Maya Hollister 
Priya, a 26-year-old graduate student in Boston, Massachusetts, had been bingeing and purging multiple times a day for almost five years. She had told one therapist about it, briefly, four years ago. Her boyfriend knew, more or less. Her family did not. The Saturday night that ended her secret began like most Saturday nights: a … Read more
Elena, a 36-year-old graphic designer in Minneapolis, had been in individual therapy for six years and felt like she was talking in circles. Her therapist suggested adding a Tuesday-evening interpersonal process group at a downtown clinic—seven members plus two co-leaders, weekly, indefinite duration. Elena resisted for three months. Talking about her marriage in front of … Read more
Renee, a 39-year-old in Albuquerque, hadn’t filed a tax return in four years. Her bipolar disorder had ended her project management career in 2022, and the thought of opening a 1040 sent her into shutdown spirals. In February of 2026, her older brother flew out for the weekend, made a pot of coffee, and walked … Read more
The Gap Between Wanting Help and Getting It You have done the hard part. You have admitted to yourself that the anxiety, the depression, or the constant exhaustion is not something you can simply think your way out of. You have accepted that professional support is not a luxury but a legitimate medical need. Then … Read more
Daniel, a 28-year-old line cook in Pittsburgh, lost his employer health insurance the day his restaurant closed for renovation. He’d been seeing a therapist twice a month for panic attacks that started during the pandemic, and the prospect of losing that work mid-treatment sent him into a fresh spiral. His therapist quoted $185 per session … Read more
When Daniel Hwang got out of his second residential rehab in Delray Beach, the discharge counselor handed him a brochure for a sober house ten minutes away. Daniel had bipolar I disorder. He had been stabilized on lithium and quetiapine for almost two years. The medications were the reason he had finally been able to … Read more
Father Luke, a Jesuit spiritual director in Saint Louis, Missouri, met with Elena once a month for two years before he gently suggested she also see a therapist. Elena, a 44-year-old hospital chaplain, had come to him originally for help discerning whether to pursue a doctorate in pastoral care. The discernment work was rich. Their … Read more
The Moment You Realize You Cannot Wait Any Longer There is a specific kind of exhaustion that comes from pretending to be fine. You attend meetings. You answer phone calls. You make dinner. But underneath the surface, something has been quietly unraveling for weeks or months. Then one night, you cannot sleep. Again. Your chest … Read more
Marcus, a 47-year-old construction foreman from Tulsa, Oklahoma, decided on a Sunday afternoon that Monday would be the day. He had been drinking a fifth of vodka most days for nearly fifteen years, with the occasional binge weekend stretching that to a half-gallon. His wife had begged him to stop. His doctor had warned him … Read more
The First Question Most Patients Never Ask Out Loud You have finally decided to seek help. Maybe the anxiety has been keeping you awake until 3 a.m. for months. Maybe the depression has made even small decisions feel impossible. Or maybe someone you trust gently suggested that the constant irritability you are experiencing is not … Read more