Overview

What should a therapist do when a patient reveals critical information at the end of a session? It's a near-universal experience among mental health practitioners: a patient drops a bombshell--a critical disclosure that moves the treatment forward--on their way out, with a hand on the doorknob. This ""doorknob moment"" creates a stressful dilemma for clinicians, especially when the patient is distraught. Should the clinician end the session on time, or run over and be late for the next patient? Here, seasoned psychiatrist Daniela V. Gitlin provides clinicians with a clear, evidence-based answer. By conceptualizing the functional differences between patient and therapist in the treatment relationship as a metaphor for the functional differences between right and left cerebral hemispheres, Gitlin's argument yields a comprehensive explanation for why doorknob moments occur, why they are necessary to prevent treatment stagnation, and why ending on time makes patients feel safer to deliver them.

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Daniela V. Gitlin, MD, is a psychiatrist in private practice in Plattsburgh, New York. Her first book, Practice, Practice, Practice: This Psychiatrist's Life, was selected as a Finalist by the 2021 International Book Awards in the Health: Psychology and Mental Health category. As a seasoned performer, singer, voice actor, and narrator, Ann Sprinkle's voice has been described as warm, clear, friendly, fun, engaging, soulful, uplifting, and ""sunshine in a voice."" Her years of training as an opera singer, voice teacher, yoga instructor, speech language pathologist, and in medical education, along with her love of comedy, psychology, biographies, and personal growth and development, make her the perfect fit for nonfiction, self-help/personal development, health and wellness, mystery/thriller, comedy, fiction, or children's books. Ann received a Master of Music degree in voice from The San Francisco Conservatory of Music, and a Master of Science in speech language pathology. Her storytelling credits include narration of multiple audiobooks, VO, film, and leading and supportive roles in opera, musical theater, and theater in venues across the United States. Her background has given her a breadth of experience, knowledge, and a variety of characters and styles that contribute to her audiobook narration skills. She is most at home with comedic characters, playing the evil villain, teaching new skills, or when providing a voice of inspiration to others in the personal growth genre. Ann is also the owner and founder of Viable Voice & Speech, LLC. She provides voice and speech therapy services, including transgender and gender affirming voice services, professional speaking and coaching services, speech sound disorders (articulation and phonology), fluency/stuttering therapy, accent modification/English pronunciation services, and more to clients in Nevada and California. More information is available at viablevoice.com. When not in her home audio recording booth narrating or working with clients to help them to find their own, unique voice, you might find her hiking, listening to music, doing yoga, or puzzling.

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