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One of the first things I discovered was that there was really no playbook for how to be a therapist. As with meditation, it had to be figured out from the inside. There was no script to

follow when sitting with a patient, no “right way” to handle things, only a set of ethical guidelines and a trust that listening “with a third ear” would help shape a useful response and serve a useful purpose. Each person, each visit, and each issue required an improvisatory spirit that kept me on my toes, much as I had felt when practicing mindfulness on my first silent retreats. I have had wonderful teachers, supervisors, and therapists, but, even in my first days, while still in training, once the door closed and I was alone with my patient, no one knew what I might do or say, least of all myself.