-align: center;"><strong>Common symptoms include: </strong></p>
<ul>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Feelings of sadness, hopelessness, or worthlessness</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Angry outbursts or irritability</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Loss of interest in normal activities (hobbies, sex, sports)</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Sleep changes, insomnia or sleeping too much</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Change in appetite &#8211; eating too much or too little (compared to your normal)</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Frequent or recurring thoughts of death, suicidal ideation, or suicide </span></li>
</ul></div>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;"><b>Self-check: Do any of these feel familiar? What is that like for you?</b></h2></div>
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				<div class="et_pb_text_inner"><p><b>Wait, what is suicidal ideation?</b></p>
<p><span style="font-weight: 400;">Suicidal ideation, or suicidal thoughts, are thoughts that are intrusive, recurring, or distracting around suicide and death. So what can these thoughts look like? There are two types: passive suicidal ideation and active suicidal ideation. </span></p>
<p><span style="text-decoration: underline;"><strong>Passive suicidal ideation:</strong></span></p>
<p><span style="font-weight: 400;">I wish that I won’t wake up tomorrow.</span></p>
<p><span style="font-weight: 400;">Today was so difficult, I wouldn’t mind if life was over. </span></p>
<p><span style="font-weight: 400;">*no current plan or intent to make these thoughts a reality</span></p>
<p><span style="font-weight: 400;">*does not = suicide or self-harm</span></p>
<p><strong><span style="text-decoration: underline;">Active suicidal ideation:</span></strong></p>
<p><span style="font-weight: 400;">Persistent, specific thoughts of a plan to end one’s life including details</span></p>
<p><span style="font-weight: 400;">Warning signs can include giving away important things to others, writing a note, creating a specific plan with a means (a way to do it)</span></p>
<p><span style="font-weight: 400;">If you are reading these and have these thoughts, contact emergency services (911 or 988) for immediate help.</span></p></div>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;"><b>Self-check: Do any of these feel familiar? What is that like for you?</b></h2></div>
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				<div class="et_pb_text_inner"><p><span style="font-weight: 400;">What causes depression? </span></p>
<p><span style="font-weight: 400;">A mixture of social, psychological, and biological factors (ex: adverse life events like unemployment, grief, trauma, and even genes inherited from your parents).</span><span style="font-weight: 400;"> Life comes with many difficult and straining challenges that can impact us deeply. What helps while waiting for an appointment? Try these: </span><a href="https://www.therapistaid.com/worksheets/dbt-tipp"><span style="font-weight: 400;">TIPP skills</span></a><span style="font-weight: 400;"> or </span><a href="https://www.therapistaid.com/worksheets/relaxation-techniques"><span style="font-weight: 400;">relaxation skills</span></a><span style="font-weight: 400;">  </span></p>
<p><strong>You are not alone in the human experience, or in having these symptoms! Reach out for support!</strong></p></div>
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				<div class="et_pb_text_inner"><p style="text-align: center;">References</p>
<p><span style="font-weight: 400;"> </span><span style="font-weight: 400;">Mental Health By the Numbers. (2025). Retrieved from https://www.nami.org/mental-health-by-the-numbers/</span></p>
<p><span style="font-weight: 400;"> </span><span style="font-weight: 400;">Depression (major depressive disorder). (2026). Retrieved from https://www.mayoclinic.org/diseases-conditions/depression/symptoms-causes/syc-20356007</span></p>
<p><span style="font-weight: 400;"> </span><span style="font-weight: 400;">Cleveland Clinic (2025). Suicidal Ideation (Suicidal Thoughts). Retrieved from https://my.clevelandclinic.org/health/symptoms/suicidal-ideation</span></p>
<p><span style="font-weight: 400;"> </span><span style="font-weight: 400;">Depressive disorder (depression). (n.d.). Retrieved from https://www.who.int/news-room/fact-sheets/detail/depression</span></p></div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/more-than-just-a-bad-day-identifying-depression/">More than just a bad day: Identifying Depression</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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		<title>Reflections on &#8220;Self-Disclosure, Felt Safety, and the Highly Sensitive Person&#8221;</title>
		<link>https://www.tucsoncounselingassociates.com/neurodivergent-tucson-az-tucson-counseling-associates/</link>
		
		<dc:creator><![CDATA[Kate Kincaid]]></dc:creator>
		<pubDate>Sun, 15 Mar 2026 20:08:29 +0000</pubDate>
				<category><![CDATA[Neurodivergence]]></category>
		<category><![CDATA[highly sensitive person]]></category>
		<category><![CDATA[hsp]]></category>
		<category><![CDATA[neurodivergent]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=6449</guid>

					<description><![CDATA[<p>Highly Sensitive People are estimated to make up for 50% of the client population in therapy. Do you know what factors to consider for those with highly sensitive traits?</p>
<p>The post <a href="https://www.tucsoncounselingassociates.com/neurodivergent-tucson-az-tucson-counseling-associates/">Reflections on &#8220;Self-Disclosure, Felt Safety, and the Highly Sensitive Person&#8221;</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
]]></description>
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				<div class="et_pb_text_inner"><h1>March is our Relationships month over here at TCA.</h1>
<h2>And to bring in the theme, we had therapist Katherine Miller, LCSW, present on the Highly Sensitive Person trait, as researched Dr. Elaine Aron, and as it’s experienced in the therapy room, in both the therapist and the client.</h2></div>
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				<div class="et_pb_text_inner">She helped us discuss and navigate themes of appropriate self-disclosure and some of the particular risks and ruptures that may be specific for highly sensitive clients which can provide an opportunity for repair and attunement in the therapy process.</p>
<p>Miller shared Aron’s estimate that this trait makes up 20% of the general population, and around 50% of therapy clients. Given that most therapists are also clients, many of us therapists are likely carry this trait as well! This was demonstrated in the group of us, with most of us nodding our heads along, throwing &#8220;me!&#8221; in the chat box, and considering other diagnoses we’ve been given and how they might relate to masking this trait, or wondering how much conditioning has played a part in the experience of mental illness. What if these traits were valued instead?</div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1066" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378.webp" alt="a wall hanging with a plant on the wall" title="Photo_0378" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378.webp 1066w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378-980x1471.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378-480x720.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1066px, 100vw" class="wp-image-6905" /></span>
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				<div class="et_pb_text_inner">If you aren’t familiar with Aron’s work, check out <a href="https://hsperson.com/wp-content/uploads/2025/02/New-Self-Test-PDF.pdf">this Self-Test</a> to see if this is you (odds are if you’re reading, there’s at least a 50% chance it is!).</p>
<p>For a general overview of the traits, Miller recommends a handy-dandy acronym (don’t we love those in this field!?)</div>
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				<div class="et_pb_text_inner"><h1 style="text-align: center;"><strong>D.O.E.S</strong></h1>
<p><strong>D-</strong>Depth of processing-slow to make decisions, deep thinking and feeling, commonly perfectionistic tendencies</p>
<p><strong>O</strong>-Overstimulation/Over-Arousability-overstimulated by sensory input, but also novelty, sudden change, complexity, transitions, potentially easily overwhelmed by having many things to process</p>
<p><strong>E</strong>-Emotional Reactivity-a strong reaction to positive and negative experiences, easily impacted by the emotions of others, may cry easily</p>
<p><strong>S</strong>-Sensitive to Subtle Stimuli-ability to notice subtle differences or changes through their sensory fields.</div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="512" height="512" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/cropped-Screenshot-2020-07-16-at-11.57.17.png" alt="" title="cropped-Screenshot-2020-07-16-at-11.57.17.png" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/cropped-Screenshot-2020-07-16-at-11.57.17.png 512w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/07/cropped-Screenshot-2020-07-16-at-11.57.17-480x480.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 512px, 100vw" class="wp-image-887" /></span>
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				<div class="et_pb_text_inner">I found myself wondering~ is this the same as what may be called an “Empath”? And also, what are other theories that might explain this trait?</p>
<p>André Solo (2023) outlines 4 Scientific Theories Behind this trait, noting that these are currently the dominant theories and models presented:</div>
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<li><span style="text-decoration: underline;"><strong>Sensory Processing Sensitivity:</strong></span> This is Elaine Aron’s theory, and the most widely known. Aron proposes that sensitivity is a trait, and that sensitive people are processing information differently at the level of the brain, which has not been fully proven. She theorizes that this sensitivity leads to traits like empathy, sensitivity to subtle sensation, and overstimulation. According to Solo, researchers estimate this trait is more proposed to be around 30% of the population, not 20%.</li>
<li><span style="text-decoration: underline;"><strong>Differential Susceptibility</strong></span>-J. Belsky’s theory was organized around the question of why some had these traits and others didn’t. He points toward the evolutionary advantage and describes those with this trait as more shaped by how they are nurtured than non-sensitive people, who remain somewhat fixed. This is nature’s adaptation for the best opportunity for survival. He theorizes the sensitivity trait will propel children along who grow up in nurtured, safe environments, and keep those who have had less than nurturing environments alive and surviving, due to their ability to adapt.</li>
<li><span style="text-decoration: underline;"><strong>Biological Sensitivity to Context-</strong></span>Similar to Differential Susceptibility, this theory, proposed by W. Thomas Boyce and Bruce J. Ellis, focuses on child development. Instead of proposing that those with the trait are born this way, they proposed that their environments shaped them to be more sensitive.</li>
<li><span style="text-decoration: underline;"><strong>Diathesis-Stress vs. Vantage Sensitivity-</strong></span>These models are combined into a theory about advantages and disadvantages of the sensitive. On the one hand, sensitive people have a more difficult time under stressful circumstances, but they also benefit more from positive ones than the average person.</li>
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				<div class="et_pb_text_inner">If you’re interested in reading the whole blog post, I’d recommend it. Find it<a href="https://highlysensitiverefuge.com/four-theories-of-sensitivity-highly-sensitive-people/"> here. </a></div>
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				<div class="et_pb_text_inner"><p>Miller shared with us some gems I’d like to share with you here (and thus hopefully remember them myself!)</p>
<p>We talk a lot about safety in therapy. Our brains scan for safety 4 times a minute and there are 3 layers of it:</p>
<ol>
<li>Interoceptive Safety (what are we feeling in our bodies?)</li>
<li>The environment</li>
<li>Interpersonal: relating with the other, specifically their nervous system</li>
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<p>In the therapeutic relationship, all are important! But the most pronounced is the relationship itself. Miller differentiated between two types of self-disclosure: a hot topic for therapists, and the theme of many hilarious therapist reels and memes. See below:</p>
<p><a href="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2026-03-15-at-12.30.59-PM.webp"><img decoding="async" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2026-03-15-at-12.30.59-PM-194x300.webp" width="194" height="300" alt="Therapists should be neutral sign" class="wp-image-6915 aligncenter size-medium" /></a></p>
<p style="text-align: center;">image from @cloud09therapy</p>
<p>The classical way we tend to think of self-disclosure is one where we share personal information. But the other, particularly important as highly sensitive people working with other highly sensitive people is something she refers to as “Therapist’s self-involving (TSI) interventions, utilizing the nervous system and emergence in the field of the therapy as an intervention, i.e. “I noticed something shifting when you said that. What are you feeling now?”</p></div>
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				<div class="et_pb_text_inner">It brings up the question of how we see ourselves as therapists, how clients see the therapeutic process, and generational differences of approach and understanding about therapy. How present and involved can we be in the process? And how does this lend to arguably the most fundamental piece of therapeutic healing: the relationship itself?</p>
<p style="text-align: center;">Sound like something you&#8217;re interested in engaging with? We&#8217;ve got you. <a href="https://links.tucsoncounselingassociates.com/widget/form/YSFfpLeOkQCvMvmsn0l0">Reach out now</a> to inquire about our therapists that specialize in working with Highly Sensitive populations and other <a href="https://www.tucsoncounselingassociates.com/neurodivergence/">neurodivergent</a> traits.</p></div>
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				<div class="et_pb_text_inner"><p style="text-align: center;">References</p>
<p>Sólo, A. (2023, November 22). <em>The 4 wildly different theories researchers use to explain highly sensitive people</em>. Sensitive Refuge. https://highlysensitiverefuge.com/four-theories-of-sensitivity-highly-sensitive-people/</p>
<p>Miller, Katherine. (2026, March 5) <em>Self-Disclosure, Felt Safety, and the Highly Sensitive              Person. </em>Tucson Counseling Associates</div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/neurodivergent-tucson-az-tucson-counseling-associates/">Reflections on &#8220;Self-Disclosure, Felt Safety, and the Highly Sensitive Person&#8221;</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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		<title>Whose job is it to change? Mending Adult Children and Parent Relationships</title>
		<link>https://www.tucsoncounselingassociates.com/relationships-blog-tucson-counseling-associates/</link>
		
		<dc:creator><![CDATA[Kate Kincaid]]></dc:creator>
		<pubDate>Sun, 28 Dec 2025 14:58:21 +0000</pubDate>
				<category><![CDATA[Couples/relationship therapy]]></category>
		<category><![CDATA[healing relationships]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=6092</guid>

					<description><![CDATA[<p>On my most recent visit to my in-laws, my mother-in-law told me there’s a quiet revolution happening among older generations. She said they are sick and tired of apologizing to their adult children for their mistakes as parents. I sat with this information throughout our visit, and while I can understand where they are coming from, perhaps the pendulum has swung too far. But I don't think avoiding the argument is the answer either. </p>
<p>The post <a href="https://www.tucsoncounselingassociates.com/relationships-blog-tucson-counseling-associates/">Whose job is it to change? Mending Adult Children and Parent Relationships</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
]]></description>
										<content:encoded><![CDATA[<div class="et_pb_section et_pb_section_5 et_section_regular" >
				
				
				
				
				
				
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				<div class="et_pb_text_inner"><h1 style="text-align: center;"><span style="font-weight: 400;">On my most recent visit to my in-laws, my mother-in-law told me there’s a quiet revolution happening among older generations. </span></h1>
<h2><span style="font-weight: 400;">    She said they are sick and tired of apologizing to their adult children for their mistakes as parents. I sat with this information throughout our visit, and while I can understand where they are coming from, perhaps the pendulum has swung too far. But I don&#8217;t think avoiding the argument is the answer either.</span></h2></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1365" height="1198" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/feministclock-e1766934908472.webp" alt="three plants and a coffee mug" title="feministclock-e1766934908472" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/feministclock-e1766934908472.webp 1365w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/feministclock-e1766934908472-1280x1123.webp 1280w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/feministclock-e1766934908472-980x860.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/feministclock-e1766934908472-480x421.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1365px, 100vw" class="wp-image-6891" /></span>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1066" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378.webp" alt="a wall hanging with a plant on the wall" title="Photo_0378" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378.webp 1066w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378-980x1471.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Photo_0378-480x720.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1066px, 100vw" class="wp-image-6905" /></span>
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				<div class="et_pb_text_inner"><span style="font-weight: 400;">I have several clients who are estranged from their adult children for a variety of reasons. They swing from “what did I do wrong?” to “what’s wrong with my child?” But perhaps nothing is wrong with either person. Perhaps the problem is trying to find blame or fault for why there’s conflict or misunderstandings or differences of opinion. It doesn’t mean that anyone is abusing anyone, like proposed in the book “Conflict is not abuse”  by Sarah Shulman.</span></div>
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				<div class="et_pb_text_inner"><span style="font-weight: 400;">    Being chronically online seems to make this worse. Social media algorithms capitalize on our brain‘s desire to categorize things as this or that, good or bad, right or wrong, abuse or not, but this black or white thinking does not come from our mature evolved selves. It’s a cognitive distortion that arises when we’re stressed, scared, or overwhelmed. It’s a regressed state. </span></div>
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				<div class="et_pb_text_inner"><span style="font-weight: 400;">    I also work with a lot of clients who are angry at their parents for the ways that they were misattuned to or for the less than nurturing environments that they were raised in. Abuse is a pretty narrow definition and involves intent to be cruel so I’m careful about using that word. I do validate that people have a right to be disappointed, hurt, or angry, and they also have a right to share that hurt. I work with them on expectations mostly, and in accepting people for who they are while maintaining their own reasonable, protective boundaries. I think it’s also important to push those boundaries from time to time if it’s desired- like for people who want to maintain relationships with their family even though there is a lot of conflict and differences in values. </span></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1067" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/pexels-olenka-sergienko-3604314-scaled-1.webp" alt="oil and herbs in a bowl" title="pexels-olenka-sergienko-3604314-scaled" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/pexels-olenka-sergienko-3604314-scaled-1.webp 1067w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/pexels-olenka-sergienko-3604314-scaled-1-980x1470.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/pexels-olenka-sergienko-3604314-scaled-1-480x720.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1067px, 100vw" class="wp-image-6903" /></span>
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				<div class="et_pb_text_inner"><span style="font-weight: 400;">     What I wanna say to the boomer generation that is struggling with their children asking them to be accountable and to apologize is this: <strong>Be grateful that you have a child who’s still engaging with you even if that is to ask for an apology.</strong> Be proud that you raised them in a way to share how they feel and ask for what they want. Use it as an opportunity to look at yourself and ask, is there anything that you wish you would’ve done differently? Does that mean you were a bad person or a bad parent? No, it means you didn’t know what you didn’t know back then and you did do the best that you could. Of course you made mistakes along the way. You’re human. Modeling self reflection and personal accountability is very human and admirable. If your child continues to demand an apology or say that’s not good enough then that does become their problem and you can feel confident in yourself that you self reflected and took accountability for what you could. But if you’re angry that they even asked or you spiral into shame thinking they’re saying you’re a bad person, that doesn’t help you or them. Do the work to hold onto your seat and receive the feedback. Take accountability where you can and affirm yourself and your humanity where you can. And then move on. </span></div>
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				<div class="et_pb_text_inner"><span style="font-weight: 400;">   What I would say to the adult child who’s angry and blaming or demanding an apology: <strong>Try to get clear on what your purpose is for sharing.</strong> Is it just to share who you are and how you were impacted by something or is it to control or change their behavior? If it’s the latter, check yourself, that doesn’t usually work. We can’t drag anyone into having more insight. </span></p>
<p><span style="font-weight: 400;">     And what I’d say to both: get offline. <strong>Stop reading hot takes on how your parent or your adult child should be acting.</strong> Don’t get your feedback from an AI chatbot meant to flatter you. Do the hard work of being in community and accepting that you make mistakes and those mistakes hurt people’s feelings. If you’re in relationships where people can share hurt feelings with you, you’re doing something right. Take a spoonful of humble pie, apologize for anything you can and reaffirm yourself and your love for each other. </span></div>
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				<div class="et_pb_text_inner"><p style="text-align: center;">Still can&#8217;t figure it out? We&#8217;ve got you. <a href="https://links.tucsoncounselingassociates.com/widget/form/YSFfpLeOkQCvMvmsn0l0">Reach out now</a> to inquire about our <a href="https://www.tucsoncounselingassociates.com/couples-relationship-therapy/">family therapy</a> services.</p></div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/relationships-blog-tucson-counseling-associates/">Whose job is it to change? Mending Adult Children and Parent Relationships</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">6092</post-id>	</item>
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		<title>Why We Fight to Accept Insurance—Even When Insurance Makes It So Hard</title>
		<link>https://www.tucsoncounselingassociates.com/why-we-fight-to-accept-insurance-even-when-insurance-makes-it-so-hard/</link>
		
		<dc:creator><![CDATA[Kate Kincaid]]></dc:creator>
		<pubDate>Tue, 23 Dec 2025 17:15:32 +0000</pubDate>
				<category><![CDATA[Insurance]]></category>
		<category><![CDATA[accessibility]]></category>
		<category><![CDATA[mental health]]></category>
		<category><![CDATA[therapy]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=6081</guid>

					<description><![CDATA[<p>At our practice, we believe deeply that mental health care should be accessible. One of the most meaningful ways we try to live out that value is by accepting insurance—so that therapy isn’t only available to people who can afford to pay out of pocket.<br />
What many clients don’t see is how much work, advocacy, and risk that decision requires.</p>
<p>The post <a href="https://www.tucsoncounselingassociates.com/why-we-fight-to-accept-insurance-even-when-insurance-makes-it-so-hard/">Why We Fight to Accept Insurance—Even When Insurance Makes It So Hard</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
]]></description>
										<content:encoded><![CDATA[<div class="et_pb_section et_pb_section_6 et_section_regular" >
				
				
				
				
				
				
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				<div class="et_pb_text_inner"><h1><span style="font-weight: 400;">At our practice, we believe deeply that mental health care should be accessible. </span></h1>
<h2><span style="font-weight: 400;">One of the most meaningful ways we try to live out that value is by accepting insurance—so that therapy isn’t only available to people who can afford to pay out of pocket.</span></h2>
<p><span style="font-weight: 400;">What many clients don’t see is how much work, advocacy, and risk that decision requires.</span></p>
<p><span style="font-weight: 400;">Over the past several months, group practices and clinicians across Arizona—especially those contracted with </span><b>Blue Cross Blue Shield (BCBS), the largest insurer in our state</b><span style="font-weight: 400;">—have been navigating sudden policy changes that threatened access to care for thousands of clients. While some of these changes may be paused or reversed for now, the experience highlighted something we’ve known for a long time:</span></p>
<p><span style="font-weight: 400;">Accepting insurance is not a neutral or collaborative process.<br />It is often a battle.</span></p></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1066" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0378.jpg" alt="" title="Tucson Counseling Associates" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0378-980x1470.jpg 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0378-480x720.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1066px, 100vw" class="wp-image-1355" /></span>
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				<div class="et_pb_text_inner"><h3><b>What Clients Rarely See Behind the Scenes</b></h3>
<p><span style="font-weight: 400;">When people hear that a therapist or practice doesn’t take insurance, the assumption is often that providers are being greedy or inflexible. The reality is far more complicated.</span></p>
<p><span style="font-weight: 400;">Insurance companies can:</span></p>
<ul>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Change policies with little notice</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Retroactively take back payments for sessions that happened </span><b>months or even over a year ago</b><b>
<p></b></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Admit billing errors were their fault—and still delay returning funds</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Reduce reimbursement rates with no negotiation</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Deny care that was previously authorized</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Create administrative requirements that increase costs while reducing access</span><span style="font-weight: 400;">
<p></span></li>
</ul>
<p><span style="font-weight: 400;">Meanwhile, premiums and deductibles continue to rise for clients, while reimbursement for mental health clinicians continues to shrink.</span></p></div>
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				<div class="et_pb_text_inner"><h3><b>Why We Stay In-Network Anyway</b></h3>
<p><span style="font-weight: 400;">Despite all of this, we continue to fight to accept insurance because </span><b>we believe our clients deserve to use the benefits they work hard to pay for</b><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">As a practice, we:</span></p>
<ul>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Spend countless unpaid hours dealing with claims, audits, denials, and appeals</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Monitor policy changes that could affect your care</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Advocate directly with insurance companies when access is threatened</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Absorb rising overhead costs—rent, payroll, training, licensing, compliance, technology</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Offer reduced rates and flexibility when we can</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Push back when changes would harm clients or clinicians</span><span style="font-weight: 400;">
<p></span></li>
</ul>
<p><span style="font-weight: 400;">We do this not because it’s easy or profitable—but because access matters.</span></p></div>
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				<div class="et_pb_text_inner"><h3><b>When Insurance Denies Care or Requests Payment</b></h3>
<p><span style="font-weight: 400;">When insurance companies deny claims or retroactively take money back, it can sometimes result in a balance owed by the client. We know this is frustrating and confusing—especially when you’ve done everything “right.”</span></p>
<p><span style="font-weight: 400;">We ask for grace in these moments.</span></p>
<p><span style="font-weight: 400;">Please know:</span></p>
<ul>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">These situations are rarely due to clinician error</span>
<p>&nbsp;</p>
</li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">We advocate whenever possible</span>
<p>&nbsp;</p>
</li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Denials are often the result of opaque, shifting insurance rules</span>
<p>&nbsp;</p>
</li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">We are navigating the same system you are—just from the provider side</span>
<p>&nbsp;</p>
</li>
</ul>
<p><span style="font-weight: 400;">We will always communicate transparently, work with you when possible, and treat these situations with care and respect.</span></p></div>
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				<div class="et_pb_text_inner"><h3><b>How Clients Can Advocate for Their Mental Health Benefits</b></h3>
<p><span style="font-weight: 400;">One of the most powerful forces for change is </span><b>insured members speaking up</b><span style="font-weight: 400;">. Insurance companies respond far more quickly to pressure from clients than from providers.</span></p>
<p><span style="font-weight: 400;">You can help by:</span></p>
<ul>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Calling your insurance company when care is denied and asking </span><i><span style="font-weight: 400;">why</span></i><i><span style="font-weight: 400;">
<p></span></i></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Requesting written explanations of policy changes</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Filing formal complaints with your state insurance regulator</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Contacting elected officials about how these decisions affect real people</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Asking insurers to explain how mental health parity laws are being upheld</span><span style="font-weight: 400;">
<p></span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Sharing accurate information when clinicians are blamed for systemic failures</span><span style="font-weight: 400;">
<p></span></li>
</ul>
<p><span style="font-weight: 400;">Your insurance is not a favor—it’s something you pay for. Mental health care is not optional or expendable.</span></p></div>
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				<div class="et_pb_text_inner"><h3><b>This Is About Survival—and Access to Care</b></h3>
<p><span style="font-weight: 400;">This isn’t about greed.</span><span style="font-weight: 400;"><br /></span><span style="font-weight: 400;"> It’s about sustainability.</span><span style="font-weight: 400;"><br /></span><span style="font-weight: 400;"> It’s about protecting access to therapy before it quietly disappears.</span></p>
<p><span style="font-weight: 400;">Providers can only absorb so much. Clients can only pay so much. Communities can only lose so many clinicians before care becomes inaccessible—especially in underserved and rural areas.</span></p>
<p><span style="font-weight: 400;">Real change will require transparency, accountability, and collective advocacy.</span></p>
<p><span style="font-weight: 400;">We are committed to continuing this fight—for our clients, our clinicians, and the future of mental health care. Thank you for trusting us, for using your voice when you can, and for understanding the invisible labor that goes into keeping therapy accessible.</span></p>
<p><span style="font-weight: 400;">Access to care is worth protecting. And we’re not giving up.</span></p></div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/why-we-fight-to-accept-insurance-even-when-insurance-makes-it-so-hard/">Why We Fight to Accept Insurance—Even When Insurance Makes It So Hard</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">6081</post-id>	</item>
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		<title>How I See the Rise of AI Affecting Therapy</title>
		<link>https://www.tucsoncounselingassociates.com/how-i-see-the-rise-of-ai-affecting-therapy/</link>
		
		<dc:creator><![CDATA[Kate Kincaid]]></dc:creator>
		<pubDate>Tue, 23 Dec 2025 16:37:52 +0000</pubDate>
				<category><![CDATA[AI in Mental Health]]></category>
		<category><![CDATA[technology]]></category>
		<category><![CDATA[therapy]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=6068</guid>

					<description><![CDATA[<p>The post <a href="https://www.tucsoncounselingassociates.com/how-i-see-the-rise-of-ai-affecting-therapy/">How I See the Rise of AI Affecting Therapy</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
]]></description>
										<content:encoded><![CDATA[<div class="et_pb_section et_pb_section_7 et_section_regular" >
				
				
				
				
				
				
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				<div class="et_pb_text_inner"><h1 style="text-align: center;">People ask me all the time whether I’m worried that AI will take over my job as a therapist.</h1>
<h2 style="text-align: left;"><span style="font-weight: 400;">       A few years ago, I would have confidently said no. Human beings seek human connection, someone who can sit with the messiness of being alive, who has grappled with their own dark nights of the soul. I even felt reassured when a magazine published a list of “AI-proof” careers and psychotherapist made the cut. See? I thought. We’re safe. People need people.</span></h2></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1066" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0378.jpg" alt="" title="Tucson Counseling Associates" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0378-980x1470.jpg 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/11/Photo_0378-480x720.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1066px, 100vw" class="wp-image-1355" /></span>
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				<div class="et_pb_text_inner"><p><span style="font-weight: 400;">But the past two years have shaken that confidence. I was somewhat of an early adopter of AI tools, fascinated by what they could do and curious about how they might help my clients. I still think they can be genuinely useful for certain tasks. But I’ve also watched something else happening- a consolidation of power so rapid and enormous that it feels almost mythic. Bloomberg columnist Matt Levine once wrote that companies like OpenAI or Anthropic could “create God and then ask it for money” (Levine, 2023). I haven’t been able to stop thinking about that line. The biggest pattern of the past couple decades is that Silicon Valley keeps remaking the world in pursuit of scale, profit, and novelty, while being almost completely uninterested in the fallout.</span></p></div>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;"><strong>Therapy is very much part of that fallout.</strong></h2></div>
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				<div class="et_pb_text_inner"><p style="text-align: left;"><span style="font-weight: 400;">Most people don’t think about the fact that AI lives inside enormous, resource-hungry data centers that companies like Amazon are racing to build. My own community in Tucson, AZ recently fought against one. We were told it would be “water positive,” that it would secure our place in the next tech boom, that it would bring jobs. But it felt like propaganda, and my neighbors, people who had done their homework, challenged every slide the developers tried to peddle in our community town halls. When the project was voted down, the company refused to accept the result and began pushing it through anyway. It was the thinnest veneer of progress laid over a deeper engine of corporate greed.</span></p>
<p><span style="font-weight: 400;">This same dynamic is creeping into mental healthcare. I’m not actually afraid for my own job. If we ever reach the point where AI fully replaces therapists, there will be much bigger societal problems—mass unemployment, widespread destabilization, grief and confusion on a scale that no amount of “mental health tech” can fix. What I </span><i><span style="font-weight: 400;">am</span></i><span style="font-weight: 400;"> afraid of is something more mundane: the slow, bureaucratic shift where insurance companies start steering people toward chatbot “therapy” by waiving copays or raising them for real humans. When I say this to colleagues, we give each other that momentary look—the one that mixes horror with recognition. Because we know that dystopia isn’t that far off based on how insurance companies already treat us. </span></p>
<p style="text-align: left;"><span style="font-weight: 400;">Meanwhile, the psychological risks are already here. There’s a growing body of cases describing something like <b>AI-induced psychosis</b>—individuals incorporating chatbots into delusional systems, or interpreting AI-generated messages as divine, threatening, or conspiratorial. Psychologist Azadeh Joon has documented emerging patterns of clients who spiral into psychosis fueled by generative AI interactions (Joon, 2024). There are also early legal cases alleging that AI conversations contributed to a child’s suicide (Bloomberg Law, 2024; Guardian, 2024). Vulnerable minds are being shaped by systems designed to maximize engagement, not wellbeing.</span></p></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1067" height="1600" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/09/pexels-olenka-sergienko-3604314-scaled.jpg" alt="" title="pexels-olenka-sergienko-3604314" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/09/pexels-olenka-sergienko-3604314-1080x1620.jpg 1080w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/09/pexels-olenka-sergienko-3604314-scaled-600x900.jpg 600w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/09/pexels-olenka-sergienko-3604314-200x300.jpg 200w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/09/pexels-olenka-sergienko-3604314-683x1024.jpg 683w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/09/pexels-olenka-sergienko-3604314-768x1152.jpg 768w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/09/pexels-olenka-sergienko-3604314-1024x1536.jpg 1024w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/09/pexels-olenka-sergienko-3604314-1365x2048.jpg 1365w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2020/09/pexels-olenka-sergienko-3604314-scaled.jpg 1067w" sizes="(max-width: 1067px) 100vw, 1067px" class="wp-image-1194" /></span>
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				<div class="et_pb_text_inner"><p><span style="font-weight: 400;">And even for people who aren’t psychotic, the lines get blurry. One of my clients, who is working on trusting her own intuition, started using ChatGPT late at night after arguments with her partner to check whether she was “being reasonable.” I gently asked her, “Does this align with your goal of trusting yourself more?” She immediately understood what I meant. But the pull was strong, AI is always awake, always validating, often sycophantically so.</span></p>
<p><span style="font-weight: 400;">I felt that pull myself. One night at 2 a.m., stuck in an OCD spiral, I decided to try using AI for support. I wasn’t seeking reassurance, I </span><i><span style="font-weight: 400;">knew</span></i><span style="font-weight: 400;"> I was in an obsessional loop, and I wanted strategies. I know ERP well, and I explicitly instructed the model not to reassure me. To my surprise, it actually helped. I even shared the transcript with my own therapist, who specializes in OCD, and we were both impressed.</span></p></div>
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				<div class="et_pb_text_inner"><p><span style="font-weight: 400;">And maybe this is fooling myself but I think it was actually useful to me in that moment because I have specialized training and years of hard fought recovery already. I knew how to prompt it, when to stop, how to identify reassurance. I worry about someone who doesn’t have that knowledge. I worry about the way AI is trained, to be endlessly validating, endlessly agreeable, endlessly engaging. What happens when that meets someone with fragile attachment patterns? Or someone who is deeply lonely? Or someone who simply doesn’t realize that reassurance feeds the very anxiety it tries to soothe?</span></p>
<p><span style="font-weight: 400;">A close friend of mine who works in tech noticed that she was having increasingly intimate, personal conversations with AI during moments of stress. She eventually decided to take a break. I’ve heard versions of that story from clients, colleagues, and strangers on the internet. It’s not that people think the AI is sentient; it’s that it simulates presence so well that it becomes emotionally sticky.</span></p></div>
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				<div class="et_pb_text_inner"><p><span style="font-weight: 400;">Mary Shelley understood this long before any of us. In the recently released </span><i><span style="font-weight: 400;">Frankenstein </span></i><span style="font-weight: 400;">movie, Victor is asked whether he considered the consequences of creating life, and he sheepishly admits he hadn’t. The danger wasn’t just playing God, it was the utter lack of emotional intelligence and foresight. Many scholars argue Shelley was not only critiquing hubris but also the early roots of a mindset that would later animate Silicon Valley: “move fast and break things” without stopping to ask what—or who—might shatter.</span></p></div>
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				<div class="et_pb_text_inner"><p><span style="font-weight: 400;">I feel that absence of foresight now. I worry about the world my kids will grow up in, what their education will look like, what kinds of ads will prey on their loneliness, how easily they might form attachments to chatbots disguised as peers, mentors, or therapists. I don’t know what to tell them about preparing for the future. We’re all stepping into a portal and none of us knows what’s on the other side.</span></p>
<p><span style="font-weight: 400;">At the same time, I believe that what we focus on grows. And right now, collectively, we’re focusing on making everything faster, more efficient, more optimized. But is that even what we want? Is “efficiency” a meaningful goal when we’re talking about the human psyche? Kurt Vonnegut says, “</span><span style="font-weight: 400;">I tell you, we are here on Earth to fart around, and don&#8217;t let anybody tell you different</span><span style="font-weight: 400;">.” And I agree. </span></p></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1012" height="1172" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2023/07/Screenshot-2023-07-25-at-18.15.52.png" alt="" title="Screenshot 2023-07-25 at 18.15.52" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2023/07/Screenshot-2023-07-25-at-18.15.52.png 1012w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2023/07/Screenshot-2023-07-25-at-18.15.52-980x1135.png 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2023/07/Screenshot-2023-07-25-at-18.15.52-480x556.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1012px, 100vw" class="wp-image-3588" /></span>
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				<div class="et_pb_text_inner"><p><span style="font-weight: 400;">AI is here to stay. It will make some things easier. It might even enhance therapy in certain ways. But I believe with my whole heart that it cannot replace what happens between two human beings sitting together in a room. And if we lose that, we lose more than a profession, we lose a piece of our ability to know ourselves and to be in community with each other.</span></p>
<p><span style="font-weight: 400;">So I’m trying to imagine the world I want for my children, and the world I want to practice therapy in. A world where we fight—politically and culturally—to keep human connection at the center. A world where we slow down, where we gather, where we remember what it feels like to be held in another person’s presence.</span></p>
<p><span style="font-weight: 400;">Because the portal is opening regardless. But how we walk through it—together or alone—is still up to us.</span></p></div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/how-i-see-the-rise-of-ai-affecting-therapy/">How I See the Rise of AI Affecting Therapy</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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		<title>Bringing Dreams to Therapy</title>
		<link>https://www.tucsoncounselingassociates.com/dream-recall/</link>
		
		<dc:creator><![CDATA[Alyssa]]></dc:creator>
		<pubDate>Fri, 21 Nov 2025 00:05:51 +0000</pubDate>
				<category><![CDATA[Dreamwork]]></category>
		<category><![CDATA[dreams]]></category>
		<category><![CDATA[psychotherapy]]></category>
		<category><![CDATA[soulwork]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=5865</guid>

					<description><![CDATA[<p>The post <a href="https://www.tucsoncounselingassociates.com/dream-recall/">Bringing Dreams to Therapy</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1200" height="630" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/2-1-3.webp" alt="Image of a leave and flower petal" title="2-1" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/2-1-3.webp 1200w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/2-1-3-980x515.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/2-1-3-480x252.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1200px, 100vw" class="wp-image-6935" /></span>
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				<div class="et_pb_text_inner"><p>Did you know each person dreams, on average, 6 dreams a night? That means if you live to be 80 years old, you will have spent 6 years of your life dreaming! There are many solid theories about <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2814941/">why we dream</a> and research that shows us <a href="https://www.psychologytoday.com/us/blog/dream-factory/201708/dream-deprived-a-modern-epidemic">dream deprivation</a> leads to poor health outcomes. So we know that dreaming is important, even if we don&#8217;t recall them upon waking.</p>
<p>Instead of speaking to functionality, as there is extensive information and research out there on that, I want to know:</p>
<h3><strong>What would it look like for you to cultivate a relationship with your dreams? </strong></h3>
<p>Dreams are as natural as our breath, our digestion, our heartbeat. I want to propose that a relationship with our dreams is a deeper relationship with ourselves. Sure, we don&#8217;t need to pay attention to these processes in order for them to keep functioning but when we do, we enter into a greater sense of aliveness, awareness, and sensitivity. We move from objectivity into relationship. Cultivating, and tending to it, is inherently meaningful.  Dreams humble us with their ludicrousness, horror, beauty, awe. They invite us into a deeper dialogue with nature, ourselves, and, as a result, those around us.</p>
<p><a href="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/1-1-1-1.webp"><img decoding="async" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/1-1-1-1-1024x538.webp" width="1024" height="538" alt="Quote by Carl Jung" class="wp-image-6929 alignnone size-large" style="display: block; margin-left: auto; margin-right: auto;" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/1-1-1-1-1024x538.webp 1024w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/1-1-1-1-980x515.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/1-1-1-1-480x252.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw" /></a></p>
<p>Many dreamworkers, while coaching people to enhance dream recall, will firstly invite people to take an interest in their dreams, and will subsequently offer a variety of ways to enhance dream recall. Journaling, recording, or drawing them for instance, even if they are simple fragments or feelings or colors. However, the late Jeremy Taylor, beloved and revered dreamworker, reverend, and activist, proposed that most people struggle with recall because they don&#8217;t have safe and encouraging spaces of interest to speak of them.</p>
<h3><strong>What if the therapy room could be one of those spaces?</strong></h3>
<p>Dr. Leslie Ellis, author of <em>A Clinician&#8217;s Guide to Dream Therapy: Demystifying Dreamwork</em>, lists the following reasons that it should be:</p>
<ul>
<li>They are creative and engage our clients in the therapy process</li>
<li>They point to our most salient emotional concerns</li>
<li>They bypass our internal editing process and normal defenses and so are honest representations of our life situation</li>
<li>Dreams can bring a new and wider perspective on a situation that is stuck or static</li>
<li>Dreams provide diagnostic information and can be indicators of clinical progress</li>
<li>Dreams help to regulate our emotions and are implicated in memory consolidation</li>
<li>Dreams can be a safe pathway to working with trauma</li>
</ul>
<p>I like to think of dreaming as the space where our egos go to bathe and merge back into the source from which they came. And working with our dreams intentionally, while we&#8217;re awake, helps us integrate what we saw, heard, felt, and experienced, allowing our new sense of ego to emerge in the process.  But most of all, it communicates to this part of ourselves that it is valuable, worthwhile, and meaningful.</p>
<p>Taylor refers to dreams as &#8220;over-determined&#8221;, meaning that they have many meanings. On a physical level, they may bring us information about our health. On an emotional level, they might show us feelings that are repressed or inflated. On a spiritual level, they can reveal where we truly feel connected in our lives.  Dreamwork inspires us, literally breathing life into us, as the etymology of &#8216;inspire&#8217; goes. And the more dreamwork we do, the more flexible our egos, and the more adaptable we become. We already work on the flexibility of our egos in therapy, but why not bring in the voice of our inner therapist?</p>
<p>Go ahead. Try it out. Let me know how it goes!</p>
<p>Interested in exploring your dreams more intentionally? <a href="https://tucsoncounselingassociates.clientsecure.me/contact-widget">Reach out here to schedule!</a></p>
<p>&nbsp;</p></div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/dream-recall/">Bringing Dreams to Therapy</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">5865</post-id>	</item>
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		<title>Working Through Jealousy</title>
		<link>https://www.tucsoncounselingassociates.com/workingthroughjealousy/</link>
		
		<dc:creator><![CDATA[Kate Kincaid]]></dc:creator>
		<pubDate>Thu, 13 Nov 2025 16:19:07 +0000</pubDate>
				<category><![CDATA[Ethical Non-Monogamy and Polyamory Therapy]]></category>
		<category><![CDATA[jealousy]]></category>
		<guid isPermaLink="false">https://www.tucsoncounselingassociates.com/?p=5835</guid>

					<description><![CDATA[<p>The post <a href="https://www.tucsoncounselingassociates.com/workingthroughjealousy/">Working Through Jealousy</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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										<content:encoded><![CDATA[<p><div class="et_pb_section et_pb_section_9 et_pb_with_background et_pb_fullwidth_section et_section_regular" >
				
				
				
				
				
				
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						<div class="et_pb_header_content_wrapper"><h1><span style="font-family: born-ready; font-size: xx-large;">Working Through Jealousy:</span></h1>
<h2><span style="font-family: born-ready; font-size: xx-large;">An excerpt from the Polyamory Journal</span></h2></div>
						
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				<div class="et_pb_text_inner"><h2 style="text-align: center;">&#8220;Jealousy is all the fun you think they had.&#8221;</h2>
<h2 style="text-align: center;">-Erica Jong</h2></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="771" height="781" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2025-11-12-at-9.58.02-AM.webp" alt="Polyamory Journal cover" title="Screenshot-2025-11-12-at-9.58.02-AM" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2025-11-12-at-9.58.02-AM.webp 771w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2025-11-12-at-9.58.02-AM-480x486.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 771px, 100vw" class="wp-image-6914" /></span>
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				<span class="et_pb_image_wrap "><img decoding="async" width="1070" height="1452" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2020-07-20-at-11.38.31.webp" alt="a hand reaching for a leaf" title="Screenshot-2020-07-20-at-11.38.31" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2020-07-20-at-11.38.31.webp 1070w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2020-07-20-at-11.38.31-980x1330.webp 980w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2026/04/Screenshot-2020-07-20-at-11.38.31-480x651.webp 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1070px, 100vw" class="wp-image-6910" /></span>
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				<div class="et_pb_text_inner"><p>Jealousy is one of the most frequent and significant challenges faced by people in polyamorous relationships. When jealousy comes up, it does nto mean you&#8217;re an insecure person or that you can&#8217;t be polyamorous. It&#8217;s a normal emotion that everyone feels regardless of their relationship orientation. And while you can&#8217;t avoid feeling jealous from time to time, you can change how you respond to it. Recognizing and working through jealousy-both your own and your partner&#8217;s-Polyamorous people aren&#8217;t necessarily less jealous than monogamous people- they&#8217;re just bravely learning to tolerate and cope with this emotion. </p></div>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;"><strong>Journal Prompts</strong></h2>
<ul>
<li><strong>Think about your history with jealousy and what messages you&#8217;ve gotten about what jealousy is and why it arises.</strong></li>
<li><strong>What are your strongest jealousy triggers?</strong></li>
<li><strong>Physiologically, jealousy often feels very similar to excitement and passion but with more fear and anger mixed in. What does jealousy feel like in your body? What happens to your face, hands, chest, and stomach when you feel jealous? What other emotions feel like that, too?</strong><strong></strong></li>
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				<div class="et_pb_text_inner"><h2 style="text-align: center;">Rational Vs. Irrational Jealousy</h2>
<h3><span class="a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">It is not always easy to differentiate between rational jealousy (something that poses a real threat to the viability of your relationship) and irrational jealousy (something that is rooted in fear and your own beliefs about yourself). Here are some hallmarks of rational jealousy.</span><span class="a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none white-space-prewrap"> </span></h3>
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<li><span class="a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">You actually want or have the thing you fear losing (Remember, a perceived loss can create as strong a reaction as an actual loss!)</span></li>
<li><span class="a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">You perceive that someone else wants the same thing (which is very easy to do because we often project our own desires onto other people).</span><span class="a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none white-space-prewrap"> </span></li>
<li><span class="a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">You believe there’s a scarcity of that resource. (Usually there is not a scarcity of love, but there might be a real scarcity of time.)</span></li>
<li><span class="a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">You believe you’d lose in a competition. (This is a tricky one because you’d have to trust your partner not to make it a competition between two people.)</span></li>
</ul>
<h3><span class="a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none">Unless all four are present, your jealousy is likely irrational- or in other words, a distortion of the situation. I don&#8217;t want to minimize real threats to your relationship (s), and as I&#8217;ve said before, polyamory can be risky and destabilizing. But often irrational jealousy is the more common feeling. I hope this feels like a relief, but I understand that irrational jealousy can feel just as real as an actual threat, so be gentl ewith yourself if you&#8217;re having big emotions. Almost everyone has felt irrational jealousy from time to time. If you are experiencing irrational jealousy, what do you need? What reassurances could help you? What does reassurance look like for you?</span></h3></div>
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				<span class="et_pb_image_wrap "><img decoding="async" width="630" height="630" src="https://www.tucsoncounselingassociates.com/wp-content/uploads/2025/11/Rational-vs.-Irrational-Jealousy.png" alt="" title="Rational vs. Irrational Jealousy" srcset="https://www.tucsoncounselingassociates.com/wp-content/uploads/2025/11/Rational-vs.-Irrational-Jealousy.png 630w, https://www.tucsoncounselingassociates.com/wp-content/uploads/2025/11/Rational-vs.-Irrational-Jealousy-480x480.png 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 630px, 100vw" class="wp-image-5821" /></span>
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				<div class="et_pb_text_inner"><p>My partner has a few partners, and I feel supportive of those relationships. When it comes to me dating, though, my partner is really insecure and is constantly making oppressive rules about my behavior. It feels like a double standard. What should I do?</p></div>
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				<div class="et_pb_text_inner"><p>Dating/loving multiple people and being comfortable with our partners dating/loving multiple people are two separate skills. It sounds like your partner needs some help with the latter skill. It&#8217;s important to understand that different people have different tendences and needs. While you may have an easier time working through jealousy, your partner struggles with it. It doesn&#8217;t mean tthey get to set your boundaries. Remember, boundaries explain what you will and won&#8217;t stand for, not what others can and can&#8217;t do. If dating others is important to you, it&#8217;s important to assert that and negotiate what agreements feel good for both of you, not just your partner. At the same time, your partner needs to work on strengthening the skill of tolerating jealousy and not controlling your behavior. </p></div>
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<p>The post <a href="https://www.tucsoncounselingassociates.com/workingthroughjealousy/">Working Through Jealousy</a> appeared first on <a href="https://www.tucsoncounselingassociates.com">Tucson Counseling Associates</a>.</p>
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