It is difficult to convince a postpartum woman to go to therapy. Whether or not she is depressed, a new mom is exhausted, overwhelmed and preoccupied with her new baby. Understandably, early motherhood is not the best time to introduce a therapeutic-relationship or impose a healing process that is time-intensive and costly. However, if her symptoms become worse after the baby is born, if she is experiencing intrusive or distorted thoughts, or if she is suffering enough, then she needs help and there may be no choice, but to get help right away. But how do you encourage her to engage in therapy?

I recently had a client tell me how much she liked me as a therapist, but also as a person. She acknowledged that she knew very little about me personally to make this acclamation. The limited disclosure of the therapist is true of most therapeutic interactions. While the client shares many personal and private details from their lives, the therapist usually discloses very little. This got me thinking about the role of therapist self-disclosure in therapy.

Self-disclosure is the revelation of personal information about the therapist during session. The clinical use of therapist self-disclosure is a highly debated topic. Some therapists air on the side of caution and take an objective stance in the room by not disclosing any personal information. Unlike, disclosure, the use of non-disclosure is not typically questioned or justified. But can self-disclosure always be avoided? What qualifies as therapist self-disclosure? Is self-disclosure a mistake or an inevitable part of all interpersonal relationships?

I thought the topic of “starting” would be fitting for my first blog post. In therapy, sometimes the most difficult thing is just to get started (doesn’t that sound similar to the writing process?) People make the decision that they need to change. They decide that want to seek professional help. Maybe they even get a therapy referral from a friend or colleague. But then there is the hurdle of actually getting started.