Fun fact: 80% of human communication is non-verbal. Think of the attitude and physical expression that drives the chef’s kiss gesture. That gesture says so much more than the word delightful.

Words floating free of our bodies (i.e. on paper or screen) are slippery and easily misinterpreted. That’s why writing is so hard. That’s the core problem with texting, making it a terrible way to communicate effectively. Yet, not only has texting become ubiquitous, expecting an immediate reply has too. Any delay arouses impatience, anxiety, or worse. Ghosting—

I bet you are asking yourselves: Doorknob bombshells? Doorknob bombshells in therapy? What is that?

A doorknob bombshell, also known as a doorknob moment, is a clinical phenomenon that occurs in a wide variety of settings. That’s when a patient drops distressing personal information critical to the treatment on their way out the door, hand on the doorknob, and then breaks down.                                 

What should a caring clinician do when a patient does that? It’s a near universal dilemma for clinicians.