I write here as a psychotherapist who sometimes comes across maladaptive daydreaming (MD) in clients, most often self-reported. As always, I write primarily as a learning tool for myself and secondarily to share what my others might find [...]
An international group of 30 researchers and clinicians, including many leading specialists in dissociation, has published a position paper on maladaptive daydreaming in The British Journal of Psychiatry. It argues that maladaptive daydreaming should should be formally recognised [...]
Maladaptive daydreaming (MD) involves becoming deeply absorbed in vivid fantasies that feel difficult to control and begin to disrupt everyday life. A large review published in 2025 found that people with more severe MD also tended to report [...]
Recently, clients increasingly ask me: what are self-states? I don't know why! Maybe it's trending on TikTok? If you know, please tell me! In any case, I will give a short explanation here. Self-states: an outline Self-states are [...]
I often get asked for suggestions as to which mental health apps work best. These days, I also get the occasional request for AI-powered therapy. But what do we know so far about the effectiveness of AI therapy [...]
World events such as the COVID-19 pandemic and extremely rapid developments in artificial intelligence have greatly increased the interest in virtual therapy or 'therapy bots'. But the ethics of these remain obscure, ill-defined and under-examined. This post takes [...]
