In Sermons on the Couch, Cindy Gentry offers weekly sermons that meet people where they are—whether religious or spiritual, agnostic or atheist. Instead of references to deities, her lessons are placed in the context of a force in the Universe. Instead of Biblical quotes, she uses the wise words of celebrities, scientists, poets, and thinkers. Rather than traditional hymns, she closes each sermon with suggested popular songs from across genres. At the end of each Sermon, she offers journal questions to guide further contemplation of the weekly topic. For example, the book's opening sermon is titled "Resolutions."

To avoid the self-criticism that comes from not following through on resolutions, Cindy suggests reframing them into more general goals such as becoming a happier, healthier person, improving relationships, and making the world a better place. Journal questions prompt reflection on past experiences with resolutions and what the reader might do differently this year, and the hymn selection for this sermon is New Beginning, by Tracy Chapman. Writes Cindy, "So, that is my mission. To enjoy a laugh and a song, but most of all, to remind people each week, despite the crazy ups and downs of life, that they are perfect in their imperfections, the Universe loves them unconditionally, and that we can hold on to each other."

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