The Modern Therapist’s Survival Guide: Where Therapists Live, Breathe, and Practice as Human Beings It’s time to reimagine therapy and what it means to be a therapist. We are human beings who can now present ourselves as whole people, with authenticity, purpose, and connection. Especially now, when clinicians must develop a personal brand to market their private practices, and are connecting over social media, engaging in social activism, pushing back against mental health stigma, and facing a whole new style of entrepreneurship. To support you as a whole person, a business owner, and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age.
Curt Widhalm, LMFT and Katie Vernoy, LMFT
Listeners of The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy that love the show mention: therapists, private practice, marissa, graduate, therapy, mental health, modern, growth, changed, resource, authentic, smart, community, highly recommend, every episode, honest, appreciate, real, informative, looking forward.
The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy is an incredible podcast that I look forward to every week. As a therapist myself, this podcast has become a must-listen for me because of how much I learn and how it enriches the work I do with my clients. I highly recommend it to anyone in the field.
One of the best aspects of this podcast is the wealth of knowledge and insights that Curt and Katie bring to each episode. They cover a wide range of topics relevant to therapists, from burnout and self-care to marketing and branding. The guests they bring on the show are also experts in their respective fields, providing even more valuable information for listeners. I have learned so much from listening to their discussions and have been able to apply it directly to my practice.
Another great aspect of this podcast is the authenticity and relatability of the hosts. Curt and Katie share their own experiences as therapists, which makes them easy to connect with as a listener. They talk about both the successes and challenges they have faced in their careers, giving a realistic portrayal of what it's like to be a therapist. This honesty creates a supportive environment for therapists and encourages personal growth.
In terms of drawbacks, there really aren't any major negatives about this podcast. Occasionally, there may be episodes or topics that aren't as relevant or interesting to some listeners, but overall, the content is consistently high-quality and informative.
In conclusion, The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy is an outstanding podcast for therapists looking to enhance their clinical work and navigate the challenges of being in private practice. The hosts' expertise combined with their authentic approach makes for an enjoyable listening experience that educates, inspires, and supports therapists on their professional journey.
Therapy Insurance and Billing Trends for Private Practice in 2025: An Interview with Sanjana Sathya Curt and Katie chat with Sanjana Sathya, co-founder of Thrizer, about the current landscape of mental health billing and insurance. Drawing from the 2025 State of Mental Health Insurance and Marketing report, Sanjana shares insights from hundreds of clinicians on reimbursement trends, hybrid practice models, and strategies for reducing administrative burden. They explore how therapists can make sustainable choices about private pay, insurance, and out-of-network billing — all while preparing for future changes in the mental health field. Transcripts and more information for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about how insurance is working for therapy right now Therapists in private practice must make choices between insurance, private pay, or hybrid billing. They all have pros and cons that can shift as the economy and insurance reimbursement rates change. We talked with our partner, Sanjana Sathya from Thrizer about a survey they conducted to identify what the state of insurance is now. · Survey insights on therapist billing models · Pros and cons of accepting insurance as a therapist · Exploring private pay and hybrid models for therapy practices · What is out-of-network billing and how can therapists use this model to best effect? · How therapists can choose a trustworthy billing service · How to future-proof your therapy practices Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Navigating Incel Culture: Therapy Approaches for Manosphere Clients Curt and Katie respond to all the discussions that popped up about the Netflix series Adolescence and its portrayal of a 13-year-old boy accused of murder. We chat about the complexities of working with clients labeled as "incels." We also explore the importance of understanding the impact of that label (especially when clients are not self-identified as “incels”), internet culture - particularly the manosphere, and the challenges therapists can face when working with clients holding these beliefs. Transcripts and additional information for this episode will be available at mtsgpodcast.com! In this podcast episode we discuss working with clients labeled as "incels" Curt and Katie explore the focus on “incels” in the discussions about the Netflix series Adolescence. We dive into the nuances of understanding internet subcultures and how therapists can effectively work with clients influenced by the manosphere, while also addressing concerns about suicidality, homicidality, and therapy strategies. What is an "Incel" and where does that term fit into the evolution of the manosphere internet community? Challenges in therapy with clients from the manosphere (incels, red pill, men's rights groups) The intersection of autism and the incel community in therapy Safety concerns: Suicidality and homicidality in clients from manosphere communities Strategies for effective therapy with clients from the incel/manosphere communities Key treatment goals when working with clients from the incel community Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Planning for Death or Incapacitation - What Therapists Need to Do: An interview with Dr. Robyn Miller, Ph.D. Curt and Katie chat with Dr. Robyn Miller, Ph.D., of TheraClosure about professional wills and what therapists need to do to effectively plan for their own incapacity or death. She shares her experience stepping in as a practice executor for colleagues, the trauma that can result when therapists disappear without explanation, and the systems she's created through her program to provide compassionate and organized transitions for patients. This is a conversation about professional wills, ethical responsibilities, and why planning for the worst brings peace of mind. Transcripts and more information for this episode will be available at mtsgpodcast.com! (Show notes provided in collaboration with Otter.ai and ChatGPT.) In this podcast episode, we talk about planning for a therapist's unexpected absence, incapacity, or death Too many therapists avoid thinking about what will happen to their clients if they can no longer practice due to sudden illness, incapacitation, or death. Dr. Robyn Miller joins Curt and Katie to discuss why it's essential to have a professional will, and how to make sure you're not leaving your clients without closure or support. Why Therapists Must Plan for Death or Incapacitation What Goes into a Professional Will for Therapists The Role and Burden of a Practice Executor Creating a Plan that's Clinically Thoughtful Systemic Issues and Professional Responsibility Action Steps for Modern Therapists Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Interpersonal Branding - Therapist Marketing That Aligns With Who You Are: An interview with Carrie Wiita Curt and Katie chat with Carrie Wiita about authenticity, first impressions, and why traditional business coaching doesn't work for most therapists. Carrie critiques traditional business coaching models that rely on anecdotal “success stories” and mindset hype, and instead offers a relational, thoughtful, and research-informed framework to help therapists show up in alignment with their professional identities. We also explore the unique challenges therapists from marginalized communities face in marketing, and how systemic issues influence visibility and access. Transcripts and more information for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about how therapists can market themselves ethically, authentically, and effectively Marketing for therapists doesn't have to feel slimy, manipulative, or one-size-fits-all. Carrie Wiita, a marketing therapist and creator of interpersonal branding, shares how therapists can use their natural strengths, values, and clinical insights to build trust through marketing—without pretending to be someone they're not. What is Interpersonal Branding for Therapists? The Problem with Traditional Business Coaching for Therapists The Impact of First Impressions on the Therapeutic Relationship Navigating Identity and Professional Boundaries as a Therapist Marketing and Systemic Oppression with the Therapist Profession Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Special Episode: Modern Therapist's Consumer Guide on JotPsych Curt and Katie talk with Nate Peereboom, CEO and co-founder of JotPsych, an AI-powered scribe designed to automate therapy notes and save therapists 90–95% of their note-taking time. Jot Psych supports over 30 languages, integrates with many EHRs, and prioritizes security and privacy. In this conversation, we dive into how AI can support clinicians while protecting the integrity of the therapeutic relationship. This episode is part of our Modern Therapist Consumer Guide, where we explore innovative tools and services built for therapists and their clients. In this podcast episode we talk about AI Scribes and making your clinical documentation more efficient and effective with JotPsych We explore how Jot Psych uses artificial intelligence to ease the documentation burden in therapy practices, while maintaining HIPAA compliance and respecting client privacy. Interview with Nate Peereboom, JotPsych 0:01:07 - Nate introduces himself and JotPsych 0:02:18 - Origin story of JotPsych and why they created the company 0:05:34 - Mission, vision, and values of the business 0:09:42 - Process of using JotPsych and note generation 0:12:08 - Business and clinical considerations for using AI scribes 0:16:14 - Privacy concerns and client consent 0:20:30 - Concerns about data training and potential AI therapist replacement 0:31:18 - Multilingual capabilities 0:31:52 - Quality assurance processes 0:34:49 - Onboarding process for new users 0:40:16 - Where to find more information about JotPsych Curt and Katie Chat – Our review of JotPsych 0:42:07 – Katie and Curt talk through our impressions of JotPsych: Considerations for choosing JotPsych, paying attention to scope and accuracy in documentation that is produced, how tools like Jot Psych can serve solo and group practices, the importance of testing AI tools in real-world practice before full adoption A Special Offer for the listeners of Modern Therapist's Survival Guide podcast from JotPsych Try Jot Psych with a 10-day free trial and get 50% off the first two paid months. Visit jotpsych.com/modern-therapist and use code MODERN Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/
When Laws and Ethics Conflict: Civil Disobedience, Social Justice, and Our Role as Therapists Curt and Katie chat about what happens when legal requirements clash with ethical responsibilities—and how therapists can stay grounded in their values while navigating complex decisions. When you find yourself in a situation where the law seems to contradict your ethics, or even violate your clients' basic human rights, what do you do? In this deep-dive episode, we explore the tension between law and ethics and the moral courage required to practice in alignment with your values. From post-9/11 changes in APA's ethics code to current issues like gender-affirming care restrictions, we explore real-world implications and guide you through a framework for ethical decision-making in the face of legal and systemic challenges. This is a continuing education podcourse. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about laws, ethics, and the difficult decisions therapists face in practice Executive orders and nationwide proposed legislative bills that affect mental health have left therapists wondering, “Will my ethics protect me?” This episode and podcourse explores the interplay between laws and ethics, how professional organizations guide therapists when laws and ethics collide and gives a framework for how therapists should proceed. Participants will learn how to identify potential conflicts, understand their legal and ethical obligations, and develop effective decision-making processes. Topics explored will include risk management strategies, consultation best practices, and documentation considerations in conflictual situations. How do Modern Therapists navigate Ethics vs. Law in our practices? · Where clinical ethics and legal obligations collide · How our ethical codes approach this conflict (APA, ACA, NASW, CAMFT) · The importance of understanding your responsibilities beyond compliance Civil Disobedience as Therapists out in the world and in our offices · Philosophical roots: Antigone, Nuremberg, and post-9/11 ethics reform · When following the law may cause harm to clients or communities · How to protect your license while still honoring human rights Real-Life Legal versus Ethical Dilemmas for Modern Therapists · What to do when reporting requirements might increase harm · How to support trans and gender-diverse clients in states with discriminatory laws · Navigating confidentiality, documentation, and advocacy A Therapist's Decision-Making Process for Civil Disobedience From Knapp, S., Gottlieb, M., Berman, J., & Handelsman, M. M. (2007). When laws and ethics collide: What should psychologists do? · Seek consultation to understand your legal requirements (know what the law is actually asking you to do, even if that means taking the time to consult with an attorney) · Clearly understand your ethical obligations (read the language of the ethics code and consult with trusted colleagues) · Consider alternatives that allow following the law while upholding your values · Contemplate violating the law only if no viable alternatives exist, and if so, limit disobedience to the minimum necessary to fulfill the higher goal Receive Continuing Education for this Episode of the Modern Therapist's Survival Guide Continuing Education Approvals: Continuing Education Information including grievance and refund policies. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Reproductive Mental Health, Intersectionality, and Systemic Barriers: An interview with Dr. Loree Johnson Curt and Katie chat with Dr. Loree Johnson about the intersections of reproductive mental health, race, and systemic injustice. Dr. Johnson shared powerful insights about the shame, grief, and medical trauma that many clients face, especially Black women and other folks from historically marginalized communities. We dive into how therapists can hold safer, more informed spaces for clients experiencing infertility and pregnancy loss, and how systemic racism and historical harm continue to shape reproductive healthcare today. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about reproductive trauma, systemic barriers to care, and the need for cultural humility in therapy We were honored to sit down with Dr. Loree Johnson, LMFT, PhD—an expert in reproductive mental health who brings both clinical expertise and lived experience to the conversation. We explore how therapists can better support clients navigating infertility, pregnancy loss, and trauma, especially clients from marginalized communities. What do therapists often get wrong about reproductive mental health? · Avoiding the conversation about infertility and pregnancy loss because therapists feel undertrained or uncomfortable · Therapists overlook the impact of race, history, and oppression in reproductive trauma · Assuming fertility issues affect only straight, cisgender couples · Minimizing or misunderstanding the grief associated with pregnancy loss and infertility What is the role of systemic racism and historical trauma for Black women seeking reproductive care? · Mistrust of the medical system due to real, generational harm (e.g., J. Marion Sims, Henrietta Lacks, Tuskegee) · Myths of hyper-fertility in Black women and the erasure of infertility struggles in communities of color · Disenfranchised grief and cultural stigma around fertility challenges · Weathering: the cumulative impact of chronic stress and racism on physical and reproductive health How can therapists show up better for clients who are experiencing infertility and pregnancy loss? · Learn the terminology and processes around fertility treatments and pregnancy loss · Create space for conversations around sex, reproduction, and grief—even if it's uncomfortable · Practice cultural humility and intimacy: be willing to be wrong, to sit with pain, and to build trust · Acknowledge your own limitations and biases while staying curious and committed to learning · Be prepared for these conversations—even if you don't specialize in reproductive mental health Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
What Therapists Need to Know to Support the Trans Community: An interview with Artie Hartsell Curt and Katie chat with Artie Hartsell from ACLU North Carolina about how current anti-trans policies are impacting the trans community. We explore the historical erasure of trans identities, the rise of anti-trans legislation, and the real-world impact on housing, medical care, and documentation. Artie also shares resources for legal aid, community support, and how therapists can show up for their trans clients. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we explore the real-life consequences of anti-trans policies Curt and Katie sit down with Artie Hartsell, MSW, an advocate and organizer with the ACLU of North Carolina, to discuss how recent political changes are affecting the trans community. How are trans rights being threatened today? Over 1,000 anti-trans bills and executive orders have been introduced in the U.S. Passport and documentation delays create barriers for trans individuals. Housing discrimination and increased risks for unhoused trans individuals. Medical care restrictions limit access to gender-affirming treatment. A rise in state and local laws emboldening discrimination against trans people. What can therapists do to support trans clients? Make their practice as welcoming as possible by being transparent about their knowledge and limitations. Partner with local LGBTQ organizations to stay informed and provide accurate resources. Be mindful of documentation practices to protect trans clients from potential harm. Encourage trans clients to build strong communities and mutual aid networks. Resources for Trans Individuals and Allies: Legal Aid and Advocacy: ACLU, Lambda Legal, National Center for Lesbian Rights Medical Resources: Campaign for Southern Equality, Gay and Lesbian Medical Association (GLMA) Community Support: PFLAG, local LGBTQ centers How can allies and therapists take action to support the trans community? · Educate yourself on trans rights and the implications of recent laws. · Provide direct support by connecting trans clients to legal and medical resources. · Engage in advocacy through organizations like the ACLU and local LGBTQ groups. · Encourage trans individuals to document and preserve their community's history. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
What Should Not Be Normalized in Our Profession? Curt and Katie chat about a discussion that came up in the Modern Therapists Facebook group – What is something that you wish other therapists would stop pretending is normal. We explore the normalization of waiting until license renewal for CE, balancing accountability without chastising clients, and acknowledging countertransference in therapy. We also tackle the high costs of specialized training, the problems of treating children in isolation without family involvement, and the systemic issue of unpaid internships and low therapist wages. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we explore frustrations modern therapists have with our profession Curt and Katie dive into some of the things that therapists normalize that maybe they shouldn't, gathered from discussions in the Modern Therapist Facebook Group. What are struggles that are normalized for therapists? · Waiting until right before license renewal to complete continuing education (CE) · Not figuring out the difference between holding clients accountable vs. chastising or bullying them · Failing to acknowledge countertransference and true emotions in therapy · The high costs of specialized training · Not recognizing the importance of family involvement in child therapy · The impact of unpaid internships and low wages for therapists Is the therapy profession setting itself up for burnout and financial struggle? · Many therapists procrastinate CE requirements, leading to unnecessary stress. · Holding clients accountable is important, but it shouldn't come at the cost of rapport or shame. · Denying countertransference is unrealistic — therapists have emotions too! · Expensive training creates barriers to specialization, limiting accessibility. · Therapists treating children without involving family may not be setting up the child for success. · Unpaid internships and low wages continue to undervalue therapists' work, making financial stability difficult. What can therapists do to improve their profession? · Plan CE credits early to avoid last-minute stress. · Frame accountability in a way that supports clients and aligns with their stated goals rather than chastises them. · Acknowledge emotions in therapy without making sessions about the therapist. · Seek out reasonably priced training options and advocate for more affordable education. · Encourage family involvement when working with children (when appropriate). · Push for industry-wide changes in pay and internship standards. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
How Can Therapists Accept (and Impact) Technology?: An interview with Dr. David Cooper Curt and Katie chat with Dr. David Cooper of Therapists in Tech to explore the evolving role of artificial intelligence (AI) in therapy. Dr. Cooper highlights the importance of tech literacy, privacy, and security in digital mental health while advocating for therapists to use AI as a tool for efficiency rather than replacement. He compares this shift to the transition from paper charts to electronic health records (EHRs) and encourages therapists to stay informed and engaged through communities like Therapists in Tech and the Society for Digital Mental Health. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about how therapists can engage with technology At the Behavioral Tech Conference, Katie met Dr. David Cooper of therapists in tech. We invited him on to help us understand better how therapists can engage with technology safely and ethically. As AI continues to integrate into mental health care, therapists must embrace innovation while advocating for ethical, client-centered practices. How can therapists engage with AI and digital health responsibly? Use AI tools like ChatGPT for administrative efficiency and tech troubleshooting. Advocate for digital health education in graduate training programs. Seek guidance from digital health experts through groups like Therapists in Tech. Implement technology for administrative tasks, such as automated reminders and billing. Stay informed and connected with digital mental health advancements through professional communities. Key Takeaways from this podcast interview with Dr. David Cooper of Therapists in Tech AI can enhance, not replace, therapy, improving efficiency in practice management. Ethical considerations remain crucial, especially regarding privacy and data security. Tech literacy is a necessary skill for all therapists as the field evolves. Therapists should take an active role in digital health advocacy to maintain the human element in care. Resources for Therapists Adapting to Digital Health: Therapists in Tech – A community for professionals navigating digital mental health. Society for Digital Mental Health – A resource hub for therapists exploring tech solutions. Behavioral Health Tech Conference – A key event for learning and networking in digital health. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Reviewing a Disciplinary Case on Suicidality, Erotic Transference, and Between-Session Communication: How do therapists hold appropriate boundaries? Curt and Katie chat about a disciplinary case against Dr. Eric Bergeman, highlighting key ethical concerns for therapists. They explore documentation practices, therapist responsibilities, and boundary management, particularly in cases involving suicidality and erotic transference. The conversation underscores the importance of clear treatment planning, proper record-keeping, and ethical decision-making to avoid legal and professional consequences. This is a continuing education podcourse. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about suicidality, erotic transference, between-session communication, and documentation Therapists are given conflicting advice on when their duties to patients begin, how much they are expected to be available to clients outside of sessions, how they are to approach between-session communications, and how to document such communications. This episode explores a disciplinary case where the California Board of Psychology investigated a therapist's responses to a client that filed a complaint about the therapist's treatment. What therapists need to know about ethical boundaries and disciplinary actions: The importance of proper documentation and clear treatment planning. How to respond to client suicidality in real-time, including assessment and intervention. Managing erotic transference with ethical boundaries and consultation. The role of Board of Psychology investigations in evaluating therapist conduct. Key Takeaways from Dr. Bergeman's Disciplinary Case: The Board of Psychology found gross negligence due to poor documentation, inadequate diagnosis, and lack of clear therapeutic boundaries. Dr. Bergeman failed to properly address the client's suicidality and borderline personality disorder, leading to ethical concerns. Consultation with another therapist revealed concerns about Bergeman's treatment approach and lack of structured intervention. The Board initially sought a fine of $103,000, later reducing it to $10,363, citing good intentions but significant professional oversights. Receive Continuing Education for this Episode of the Modern Therapist's Survival Guide Continuing Education Approvals: Continuing Education Information including grievance and refund policies. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
What Therapists Need to Know About Immigration: An interview with Andy Strait Curt and Katie chat with Andy R. Strait, Esq., about immigration policies, mental health, and the role of therapists in supporting immigrant clients. They explore legal challenges, asylum cases, and the impact of fear-driven policies on mental health. Strait emphasizes the importance of legal representation, knowing one's immigration status, and providing accurate resources. Therapists can help by offering pro bono evaluations, connecting clients with legal aid, and creating safe spaces for immigrant communities. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about what therapists need to know about immigration Immigration policies directly impact the mental health of both therapists and their clients. We asked Andy Strait, an immigration attorney and former public advocate, about the challenges immigrants face in the U.S. legal system, the role of therapists in supporting their clients, and practical steps therapists can take to provide assistance. What do therapists need to know about immigration policies? The lack of legal representation for immigrants and how this affects asylum outcomes. How the culture of fear surrounding immigration policies affects mental health. The importance of therapists providing accurate legal resources to clients. The racial profiling and shifting demographic focus of ICE operations. How therapists can help clients plan for potential deportation and protect their families. How Therapists Can Support Clients Facing Immigration Challenges Refer clients to legal experts by connecting with organizations like the American Immigration Lawyers Association (AILA) and the Survivors of Torture Network. Consider offering pro bono psychological evaluations for asylum cases, as expert testimony is often crucial. Help clients understand their rights and the importance of legal documentation. Provide safe spaces for immigrants to process their fears and mental health struggles. Be mindful of misinformation and educate clients using accurate, vetted sources. Understanding the Realities of the Immigration System The asylum process is complex and overburdened, leaving many without proper representation. There is no right to an attorney for immigrants, making legal aid essential. Immigrants and their families need proactive strategies to prepare for potential enforcement actions. Therapists can play a critical role in reducing the stigma around seeking legal and mental health support. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Reacting to Regime Change: How Therapists Can Advocate for our Clients and Communities Curt and Katie chat about how the United States has shifted since the inauguration of President Trump. We look at how therapists can advocate for their clients and the communities they serve and/or live in. We look at strategies for therapists to stay informed, provide vetted resources, and be present for clients who may be struggling with the changes. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about the impact of political shifts on mental health care With ongoing changes in healthcare policy, therapists must navigate how legislative decisions impact their clients and their own practice. In this episode, Curt Widhalm and Katie Vernoy discuss the Trump administration's influence on mental health care, the importance of accurate information and advocacy, and strategies for balancing personal well-being with professional responsibilities. What do therapists need to know about political changes in healthcare? The Trump administration's policies and their impact on the Affordable Care Act (ACA) and Medicaid. The role of therapists in ensuring clients receive accurate healthcare information. How legislative decisions affect funding for mental health services. Why advocacy and political awareness are essential for protecting mental health access. The ethical considerations of discussing politics with clients while maintaining professional boundaries. How Therapists Can Take Action to Protect Healthcare Access Educate yourself and your clients on state-specific programs and available resources. Provide information in your practice on how clients can contact their legislators. Spend 15 minutes a day making calls to representatives to advocate for mental health care. Encourage, but don't pressure, clients to take action in ways that align with their own values. Share neutral, fact-based sources to help clients stay informed without unnecessary anxiety. The Emotional Toll of Advocacy and How to Manage It Navigating personal feelings while supporting clients through political uncertainty. Avoiding doom-scrolling and setting boundaries around media consumption. Finding support within the therapist community to prevent burnout. Understanding personal capacity and choosing advocacy efforts that are sustainable. The Role of Therapists in Community Support Helping clients feel empowered rather than helpless in the face of policy changes. Creating space in sessions for conversations about uncertainty and anxiety related to healthcare access. Challenging therapists to step outside their comfort zone and take meaningful action. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
When Your Client Dies By Suicide: An interview with Dr. Nina Gutin Curt and Katie chat with Nina J. Gutin, Ph.D. about to discuss the emotional, professional, and systemic impact of client suicide on clinicians. We break down the common reactions of guilt and blame, highlight the importance of postvention support, and explore strategies to navigate grief and maintain clinical confidence. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about the impact of client suicide on clinicians Losing a client to suicide is a devastating and often isolating experience for mental health professionals. We asked suicide expert, Dr. Nina Gutin to join us to talk about how therapists can take care of themselves when they have a client die by suicide. What do therapists need to know about client suicide and its impact on clinicians? The stigma and self-blame clinicians often experience after losing a client. The importance of using “died by suicide” instead of stigmatizing language. Statistics on clinician loss: One in five mental health professionals—and up to one in two psychiatrists—will experience a client suicide. The need for postvention protocols and structured support in mental health workplaces. How reducing caseloads and fostering support networks can help mitigate the long-term professional impact. Processing Guilt and Self-Blame After a Client Suicide How hindsight bias can make clinicians feel responsible for a client's death. Shifting from guilt to remorse or regret as a healthier perspective. The fear of legal repercussions and how to navigate it after a client suicide. Best practices for reaching out to a client's family with compassion and professionalism. The Professional and Emotional Toll of Client Suicide on Therapists How losing a client to suicide can shake a clinician's confidence and clinical identity. The importance of workplace support and structured postvention after a client death. Why systemic change is necessary to ensure therapists receive the help they need. Resources and Support for Clinicians The Coalition of Clinician Survivors – A support network offering: A listserv for peer support. A bibliography of research and clinical resources. Postvention protocols to guide clinicians and organizations. Dr. Nina Gutin's email – For clinicians seeking consultation (nguten@earthlink.net). Breaking the Stigma and Advocating for Systemic Support How the stigma around suicide impacts both clients and clinicians. The need for better suicide prevention and postvention training in clinical programs. How organizations can prepare for and respond to client suicides to support their clinicians effectively. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Stop Wasting Your Time on Awareness Campaigns Curt and Katie chat about the limitations of performative awareness campaigns and the need for action-oriented advocacy. Inspired by the article Stop Raising Awareness Already by Ann Christiano and Annie Niemand, they critique viral campaigns like Kony 2012 and the CDC's zombie apocalypse campaign, highlighting the importance of targeting the right audiences, crafting compelling messages, and developing a theory of change. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about the limitations of awareness campaigns Curt and Katie talk about what to do instead of focusing precious time, energy, and resources on advocacy that is solely about awareness. We look at what has worked in the past and how to implement that now. Why Awareness Alone Isn't Enough Performative awareness (social media posts, profile filters) often doesn't lead to real change. Examples of failed awareness campaigns: Kony 2012: Viral but lacked sustainable action. CDC's zombie apocalypse: Popular but ineffective at promoting emergency preparedness. HPV vaccine campaign: Faced backlash due to misinterpretation of its message. Some awareness efforts even create harmful counter-movements (e.g., “All Lives Matter” in response to BLM). The Importance of Targeted Advocacy Broad awareness campaigns often miss key decision-makers—advocacy should focus on specific audiences. Examples of effective advocacy efforts: Lobbying for minors' rights to amend therapy records. Medicare reform efforts for mental health providers. California Association of Marriage and Family Therapists (CAMFT) educating legislators about MFTs. Developing a Theory of Change Advocacy needs clear goals and strategic planning. The story of Rosa Parks demonstrates effective timing and targeting in advocacy. Successful campaigns require repetition, patience, and clear calls to action. Practical Steps for Effective Advocacy: · Move beyond awareness—advocate for policy changes, funding, and direct action. · Target specific audiences (lawmakers, healthcare providers, educators). · Craft messages that resonate—ensure they lead to measurable change. · Develop a theory of change—plan advocacy efforts with long-term impact in mind. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
MFTs Providing Therapy Across State Lines Through License Portability in the United States: An interview with Roger Smith Curt and Katie chat with Roger Smith, Chief Advocacy Officer and General Counsel for American Association of Marriage and Family Therapists, about the challenges and progress in licensure portability for Marriage and Family Therapists (MFTs). He explains why AAMFT opted for an endorsement model over interstate compacts, the success of the Access MFTs initiative, and what's next for portability efforts in 2025. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk with Roger Smith about LMFT License Portability As more and more therapy is happening online, therapists have an opportunity to work with clients from all over the world. In the United States, there have been efforts by social workers, mental health counselors, and psychologists to create inter-state compacts to help regulate these therapists (and provide opportunities to deliver care legally in other states). Marriage and Family Therapists have been left behind and are now seeking a different path (reciprocity or portability) due to the unique characteristics of the LMFT profession. We reached out to Roger Smith of AAMFT to help us understand why this decision was made as well as what it means for MFTs. Why AAMFT Chose the Endorsement Model Over Compacts · Interstate compacts were considered but ultimately deemed too costly and unsustainable. · Large states like California and New York have not adopted ANY healthcare compacts, limiting effectiveness. · Endorsement model: Allows MFTs to practice in other states if they hold an unencumbered license—without having to meet initial requirements again. Success of the "Access MFTs" Model · In 2024, 7 out of 10 targeted states passed the Access MFTs model law. · States that adopted the model include Arizona, Georgia, Illinois, Iowa, Maryland, Tennessee, and Virginia. · Efforts continue in Kentucky and North Carolina for 2025. Future of MFT Portability & Barriers California is not pursuing portability legislation but is working with CAMFT on national exam advocacy. Exam requirements can be a barrier to full portability. Expansion plans focus on pro-telehealth states and underserved regions. Member Interest & Cost Considerations for MFTs seeking to practice across state lines A 2022 AAMFT survey showed strong member interest in portability, especially among younger therapists. Costs are a factor—both the Access MFTs model and interstate compacts involve financial considerations for therapists. National Licensure for therapists: Why It's Not an Option Licensure is a state-level issue, and federal intervention is unlikely. A national exam or license would face constitutional challenges and resistance from state regulatory boards. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
The Advances in Artificial Intelligence for Mental Health: An interview with Dr. Alyssa Dietz Curt and Katie chat with Dr. Alyssa Dietz, a clinical psychologist and digital mental health expert, about the evolving role of AI in therapy. Dr. Dietz discusses how AI can enhance therapy by delivering evidence-based care, particularly in structured approaches like CBT, while acknowledging its limitations with complex, multi-diagnosis cases. She emphasizes the need for collaboration between therapists and AI developers to ensure ethical, patient-centered innovation in digital mental health. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk with Dr. Alyssa Dietz about Advances in AI for Therapy Artificial Intelligence has already come for mental healthcare. The question is, what should therapists be doing about it? We dig into what AI therapy looks like from the inside, from a clinician's perspective. AI's Growing Role in Therapy AI can enhance therapy but won't replace human therapists soon. AI is particularly effective in skills-based therapies like CBT. AI currently struggles with complex diagnoses and comorbidities. The most active users of digital mental health tools are 50-60 years old, surprising many industry experts. How AI is Changing the Therapist's Role AI can automate administrative tasks and support therapists in data-driven decision-making. Although tech and insurance folks say we can use AI to work at the "top of our license," this approach could lead to therapist burnout. Clinicians should work alongside AI developers to ensure ethical, patient-centered care. AI's judgment and decision-making remain limited, requiring human oversight. Evaluating AI's Effectiveness & Ethical Considerations The tension between innovation, regulation, and evaluation in AI-driven therapy. Importance of clear safety protocols and escalation (emergency) measures for client care. AI must be rigorously tested for safety and effectiveness. Understanding how AI products are trained and evaluated is critical for therapists before incorporating these clinical tools into your practice. AI and Complex Diagnoses Current AI models struggle to address comorbidities effectively. Need for personalization and context-driven interventions. Future AI tools must move beyond a one-size-fits-all approach. How Therapists Can Adapt to AI in Mental Health Educate yourself on AI's capabilities and limitations. Stay informed through online courses, conferences, and tech-focused therapist groups. Engage with organizations like the Digital Medicine Society to understand responsible AI use. Connect with the "Therapists in Tech" Slack group to network with others in the space. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Exploring Systemic Trauma and Relational Privilege with BIPOC and LGBTQI Couples: An interview with Akilah Riley-Richardson Curt and Katie chat with Akilah Riley Richardson, MSW about the challenges therapists face when working with BIPOC and LGBTQI couples. Akilah discusses the impact of systemic trauma, how it affects relationships, and the importance of creating therapeutic models tailored to marginalized communities. She introduces The PRIDE Model for therapy and The BIOME Stance for therapists, offering actionable strategies for inclusive, trauma-informed care. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk with Akilah Riley-Richardson about what therapists get wrong when working with BIPOC and LGBTQI couples Too often, couples counselors take traditional models and make slight tweaks for couples from marginalized backgrounds, with little success. Akilah Riley-Richardson has developed a stance and a new model to help support therapists in doing more effective work with these couples. Understanding Systemic Trauma in Therapy Defining systemic trauma: Chronic, unpredictable, and disenfranchised trauma caused by systemic forces (education, legal, and healthcare systems). Examples of systemic trauma: Microaggressions, mispronounced names, assumptions about authority roles, and misgendering. Effects on individuals and relationships: Reduced sense of safety, rejection sensitivity, emotional disconnect, and difficulty setting boundaries. Challenges in Therapy with BIPOC and LGBTQI Couples Common therapist mistakes: Ignoring systemic realities and the impact of privilege. Adapting existing models without acknowledging their white, cishet origins. Failing to create trauma-informed, inclusive frameworks. Importance of relational privilege: Self-acceptance, social acceptance, and feeling protected in relationships. The PRIDE Model & The BIOME Stance from Akilah Riley-Richardson PRIDE Model for Therapy: Relational curiosity: Actively exploring the client's lived experiences. Setting intentions: Creating space for safety and vulnerability. Trauma work: Addressing systemic trauma's long-term impact on relationships. BIOME Stance for Therapists: Bravery: Facing discomfort in recognizing privilege. Intimacy: Fostering deep emotional connections. Openness: Being receptive to client experiences. Micro-liberatory movements: Small but impactful actions toward social justice. Epistemic embracing: Validating client knowledge and lived experiences. How Therapists Can Engage Clients in Systemic Trauma Work Transparency in therapy: Clearly communicating the goal of liberation. Allowing resistance: Accepting client pushback as an assertion of power. Embracing uncertainty: Being comfortable with not having all the answers. Participating in decolonization conversations: Learning through community engagement and allyship. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
How Therapists Can Truly Help After a Disaster Curt and Katie chat about the impact of the recent Los Angeles wild fires on therapists, their clients, and communities. We explore the importance of self-assessment, responsible crisis response, and balancing personal care with providing support. From donating (and marketing) services ethically to understanding trauma timelines, Curt and Katie provide practical advice for therapists navigating community-wide disasters. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk through how therapists can help during and after crises Curt and Katie live in Los Angeles, which was recently ravaged by wild fires. We decided it would be important to reflect on our experience and provide support to other therapists seeking ways they may be able to help their own communities. Self-Assessment and Prioritizing Personal Care during a Natural Disaster or Community Crisis Therapists are encouraged to assess their capacity to provide support, ensuring they do not overextend themselves during a crisis. Curt emphasizes radical acceptance and forgiveness for cancellations or temporary service disruptions caused by disasters. Katie highlights the importance of therapists taking care of themselves before offering services, noting the potential for long-term impacts on both providers and clients. How to Market Therapy during a crisis without feeling like an ambulance chaser Curt and Katie stress the importance of donating services ethically, avoiding lead generation tactics or branding during a crisis. They discuss reviewing scheduled marketing campaigns to ensure sensitivity to the current situation. Therapists are encouraged to work with established organizations (like the Red Cross) to maximize the impact of their efforts. Curt and Katie discuss the risks of using disasters to build personal brands and stress focusing solely on service and support. They suggest volunteering with experienced organizations to avoid complications and maximize resources for those in need. Recognizing Individual Needs and Trauma Timelines for disaster survivors Not all clients experience or process trauma in the same way; therapists must tailor their support to individual needs and stages of impact. Curt shares insights from his experience supporting clients after the Boston Marathon bombing, emphasizing the importance of addressing varying levels of trauma severity. Katie highlights the need for long-term care systems to address ongoing trauma responses. How Therapists can balance Caretaking and Personal Needs during a disaster Curt shares his experience of being overwhelmed by personal messages and work demands during the crisis. Katie emphasizes the importance of setting boundaries and giving oneself permission to focus on personal care. Therapists are reminded that they are part of the crisis too and should ensure they meet their own needs before taking on the caretaker role. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Helping Parents Become What They Needed as a Child: An interview with Bryana Kappadakunnel, LMFT Curt and Katie chat with Bryana Kappakunnel, LMFT about conscious parenting, discussing how self-awareness, emotional regulation, and healing personal triggers can help parents foster healthier and more connected relationships with their children. With a background in infant and early childhood mental health and her upcoming book Parent Yourself First, Bryana offers valuable insights for therapists and parents alike. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk with Bryana Kappadakunnel about Conscious Parenting We invited friend of the show, Bryana Kappadakunnel, LMFT to talk about her work, including her new book, Parent Yourself First. What is Conscious Parenting? Conscious parenting goes beyond positive parenting by prioritizing self-awareness, personal healing, and understanding the root causes of emotional triggers. Bryana explains how addressing parents' unresolved issues can create a healthier environment for children, often alleviating behavioral challenges. She highlights the importance of building authentic connections with children and fostering emotional safety through open communication and modeling accountability. Common Pushback and Misconceptions for Conscious Parenting Bryana addresses resistance from parents who view traditional parenting as the norm or feel threatened by relational approaches. She clarifies that conscious parenting is not permissive but a balanced, authoritative style that combines high warmth, nurturance, structure, and boundaries. Bryana emphasizes the need to manage stress and prevent burnout by helping parents regulate their own emotions before addressing their children's behavior. How to Help Parents Navigate Challenging Parenting Scenarios When parents feel disrespected by their children, Bryana advises focusing on their own emotional reactions and understanding the child's behavior as a form of communication. She stresses the importance of setting consistent boundaries while staying attuned to the child's perspective. Bryana shares her own practice of apologizing to her children when she makes mistakes, modeling accountability and respect in the parent-child relationship. How Conscious Parenting Helps Kids During the pandemic, Bryana shifted her focus to working with parents directly, leading to significant improvements in family dynamics in shorter timeframes. Her work underscores the importance of addressing systemic and relational patterns within families rather than focusing solely on child behavior. Bryana highlights the benefits of her approach, including better communication, a deeper sense of connection, and raising compassionate, empathetic, and confident children. Bryana's Online Presence and Upcoming Book Bryana creates content tailored to the needs of parents and her clients, sharing bite-sized videos that inspire reflection and change. Bryana talks about her decisions on what to post as a licensed therapist with a big following on social media platforms She discusses her book, Parent Yourself First, which helps parents heal their own wounds to raise resilient and empathetic children. The book focuses on empowering parents to become the caregivers they wished they had, fostering healthier and more connected family systems. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Identifying the Graduate Program for the Career You Want – Special Series Becoming a Therapist: An interview with Eden Lathem In this new series, Curt and Katie interview graduate students and will follow them on their journey to becoming a therapist. Our final interview is with Eden Lathem, a second-year Marriage and Family Therapy (MFT) student at Lipscomb University in Nashville, Tennessee. Eden shares her path from working in prison education and with individuals with disabilities to finding her passion for systemic thinking and family therapy. She candidly discusses the challenges of grad school, balancing internships, and navigating financial constraints while exploring her future career aspirations. She also talks through how she did due diligence to find the “right” graduate program. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we meet Eden Lathem, an aspiring therapist We continue our new series on becoming a therapist, with Eden Lathem, who is a first career professional who has done a lot of due diligence and strategic thinking to plan her trajectory as a therapist and professional. Eden's Background and Path to Therapy Eden shares how her experiences in prison education and working with individuals with disabilities shaped her desire to support families and underserved populations. Initially hesitant about becoming a therapist, Eden found her passion for MFT through her commitment to systemic thinking and helping others. She highlights the unique role of MFT in addressing the needs of families with disabled members, a demographic often overlooked. Grad School Expectations vs. Reality Eden discusses her experience in an in-person, cohort-style program that meets weekly. She was surprised by the program's emphasis on self-awareness and the “self of the therapist” work, which has become a significant focus. While expecting more hands-on training, she found the program leaned heavily on didactic learning with limited opportunities for shadowing and hands-on therapy practice. Balancing Dual Internships and Financial Challenges Eden balances two internships: a paid position at a family therapy center and an unpaid internship, navigating the complexities of these experiences. She shares the financial struggles of grad school, reflecting on the challenges of unpaid internships and the economic realities of the helping professions. Eden highlights the need for strategic financial planning and managing responsibilities while pursuing a meaningful career. Advice for Prospective Therapy Students Eden encourages prospective students to thoroughly research programs by talking to professors and alumni. She stresses the importance of aligning program values with personal goals and considering the broader implications of the chosen education. Her advice emphasizes due diligence in selecting a program that supports future career aspirations. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Becoming a Therapist as a First Generation Immigrant – Special Series Becoming a Therapist: An interview with Marvin Vasquez In this new series, Curt and Katie interview graduate students and will follow them on their journey to becoming a therapist. Our third interview is with Marvin Vasquez, a first-year Marriage and Family Therapy (MFT) student at California State University, Northridge (CSUN), which is an all in-person program. Marvin shares his journey into therapy, shaped by his immigrant background and personal struggles, as well as his passion for serving underserved communities. He opens up about the unexpected sense of community within his cohort, the financial challenges of grad school, and his concerns about the future of therapy in an increasingly technological world. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we meet Marvin Vasquez, an aspiring therapist We continue our new series on becoming a therapist, with Marvin Vasquez. Marvin's Background and Motivation for Becoming a Therapist Marvin reflects on his upbringing in a large immigrant family and how his experiences inspired his desire to help others. He explains how his personal struggles and a passion for underserved communities led him to pursue a career in therapy. His goal is to use his background and understanding to make therapy more accessible and impactful for marginalized groups. The First Semester of his MFT Program: Expectations vs. Reality Marvin discusses his expectations of a theory-heavy and clinical program, contrasting it with the surprising sense of community within his cohort. He highlights the supportive environment, where vulnerability and shared resilience among students foster personal and professional growth. Marvin appreciates the program's emphasis on creating a safe space for learning and self-awareness. Community and Support in an In-Person Therapy Grad School Marvin contrasts his undergrad experience, which lacked connection, with his current program's close-knit and empathetic cohort. The program's in-person setup has created a unique intensity and camaraderie among students, helping Marvin grow as both a person and a therapist. He emphasizes the importance of authenticity and vulnerability in building strong connections within the cohort. Navigating Family Dynamics and Self-Awareness Marvin shares how the program has deepened his empathy for his parents, particularly their struggles as first-generation immigrants. He reflects on how their survival strategies shaped his upbringing and his understanding of family dynamics. The program has helped Marvin foster greater authenticity and emotional awareness in both his personal and professional life. Balancing Academics, Work, and Relationships during his MFT Masters Program Marvin explains the challenges of balancing his academic workload, job responsibilities, and personal relationships. He discusses the financial stress of grad school, including student loans, and the sacrifices involved in pursuing his degree. Marvin acknowledges the importance of maintaining connections with friends and family to avoid burnout and maintain a healthy work-life balance. Financial Concerns and Career Aspirations as an MFT Marvin shares his worries about student debt and the economic realities of being a therapist. He expresses gratitude for his supportive employer, who provides flexibility to balance work and school. Marvin is exploring career options, including the importance of finding fieldwork opportunities that align with his values and schedule. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Finding Alignment in a Second Career – Special Series Becoming a Therapist: An interview with Iris Wilson-Farley In this new series, Curt and Katie interview graduate students and will follow them on their journey to becoming a therapist. Our second interview is with Iris Wilson-Farley, a 54-year-old trans woman and graduate student pursuing her Master's in Clinical Mental Health Counseling at the Chicago School of Professional Psychology. Iris shares her journey moving from a 32-year corporate career to becoming a therapist, her passion for working with the LGBTQ+ community, and her reflections on safety, technology, and additional training opportunities. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we meet Iris Wilson-Farley, an aspiring therapist We continue our new series on becoming a therapist, with Iris Wilson-Farley, who in her process of self-discovery realized that her career was misaligned. She is now pursuing a degree in counseling. The motivation to transition careers from HR to Therapy Iris shares how her personal journey as a transgender woman and her positive counseling experiences inspired her to pursue a more meaningful career in therapy, focusing on giving back to the LGBTQ+ community, particularly older adults. The challenges and surprises in an online graduate program for therapists Iris discusses the challenges of adjusting to an asynchronous online program, balancing studies with her HR job, and the valuable multicultural and social justice emphasis in her curriculum. The perspective gained from entering therapy grad school as a second career clinician She highlights the wisdom, emotional intelligence, and lived experiences she brings as a second-career student, including her unique insights from being a client herself. Discussing safety concerns and multicultural awareness in the mental health profession Iris reflects on addressing safety concerns as a trans therapist, particularly in the face of potential discrimination, and shares her commitment to finding a supportive and affirming work environment. How is AI and technology addressed in therapist graduate school? Drawing from her corporate experience, Iris explores the integration of technology and AI in therapy, advocating for its potential to enhance the field while emphasizing the need for ethical considerations. What additional training can be helpful when starting out as a therapist? Iris expresses interest in pursuing additional certifications in sex therapy and religious trauma to better serve the LGBTQ+ community and address gaps in her training. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
From Broadway to Grad School – Special Series Becoming a Therapist: An interview with Derek Isetti In this new series, Curt and Katie interview graduate students and will follow them on their journey to becoming a therapist. Our first interview is with Derek Isetti, a 50-year-old graduate student in a two-year Master of Social Work program at California State University, Stanislaus. Derek shares his journey from careers in musical theater and speech-language pathology to pursuing a career in therapy. He reflects on the challenges, surprises, and personal factors influencing his decision to return to school, offering insights into navigating graduate education and the mental health profession. Transcripts for this episode will be available at mtsgpodcast.com! An Interview with Derek Isetti Derek Isetti, PhD, CCC-SLP earned his bachelor of arts in drama with an emphasis in musical theater from University of California, Irvine in 1996. After traveling the country in four national tours and performing in the musical Cabaret on Broadway, Derek returned to school and in 2008 he earned his master of science in Speech-Language Pathology from University of the Pacific. He later earned his doctor of philosophy in Speech and Hearing Sciences from University of Washington, studying voice disorders under the mentorship of Dr. Tanya Eadie. He joined the Pacific faculty in 2014 and is currently serving as Department Chair. In the Fall of 2023, he returned to school to pursue an MSW degree in hopes of becoming a psychotherapist. Derek is a member of the American Speech-Language-Hearing Association (ASHA) and the California Speech-Language-Hearing Association. In this podcast episode, we meet Derek Isetti, an aspiring therapist We are starting a new series to follow graduate students on their journey to become a therapist. We start with Derek Isetti, a third career therapist who is working full-time while attending a MSW program in Northern CA. (summary provided in collaboration with Otter.ai and ChatGPT) The experience of transitioning careers to become a therapist Derek explains his shift from a performer and speech-language pathologist to therapy, motivated by a desire to create supportive, transformative spaces for others. What graduate school can be like for aspiring therapists He details his MSW program structure, designed for working professionals, which includes online courses, in-person classes once a month, and 1,000 hours of fieldwork by graduation. How therapy students can balance academic and personal life Derek shares how his personal circumstances, being single, working in academia, and attending a state university for affordability—helped shape his path. Some challenges and surprises on the path to becoming a therapist He discusses the variability in program lengths (some social work programs are only 1 year, for example), California's unique licensure process for social workers, and the tension between broad social work education and specialized psychotherapy training. How current events and technology are addressed in therapy grad school Derek highlights the integration of national events and teletherapy technology into his program and the importance of addressing these topics with clients and students. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
What if you hate private practice? Curt and Katie chat about the realities of private practice and why it isn't the idyllic career path it's often made out to be. We dig into reasons therapists may dislike private practice, like financial instability, isolation, lack of accountability, and ethical concerns. We also share ways therapists can navigate these hurdles and find fulfillment in their work. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk through what makes owning a private practice hard We have seen both overly effusive (“living my best life”) and hopeless (“I will never be successful in private practice”) feedback about being in private practice. But what is it really like? AND if you don't like private practice is that okay? We decided to dig into what makes being a private practitioner challenging. Doesn't everyone LOVE private practice? · There are a lot of reasons people choose private practice as their job · Private practice is hard · Private practice isn't for everyone Financial Instability is unavoidable in private practice · Private practice income can be unpredictable, often lacking benefits and paid time off · Therapists may need outside financial support to mitigate these challenges · Starting a private practice easily can rely on financial or able-bodied privilege · Charging high fees and navigating ethical dilemmas can challenge therapists' sense of fulfillment and values. Owning a Private Practice comes with Business Challenges · With limited business training in grad school, therapists often struggle with marketing, setting up systems, and attracting clients. · Therapists can overthink how they set up their practice, causing delays and inefficiency Many Private Practice Clinicians experience isolation · Private practice can feel lonely · Networking, consultation groups, and in-person connections are essential for combating isolation. Private practice can be boring or monotonous · If you are tightly niched or work only with the worried well, you may encounter little clinical challenge · If you are only doing one to one work, you may desire more diversity of tasks to stay interested (like teaching, podcasting, etc.) If you own your own business, figure out how to deal with accountability issues · Without structured oversight, therapists may face difficulties staying organized or motivated, which can lead to burnout · Depending on who you talk with, you might convince yourself that no one is caught up on notes or paying their taxes on time – which isn't accurate. What can therapists do to make private practice better? · Network and nurture social and professional support · Get systems set up (and make them as simple as possible) to streamline your work · Think about diversifying what you do, to keep yourself engaged with the work Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
REPLAY - Outside Obsessions We're still on vacation, but we wanted to share one of our favorite episodes with all of you. We start with a quick reflection on the episode and what we've learned since it originally aired. Today's replay is of Episode 95: Outside Obsessions. In this episode we talk about how to handle the hobbies and goals in our personal lives that can be all consuming, especially if they come into the therapy room. You can see the original show notes and transcripts for episode 95 here: Outside Obsessions (https://bit.ly/mtsgpodcast95).
REPLAY - It's Time to Think About Your Goals We're on vacation, but we wanted to share one of our favorite episodes with all of you. We start with a quick reflection on the episode and what we've learned since it originally aired. Today's replay is of Episode 18: It's Time to Think About Your Goals. This is one of our first episodes and you can see what we were working on for 2018. This episode is timeless and timely. Happy New Year, all! You can see the original show notes and transcripts for episode 18 here: It's Time to Think About Your Goals (https://bit.ly/mtsgpodcast18).
An ER Doctor Reflects on Gun Violence, Health Inequities, and Moral Injury: An interview with Dr. Ruby J. Long Curt and Katie interview Dr. Ruby Long, ER doctor and restorative justice advocate, about the devastating impact of gun violence in the U.S. and its designation as a public health crisis. Dr. Long highlights its rise as the leading cause of death for children and adolescents and shares the emotional toll on healthcare providers. She reflects on compassion fatigue and moral injury in the ER, which was exacerbated by health inequity and the covid pandemic. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk with Dr. Ruby Long about gun violence Dr. Ruby J. Long has been an ER doctor for a long time and has seen a lot of gun violence come through her doors. She is reaching out to help providers understand the specifics, provides a helpful acronym and is sharing her resourceful book. The Reality of Gun Violence in the U.S. 54% of U.S. adults have been directly affected by firearm violence. Gun violence has surpassed other leading causes of death for children and adolescents. Firearms are the leading cause of death in suicides. It is important that providers are able to identify risk factors, particularly for senior males and veterans, and promoting secure gun storage. How can gun violence impact the medical and mental health providers who are supporting victims? The moral injuries and trauma healthcare professionals face from witnessing the physical and mental health impacts of gun violence. Dr. Long shares her own experiences as an ER doctor and the profound emotional impact of treating gunshot victims. The importance of responsible gun storage and using the "Be SMART" approach: Secure guns. Model responsible behavior. Ask about unsecured guns. Recognize the role of guns in suicide. Tell peers about gun safety. Provider Support and Self-Care: Coping with burnout and moral injuries through personal limits, professional therapy, and systemic support (beyond yoga mats and pizza parties) The importance of small, focused actions in advocating for gun safety and violence prevention. Dr. Long's Book: Love Letters to Patients Inspired by her experiences during the COVID-19 pandemic. Offers resources for health challenges like suicide, domestic violence, and overdose. Aims to empower patients and encourage early intervention. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Reporting Back from the Behavioral Health Tech 2024 Conference Curt and Katie chat about Katie's attendance at the 2024 Behavioral Health Teach conference. Katie reported back on investment trends, how Value Based Care is being understood and implemented, and how therapists can navigate these tech disruptors and evolving business models. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we report back on updates in the behavioral health tech space We decided to have Katie go to the Behavioral Health Tech 2024 conference to learn about innovations and leaders in the behavioral health tech space. This episode is an out brief with updates for all clinicians. What is the Behavioral Health Tech conference? · This is a newer conference that brings together VCs, founders, insurance payors, and clinicians · The focus of this conference is on innovation, especially technology solutions for what they were describing as a broken mental health system Investment trends in the Behavioral Health space · AI Therapy · Self-help tools · VR for social skills (i.e., in the Autism space) · Measurement-based care (including wearables, journals, and assessment tools) · Integrated EHR systems that include the ability to have “interoperability” between providers What is Value-Based Care and what does that mean for behavioral health providers? · There is a stepped or tiered process to implement Value-Based Care · First step is enhanced fee for service, with augmented fees for better outcomes · The next step is a rate per client model with incentives and penalties (upside/downside) · The final step is a fully capitated model where the clinician provides comprehensive care, with potential risk (you underestimated the costs) and potential benefit (you price appropriately and have the opportunity for higher per client reimbursement than in a fee-for-service model) · Solo (or “single shingle”) practitioners will have difficulty with the aggregated data that is needed to negotiate these contracts with payors. · Larger, potentially VC funded groups are aggregating this data and negotiating higher rates, but may not be passing on much of this increased rate to the clinicians they hire or contract with What are the opportunities and challenges facing therapists with the advances in tech? · It is critical for therapists to become more efficient, look for opportunities to collaborate, and incorporate technology effectively to be able to success in VBC models (or in the new marketplace) · Group or specialized practices are better-situated to navigate these challenges than individual practitioners · Outcome measures may be key to competing in the new marketplace How can mental health clinicians advocate related to these new advances in technology? · Clinicians should be involved in these conversations around how therapy and business models are evolving · Advocacy to make sure there is clinician and client input on how these systems are put together What should therapists do now to future-proof their practice? · Identify and integrate outcome measures into your therapy practice · Stay informed about what is up and coming in the field · Streamline your operations to increase efficiency and prepare for VBC models · Join advocacy groups to make sure therapist perspectives are represented in the new care models. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Working for 988: Insider Perspectives Curt and Katie received feedback on our recent one year follow-up episode on the rollout of 988. We received responses from a person who was working within the 988 system as well as someone who started going through the training for the text crisis hotline. We were able to put more depth into our understanding of how this system works. We explored training, supervision, funding, potential equity issues, and concerns for staff. We also share ideas for advocacy. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we report back on employee experiences within the 988/crisis response system We share two insider experiences working within the crisis response system around 988. Listeners shared their experiences with training as an emergency worker within the 988 system: For the text crisis hotlines, there were concerns about insufficient, online-only training models that lack supervision and focus on formulaic responses. For the call center, there was a report of extensive initial training (9 full time weeks of training) but minimal supervision post-training. What are 988 insider concerns regarding AI and Data Privacy? Ethical concerns around AI tools used for measuring empathy and issues with data collection practices. Balancing AI integration with trauma-informed care and caller anonymity. How does 988 Funding work and what are potential equity Issues? Fragmented funding models tied to sources like Medicaid lead to inconsistent protocols and potentially inequitable care. Federal funding is needed to standardize practices and improve service quality. An insider report on 988 Call Center challenges: High burnout rates among staff due to limited resources and support. Gaps in follow-up care for callers due to funding and staffing constraints. Takeaways and Solutions for 988 and the full crisis response system: Advocacy is needed for dedicated federal funding to ensure consistent training, equitable care, and trauma-informed practices. It would be best to have standardized protocols to strengthen the 988 crisis hotline system. Thoughtful integration of AI to enhance efficiency while maintaining ethical standards. Support for call center staff to prevent burnout and improve service outcomes. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
How Do Therapists Get Paid? Curt and Katie chat about how community mental health as well as insurance, hybrid, or private pay practices get money and pay their workers. We emphasize the importance of recognizing the financial realities of the mental health profession and how advocacy can drive change in the field. We also encourage therapists to understand the systems we work in and engage in conversations about financial transparency and sustainability. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about how compensation is set up There have been a lot of conversations about how therapists get paid and whether associates or newer therapists are being exploited. We decided to pull the curtain back to identify how money actually works in this profession. What do therapists need to know about how finances work in mental health? · How income is allocated across salaries, rent, insurance, and administrative costs. · Why clinicians' salaries represent just a fraction of total practice income. · The impact of government contracts and insurance reimbursements on budgeting. · • The Financial Dynamics of Therapy Practices: · How income is allocated across salaries, rent, insurance, and administrative costs. · Why clinician salaries represent just a portion of what practice owners need to pay. · The impact of government contracts and insurance reimbursements on budgeting. What are common misconceptions about group practice owners? · There is a view that all group practice owners exploit therapists. This is often very far from the reality of group practice owners sacrificing their own pay for payroll · We highlight the financial risks, responsibilities, and long hours owners take on. Understanding Community Mental Health Budgets: · Breaking down how agencies allocate funds from government contracts. · Challenges like unfunded mandates and balancing clinician pay with program needs. Managing Budgets in Group Practices: · The complexities of balancing overhead costs, clinician pay, and sustainable growth. · How practice owners often work unpaid hours to cover supervision, billing, and other administrative tasks. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
How to Scale Your Therapy Practice to 7 Figures So You Can Sell It: An interview with Dr. Nicole McCance Curt and Katie interview Dr. Nicole McCance about her journey to selling her 7-figure group therapy practice. We look at common challenges therapists face in this process as well as ideas and methods Nicole teaches to help others scale their practice more easily. Nicole shares systems, hiring, and leadership strategies. We also look at some important considerations when planning to sell your practice. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk with Dr. Nicole McCance about scaling your practice Dr. Nicole McCance scaled her practice and then sold it. We dug into her systems and thought processes in creating a sellable group practice. What do therapists typically get wrong when growing their group practices? · New group practice owners often don't have their systems written down · Unreasonable expectations of the difficulty in hiring clinicians · Not knowing which path to take regarding marketing and other group practice decisions What is Nicole McCance's model for growing a group practice? · Systemize your operations · Build your dream team (with your first hire being your mini me) · Attract clients with digital marketing · Converting clients using free consults · Retain clients with follow ups What are important steps to get your practice ready to sell? · Your branding must not be your name · You will need to be able to sell your clinicians and move clients into their caseloads · You need to move into the role of CEO and not get stuck in the clinician role · Take the time you need to make that transition What should therapists consider when deciding whether to scale their practice to a group? · If you're feeling isolated, find a community · There are a lot of steps, systems, and processes that you'll need to develop (or purchase from someone else) · If you don't like change or don't do well with pressure, don't go into group practice · You will need to have the ability to read the market to guide hires and growth · Focus on excellence and service needs, not growth for growth's sake · Build a culture that supports your clinicians and helps decrease clinician turnover · Figuring out how to pay your clinicians may be more complex than you realize Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Going No Contact, Relationship Recovery, and the NY Times: An interview with Patrick Teahan, LICSW Curt and Katie interview Patrick Teahan, LICSW after he was featured in an article on going no contact in the New York Times. We explored his experience of his work being sensationalized and the fallout from that article (and the string of duplicates). We also dug into how he actually works. We talked about the Relationship Recovery Process (RRP) and what it can look like when someone makes the challenging decision to cut off their family members. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk with Patrick Teahan on his NY Times interview on Going No Contact We read and had a big response to a NY Times article on going no contact, reacting to the sensationalized portrayal of Patrick Teahan's work with adults who come from abusive families. After learning how he really works, we reached out to him to explore the impact of this article as well as what his model is for working with these individuals. Reflecting on the NY Times Article: Is Cutting Off Your Family Good Therapy? · Patrick was interviewed due to his viral videos and online presence on YouTube · He talked with the interviewer about the process of Going No Contact and his work with childhood trauma survivors · He felt like the process took a turn into his personal story and then sensationalized his work · There were a number of duplicate articles (even in different countries) that led to misunderstanding of his work and hurting clients who have made the decision to go no contact with abusive family members What is RRP (the Relationship Recovery Process)? · Work to finishing business with family members · Reclaim intimacy · Group Psychotherapy focused on normalization of the experiences of survivors of abusive families and childhood trauma · The work can include individual work prior to joining the group · Late in the process (potentially years into the process) a client may make the decision to “get distance” from their family if they are not able to continue their healing process due to ongoing triggers and abuse · Patrick is doing research on the RRP model and will be publishing those results soon What is the process for Going No Contact with family members? · It is a very complex decision, usually after communication with family members has not led to any work on their part and repeated boundary crossings that make it impossible for a client to continue their work to heal · It is better to transparently and clearly communicate the decision to go no contact, rather than ghosting family members, when safe and possible · The decision to go no contact does not need to be total or permanent. Clients can seek space without making the decision to never talk to their family member again Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
How Do Therapists Manage Intense Caseloads? Curt and Katie chat about how to manage clients with high needs. We look at risk factors as well as how therapists can take care of themselves while working with challenging caseloads. We also talk about clinical strategies and effective risk assessments and safety planning as important elements for effective practice. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about how therapists can manage high levels of risk in their caseload As part of our “Survival Guide” we have been asked to talk through how to manage high intensity caseloads. What is a high intensity caseload? · High levels of suicide · Impulsive or aggressive clients · Families with a lot of challenges (like trauma, poverty, etc.) What are the risks for therapists who have high intensity caseload? · Burnout · Vicarious Trauma · Moral Injury How can therapists take care of themselves when their caseload is challenging? · Scheduling breaks and other self-care practices · Timing clients with bigger challenges at times you have more space to address them · Managing caseload size (i.e., you may have to see clients more than once a week) · Don't be alone with challenging cases · Looking at which problems are structural and which are based on your individual effort · Assessing your capacity for seeing clients and working with clients · Understanding how your personal life can impact your ability to work with clients · Building support and cohesive teams (e.g., DBT Consulting Team) · Balancing work and personal life effectively What are clinical strategies for working with high-risk cases? · Separating your emotions from your clients · Making sure you get yourself into wise mind before you engage with crisis · Meet your client where they are, not where they “should be” · Creating a treatment team · In-between session contact should be structured and boundaried · Move away from savior or protector role for clients · Effective risk assessment and safety planning Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Bipolar Disorder - How Can Therapists Support Clients and Their Families?: An interview with Dr. David J. Miklowitz, PhD Curt and Katie interview Dr. David Miklowitz about his work with people with Bipolar Disorder and their families. We look at what therapists can often get wrong when working with patients presenting with this disorder. We explore differential diagnosis, treatment options, lifestyle coping strategies, and family support. We also talk about how to walk the line between self-responsibility and accommodation. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we interview an expert on Bipolar Disorder Many clinicians can miss or over-diagnose bipolar disorder. We wanted to make sure that our modern therapists have enough of the basics to identify if it is coming in their offices. We also talked with our guest about non-medication options to supporting bipolar clients and their family members. What makes it hard to diagnose bipolar disorder? · Therapists need to get adequate information, which is often self-report or family history · There are a number of rule outs and comorbidities such as depression (unipolar), anxiety, trauma, personality disorders, substance use · If someone is inaccurately dx, it can lead to the wrong treatments, including the wrong medications · It is challenging to differentiate normal adolescent behavior from bipolar, so careful assessment is needed. What can get in the way of treatment compliance for bipolar disorder? · Desire to be more creative or feel all of ones emotions can lead to lack of meds compliance · Perceptions about productivity during hypomania · Substance use and abuse can cause a lack of compliance or efficacy with medications, substances can also lead to exacerbation of symptoms · Medication side effects can be challenging, which requires active communication with psychiatrist to adjust dosages What role can the family and loved ones play in supporting someone with bipolar? · Family-Focused Therapy (FFT) is a protocol that can be helpful · Family members can provide accommodation for client · There is a balance to be struck between family support, medication, and personal responsibility · Boundaries are very important Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Is Your Informed Consent Based on Magical Thinking? Curt and Katie chat about the strange, manipulative, or outright illegal and unethical policies that therapists put into their informed consent. We talk through court, payment, and jurisdictional policies (among others), exploring why these policies are so bad. We also give some advice on what to do instead. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about the ridiculous things therapists put in their informed consent An old article from our friends over at CPH resurfaced talking about all the ways that therapists try to skirt laws or mandates with their informed consent. We thought some of this stuff sounded a bit like magical thinking. What goes into an informed consent? · Policies and procedures · Risks and benefits for treatment · Social media and court policies · More information here: What are the biggest concerns with therapist informed consent? · Forcing clients to sign illegal policies is in fact illegal · Putting undue force onto a client is wrong · Court avoidance clauses are not realistic and may be illegal · There are limits to the fee structures you can have clients agree to · You have to complete your legal responsibilities, even if a client signs something that says you do not have to do so · You can't have someone agree to waive jurisdiction when they travel or consent to calling your services something different What do therapists need to do with their informed consent? · Make sure you don't have any illegal or unethical practices in your informed consent · Don't try to “game” the system to protect yourself from your legal and ethical responsibilities Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Is Artificial Intelligence Bringing Bias into Mental Health Treatment? Curt and Katie chat about the responsibility therapists hold when they use AI applications for their therapy practices. We explore where bias can show up and how AI compares to therapists in acting on biased information. This is a continuing education podcourse. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about whether therapists or AI are more biased With the inclusion of artificial intelligence tools into psychotherapy, there is more access to mental health treatment by a larger portion of the world. This course addresses the question “Do the same biases that exist in in-person delivered psychotherapy exist in AI delivered treatment?” at the awareness, support, and intervention levels of mental health treatment. How is machine learning used in “AI” for therapists? · There are different types of AI used in mental health, machine learning, neural networks, and natural language processing · AI can be used for awareness, support, and/or intervention · There is a potential for bias within AI models Where can bias come in when AI models are used in mental health? · Source material, like the DSM · Human error in the creation · Cultural humility and appropriateness Are human therapists less biased than AI models in diagnosis and mental health intervention? · The short answer is no · A study shows that ChatGPT is significantly more accurate than physicians in diagnosing depression (95% or greater compared to 42%) · ChatGPT is less likely to provide biased recommendations for treatment (i.e., they will recommend therapy to people of all socioeconomic statuses) · There is still possibility for bias, so diverse datasets and open source models can be used to improve this What is a potential future for mental health treatment that includes AI? · Curt described therapy practices being like Pilots and autonomous planes, with the ability to provide oversight, but much less intervention · Katie expressed concern about the lack of preparation that therapists have for these dramatic shifts in what our job looks like Key takeaways from this podcast episode (as curated by Otter.ai) · Enhance the training and validation of AI algorithms with diverse datasets that consider intersectionality factors · Explore the integration of open-source AI systems to allow for more robust identification and addressing of biases and vulnerabilities · Develop educational standards and processes to prepare new therapists for the evolving role of AI in mental healthcare · Engage in advocacy and oversight efforts to ensure therapists have a voice in the development and implementation of AI-powered mental health tools Receive Continuing Education for this Episode of the Modern Therapist's Survival Guide Continuing Education Approvals: Continuing Education Information including grievance and refund policies. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Why Are So Many Adults Getting Diagnosed with ADHD and Autism?: An interview with Dr. Monica Blied Curt and Katie interview Dr. Monica Blied about adults getting diagnosed later in life with Autism and/or ADHD. We look at why people (especially individual assigned female at birth) are getting diagnoses later in life. We also explore skills, strategies, and accommodations to support neurodivergent individuals in navigating life. We also talk about unmasking and helping adults talk with their family members about diagnosis. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we look the trend of adults getting diagnosed with ADHD and Autism During a recent conference, Katie saw Dr. Blied talking about later in life ADHD and Autism diagnoses and loved what she had to say. We figured it was time to talk some more about neurodivergent adults. Why is there an uptick in adults getting diagnosed with ADHD and Autism? · There is more information that is being shared on social media · Therapists and psychologists with ADHD and/or Autism are sharing information more freely · Increase in diagnoses in children, leading to other family members getting their own assessments How can therapists support clients who believe they are neurodivergent, but may not meet the criteria? · Exploring what a neurodivergent identity means to the client · Provide psychoeducation on some differential diagnosis · Seek formal assessment for autism or ADHD What strategies can therapists utilize in working with clients diagnosed as neurodivergent as an adult? · Confirm and validate experience, normalize · Somatic exercises to bring clients into their bodies (and out of their brain) · Executive functioning skills (e.g., using timers and the pomodoro technique) · Premack principles? · Use the principle of inertia (start with something small, to get in motion) · Understand available workplace accommodations (and where assessors and therapists can support in that process) · Learning how to tease out when skills, accommodations, or self-acceptance are needed · Support acceptance and unmasking · Help clients walk through the grief process that comes with diagnosis · Learn about autistic burnout and the 5 S's from Dr. Joey Lawrence of Neudle Psychology · Provide support to clients to talk about diagnosis with their family members Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
AI Therapy is Already Here: An interview with Dr. Ben Caldwell Curt and Katie interview Dr. Ben Caldwell about the state of Artificial Intelligence in therapy. We look at the “AI Therapists” that are already working as well as how they are being regulated (or not). We talk about how AI therapy chatbots are being received and likely next steps in innovation. We also explore what “human therapists” can do to protect their practices and address the influx of low cost, always available AI therapy. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we look at the latest developments in Artificial Intelligence in Mental Health Our friend Dr. Ben Caldwell has been writing some articles on the current state of AI in therapy. We decided this information needed to come to the podcast, so we invited him back on the podcast. What is the current state of AI in the therapy profession? · There are chatbots providing “therapy” or mental health support · Some apps are going the path of becoming registered as a medical device with the FDA, some are staying in the coaching space Who is regulating AI therapy? · Licensing boards for “human therapists” may have no ability to regulate the use of the term therapy by apps, medical devices, or “AI therapists” · State legislators may be the avenue for regulation, but there may not be an appetite to do so · FDA can regulate apps that get registered as a medical device Who wants AI therapy? · Clients or patients will seek out AI therapy as a very cost-effective and available option for mental health support, also AI therapists will not judge clients and will always remember what clients have said · Insurance providers will see AI therapy as a way to expand networks · Legislators will likely purchase AI therapy for state and county Medi-caid services as well as support expansion to address mental health shortages · Basically, everyone wants AI therapy except for human therapists What are the concerns about AI therapy? · It is only approximating the relationship between therapist and client · An AI therapist doesn't have morals and values, ethics · The apps are working only from manualized treatments · It may be only psychoeducation, without current ability for deeper work What can therapists do to protect their practices now that AI therapy is here? · Make sure to vet any AI services or applications that you use · Shift to services that AI therapy doesn't provide (like diagnosis, or more niche services with children, families, and couples) · Move to overseeing AI as an adjunct to therapy (i.e., “prescribe” a particular chatbot or AI therapist and check in with clients periodically or when the client is in crisis) · Work with AI therapy companies to train the AI therapists Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Exploring the Danger, Trauma, and Grief for a Palestinian Therapist in the United States: An anonymous interview As part of a double episode release, Curt and Katie share an anonymous interview with a Palestinian American therapist about their experience in our profession and in the United States both historically and since the attacks in Israel on October 7, 2023. We explore what therapists need to know about Palestine, Palestinian culture, and Palestinians in the diaspora. We also identify additional resources for Palestinian therapists in the diaspora. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we look at the challenges Palestinian American Therapists face in our communities and our profession We reached out to Palestinian American colleagues to work to get the perspective of these individuals during the last year as well as historically. Due to safety concerns, our interviewee decided to be interviewed anonymously. Curt and Katie share written interview questions and answers on this episode. What should therapists know about Palestine, Palestinian Culture, and Palestinians in the diaspora? · There is a rich and complex history for Palestinians, deeply tied to experiences of displacement, resilience, and a strong sense of community · One of the most significant events in Palestinian history is the Nakba (or catastrophe) which saw the forced displacement of hundreds of thousands of Palestinians from their homeland in 1948. This event has led to intergenerational trauma and collective grief. · There are generational differences in the Palestinian experience to be aware of What has the experience been like over the past year, with heightened awareness of Palestine and the conflict in Gaza? · There has been a heightened sense of dread and the ability to remain invisible or avoid the topic has been taken away · Safety, even with therapy clients, has been questioned · Difficulty balancing denouncing the violence committed by Hamas, while also advocating for Palestinian human rights without being branded a terrorist sympathizer What do therapists need to know about working with Palestinian clients in the diaspora at this time? · Clients may be reluctant to share feelings about the conflict due to the challenges in doing so without judgment or fear for their own safety · Therapists need to have an understanding of the conflict and the broader context, to help avoid relying on the emotional labor of the client to educate · Palestinians are not a monolith (there are religious, cultural and socioeconomic differences, as well as different reasons for emigration), so it is important to see and connect to the client in front of you How can therapists in the diaspora navigate global tragedies in their homeland? · Seek and Accept Support: Don't hesitate to reach out for support from colleagues or professional networks. It's crucial to have spaces where you can share and process your experiences. · Engage in Personal Therapy: Utilize personal therapy more actively. Having a space to openly discuss and navigate your identity and feelings can be invaluable, especially when faced with such intense global events. · Choose Supportive Communities Wisely: Be discerning about the communities and support networks you engage with. Ensure they offer a safe and respectful space for sharing and discussion and be mindful of how public or anonymous these spaces are. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Growing Antisemitism in the Therapy Profession: An interview with Halina Brooke, LPC As part of a double episode release, Curt and Katie interview Halina Brooke, LPC, founder of the Jewish Therapist Collective, about experiences of antisemitism in our profession. We explore the foundations of antisemitism throughout the development and innovation in psychotherapy. We also talk about lived experiences of Jewish therapists of increasing antisemitism since the attacks in Israel on October 7, 2023. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we look at the increase in antisemitism in the therapist community In a recent article from Jewish Insider, there are stories about increasing antisemitism in the therapy profession, including in online therapist Facebook groups. We decided to reach out to Jewish Therapist Collective founder, Halina Brooke, LPC, to talk us through what has been happening throughout her time as a therapist as well as the escalation of antisemitism in the past year. Experiences of Antisemitism in the Therapy Profession · The Jewish Therapist Collective has received an increase in calls from clients who are seeking Jewish therapists after October 7, 2023 due to cultural incompetence from non-Jewish therapists · Jewish therapists have reported being sidelined or fired from their mental health workplaces due to being Jewish · Jewish therapy students report being told that their presence is triggering to non-Jewish therapists · Jewish therapists and counselor have reported losses of peer groups due to antisemitism, including affinity groups for intersectional identities Antisemitic Incidents Within Therapist Facebook Groups · Posts targeting “Zionist” therapists have been used to identify Jewish therapists · There are lists of “Zionist Therapists” that include only Jewish therapists, potentially ones who have not made political statements about Zionism, that “antiracist” groups are suggesting should not receive any referrals due to their status as “Zionists” · These lists appear to solely be lists of Jewish therapists, without including Christian Zionists or others with Zionist beliefs What do therapists need to know about Jewish Culture and Identity? · Multicultural education on Jewish identity in graduate school is insufficient · There is as much diversity within the Jewish community as there is between the Jewish and other communities · Halina discusses the historical context of Jewish identity and how often they are not seen as part of the dominant majority · It is important to seek consultation from Jewish colleagues due to the many nuances and differences · Even though many of the founders of psychotherapy are Jewish, there is a lack of inclusion of Jewish identity in multicultural courses What support is available for Jewish Therapists? · The Jewish Therapist Collective provides community and training · Halina described the steps that she has taken to hide her Jewishness as well as to find support within the community Learn more about these resources: jewishtherapists.org Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Navigating Religious Trauma, Spiritual Abuse, and Lies About God: An interview with Dr. Jamie Marich Curt and Katie interview Dr. Jamie Marich about her new book coming out in October 2024, You Lied to Me About God. We explore the impacts of religious abuse, Jamie's personal story of spiritual trauma, and what therapists can miss when working with clients on these topics. We also dig into the idea that therapists can let their clients down when they don't do their own internal work, address their bias, and show up effectively. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we look at the impacts of spiritual trauma on therapy clients We invited our friend, Dr. Jamie Marich, back on the podcast to talk about her story (and her upcoming book) that deals with spiritual abuse, religious trauma, and the lies that have been told "in God's name" that lead to shame and isolation for many of our clients. What are the impacts of spiritual abuse and religious trauma? · Definition of shame as the lie someone told you about yourself · Spiritual abuse goes deeper because the lies are told in God's name · There are big impacts of religious trauma on those in the LGBTQ+ community as well as those who are seeking deep spiritual connection Looking at the concept of forgiveness within the context of religious and other trauma · How forgiveness can be helpful · How forgiveness is weaponized within the church and can be harmful · Forgiveness is not required, acceptance is a more appropriate goal How can therapists make sure they are not adding to the harm for clients with religious trauma? · Do your own work, so you can approach clients where they are · Be authentic, don't lie to your clients, but don't bring it up unless asked · Seek consultation to enhance your understanding of the client's situation · Cultural humility is key, and don't rely solely on your clients to be the cultural informant · Do not impose your spirituality on your clients, but be open to discussing spirituality · Be aware of the power dynamics, so you don't become the client's new guru · Help clients to find their own answers rather than relying on external authority Other ideas we touched on in this podcast episode · The importance of critical thinking · “Therapy cults” that promote adherence to a specific intervention model · The challenges of folks seeking compliance and righteousness, rather than taking a nuanced approach to topics and deciding for themselves Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Do Therapists Lie to Their Clients? Curt and Katie chat about whether therapists are dishonest and whether they should be. We received a request from a listener to talk about the idea that therapists lie to their clients. We look at what types of lies are common, whether lying is expected or acceptable, what to do instead, and how to decide whether you will lie or not in session. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk through how, when, and why therapists lie We received a listener email requesting a discussion on therapist dishonesty and the impact on the therapeutic relationship. What types of lies might a therapist tell? · Whoppers (fraud) · Fibs (untruths that support the clinical work or the therapeutic relationship) · Omission (concealing facts that impact the client) · Deflections (bending the truth for therapeutic effect) · Denial (rejecting reality, with positive and negative results) Is it good or bad for a therapist to lie? · Fraud is never okay, and is illegal and unethical · Fibs may be in the best interest of the client OR could be to protect the therapist (which is human, but not really okay) · Professionalism, exaggerating/minimizing emotional responses for therapeutic effect, and “social niceties” may be appropriate, but it is important to think about authenticity and whether it will negatively impact the client if they perceive the deception · If a client is asking for the therapist's opinion of them, the context of the client's treatment agreements and their needs, as well as the therapeutic relationship impact whether a therapists will be best served by honesty or deflecting or denying the truth What can therapists do when they are tempted to lie to their clients? · Make the decision of whether to tell the truth based on the context of the relationship and treatment goals · Be more transparent with the client about therapist's limitations, while also holding hope and accountability to address these limitations · Work collaboratively with the client to get to the information or treatment interventions that are needed, rather than working by and for yourself. · If you lie to your client and it backfires, work to make repairs (see our episode on “Should Therapists Admit Mistakes?) Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Welcome to Therapist Grad School! Curt and Katie chat about what the career is like, what is important to know starting out in grad school. We look at what prospective therapists need to know as they enter school, including hard truths and tips for social support. We also talk about what changes are needed in the profession and how students and new therapists can navigate these challenges. We provide suggestions on how to best take advantage of the opportunities in graduate school. We also unveiled a new project for the podcast. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk through what the therapist career is like We decided to talk through what it is like to be a therapist and how to best navigate your grad school education. What do prospective therapists need to know as they enter grad school? · Grad school doesn't cover all that you'll need to know to be an effective therapist · Lived experience is valid and definitely informs your work · It is important to assess what you already know, what you need to unlearn, what interventions you can add to what you already know · Learning how to be a “safe therapist” is not the same as learning to be a “good therapist” · Theories and orientations are foundational, but you can't know them all · Once you graduate, that's when you actually start learning how to be a therapist What can grad school students and new therapists expect regarding needed changes in the profession? · Changes may happen, but slowly · There can be times for advocacy to help increase the sustainability of the practice · You don't need to worry about getting a job immediately, but you can start working with clients or in the field, if you would like or need to do so financially · There are a number of students who burnout before graduation, so pay attention to your capacity and self-care practices What opportunities are important to take advantage of while you are in grad school for therapy? · Consider taking the hardest or more complex practicum sites to learn how to work with the most challenging populations · Volunteer to do roll plays and risk making mistakes in your classes · Make mistakes while you are a student and prelicensed individual to get the supervision and oversight, to learn from these mistakes What are some hard truths about becoming a therapist? · The therapy profession is not for everyone · Not all students will make it through to graduation or to licensure (whether by choice or not) · Grad schools are not always transparent with how long it will take to get through the program, whether you will have support in getting a practicum site · The entry level jobs in the field may not pay very well (i.e., some are at or only slightly above minimum wage) · There is a risk of becoming disillusioned by the state of the world and the profession What are the social elements of becoming a therapist? · If you're only friends and socializing with therapists, your view of the world may become more limited · There can be echo chambers, especially around social justice topics within mental health · Having friends who are therapists, so you can have the validation and understanding of other therapists · Socialization can be too focused on alcohol-forward events. It is important to find other ways to socialize to avoid the risks of substance abuse and dependence, especially as therapists are held to a higher standard through licensure · Take responsibility for self-care/self-maintenance Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Are Therapist Conferences Elitist? An interview with Linda Thai, LMSW Curt and Katie interview Linda Thai on her experiences as a conference attendee, keynote speaker, and educator. We discussed the need for more accessible, community-centric, and culturally humble education as well as how to more effectively share knowledge. The limitations of traditional educational models (which Linda calls the Continuing Education Industrial Complex) are discussed as well as how conferences can be exclusive or elitist. We explore how to best access continuing education and take advantage of all types of educational opportunities. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we look at how privilege and elitism show up in therapist conferences. Katie recently took one of Linda Thai's courses and was fascinated by the way that she was able to make an engaging virtual course. We reached out and requested she share her wisdom with us and we found ourselves talking about the nature of continuing education. Why should therapists attend (or not attend) mental health conferences? · If you understand what type of conference you are attending and take advantage of that opportunity (to learn, build community, or something else) attending mental health conferences can be beneficial to therapists · There can be an inherent elitism in conferences, both in who is able to comfortably attend as well as who can participate as speakers or in supporting conferences · Continuing education can also have bias and privilege white (typically female) therapists, especially those who have been in private practice for many years. · Conferences are often events designed to inspire and create community, the learning experiences may not be as deep as therapists need to truly get what they need as clinicians What are the primary concerns in continuing education for mental health professionals? · What qualifies as continuing education seems limited (i.e., lived experience is discounted as valid education) · There is a bureaucracy within continuing education approval that makes it difficult for speakers and conference hosts to be able to allow for interactivity and emergence within the workshops · Too often the same speakers are elevated and there is a need to center lived experience and marginalized voices to co-create collective learning and liberation Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
How Much is Too Much? Thoughts on therapists being too branded, niched, and political Curt and Katie chat about the delicate balance between authenticity and influence in therapy, with a focus on avoiding bias and discrimination while still being real people. We also navigate the challenges of political discussions in therapy, emphasizing the need to balance political awareness with client needs and goals. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we explore the risks of bringing too much of your own beliefs into your work as a therapist We have been rethinking the conversations we've had about blank slate and the Brand Called You. We look at the risks of being too branded or niched, or too political. We also talk about what might be more beneficial for clients, without losing the work toward authenticity and real connections as therapists. Do therapists bring too much of themselves into their work? Curt and Katie did a CE presentation and then an episode called the Brand Called You, which talks about how to create personal branding as a therapist to refine who seeks you out for therapy When you bring yourself into the therapy room, you want to assess for bias and discrimination If you've advertised a specific type of treatment or, especially, a specific type of outcome, you may be unduly influencing clients who may not know if that outcome is right for them How can therapists be “political” without just talking politics or inappropriately influencing their clients? Therapists can successfully navigate political discussions in therapy to benefit clients. It is important to distinguish between political in therapy (systemic pressures, opportunities, access) vs pushing viewpoints (talking about politics, biased) Discussions about the limitations of resources or systemic pressures are political Conversations about voting for a particular party would be talking politics Helping clients to look at things from a different viewpoint may be helpful, but only if you assess your own bias and the client's readiness It can be challenging to be a political therapist, clients may feel uncomfortable or resistant to discussing political issues in therapy What can therapists do to balance branding and authenticity with effective client care? Tailor your client sessions to their needs and perspectives and values Consider providing additional referral resources for clients whose goals do not directly align with a therapist's specialized approach. Evaluate whether strongly branding oneself risks prioritizing showing one's values over directly addressing what clients are asking for in therapy. Assess the efficacy of your treatment for the client in front of you. Make sure even clients who resonate strongly with a therapist's approach are empowered to think critically and come to their own conclusions. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
How Can Therapists Help Politically Divided Families? : An interview with Angela Caldwell, LMFT Curt and Katie interview Angela Caldwell, LMFT about family therapy for politically divided families. We explore what therapists get wrong when working with these families as well as what works better. Angela talks us through the goals for family therapy, how to move families from trying to convince each other to understanding each other better, and the importance of distress tolerance and finding ways for families to survive, even when members strongly disagree with each other. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about how therapists can work with politically divided families During the run up to the 2024 US presidential election, we are seeing more and more political division, even in families. We reached out to our good friend Angela Caldwell, LMFT, to talk through how therapists can support families during this challenging time. What do therapists get wrong when working with politically divided families? · Therapists inaccurately agree with families that the goal is either communication skills or getting consensus · The goals for family therapy are increasing tolerance for differing opinions and sustaining relationships even when you disagree How can therapists address the societal messages that negatively impact relationships? · Modeling holding affection while disagreeing on viewpoints · Hold sacred that everyone in the room has come to their viewpoint honestly · Focus on the why for the positions people take · Listen for and mark trigger words to help “opposing party” to stay with the explanation of viewpoint · Soften the relationship through understanding What can therapists do if clients feel frightened of the beliefs of their family members? · Explore perspective and increase clarity on the real anxious feelings · Find common ground related to hopes for the world · Work on distress tolerance with the anxious feelings · Hold the moment of anxiety and then move to reassurance (i.e., that the relationship can survive opposing viewpoints) What does the work of family therapy look like with politically divided families? · Set reasonable expectations · Make sure to give pep talks · Plan and promise for the next session before ending the previous session · Personal connection between sessions (like short texts) · Don't play “gotcha” when someone is wrong · Set ground rules at the beginning of therapy related to showing source material for viewpoints Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Beyond "Being a Therapist is Hard Work": Curt and Katie respond to listener feedback Curt and Katie received feedback on a recent episode, Don't Let Tik Tok Fool You: Being a therapist is hard work, an interview with Anita Avedian and Sandra Kushnir. We talk through the feedback that the perspective was too one-sided (primarily from the employer angle) and that it was too much in support of the status quo. We share our perspectives as well as how big of a challenge we're facing as a profession to become sustainable. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about the challenges of making the therapy profession more sustainable We received a lot of feedback about our episode with Anita Avedian and Sandra Kushnir. We decided it was worth addressing the feedback directly and continue the conversation. Why is there a tension between experienced and new mental health professionals? · The “necessary” tension between those who support what is and those who advocate for what should be · Supervisors or managers who reinforce what has been seen to be unsustainable in the field · New clinicians coming in and advocating for things to be better and more sustainable · The challenge with innovating when the system has burned someone out What are the primary challenges in the therapy profession in 2024? · Burnout · Lower pay (that is not keeping up with inflation) · A workload that seems unsustainable, especially to newer clinicians What can therapists do to improve their profession? · Read Saving Psychotherapy by Dr. Ben Caldwell · Look for opportunities to reimagine the field, by looking at other sectors (or disruptors in the field like technology) · Support advocacy efforts through unions, professional associations, or lobbying legislators Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
What is Working Now in Online Marketing: An interview with Katie Read Curt and Katie interview Katie Read on how the economy has shifted and what works for marketing has shifted. We look at how things have shifted since the pandemic and what therapists can think about now for their therapy and online businesses. Katie gives us simple strategies and clear insights on what isn't working anymore and what to do instead. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about how therapist marketing must shift post-pandemic Katie Read has been doing research into what is working in marketing for service providers. We thought we'd ask her back to talk about how the shifting economy is impacting therapists. How have the shifts in the economy changed business for therapists? · After the pandemic, people stopped having time for “personal growth” · Therapy is seen more as a luxury · People have lost patience for content marketing (like a very long webinar) · Potential clients are more likely to pay for services for a specific, acute pain point, rather than non-specific pain points or personal growth · Big Tech is coming into the space and becoming competitors · TikTok has changed attention spans, so we must market in shorter, more concise bullet points What strategies can therapists use to improve their businesses? · Assess the market and identify specific niches that are harder to treat by big tech · Capture attention by speaking directly to where it hurts, in bullet points and visuals · Identify problematic expectations, for example meeting someone when they are in crisis and then keeping them for personal growth (rather than expecting them to seek out personal growth work) Do therapists need to have a big social media presence? · Many people have been successful selling their services without a big social media following · If you don't enjoy social media, you don't need to spend time on it · If you enjoy social media and have fun creating compelling content, it can be hugely helpful · If you aren't interested in doing social media, one option is the static 9 grid on Instagram How can therapists get a more specific niche? · Understand that your niche may evolve over time, so go for what you know now · Look at what lights you up · Explore you own story to identify what you've learned and what you can share Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
What to do when supervision goes bad? A guide to supervision ruptures and repair Curt and Katie chat about what to do when there is a loss of trust in supervision. We explore what has already been researched (and the limitations there). We also look at what can make ruptures more likely, different types of ruptures, and how supervisors can mitigate the risk of rupture and then repair when ruptures inevitably happen. This is a continuing education podcourse. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about how to address ruptures in clinical supervision Clinical supervision has the potential for errors and requires management from the supervisor to acknowledge, deal with, and repair from mistakes that could rupture the supervisory alliance. This workshop helps to identify the types of ruptures that can occur and offers a strategy on how to deal with them so that they are no longer a problem. What is the focus within the research base on clinical supervision? · Most of the research on supervision is focused on clinical supervision without a consideration of the employment element of the relationship · There is not a lot of research on supervision, much less ruptures in supervision · Much of the research has been from the supervisee perspective, but that is shifting · Without supervisors being involved in research, there is a risk of supervisors dismissing it What can make ruptures more likely in supervisory relationships? · Power differential within the clinical supervision relationship may lead to supervisees feeling unable to talk about mistakes that supervisors make · Expectations of safety and confidentiality that are not discussed or are assumed to be greater than they are, with a lack of transparency · Supervisors are responsible to address ruptures, but may not know about them · Supervisors can fall into risk management and punishment or not allowing supervisees to do anything that may challenge their skill level What can supervisors do to avoid supervisory ruptures? · Acknowledge the fallibility of both the supervisor and the supervisee · Supervisors share when they don't know something and learn what they need to learn to support their supervisee · Understanding the impact of each perspective on expectations (i.e., supervisors in agencies are also impacted by the expectations that they have on them from their own supervisors) · Identify confrontation versus avoidance rupture risks · Being more transparent on the process of supervision and about the supervisor's competence and emotional responses · Understanding and assessing for cultural ruptures, microaggressions, etc. Can supervisory ruptures also happen based on actions of the supervisee? · Yes! · Supervisees can misunderstand their role and not complete what is expected of them · Supervisees can fail to develop as a clinician · Supervisees may ask peers rather than their supervisor for what to do and do the wrong things How can supervisors repair the ruptures that happen in clinical supervision? · Setting the stage for the most positive supervisory experience · Cultural humility · Pause, Consider, Reflect, Act (C.E. Watkins, Jr.'s work) Receive Continuing Education for this Episode of the Modern Therapist's Survival Guide Continuing Education Information including grievance and refund policies. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
Should We Stop Badmouthing Evidence Based Practice? An interview with Jessica Tappana, LCSW Curt and Katie interview Jessica Tappana, LCSW about evidence-based practices (EBPs). We talk about what EBPs actually are and how to implement them in clinically sound and ethical ways. We look at what therapists usually get wrong about EBPs and what they can do to improve their practice. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about how Evidence Based Practices work in the real world Jessica is a long-time listener of the show and a good friend of ours and has been talking with us about how we have spent too much time bad-mouthing EBPs. We decided it would be good to hash out the ideas around “manualized treatment” and how you can actually bring yourself as a clinician into the work, even when using these interventions that are backed by science. What are Evidence-Based Practices? · Using well-researched interventions · Using the expertise of the clinician · Understanding the needs of the clients What should therapists know about evidence-based practice? · There is room to implement EBP without full adherence · Contrasting “eclectic” from “meeting a client where they are” and pulling from other evidence-based interventions · The ways that EBPs are trained and studied (due to funding sources) lead to strict adherence · How you teach or implement the EBP can be unique to the clinicians · Contrasting fidelity of the model with adherence to model · You can bring yourself as a therapist into the room AND provide evidence-based interventions · Training and supervision is more challenging when you are not seeking strict adherence · It's important to have time to practice therapy outside of sessions with clients What data or assessments should therapists use with Evidence Based Practices? · Feedback informed care (e.g., FIT) · Assessments of depression or anxiety consistently to see progress · Screening tools and measurement to track progress · It is important for clinicians to believe in and use the data collection Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
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