Therapy Watch: In a Slump

Has the economic downturn affected therapists' practices—either their client loads or the content of conversation during sessions? We asked the members of Psychology Today's Therapy Directory about their experiences. Many see no changes, but here are a few who do.

Changing Currents

"There has been a definite shift from relationship conflicts to financial anxieties. I've noticed a small increase in hopefulness as the national election nears, but clients are still holding their breath, suspended between wanting to trust that happier days will come again and waiting for the next economic storm." —Deah Curry, Kirkland, WA

No One is Immune

"The economy drives some people to contact me. A person can be earning a substantial income and yet feel the effects of rising prices, smaller bonuses, tighter credit, job insecurity, etc. People have spoken about the general tension in their offices. And as people are laid off, those who remain often have to carry a heavier workload, adding to the stress level." —Denise Lanes, New York City

Two-Sided Coin

"Being a Manhattan therapist during a Wall Street downturn, I get more referrals, but people have less money." —Anne Rettenberg, New York City

Running on Empty

"My practice has slowed down since April. I wonder if copayments are going toward gas money instead. I've had clients say the copays are expensive and they need to cut back the frequency of their sessions." —Anonymous, PA

Home Economics

"I have never been busier. I wonder if the impact of financial stress on couples is increasing their felt need for marital work, and propelling them to reach out for help." —Leslie Gustafson, Tustin, CA

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