Skip to main content

BrettPsych

What “Sex Positive Therapy” Actually Means

The phrase “Sex Positive” shows up on a lot of therapist profiles these days, including mine. But clients have told me they clicked on it without fully knowing what it promised. So let me spell out what it means in my office. It Means You Don’t Have to Translate A lot of people spend their […]

ADHD Isn’t a Discipline Problem

I work with a lot of creative people, and a good number of them have ADHD. Diagnosed, undiagnosed, or somewhere in the long waiting room in between. The sentence I say most often in those sessions: you don’t have a discipline problem. You have a brain that runs on interest, not importance. Those are different […]

Because It Is a Skill You Never Learned

For a lot of people, doing nothing was never neutral. If you grew up in a home where love tracked achievement, or where the mood could turn and staying busy kept you useful and out of range, your nervous system filed rest under unsafe, and productivity became less a habit than a shelter. Fast forward […]

Success: Achieving It, and What It Costs

I’ve spent more than twenty years sitting with people who work hard at what they do. Actors, artists, content creators, teachers. People building lives out of their own effort and talent. And here’s one of the quiet secrets of my profession: a lot of them come to therapy not in spite of their success, but […]

A Gay Son and His Mother: An Uncommon Bond

Four years ago today I lost my mother. What we had, at its core, was a kind of mutual understanding: we simply got each other. She was my biggest cheerleader, and no one held more hope for my success, personally or professionally. I have a husband and people in my life who love and support […]

What the Body Knows About Love

After more than twenty years of sitting with people as they talk about love, the thing that strikes me most is how much the body already knows, tensing or softening long before we understand what we’re feeling. We tend to talk about love as something that simply happens to us, a spark we either feel […]

Chemsex, Shame, and Why It Is So Hard to Talk About

Chemsex refers to using substances like methamphetamine, GHB, or mephedrone during sexual encounters. It happens across many communities, though it tends to be talked about most in the context of gay men and queer social circles, where certain drugs have become deeply embedded in nightlife and hookup culture over the past few decades. Even so, […]

When Envy Gets Cast

You scroll past the announcement. Someone you trained with just booked the role, got the gallery show, and landed the national tour. The feeling that follows isn’t exactly happiness for them, and you know it. That’s envy, and if you work in the arts, you’ve probably felt it more than you’d like to admit. It […]

Pride, Visibility, and What’s Underneath the Celebration

It’s June, which means rainbow flags, parades, and parties. For a lot of LGBTQ+ folks, though, Pride Month carries more emotional complexity than the marketing suggests. It can hold real joy and real weight at the same time, and both deserve space. Pride Was Never Just a Party It’s easy to forget that Pride started […]

When Generosity Starts to Feel One-Sided

The Difference Between Helping and Feeling Used Most people want to be there for the people they care about. Offering support, covering a meal, helping someone through a difficult time, or lending money can all be meaningful expressions of connection. Healthy relationships often involve a natural give-and-take that shifts over time. Problems can arise when […]