Author: Patrick Dougherty

The Dark Side of Western Individual-Focused Psychotherapy

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How it Severs Our Connections to our Families, Ancestors, and Community—and How to Fix It

By Patrick Dougherty, M.A., L. P.
Nov. 1, 2025

Reflections on racism, war and patriarchal violence toward women

Ever since I became a therapist nearly 50 years ago, I’ve loved what I do. I love the feeling of continuously honing my craft, challenging myself, and finding new ways to help my clients. And over the years, I’ve watched, filled with awe and inspiration, as our field has made exciting breakthroughs in trauma treatment. But for a long time, when I was the one sitting on … Read More

Patrick Dougherty awaits a helicopter at the end of his tour.

How To Heal Personal and Collective War Trauma

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Image: Patrick Dougherty awaits a helicopter at the end of his tour in Vietnam.

I couldn’t talk about my war trauma until 1976, which was five years after I left Vietnam. This was four years before post-traumatic stress disorder was even formally recognized as a medical diagnosis. In 1979, I went to the Veterans Affairs for help. They told me I didn’t have enough war experience to warrant any support from them; that all my trauma actually came from my traumatic childhood, and had nothing to do with Vietnam. This is what they told just about every veteran back then.… Read More

Covid comes to Therapy

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For a few years now, I’ve worked with groups around the world to address collective trauma. Our focus is usually on something that had happened elsewhere and in the past: never had I imagined that, with the advent of Covid, I’d find myself so deeply entrenched in an immediate and ongoing collective trauma. One group of men, with whom I’d been working for many years, was particularly affected.

Given how close they’d become since we first began meeting, the move online naturally came as a disruption. While it was manageable at first, the energy in the group became increasingly muted … Read More

Enduring or Evolving – that is a choice

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2-3-2020

A letter to my clients, a letter to the world

Hi all, It has been several months since I wrote addressing the difficult world we are living in and thought the start of the year would be a good time to send out an email. What a year we have had collectively, let alone personally. And we have several months left in this year of this ongoing collective trauma that is causing so much social despair and anger, and also is often exasperating our personal issues. The toll on the mental health of the world, or our nation, and … Read More

War and its Impact on Families and Communities

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This is an international 7-month, biweekly group for War veterans, war survivors, 2nd or 3rd generation descendants, and bystanders who were traumatized by witnessing acts of war to explore how this trauma lives in them and their families and communities and what to do about it.
Registration ends on the 31st and only a few places left. It is free.
I am very happy to be co-facilitating this group.

War & Its Impact on Families and Communities – Global

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Please Don’t Thank Me for My Service — Until You Welcome Me Home

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It has been fifty years since I was with the Marine Corps infantry in Vietnam, and time and distance have allowed me to see and feel some things more clearly. Two things surprise me: one is that I now actually feel some pride for serving my country. And the second is my clear sense that something could change for me and many vets with your help, significantly, and the surprise is that I am willing to say to you, “Please help us come home.”

War is an ugly business, and those of us who come home can carry painful baggage. … Read More