Therapy with Men and Boys: A Guide for Clinicians

Episode 10: Need a Clear Map for Working with Male Clients? Dr. Andrew Smiler Has One

Therapy with Men and Boys

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In previous episodes, psychologists Erica Liebman and David Shepard have interviewed master therapists who take a relational approach to helping male clients. This time, we’re doing something different: We are learning about a pragmatic problem-solving approach, and a new way of conceptualizing our clients. Our guest is Dr. Andrew Smiler, a therapist with 30 years of clinical experience with men from 15 to 85. He has developed the Multifaceted Masculinity Framework – a masculine identity-based approach that fits with many men's problem-solving orientation. 

Dr. Smiler describes the framework, and then two cases. Gary is the Breadwinner, and is suffering from depression due to his wife’s leaving him after he loses his job. Bart presents as the Unemotional Man, a man whose limited emotional awareness has left him chronically stressed and struggling to connect with the people around him. You will learn how these kinds of umbrella themes – seven in all - can guide you to understand what your client is experiencing, and what practical steps can be taken to relieve their symptoms. You don’t have to give up your relational approach to use Dr. Smiler’s framework. But it may open up your therapy work to innovative thinking about your clients and using interventions that may be powerful agents of change. 

Dr. Smiler is the author of five books, including the bestseller, The Masculine Self.  His latest book is Clinical Work with Men: Understanding Masculinity in Psychotherapy, published in Spring 2026 by The American Psychological Association.