Why I Don’t Specialize in Anything

Keith R Wilson
ILLUMINATION
Published in
2 min readJan 23, 2024

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Image by Ian Baker

As a therapist, I could’ve had a specialty; but I wouldn’t be the kind of therapist I am.

I did some post grad work in family therapy and some more in substance abuse. I sought for ways to address the desire my clients had to quit using tobacco back in the days when few others were doing so. I ran therapy groups for sex offenders. For more than thirty years I had a caseload full of victims of trauma, depression, bipolar disorder, and anxiety disorder. I sought clients with borderline personality disorder, when most thought they were untreatable. I could have specialized in any one of these conditions and turned away clients without them, but I’ve always resisted specializing in anything.

As a therapist, I could’ve had a specialty; but I wouldn’t be the kind of therapist I am.

I did some post grad work in family therapy and some more in substance abuse. I sought for ways to address the desire my clients had to quit using tobacco back in the days when few others were doing so. I ran therapy groups for sex offenders. For more than thirty years I had a caseload full of victims of trauma, depression, bipolar disorder, and anxiety disorder. I sought clients with borderline personality disorder, when most thought they were untreatable. I could have specialized in any one of these conditions and turned away clients without them, but I’ve always resisted specializing in anything.

Keith R Wilson is a mental health counselor in private practice and the author of three self-help books, three novels, and innumerable articles. Subscribe to his Substack, The Reflective Eclectic

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