Lessons from the Therapy Room

No training course can teach what thirty years in the therapy room can. In 91 candid reflections, psychotherapist and supervisor Duncan Kitchin shares the practical wisdom and unspoken truths of real practice – essential reading for trainee and practising therapists, and a rare window into what happens behind the therapy room door.

“Beware of thinking that you fullyunderstand your client.” – Duncan Kitchin

No training course can teach you what thirtyyears in the therapy room can. In this collection of 91 candid, hard-wonreflections, veteran psychotherapist and clinical supervisor Duncan Kitchinshares the wrinkles, wisdom, and unspoken truths that shaped his three-decadecareer – the things his supervisees kept telling him they wished someone hadtaught them.

From the first “What shall I call you?” tothe final, unpredictable goodbye, Kitchin walks through the real texture ofpractice: the addictions clients never mention in the initial meeting, thequestions therapists don’t ask about sex, and the silent signals of a room’sdécor, a client’s coat, or the things a therapist notices without ever beingtold. He writes with equal honesty about breakthroughs and about the momentsthat stopped him in his tracks – a question that unravelled a client’s sense ofhome, the client who told him he’d never make a therapist if he let clientsupset him, and thirty years of learning why she was wrong.

This is not a textbook of theory, but a bookof practical, DIY craft – the kind of insight usually passed on quietly, onesupervision session at a time. Warm, wry, and unflinchingly honest, it’sessential reading for trainee and practising therapists alike, and a rare,humane window for anyone curious about what really happens on the other side ofthe therapy room door.

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