Dr Steffanie Seaver Psy

In Treatment Ambivalence | Psychology Today

The show. In case you missed it (and with a viewership of only 657,000, most of you have), HBO has an Emmy- and Golden Globe-winning fictional drama about therapy. Each week we eavesdrop on four sessions between Dr. Paul Weston (Gabriel Byrne) and his patients as well as one "supervision" session with Dr. Gina Toll (Diane Wiest). The half-hour episodes are wrought with conflict, awkward moments, boundary testing, statements dripping with layered meaning and the inevitable cliffhanger. Entertaining for all, conflictual for me.

Drinking Game : take a shot every time someone makes an assumption, questions the validity of therapy and/or storms out of the session early. Speaking of ambivalence, Paul can't decide if he wants to be Gina's friend, supervisee or patient. Either one is fine, a combination is not. Paul is an analytic therapist who sees his patients in his home. This isn't unheard of, many therapists practice from a home office. But his consultation room is his living room, and patients use his bathroom with a fully stocked medicine cabinet. For a shrink who isn't very good with boundaries, this spells trouble. In the eleven weeks represented in the series, Paul has dined at this nightmare buffet: a suicide attempt and a miscarriage in his office, a child abuse report, a minor patient flashing him, the death (potential suicide) of a patient, an emotional affair with a patient, his divorce , estrangement from his kids, a lawsuit and a disgruntled former patient stalking him. Keep this up and psych grad school applications will plummet. I'm a big fan of leaving work at work, of not letting psychology become both my career and my hobby. I break that rule every night I select it from my TiVo list. It's got flaws, but it's real enough to feel like a continuation of my workday. Which brings me to:

The Pros:

The writers may not have Ph.D.'s, but they get a lot right about therapy.

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