Provocative Therapy turns all accepted wisdom about therapy on its head. Here is a therapy in which the therapist makes fun of the client’s problems, blows them up out of all proportion and suggests crazy and surreal solutions seemingly off the top of their heads. So why does it seem to be effective?

Men can also be victims of sexual abuse and rape. Maybe they silence themselves and their experiences even more. What can be done with the trauma and shame which so many people carry around in secret?

While depression and anxiety are often considered to be “diseases” of the affluent, new studies find them to be just as common in poorer countries. Can a Western model of interpreting and treating mental distress be applied to other cultures?

Compared with placebo, the new-generation antidepressants do not produce clinically significant improvements in depression in patients who initially have moderate or even very severe depression. That’s according to a new meta-analysis of clinical trials research. A triumph for the placebo effect! How does it work?

What is mindfulness? Why do we need it? And what does it have to do with therapy?

Although research in this area is in its infancy, mindfulness-based cognitive therapy is generally revealed by a recent overview to be a promising therapy in terms of clinical effectiveness.

For me the key to therapy is space: space in which to listen and to perceive in a total way everything that the client says with their words, and with their body, space in which to listen as if this person were the first and only person in the world, and they were giving you some infinitely precious information — how it is for them.