Behind Closed Doors: Sex Therapists

o Along the way, gifts may be exchanged, debts waived (erasing the boundary that keeps therapy businesslike), and personal services rendered. Not all boundary violations lead to sexual misconduct , and some may be justified ( for example, sending flowers to a patent who, after years of struggle with infertility, has given birth). But anything that blurs the distinction between therapy and rest of life, or between the role of "therapist" and "friend," deserves serious second thoughts.

o A therapist who talks excessively about himself or offers to drive you home is showing a dangerous tendency to fudge the hard line between life and therapy.

An occasional empathic pat or hug can be nurturing and therapeutic, but if any contact feels wrong to you, it is wrong. Don't hesitate to say no, seek another opinion or, if you feel in danger, walk out. In therapy, "let the buyer beware" translates into "trust your feelings."

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