Harvey D. Cottrell

04/01/2026

04/01/2026

Today, following the U.S. Supreme Court’s March 31, 2026 decision in Chiles v. Salazar, I want to state my position plainly and without ambiguity: as a licensed clinical social worker and trauma-informed therapist, I do not provide, endorse, refer for, or participate in so-called “conversion therapy” or any practice that attempts to change, suppress, or “correct” a person’s sexual orientation.

My position is grounded in professional ethics, clinical integrity, and established scientific evidence. Sexual orientation is not a disorder requiring treatment. There is no credible scientific evidence that therapy can change a person’s sexual orientation, and attempts to do so have been associated with harm. The American Psychological Association’s task force found that such efforts are unlikely to be effective and can involve risk, including depression, anxiety, and self-destructive behavior.

The American Academy of Pediatrics has likewise stated that therapies directed at specifically changing sexual orientation are not supported by the evidence and may provoke guilt, anxiety, and a sense of personal failure while interfering with healthy identity development.

The World Health Organization, through PAHO, has stated that services claiming to “cure” people with non-heterosexual orientation lack medical justification and represent a serious threat to health and well-being.

For that reason, my practice remains committed to care that is ethical, evidence-based, trauma-informed, and rooted in human dignity. I will support clients in living truthfully and safely, not in submitting to shame-based or coercive efforts to erase who they are.

There is nothing pathological about being gay, le***an, bisexual, or otherwise sexually diverse. No child. No adolescent. No adult needs to be “fixed.”

References

American Academy of Child and Adolescent Psychiatry. (2018). Conversion therapy. https://www.aacap.org/aacap/Policy_Statements/2018/Conversion_Therapy.aspx

American Association for Marriage and Family Therapy. (2009). Position on reparative/conversion therapy. https://www.aamft.org/AAMFT/About_AAMFT/Position_Statements.aspx

American Psychiatric Association. (2024). Position statement on conversion therapy and LGBTQ patients. https://www.psychiatry.org/about-apa/policy-finder/position-statement-on-conversion-therapy-and-lgbtq

American Psychological Association. (2009). Report of the Task Force on Appropriate Therapeutic Responses to Sexual Orientation.https://www.apa.org/pi/lgbt/resources/therapeutic-response.pdf

American Psychological Association. (2021). Resolution on sexual orientation change efforts.https://www.apa.org/about/policy/resolution-sexual-orientation-change-efforts.pdf

Blosnich, J. R., Henderson, E. R., Coulter, R. W. S., Goldbach, J. T., & Meyer, I. H. (2020). Sexual orientation change efforts, adverse childhood experiences, and su***de ideation and attempt among sexual minority adults, United States, 2016–2018. American Journal of Public Health, 110(7), 1024–1030. https://doi.org/10.2105/AJPH.2020.305637

Fenaughty, J., Tan, K., Ker, A., Veale, J., Saxton, P., & Alansari, M. (2023). Sexual orientation and gender identity change efforts for young people in New Zealand: Demographics, types of suggesters, and associations with mental health. Journal of Youth and Adolescence, 52(1), 1–16. https://doi.org/10.1007/s10964-022-01693-3

Fish, J. N., Watson, R. J., Porta, C. M., Russell, S. T., & Saewyc, E. M. (2020). Sexual orientation and gender identity change efforts are unethical and harmful. American Journal of Public Health, 110 8, 1113–1114. https://pmc.ncbi.nlm.nih.gov/articles/PMC7349462/

Green, A. E., Price-Feeney, M., Dorison, S. H., & Pick, C. J. (2020). Self-reported conversion efforts and suicidality among US LGBTQ youths and young adults, 2018. American Journal of Public Health, 110 8 , 1221–1227. https://doi.org/10.2105/AJPH.2020.305701

Pan American Health Organization. (2012, May 17). “Therapies” to change sexual orientation lack medical justification and threaten health. https://www.paho.org/en/news/17-5-2012-therapies-change-sexual-orientation-lack-medical-justification-and-threaten-health

Rafferty, J., Committee on Psychosocial Aspects of Child and Family Health, Committee on Adolescence, & Section on Le***an, Gay, Bisexual, and Transgender Health and Wellness. (2018). Ensuring comprehensive care and support for transgender and gender-diverse children and adolescents. Pediatrics, 142(4), Article e20182162. https://doi.org/10.1542/peds.2018-2162

Ryan, C., Toomey, R. B., Diaz, R. M., & Russell, S. T. (2020). Parent-initiated sexual orientation change efforts with LGBT adolescents: Implications for young adult mental health and adjustment. Journal of Homosexuality, 67(2), 159–173. https://doi.org/10.1080/00918369.2018.1538407

Salway, T., Ferlatte, O., Gesink, D., Lachowsky, N. J., Wang, J., Ryan, S., & Gilbert, M. (2020). Prevalence of exposure to sexual orientation change efforts and associated sociodemographic characteristics and psychosocial health outcomes among Canadian sexual minority men. Canadian Journal of Psychiatry, 65(7), 502–509. https://doi.org/10.1177/0706743720902629

Tran, N. K., Lett, E., Cassese, B., Streed, C. G., Jr., Kinitz, D. J., Ingram, S., Sprague, K., Dastur, Z., Lubensky, M. E., Flentje, A., Obedin-Maliver, J., & Lunn, M. R. (2024). Conversion practice recall and mental health symptoms in sexual and gender minority adults in the USA: A cross-sectional study. The Lancet Psychiatry, 11(11), 879–889. https://doi.org/10.1016/S2215-0366(24)00251-7

What We Know Project, Cornell University. (n.d.). What does the scholarly research say about whether conversion therapy can alter sexual orientation without causing harm? https://whatweknow.inequality.cornell.edu/topics/lgbt-equality/what-does-the-scholarly-research-say-about-whether-conversion-therapy-can-alter-sexual-orientation-without-causing-harm/

Williams Institute, UCLA School of Law. (2019, June 6). Conversion therapy and LGBT youth. https://williamsinstitute.law.ucla.edu/publications/conversion-therapy-and-lgbt-youth/

03/27/2026

This week I wrote something that has been living in me for a long time.

It began with a question I hear often in my work and in my own life:

Why doesn’t grief end?

And what I am coming to understand is this—

maybe it’s not supposed to.

Maybe grief is not something we “get over,”
but something we learn to carry.

Not as a burden,
but as a beautiful wound—
a place where love continues to flow.

This piece weaves together:

nonfinite grief
impermanence
ancestral memory
ritual and return
and the practice of staying present to what does not resolve

If you’ve ever felt like something was wrong with you because you couldn’t “move on”… this is for you.

A lélek tudja az utat.
The soul knows the way.

Harvey Cottrell, LCSW, Author of The Inner Room & The Deepest Yes

03/16/2026

I just published a new piece in The Inner Room exploring a question I see often in therapy and in life:

Why do human beings need belonging?

Psychologists sometimes use the phrase ontological security to describe the deep sense that life is stable, meaningful, and anchored in relationships. When families fracture, communities collapse, or relationships end, people often experience more than grief—they experience a disruption in identity itself.

In this essay I explore:

• why humans are not meant to live in isolation
• how belonging shapes identity
• why the collapse of ideal community can be so destabilizing
• how healing often begins through small acts of reconnection

And I end with a simple practice for the week: write three letters—to a friend, a family member, or someone who might be lonely.

Sometimes belonging begins again with something as simple as a handwritten letter.

If you’d like to read (or listen—Substack now allows posts to be played as audio), you can find it here.

Harvey Cottrell, LCSW The Inner Room

03/13/2026

This week I found myself thinking about a Hungarian phrase: ezüsthíd — the silver bridge.

It describes the path of moonlight across still water. You can see it clearly, shimmering like a bridge made of silver, even though you cannot walk across it. It exists only in reflection.

That image stayed with me as I wrote about something therapists often see in the inner life: the slow movement from disintegration toward alignment.

In contemplative language it has been called the dark night of the soul. In psychology we might talk about integration, reflection, or learning to hold our experience without being ruled by it. In ACT therapy we speak about returning to the anchor of the observing self, clarifying our values, and choosing actions that reflect the kind of person we want to become.

A friend also introduced me to a Greek phrase this week that captured the whole idea beautifully:

ὀρθὴ καρδία — orthē kardia — a rightly aligned heart.

Not a perfect heart.
Not a heart that has never known fear.

A heart that is beginning to turn in the right direction.

Even in a week filled with difficult news—war, hatred, and suffering—I keep returning to a line from a haunting Hungarian folk song:

“Szól a kakas már, majd megvirrad már.”
The rooster is crowing now, soon the dawn will come.

Sometimes healing begins not with full daylight, but with the first sound that dawn is on its way.

I wrote about that journey here.

https://open.substack.com/pub/thedeepestyes/p/the-psychology-of-a-rightly-aligned?utm_campaign=post-expanded-share&utm_medium=web

Harvey Cottrell, LCSW The Inner Room

03/12/2026

Part III is now live: Holding Truth Without Sameness — Staying Human Across Difference

This is the final piece in my three-part series on ethical communication and difficult conversations.

Part I explored what communication requires before we speak: truth, necessity, and kindness. It examined how dignity, release, and integrity ground our words so that we remain recognizable to ourselves even when the conversation is hard.

Part II turned toward what happens after we speak: the discipline of letting others have their response. It named the grief that lives inside release and the freedom that comes from no longer performing for the verdict.

Part III asks the next question:
What becomes possible after we release the outcome?

How do we remain in relationship across real difference when there is no shared interpretation, no immediate repair, and no guarantee of agreement?

This piece explores the courage of staying present without collapsing, hardening into contempt, or trying to control the room. Because mature relationships are not built on perfect alignment.

They are built on respect durable enough to hold difference without dehumanization.

If you’ve ever struggled with:

difficult conversations

family conflict or political differences

boundaries and emotional regulation

staying human in polarized spaces

this final reflection may resonate.

And if the series has been meaningful to you, feel free to share it with someone navigating a hard conversation right now.

— Harvey Cottrell

Harvey Cottrell, LCSW The Inner Room

03/12/2026

What Happens When You Lose the Person You Were Named After?
Grief, Identity, and the Psychology of Meaning Reconstruction

I recently shared a podcast conversation based on one of my scholarly papers exploring a question that has shaped my life in profound ways:

What happens psychologically when a young person loses the grandfather whose name they carry?

When my paternal grandfather—my namesake—died suddenly in a workplace accident during my adolescence, it was not simply the loss of a loved one. It was a rupture in the story I thought my life was going to follow.

In grief research, this kind of experience is often understood through meaning reconstruction theory. Rather than seeing grief as something we “get over,” this perspective suggests that loss creates a crisis of meaning. The death of someone central to our identity disrupts the assumptions we unconsciously rely on:

• that life is predictable
• that the people we love will remain safe
• that our personal story has continuity and direction

When those assumptions collapse, grief becomes more than sadness. It becomes a process of rebuilding the narrative of who we are and who we are becoming.

For those of us who carry the name of the person we lose, the experience can be even more complex. A namesake relationship creates a symbolic inheritance. The loss is not only relational—it is interwoven with identity, legacy, and purpose.

Research on continuing bonds in grief shows that healing does not come from severing attachment to the deceased. Instead, people often recover by transforming the relationship into a new form through:

• memory
• ritual
• storytelling
• shared values carried forward into life

In my own case, the work of becoming a therapist, writer, and reflective practitioner has been deeply shaped by this process. The loss that once shattered my sense of safety ultimately became part of the story that gave my work meaning.

This podcast explores how traumatic loss, identity formation, and intergenerational legacy intersect—and how contemplative practices and reflective storytelling can help transform rupture into continuity.

If you are interested in:

• grief psychology
• meaning reconstruction theory
• continuing bonds in bereavement
• adolescent identity development
• intergenerational legacy and namesakes
• trauma and narrative identity

I think you will find the conversation meaningful.

Grief never asks us to forget.
It asks us to reorganize our lives so the love can continue to live somewhere.

— Harvey Cottrell, LCSW

Read Here: https://open.substack.com/pub/thedeepestyes/p/reconstructing-identity-after-traumatic?utm_campaign=post-expanded-share&utm_medium=web

Harvey Cottrell, LCSW The Inner Room

03/07/2026

There is a poem that has followed me for years.

Oriah Mountain Dreamer’s The Invitation asks questions that cut deeper than most spiritual writing. Not questions about success, reputation, or what we do for a living. But questions about the interior life — the part of us that cannot be faked.

Questions like:

• What do you ache for?
• Can you stay open to joy without shrinking it down with fear?
• Can you still say yes to life after failure?

When I first read the poem years ago, I thought these were questions about relationships. I imagined asking them of a future partner — someone who could meet me with honesty, courage, and depth.

But over time I realized something more unsettling.

The poem isn’t just asking what kind of person I want to love me.

It’s asking what kind of person I am becoming.

Am I someone who can tell the truth about what I long for?
Am I someone who can remain open to joy?
Am I someone who can live with disappointment without closing my heart?

And maybe the deepest question of all:

Can I sit alone with myself… and actually like the company I keep?

That is the work of becoming someone capable of deep love — not just receiving it, but offering it.

I wrote a reflection on this today called:

“This Is How I Want to Be Loved: The Work of Becoming Someone Who Can Love Deeply.”

If something in these questions resonates with you, I invite you to read it.

Sometimes the most important spiritual work we do is simply learning how to live from the inside out.

A lélek tudja az utat. 🇭🇺🌿
The soul knows the way.

Read here: https://open.substack.com/pub/thedeepestyes/p/this-is-how-i-want-to-be-loved-the?utm_campaign=post-expanded-share&utm_medium=web

Harvey Cottrell, LCSW The Inner Room

03/06/2026

Hard conversations don’t usually fail because we don’t have the right words.

They fail because we feel responsible for someone else’s reaction.

Most of us were never taught the difference between compassion and control. When someone becomes upset, we rush to explain, fix, soften, or defend. We think we are helping, but often we are just trying to regulate the room.

In Part II of Staying Human When Conversations Are Hard, I explore something surprisingly difficult:

How to let people have their response without abandoning your truth.

Release does not mean indifference.
It means refusing to carry what was never yours to hold.

Sometimes the most mature thing you can do is:

• say what is true
• let it stand
• and stop performing for the verdict.

If you’ve ever walked away from a conversation wondering whether you should have explained yourself one more time… this piece is for you.

Read Part II here:
https://open.substack.com/pub/thedeepestyes/p/part-ii-the-discipline-of-letting?utm_campaign=post-expanded-share&utm_medium=web

I’d love to hear what resonates.

Harvey Cottrell, LCSW The Inner Room

03/03/2026

I just published a new Inner Room reflection on the psychology of violence, revenge, and nonviolent communication.

We often think violence only means physical harm. But violence also shows up in aggressive speech, dehumanizing thoughts, humiliation, domination, and fear-based control — especially in how children are disciplined and how power is exercised in families and society.

In this piece, I explore:

• How violence begins in the nervous system
• Why revenge feels powerful but escalates harm
• The impact of hitting, shaming, and scaring children into obedience
• How early experiences of domination fuel broken systems in adulthood
• Practical ways to practice nonviolence in our thoughts, words, and deeds
• A resource for learning Nonviolent Communication (NVC)

If we want less violence in society, we cannot only change policies. We must examine how we use power in the smallest rooms — in our homes, our language, and our inner lives.

Nonviolence is not passivity.
It is disciplined strength.

If this topic matters to you — parenting, trauma, conflict resolution, emotional regulation, moral injury, or peacemaking — I invite you to read and share.

Read Here: https://open.substack.com/pub/thedeepestyes/p/what-is-violence-the-psychology-of?utm_campaign=post-expanded-share&utm_medium=web

Harvey Cottrell, LCSW The Inner Room

02/20/2026

Most hard conversations don’t break down because we lack words.
They break down because we lose ourselves while using them.

This new Inner Room series explores how to:
• speak clearly
• stay ethically intact
• relate without collapse or control

It begins with a pause—and three simple questions that change everything.

Read Here: https://open.substack.com/pub/thedeepestyes/p/staying-human-when-conversations?utm_campaign=post-expanded-share&utm_medium=web

🖊 Staying Human When Conversations Are Hard
— Harvey Cottrell, LCSW

A three-part Inner Room series on speaking clearly, staying ethically intact, and relating without collapse or control.

02/20/2026

Good-ish: On Witness, Accountability, and the Relief of Not Having to Be “Good”

Lately I’ve been sitting with a question I hear constantly in my work as a therapist and human being:
Am I a good person? Would I choose the way I live? Would I choose myself as a partner?

This reflection explores green flags, red flags, rupture and repair, power, accountability, and what it means to be interruptible—especially for those of us shaped by maleness, whiteness, education, or moral authority.

It’s not about perfection.
It’s about relational safety, self-examination, and becoming someone others can breathe around.

If you’re interested in:
• relationships and dating after divorce
• emotional maturity and accountability
• trauma-informed spirituality
• power, repair, and consent
• therapy as witnessing, not fixing

this piece may resonate.

📖 Read https://open.substack.com/pub/thedeepestyes/p/good-ish-on-witness-accountability?utm_campaign=post-expanded-share&utm_medium=web

Harvey Cottrell, LCSW ( The Inner Room)