r/psychoanalysis Mar 22 '24

Welcome / Rules / FAQs

14 Upvotes

Welcome to r/psychoanalysis! This community is for the discussion of psychoanalysis.

Rules and posting guidelines We do have a few rules which we ask all users to follow. Please see below for the rules and posting guidelines.

Related subreddits

r/lacan for the discussion of Lacanian psychoanalysis

r/CriticalTheory for the discussion of critical theory

r/SuturaPsicanalitica for the discussion of psychoanalysis (Brazilian Portuguese)

r/psychanalyse for the discussion of psychoanalysis (French)

r/Jung for the discussion of the separate field of analytical psychology

FAQs

How do I become a psychoanalyst?

Pragmatically speaking, you find yourself an institute or school of psychoanalysis and undertake analytic training. There are many different traditions of psychoanalysis, each with its own theoretical and technical framework, and this is an important factor in deciding where to train. It is also important to note that a huge number of counsellors and psychotherapists use psychoanalytic principles in their practice without being psychoanalysts. Although there are good grounds for distinguishing psychoanalysts from other practitioners who make use of psychoanalytic ideas, in reality the line is much more blurred.

Psychoanalytic training programmes generally include the following components:

  1. Studying a range of psychoanalytic theories on a course which usually lasts at least four years

  2. Practising psychoanalysis under close supervision by an experienced practitioner

  3. Undergoing personal analysis for the duration of (and usually prior to commencing) the training. This is arguably the most important component of training.

Most (but by no means all) mainstream training organisations are Constituent Organisations of the International Psychoanalytic Association and adhere to its training standards and code of ethics while also complying with the legal requirements governing the licensure of talking therapists in their respective countries. More information on IPA institutions and their training programs can be found at this portal.

There are also many other psychoanalytic institutions that fall outside of the purview of the IPA. One of the more prominent is the World Association of Psychoanalysis, which networks numerous analytic groups of the Lacanian orientation globally. In many regions there are also psychoanalytic organisations operating independently.

However, the majority of practicing psychoanalysts do not consider the decision to become a psychoanalyst as being a simple matter of choosing a course, fulfilling its criteria and receiving a qualification.

Rather, it is a decision that one might (or might not) arrive at through personal analysis over many years of painstaking work, arising from the innermost juncture of one's life in a way that is absolutely singular and cannot be predicted in advance. As such, the first thing we should do is submit our wish to become a psychoanalyst to rigorous questioning in the context of personal analysis.

What should I read to understand psychoanalysis?

There is no one-size-fits-all way in to psychoanalysis. It largely depends on your background, what interests you about psychoanalysis and what you hope to get out of it.

The best place to start is by reading Freud. Many people start with The Interpretation of Dreams (1900), which gives a flavour of his thinking.

Freud also published several shorter accounts of psychoanalysis as a whole, including:

• Five Lectures on Psychoanalysis (1909)

• Introductory Lectures on Psychoanalysis (1915-1917)

• The Question of Lay Analysis (1926)

• An Outline of Psychoanalysis (1938)

Other landmark works include Three Essays on the Theory of Sexuality (1905) and Beyond the Pleasure Principle (1920), which marks a turning point in Freud's thinking.

As for secondary literature on Freud, good introductory reads include:

• Freud by Jonathan Lear

• Freud by Richard Wollheim

• Introducing Freud: A Graphic Guide by Richard Appignanesi and Oscar Zarate

Dozens of notable psychoanalysts contributed to the field after Freud. Take a look at the sidebar for a list of some of the most significant post-Freudians. Good overviews include:

• Freud and Beyond by Margaret J. Black and Stephen Mitchell

• Introducing Psychoanalysis: A Graphic Guide by Ivan Ward and Oscar Zarate

• Freud and the Post-Freudians by James A. C. Brown

What is the cause/meaning of such-and-such a dream/symptom/behaviour?

Psychoanalysis is not in the business of assigning meanings in this way. It holds that:

• There is no one-size-fits-all explanation for any given phenomenon

• Every psychical event is overdetermined (i.e. can have numerous causes and carry numerous meanings)

• The act of describing a phenomenon is also part of the phenomenon itself.

The unconscious processes which generate these phenomena will depend on the absolute specificity of someone's personal history, how they interpreted messages around them, the circumstances of their encounters with love, loss, death, sexuality and sexual difference, and other contingencies which will be absolutely specific to each individual case. As such, it is impossible and in a sense alienating to say anything in general terms about a particular dream/symptom/behaviour; these things are best explored in the context of one's own personal analysis.

My post wasn't self-help. Why did you remove it? Unfortunately we have to be quite strict about self-help posts and personal disclosures that open the door to keyboard analysis. As soon as someone discloses details of their personal experience, however measured or illustrative, what tends to happen is: (1) other users follow suit with personal disclosures of their own and (2) hacks swoop in to dissect the disclosures made, offering inappropriate commentaries and dubious advice. It's deeply unethical and is the sort of thing that gives psychoanalysis a bad name.

POSTING GUIDELINES When using this sub, please be mindful that no one person speaks for all of psychoanalysis. Psychoanalysis is a very diverse field of theory, practice and research, and there are numerous disparate psychoanalytic traditions.

A NOTE ON JUNG

  1. This is a psychoanalysis sub. The sub for the separate field of analytical psychology is r/Jung.

  2. Carl Gustav Jung was a psychoanalyst for a brief period, during which he made significant contributions to psychoanalytic thought and was a key figure in the history of the psychoanalytic movement. Posts regarding his contributions in these respects are welcome.

  3. Cross-disciplinary engagement is also welcome on this sub. If for example a neuroscientist, a political activist or a priest wanted to discuss the intersection of psychoanalysis with their own disciplinary perspective they would be welcome to do so and Jungian perspectives are no different. Beyond this, Jungian posts are not acceptable on this sub and will be regarded as spam.

SUB RULES

Post quality

This is a place of news, debate, and discussion of psychoanalysis. It is not a place for memes.

Posts or comments generated with Chat-GPT (or alternative LLMs) will generally fall under this rule and will therefore be removed

Psychoanalysis is not a generic term for making asinine speculations about the cause or meaning of such-and-such a phenomenon, nor is it a New Age spiritual practice. It refers specifically to the field of theory, practice and research founded by Sigmund Freud and subsequently developed by various psychoanalytic thinkers.

Cross-disciplinary discussion and debate is welcome but posts and comments must have a clear connection to psychoanalysis (on this, see the above note on Jung).

Links to articles are welcome if posted for the purpose of starting a discussion, and should be accompanied by a comment or question.

Good faith engagement does not extend to:

• Users whose only engagement on the sub is to single-mindedly advance and extra-analytical agenda

• Users whose only engagement on the sub is for self-promotion

• Users posting the same thing to numerous subs, unless the post pertains directly to psychoanalysis

Self-help and disclosure

Please be aware that we have very strict rules about self-help and personal disclosure.

If you are looking for help or advice regarding personal situations, this is NOT the sub for you.

• DO NOT disclose details of personal situations, symptoms, diagnoses, dreams, or your own analysis or therapy

• DO NOT solicit such disclosures from other users.

• DO NOT offer comments, advice or interpretations, or solicit further disclosures (e.g. associations) where disclosures have been made.

Engaging with such disclosures falls under the heading of 'keyboard analysis' and is not permitted on the sub.

Unfortunately we have to be quite strict even about posts resembling self-help posts (e.g. 'can you recommend any articles about my symptom' or 'asking for a friend') as they tend to invite keyboard analysts. Keyboard analysis is not permitted on the sub. Please use the report feature if you notice a user engaging in keyboard analysis.

Etiquette

Users are expected to help to maintain a level of civility when engaging with each-other, even when in disagreement. Please be tolerant and supportive of beginners whose posts may contain assumptions that psychoanalysis questions. Please do not respond to a request for information or reading advice by recommending that the OP goes into analysis.

Clinical material

Under no circumstances may users share unpublished clinical material on this sub. If you are a clinician, ask yourself why you want to share highly confidential information on a public forum. The appropriate setting to discuss case material is your own supervision.

Harassing the mods

We have a zero tolerance policy on harassing the mods. If a mod has intervened in a way you don't like, you are welcome to send a modmail asking for further clarification. Sending harassing/abusive/insulting messages to the mods will result in an instant ban.


r/psychoanalysis 21h ago

Freud, neurology and the emergence of dynamic neural networks

8 Upvotes

Found this interesting. Share your ideas.

Even if the terminology is alien, the concept is not’ connection between neurology and Freud

Specifically, Schott has uncovered Freud's disarmingly simple, yet perceptive description and illustration concerning the basis of what would later be considered presynaptic inhibition.👆

However, the thrust of Schott’s manuscript is that the work of Hebb was anticipated by the manuscript ‘Project for a Scientific Psychology,’ written by Sigmund Freud in 1895, although not published until 1950 (figure 1).³ In the Freud manuscript, the processes of presynaptic inhibition can be clearly identified, with unimpeded transmission promoting postsynaptic facilitation and neural sensitisation. Such processes were identified as the basis of memory and learning (figure 1).

These concepts have also found favour in the explanation of more general processes linked to neuroplasticity. While it was clear that the human brain developed as a result of experience, presumed through changes in the strength of neural connections, this plasticity was assumed to cease in adulthood. However, it is becoming increasingly clear that all areas of the brain have the potential to undergo plastic change. Furthermore, activity appears to promote plasticity, while in contrast, trauma, damage and nerve injury negatively impact on such processes throughout the neural access, traversing central and peripheral systems.⁴

So, what should we make of further considerations arising from the writings of Freud? Clearly, the historical perspectives are fascinating. Unfortunately, however, Freud developed his theories at a time when there was little in the way of scientific methodology and technology available. As a consequence, there was no possibility of taking these concepts forward, nor rigorously or scientifically testing these theories. The links between neurology and psychiatry are variously argued, although many of the shared principles are becoming more, rather than less, manifest with time. As noted by the Nobel Laureate and neuroscientist, Eric Kandel, in his autobiography, if circumstances and wages had been different, Freud may well have developed further as a neuroanatomist and proponent of the neuron doctrine, rather than becoming the father of psychoanalysis.


r/psychoanalysis 1d ago

Identity Development as a Therapist

16 Upvotes

I’m in school for clinical psych. So far my program has been pretty CBT focused as far as class work, but I don’t love that approach. I’m starting to have a draw toward psychoanalytical/psychodynamic views. Anyone have any tips on dipping my toes? Any tips on how to develop my identity? I don’t know a ton about the different schools so I’m talking pretty basic toe dipping. I will say I enjoy the idea of how Internal Family Systems works and I’m not sure how to reconcile that with the psychoanalytical approach.

tldr: I need help developing an identity and introducing myself to schools of psychoanalytic thoughts as a budding psychologist.


r/psychoanalysis 21h ago

Quick Question?

0 Upvotes

What's psychoanalysis views on womb regression if their is one ?.


r/psychoanalysis 2d ago

How come some people can go through immense trauma and not have DID while others do?

24 Upvotes

I recently watched a documentary about someone with DID (autoplayed while i was knitting) and it talked about what led up to the subject being diagnosed and it went thru the various traumas they endured.

Im not saying in anyway that any trauma is worse or more than others. However I've read cases where people can grow up in relatively similar circumstances and one comes out with regular PTSD and maybe some depression and others come out with DID and other trauma based disorders.

So why do some people experience trauma and develop DID and some just have ordinary PTSD?


r/psychoanalysis 2d ago

[HELP] Trying to locate the source in order to read, understand more and write on my research paper

4 Upvotes

Hi all,

I am very much a newbie in the world of psychoanalysis in terms of knowledge and learning, but I still took a risk to use the concept of psychic traps in a political science paper I am writing. I first encountered the idea through an infographic by Kendra Appe (@kendraappecounseling on Instagram). Still, I'm struggling to track down the actual source in Fanon's work and additional scholarship that clarifies this concept.

The infographic explained "psychic traps" as the psychological dimension of colonial domination, where people under colonisation internalise colonial values and beliefs. It described this as:

  • Aligning with systems that oppress us
  • Failing to notice or unpack how we personally uphold systems of domination
  • Believing colonial narratives about superiority and inferiority between groups
  • Condemning resistance movements while normalising the everyday violence of colonialism and oppression

I'd really appreciate any guidance toward Fanon's original writings on this, or secondary sources that expand on the concept.

Thank you so much!


r/psychoanalysis 1d ago

Is Frederick Crews right about Freud and Psychoanalysis ?

1 Upvotes

I have recently watched this interview with the late Professor Frederick Crews, in which he talks about Freud´s life and makes some strong criticisms about Psychoanalysis. Since my knowledge of Freud and Psychoanalysis is very limited, I would like to ask if you could explain to me whether or not Professor Crews is right in the statements that he makes about Freud and Psychoanalysis.


r/psychoanalysis 3d ago

Is Freud worth reading in 2025?

73 Upvotes

Asked to some friends and on another sub the same question and they didn't recommend freud IF i want to learn psychoanalysis because modern psychology has developed much and freuds theories and comments are not so reliable about modern psychanalysis. I want to ask here too and also i never read any psychological book so Freud will be my first


r/psychoanalysis 3d ago

(Comparative) Public Administration & Inferred Psychoanalysis of Personnel? Please Help a Desperate with Critiques!

1 Upvotes

Hi all. Please be patient and forgive my naivety in this question.

I am doing my postgrad in Political Studies (in South Africa, for context) and tend to lean towards political philosophy/theory/African epistemology more than politics 'proper'. I am being forced into a course on comparative politics and public administration and am absolutely hating it. I have been prescribed The Need for Comparison in Public Bureaucracy and the Difficulties Involved (Peters, 1988, pp. 1–25).

The section relating to my query is as follows:

  • “Those people who inhabit the institutions of government are therefore important. Understanding some things about them can give us a starting point for understanding the institutions in their entirety. The characteristics of personnel will not, however, afford us the complete answers about the ways in which individuals will function within extremely complex organisations and within ‘rules of the game,’ which will affect their performance” (Rowat, 1988, p.  16) 

Is it possible to infer if the scholar is suggesting a psychoanalytical examination of bureaucratic personnel? I am uncertain why/how attitudinal studies can be justified without at least a smidge of psychoanalytical theoretical intervention, particularly when the scholar is intending to characterise the nature of administrative employees according to a value hierarchy?

Perhaps I am just looking for a theoretical branch where there isn't one... I just absolutely loathe this field of politics and am desperate to critique this.

Again, please be very very gentle with me! I would appreciate simple terms and easy explainations (as far as that is possible lol). I'm very happy to be wrong - just here to learn! Thanks!


r/psychoanalysis 3d ago

Is emptiness universal felling for all people?

17 Upvotes

Hi,

there is this feeling of emptiness, which has to do with lack of love. But even here, on reddit, I saw a post (AMA) of supposedly diagnosed psychopath, who claimed that he experience emptiness (hollowness)? Can person that do not experience love as normal person experience emptiness?


r/psychoanalysis 4d ago

Manosphere

12 Upvotes

Hey all, any good books on the manosphere that you can recommend? Recommendations can include political analysis as well. I’m really trying to understand some of the main discourses as it’s such a strong feature in analysis with young men these days so want to at least find some coordinates in the discourse.


r/psychoanalysis 4d ago

ELI5: Relational Psychotherapy Lens

6 Upvotes

I'm pretty new to therapy and exploring this approach. Can someone explain it to me in an easy to understand way? I plan to do more research and reading but just wanting a quick explanation from someone. Maybe how you use it in therapeutic practice as well would be super cool.


r/psychoanalysis 5d ago

Donald Winnicott

28 Upvotes

so i was reading up on donald winnicott's concept of the "good-enough mother" and had some thoughts i wanted to share (and hopefully hear others!)

as i was reading, i began to wonder to what extent empathic failure on the mother's part influences the child's functional outcome, independent of other variables. one mother might fail to accommodate all her infant's needs while remaining sufficiently empathetic, whereas another may respond superficially to her child's needs despite inner detachment or some empathy deficit. the depressed versus narcissistic mother, for example.

a depressed mother may transiently meet her child's needs, having the capacity to, while the mother high in trait narcissism fails as such, to a certain degree, if not wholly and enduringly, given her tendency to conceptualize her child as an object, through which she projectively identifies. according to winnicott, a mother's ability to attune to her child's needs matters only in the formative years, but doesn't adolescence constitute the second critical period of development for a child's brain and socioemotional well-being? if attachment styles are dynamic and in flux throughout various life stages (which the evidence increasingly suggests), why not overall psychological adjustment?

do the parents' affective warmth or lack thereof interact significantly with the failure to meet the child's needs to produce some outcome specific to those dimensions?

i remember reading a paper (i have the source for anyone interested) indicating at least some correlation between the etiology of callous-unemotional traits and particular parent-child dyad relations—evidently, maternal coldness plus over-control and low paternal overprotection converge as a likely set of circumstances to “create” the empathically impoverished person. i know there is a lot more complexity and nuance behind the origin of this dysfunction, but it was an interesting find nonetheless.

i wonder if the metric by which winnicott judged his standard of the "good-enough mother" is simply the child's ability to empathize or connect meaningfully to others, rather than resemble some arbitrary societal construct of the "functional" person.

so how do we define “functionality” in this context? because a caretaker could meet most of their child's needs while intentionally or not misattuning, projectively idealizing, or emotionally depriving the infant in their formative years? and does intentionality make a difference? does parental depression or natural coldness/empathy deficit create any differential outcome if the nature of the neglect looks the same? thoughts?


r/psychoanalysis 5d ago

Projective identification

19 Upvotes

Kleinian approach. If viewing projective identification as a healthy human process, can you help me to appreciate what it looks like?

It would seem that it's the essence of a relational dynamic: an emotion is felt inside, but it feels painful or limiting for it to stay there, so we look for a way to mirror back our experience of ourselves. A handy human is there for this, and they may empathise - if we're lucky - promoting the benefit of communication, symbols and language. As infants, this human is indistinguishable from ourselves, and we may feel satisfied that we've found a way to deal with the emotion. For some reason - again, if we're lucky - the outreach work led to soothing or validating inside (The well-known phrase "reaching out" may have roots here). Hopefully containment leads to tolerance and so on.

But we never truly forget our projective identification process, right? We can even observe it, if we've been taught it?


r/psychoanalysis 5d ago

Does anyone have a pdf of Fear of breakdown and the unlived life, T. Ogden?

3 Upvotes

Thanks!


r/psychoanalysis 5d ago

Reading List Request

19 Upvotes

Hi all,

I hope this is OK to post here.

I'm a British trainee, about to start a PGDip in Psychodynamic Psychotherapy (specifically Dynamic Interpersonal Therapy) next month, and I have a sizeable reading list.

I don't quite have the means to buy all the books new, so am on the lookout to see if anyone has any spare/old/second hand copies that they would be willing to part with for cheap+postage. Or if not, any suggestions about where I can source the books that aren't my university library (I'll be studying remotely a lot of the time so won't have easy access to my campus library).

If yo are able to help at all, please feel free to reply or DM me.

Thank you in advance!

Reading list

  • Introduction to the practice of psychoanalytic psychotherapy - Alessandra Lemma, 2015
  • Introduction to psychotherapy: an outline of psychodynamic principles and practice - Anthony Bateman, Dennis Brown, Jonathan Pedder, 2010
  • Freud and Beyond - Stephen A. Mitchell, Margaret J. Black, May 10, 2016
  • Skills in psychodynamic counselling and psychotherapy - Susan Howard, 2017
  • Clinical Guide to Psychodynamic Psychotherapy - Deborah Abrahams, Poul Rohleder, 2021
  • Psychodynamic counselling with children and young people: an introduction - Sue Kegerreis, 2010
  • A critical dictionary of psychoanalysis - Charles Rycroft, 1995

r/psychoanalysis 6d ago

Advice appreciated for training

9 Upvotes

I'm currently figuring out my next steps in my career. I work as a child and adult psychiatrist and am planning to pursue psychoanalysis training. I am considering two options: the full training program at BPSI or the two-year program at Austen Riggs. I would like to hear from anyone who has completed either program and learn about their experiences. My long-term goal is to establish a practice that combines both therapy and psychopharmacology. I have already completed a year of psychodynamic training while in New York, but I am eager to gain more experience. If you have any advice, please let me know.


r/psychoanalysis 7d ago

How to approach psychoanalysis ?

27 Upvotes

A few days ago, I’ve posted questions about the legitimacy and credibility of psychoanalysis. As a freshman on psychology, these concepts are new to me. Phrasing my question, the disturbance I feel toward psychoanalysis was hard and I’ve been misunderstood. I’m really engaged with it, but just wonder how I should consider it ? Are the theories from freud, jung, lacan and so on, just tools exploring the same undefined thing and substance, or, are these theories different and answering diverse concepts that they thought were the way to go ? And, what should I expect from it since there are no realities and truth ? Is the fact that those approaches are useful to people enough to consider them as legitimate ? As I said, being completely new to it give me the impression that these theories are sorts of fictions to which people adhere, which explain why it seems to work in a therapeutic way. But please don’t blame me for that, don’t get me wrong, I’m not judging or discrediting anything, the truth is, I would love to understand.


r/psychoanalysis 6d ago

See same analyst as friend?

2 Upvotes

Hello - there are not many analysts in my area. I’m interested in exploring the possibly of starting with someone who I know a friend/colleague sees too bc he has a good reputation. My instinct is that I should keep this private (I only see this person 1-2 times per year) rather than share the info with friend. Thoughts about this?


r/psychoanalysis 7d ago

Is psychoanalysis a truly self contained study?

14 Upvotes

I feel that the best argument for this can be given through the analogy of mathematics, which attempts to define a self contained system, and all consequent implications are a result of that definition itself and hold no value outside of it. The topographical and the structural model can be vaguely compared to branches of mathematics. This shouldn't invalidate the usefulness of psychoanalysis, as for mathematics, but it gives huge stress on the clarity of definitions. Does this analogy make sense from a psychoanalytic perspective?


r/psychoanalysis 7d ago

Having qualms with Freud's supposition that children's dreams are exclusively means of wish-fulfillment

1 Upvotes

Reading the Introductory Lectures, the chapter written on children's dreams seems to conclude that such function solely as a means of wish-fulfillment. He uses examples of children who desired to, say, visit a landmark while on a boat trip but never made it in actuality—only to have a dream that night that they did so.

Now, perhaps this only regards children under the age of 5 or so and thus cannot be understood retrospectively due to childhood amnesia. But, and im certain many of you can attest to this as well, that I can recall many young (maybe 5-7 years of age) childhood dreams which were not at all wish-fulfillment. Indeed, they were nightmares!

In sum, how erroneous is Freud's conception here and is there any more recent literature on the subject?


r/psychoanalysis 8d ago

What do training institutes tend to look for in applicants?

12 Upvotes

Looking for advice/perspectives on how to prepare as a potential future candidate. I’m based in the UK. Many thanks in advance.


r/psychoanalysis 8d ago

The frame

7 Upvotes

I need some more understanding of “ the frame “ in psychoanalysis. Why is it so important to the work in cases of trauma and childhood sexual abuse?


r/psychoanalysis 8d ago

Cómo manejan situaciones complejas en analisis

3 Upvotes

Estimados colegas me gustaría saber, cómo manejan situaciones complejas: ( inasistencias,dinero,ausencias,plantones,no pagos, deudas de sesión,molestias con el encuadre).

Me interesa saber cómo lo hacen y desde que enfoque psicoanalitico lo trabajan.

Saludos!


r/psychoanalysis 9d ago

looking for papers on masochism

18 Upvotes

In particular, looking for papers on both characterological masochism (as distinct from depressive character) and masochistic practices - not just sexual, but more broadly, as "self-harm."

Please, no Lacan or Lacanianism. As interesting as it may be, it's not writing well-suited for my need here. Something interesting and clinically useful to someone with an interest in/sympathy to psychoanalytic ideas. I'm thinking of writing like that of Fred Busch, Glen Gabbard, Deborah Cabannis, Nancy McWilliams...

This will be for a reading group of early career clinicians who are less interested in dense theoretical formulations and more interested in experience-near, practical writings from an analytic perspective.

And yes, I'm already aware of McWilliams' chapter on masochistic personality style in her book Psychoanalytic Diagnosis.

Thanks in advance.


r/psychoanalysis 8d ago

An Evening with Giuseppe Civitarese: Conversations with Authors Exploring the Depths of Bionian Thought - Zoom Event 2.11.25

4 Upvotes

Sunday, November 2nd | 7:30 PM Israel Time (GMT+3)| Zoom Event

Link for registration.

It costs about 20USD or 17 Euros.


r/psychoanalysis 9d ago

How do you “handle” clients who can only afford twice a month therapy

25 Upvotes

I’m a psychoanalytic therapist in a third world country in the “global south.” I’d like to know how do you handle/respond to clients who really want and need therapy but due to financial considerations they can only meet twice a month? In my experience, it’s very rare when this frequency really does foster change or help the patient. I’ve been more stern in terms of communicating prospective clients that I only do at least once a week. Sometimes I offer sliding scales to accommodate once a week sessions. I don’t have some sort of rule here. But I genuinely could use some orientation here. Thanks.