Practical for Your Practice

Obstructive sleep apnea (OSA) is an increasingly common diagnosis. Yet most behavioral health providers are unaware that they can play a role in both the assessment and treatment of OSA in their patients. Today we're joined by an expert in the subfield of sleep psychology, Dr. Phil Gehrman. He shares basic information about what OSA is, how providers can effectively screen for it, and how they can facilitate treatment for this dangerous condition. Despite what you might have heard before, Dr. Gehrman posits that behavioral health providers can play “a huge potential role that really is untapped.” Dr. Phil Gehrman is Professor of Psychology in the Department of Psychiatry of the University of Pennsylvania School of Medicine. He directs the Sleep, Neurobiology and Psychopathology lab at Penn. He has an active research program exploring the mechanisms and treatment of sleep and circadian dysregulation in the context of mental health disorders. Dr. Gehrman's clinical specialization is on the delivery of cognitive behavioral and chronotherapeutic interventions for insomnia, circadian rhythm disorders, and other sleep disorders. The overarching goal of his work is to advance the understanding of the links between sleep and mental illness through translational research that spans biology to therapeutics.Resources mentioned in this episode: STOP Screening tool for Obstructive Sleep Apnea: https://deploymentpsych.org/content/insomnia-toolsMotivational Interviewing for CPAP Adherence: Rapelli G, Pietrabissa G, Manzoni GM, Bastoni I, Scarpina F, Tovaglieri I, Perger E, Garbarino S, Fanari P, Lombardi C and Castelnuovo G (2021) Improving CPAP Adherence in Adults With Obstructive Sleep Apnea Syndrome: A Scoping Review of Motivational Interventions. Front. Psychol. 12:705364. doi: 10.3389/fpsyg.2021.705364Motivational Interviewing resources: https://deploymentpsych.org/Clinical-Skills-ResourcesSystematic desensitization: https://www.veterantraining.va.gov/insomnia/docs/PAP_Desensitization.pdfPractical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Incorporate the STOP into your practiceBecome familiar with behavioral and motivational approaches listed aboveConnect with your local sleep medicine clinicReach out to us via Speakpipe with your questions and commentsSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email at https://deploymentpsych.org/CDP-MED-Opt-In

Evidence-based psychotherapies for post-traumatic stress disorder (PTSD), such as Prolonged Exposure and Cognitive Processing Therapy, are the best tools we have to treat PTSD for most people–at least as long as those in need are able to access these therapies. A number of barriers may exist, such as availability of trained therapists, insurance coverage (or lack thereof), or even life stressors standing in the way. During the COVID-19 pandemic, trauma exposure exploded exponentially while at the same time access to care due to lockdowns and social distancing was severely diminished. In this episode of Practical for Your Practice, we chat with Dr. Sheila Rauch, one of the authors of the Prolonged Exposure Therapist Guide, about her many exciting projects to expand access to effective care for PTSD. As she explains, “the more doors that we have for people with PTSD to enter and get effective treatment, the more people are going to actually do that.” Join us for one of our new favorite episodes to hear about self-help approaches, PE in primary care, immediate interventions in emergency departments, and shifting the name of PE to “Processing Emotions.”Sheila A.M. Rauch, Ph.D., ABPP, co-led design and now serves as Deputy Director of the Emory Healthcare Veterans Program and Director of Mental Health Research and Program Evaluation at the Joseph Maxwell Cleland Atlanta VA Medical Center. For over 20 years, Dr. Rauch's work in VA and Academic Medical settings focuses on developing programs, conducting research, and providing PTSD and Anxiety Disorders treatment with the goal to improve access to effective mental health treatment. Her research focuses on examination of mechanisms involved in the development and treatment of PTSD and improving access to effective interventions. She has led several PTSD treatment outcome and mechanisms trials including pharmaceutical and therapy trials focused on moving interventions for PTSD into medical and primary care settings. She has published over 220 peer-reviewed scholarly articles as well as many chapters and six books on anxiety disorders and posttraumatic stress disorder (PTSD). She developed an effective primary care based PTSD intervention that is in use across VA and many civilian settings and has also worked to get treatment out of the clinic and into the hands of those who need it with apps, self-guided workbooks, and web-based interventions. Her work examines neurobiology and factors involved in the development, maintenance, and treatment of anxiety disorders, psychosocial factors in medical settings, and the relation between physical health and anxiety. Her recent books include Retraining the Brain and Making Meaning of Difficult Experiences.Resources mentioned in this episode:Rauch, S. A. M., & Rothbaum, B. O. (2023). Making Meaning of Difficult Experiences: A Self-Guided Program. Oxford University Press.Virtually Better. (2024). Messy Memories [Mobile app]. Available on Google Play and Apple App StorePE in Primary Care training: VA and military providers can reach out to Margaret.venners@va.gov for training, and civilian providers can reach out to jgarlick@med.umich.eduPractical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.eduCalls-to-action:Remember that emotions aren't dangerousGet training in brief treatment models (e.g. PCPE. see above)Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email at https://deploymentpsych.org/CDP-MED-Opt-In

Suicide is currently the second leading cause of death for youth aged 10 through 14. It's a horrifying fact that has spurred providers into action. One of those providers is our guest on today's episode. Allison Hannah, MSW, LCSW, has delivered evidence-based suicide prevention interventions to youth, from elementary school-aged children to teens. Listen in as she provides us with the basics of CBT for Suicide Prevention and ways to adapt it effectively for youth. Her experiences inspire hope for providers, clients and families. Allison Hannah, MSW, LCSW, is a Military Behavioral Health Social Worker for the Center for Deployment Psychology (CDP). She assists in the implementation and expansion of the Star Behavioral Health Providers Program (SBHP). SBHP trains civilian behavioral health providers to work with service members, veterans, and their families. Allison is a veteran of the United States Army and United States Army Reserves and provided clinical services within the Child and Family Behavioral Health Services section at an active-duty Army base. She is trained in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and is a Registered Play Therapist specializing in using evidence-based approaches to address trauma, adjustment and attachment related disorders.Resources mentioned in this episode: CBT for Suicide Prevention Training and Consultation at CDP. Visit our website to register: https://deploymentpsych.org/trainingAsynchronous trainings through the DoD Child Collaboration Study. Complete the courses here: https://deploymentpsych.org/DoDKidsStudyThe 988 Lifeline website includes resources for youth in crisis. https://988lifeline.org/Practical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: For example: Get training and consultation in CBT for Suicide PreventionIncrease your knowledge in adapting evidence-based treatments for youthSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email at https://deploymentpsych.org/CDP-MED-Opt-In

Most digital media is designed to be addictive, and young brains are especially susceptible. Successful digital media content is stimulating, engaging, and targets the brain's natural reward centers. This creates an unfair advantage over young brains, which have not yet fully developed their executive functioning. In today's episode, Dr. Amanda Giordano introduces us to the “Four C's” model of addiction, healthy vs unhealthy engagement with digital media, and interventions for youth and their families. She also shares who has her “six” and Actionable Intel to hone your skills.Amanda L. Giordano, PhD, LPC is an associate professor at the University of Georgia who specializes in addictions counseling. She is the sole author of a clinical reference book titled, A Clinical Guide to Treating Behavioral Addictions and co-author of a textbook titled, Addiction Counseling: A Practical Approach. Dr. Giordano works to advance the counseling field with rigorous research and has published over 65 peer-reviewed articles and book chapters. In 2024 she was awarded the Garry R. Walz Trailblazer award from American Counseling Association in recognition of her innovative work in the field of behavioral addictions.Resources mentioned in this episode: Register now for Dr. Giordano's pre-meeting institute at the 2025 EBP Conference! https://deploymentpsych.org/EBPConferencePractical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: For example: Register now for Dr. Giordano's pre-meeting institute at the 2025 EBP Conference! https://deploymentpsych.org/EBPConferenceIncorporate a few questions about addictions (besides substances) in your intake assessment.Create a family digital media plan. Many templates exist.Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email at https://deploymentpsych.org/CDP-MED-Opt-In

If you've been side-eyeing the rise of AI in mental health, this episode of Practical for Your Practice is one you don't want to miss. Dr. David Cooper, Executive Director of Therapists in Tech and member of the APA's Mobile Health Tech Advisory Committee (AND one of our EBP Conference 2025 PMI workshop presenters), joins us for a down-to-earth and engaging deep dive into what AI actually means for therapists. Spoiler: it's not Skynet. Dr. Cooper breaks down the basics of generative AI, including what GPT really stands for and why therapists shouldn't fear it—but should understand it. He explains how AI is being used in the behavioral health field with a focus on doing so ethically. This episode is your permission slip to play. Whether you're AI-curious or totally intimidated, you'll walk away with practical tips, reassuring insights, and a renewed sense of purpose. So go ahead—press play, stay curious, and start exploring how AI can actually help you do your job better. David Cooper, PsyD. is a digital health expert who is currently the Executive Director of Therapists in Tech, the largest organization of clinicians in digital mental health. He has worked with organizations like the US Department of Defense, the AMA and FDA, Teladoc and many top hospitals in the US on their digital health strategies and portfolios.Resources mentioned in this episode: Therapists in TechDr. Cooper's PMI workshop: Ethics in Digital Health: A Guide on How to Approach the New Way We Practice Pre-Meeting Institute (May 6th, 1pm - 4pm ET)Practical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Check out Therapists in TechRegister for Ethics in Digital Health: A Guide on How to Approach the New Way We Practice Pre-Meeting Institute (May 6th, 1pm - 4pm ET)Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email at https://deploymentpsych.org/CDP-MED-Opt-In

Complex cases… The rule? Or the exception? In this episode of Practical for Your Practice, we sit down with Dr. Aaron Brinen, who argues that complexity is often the norm when it comes to client cases. Dr. Brinen shares valuable insights on how to effectively serve clients with complex issues, emphasizing the importance of a thorough case formulation. We dive deep into how this process can lead to more effective strategies for change. Tune in to learn why taking the time to understand a client's “perpetual motion machine” can enhance your evidence-based practice and lead to better outcomes.Aaron P. Brinen, PsyD, is a primary developer of recovery-oriented cognitive therapy (CT-R) along with Aaron T. Beck, MD. Under the guidance of Dr. Beck, Dr. Brinen has worked to formalize and standardize the CT-R protocol for individual and group therapy settings, as well as for use in team-based psychiatric care and during inpatient treatment. He is a co-author of the manual of CT-R for serious mental health conditions, and has been active in the training of community therapists from around the world.Resources mentioned in this episode: Living Well with Psychosis Practical Strategies for Improving Your Daily Life (PROMO CODE: AU2E)Dr. Brinen's presentation in CDP's 2024 EBP Conference: Strategy for Change: Using Conceptualization to Drive Evidence Based Treatment Choices in Complex Cases Practical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Watch Strategy for Change: Using Conceptualization to Drive Evidence Based Treatment Choices in Complex CasesGet a dry erase board or have plenty of paper on hand for case formulationSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email at https://deploymentpsych.org/CDP-MED-Opt-In

Traumatic invalidation, a powerful and often misunderstood concept, occurs when a person's emotions, behaviors, or identity are repeatedly dismissed, belittled, or rejected by important people in their lives. It can manifest as emotional neglect, severe criticism, unequal treatment, or outright denial of one's reality. In this P4P episode, we sit down with Dr. Robin Brody who shares her insights on how traumatic invalidation can directly challenge a person's sense of self-worth and belonging in the world and can play a significant role in the development and maintenance of PTSD. If you are interested in learning more about traumatic invalidation, and specifically what YOU can do to better assess and address it directly in your practice, take a listen to this episode. Helping individuals understand and name their experience of traumatic invalidation can be a profound step in their recovery!Dr. Robin Brody is an Assistant Professor of Psychiatry (Voluntary) at Weill Cornell Medicine and the founder of Dr. Robin Brody Psychological Services, a private practice specializing in the treatment of occupational trauma, PTSD, and couples therapy, and gender and sexually diverse individuals. Her work is driven by a deep commitment to helping trauma survivors, particularly those facing PTSD and moral injury.Her expertise and demonstrated passion center on treating trauma survivors, particularly those with PTSD and moral injury. Dr. Brody has worked with diverse populations of civilians, veterans of all branches and eras, first responders, healthcare workers, and 9/11 survivors and responders across the diagnostic and demographic spectrum. Dr. Brody started and ran an EBP for PTSD program within the World Trade Center Mental Health Program, where she trained and supervised providers in PE and CPT. Before joining Mount Sinai's World Trade Center Mental Health Program, Dr. Brody served on the faculty at Weill Cornell Medicine. In that capacity, Dr. Brody oversaw Weill Cornell's Military Families Wellness Center and worked within the Program for Anxiety and Traumatic Stress Studies (PATSS), where she was a co-investigator on numerous clinical research studies involving the treatment of PTSD, particularly among frontline healthcare workers amidst the COVID-19 pandemic. In all her efforts, Dr. Brody is committed to increasing access to, and training, in evidence-based treatments, especially for PTSD. Dr. Brody's research interests include PTSD treatment innovation and the role of shame, stigma, and identity in trauma recovery.Resources mentioned in this episode: https://dbtpe.org/Treating Trauma in Dialectical Behavior Therapy: The DBT Prolonged Exposure Protocol (DBT PE)Invalidating Childhood Environment ScalePractical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Take one of CDP's PTSD EBP trainings (PE, CPT). More info at: https://deploymentpsych.org/training Subscribe to The Center for Deployment Psychology Monthly Email at: https://deploymentpsych.org/CDP-MED-Opt-In

No one knows better than our clients what is going on in their world - their stressors, symptoms, triumphs, values, goals… but sometimes it can also be helpful to hear additional perspectives from others in our client's world. In this episode the P4P hosts discuss the potential relevance of collateral information in assessment, case conceptualization and treatment planning. We talk about how collateral information can sometimes enhance our understanding of our client's environment, behaviors, and experiences as well as some of the pitfalls to avoid when involving others in the therapeutic process. Listen in for some great examples of when collateral information saved the day AND when we experienced collateral conundrums. As always we leave you with actionable intel to help support how YOU use collaterals in your EBP work.Bios:Drs. Ermold, Holloway and Lefkowitz are clinical psychologists who provide training and consultation at the Center for Deployment Psychology. Their specialties include military psychology, the assessment and treatment of trauma (PE and CPT), sleep disorders and more. They are passionate about delivering EBP's effectively and creating a supportive community for providers to learn and grow in their EBP work.Calls-to-action:Always follow the laws and ethical guidelines of your state and disciplineRemember that the goal of gathering collateral information is to facilitate your client's treatment. Always clarify the goals of a consultation and remember to prioritize the therapeutic relationship.Utilize consultationSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email - https://deploymentpsych.org/CDP-MED-Opt-InSend us your questions, comments, stories, and/or topic/guest suggestions! We'd love to hear from you!Practical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu

For many of us, the idea of assessing and responding to suicide risk via telehealth seems overwhelming. As Jenna says, “the stakes are just a little higher.” But that's all the more reason to become confident in the process; our patients deserve access to the best possible care, after all. In this episode, Dr. Kristyn Heins addresses common provider concerns about treating high risk patients over telehealth. Her common sense suggestions can reduce our collective anxiety and help us build our confidence in suicide prevention strategies.Kristyn Heins, Ph.D., is a Licensed Professional Counselor serving as a Military Behavioral Health Counselor for the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences. In this role, she supports the CDP's efforts of training clinicians in evidenced-based practice focused on suicide prevention. Prior to joining the CDP, Dr. Heins worked at the Department of Veteran Affairs in various roles including primary care mental health, and suicide prevention telehealth. Dr. Heins is trained in Cognitive Behavioral Therapy- Suicide Prevention, and Problem Solving Therapy- Suicide Prevention. She also has worked in a Federally Qualified Health Center and in a non-profit setting.Resources mentioned in this episode:The Columbia Suicide Severity Rating Scale (C-SSRS). A validated and short self-report measure that can be utilized in a variety of settings. https://cssrs.columbia.edu/The Patient Health Questionnaire (PHQ-9). A validated and short self-report measure used for depression screening. https://tinyurl.com/5n6u7p6jSuicide Cognitions Scale. A self-report measure to assess thoughts, perceptions, and beliefs that are commonly experienced by people who have attempted suicide. https://osf.io/bf8uy/CBT for Suicide Prevention Workshops presented by CDP. View our training calendar here to register for a workshop, then follow up with consultation. https://deploymentpsych.org/trainingCalls-to-action:Get familiar with validated self-report measuresTake a CBT-SP courseUtilize your support and consultation resourcesSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email - https://deploymentpsych.org/CDP-MED-Opt-InSend us your questions, comments, stories, and/or topic/guest suggestions! We'd love to hear from you!Practical for Your Practice voice mail: https://www.speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu

In this episode we have the honor of sitting down with Australian researcher, Ms. Carolyn Heward, lead author of “A Scoping Review of Military Culture, Military Identity, and Mental Health Outcomes in Military Personnel”. Listen in as we discuss the complexity of military culture's impact on military identity and its effect on mental health. We'll dig into the Military Identity Model (MIM) and types of identities such as loyal, warrior, hidden and disrupted. But most importantly we'll consider the clinical benefits of including military identity into case formulation, treatment planning and EBP work. As Heward says “identity work is clinical work” and we couldn't agree more. Carolyn Heward is a Senior Lecturer in Clinical Psychology at James Cook University in Townsville, Queensland, Australia, where she teaches in the Master of Psychology (Clinical) program while conducting research on military identity construction and its implications for psychological wellbeing. As a Clinical Psychologist with extensive experience working with the Australian Defence Force (ADF), she brings valuable insights to the intersection of military culture and mental health, particularly through her perspective that identity work is fundamental to clinical practice. Her recent scoping review on military culture, identity, and mental health has contributed to understanding the unique challenges faced by service members, while her current doctoral research explores the construction of military identity within the ADF and its clinical implications. Drawing from her clinical experience, Carolyn's work focuses on developing integrated approaches to clinical psychology that move beyond cultural formulations to address individual identity construction. She has also contributed to public discourse on military mental health through The Conversation, publishing articles on military identity and providing analysis of the Australian Government's response to the Royal Commission into Defence and Veteran Suicide.Resources mentioned in this episode: Carolyn Heward, Wendy Li, Ylona Chun Tie, Pippa Waterworth, A Scoping Review of Military Culture, Military Identity, and Mental Health Outcomes in Military Personnel, Military Medicine, Volume 189, Issue 11-12, November/December 2024, Pages e2382–e2393, https://doi.org/10.1093/milmed/usae276Practical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu

Sleep trackers - what are they good for? While they may give you an entertaining look at your sleep health, they can complicate treatment of sleep disorders. Our guest today, Dr. Diana Dolan, returns to P4P to provide a balanced view on consumer wearables and their impact on sleep assessment and treatment. Technology has evolved in the past few years, and so have our suggestions for how to work with patients who love their sleep trackers. How can we capitalize on our patients' enthusiasm for better sleep? Tune in to find out.Diana Dolan, Ph.D., CBSM, DBSM, is a clinical psychologist serving as an Associate Director of Training & Education with the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. She currently oversees programs that provide evidence-based training for military-connected patients on a variety of topics. She is certified in Behavioral Sleep Medicine by the American Board of Sleep Medicine. She is also a diplomate in Behavioral Sleep Medicine from the Board of Behavioral Sleep Medicine.Resources mentioned in this episode: de Zambotti, M., Goldstein, C., Cook, J., Menghini, L., Altini, M., Cheng, P., & Robillard, R. (2024). State of the science and recommendations for using wearable technology in sleep and circadian research. SLEEP 47: 1-31. https://doi.org/10.1093/sleep/zsad325Khosla S, Deak MC, Gault D, Goldstein CA, Hwang D, Kwon Y, O'Hearn D, Schutte-Rodin S, Yurcheshen M, Rosen IM, Kirsch DB, Chervin RD, Carden KA, Ramar K, Aurora RN, Kristo DA, Malhotra RK, Martin JL, Olson EJ, Rosen CL, Rowley JA; American Academy of Sleep Medicine Board of Directors. Consumer sleep technology: an American Academy of Sleep Medicine position statement. J Clin Sleep Med. 2018;14(5):877–880.CBT-I Coach app. Includes a sleep diary that may appeal to patients who prefer to use apps and other technology. https://mobile.va.gov/app/cbt-i-coach Calls-to-action: For example: Become familiar with the American Academy of Sleep Medicine's position on consumer wearables: “It is the position of the AASM that CST must be FDA cleared and rigorously tested against current gold standards if it is intended to render a diagnosis and/or treatment. Given the unknown potential of CST to measure sleep or assess for sleep disorders, these tools are not substitutes for medical evaluation. However, CSTs may be utilized to enhance the patient-clinician interaction when presented in the context of an appropriate clinical evaluation.”Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Send us your questions and feedback! Voicemail: speakpipe.com/cdpp4pEmail: cdp-podcast-ggg@usuhs.edu

New year! New season! New look! AND new theme! Our hosts kick off season six of the P4P podcast introducing the theme, “Who's Got Your Six?” (see what we did there?), and talk about the importance of cultivating our own support systems and people. Each host shares a story about someone who has (and has had) their “six”. As mental health providers, we all need and deserve someone to have our backs. So how do we cultivate these supportive relationships? Check out this episode! And as always, thank you listeners for having OUR six. We LOVE hearing from our listeners. If you have a question, comment, topic suggestion for a future episode, or even a guest recommendation, let us know! We also welcome listeners to share your “EBP Confession” story (season 4 theme), your “What's Your Why?” story (season 5 theme), or your “Who's Got Your Six” story (season 6 theme). You can leave us a voice mail message at speakpipe.com/cdpp4p, or send us an email at cdp-podcast-ggg@usuhs.edu. Your message could be featured in an upcoming episode!Drs. Carin Lefkowitz, Jenna Ermold, and Kevin Holloway are all psychologists, trainers, and subject matter experts at the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences (USUHS).Resources mentioned in this episode: Practical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Don't take “no” for an answer when you want to be part of a group or work with an individual you can learn from.Know your value. Don't waste your energy on someone else or an organization that doesn't recognize your value.It's ok to ask for help. It's ok to be real. Deep relationships thrive on authenticity. GIve yourself permission to acknowledge your limits and vulnerabilities. Code: KJZH0ALNBI5O3UXX

Tap, tap, tap. Is this thing on? Hello? Anyone out there? Turns out, YES! Podcasts are funny things where it sometimes feels like we might just be talking into the void. And what we REALLY want is to have collegial interactions with you, the listeners. So for our 60th episode, we asked for your questions, comments, and “What is your why?” stories, and you delivered! Thank you to all who contributed to this episode. Join us as we respond to listeners' questions and hear about LPCs in clinical practice, clients that aren't a “perfect” fit with EBP protocols, not mixing EBP “cocktails”, lots of “woohoo!”s, and Jenna being voted “Most Likely to be Ariel in Little Mermaid 2” in high school. What a great community of practice!Drs. Carin Lefkowitz, Jenna Ermold, and Kevin Holloway are all psychologists, trainers, and subject matter experts at the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences (USUHS).Resources mentioned in this episode: Take our Facebook poll: Was your path to your career in behavioral health a “windy” path or more direct? https://tinyurl.com/cdpp4ppoll2Leave us a Voice Mail: https://speakpipe.com/cdpp4pSend us an Email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Today we are joined by Dr. Joe Ruzek, a clinical psychologist and former Director of the National Center for PTSD Dissemination and Training Division. Dr. Ruzek recently published a book on group therapies for PTSD and shares his findings and innovations with Jenna and Carin. We discussed the unique benefits of group therapies, more flexible ways of measuring progress, and future directions. As always, we wrap up with Actionable Intel; Dr. Ruzek provides listeners with numerous tips and resources to hone skills in group therapy.Calls-to-action:Get busy running groups! Find a trusted colleague who wants to run a group on any topic. It will help you develop your skills in structuring groups, setting an agenda, and managing group dynamics, regardless of the topic.Visit the National Center for PTSD website to access many free resources on trauma-focused care, including group treatments. www.ptsd.va.govLearn an evidence-based treatment for PTSD. Once you have developed competence and familiarity with the approach, consider implementing it in group format.Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

As behavioral health providers, many of us receive training, and are well positioned to help people after a disaster or traumatic event. But what do you do in situations of ongoing threat, ongoing stress and adversity perhaps lasting months or years? In this episode, we are joined by the amazing Dr. Patricia Watson, a psychologist at the National Center for PTSD, who walks us through the incredibly versatile Stress First Aid (SFA) model to include its essential elements, relationship to the stress continuum model, as well as core actions to take based on the type and severity of stress injury. From military members to fire fighters, law enforcement to EMS, harm reduction workers to healthcare workers, this model will help YOU help reduce stress reactions for those who need it most. Come hear the origin stories for both SFA AND Dr. Watson's career. You won't want to miss it.Calls-to-action:Review CDP Presents webinar recording on SFA and resourcesSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

In this episode of Practical for your Practice we are joined by motivational interviewing maven and one of our USU colleague besties, Dr. Abby Diehl, who challenges us to become more aware of our righting reflex - or our tendency, as behavioral health providers, to become problem detectors who offer immediate solutions to eradicate said problem(s). Sometimes easier said than done when one tries to operate in the larger (quick) “fix it” culture many of us find ourselves in. Her advice? Shut your mouth and open your ears and listen to understand. You might just be surprised how just being with people and deeply listening can lead to deeper connection and ultimately profound change. You'll definitely want to keep your ears open for this not to miss episode.Calls-to-action:Take an upcoming CDP Motivational Interviewing workshopSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Leave us a message on Speakpipe: https://www.speakpipe.com/cdpp4p

One of the most common co-morbid conditions with many of the disorders treated by mental health providers is substance-use disorder (SUD). And while many of us as providers are trained in evidence-based psychotherapies for disorders such as PTSD, MDD, GAD, Primary Insomnia, etc, many of us are not as well trained regarding how to manage or treat co-morbid SUD. Research demonstrates that concurrent treatment of the primary condition and co-morbid SUD has the highest likelihood of positive treatment outcomes. Join us as our guest, Dr. Mark Campanile, discusses medication assisted therapies for SUD and incorporating concurrent treatments for dual diagnosis cases in a Veterans Affairs clinic.Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Treatment of nightmares is an evolving field. Today we're joined by Dr. Shantel Fernandez Lopez, who introduces us to a treatment option for youth. Exposure, Relaxation, and Rescripting Therapy (ERRT) is one of the evidence-based treatments for nightmares. Though it was originally developed for adults, modifications have been made for use with children and adolescents. As one of the treatment developers, Dr. Fernandez Lopez walks us through those evolutions and shares examples of ERRT in practice….including how to use Scooby Snacks to reclaim good sleep!Calls-to-action: Visit CBT Nightmares Web to complete a free training on CBT for Nightmares (CBT-N).Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Medication-Assisted Treatment may be intimidating, but it can also be life-saving for clients who are facing withdrawal from opioid or alcohol dependency. Today we're joined by Catherine Perri, Clinical Director of the Ripple Ranch. Catherine provides us with a crash course in understanding what MAT is, addressing the stigma associated with dual diagnoses, and the goal of utilizing MAT in conjunction with evidence-based psychotherapies to treat “the whole person.”Calls-to-action:Visit the Substance Abuse and Mental Health Administration's website for a wealth of resources and unbiased recommendations: https://www.samhsa.gov/Learn more about the services available at The Ripple Ranch. https://rippleranch.com/Check out CDP's free resources on motivational interviewing and motivational enhancement skills: https://deploymentpsych.org/Clinical-Skills-ResourcesResearch and connect with MAT providers in your area. Collaboration is critical in this subfield.Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Eating disorders often have a “bad rap” as being intractable, difficult to treat, and dangerous. There is a wide range of eating disorders, each with their own unique features and challenges. And to make matters more complicated, many mental health providers do not receive focused training on how to treat these disorders, oftentimes leading to reticence to engage, worried that we'll say or do the wrong thing. Fortunately there is an effective evidence-based psychotherapy for eating disorders–CBT-E (The E is for “Enhanced”). While CBT-E shares a lot of common ground with other standard CBT therapies, there are some distinct differences and enhancements that address the unique psychological challenges clients with eating disorders face. Join us with Dr. Suzanne Straebler, psychologist and expert in treating eating disorders, as she discusses CBT-E, its general components, and how you can receive focused training to treat these disorders.Calls-to-action:Screen patients for eating disorders – A brief 5-question screener can be found at – https://eatingdisorderscreener.org/ (*This screener may miss individuals with Binge Eating Disorder. Don't avoid asking questions about one's view of their shape and weight and comfort with their current eating habits).Check your own weight bias and stigma and consider how it may impact your views on who can have an eating disorder and its impact on treatment of individuals of all body shapes and sizes– some information can be found here - https://nedc.com.au/eating-disorders/eating-disorders-explained/weight-stigmaEating disorders are treatable with well implemented evidence-based treatments – find out more about one of these treatments, CBT-E, here – https://www.cbte.co/Consider registering for and attending an upcoming CBT-E workshop at CDP. You can find upcoming training opportunities here – https://deploymentpsych.org/training .Like what you're hearing? Like this episode, subscribe to the podcast, and share with others!Do you have questions for our hosts? Feedback from prior episodes? Want to share your own “What Is Your Why?” story? Join us on Aug 13, 2024 from 1000-1200 EDT for our first-ever “Live” episode of Practical For Your Practice. Call us at 301-715-8592, code: 4878058925# to talk to our hosts live. Or if you can't make it at that time, leave us a voicemail message at https://speakpipe.com/cdpp4p or an email at cdp-podcast-ggg@usuhs.edu. While the episode will not be broadcast/streamed live, we will record, edit, and include the discussion in our final episode of the season. Come join the conversation!

Always been curious about working with the National Guard or Reserves? In this not-to-miss episode we sit down with CDP's own Jennifer Nevers who not only serves as an integral team member of the Star Behavioral Health Providers Program (SBHP) that aims to expand the availability of high-quality behavioral health services, especially for those in the reserve components BUT Jennifer is also a Major in the Indiana Army National Guard serving as a Behavioral Health Officer (BHO). Jennifer shares her “WHY” with us, both why she chose to join the National Guard as well as why she's passionate about improving access and quality of care for this population. Come hear about some of the unique opportunities and challenges of serving in the reserve component as well as actionable intel that includes amazing free resources to support YOUR work to include the SBHP program.Calls-to-action:Opt-in to receive training updates from the Start Behavioral Health Providers Program: SBHP Training Opt-In | Center for Deployment PsychologyLearn About Military Culture | Center for Deployment PsychologyTake the Self Awareness Exercise | Center for Deployment PsychologySubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Working with clients with suicidal thoughts and behaviors is one of the more difficult and challenging aspects of being a behavioral health provider. This is perhaps even more so when the client is a child or adolescent. An important, and sometimes overlooked, aspect of working with suicidal youth is working with and supporting their caregivers–moms, dads, grandparents, whoever may be primarily responsible for their care. How can we best support them while they are dealing with the scary unknown territory of suicide risk management for their child? At at time when almost 20% of high school students report suicidal ideation in the past year, and 10% report a suicide attempt in the same time period, join us for this vital discussion about caregiver care after youth self-directed violence.Calls-to-action: Check out the resources Dr. Arango mentioned in the episode. Watch Dr. Arango's CDP Presents Webinar: “Social Connectedness and Youth Suicide Prevention” July 11, 2024Leave the P4P team a voicemail with your reactions, questions, requests for topics or guests, or anything else you'd like to share. We want to hear from you! Drop us a line at speakpipe.com/cdpp4p.

On this episode, Carin and Kevin are joined by long-time host and Friend of CDP, Dr. Andy Santanelllo. Andy has been focused on dissemination and implementation science through The ACT Academy, and returns to the P4P Podcast to share ideas about how we can deliver EBPs more consistently and competently. His suggestions are not just aspirational or “fanciful,” but rather small tweaks that we can make to existing training, supervision, and consultation efforts. Join us as we catch up with Andy and discuss ways to merge cutting-edge science with practical applications for learners, instructors, supervisors, consultants, and everyone in between.Calls-to-action: Include more “doing” and “real plays” in your training, supervision, and consultation.Frequently provide informed consent in experiential learning to keep the learning environment safe and professional.Ask for more experiential practice from your instructor or consultantDid you like this episode? Is there a topic you want us to cover on CDP's P4P? Give us your feedback at www.speakpipe.com/cdpp4pSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Guess who's back? Back again… Welcome to Practical for your Practice (P4P) Season 5! Your hosts are excited to kick things off with a reveal of this season's theme. On P4P, we believe in the importance of relating to each as a behavioral health podcast community. So in that vein, for Season 5 we will be asking our guests “what is their why.” What drew them into the field of behavioral health and the specific slice of the field that they're in? Behavioral health provider origin stories if you will. And what better way to kick things off than to have your hosts disclose theirs. You might even hear about their superpowers. So tune in to hear some actionable intel about career paths and get excited for a great season! Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

We asked for your EBP Confessionals and you delivered! Carin, Jenna, and Kevin are relieved to know they are not the only ones who have made blunders while delivering treatment. Today we discuss two “confessions” submitted by our listeners and Carin shares her experience of working with a client who was viscerally impacted by exposure therapy. Tune in for the season 4 finale of The Practical for Your Practice Podcast! Calls-to-action:Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us on www.speakpipe.com/cdpp4p

How do we support providers who are impacted by suicide loss? Although most of us are familiar with the importance of suicide prevention, we are less familiar with the concept of suicide postvention. Dr. Megan Harvey of the Rocky Mountain MIRECC joins us on this episode to discuss how we can compassionately and effectively support providers coping with a suicide loss, either professional or personal. Tune in for this important discussion.Dr. Harvey is a psychologist with over 15 years of experience working within the VA Health System. She provides consultation and other services as part of the Suicide Risk Management Consultation Program housed by the Rocky Mountain MIRECC.Resources:The Suicide Risk Management Consultation Program (SRM) provides free consultation, support, and resources to VA or non-VA providers who serve Veterans at risk for suicide. Visit their website SRM Home - MIRECC / CoE (va.gov) or reach out via email: srmconsult@va.govThe provider section of Uniting for Suicide Postvention (USPV) offers resources, guidance and support to those affected by suicide loss: https://www.mirecc.va.gov/visn19/postvention/providers/Connect with the Coalition of Clinician Survivors for support: www.cliniciansurvivor.orgAmerican Foundation for Suicide Prevention (AFSP): https://afsp.org/find-support/ive-lost-someone/American Association of Suicidology (AAS): https://suicidology.org/resources/suicide-loss-survivors/TAPS (Tragedy Assistance Program for Survivors) for those impacted by military or Veteran suicide. https://www.taps.org/Calls-to-action:Acknowledge the loss, whether it is your own or a colleague's.If you have experienced a loss, talk to a supervisor, close friend, consultant, or personal therapist. Don't grieve alone.Watch the following video on The Personal and Professional Impact of Suicide Loss: https://youtu.be/Gd4Vcn9tJ1ESubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly EmailShare your EBP fears with us on www.speakpipe.com/cdpp4p

In this episode, we discuss MATCH-ADTC, an evidence-based psychotherapy for young people struggling with anxiety, depression, trauma exposure, and/or conduct disorders. Our guest, Khristine Heflin, introduces us to this modular treatment that enables providers to meet each child's unique needs. We discuss how this applies to the needs of military children, in particular, and wrap up with actionable intel on how to obtain training in this effective treatment.Resources:Clinicians working in military treatment facilities can reach out to Program Lead, Dr. Jennifer Ulrich, to inquire about the MATCH-ADTC pilot training program. She can be reached at: Jennifer.a.ulbricht.civ@health.milNon-military providers can pursue training in MATCH on the PracticeWise website: https://www.practicewise.com/ Calls-to-action: Follow up on training resources if you are working with children and teens (or you want to start).Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us on www.speakpipe.com/cdpp4p

What if you could successfully treat PTSD in 2 weeks instead of 12? Massed delivery of PTSD treatments such as Cognitive Processing Therapy and Prolonged Exposure are gaining empirical support. But how does it work and could you offer it to your patients? Our guest in this episode is at the forefront of research answering these questions. We're joined by Dr. Cynthia Yamokoski, the Associate Director of the PTSD Mentoring Program at the National Center for PTSD. She shares the benefits and challenges of massed treatment for PTSD and provides suggestions for how to get started in your clinical practice. Of course, she also shares her “EBP Confession,” describing how she let her EBP pendulum swing too far. Listen in as Dr. Yamokoski leads us “through the fog.”Cynthia Yamokoski, PhD is a clinical psychologist and the Associate Director of the PTSD Mentoring Program at the National Center for PTSD. She is a Senior Clinical Instructor at the Case Western Reserve University. She earned her doctorate from the University of Akron.Dr. Yamokoski and her colleagues in Cleveland have developed and implemented an intensive 2- and 4-week PTSD program utilizing massed delivery of evidenced-based psychotherapy for PTSD, and she is facilitating the implementation of this model in additional PTSD programs within the VA system.Resources:This American Life “Ten Sessions”: https://www.thisamericanlife.org/682/ten-sessionsThe PTSD Consultation Program at the National Center for PTSD: https://www.ptsd.va.gov/professional/consult/index.aspThis article provides a good summary of the massed treatment research to date: Wachen, J.S., Dondanville, K., Evans, W., Morris, K., & Cole, A. (2019). Adjusting the Timeframe of Evidence-Based Therapies for PTSD-Massed Treatments. Current Treatment Options in Psych. DOI 10.1007/s40501-019-00169-9 Calls-to-action: For example:Learn more about massed treatments by listening to the “Ten Sessions” episode of This American Life and reading relevant research.Utilize consultation as you start implementing massed treatment. Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us on www.speakpipe.com/cdpp4p

For many providers, the term “eating disorders” suggests a couple of somewhat familiar disorders like bulimia or anorexia. But, like with many things, the category is more complex and varied than that, not only in the types of disordered eating that can happen, but also the complex contributions from environment, social influences, physiology, crises such as the pandemic, and many other influences. So many providers, especially those of us that specialize in other things or are more generalist in approach, feel ill-prepared to assess or even ask about eating disorders in their clients, much less how to address these issues. And yet, eating disorders can be very disruptive to military readiness, ability to accomplish the mission, and function effectively in various domains of their lives. Fortunately, Dr. Deborah Glasofer shares with our hosts information about training opportunities being developed to help fill some of these skills gaps. Join us for a fascinating discussion about eating disorders, leveling the playing field, and increasing access to care for clients with ED challenges. Get PreparED with us!Dr. Glasofer is an Associate Professor of Clinical Medical Psychology (in psychiatry) at Columbia University Irving Medical Center and clinical psychologist at the New York State Psychiatric Institute. She has been involved in a variety of psychotherapy development studies for eating disorders in adults, and has an interest in enhancing the training of healthcare providers and trainees in principles of eating disorders assessment, diagnosis, and treatment. Within Columbia's Department of Psychiatry, she provides instruction to residents in cognitive behavioral therapy (for mood, anxiety, and eating disorders) and serves as a team member of CopeColumbia, a multidisciplinary group that formed during the COVID-19 pandemic to provide peer support and enhance wellbeing among healthcare providers and hospital staff. Dr. Glasofer enjoys writing for the popular press on topics related to mental health and has authored several books on eating disorders for clinicians, academics, and the general public.Resources:https://prepared.nyspi.org/ - PreparED Eating Disorders Education website (32:05)https://nceedus.org/ - National Center of Excellence for Eating Disorders (32:12)https://www.nationaleatingdisorders.org - National Eating Disorders Association (32:20)Overcoming Binge Eating by Christopher Fairburn (32:46)Help Your Teenager Beat an Eating Disorder, 2 Ed by James Lock and Daniel Le Grange (33:04)Eating Disorders: What Everyone Needs to Know by B. Timothy Walsh, Evelyn Attia, and Deborah R. Glasofer (33:22)CDP Presents - Eating Disorders - General and Military-Relevant Considerations: https://deploymentpsych.org/Eating-Disorders-Archive Calls-to-action: Consider adding eating disorders as a category to inquire about at intake.Check out the resources above. Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us on www.speakpipe.com/cdpp4p

Just about everyone in the world has experienced something that can be characterized as a trauma. Humans are resilient, and most people recover on their own and function well. Some continue to be affected by trauma long after the fact, and it is not always easy to identify who that may be and how a history of adversity may impact our interactions. There is a difference between trauma-specific care (such as Cognitive Processing Therapy or Prolonged Exposure therapy) and trauma-informed care. Join us and our amazing guest, Dr. Lydia Bartholow, as we discuss trauma-informed care and how we can reorient from a “What's wrong with you?” to a “What happened to you?” approach and implement psychological “universal precautions” to transform our systems to acknowledge a history of adversity.Lydia Bartholow, DNP, PMHNP, CARN-AP, is a doctorally prepared psychiatric nurse practitioner specializing in addiction medicine and trauma-informed care. She currently staffs and directs a trauma-informed urgent substance withdrawal management center. She is on faculty at UCSF, where she teaches in the psychiatric nurse practitioner program. She speaks nationally on topics such as co-occurring disorders, harm reduction, and substance use disorder care system improvement. She focuses all parts of her practice on radical public health, harm reduction, and anti-oppression work. Lydia lives in Portland, OR, on Chinook, Kathlamet, Clackamas, and Kalapuya land.Resources:Lydia Bartholow's website: https://www.lydiabartholow.com/ (6:58)Trauma-Informed Oregon: https://traumainformedoregon.org/ (33:08)SAMHSA.gov Trauma-informed Care: https://www.traumapolicy.org/topics/trauma-informed-care (33:29)Center for Healthcare Strategies's Trauma-Informed Care Implementation Resource Center: https://www.traumainformedcare.chcs.org/ Calls-to-action: For example:Trauma-Informed Psychoeducation skill: (from motivational interviewing) Elicit–Provide–Elicit: 1) elicit previous information/experience and ask permission to provide more information, 2) provide new information, 3) elicit their feedback about how they might apply/use/integrate the information providedCheck out the resources at Trauma-Informed Oregon and SAMHSA (links above). Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us at www.speakpipe.com/cdpp4p

One of the issues that providers may face in their clinical practice is deciding what treatment options might fit best for a client who has PTSD. While our brains often go to the first line treatments like PE, CPT and EMDR, sometimes a 10 - 12 session protocol isn't the best fit for the client in front of us who can't commit to that treatment length or has other reasons that drive a different approach. To truly provide patient-driven care, we, as clinicians, need to have other EBP options at-the-ready to meet our clients where they are. In this episode CDP's own Dr. Paula Domenici joins us to talk about her experience with using Written Exposure Therapy (WET) and how it has enhanced her clinical practice. Come dip your toes with us as we explore how WET might be a useful protocol to add to your clinical toolbox. You won't want to miss Paula's “EBP Confession” so stay tuned until the end! Resources:Sloan, D. M., & Marx, B. P. (2019). Written exposure therapy for PTSD: A brief treatment approach for mental health professionals. American Psychological Association.CDP Presents Webinar: An Introduction to Written Exposure Therapy (WET) for PTSDNCPTSD on demand course: Written Exposure Therapy: A Brief PTSD Treatment RCT's References:Exposure‐based writing therapies for subthreshold and clinical posttraumatic stress disorder: A systematic review and meta‐analysis. Effectiveness of written exposure therapy for posttraumatic stress disorder in the Department of Veterans Affairs healthcare system. Written exposure therapy vs prolonged exposure therapy in the treatment of posttraumatic stress disorder: A randomized clinical trial. A brief exposure-based treatment vs cognitive processing therapy for posttraumatic stress disorder: A randomized noninferiority clinical trial. Effect of written exposure therapy vs cognitive processing therapy on increasing treatment efficiency among military service members with posttraumatic stress disorder: A randomized noninferiority trial. Calls-to-action: Sloan, D. M., & Marx, B. P. (2019). Written exposure therapy for PTSD: A brief treatment approach for mental health professionals. American Psychological Association.CDP Presents Webinar: An Introduction to Written Exposure Therapy (WET) for PTSDNCPTSD on demand course: Written Exposure Therapy: A Brief PTSD TreatmentSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us on www.speakpipe.com/cdpp4p

Today we are joined by Dr. Tim Rogers, one of our Subject Matter Experts on sleep disorders. He's been spearheading CDP's insomnia consultation offerings and joins Jenna and Carin to share the top 3 questions that have been asked lately. Tim has suggestions for how to score sleep logs most efficiently, dealing with comorbidities, and when to start insomnia treatment. Tim also enters our EBP Confessional Booth while Carin ponders the agony of early morning rising and Jenna shares her worst sleep puns. If that doesn't get you excited about treating insomnia, nothing will!Resources:1) https://deploymentpsych.org/blog/staff-perspective-cracking-code-sleep-log-scoring2) https://vimeo.com/4207289013) https://deploymentpsych.org/Sleep-Log-Scoring-Video Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us on www.speakpipe.com/cdpp4pRegister for a CBTI workshop: https://deploymentpsych.org/training

As many of our listeners know, the Departments of Veterans Affairs and Defense (VA/DoD) Clinical Practice Guideline (CPG) for posttraumatic stress disorder (PTSD) and acute stress disorder (ASD) was released in June of 2023. The CPG, designed to assist clinical decision-making, provides recommendations that, in essence, give a clinician a fighting chance of identifying treatments that the research suggests should help their clients. But for many busy providers, it is a lot to unpack and digest! Join us as our (fearless) Director, Dr. David Riggs, who served on the CPG workgroup, walks us through important aspects of the guideline. We'll discuss the why behind first and second-line treatments, updates from the last CPG, and actionable intel to support you in treating trauma. As with every episode this season, we invited Dave into the EBP confessional, and you won't want to miss his story of a time when things didn't quite go according to plan with a client AND how he recovered. Buckle up. It's a roller coaster of a tale! Resources:VA/DoD CPG for PTSD (to include links to full CPG, Clinician Summary, Patient Summary, Quick Reference, and more): Click HEREWebinar Recording “A Quick Walk Through the New VA/DoD Clinical Practice Guideline for PTSD”: view HERE Calls-to-action: Review the updated VA/DoD CPG for PTSD: Click HEREReview the recording of CDP's webinar: “A Quick Walk Through the New VA/DoD Clinical Practice Guideline for PTSD”: view HEREEnroll in an upcoming EBP for PTSD: https://deploymentpsych.org/trainingSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us on www.speakpipe.com/cdpp4p

In both the public and private sectors, demand for behavioral health care is outpacing availability and capacity. The pressure on the behavioral health system necessitates innovation with regards to the methods and models of therapeutic interventions. What can we do when there are just not enough therapy slots available on the calendar to accommodate the need? And how can these needs best be met when clinical presentations are becoming more diverse while evidence-based psychotherapies tend to be narrowly focused on specific diagnoses? Join us for a fascinating discussion with Drs. William Isler and Adam Hodge about an innovative transdiagnostic group therapy approach leveraging Unified Protocol to serve better those who serve–and beyond!William C. “Chuck” Isler, Ph.D.Dr Isler currently works as a civilian for the Air Force Counter-Insider Threat Hub. He served more than 20 years as an Active Duty Air Force Psychologist, completed a post-doctoral fellowship in Clinical Health Psychology, worked on the fellowship faculty, and later became the Fellowship Director. Dr. Isler held multiple additional roles, including Consultant for Clinical Psychology, Deputy for the Mental Health Division, Chief, Deployment Mental Health, Program Manager for Primary Care Behavioral Health and Squadron Commander. ​​Adam S. Hodge, Ph.D.Dr. Hodge currently works as an Active-Duty Air Force Psychologist at Wright-Patterson AFB. His primary duties include working in an embedded role as part of the Operational Support Team at Wright-Patterson AFB, and he also serves as an adjunct faculty member for the APA-accredited Clinical Psychology Internship at Wright-Patterson. Dr. Hodge is actively involved in research, including research on Group Unified Protocol, and is collaborating on efforts to disseminate Group Unified Protocol training across the Department of Defense. Resources:Unified Protocol Institute: unifiedprotocol.comUnified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide (Treatments That Work), Barlow, D., Farchione, T., et alMore info about the DHA Targeted Team-Based Care pilot: https://health.mil/News/Dvids-Articles/2023/05/17/news444960

Clinicians new to EBPs and protocol-driven treatments understandably worry about what to do when something goes wrong. “What if I explain things wrong?” “What if my client gets worse?” Hiccups are the rule rather than the exception, especially when we're new to a particular model or technique. Carin, Jenna, and Kevin have had their EBP fears come to fruition and are ready to “confess” their past struggles. Even more importantly, the team discusses how they recovered from their hiccups and what they learned from them. Note: We discuss potentially upsetting content, including suicide and violence toward children, in this episode. Please use discretion when listening. Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Share your EBP fears with us at www.speakpipe.com/cdpp4p

Welcome back for Season 4! Some big changes this season – we are sad to say goodbye to Dr. Andy Santanello who did a phenomenal job as co-host in seasons 1 - 3. Andy has pivoted to new opportunities and we wish him well! In his place, we are happy to introduce Dr. Carin Lefkowitz (long time guest, first time host) as our new Practical for your Practice co-host! Welcome, Carin! In our first episode of season 4, we tackle one of the top concerns we hear in our PTSD EBP workshops and consultation… “But what if my client dissociates?!”. If this has been on your list of clinical worries, worry no more! Take a listen as we discuss what is dissociation (and what isn't)? What is its function? How can we best assess it? When is it likely to show up? AND most importantly, what providers can do to manage it in the context of their EBP work! Our very own Dr. Kelly Chrestman is back to share helpful actionable intel! Calls-to-action: Dissociative Subtype of PTSD-National center for PTSDDES-II - Dissociative Experiences ScaleTarget Behaviors & Behavior Chain Analysis - DBT Self HelpWhat is Dissociation and What to do About it? Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

From the time Aaron Beck and Albert Ellis recognized the importance of addressing unhelpful cognitions and cognitive processes in the treatment of depression in the 1960's, cognitive behavioral therapy has become a driving force in the world of evidence-based practice. Initially, Drs. Beck and Ellis focused on the content of thoughts as the primary target for psychological interventions. Similarly, modern behavioral psychology has emphasized the importance of addressing cognition as a key aspect of successful psychotherapy. However, B.F. Skinner's focus on verbal behavior as a generalized operant and modern contextual behavioral scientists' work on Relational Frame Theory tend to emphasize the importance of addressing contextual factors that influence the function or impact of language over the content of thoughts. In this wide ranging episode, Drs. Jeff Mann, Andy Santanello, and Kevin Holloway discuss places of convergence between these two great traditions and look toward the future of process-based approaches to cognition. Make sure you grab some coffee and a snack: this is a LONG one!Jeffrey Mann, Psy.D., is a Military Behavioral Health Psychologist at the Center for Deployment Psychology (CDP) with the Uniformed Services University of the Health Sciences. Dr. Mann provides support Navy mental health training programs and is a Veteran of the United States Air Force (USAF) where he served as a psychologist from 2009 to 2013. In 2013, he deployed to Southwest Asia in support of Operation Enduring Freedom.Dr. Mann received his bachelor's degree in computer science from DePauw University and his master's and doctorate degrees in clinical psychology from the Adler School of Professional Psychology, Chicago, with a specialization in primary care psychology. He is a 2010 graduate of the Wilford Hall USAF Medical Center Psychology Residency Program.Dr. Mann's clinical work has focused on the assessment and treatment of trauma-related mental health conditions, anxiety disorders, insomnia and the use of Telebehavioral Health.Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Cultural competency training is an essential component of all behavioral health training curriculums and often a requirement for continuing education for licensed providers. But how often do those training opportunities include “military service” in the mix of cultural dimensions of identity that influence or shape an individual's experience? Not often enough. In this episode we are joined by Dr. Shannon McCaslin as we explore the importance of keeping “eyes on” military culture to better understand how it can and should inform our EBP work. Come hear how military culture can influence your patients' perspectives of their symptoms and treatment options level of, engagement, adherence, and treatment outcomes. Dr. Shannon McCaslin, is a Clinical Psychologist at the National Center for Posttraumatic Stress Disorder (PTSD) Dissemination & Training Division, VA Palo Alto Health Care System. She received her Ph.D. in Clinical Psychology from the University of South Dakota in 2003 and completed a postdoctoral fellowship in Stress and Health at the University of California, San Francisco, and the San Francisco VA Medical Center. Dr. McCaslin's work focuses on understanding factors impacting quality of life and functioning among those with PTSD and on the development and evaluation of educational and online products.Resources mentioned in this episode: Community Provider Toolkit:https://www.mentalhealth.va.gov/communityprovidershttps://deploymentpsych.org/military-culturehttps://deploymentpsych.org/Military-Culture-Enhancing-Competence-Course-Descriptionhttps://vha.train.org/vha/welcome Calls-to-action: Check out the resources on CDP's Military Culture page on their websiteSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Reactions to trauma vary from person to person. Although Posttraumatic Stress Disorder (PTSD) is often a main topic of conversation regarding trauma, two other important posttraumatic trajectories, Moral Injury and Posttraumatic Growth, are gaining recognition. In this episode, Marine Corps Veteran, Social Worker, and Zen priest Dave Dahl share his unique perspective on trauma recovery, modeling the importance of shared perspective-taking in helping service members in their journey to recovery.David Dahl is a Marine veteran who serves as a clinical social worker and therapist for military veterans with trauma, mood disorders, and severe mental illnesses. Before social work, David worked with disadvantaged and adjudicated youth in outdoor settings and as a social-emotional learning and restorative discipline trainer in various counties and states. He also serves as a Zen Priest and teaches meditation in his community. Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Like we've heard hundreds of times, “there's an app for that!” Mobile apps are ubiquitous in modern life. With the proliferation of mental health apps available in app stores, it can be difficult to determine which apps have been rigorously tested and validated. Additionally, the mental health app market is largely unregulated, meaning that many apps may make claims about their effectiveness without sufficient evidence to support them. This can be problematic, as using an app without evidence-based support may not only be a waste of time and money but also potentially harmful if it leads to delayed treatment or incorrect self-diagnosis. How is a mental health practitioner to find evidence-based apps to use in therapy? And what are the challenges to NOT considering utilizing mobile apps in clinical work? Join us in a fascinating discussion with Dr. Greg Reger about the current mental health mobile app landscape and you can integrate mobile app use in your clinical practice.Dr. Greg Reger is the Deputy Associate Chief of Staff for Mental Health at the VA Puget Sound Health Care System and Professor of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine. He received his PhD in Clinical Psychology from Fuller Theological Seminary and completed his psychology internship at Walter Reed Army Medical Center. He served with the 98th Combat Stress Control Detachment at Joint Base Lewis-McChord and deployed to Iraq for a year prior to working for the Department of Defense National Center for Telehealth and Technology (T2). Dr. Reger's research is focused on the design, development, and evaluation of innovative technologies to support Service Member and Veteran psychological health.Resources mentioned in this episode: M-Health Index and Navigation Database Mobile Health Index and Navigation Database, App Evaluation Resources from the Division of Digital Psychiatry at BIDMC (mindapps.org)One Mind PsyberGuide One Mind PsyberGuide | A Mental Health App GuideVA Mental Health Applications VA App Store | VA MobileNo personal knowledge of accuracy but I am told this is the current library of DoD apps (including MH apps) DHA PWAs (health.mil)Psychiatry.org - The App Evaluation Model Calls-to-action: For example: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

You can sense it coming, feel it before you see it and hear it. The small tremors in conversation that warn you the elephant is incoming. You brace, trying to keep the focus on your agenda, perhaps cling to the familiar safety of your EBP protocol. But the elephant is coming into your clinical space and now you have to decide what to do. In this episode of Practical for your Practice, we roll up our sleeves with Dr. Abigail Angkaw to address the topic of what clinicians can do when sociocultural and political issues stomp into their EBP. More specifically, what to do when we clinicians, as humans, have a strong reaction to those issues. THAT, is the elephant in the room. Tune in for some tips to tune up on areas like disclosure, self-reflection, microaggressions, finding empathy, context and case conceptualization, and what is best for your client and YOU when those elephants won't leave your room. Abigail Angkaw is a Consultant with the PTSD Consultation Program through the National Center for PTSD, clinical psychologist, Section Chief at the VA San Diego, and an Associate Clinical Professor at the University of California, San Diego. Her primary research interests include PTSD and co-occurring conditions as well as improving the delivery of mental health treatment. Coming from a military family, Dr. Angkaw is personally invested in helping providers through complex clinical and administrative challenges to provide high quality care for Veterans with PTSD. Dr. Angkaw received her PhD from the University of Cincinnati and completed her internship and postdoctoral fellowship at the UCSD and VA San Diego.Resources mentioned in this episode: CDP Presents: Treating PTSD When Clinicians Have Negative Reactions to Patients' Sociocultural ViewsCultural Formulation Interview National Center for PTSD Consultation Program Center for Deployment Psychology Consultation Program Calls-to-action: For example: View recording of webinar:CDP Presents: Treating PTSD When Clinicians Have Negative Reactions to Patients' Sociocultural ViewsSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Psychedelic Assisted Therapy. Perhaps reading that phrase brings about word associations like “mushrooms” “LSD” “Molly” “Mescaline” “altered state”, “euphoria” and even “the 60's”. Or perhaps just seeing those words makes you curious enough to take a listen to this awesome podcast with Dr. Brian Pilecki, a clinician and researcher in the emerging field of integrating psychedelics into the treatment of behavioral health disorders. Listen in and learn as Dr. Pilecki explains some of the ins and outs of psychedelic assisted therapy to include what it is, who might benefit, types of psychedelics that have been most studied, where the research stands, as well as how to get more information about being trained to provide this type of treatment. You won't be sorry. Dr. Brian Pilecki is a clinical psychologist at the Portland Psychotherapy Clinic specializing in treating anxiety disorders, trauma, and PTSD, and matters related to the use of psychedelics. He completed his doctorate at Fordham University in Bronx, NY, and completed his pre-doctoral internship at the Weill-Cornell Medical center at New York Presbyterian Hospital. He completed a postdoctoral fellowship at The Warren Alpert Medical School of Brown University and practices from an orientation based in Acceptance and Commitment Therapy (ACT). Dr. Pilecki also received a master's degree from the California Institute of Integral Studies in East-West Psychology where he studied psychedelic medicine, non-Western ways of knowing, and contemplative traditions such as Buddhism. He is an active researcher and has published on topics such as anxiety disorders, mindfulness, psychedelics, and the relationship between theory and practice in psychotherapy. At Portland Psychotherapy, Dr. Pilecki is involved in research on the positive benefits of psychedelics and provides clinical services in the preparation for or integration of psychedelic experiences.Resources mentioned in this episode: Multidisciplinary Association for Psychedelic Studies https://maps.org/ Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Any guide to “small talk” will tell you that there are just some topics that you shouldn't broach in most social situations. One of those topics is spirituality. But should spirituality be taboo in psychotherapy? Does the direct discussion of spirituality have a place inside evidence-based practice? In this episode, Andy, Kevin, and Jenna chat about some practical ways to answer these questions and offer ideas for “going there” when spirituality might be a useful domain to explore with your clients. Andrew Santanello, Psy.D s a licensed, clinical psychologist. Dr. Santanello worked in the Department of Veterans Affairs as a PTSD specialist for over a decade before moving to his current position as a Military Behavioral Health Psychologist, PTSD subject matter expert, and National Cognitive Processing Therapy trainer at the Center for Deployment Psychology.Although Dr. Santanello has extensive expertise with "second-wave" CBT interventions such as CBT-D, Prolonged Exposure Therapy, and Cognitive Processing Therapy, his passion for "third-wave" behavioral interventions, such as Acceptance and Commitment Therapy, is a common thread throughout his professional career. His professional interests include dissemination and practice of Evidence-Based Psychotherapy with an increasing focus on mechanisms of change and process-based psychotherapy, psychological resilience, and the intersection of behavioral science and mindfulness-based approaches to alleviating human suffering.In addition to his work with the CDP, Dr. Santanello is an active member in the Military Special Interest Group and Mid-Atlantic Chapter (MAC) of the Association for Contextual Behavioral Science (ACBS) and maintains a small private practice in Baltimore, MD.Resources mentioned in this episode: (Didn't mention this specifically in the episode, but I think that it is worth including. This is one of Steven Hayes' first every pubs) Hayes, S. (1984). Making sense out of spirituality. Behaviorism, 12(2), 99-110. Calls-to-action: For example: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Anger is something all humans experience. It can be uncomfortable for us as therapists when it shows up in therapy, whether it is the focus of intervention, or when expressed in session. Indeed, traditional clinical approaches have often focused on managing, preventing, or suppressing anger. But perhaps anger itself isn't always the problem, but rather aggression or other values-inconsistent behavioral choices. Join us as we discuss being curious about anger and its function from an ACT-informed perspective with our guest, John Donahue, Psy.D.John Donahue, Psy.D., is an associate professor of psychology in the College of Arts and Sciences at the University of Baltimore, where he directs their post-master's certificate program in professional counseling studies. He received a doctorate in clinical psychology from La Salle University and completed a postdoctoral fellowship with the NW Mental Illness Research, Education, and Clinical Center at the Portland VA Medical Center, where he specialized in posttraumatic stress disorder treatment and research. Dr. Donahue's clinical and research interests relate to the cross-cutting role of psychological flexibility processes in the development and maintenance of psychological disorders, and more broadly, the development of empirically based dimensional models of psychopathology. Calls-to-action: For example: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Exposure-based interventions are some of the most powerful tools that therapists can offer to their clients, especially those who struggle with anxiety. However, there are different models of exposure with different proposed mechanisms and different desired outcomes. In this episode, anxiety disorders and Acceptance and Commitment Therapy expert Mike Twohig exposes us to some useful ways to help clients get better at being with their difficult stuff. Michael P. Twohig, Ph.D. is a licensed psychologist in the state of Utah and a Professor of Psychology at Utah State University, where he co-runs the ACT Research Group (with Dr. Levin). He received his B.A. and M.S. from the University of Wisconsin-Milwaukee, his Ph.D. from the University of Nevada, Reno, and completed his clinical internship at the University of British Columbia Hospital. He is past-President of the Association of Contextual Behavioral Science, the organization most associated with Acceptance and Commitment Therapy (ACT). His research focuses on the use of ACT across a variety of clinical presentations with an emphasis on obsessive-compulsive and related disorders. He has published over 200 scholarly works, including five books, with the most recent being Innovations in ACT (with Levin and Krafft) and ACT in Steps (with Levin and Ong). His research has been funded through multiple sources, including the National Institute of Mental Health. Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

The Just World Belief (JWB), or the notion that good things happen to good people and bad things happen to bad people, is a fundamental and often problematic assumption for both clients and therapists. Believing that doing all the “right things” will lead to the outcome we want doesn't match up to the realities of life in many cases and can lead to stress and perfectionism. In this episode, Kevin and Andy chat with Senior Military Behavioral Health Psychologist Carin Lefkowitz about the impact of the JWB on clients and therapists and some practical ways to make all the right moves to address it. Carin M. Lefkowitz, Psy.D., is a clinical psychologist and Senior Military Behavioral Health Psychologist at the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. Dr. Lefkowitz earned her M.A. and Psy.D. in clinical psychology at Widener University, with a concentration in cognitive-behavioral therapy.

When we think of “sleep problems,” most of the time, our brains go to insomnia – that group of people we work with who have difficulty falling asleep or staying asleep despite adequate opportunity to sleep. But what about the opposite side of the sleep coin… or pillow, if you will? What about the group of folks who desperately want sleep, need sleep, crave sleep, AND could sleep if only given adequate opportunity to do so? In this episode, we sit down once again with one of CDP's sleep experts, Dr. Diana Dolan, to talk about sleep deprivation and the associated functional impairments. Given sleep deprivation can be a common presenting problem for our military-connected clients, we encourage you to join us to learn some useful tips and strategies when working with sleep-deprived individuals both in survival mode during crisis situations as well as how to help prioritize sleep for those who have more flexibility. We all need sleep to survive so be sure to check out the actionable intel in this episode to maximize sleep for your clients on the sleep deprivation continuum. Spoiler alert: take that nap! Diana C. Dolan, Ph.D., CBSM, DBSM, is a clinical psychologist serving as a Senior Military Behavioral Health Psychologist with the Center for Deployment Psychology at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. In this capacity, she develops and presents trainings on various EBPs and deployment-related topics and provides consultation services.Resources mentioned in this episode: Sleeping in Crisis Situations: A Survival Guide Calls-to-action: For example: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Emotionally-Focused Couples Therapy (EFT) is an evidence-based psychotherapy for couples that helps couples get better understanding and accepting their emotions, to be vulnerable in communicating those emotions to each other, and to get better at validating and supporting their partners. A challenge that therapists often face when working with military clients who are in committed relationships is deciding when to address relationship issues in individual therapy and when to refer your client to couples therapy. In this episode, certified EFT therapist Liz Polinksy share some actionable intel related to her work with military couples.Elizabeth Polinsky, LCSW, RMFT, is a military marriage counselor in Norfolk Virginia. She comes from a military family and is now a military spouse—experiences that have led to her passion for helping military couples navigate the unique challenges of military life. Resources mentioned in this episode: https://deploymentpsych.org/EF-Therapy-Archivehttps://www.communicateandconnectpodcast.com/linkinbio.htmlhttps://iceeft.com/what-is-eft/ Calls-to-action: For example: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Have you ever thought, “I want to implement EBP's effectively with my clients, but I'm running into barriers!”. Well, help is here! Listen in as we sit down with Dr. Lisa Cuccurullo, whose job it is to help solve the problems people face every day in their clinical practice. We dig into some clinical barriers, what mechanisms need to be in place administratively to do these treatments with fidelity, and how to do these treatments in the real world with all of the chaos of day-to-day life. We all need that “clinical family” to support our work, so join us to find out about resources to expand yours! Come hear about common challenges, potential solutions, and Dr. Cuccurullo's uplifting consultation story! Lisa-Ann Cuccurullo, Ph.D., is a clinical psychologist at the National Center for PTSD, where she works on a team that facilitates the use of empirically supported treatments for veterans in rural areas. Her clinical work has focused on cognitive behavioral treatments for PTSD (and other post-trauma-related symptoms), such as Prolonged Exposure, Cognitive Processing Therapy, Acceptance and Commitment Therapy, and Dialectical Behavior Therapy. She is a national Prolonged Exposure consultant in VA. Before joining the staff of the National Center for PTSD, she was the Military Sexual Trauma Coordinator and Assistant Director of Psychology Clinical Training at the Southeast Louisiana Veteran's Health Care System and a clinical instructor at Tulane University School of Medicine. Dr. Cuccurullo's current research interests focus on the implementation of empirically supported treatments and posttraumatic symptom presentation. Dr. Cuccurullo received her doctorate in clinical psychology from La Salle University and completed her clinical internship and a PTSD-focused fellowship at the Southeast Louisiana Veteran's Health Care System.Resources mentioned in this episode: VA's Consultation Service: https://www.ptsd.va.gov/professional/consult/index.asp CDP's Consultation Service: https://deploymentpsych.org/resources/consultation-servicesNCPTSD Patient Education tools: https://www.ptsd.va.gov/publications/print/index.aspGet EBP training from CDP: https://deploymentpsych.org/training Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Take one of CDP's EBP's (PE, CPT, CBT-SP, CBTi, ACT and more!): https://deploymentpsych.org/training

Why are pronouns important when working with your clients? Well, as this week's guest, Dr. Jacob Eleazer, explains, misgendering clients is a form of medical harm, especially for members of the Trans* community. As we all move toward greater awareness and competency when it comes to working with Trans* clients, mistakes will be made. In this episode, Dr. Eleazar provides some practical advice for responding compassionately and directly to examples of misgendering. Also, in a P4P first, Dr. Eleazar and the crew demonstrate a few key techniques through candid role plays!Dr. Jacob Eleazer (he/him) served in the Kentucky Army National Guard for 12 years and was among the first actively serving transgender soldiers to come out publicly in 2014. He completed his doctorate in counseling psychology at the University of Louisville and a postdoctoral clinical fellowship in LGBTQ+ Health and Psychosocial Rehabilitation at the Connecticut VA Healthcare System (VACHS). He is currently an Advanced Fellow in Health Services Research and Development at VACHS and the Yale School of Medicine and serves as the LGBTQ+ Veteran Care Coordinator for VACHS. Jacob's research investigates the experiences of actively serving transgender military personnel, health disparities for LGBTQ+ Veterans, and patient-centered interventions to improve access to care for transgender Veterans. Jacob also advocates for an inclusive military policy as the Director of Advocacy for SPARTA, A Transgender Military Advocacy Organization. Resources mentioned in this episode: Ruben MA, Kauth MR, Meterko M, Norton AM, Matza AR, Shipherd JC. Veterans' Reported Comfort in Disclosing Sexual Orientation and Gender Identity. Med Care. 2021 Jun 1;59(6):550-556. doi: 10.1097/MLR.0000000000001543. PMID: 33797509. [8:34]practicewithpronouns.com [32.23]CDP Presents: Psychological Practice with Transgender and Gender Nonconforming Service Members and Veterans [36:00] Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

As behavioral health providers, our jobs often are primarily helping patients heal when their worlds are in turmoil. But we don't often talk about doing that work while our own world or even the whole world is in turmoil. What can we learn from efforts to support mental health providers working in the heart of real-time geopolitical aggression? Join us as we discuss the experience of CDP's own Drs. Bill Brim and Andrea Israel partnering with UNM's ECHO project providing just-in-time training in psychological first aid and provider resilience to providers in Ukraine. William Brim, Psy.D., is the director of the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. He joined CDP in 2007, initially as a deployment behavioral health psychologist at Malcolm Grow Medical Center and served as deputy director until 2017. Prior to joining CDP, Dr. Brim served on active duty as a psychologist in the United States Air Force from 1997 to 2007. The focus of Dr. Brim's clinical work, supervision and training is on deployment and redeployment- related mental health issues, specifically assessment and treatment of posttraumatic stress disorder and insomnia. Additionally, Dr. Brim focuses on health psychology clinical practice, the integration of mental health services in primary care and offers forensic psychology expert consultation and witness services.Andrea Israel, Ph.D., is a clinical psychologist serving as a Military Behavioral Health Child Psychologist at the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. In this role, she supports a study to assess the feasibility and to identify best practices for enhancing and expanding capabilities to deliver telehealth services to youth (dependents of active duty military) with neurodevelopmental and behavioral health needs across a dispersed geographic area. In addition, she provides Evidence-Based Psychotherapy (EBP) training. Dr. Israel graduated with her doctorate in School Psychology from the University of North Carolina at Chapel Hill and completed her postdoctoral work at Duke University Medical Center. She earned her bachelor's degree in Spanish, with a minor in Psychology, from the University of Virginia.Resources mentioned in this episode: https://deploymentpsych.org/resources-for-providers-in-wartime Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email