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Doing Child and Adolescent Psychotherapy: Adapting Psychodynamic Treatment to Contemporary Practice

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Almost 10 years ago I wrote a guide to child therapy. I worked hard, then, to make the book relevant, timely, and thorough. But a lot has happened over the past decade. The economics of mental health, a euphemism for managed care and insurance companies, have grown from supporters of what we do to dictators of it. Even as we meet with our young patients in the privacy of our offices, we feel those bureaucratic beasts breathing down our necks. If, just as Watergate’s Deep Throat advised, we “follow the money,” we see the profound influence that these entities have had on the important work we do. Hospital beds and inpatient settings are disappearing. Every day, child therapists are asked to do more with fewer resources in less time. Paperwork, legal matters, and compliance with state and federal regulations have, like greedy little Pacmen, rushed in ahead of patients to gobble up clinicians’ time.

This readable guide for therapists and therapists-in-training lays out the theoretical essence and practical essentials of doing child and adolescent psychotherapy from the referral call to the last goodbye.

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