Issy Kleiman, MA, LMFTFind care

Writing & reflections

Writing on mental health, relationships, and lived experience.

Essays & Reflections Blog

Essays and practical articles by Issy Kleiman, MA, LMFT, AAMFT Approved Supervisor, on clinical work, relationships, and personal experience.

Blog

In-Person or Online: Getting the Right Anxiety Care in Washington, Whichever Format You Choose

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Supervision6 min read

Supporting associates toward licensure: what good supervision makes possible

Licensure is a professional milestone, but becoming a therapist is more than completing a checklist. Thoughtful supervision helps associates build sound judgment, confidence, and a sustainable way of practicing.

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Perinatal mental health7 min read

Perinatal mental health needs room for ambivalence

The transition into pregnancy, birth, and parenthood can hold joy, grief, fear, relief, and identity change at the same time. Making room for mixed feelings is part of taking the whole experience seriously.

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Couples therapy6 min read

What the Gottman Method can offer couples in a hard season

When the same conflict keeps returning, it can start to feel like proof that one partner is the problem. The Gottman Method offers couples practical ways to understand patterns, communicate, and make room for repair.

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Affirming care6 min read

Supporting neurodivergent clients with affirming care

Affirming therapy starts with respect for a client’s way of moving through the world. It asks not only what is difficult, but how environments, expectations, and support needs shape that experience.

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Adolescents6 min read

When anxiety shows up in adolescence

Adolescent anxiety does not always look like visible worry. It can show up as avoidance, irritability, perfectionism, physical complaints, or a body that never seems to settle.

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Integrated care6 min read

When to consider medication alongside therapy

Therapy and medication do different kinds of work. For some people one is enough; for others, coordinated care can offer additional support. The decision should be collaborative and specific to the person.

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These essays and articles draw on clinical work, supervision, and personal reflection. If there’s a question you’d like me to explore, send me a note.