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Filtered field notes — Therapy.

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All therapy posts.

Sorted newest first. Each post links primary sources and methodology.

Schizoid Personality Disorder: What Clinicians Miss and What Clients Are Trying to Say

Schizoid personality disorder is one of the most misunderstood diagnoses in clinical practice. Here's what the lone wolf is actually telling you — and how to actually help.

Apr 16, 2026 Matthew Sexton, LCSW

Complex PTSD: When Single-Trauma Frameworks Fail Your Healing

Complex PTSD is not just PTSD with extra symptoms. It's a fundamentally different injury that requires phase-based, multimodal treatment and the willingness to see trauma as systemic.

Mar 24, 2026 Matthew Sexton, LCSW

What to Expect in Your First Therapy Session

Your first therapy session can feel intimidating. Here's exactly what happens — no surprises, no mystery — so you can walk in feeling prepared.

Mar 16, 2026 Matthew Sexton, LCSW

What Does Evidence-Based Therapy Actually Mean?

You've heard the term evidence-based therapy — but what does it actually mean? A licensed therapist breaks it down in plain English.

Mar 16, 2026 Matthew Sexton, LCSW

Mental Health Therapy for Healthcare Workers and Transplant Patients: When Caregivers and Survivors Need Care

Therapy, coaching, and consulting all promise to help — but they're fundamentally different. Here's how to know which one is right for you.

Mar 16, 2026 Matthew Sexton, LCSW

Signs You Need Therapy — Not Just Self-Help

Self-help has its place. But when the books, podcasts, and journaling aren't moving the needle, it might be time for something more. Here's how to tell the difference.

Mar 16, 2026 Matthew Sexton, LCSW

Therapy for High-Functioning Anxiety: When Success Masks Suffering

You hit every deadline, exceed every expectation, and no one knows you're drowning. High-functioning anxiety is real — and it doesn't get better by performing harder.

Mar 16, 2026 Matthew Sexton, LCSW

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