Dear Client

    The thoughts I don't say in session. The moments that stay with me after our time ends. The parts of our work that don't make it into the chart.

    These notes come from years of practice. They are not about any one client or conversation.

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    The Two Tissues

    Dear Client,

    I knew there were only two tissues left in the box today. As you were crying, I briefly considered shifting the conversation so you wouldn't need to use your sleeve.

    I didn't.

    Feb 23, 2026 · Dr. Courtney Domenico