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Boundary Violations in Psychotherapy – A Personal Case Study

My Therapist Needed a Good Therapist but Used Me Instead

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Tag: therapy

The Confidence Paradox: Why Therapists May Not Know How Effective They Really Are

Research indicates that therapists often overestimate their effectiveness, with many believing most clients improve, despite evidence showing typical deterioration rates of 5-10%. The more self-confident a therapist, the more blind to their clients' deterioration they may be. This post sums up published research into therapists' blind spots.

Matt research Leave a comment August 14, 2025August 14, 2025 4 Minutes

PS: The Apology I Wish I’d Gotten

I wrote the apology I wish Sam had had the courage to write to me. (Warning, really long and totally theoretical.)

Matt Matt's Theorizing 1 Comment July 16, 2024February 13, 2025 26 Minutes

The Reversiest of Roles

When Sam's niece dies suddenly, I became her therapist comforting her.

Matt Includes Recordings, Narrative of the Case Leave a comment February 29, 2024July 4, 2025 2 Minutes

Three Months of Hell

We went back to twice weekly sessions, but it only made things worse as Sam disclosed more and more, making me feel closer and closer as she both implied and explicitly spoke about our intimate relationship.

Matt Facts of the Case, Includes Recordings, Matt's Theorizing Leave a comment February 29, 2024March 17, 2025 11 Minutes

An Expert Weighs In

The professional judgement of Dr. Paul Appelbaum, a world renown forensic psychologist, with opinions as to how Sam "markedly deviated" from her responsibilities as a therapist.

Matt Background on Terminology, Facts of the Case, Includes Primary Material, Outside Sources Leave a comment February 22, 2024January 7, 2026 8 Minutes

The First Next Session

Despite my initial desire to end things, Sam persuades me to continue seeing her. What a mistake.

Matt Facts of the Case, Includes Recordings Leave a comment February 22, 2024January 4, 2025 5 Minutes

Letter to Sam

My goodbye letter to Sam. (Spoiler, it didn't stick, and that's why there's more of this blog.)

Matt Facts of the Case, Includes Primary Material Leave a comment February 20, 2024July 15, 2024 8 Minutes

“I love You. I am Deeply Immersed With You.” — Sam

The relationship with Sam became blurred as she used suggestive language and pushed for more frequent, insurance-questionable sessions. Our dynamic came to a head when Sam admitted to seductive behavior and told me she loved me.

Matt Facts of the Case, Includes Primary Material, Includes Recordings, Narrative of the Case Leave a comment February 20, 2024April 20, 2025 11 Minutes

“Sometimes what feels like love is just love.” — Sam

In which I develop feelings for Sam and tell her I'm having transference, which she dismisses, telling me it's just love.

Matt Includes Recordings, Narrative of the Case, Outside Sources Leave a comment February 19, 2024April 20, 2025 3 Minutes

In Which I Have Two Dreams

I am a vivid dreamer and Sam was a prolific note-taker of my dreams. After all her pushing about our "relationship," she finally appeared in two dreams of mine, which I'll recount here.

Matt Includes Primary Material, Narrative of the Case Leave a comment January 31, 2024April 20, 2025 3 Minutes

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