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An Insider Info-Dump on Where, When, and How to Find Help
Jan 12
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Diana Fox Tilson, LICSW
20
7
3
Writing Doesn't Make Me a Worse Mother After All
On overcoming the fear of being an art monster
Jan 6
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Diana Fox Tilson, LICSW
46
12
3
"Who could leave a sick person?" Ask a Therapist
A reader struggles with whether to leave a long relationship
Dec 30, 2025
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Diana Fox Tilson, LICSW
30
4
1
On being a therapist online: An interview with Diana Fox Tilson
Good words from a fellow therapist-slash-Substacker.
Published on Reality Test
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Dec 22, 2025
Christmas Sucks When You Had Shitty Parents
And it's the worst time of year to be a mom.
Dec 14, 2025
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Diana Fox Tilson, LICSW
68
26
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Most Popular
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Your Body Is Not Keeping The Score
Oct 26, 2025
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Diana Fox Tilson, LICSW
2,593
204
354
Your Husband Won't Pick Up the Mental Load If You Put It Down
Jul 26, 2025
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Diana Fox Tilson, LICSW
2,754
340
326
I Feel Sad About Anne Hathaway's Eyebrows
May 17, 2025
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Diana Fox Tilson, LICSW
1,323
173
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I Will Be Glad When My Mom Dies
May 31, 2025
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Diana Fox Tilson, LICSW
486
137
51
Forgiveness is Overrated
The protective benefits of "holding a grudge"
Dec 8, 2025
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Diana Fox Tilson, LICSW
109
39
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What Do We Owe Each Other?
On abdicating collective responsibility
Dec 1, 2025
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Diana Fox Tilson, LICSW
97
6
14
Would I Have Been Happier If I Never Had Children?
We'll never know.
Nov 24, 2025
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Diana Fox Tilson, LICSW
206
46
15
“I have been having a bit of a spiral since reading your series…” – Ask a Therapist
A therapist wonders how to correct misinformation she shared with clients in the past
Nov 10, 2025
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Diana Fox Tilson, LICSW
23
2
1
Fascism Is Bad For Your Nervous System
Telling me to breathe deeply won’t help.
Nov 3, 2025
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Diana Fox Tilson, LICSW
41
14
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Your Body Is Not Keeping The Score
Debunking Ableist Pseudoscientific Pop Psychology, Pt 3
Oct 26, 2025
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Diana Fox Tilson, LICSW
2,593
204
354
"How do I accept myself and stop my self-loathing?" Ask a Therapist
A reader wonders how to accept her body after a lifetime of body dysmorphia.
Oct 19, 2025
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Diana Fox Tilson, LICSW
61
7
2
You Don't Need to Release Your Trauma
Debunking Ableist Pseudoscientific Pop Psychology Books, Part 2
Oct 12, 2025
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Diana Fox Tilson, LICSW
265
35
21
I Like Getting Yelled At On the Internet
Celebrating One Year of Other Interests
Oct 5, 2025
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Diana Fox Tilson, LICSW
46
7
2
Your Personality Does Not Cause Cancer
Debunking Ableist Pseudoscientific Pop Psychology Books, Part 1
Sep 28, 2025
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Diana Fox Tilson, LICSW
248
48
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“How Do I Learn to Cope When My Needs Consistently Aren't Met?”
Welcome to the first installment of Ask a Therapist!
Sep 20, 2025
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Diana Fox Tilson, LICSW
134
23
8
Is Sally Mann an Art Monster?
The Questionable Ethics of Photographing Naked Children
Sep 14, 2025
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Diana Fox Tilson, LICSW
60
36
2
Introducing "Ask a Therapist"
Send me your questions!
Sep 10, 2025
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Diana Fox Tilson, LICSW
11
3
1
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