The clinical reference library for working therapists.

Thoughts, feelings, and behaviors are interlocking — change one and the others move.

A 12-session protocol for PTSD that targets stuck points — the beliefs trauma left behind.

Stop fighting your inner experience; start moving toward what matters.

Acceptance and change, held together — a skills-based therapy for emotion dysregulation.

A structured first hour: socialize the model, build a problem list, set one collaborative goal, and assign a tracking task.

Pre-treatment isn't therapy yet — it's the conversation about whether and how you'll do this work together.

Make room for what hurts, get clear on what matters, and start doing what matters even when it hurts.

Introduce parts language, locate Self-energy, and let the client meet one protector with curiosity.

Subjective, Objective, Assessment, Plan — the audit-ready progress note in under 10 minutes.

Data, Assessment, Plan — the leaner cousin of SOAP, well-suited to therapy.

The intervention-forward note format used in community mental health and substance use.

From presenting problem to measurable goals, objectives, and interventions.

High-achieving professional in a third depressive episode; perfectionism and overwork mask collapsing functioning.

Graduate student with chronic worry, somatic tension, and a belief that worrying prevents bad outcomes.

Contamination OCD with 4-hour daily ritual time; reassurance-seeking from family; minimal insight at intake.

PTSD after a serious motor vehicle accident 14 months prior; avoiding driving, intrusive imagery, sleep disruption.

DBT is CBT plus dialectics, mindfulness, and emotion-regulation skills — built originally for chronic suicidality and emotion dysregulation.

Both use the brain-body link to process trauma; EMDR uses bilateral stimulation with an 8-phase protocol, Brainspotting uses fixed-eye position and is more process-driven.

Both work with internal parts of the self; IFS adds a non-pathologizing parts taxonomy and the concept of Self as inherent.

ACT vs CBT: CBT targets distorted thoughts directly through cognitive restructuring; ACT targets the relationship with thoughts via acceptance, defusion, and values-led action. Both are evidence-based; they suit different clients.

Nine-item self-report screen and severity measure for depression, mapped 1:1 to DSM criteria.

Seven-item screen and severity measure for generalized anxiety symptoms; also reasonable for panic, social anxiety, and PTSD as a non-specific anxiety indicator.

Twenty-item self-report aligned with DSM-5 PTSD criteria — provisional diagnosis, severity, and symptom-cluster scores.

Ten-item WHO screen for hazardous, harmful, and dependent alcohol use.

Developmental brain, family system, and a still-forming identity — modalities and stance both need adjusting.

The relationship is the client. Your job is to track the pattern, not to be the umpire.

Affirmative care isn't a modality — it's a stance that runs through everything else.

Late-diagnosed ADHD and autism in adults need affirmative, skills-forward work — not pathologizing.

Intrusive obsessions paired with compulsions that temporarily relieve anxiety and reinforce the loop.

Persistent low mood, anhedonia, and behavioral withdrawal; thinking turns rigid and self-critical.

Chronic worry across multiple life domains, often with intolerance of uncertainty.

Recurrent panic attacks plus fear of future attacks; often with agoraphobic avoidance.

All parts-based models and a model-agnostic protocol for doing the work in session.

Managers, firefighters, exiles and Self-energy, with interactive parts-mapping tools.

The dissociation continuum and a four-phase scaffold for trauma treatment.

Polyvagal-informed practice, the window of tolerance and bottom-up stabilization.