The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy

When Clients Bring AI to Therapy: Working with ChatGPT, Sycophancy, and the New Third Wheel in the Room Clients are bringing AI into therapy, from ChatGPT chat logs handed over as homework to AI companions that never disagree, and therapists need a clinical response. Curt Widhalm, LMFT, and Katie Vernoy, LMFT dig into what happens when clients bring their own AI into the therapy room. The profession built ethics guidance for when therapists send clients toward AI, but it largely sidestepped the reality already showing up in sessions: clients processing the same issues with ChatGPT between appointments, using chatbots to interpret and respond to relationships, and increasingly offloading their social and dating lives onto AI companions. Drawing on emerging research about chatbot use, loneliness, emotional dependence, and sycophancy, Curt and Katie make the case that concern is more useful than alarm. Clients are already using these tools, so the clinical task is to assess how and why they are using them, provide psychoeducation on sycophancy, confidentiality, and safety, and separate the healthy, adaptive uses from the problematic ones. They also share concrete in-session moves: entering the opposite position to expose how a chatbot validates any side, reframing how clients use AI for medical and diagnostic questions, and recognizing when AI has become a client's primary support system, along with how to begin weaning a client back toward real-world connection. In this episode, we discuss: - The three main ways clients are bringing AI into the therapy room - Why a client's AI use can be a clinical opportunity, not only a risk - How to assess the function and pattern of a client's AI use - What the research suggests about chatbot use, loneliness, and sycophancy - How to teach critical thinking and protect client confidentiality - What to do when a client has become dependent on AI Timestamps: 00:15 - AI as the new "third wheel" in the therapy room 04:15 - Three ways AI is showing up in clients' lives 05:55 - What the research suggests: loneliness, dependence, and sycophancy 10:24 - Why client AI use can be a clinical opportunity 13:24 - Assessing use and treating chatbots as public spaces 18:17 - Explaining AI's mechanics: it is not an objective third party 20:14 - A critical-thinking exercise: enter the opposite position 24:47 - Using AI for medical and diagnostic questions 30:53 - When a client is already dependent on AI Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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 AI Mental Health Chatbots Fail When It Matters Most: The Hidden Vulnerabilities Stress-Testing Reveals - An Interview with Shirali and Arul Nigam of Circuit Breaker Labs Shirali and Arul Nigam of Circuit Breaker Labs on why AI mental health chatbots fail, how stress-testing exposes their hidden vulnerabilities, and what therapists need to know. Curt and Katie talk with Shirali and Arul Nigam, the sibling co-founders of Circuit Breaker Labs, about what therapists tend to get wrong about AI, why the safety infrastructure behind many mental health chatbots is weaker than it looks, and how their team stress-tests these tools to find dangerous failures before real users ever encounter them. Generative AI is probabilistic, so the same prompt can return a safe answer one moment and a harmful one the next. Shirali and Arul explain how guardrails get bypassed by a misspelled word, a teenager's slang, or the hundredth message in a long conversation, why mental health chatbots tend to fail in the moments that matter most, and what stress-testing hundreds of thousands of simulated conversations actually reveals about model safety. The conversation closes on what clinicians can do now, why clinical insight is the missing ingredient in AI safety, and why third-party validation is becoming the standard regulators and developers expect. Used well, AI can be a supplement to care or a gateway to a human therapist, but it is not a replacement, and getting there safely starts with building clinical insight in from the foundation. In this episode, we discuss: - Why people usually turn to AI in place of no care, not in place of a therapist - Why generative AI's unpredictability, not a single bad answer, is the real safety problem - How a misspelling, slang, or a long conversation can slip past chatbot guardrails - Why AI mental health chatbots tend to fail in the highest-risk moments - What stress-testing hundreds of thousands of conversations reveals about model safety - Why clinical insight is the missing ingredient, and what clinicians can do now Timestamps: 0:00 - Introduction 1:38 - Meet Shirali and Arul Nigam and Circuit Breaker Labs 3:37 - What therapists get wrong about AI 5:28 - Deterministic versus generative AI, and why the risk scales 8:26 - The safety problem in AI mental health: trust, training data, and agreeableness 11:29 - Guardrails, lifeguard models, and the 988 problem 17:30 - Deploying clinical insight at scale and building safety in from the start 21:09 - How stress-testing works: context pollution and adversarial simulation 27:11 - What the stress tests reveal: variance, typos, and bypassed guardrails 30:59 - Regulation, credential hallucination, and third-party validation 36:58 - What clinicians can do, and the missing clinical insight 40:20 - Where to find Circuit Breaker Labs Guest Bios: Shirali and Arul Nigam are siblings and the co-founders of Circuit Breaker Labs, which autonomously pressure-tests the AI systems that interact with people to find hidden mental health vulnerabilities before they reach real users. Shirali brings expertise in neuroscience, translational research, and clinical work, with experience at the Howard Hughes Medical Institute's Janelia Research Campus, NIH NINDS, Harvard's Wyss Institute, Johns Hopkins, and Children's National. She holds a BS in Biomedical Engineering from The George Washington University and an MBA from The Wharton School, University of Pennsylvania. Arul has conducted technical and policy research on ethical AI, with a focus on bias and fairness, at Georgetown University and Thomas Jefferson High School for Science and Technology, and holds a BSBA in Operations and Analytics from Georgetown University. Learn more at circuitbreakerlabs.ai. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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 Ethics Codes for Therapists: What CAMFT, APA, NASW, and AAMFT Now Require How the CAMFT, APA, NASW, and AAMFT ethics codes now regulate AI in therapy: a CE podcourse on competence, informed consent, data privacy, bias, and human accountability. Curt Widhalm, LMFT, and Katie Vernoy, LMFT, walk through the recent artificial intelligence updates to the major mental health ethics codes. Centering on the new CAMFT updates and cross-referencing the APA, NASW, ACA, and AAMFT codes, they turn the new language into a practical roadmap for everyday clinical work. The conversation covers what competence with AI actually requires (closer to safely driving a car than building one), the three CAMFT obligations that travel together (disclosure, informed consent, and informed decision making), and a client's right to opt out. They get specific on data privacy, including business associate agreements and why "HIPAA compliant" is a marketing claim rather than a certification, on spotting demographic and medical-model bias in AI output, and on why the human in the loop still owns and is accountable for anything signed under their name. This continuing education podcourse is for therapists, supervisors, and clinical educators who want to use AI tools ethically and stay accountable in an automated world. In this episode, we discuss: - Why the codes aim for broad, durable AI principles instead of tool-specific rules - What competence with AI actually requires of a clinician - The three CAMFT obligations: disclosure, informed consent, and informed decision making - How to vet data privacy, including BAAs and why "HIPAA compliant" is only marketing - How to catch demographic and medical-model bias in AI output - Why the clinician remains responsible for anything produced under their name Timestamps: - 0:55 - Why the ethics codes are updating for AI - 3:30 - Defining artificial intelligence (California AB 2885) - 9:49 - The four Beauchamp and Childress principles - 12:28 - Timeline: CAMFT, APA, NASW, and AAMFT updates - 16:11 - Competence and the "driving a car" metaphor - 21:09 - Disclosure, informed consent, and the right to opt out - 33:18 - Data privacy, BAAs, and "HIPAA compliant" as marketing - 41:20 - Bias, social justice, and reading the output - 44:52 - The human in the loop and accountability - 53:12 - Is AI right for this client? - 1:00:59 - Supervision, education, and the AI vetting guide 1 CE unit is available through the Modern Therapist Learning Community: moderntherapistcommunity.com Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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/

Supporting Conversion Therapy Survivors After Chiles v. Salazar: SOGIECE, Clinical Care, and Community Response - An Interview with Samuel Nieves Samuel Nieves of the Conversion Therapy Survivor Network on supporting conversion therapy survivors, recognizing SOGIECE, and clinical care after Chiles v. Salazar. Curt and Katie welcome back Samuel Nieves, a conversion therapy survivor and board member of the Conversion Therapy Survivor Network, for a follow-up to their earlier conversation and to the host-led discussion of the Chiles v. Salazar decision. Rather than re-litigating the legal details, they focus on the clinical and human aftermath for survivors. Sam shares what he saw the day the ruling came down, how to recognize a conversion therapy survivor on your caseload (including memory loss and shifting narratives), why validation has to come before strengths work, and how to lead with curiosity instead of challenge. He explains SOGIECE, sexual orientation and gender identity or expression change efforts, and why naming it can be the validation that lets a survivor finally call their experience what it was. The conversation also sits with why reducing these practices to "speech" misses the harm, what licensing boards and clinicians owe survivors, and how survivors and the advocates who serve them stay in the work through firm boundaries and intentional queer joy. This is a grounded, affirming episode for any clinician working with LGBTQ+ clients. In this episode, we discuss: - How to recognize a conversion therapy survivor on your caseload - Why validation has to come before strengths-based work - How to lead with curiosity instead of challenge with traumatized clients - What SOGIECE is and why naming it can be profoundly validating - Why framing conversion therapy as "speech" misses the real harm - What licensing boards and the profession owe survivors - How survivors and advocates sustain themselves through boundaries and queer joy Timestamps: - 02:00 - Who Sam is and the Conversion Therapy Survivor Network - 03:14 - The day the Chiles v. Salazar decision came down - 06:26 - Validation before strengths with survivors - 09:04 - What well-meaning therapists can miss - 11:10 - The public "permission" and its harm to survivors - 18:40 - Why "it's just speech" misses the harm - 22:10 - SOGIECE, allies, and survivor organizations - 27:45 - What the profession owes survivors - 32:21 - Solution-focused therapy, ACT, and queer joy - 35:01 - How Sam sustains himself in the work Guest Bio: Samuel Nieves (he/they) is a board member of the Conversion Therapy Survivor Network, a 501(c)(3) nonprofit supporting survivors of conversion therapy and SOGIECE worldwide. Trained as a marriage and family therapist, Sam advocates online as "CantPrayMeAway" and helps facilitate the organization's weekly survivor support group. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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 Conversion Therapy Be Protected Speech? What Chiles v. Salazar Means for Conversion Therapy Bans and the Future of the Profession In Chiles v. Salazar, the Supreme Court ruled 8 to 1 that a therapist's talk therapy is protected speech, putting state conversion therapy bans at risk. Curt Widhalm, LMFT, and Katie Vernoy, LMFT break down what the March 31, 2026 decision actually says, what it does not say, and what it means for therapists who work with LGBTQ+ clients. The Court did not call conversion therapy safe, effective, or ethical, and it did not make the practice mandatory. It treated talk therapy as speech rather than regulable conduct, and sent Colorado's ban back to the lower courts for stricter First Amendment review. Curt and Katie walk through the strict scrutiny test at the center of the case, the Kagan and Sotomayor concurrence, and Justice Jackson's dissent, then sit with the harder question: what happens to the profession when the state can no longer set a guardrail on harmful practice before harm has occurred. Released during Pride Month, this is a candid, values-forward conversation about protecting LGBTQ+ clients and practicing affirming, anti-conversion-therapy care out loud. In this episode, we discuss: - What the Chiles v. Salazar ruling does, and does not, change about conversion therapy bans - Why the Court treated talk therapy as protected speech instead of medical treatment - How the strict scrutiny test decided the case - Where the concurrence and the dissent point the profession next - Concrete ways to signal affirming, anti-conversion-therapy care in your practice Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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/

Good Enough, Safe Enough: Affirming LGBTQ+ Clients When You're Not a Specialist Affirming LGBTQ+ clients when you are not a specialist: Curt Widhalm, LMFT, and Katie Vernoy, LMFT on being a good enough, safe enough therapist when you cannot refer out. Curt and Katie take on a question therapists often avoid: what do you do when an LGBTQ+ client needs care, you are not a specialist, and referring out is not possible, not safe, or not honest? In this Pride Month episode, they make the case that you can be a good enough, safe enough therapist for LGBTQ+ clients even when affirming care is not your declared specialty. Mental health deserts, narrow insurance panels, long specialist wait lists, and unsafe home environments mean referral is not always available, and sometimes referring out is closer to abandonment than care. Curt and Katie argue that scope of competence is too often used as polite cover for therapist discomfort, and that most clinical work with LGBTQ+ clients is the same work you already do well. Affirming care is the container, not a separate specialty. They also get practical about being a safe enough stopgap therapist: building a just in time consultation kit, doing the cultural humility work, and reckoning with the invisible labor and consultation tax of allyship, including why you should never bill a client to research their own identity. And they name the specific moments when referring an LGBTQ+ client out is still the right and ethical call. This is a useful conversation for generalist therapists, rural and solo clinicians, insurance-based practices, and anyone doing the ongoing work of affirming, culturally humble care. In this episode, we discuss: - Why "refer out" can be avoidance dressed as ethics, and when it is genuinely the right call - How to tell a true scope of competence limit from your own discomfort - What it means to be a good enough, safe enough therapist for LGBTQ+ clients - How to build a just in time kit so an LGBTQ+ client never lands on you cold - Why the invisible labor and consultation tax of allyship is yours to carry, not your client's to fund - The specific signs that mean you should refer out anyway Timestamps: 00:15 - Why a Pride Month episode on being good enough, not a specialist 02:56 - "Just refer out": sound advice or avoidance? 05:05 - Scope of competence versus therapist discomfort 13:08 - The good enough therapist, and when referral becomes abandonment 16:55 - Meeting clients where they are until specialist care opens up 19:03 - Building a just in time kit for your practice 24:44 - The invisible labor and consultation tax of allyship 32:10 - When you should refer out anyway Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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/

Allyship Is Awkward: How Therapists Can Keep Showing Up Anyway What if the awkwardness of ally work is not a sign you are doing it wrong, but the actual work? Curt Widhalm, LMFT, and Katie Vernoy, LMFT explore what it looks like to do ally work as a therapist when you hold majority identities the people around you do not share. They move across three zones where this shows up: with clients in the therapy room, with colleagues and consultants in professional spaces, and in broader community and advocacy work. Drawing on their own missteps and on the work of creators like Ashani Mfuko of Anti-Racism School Is In Session and Dr. Raquel Martin of Mind Ya Mental, Curt and Katie make a direct case to white, cis, straight, and other majority-identity therapists: cultural humility is not a credential, fragility shifts the labor onto the people around you, and the strong feelings that come with ally work belong with other allies, not with clients or colleagues of color. This is an episode about staying in the room, decentering yourself, and learning to fail better. In this episode, we discuss: Why ally work is inherently awkward, and why that is not a problem to be solved How fragility, over-apologizing, and gold-star seeking shift the emotional labor onto clients and colleagues of color What repair actually looks like when a cross-cultural rupture happens in session Why being called out by a client can be a sign the relationship is alive enough to repair How to process defensiveness and hurt with other allies instead of with clients or colleagues of color Why cultural humility is not a free pass, and what therapists owe their own continuing education How consultation with diverse colleagues protects clients from being conscripted as your teacher Ally work is ongoing. The goal is not to stop making mistakes. The goal is to keep failing better. Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community: Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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 Seven Stages of Queer Love: Therapy with Queer Couples, Queer Sex, and the Developmental Model - An Interview with Tom Bruett, LMFT Tom Bruett, LMFT on the seven stages of queer relationship development, the Developmental Model, queer couples therapy, and queer sex. Curt and Katie talk with Tom Bruett, LMFT, founder of the Queer Relationship Institute, about what therapists most often get wrong when working with queer couples, why queer sex is still treated as an asterisk in most sex therapy training, and how the Developmental Model of Relationship Therapy can be expanded to better reflect queer experience. Trained under Drs. Ellyn Bader and Peter Pearson, Tom adds two stages to the five-stage Developmental Model: Second Queer Adolescence and Agreement. The expanded seven-stage model gives therapists a clearer way to track differentiation, autonomy, and connection in queer relationships that do not fit the standard "relationship escalator." Tom is the author of The Go-To Relationship Guide for Gay Men: From Honeymoon to Lasting Commitment (Jessica Kingsley Publishers). This is a useful conversation for therapists working with queer couples, sex therapists, couples therapists trained in heteronormative models, and queer therapists looking for better tools and community for this work. In this episode, we discuss: - What therapists most often get wrong with queer couples and queer sex - The Seven Stages of Queer Relationship Development, including Tom's two additions - Why a "second queer adolescence" matters clinically - Mutual interdependence versus codependence in gay male relationships - Minority stress, the relationship escalator, and queer identity formation - How the current political moment is showing up in queer couples therapy - Trauma activation, nervous-system regulation, and slowing the work down - Support for queer therapists working through a difficult cultural moment Timestamps: 02:28 - What therapists get wrong with queer couples and queer sex 04:43 - Sex therapy training and the asterisk problem 08:20 - The Seven Stages of Queer Relationship Development 13:00 - Mutual interdependence versus codependence 17:39 - The relationship escalator and minority stress 21:14 - The current political moment in queer couples therapy 25:18 - Trauma, regulation, and slowing down the work 27:08 - Writing The Go-To Relationship Guide for Gay Men 33:21 - Doing the work on the back end, not asking clients to educate you 34:13 - Where to find Tom and the Queer Relationship Institute Guest Bio: Tom Bruett, LMFT is a therapist, trainer, consultant, and author who works extensively with the queer community. He is the founder of the Queer Relationship Institute, which provides therapy for queer folx and training for therapists who work with queer relationships. Tom has trained under Drs. Ellyn Bader and Peter Pearson in the Developmental Model of Relationship Therapy, which he now trains other therapists in. His book The Go-To Relationship Guide for Gay Men: From Honeymoon to Lasting Commitment is published by JKP. Tom has spoken at national conferences including AASECT. Learn more at www.QueerRelationshipInstitute.com. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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/

Modern Therapist's Consumer Guide: Paubox. HIPAA Compliant Email, Secure Communication, and Practice Privacy. An Interview with Hoala Greevy, Founder and CEO of Paubox Curt and Katie talk with Hoala Greevy, Founder and CEO of Paubox, about what HIPAA compliant email actually requires, where standard Google Workspace and Microsoft 365 Business Associate Agreements leave gaps, and why most secure-portal solutions fail at the inbox. Paubox is a HIPAA compliant email security platform built to deliver encrypted messages straight to the recipient's inbox, without portals, plugins, or extra clicks. Hoala explains how Paubox wraps around the email systems therapists already use, why domain ownership and TLS encryption matter, and how inbound threats like display-name spoofing affect small practices. The conversation also covers HITRUST certification, AI scraping, the Paubox Foundations, the Paubox Kahikina Scholarship supporting Native Hawaiian students in STEM, and how to evaluate a HIPAA compliant email vendor on security, reliability, and ease of use. This episode is part of our Modern Therapist's Consumer Guide series. While this interview is a paid partnership, our discussion and opinions are our own. In this episode, we discuss: - Where standard Google and Microsoft BAAs leave HIPAA compliant email gaps - Why most secure-portal solutions never get read on mobile - How TLS encryption and secure email delivery actually work - What domain ownership has to do with HIPAA compliance - How Paubox integrates with Google Workspace and Microsoft 365 - Inbound threats, display-name spoofing, and ExecProtect - HITRUST certification and how to evaluate a HIPAA compliant email vendor Timestamps: - 02:18 – What Paubox does and why it was created - 05:19 – Mission, vision, and the Paubox Foundations - 08:38 – What HIPAA compliant email actually requires - 10:26 – The Google and Microsoft BAA gray area - 14:48 – What the client experience looks like - 21:09 – Inbound email security and display-name spoofing - 24:32 – Data access, HITRUST certification, and trust - 34:05 – Pricing, value, and the referral program - 38:43 – Curt and Katie Chat: Our Review of Paubox Guest Bio: Hoala Greevy is the Founder and CEO of Paubox, a leading provider of HIPAA compliant email solutions for healthcare organizations. Born and raised in Honolulu, he founded Paubox after a meeting with the CEO of the Make-A-Wish Foundation of Hawai'i revealed a critical need for secure healthcare communication. Greevy supports Native Hawaiian students entering STEM and technology careers through the Paubox Kahikina Scholarship. Learn more at paubox.com. Special Offer for Modern Therapist Listeners: Get $250 off an annual Paubox plan. Visit paubox.com and use promo code MODERN. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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/

Before You Refer to the Hospital: De-Escalation, Safety Planning, and Wraparound Care for Teens in Crisis When a suicidal teen is in crisis, is the hospital really the safest call? What outpatient therapists need to know. Curt Widhalm, LMFT, leads this episode from his work running a comprehensive DBT private practice in Los Angeles that specializes in higher-acuity adolescent cases, including teens with serious suicidality, self-harm, and emotional dysregulation. These are exactly the clients most often routed toward psychiatric hospitalization or platform-based care, and Curt argues the default-to-hospital reflex frequently makes things worse, not better. Drawing on recent research and his clinical experience, Curt walks through the iatrogenic harms of adolescent psychiatric inpatient care, why post-discharge is the highest-risk window for completed suicide, and how clinician anxiety can drive premature 5150 holds and crisis referrals. Katie Vernoy, LMFT, joins with years of LPS-designated assessment experience from community mental health, naming what really happens when a teen gets sent in, including the relational rupture that often starts the moment a crisis evaluation is requested. Together they show outpatient therapists, including solo practitioners, how to build the clinical infrastructure that makes hospital diversion a real option: standardized risk assessment, collaborative safety planning that starts at intake, verbal de-escalation, family-integrated care, and wraparound treatment teams that include both formal providers and informal natural supports. This is a continuing education podcourse. Therapists can earn 1 CE credit through the Modern Therapist Learning Community at moderntherapistcommunity.com. What you'll take away: - How to recognize when a teen client really needs inpatient care, and when escalation will cause more harm than help - How to use standardized risk assessment tools (C-SSRS, LRAMP) without losing the therapeutic relationship - How to build a safety plan that actually works, and what to leave out (hint: no-suicide contracts) - What to teach parents about verbal de-escalation and environmental modifications at home - How to construct a mini Intensive Outpatient Program inside a solo or small-group practice - Who belongs on a wraparound treatment team, and how to find informal supports that families often forget to mention - How systemic barriers and health disparities shape access and outcomes for Black, Hispanic, and lower-SES adolescents Timestamps: 00:15 - CE intro and how to earn 1 CE credit 05:17 - Why outpatient therapists need real de-escalation protocols 11:23 - What actually happens during a crisis evaluation, with Katie's LPS-designated insights 18:46 - Iatrogenic harm and post-discharge suicide risk in adolescents 26:27 - Distant admissions, capped beds, and reentry into school and community 30:43 - Building safety plans from the first session, not the first crisis 34:32 - What belongs in a comprehensive adolescent safety plan 41:05 - When a teen says "I want to die," and why language matters 47:27 - Family-integrated care in solo private practice 48:56 - Building a mini IOP without the institutional overhead 55:29 - Wraparound teams and the role of informal natural supports 59:51 - ROIs, HIPAA-compliant communication, and minor consent 1:01:00 - Health disparities and access for marginalized adolescents Earn 1 CE credit: Therapists can earn 1 CE credit for this episode through the Modern Therapist Learning Community. Register, purchase the course, pass the post-test, and complete the evaluation to receive your certificate. Therapy Reimagined is approved by the California Association of Marriage and Family Therapists (CAMFT CEPA #132270). Please check with your licensing board to confirm eligibility. Full show notes, references, and transcript: mtsgpodcast.com CE enrollment: moderntherapistcommunity.com Join the Modern Therapist Community: Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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/

Inside the Troubled Teen Industry: Wilderness Therapy, Residential Treatment, and the Harm Done to Kids – An Interview with Chelsea Maldonado and Dr. Will Dobud Dr. Will Dobud and survivor advocate Chelsea Maldonado on wilderness therapy, residential treatment, institutional abuse, and what therapists need to know to support troubled teen industry survivors.  Curt and Katie talk with Dr. Will Dobud and Chelsea Maldonado about what actually happens inside the troubled teen industry, why the marketing rarely matches the reality, and how wilderness therapy programs and residential treatment facilities continue to operate despite decades of survivor testimony, documented abuse, and youth deaths.  The conversation covers why so many adopted youth and foster youth end up in these facilities, how restraints, isolation, and medical neglect produce lasting trauma, and why power dynamics and institutional structure undermine real therapeutic work. Will and Chelsea also discuss the silence of professional associations after youth deaths, the recent Atlantis Leadership Academy case in Jamaica, and what therapists working with troubled teen industry survivors can do to create safer therapeutic relationships.  In this episode, we discuss:  What therapists get wrong about wilderness therapy and residential treatment Why "round the clock therapy" marketing rarely matches the reality inside facilities How restraints, isolation, and medical neglect cause lasting harm Why adopted youth and foster youth are disproportionately placed in these programs The role of power dynamics and institutional structure in the troubled teen industry Why survivors are highly traumatized and highly therapy resistant How therapists can work more safely and effectively with survivors The silence of professional associations after youth deaths in licensed, accredited facilities  Timestamps:  07:34 – What actually happens inside troubled teen industry facilities 13:04 – Katie reflects on her own residential treatment experience 16:28 – Common harms: restraints, medical neglect, sexual abuse 19:38 – Power, conversion-style programming, and adopted youth 24:31 – Why these facilities still exist 28:07 – Attachment, restraints, and institutional contradictions 33:00 – What actually helps youth in crisis 38:14 – The Atlantis Leadership Academy case and survivor-led advocacy  Guests: Dr. Will Dobud, Senior Lecturer in Social Work at Charles Sturt University and former wilderness therapy field guide whose research focuses on improving outcomes for teenagers and exposing harm in the troubled teen industry (willdobud.com). Chelsea Maldonado, troubled teen industry survivor, lead researcher for the Trapped in Treatment podcast, and consultant to Paris Hilton's nonprofit 11:11 Media Impact (1111mediaimpact.com).  Full show notes and transcript: mtsgpodcast.com  Join the Modern Therapist Community  Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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 Therapists Stop Working with Kids and What It Takes to Stay: Sustainability, Boundaries, and Pivots for the Long Haul Curt Widhalm, LMFT, and Katie Vernoy, LMFT push back on the field's quiet stereotype that working with kids is the "starter home" of private practice, the place clinicians put in time before graduating to a cardigan and a wing-back chair. Working with kids and teens is not entry-level work. It is some of the most clinically and physically demanding work in the profession, and it has a sustainability problem that rarely gets named honestly. Curt and Katie examine why so many therapists who work with kids and teens hit a wall around the five-year mark, and why that wall is rarely about clinical depth. They unpack the sensory toll, the parent communication load, the school and provider coordination, the cost of running a play therapy room, and the way a child caseload can quietly distort a clinician's sense of what is developmentally typical. They also talk about how to build a long-haul career working with kids, teens, and families without becoming, in Curt's words, "a cynical, glitter-covered shell of a human being." This is a conversation for therapists in private practice, supervisors of clinicians who work with minors, and anyone weighing whether to keep working with kids, scale back, or pivot. In this episode, we discuss: Why working with kids is not a lesser clinical specialty Why the work is hard to sustain, and why "burnout" alone does not fully explain it How shifting from kid sessions to family work and parent work extends the clinical impact The sensory, physical, and administrative load of working with kids Why parents contact child therapists more than adult clients contact their own therapists The financial and logistical reality of running a play therapy room How a clinical caseload can distort a therapist's sense of typical development When a pivot to adult, family, or parent work is healthy, and when it is avoidance Timestamps: 00:15 — The "starter home" stereotype, and the five-year wall 06:03 — The 167-hour problem and why kid work is family work 10:08 — The sensory and physical toll 12:58 — Caseload diversification and structuring the day 19:41 — The unpaid hours: parents, schools, and the village 23:43 — The play therapy industrial complex 27:59 — Keeping up with kids' culture without losing yourself 30:19 — How a clinical caseload distorts the sense of typical development 33:09 — Expectations, moral injury, and what "fix my kid" really costs 35:01 — When a pivot is survival, and when it is avoidance Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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 Good Moms Feel Bad: Supporting Mothers in Therapy with IFS and the Mom Parts Method – An Interview with Jessica Tomich Sorci, LMFT Jessica Tomich Sorci, LMFT, creator of the Mom Parts Method, on IFS, maternal mental health, mom shame, and why "bad mom" parts are protectors, not problems. Curt and Katie talk with Jessica Tomich Sorci, LMFT about what therapists often miss when working with mothers, and how Internal Family Systems (IFS) can be adapted for the real conditions of motherhood. Jessica is the creator of the Mom Parts Method and author of When Good Moms Feel Bad: An Empowering Guide for Transforming Guilt, Anxiety and Anger into Compassion, Confidence and Connectedness (Balance, 2026). Drawing on more than fifteen years of clinical work in maternal mental health, Jessica translates IFS into accessible, motherhood-native language. The Mom Parts Method gives mothers simple tools to identify their parts, access their Inner Mom, and approach guilt, grief, rage, and overwhelm with curiosity instead of correction. This is a useful conversation for therapists working with mothers, perinatal mental health clinicians, and anyone interested in more affirming, non-pathologizing approaches to maternal mental health. In this episode, we discuss: What therapists often get wrong when working with mothers How the Mom Parts Method translates IFS into motherhood-native language The role of patriarchy, under-resourcing, and matrescence in maternal distress Why "bad mom" parts (rage, panic, perfectionism, the inner critic) are protectors The five-step Mom Parts Method, from triggering event to remedy How therapists' own parts show up in this work Why healing in maternal mental health is wholeness, not elimination Full show notes and transcript: mtsgpodcast.com Timestamps: 03:30 - What therapists get wrong with mothers 04:47 - Shame and the "bad mom" taboo 10:45 - Patriarchy, matrescence, and the systemic context 17:42 - The five-step Mom Parts Method 29:56 - Healing is wholeness, not elimination 33:48 - When to bring parts work into session 35:27 - When Good Moms Feel Bad and Mothercentered training Guest Bio: Jessica Tomich Sorci, LMFT is a Level 3 Certified IFS Therapist, IFSI Approved Clinical Consultant, and a Certified Perinatal Mental Health therapist (PMH-C) with advanced training in IFIO. She is the creator of the Mom Parts Method and author of When Good Moms Feel Bad (Balance, 2026). She trains clinicians through her Mothercentered certification program. Learn more at www.momparts.com. Join the Modern Therapist Community Podcast: mtsgpodcast.com Patreon: patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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 Fixing Teens Doesn't Work and What Actually Helps Youth Mental Health: An Interview with Dr. Will Dobud Curt and Katie talk with Dr. Will Dobud about what therapists often get wrong when working with teens, why adolescent behavior is so often overpathologized, and how connection, play, risk, and mastery can better support youth mental health. They also explore the so-called youth mental health crisis, the impact of overmanagement and disconnection, and what therapists can do to better engage young people in meaningful, developmentally appropriate ways. About Our GuestDr. Will Dobud is a social worker, researcher, and educator who has worked with adolescents and families in the United States, Australia, and Norway. He is a Senior Lecturer in Social Work at Charles Sturt University and an award-winning researcher focused on improving therapy outcomes for teenagers and promoting safe, ethical practices. His work has also examined America's Troubled Teen Industry, especially wilderness therapy. Key Takeaways Teens are often overpathologized when they may be showing developmentally normal behavior. Youth therapy should focus on engagement, interaction, play, and doing things together, not just sitting and talking. Social disconnection, fewer third spaces, and less unstructured play may be contributing to youth distress. Young people will seek connection wherever they can find it, including online and through AI relationships. Therapists can help teens build resilience by supporting autonomy, mastery, and meaningful participation. Find the full show notes and transcript at mtsgpodcast.com. Join the Modern Therapist Community: Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Homepage: https://mtsgpodcast.com Facebook Group: https://www.facebook.com/groups/therapyreimagined 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 Burden of Potential: Therapy for Gifted Adults Navigating Burnout, Identity, and 2e Considerations Gifted adults do not usually come to therapy naming giftedness as the issue. More often, they present with burnout, anxiety, depression, underperformance, identity confusion, relationship strain, or existential distress. In this continuing education episode, Katie Vernoy and Curt Widhalm explore how gifted adults show up in therapy, how to distinguish giftedness from high achievement, and how 2e considerations can complicate assessment and treatment. Curt and Katie discuss the hidden cost of success, including masking, perfectionism, chronic overfunctioning, executive functioning workarounds, code-switching, and the pressure of living up to potential. They also look at what helps in therapy: deeper assessment, intellectual attunement, self-compassion, sustainability, accommodations, and values-aligned treatment. In this podcast episode, we discuss: common presenting concerns for gifted adults in therapy the difference between giftedness, achievement, and eminence burnout, perfectionism, and chronic overfunctioning masking, self-editing, and existential loneliness 2e considerations and hidden neurodivergence treatment strategies that go beyond basic coping skills This episode is eligible for 1 CE credit through the Modern Therapist Learning Community. To receive CE credit, listen to the episode, register for your free profile at moderntherapistcommunity.com, purchase the course, pass the post-test, and complete the evaluation. Full show notes, transcript, and episode resources will be available at mtsgpodcast.com. Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Homepage: https://www.mtsgpodcast.com Facebook Group: https://www.facebook.com/groups/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 Help Clients With IBS, Chronic Nausea, and Gut-Brain Disorders: An Interview with Dr. Ali Navidi, PsyD Curt and Katie talk with Dr. Ali Navidi, PsyD about disorders of gut-brain interaction, including IBS, chronic nausea, and other GI conditions that therapists may see more often than they realize. They explore how the gut-brain axis works, which clients may be more likely to struggle with these concerns, how therapists can stay within scope, and why specialized behavioral health treatment can directly improve symptoms rather than only helping clients cope with them. About Our GuestDr. Ali Navidi, PsyD is a licensed clinical psychologist and co-founder of GI Psychology, a national telehealth practice specializing in the treatment of gastrointestinal (GI) disorders and chronic pain. In addition to providing patient care, Dr. Navidi oversees clinical training and outreach initiatives at the practice. He has presented on GI disorders and chronic pain to organizations across the country, including the American College of Gastroenterology, UNC School of Medicine, George Mason University, Georgetown University (Grand Rounds), INOVA, as well as through podcasts, television appearances, and multiple State Academies of Nutrition and Dietetics. Key Takeaways Therapists are in a strong position to notice GI issues, especially in clients with anxiety, trauma histories, autism, or eating disorders. Disorders of gut-brain interaction are not just “in someone's head.” The pain and symptoms are real, even when there is no visible structural problem. Therapists should encourage appropriate medical evaluation and collaborate with gastroenterologists rather than trying to diagnose IBS or other GI disorders on their own. Specialized CBT and clinical hypnosis can directly treat gut-brain disorders, not just the anxiety that surrounds them. Dr. Navidi, PsyD describes a treatment model focused on hypervigilance, catastrophizing, and visceral hypersensitivity. When diet questions come up, therapists should be cautious and refer to GI-focused dietitians when appropriate. Therapists should also be careful about overconfident claims related to the microbiome, SIBO, and other popular gut-health conversations. For full show notes and the transcript for this episode, visit mtsgpodcast.com. Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Homepage: mtsgpodcast.com Facebook Group: https://www.facebook.com/groups/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 Neurodivergent Clients and Families: An Interview with David Smith, LCSW Curt and Katie talk with David Smith about neurodiversity-affirming therapy, autism, ADHD, PDA, family systems, and burnout for neurodivergent therapists. David shares both clinical expertise and lived experience as an autistic therapist, offering practical guidance for working more effectively with neurodivergent clients and the families around them. About Our Guest: K. David Smith, LCSW K. David Smith, LCSW, is an autistic therapist who provides neurodiversity-affirming, trauma-informed therapy online in 5 states (Oregon, California, Idaho, Vermont, and Florida). He also provides clinical supervision for therapists working toward LCSW or LPC licensure in Oregon, particularly those who are neurodivergent themselves or who are passionate about supporting neurodivergent clients. In addition, he provides consultation, training, and workshops for medical practices and professionals, other therapists, employers, and school districts about ways to become more neurodiversity-affirming and supportive of neurodivergent people. Key Takeaways - Therapists often miss neurodivergence entirely and may treat anxiety, depression, or “thought errors” without considering whether a client is struggling in environments that were not built for their nervous system. - Neurotypical therapists can work well with neurodivergent clients when they lead with curiosity, attunement, flexibility, and a willingness to adapt how therapy is structured. - PDA can look like defiance, but David reframes it as an anxiety- and threat-based response to demands. Traditional rewards and consequences may backfire. - Neurodivergence in families is often intergenerational, with different neurotypes shaping attachment, communication, expectations, and family roles. - Neurodivergent therapists need more than generic self-care. Sustainable practice may require reducing demands, grounding, rest, and nervous-system-informed regulation. Full show notes and transcript will be available at mtsgpodcast.com. Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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 Clients Experience Therapy: From First Inquiry to the Waiting Room: An Interview with Michael Ashford Curt and Katie talk with Michael Ashford about how clients experience therapy before the clinical work even begins. They explore what therapists can learn from customer service, communication, and marketing to create a smoother, more supportive experience from first inquiry through intake, onboarding, waiting room logistics, and practice policies. This conversation looks at how clarity, thoughtful systems, and strong boundaries can improve client experience while also supporting therapists. About the Guest Michael Ashford is the Senior Director of Marketing at Sign In Solutions and has spent the past decade building and leading marketing teams at companies large and small. Michael is a former award-winning journalist, a two-time TEDx speaker, and holds a Master's degree in Communication from Kansas State University. Michael's approach to marketing focuses on scaling companies through the power of effective communication, storytelling, and humanizing brands. Key Takeaways Client experience starts before the first session Clear expectations reduce client stress and confusion Website messaging, intake, and onboarding should feel seamless Waiting room and check-in systems matter more than many therapists realize Good customer service includes strong boundaries around time, fees, and cancellations Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community: Podcast Homepage: https://mtsgpodcast.com/ Linktree: https://linktr.ee/therapyreimagined Facebook Group: https://www.facebook.com/groups/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/

Adapting EMDR for Neurodivergent Clients: Parts Work, Attunement, and Affirming Trauma Therapy, An Interview with Cathy Hanville and Christine MacInnis Curt and Katie talk with Cathy Hanville and Christine MacInnis about how to adapt EMDR for autistic and ADHD clients with more flexibility, safety, and affirming care. They explore why standard protocols can miss important client needs, how parts work can support trauma treatment, and what therapists should consider when working with neurodivergent clients whose trauma is tied to masking, chronic correction, social rejection, and being misunderstood. In this episode, we talk about: Why EMDR often needs adaptation across all eight phases How parts work can support neurodivergent clients in trauma treatment The impact of masking, correction, and misunderstanding as trauma Sensory, communication, and processing differences therapists need to consider Moving away from compliance-based care toward attunement and collaboration About the guests Christine MacInnis, MSed, MS, LMFT owns Transcends Family Therapy in Torrance, California, specializing in neurodiversity and LGBTQIA+ affirming, trauma-informed care. She is additionally licensed in Arizona and Ohio, is an EMDRIA-approved consultant, and provides advanced training on neurodiversity-affirming EMDR, ADHD, and autism. Learn more at www.transcendstherapy.com. Cathy Hanville, LCSW (They/She) is a licensed clinical social worker in Pennsylvania and California, an EMDRIA-approved consultant, and a continuing education provider. They help therapists identify blind spots so they can provide gender- and neurodiversity-affirming care. Learn more at www.cathyhanville.com. Cathy and Christine are under contract with Norton Publishing to write Neurodivergent Paths to Healing: Affirming EMDR and Parts Work for Autistic and ADHD Clients, expected in early 2027. Key takeaways Therapists often need to adapt EMDR for every client, not just neurodivergent clients Neurodivergent-affirming EMDR requires flexibility, collaboration, and sensory awareness Parts work can help therapists better understand protection, shame, and responses often mislabeled as resistance Many neurodivergent clients carry trauma tied to masking, chronic correction, and social rejection Full show notes and transcript: https://mtsgpodcast.com Join our community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Podcast Homepage: https://mtsgpodcast.com 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 Clients Reject Your Diagnosis: How to Handle Pushback Without Losing the Therapeutic Alliance What do you do when your client doesn't agree with your diagnosis? Whether it's a parent resisting an autism or ADHD diagnosis, a client attached to a different label, or someone overwhelmed by what a diagnosis means for their identity, these conversations can feel high-stakes. In this episode, Curt and Katie explore why clients push back on diagnoses and how to navigate these conversations without damaging the therapeutic relationship. They break down the role of stigma, identity, and real-world consequences, and offer practical strategies for staying collaborative while still doing effective clinical work. Key Takeaways: Why clients resist diagnoses (stigma, identity, and real-world impact) How to respond without arguing or damaging the alliance When disagreement means your assessment isn't finished How to focus on function and treatment instead of labels Navigating documentation, insurance, and cultural considerations Get the full show notes and resources at mtsgpodcast.com. 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 Lasting Harm of Conversion Therapy: An Interview with Samuel Nieves This interview was recorded in November 2025 in anticipation of the Supreme Court ruling in Chiles v. Salazar and released afterward. Rather than focusing on the legal details of the decision, Curt and Katie talk with Samuel Nieves about the harms of conversion therapy, how change efforts can be disguised as therapy, and what clinicians need to understand when working with survivors. Sam shares from his lived experience as a survivor and explains why the deepest harms often involve identity damage, loss of self-trust, and disconnection from one's own lived experience. About our guest:Sam Nieves has a Bachelor's in Psychology. In 2019, he entered grad school to become a Licensed Marriage and Family Therapist, but left the field after 6 months of clinical experience. Since 2020, Sam has used his personal, clinical, and educational background to support survivors of conversion therapy. He is now a board member of the non-profit organization Conversion Therapy Survivor Network. Sam uses the online name “CantPrayMeAway” to share his own experiences as a client of conversion therapy and advocates for the end of all conversion practices worldwide. Key takeaways: Conversion therapy is broader than many therapists realize and can show up in subtle, disguised forms SOGIECE (sexual orientation and gender identity or expression change efforts) offers a clearer framework for recognizing sexual orientation and gender identity or expression change efforts The core harm of conversion therapy is often identity damage and loss of self-trust Even well-intentioned therapeutic tools can become retraumatizing when they are used in the service of changing identity Survivors may need therapists to move slowly, stay client-centered, and understand that therapy itself may have been part of the harm Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Facebook Group: https://www.facebook.com/groups/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 Private Practice Pivot: How Therapists Are Adapting to Platforms, Agency Work, and the Changing Therapy Economy Are therapists leaving private practice - or simply adapting to a changing mental health economy? Curt Widhalm, LMFT, and Katie Vernoy, LMFT discuss a growing shift across the profession as therapists pivot between private practice, agency jobs, group practices, and therapy platforms. As referral patterns change, venture-backed platforms grow, and the economics of therapy evolve, many clinicians are reconsidering how they structure their careers. Curt and Katie explore why therapists are pivoting their practices, how platforms like Headway, Alma, and Rula are shaping the field, and what therapists can do to build sustainable careers in a rapidly changing environment. Key Takeaways • Why many therapists are pivoting their private practices • How therapy platforms and venture capital are reshaping the profession • The role of agency work, group practices, and hybrid careers • Why isolation can undermine sustainability in solo practice • How therapists can design careers that prioritize stability Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Is Independent Private Practice Sustainable? Data on Caseloads, Insurance & Income Is independent private practice still financially sustainable? Curt and Katie sit down with Lindsay Oberleitner, PhD, Director of Clinical Strategy at SimplePractice, to examine national data on caseload trends, insurance participation, income realities, and therapist burnout. Drawing from Lindsay's research at SimplePractice, they explore whether independent private practice is truly viable long term - and what clinicians need to understand to remain financially and professionally sustainable. In this episode, we discuss: • Why some clinicians are seeing declining caseloads despite high demand for mental health care • Typical full-time caseload ranges in independent private practice • How insurance participation is shifting year over year • The financial impact of reimbursement rates and overhead costs • Why burnout is both a personal and systemic issue • The significant role independent private practice plays in delivering outpatient behavioral health care across the United States Independent private practice represents an estimated 15–20% of outpatient behavioral health services. This episode helps therapists think strategically about income, sustainability, visibility, and long-term viability in today's healthcare landscape. For full show notes and resources, visit mtsgpodcast.com. Join the Modern Therapist Community: • Patreon: https://www.patreon.com/c/mtsgpodcast • Facebook Group: https://www.facebook.com/groups/therapyreimagined • Podcast Homepage: https://therapyreimagined.com/modern-therapists-survival-guide-podcast-episodes/ Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Why You're Exhausted in Private Practice: The Hidden Work Behind the Client Hour Exhausted in private practice - even with a “manageable” caseload? Seeing 20-25 clients a week does not mean you're working 20-25 hours. Every client hour includes hidden administrative work, financial decisions, emotional labor, and CEO-level responsibility. In this host-led episode, Curt and Katie break down why private practice feels heavier than expected - and how to think strategically about the real math behind your workload. Key Takeaways: • 20 client hours often equals 30+ hours of actual work • Emotional task-switching drains capacity • Burnout often comes from business demands, not just clients • Sustainable practice requires protected CEO time and clear boundaries Full show notes and resources: https://mtsgpodcast.com Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Burnout Recovery in a Failing System – An Interview with Shaina Siber, LCSW Therapists are navigating hiring freezes, wage stagnation, insurance instability, identity-level threats, and mounting systemic uncertainty — all while supporting clients experiencing the same instability. What happens when burnout isn't just about workload, but about working inside a system that feels like it's failing? Curt and Katie talk with Shaina Siber, LCSW, about moral injury, burnout as a fawning trauma response, and how therapists can move from control strategies to agency using Acceptance and Commitment Therapy (ACT) and Compassion-Focused Therapy (CFT). Shaina shares how psychological flexibility, compassionate prioritization, and values-based action can help therapists recover from burnout without abandoning their humanity. In this episode, we discuss: • Burnout as a trauma response • Moral injury in modern mental health care • The “K-shaped” labor market and therapist stagnation • Moving from overcontrol to agency • Sustainable contribution without collapsing Guest Bio: Shaina Siber, LCSW is the founder of Affirm Mental Health, host of The Affirming Minds Podcast, and author of the forthcoming Routledge book Using ACT and CFT for Burnout Recovery: The Beyond Burnout Blueprint (available for pre-order February 25, 2026). She brings over 15 years of clinical and leadership experience and specializes in trauma-informed, LGBTQ+, and culturally responsive care. Full show notes and resources: mtsgpodcast.com Join our community: Facebook Group: https://www.facebook.com/groups/therapyreimagined 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 Texas Therapists Stop Treating Kids? Texas SB14, Gender-Affirming Care, and the Risks for Therapists In this episode of the Modern Therapist's Survival Guide, Curt Widhalm and Katie Vernoy discuss a new interpretation of Texas SB14 that may place therapists at risk for providing gender-affirming care to trans youth. They explore how a recent opinion from the Texas Attorney General could broaden the law's reach beyond medical providers to include mental health professionals. Curt and Katie break down what this interpretation could mean for therapists working with minors, including possible risks related to licensure, malpractice coverage, mandated reporting, and criminal liability. They also discuss the ethical tension between evidence-based care and compliance with state law, and the difficult decisions clinicians may face when considering whether to continue working with kids. Key Takeaways: A new interpretation of Texas SB14 may include mental health professionals as part of the “healthcare pipeline” facilitating gender transition for minors. The legal term “facilitating” could potentially include referrals, letters, or even supportive therapy conversations. Therapists may face risks related to licensure complaints, malpractice coverage exclusions, or legal consequences if their care is interpreted as supporting gender transition. Mandated child abuse reporting requirements could create additional legal and ethical concerns. Clinicians may need to assess their personal risk tolerance when deciding whether to continue working with minors. Full show notes and additional resources will be available at:mtsgpodcast.com Join our community: Modern Therapists Group (Facebook): https://www.facebook.com/groups/therapyreimaginedLink Tree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

The Licensing Racket: Therapist Licensing, Discipline, and Access to Care – An Interview with Rebecca Haw Allensworth Who does licensing protect - the public or the profession? Curt and Katie talk with Rebecca Haw Allensworth, law professor and author of The Licensing Racket, about how professional licensing boards actually function, and what that means for therapists, discipline, and access to care. After attending licensing board meetings across professions and states, Rebecca identified a troubling pattern: entry requirements that continually “ratchet up,” while discipline decisions can lean toward giving professionals the benefit of the doubt. The result? Higher barriers to entry, workforce shortages, and inconsistent public protection. This episode explores therapist licensing reform, self-regulation, professional turf wars, board funding structures, and the tension between prestige, professional identity, and public safety. About Our Guest:Rebecca Haw Allensworth is the David Daniels Allen Professor of Law at Vanderbilt Law School and author of The Licensing Racket: How We Decide Who Is Allowed to Work and Why It Goes Wrong. Her research focuses on antitrust and professional licensing and has been cited by the U.S. Supreme Court. Key Takeaways: • Why licensing requirements tend to increase over time • How self-regulation can create blind spots in discipline • The impact of licensing barriers on workforce shortages and access to care • Why complaints about unlicensed practice may be prioritized over client complaints • How professional identity and funding structures shape board decisions Full show notes and resources: mtsgpodcast.com Join our community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast 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/

Training Therapists in the Age of AI: Preventing Deskilling and Teaching Clinical Judgment As artificial intelligence becomes increasingly embedded in mental health care, therapists, supervisors, and educators face a critical responsibility: integrating AI tools without eroding clinical judgment, reasoning, and skill development. In this continuing education episode of the Modern Therapist's Survival Guide, Curt Widhalm and Katie Vernoy examine how AI can create the illusion of competence while quietly undermining the processes therapists rely on to learn how to think clinically. They explore therapist deskilling as a systemic issue shaped by training models, supervision practices, and productivity pressures rather than individual failure. This episode focuses on how supervisors, educators, and clinicians can preserve clinical mastery while using AI responsibly, emphasizing learning science, supervision ethics, and the importance of maintaining human judgment in an automated world. In this episode, we discuss: How AI can mask gaps in clinical reasoning The competence paradox and automation bias in therapy Why struggle and ambiguity are essential for learning The role of supervisors and educators in preventing deskilling How to use AI without outsourcing clinical judgment Continuing Education: This episode is eligible for 1 unit of continuing education (CE). To earn CE credit, go to moderntherapistcommunity.com, register for a free profile, purchase the course, complete the post-test and evaluation, and download your certificate. Full show notes, transcript, and course details are available at mtsgpodcast.com. Join the Modern Therapist Community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Home: https://mtsgpodcast.com Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Why Food Anxiety Is Not Always About Dieting: Understanding ARFID and Intuitive Eating - An interview with Robyn L. Goldberg, RDN, CEDS-C Diet culture often dominates conversations about eating disorders, but not all struggles with food are driven by weight, body image, or dieting. In this episode, Curt Widhalm and Katie Vernoy talk with registered dietitian nutritionist and certified eating disorder specialist Robyn L. Goldberg about Avoidant Restrictive Food Intake Disorder (ARFID), intuitive eating, and how therapists can recognize when food anxiety requires a different clinical approach. Robyn explains how ARFID differs from more familiar eating disorders, why it is often mislabeled as “picky eating,” and when intuitive eating principles need to be adapted or set aside. This conversation offers therapists practical guidance for assessment, referral, and collaboration with eating-disorder-informed dietitians. Key Takeaways ARFID is not driven by weight or body image concerns and is often rooted in sensory sensitivities, trauma, or fear of aversive consequences Intuitive eating is not a one-size-fits-all model and may require significant structure for some clients Rigid food rules and avoidance can be protective for clients but may also limit functioning and quality of life Exposure-based approaches are often central to ARFID treatment and require specialized training Therapists should refer to eating-disorder-informed dietitians when food restriction significantly impacts health or daily life Guest Bio Robyn L. Goldberg, RDN, CEDS-C, is a registered dietitian nutritionist and certified eating disorder dietitian and consultant with over twenty-eight years of experience. She is the author of The Eating Disorder Trap, host of The Eating Disorder Trap Podcast, and a nationally recognized expert featured in major media outlets. Full Show NotesRead the full show notes and resources at: https://www.mtsgpodcast.com Community and SupportJoin our Facebook group: https://www.facebook.com/groups/therapyreimaginedSupport the podcast on Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist's Survival Guide Creative Credits Voiceover by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

The Epstein Files Fallout: Navigating Client Trauma, Justice Fatigue, and Clinical Responsibility In this episode of the Modern Therapist's Survival Guide, Curt Widhalm and Katie Vernoy explore the emotional and clinical fallout following the release of the Epstein files. Rather than reacting to breaking news, they focus on what happens after the headlines fade—when trauma resurfaces, justice feels out of reach, and both clients and therapists are left carrying the weight. This conversation examines how trauma responses show up in the therapy room, how therapists can avoid minimization or burnout, and what clinical responsibility looks like when systems fail and outrage turns into numbness. Key takeaways for therapists: How public disclosures can retraumatize survivors and trigger moral injury Why clients may experience numbness, irritability, or hopelessness instead of anger How to ethically hold space without rushing clients toward resolution Ways therapists can manage their own exposure and remain grounded The importance of containment, validation, and agency during collective trauma Full show notes and resources available at:https://mtsgpodcast.com Join the Modern Therapist Community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Why the Math Doesn't Work: How Student Loan Debt Hits Therapists Harder Than Other Professions – An Interview with Mick MacLaverty Student loan debt affects nearly every corner of the mental health field, but for therapists, the numbers often don't add up. In this episode, Curt Widhalm and Katie Vernoy talk with student loan expert Mick MacLaverty about why therapists carry disproportionately high debt, how inconsistent income makes repayment especially difficult, and the structural factors in higher education and healthcare that created this imbalance. Mick explains how federal student loan policies have evolved, why forgiveness programs have become politically volatile, and what therapists need to understand about repayment options, refinancing, and employer-based student loan benefits. This conversation offers clarity on an issue that directly impacts career sustainability, burnout, and long-term financial health. About the guest:Mick MacLaverty is the CEO and co-founder of Highway Benefits, a company that helps employers offer student loan repayment as a benefit. He has spent thousands of hours researching the student debt crisis and works closely with healthcare and therapy-adjacent organizations to help employees reduce long-term loan burden. Key takeaways for therapists: Therapists often graduate with significantly more student loan debt than the average worker. Income instability makes consistent monthly repayment especially challenging. Student loan debt is driven by structural issues in education and healthcare, not individual failure. Federal loan policies and forgiveness programs can be confusing and politically driven. Employer-based student loan repayment benefits can meaningfully reduce debt and interest over time. Full show notes and transcript:https://mtsgpodcast.com Join the community: Patreon: https://www.patreon.com/c/mtsgpodcast Facebook group: https://www.facebook.com/groups/therapyreimagined Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

Starting Out After Graduate School: Team-Based Care, Stability, and Early Career Decisions - An Interview with Eden LathemSpecial Series: Becoming a Therapist In this Becoming a Therapist special series episode, Curt Widhalm and Katie Vernoy welcome back Eden Lathem for a second-year check-in following her graduation from graduate school. Now working under temporary licensure, Eden shares what it has been like to enter the workforce in an intensive outpatient treatment setting, navigate supervision requirements, and make early career decisions focused on stability, learning, and sustainability. This conversation explores the realities of life after graduate school, including team-based care, financial considerations, and flexibility in building a therapy career. About the GuestEden Lathem is a Marriage and Family Therapist practicing under temporary licensure and working in an intensive outpatient treatment setting. She provides individual and group therapy as part of a multidisciplinary clinical team and works with individuals and families navigating caregiving stress, disability, trauma, anxiety, depression, identity shifts, and major life transitions. Eden is also completing training in Parent–Child Interaction Therapy (PCIT), an evidence-based approach that uses live coaching and play to support parent-child connection. Key Takeaways • What the transition from graduate school to the workforce can actually look like • Why team-based treatment settings can offer stability and support early in a career • The financial and structural realities of supervision and licensure • How early career clinicians can stay flexible while working toward long-term goals • Choosing learning and sustainability over rushing into private practice Find the full show notes and resources for this episode at https://mtsgpodcast.com Join the Modern Therapist Community Patreon https://www.patreon.com/c/mtsgpodcast Facebook Group https://www.facebook.com/groups/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 Clinician-in-Training: An Interview with Marvin Vasquez Special Series: Becoming a Therapist In this Becoming a Therapist special series episode, Curt Widhalm and Katie Vernoy welcome back Marvin Vasquez for a second-year check-in as he moves into the clinical phase of his training. Marvin reflects on beginning direct client work as a first-generation clinician-in-training, providing therapy in both English and Spanish, and supporting members of his own community during a time of heightened systemic stress. This conversation explores practicum placement, supervision, self-doubt, and the emotional realities of becoming a therapist while holding personal, cultural, and professional identities at the same time. About the Guest Marvin Vasquez is a first-generation Marriage and Family Therapy graduate student at California State University, Northridge. He is currently completing his clinical training as an intern at Phoenix House, where he works with individuals and families impacted by mental health challenges and systemic barriers, with a focus on Latinx communities. Marvin provides bilingual therapy in English and Spanish and is committed to culturally responsive, strengths-based care and community advocacy. Key Takeaways • What it's like to move from coursework into direct clinical work as a first-generation clinician • The emotional impact of serving your own community while still in training • How supportive supervision helps reduce self-doubt and “flailing” early in practice • Why bilingual and culturally responsive care can deepen trust and engagement • Navigating systemic stressors while developing confidence as a new therapist Find the full show notes and resources for this episode at https://mtsgpodcast.com Join the Modern Therapist Community Patreon https://www.patreon.com/c/mtsgpodcast Facebook Group https://www.facebook.com/groups/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/

After Graduation: Starting a Therapy Career on a Nontraditional Path - An Interview with Derek Isetti In this Becoming a Therapist special series episode, Curt Widhalm and Katie Vernoy check back in with Derek Isetti one year after his first appearance on the podcast. Now graduated from his MSW program, Derek reflects on the prelicensed phase of the journey, including navigating post-graduation registration requirements, taking the Law and Ethics Exam, and searching for supervised clinical work while maintaining a full-time academic career. This conversation explores what it really looks like to start a therapy career on a nontraditional timeline and path. About the Guest Derek Isetti, MSW, PhD, CCC-SLP is an Associate Professor at the University of the Pacific in Stockton, California. With a background in the performing arts, Derek is both a speech-language pathologist and a social worker pursuing licensure as a psychotherapist. His professional work spans academia, healthcare, and clinical training, offering a unique perspective on early-career development and prelicensed practice. Key Takeaways • What the prelicensed phase looks like after graduating from a master's program • Common challenges with registration, exams, and supervision requirements • Searching for supervised clinical work on a part-time or nontraditional timeline • Balancing another professional career while accumulating hours toward licensure • Why supervision quality and fit matter during the early stages of practice Find the full show notes and resources for this episode at https://mtsgpodcast.com Join the Modern Therapist Community Patreon https://www.patreon.com/c/mtsgpodcast Facebook Group https://www.facebook.com/groups/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 Corporate Leadership to Counseling Advocacy: An Interview with Iris Wilson-Farley Special Series: Becoming a Therapist In this special Becoming a Therapist series episode, Curt Widhalm and Katie Vernoy welcome back Iris Wilson-Farley for a second-year check-in on her journey through graduate school. Iris reflects on how her expectations of training have shifted, what the internship search was really like in an online program, and how she's preparing to move into primarily in-person clinical work. She also shares how her background in corporate leadership informs her approach to professional development, advocacy, and research, with a growing focus on sexual wellness and gender-affirming care. About the Guest Iris Wilson-Farley is a second-career counselor-in-training and graduate student in Clinical Mental Health Counseling at The Chicago School. After a 33-year career in corporate Human Resources and executive leadership, Iris is now focused on sexual wellness, gender-affirming care, and advocacy within the counseling profession. She is actively involved in professional organizations including ACA divisions focused on sexology and LGBTQIA+ identities and is working toward sex therapist certification through the Sexual Health Alliance. Key Takeaways How expectations often shift between the first and second year of graduate training What the internship search can look like in online counseling programs Preparing to transition from virtual learning to in-person clinical work How prior professional experience can shape identity and leadership in training The value of early involvement in advocacy, research, and professional organizations You can listen to Iris's first interview in the Becoming a Therapist series here:https://therapyreimagined.com/modern-therapist-podcast/finding-alignment-in-a-second-career-special-series-becoming-a-therapist-an-interview-with-iris-wilson-farley/ Find the full show notes and resources for this episode at:https://mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/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 Does Therapy Really Start? Managing Risk and Responsibility Before the First Session When does therapy actually begin—and when does therapist responsibility start? Curt Widhalm and Katie Vernoy explore the ethical, legal, and clinical risks that can arise before the first session ever happens, and what therapists can do to protect both their clients and themselves. In this host-led episode, they break down common scenarios involving consultation calls, intake paperwork, crisis disclosures, collateral contacts, and missed first appointments. They offer practical guidance for clarifying client status, setting boundaries early, and reducing risk at the very start of care. Key Takeaways for Therapists Therapy can begin earlier than many clinicians expect Agreeing to treatment may create responsibility even before the first session Intake paperwork disclosures can require timely follow-up Clear communication about availability and crisis procedures reduces risk Collateral contacts are not clients unless explicitly defined as part of treatment Follow-up and documentation matter, even when therapy never fully begins Read the complete show notes and resources for this episode at:https://mtsgpodcast.com Join the Modern Therapist Community Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist's Survival Guide Creative Credits Voice Over: DW McCann – https://www.facebook.com/McCannDW/ Music: Crystal Grooms Mangano – https://groomsymusic.com/

When Therapy Goes Vibe-Forward: The Cost of Losing Clinical Depth An Interview with TJ Walsh, LPC When therapy becomes more about relatability and “vibes” than clinical depth, what gets lost? Curt Widhalm and Katie Vernoy talk with TJ Walsh, LPC about how social media culture is shaping therapy expectations, why neutrality and containment still matter, and how supervision and self-work support real therapeutic change. This episode challenges therapists to balance authenticity with professionalism and to clearly orient clients to the slower, relational work that meaningful therapy requires. Key Takeaways for Therapists Why vibe-forward therapy can feel supportive but limit long-term change How neutrality functions as containment, not disengagement The difference between validation and treatment How social media shapes client expectations of therapy Why supervision should continue well beyond licensure Full Show Notes & Transcript: https://mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Creative Credits Voice Over: DW McCann – https://www.facebook.com/McCannDW/ Music: Crystal Grooms Mangano – https://groomsymusic.com/

REPLAY: Working With Politically Divided Families with Angela Caldwell, LMFT In this Reprise episode, Curt and Katie revisit their timely conversation with Angela Caldwell, LMFT on working with politically divided families. This episode explores family systems, differentiation, distress tolerance, and therapeutic neutrality when political conflict enters the therapy room. Angela offers a hopeful, clinically grounded framework for helping families tolerate opposing viewpoints, stay in relationship, and navigate discomfort without forcing agreement, making this episode especially relevant during election cycles and holiday family gatherings. You can see the original show notes and transcripts for episode 375 here: https://therapyreimagined.com/modern-therapist-podcast/how-can-therapists-help-politically-divided-families-an-interview-with-angela-caldwell-lmft/

Replay Episode: Therapy As a Political Act with Dr. Travis Heath In this reprise episode, Curt and Katie revisit their powerful conversation with Dr. Travis Heath on why therapy is inherently a political act. Originally recorded in June 2020, just days after the murder of George Floyd, this episode examines how therapists navigate racism, systems of oppression, political overwhelm, and community trauma in the therapy room. Curt and Katie reflect on how the cultural landscape has shifted over the past five years, why Travis's insights still resonate, and what therapists must continue doing to stay engaged in anti racist, decolonizing, and community centered work. You can see the original show notes and transcripts for episode 158 here: https://therapyreimagined.com/modern-therapist-podcast/therapy-as-a-political-act/

How Therapists Can Actually Rest During the Holidays: Letting Go of Guilt, Productivity, and Instagram-Worthy Expectations Curt and Katie explore how therapists can create a real holiday break - not a performative or productivity-driven one. They discuss the pressure to rest “perfectly,” the guilt of not fully unplugging, how to shift into restorative downtime, and why passive vs. active rest matters. They also highlight anxiety, money scarcity, grief, and family dynamics that often intensify during the season, offering compassionate strategies for caring for yourself as a therapist and a human. Key Takeaways for Therapists You don't need an Instagram-worthy vacation: real rest is allowed. Rest is a process, not a switch; transition time matters. It's okay to be partially off and still check in lightly as needed. Passive rest (scrolling) and active rest (movement, nature, connection) serve different purposes. Anxiety, scarcity mindset, or family stress may drive overworking—notice the “why.” The holidays can be hard; grief and emotional complexity deserve compassion. Full show notes at: mtsgpodcast.com Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Creative Credits Voice Over by DW McCann — https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano — https://groomsymusic.com/

When Good Intentions Lead to Bad Policy: Why the BBS Needs Therapist Feedback – An Interview with Dr. Benjamin E. Caldwell, LMFT Curt and Katie talk with Dr. Benjamin E. Caldwell about the California BBS's new regulatory proposals and why several well-intended ideas may actually undermine therapist education and professional standards. We discuss the proposal to award CE hours simply for providing supervision, giving CE credit for passive activities, concerns about codifying the licensing exam vendor, and the surprising reason behind the upcoming four-year fee reduction. Ben breaks down what therapists need to know—and how to make their voices heard during the public comment period. About Our Guest: Dr. Benjamin E. Caldwell, PsyD, LMFT Benjamin E. Caldwell, PsyD is a California Licensed Marriage and Family Therapist and Adjunct Faculty for California State University Northridge. He is the author of Basics of California Law for LMFTs, LPCCs, and LCSWs and the lead author of AAMFT's Best Practices in the Online Practice of Couple and Family Therapy. His company, High Pass Education, provides exam prep and continuing education for mental health professionals. Key Takeaways for Therapists • Why the BBS's proposed changes matter for therapists in and beyond California • Concerns about awarding CE for providing supervision instead of structured learning • How CE requirements may shift toward passive or non-educational activities • Issues with naming Pearson VUE in regulation • Why BBS fees will be reduced for four years • How therapists can participate in the public comment period to influence policy Full show notes and transcript available at mtsgpodcast.com Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Creative Credits Voice Over by DW McCann – https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano – https://groomsymusic.com/

How Therapists Can Help Clients Finally Sleep: An Interview with Jessica Fink, LCSW-S Curt and Katie interview sleep specialist Jessica Fink, LCSW-S, about what therapists often misunderstand about sleep—and what actually helps when clients are stuck in cycles of insomnia, nighttime anxiety, or maladaptive sleep behaviors. Jessica breaks down the limits of sleep hygiene, the fundamentals of CBT-I, what to do when clients wake up at 3 a.m. spiraling, how to distinguish tired vs. sleepy, and why wearables and blue light might be overrated concerns. She also shares how therapists can confidently assess sleep disorders and support behavioral sleep change without overmedicalizing the issue. About Our Guest: Jessica Fink, LCSW-S Jessica Fink, LCSW-S is a Texas-based therapist who specializes in sleep issues, PTSD, OCD, chronic pain and maladaptive overcontrol. As a CBT-oriented provider, Jessica uses structured, data-driven approaches combined with flexibility and creativity to create real, lasting change. Jessica values client independence, designing therapy to equip individuals with their own tools and coping strategies. Jessica's practice is entirely online and accessible to all Texas residents. Key Takeaways for Therapists Sleep hygiene is prevention—not treatment for insomnia. CBT-I is counterintuitive: don't go to bed until sleepy, and get out of bed if awake too long. A consistent wake time matters more than bedtime. Blue light isn't the enemy most people think it is. Wearables can increase anxiety and worsen sleep perfectionism (“orthosomnia”). Therapists play a crucial role even in medically driven sleep disorders like sleep apnea. Scheduled “constructive worry” times can reduce nighttime rumination. Full show notes and transcript available at:https://mtsgpodcast.com Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Creative Credits Music by Crystal Grooms Mangano – https://groomsymusic.com/ Voiceover by DW McCann – https://www.facebook.com/McCannDW/

Navigating Client Crises When Your Own Life Hits Hard Curt and Katie talk about what therapists can do when client crises show up at the exact wrong time—during holidays, illness, personal stress, or overwhelming seasons of life. They explore capacity, boundaries, communication, safety planning, and how to ethically support clients without becoming a 24/7 crisis line. This is a practical, validating look at the realities therapists face when their own lives get complicated. Key Takeaways Therapists can assess capacity and complete a “busyness audit” to stay realistic about bandwidth. Clear communication about availability helps prevent crisis-time misunderstandings. Clients benefit from learning how to reach out with context so you can triage effectively. Safety plans and community resources reduce client over-reliance on the therapist. Therapists can hold boundaries while still supporting clients through crisis moments. Full show notes and transcript are available at mtsgpodcast.com. Join the Modern Therapist Community 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 Crisis Hits Home: How Therapists Can Survive and Support Each Other — An Interview with Jeanine Rousso Curt and Katie chat with Jeanine Rousso, a licensed counselor and supervisor in Florida, Georgia, and North Carolina and founder of Therapist Resource Network, about how therapists can care for themselves when natural disasters or crises directly impact them. They discuss why therapists often push past their limits, how to assess capacity and step back ethically, and the importance of financial preparedness and peer support. About Our Guest:Jeanine Rousso is a licensed counselor and supervisor in Florida, Georgia, and North Carolina. She founded the nonprofit organization Therapist Resource Network to provide emergency financial support, burnout prevention and recovery, and advocacy for mental health professionals. Key Takeaways for Therapists: Therapists often try to maintain pre-crisis workloads after disasters, leading to burnout. It's essential to check your own capacity before showing up for clients. Build financial documentation and savings as a personal safety net. Disaster recovery requires both individual resilience and systemic advocacy. Full Show Notes: mtsgpodcast.com Join the Modern Therapist Community:Linktree | Patreon | Facebook Group Credits:Music by Crystal Grooms Mangano | Voiceover by DW McCann

Surviving Family Gatherings Without Becoming the Family Therapist: Emotional Boundaries for the Holidays Curt Widhalm and Katie Vernoy explore how therapists can navigate family gatherings without slipping into the role of “family therapist.” They discuss emotional boundaries, guilt, codependency, and the importance of authenticity during the holiday season. Learn how to recognize old family patterns, manage emotional triggers, and show up as a whole human (not just a clinician) when family dynamics get complicated. Key Takeaways for Therapists: Therapists often revert to caretaker or mediator roles during family gatherings. Emotional boundaries matter as much as physical ones: protect your energy. “JADE” doesn't go to Thanksgiving: Don't Justify, Argue, Defend, or Explain. It's okay to have emotions and step away from unproductive conversations. Clarify your role (family member, not therapist) and engage authentically. Listen to the full episode and access resources:Full show notes at mtsgpodcast.com Join the Modern Therapist Community: Patreon Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

Designing a Sustainable Therapy Career: Reflections on Burnout, Legacy, and Letting Go Curt Widhalm and Katie Vernoy reflect on what it takes to build and sustain a meaningful therapy career and how to leave the profession well. They explore professional identity, burnout, and how to stay connected to the work without losing yourself in it. Drawing from recent interviews with Lynn Grodzki, Margaret Wehrenberg, and Ofra Obejas, they share insights on sustainability, capacity, and creating a “good finish” for your therapy career. Key Takeaways for Therapists: Therapists need intentional career design. Sustainability doesn't happen by accident. Burnout can distort your love for the work and your professional identity. Regular reflection helps ensure your career still aligns with your values and capacity. Building community and connection is essential to avoiding isolation in private practice. Planning early for closure allows for a more graceful and fulfilling finish. Link to Full Show Notes:https://mtsgpodcast.com Join the Modern Therapist Community: Linktree Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

When Burnout Ends Your Therapy Career: An Interview with Ofra Obejas Curt and Katie speak with Ofra Obejas, LCSW (Retired), about what happens when even the most dedicated therapists reach their limits. After 20 years in practice, Ofra recognized she could no longer sustain the emotional and systemic demands of the work and chose to close her practice with integrity. She shares what burnout really looks like, how unrealistic professional expectations fuel it, and what therapists can do to protect themselves before it's too late. About Our Guest: Ofra Obejas, LCSW (Retired) Ofra Obejas, LCSW Retired, has just closed her practice after 20 years and many letters after her name. Over her career, she provided individual and group therapy to thousands, was on the faculty of a university therapy training program, and presented CEs to hundreds. Despite this clear proof of her expertise, she feels like a failure, a fate she wishes to save newer therapists from. Key Takeaways for Therapists Burnout isn't a personal weakness—it's a mismatch between what therapy demands and what clinicians can sustainably give. “Self-care” can't fix systemic overload or chronic emotional depletion. Therapists must honor their own limits and values to avoid running out of gas. Leaving the field can be an act of integrity, not failure. Listen to the full conversation and find resources at: mtsgpodcast.com Join the Modern Therapist Community Patreon Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano

How Therapists Retire: Planning, Ethics, and Letting Go of the Work You Love – An Interview with Lynn Grodzki, LCSW and Margaret Wehrenberg, PsyD Curt and Katie talk with Lynn Grodzki and Margaret Wehrenberg about how therapists can plan for retirement with intention and integrity. They explore the emotional, ethical, and practical considerations of closing a practice, navigating readiness, and redefining identity after a lifetime of therapeutic work. About Our Guests Lynn Grodzki, LCSW-C, MCC is a pioneer in private practice development and the author of six influential books on therapy and coaching.Margaret Wehrenberg, Psy.D. is an internationally recognized expert on anxiety and depression and the author of 13 books, including The 10 Best-Ever Anxiety Management Techniques. Together, they offer a rare blend of clinical experience, practical strategies, and heartfelt compassion. Key Takeaways for Therapists Retirement is one of the most consequential transitions in a therapist's professional life. Lynn and Margaret's Readiness for Retirement Model helps therapists plan across four stages: pre-contemplation, contemplation, preparation, and action. Planning early supports ethical closure and a smoother emotional process for both therapist and client. Common barriers include guilt, grief, and identity shifts—as well as lack of business or financial planning. Creating a professional will and protecting intellectual property are essential parts of ending well. Therapists can honor their legacy by recognizing the lasting impact of their work and embracing new opportunities in retirement. For more information and full show notes Visit: mtsgpodcast.com Join the Modern Therapist Community Linktree Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano

Modern Therapist's Consumer Guide: SimplePractice Curt and Katie talk with Jonathan Seltzer, CEO of SimplePractice, about how the company continues to evolve to meet the needs of independent mental health professionals. They discuss SimplePractice's mission to empower clinicians with intuitive tools, transparency around investors, and the responsible use of AI to reduce administrative burdens while maintaining clinical integrity. This episode is part of our Modern Therapist's Consumer Guide series, where we explore tools and services that help therapists and their clients thrive. Guest Bio Jonathan Seltzer is the CEO of SimplePractice, a software platform built to empower private practice clinicians to run thriving, independent practices. He leads a team of over 550 people supporting more than 225,000 clinicians who use SimplePractice to provide care. Jonathan is passionate about helping therapists operate with greater confidence, ease, and connection to the broader healthcare ecosystem. Key Takeaways SimplePractice remains focused on empowering independent and small-group clinicians. The company prioritizes transparency and clinician trust in how it handles data, investment, and innovation. AI tools are designed to **augment—not replace—**therapists, with high clinical and ethical standards.

Protecting Clients Through Better Notes: An Interview with Dr. Maelisa McCaffrey Curt Widhalm and Katie Vernoy talk with Dr. Maelisa McCaffrey about how therapists can document ethically and protectively in a politically charged climate. They explore how to handle sensitive topics like gender identity, reproductive rights, and immigration status while keeping documentation accurate, ethical, and safe for clients. About Our Guest Dr. Maelisa McCaffrey is a licensed psychologist, nail design enthusiast, and author of the book, Stress-Free Documentation for Mental Health Therapists. Through her business QA Prep, she empowers therapists with training and consultation on clinical documentation. Maelisa focuses on the “why” behind the usual recommendations and encourages clinicians to think outside the box, while also keeping their ethics intact. Key Takeaways for Therapists Documentation can carry legal and ethical risks in today's climate. Use clear but sensitive language when writing notes. Informed consent and collaboration with clients are essential. Focus on clinical themes rather than politically charged terms. Review your own forms and practices for unnecessary information. More Info and Full Show Notes Visit mtsgpodcast.com for the full show notes, transcripts, and resources from this episode. Join the Modern Therapist Community Linktree Creative Credits Voice Over by DW McCannMusic by Crystal Grooms Mangano

How Conscious Awareness Shapes Leadership, Therapy, and Collective Healing: An Interview with Pardis Mahdavi, PhD Curt and Katie chat with Pardis Mahdavi, PhD, about how consciousness and intentional awareness can transform therapy, leadership, and community. Pardis shares how cultivating our “inner state," moving from suffering to a “beautiful state,” impacts how we lead, connect, and heal collectively. She offers practical ways therapists can integrate mindfulness, breath mastery, and curiosity into their work to help clients (and themselves) live with greater awareness and alignment. About Our Guest:Pardis Mahdavi, PhD is an author, educator, and entrepreneur. She has written seven non-fiction books and two edited volumes, including Book of Queens (2023) and Riding (2024). A former university president and global human rights expert, Pardis now leads Entheon Journeys, focusing on consciousness, leadership, and transformation. Her work has been featured in Time, Ms. Magazine, Huffington Post, and the Los Angeles Times. Key Takeaways: Consciousness work deepens mindfulness into an ongoing framework for intentional living and healing. Therapists can help clients identify and shift their inner “state” from suffering toward beauty, calm, and connection. Preventive practices such as meditation, journaling, and breath mastery support long-term wellbeing and resilience. Leadership and therapy are energetic processes: awareness of one's own state affects how others experience us. Community healing grows when curiosity replaces critique and connection transcends identity barriers. More Info & Full Show Notes:https://mtsgpodcast.com Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano