In the old days we used to get more referrals, because people had insurance that paid for therapy. Now they belong to HMOs, and we can only be affiliated with a few HMOs.

You have considerable power to construct self-helping thoughts, feelings and actions as well as to construct self-defeating behaviors. You have the ability, if you use it, to choose healthy instead of unhealthy thinking, feeling and acting.

I don't recommend that people speak their minds to their bosses or to somebody who's directly over them. You need to know when to speak your mind and what the penalty will be for doing so. Sometimes it's worth it, and often it's not!

There's no evidence whatsoever that men are more rational than women. Both sexes seem to be equally irrational.

People are terrified of other people or difficult projects because they tell themselves that they could fail or be rejected. Failure can lead to sorrow, regret, frustration and annoyance - all healthy, negative feelings without which people couldn't exist. But then they add, "I absolutely must succeed and must be loved by significant persons, and if I don't, it's terrible and I'm no good." Those are irrational beliefs. As long as people keep them, they'll be terrified of life and will put themselves down when they get rejected.

I get people to truly accept themselves unconditionally, whether or not their therapist or anyone loves them.

Is self-esteem a sickness? That's according to the way you define it. In the usual way it is defined by people and by psychologists, I'd say that it is probably the greatest emotional disturbance known to man and woman.