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Nicole Arzt's Substack

I distill advanced clinical topics into understandable content for clinicians of all levels of experience.

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What Exactly Does"Doing Trauma Work" Mean?

An intuitive, gentle guide for new therapists mystified by this elusive term

You Probably Don’t Need Another Professional Certification

Exploring the incessant alphabet soup of modern therapy

The Therapist's Tolerance for Uncertainty

On anxiety, reassurance, inner trust, and the clinical work of perpetually not knowing

Can Therapists Love Their Patients? Can Patients Love Their Therapists?

What 140 years of psychotherapy have taught us about attunement, attachment, and the edges of ethical care

Therapists, Do You Know What Your Patients Fantasize About?

Why fantasies about escape, revenge, fame, suicide, and transference deserve our utmost curiosity

"Doing No Harm" In a World Where Psychotherapy Can Hurt and Get It Wrong

A deep analysis of what ethical practice asks of therapists

What Does It Mean For a Therapist to "Do Their Own Work?"

On where you meet yourself and where your patients meet you

Are All the Private Practice Therapists Side Hustling?

And what if you just want to do therapy and therapy alone?

Raise the Floor, Not Just the Ceiling

How we build stability and safety before pursuing dramatic transformation

"Don't Work Harder Than Your Patients" Is The Wrong Thing to Teach New Therapists

Rethinking one of the profession's most common training mantras

How Wounded Can the Wounded Healer Be?

Reflections on the human edges all psychotherapists carry within and throughout

Why Choosing a Theoretical Modality Feels So Ridiculously Hard for Therapists

It's not just you, but here are some solutions that can offer a roadmap