Let’s imagine that in the course of a session, a client casually mentions something that feels big but the conversation moves beyond it quickly. As the therapist, we may have a sense that we need to go back to that big thing (such as a history of abuse or an upcoming grief anniversary or that they lost their job) but we may not know how or when to do so!

Or let’s imagine that a client hasn’t paid for their last four sessions. It’s become such a big anxiety that it feels impossibly hard to mention but there is a sense that it has to be brought up eventually. It feels both scary and critical!

This episode is all about how to know when to circle back to the elephant that is now in the room. We share how to talk about both the content-related bombs that have been dropped in sessions and the process-related pieces that are impacting the relationship, such as those outlined above.

Join us on Patreon for bonus content at www.patreon.com/edgeofthecouch or share your thoughts and questions via DM on Instagram @edgeofthecouchpod, email at [email protected], or voice note at speakpipe.com/edgeofthecouch.

We have partnered with Janeapp, an all-in-one practice management software. You can learn more at Jane.app/mentalhealth. Or, if you are ready to get started, mention Edge of the Couch in the note during sign up.

Alison McCleary
www.alpenglowcounselling.com
@alpenglow_counselling on Instagram

Jordan Pickell
www.jordanpickellcounselling.ca
@jordanpickellcounselling on Instagram

Edge of the Couch
www.edgeofthecouch.com
@edgeofthecouchpod on Instagram

We're taking the couch on the road! Join us between May 9th and May 24th, we'll be heading to 8 Canadian cities for a LIVE episode recording and a chance to connect with other therapists in your area. We hope to see you there! 

We are going on a cross-Canada tour in May 2026! Keep an eye out for dates!

Join us on Patreon for bonus content at www.patreon.com/edgeofthecouch or share your thoughts and questions via DM on Instagram @edgeofthecouchpod, email at [email protected], or voice note at speakpipe.com/edgeofthecouch.

We have partnered with Janeapp, an all-in-one practice management software. You can learn more at Jane.app/mentalhealth. Or, if you are ready to get started, mention Edge of the Couch in the note during sign up.

Alison McCleary
www.alpenglowcounselling.com
@alpenglow_counselling on Instagram

Jordan Pickell
www.jordanpickellcounselling.ca
@jordanpickellcounselling on Instagram

Edge of the Couch
www.edgeofthecouch.com
@edgeofthecouchpod on Instagram