EssayAug 27
The 2 a.m. Problem
Almost none of this week's mental-health headlines were about the therapy hour. They were about 2 a.m., intake, triage — the seams where the relationship either holds or breaks.
5 min read
EssayAug 16
Engagement Is the Business Model. Alliance Is the Treatment.
A federal courtroom, two statehouses, and a congressional letter to the VA all asked the same question in one week: who is accountable for the person on the other end?
4 min read
EssayAug 2
The 167 Hours Nobody Is Regulating
Seven states have now drawn a hard line around the therapist's chair. The demand that pushed 8.2 million young people toward chatbots is still sitting outside it.
5 min read
EssayJul 26
The Chatbot-Therapist Era Is Ending. What Replaces It Matters More.
Psychiatrists, statehouses, and venture capital rarely agree on anything. This month they converged on the same verdict about who should hold the clinical relationship.
4 min read
EssayJul 15
AI Is Already in the Therapy Room. The Question Is Who's Holding the Reins.
77% of psychologists say their patients already use AI for support. The debate isn't a forecast — it's a status report, and the real story is the six days and twenty-three hours between sessions.
4 min read