Very Bad Therapy

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Carrie and Ben create their own model of therapy. Goal setting! Psychoeducation! Exploitation and worrisome sales tactics! What does it say about psychotherapy when our progressively cynical efforts to develop a modality end up mirroring some of the norms in our field? This episode is evidence-based and supported by neuroscience.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 5:13 Part One: 5:13 – 1:08:54 Part Two: 1:08:54 – 1:11:44   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Mental health clinical exams' evident adherence to industry standards for testing How to Spot Hype in the Field of Psychotherapy The efficacy of non-directive supportive therapy for adult depression: a meta-analysis Insight Exchange: Guide to Selecting a Counsellor The Radical Therapist #094 – Response-Based Practice w/ Dr. Allan Wade Organized Abandonment and Systemic Harm: A Conversation with Therapist & Educator Kimberly Chiswell

All therapy books have an oddly similar message: *This* form of therapy is the one that truly matters, and *this* science/philosophy/whatever is the key to understanding how human psychology actually works. These narratives can't all be true, so are they all simply bullshit instead? We read through Scott Alexander's legendary blog post, Book Review: All Therapy Books, and discuss whether therapy gurus really believe the answers they are selling.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 10:36 Part One: 10:36 – 1:29:35 Part Two: 1:29:35 – 1:31:55   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: ‘The Body Keeps the Score' offers uncertain science in the name of self-help. It's not alone. Book Review: All Therapy Books  Astral Codex Ten  Slate Star Codex  An Investigation of Self-Assessment Bias in Mental Health Providers 

The vast majority of therapists enter their profession to help other people. Some become therapists to help themselves. Today's episode features Millie, a client who found a therapist who seemed to good to be true – until the truth set in, months after Millie had left everything behind.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Ben Caldwell Labs – training, advocacy, books, and additional resources for counselors and therapists.   Introduction: 0:00 – 3:43 Part One: 3:43 – 1:09:12 Part Two: 1:09:12 – 1:28:20   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Operation Underground Railroad

Life can be hard at times. Do you want to feel more visible and important in your relationships? Are you curious about why every Psychology Today profile looks the same? We get silly with the incredible Therapist Generator and learn all about treating sunroof addition with truckload therapy and registered turtleneck therapy. The therapist profiles are fake, but our desire to meet you where you are on your journey is very real.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Introduction: 0:00 – 26:05 Part One: 26:05 – 1:14:55 Part Two: 1:14:55 – 1:17:35   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Therapist Generator Kaylen Dwyer: Twitter This Person Does Not Exist Go open: A plea for transparency in psychotherapy Talking more about talking cures: cognitive behavioural therapy and informed counsent Informed Consent in Psychotherapy: Implications of Evidence-Based Practice Evidence-Based Practice and Psychological Treatments: The Imperatives of Informed Consent Informed consent for psychotherapy: still not routine

Social proof has become a crucial element of consumer decision making in the Internet era. So why don't the vast majority of therapists ask their clients to give testimonials or leave reviews? We ponder the frustrating tension between psychotherapy ethics codes and literature on marketing in the 21st century, and we do our best to advise therapists about what to do in response to a bad online review.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Work and Identity in an Era of Precarious Employment: How Workers Respond to “Personal Branding” Discourse To Solicit or Not to Solicit? Key Issues to Consider Before Soliciting Testimonials and Reviews from Patients How Did It Go? A Comparison of Experience and Outcome-Focused Online Reviews on Treatment Expectations Change My Mind: The Impact of Online Client Ratings and Reviews on Perceptions of Therapists Yelped: Psychotherapy in the time of online consumer reviews. Digital Marketing Excellence: Planning, Optimizing, and Integrating Online Marketing The Truth About Using Testimonials to Market Your Practice Scope and Ethics of Psychologists' Use of Client Testimonials on Professional Websites Navigating the ethics of soliciting reviews for mental health professionals Responding to a Yelp review can cost you Psychotherapists in danger: The ethics of responding to client threats, stalking, and harassment. New Orleans psychologist sues over negative Angie's List comments

What is religious trauma, and why do some therapists refuse to work with clients who use that language? In today's episode, Jeremy speaks about his experiences with therapists who felt the need to defend their faith in session, and we are joined by Josh Foster, LCPC to discuss the complicated intersection between evangelical Christianity and ethical psychotherapy.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Ben Caldwell Labs – training, advocacy, books, and additional resources for counselors and therapists. Today's episode is also sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Introduction: 0:00 – 11:11 Part One: 11:11 – 50:09 Part Two: 50:09 – 1:28:44   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Support the Secular Therapy Project Jeremy Magin: Website Josh Foster: Website / Email Religious Trauma Syndrome

Trauma-informed therapy is…what, exactly? And is trauma actually stored in the body, or is that just a clever narrative that a few enterprising gurus have used to sell books and trainings? We dig deep into the research on trauma to answer these questions and more, and Carrie introduces her breakthrough trauma-focused treatment: dog therapy.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Trauma-Informed Care in Behavioral Health Services: Appendix C – Historical Account of Trauma Treating PTSD: A Review of Evidence-Based Psychotherapy Interventions Key Ingredients for Successful Trauma-Informed Care Implementation What Is Trauma-Informed Therapy? Is Your Therapist ‘Trauma-Informed'? (And Why It Matters) Envisioning a trauma-informed service system: A vital paradigm shift Trauma-Informed Care (Encyclopedia of Social Work) Why Trauma-Informed Care Matters Trauma- and violence-informed care (Wikipedia) Trauma-Informed Care in Behavioral Health Services: Chapter 1 – Trauma-Informed Care: A Sociocultural Perspective The relative efficacy of bona fide psychotherapies for treating post-traumatic stress disorder: a meta-analysis of direct comparisons APA Clinical Practice Guidelines for Treatment of Posttraumatic Stress Disorder in Adults APA Clinical Practice Guidelines PTSD Treatment Recommendations Clinical Practice Guidelines: Beneficial Development or Bad Therapy? Relationships and Responsiveness in the Psychological Treatment of Trauma: The Tragedy of the APA Clinical Practice Guideline Our Primitive Response to Stress Debunking Myths About Trauma and Memory The Return of the Repressed: The Persistent and Problematic Claims of Long-Forgotten Trauma Belief in Unconscious Repressed Memory Persists Exploring the Controversy of Polyvagal Theory The Brilliant Marketing of Bessel van der Kolk and Stephen Porges and His Polyvagal Theory Polyvagal Theory – Useful Narrative but Still Just a Theory The Problem with The Polyvagal Theory Domestication of the dog (Wikipedia) Dogs as Pets: How Dogs May Have Helped Homo Sapiens Triumph Over Neanderthals What Happened to Mirror Neurons? What is Interpersonal Neurobiology (IPNB)?

Let's get controversial! Is it a good idea for a therapist to project their own political views onto a client? For today's guest Ruth, the answer is a resounding “no.” We hear her story of a therapist who took her political advocacy too far, and Dr. Ben Caldwell rejoins us to explore the ethics of discussing politics in therapy. Plus, how can therapists know if they are trauma-informed enough for their clients?   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Journal Party.   Introduction: 0:00 – 8:55 Part One: 8:55 – 44:33 Part Two: 44:33 – 1:24:21 Part Three: 1:24:21 – 1:27:42   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Samaritan's Purse (Ethiopia Projects) Ben Caldwell Labs Think Like the Test Podcast Marketing of professional counselors: A Q-Sort study of best practices. Da Poetry Lounge

No, EMDR is not a cultish pyramid scheme. With that out of the way, why is EMDR training so expensive when its theoretical foundations are supported by dubious (at best) research? In this clickbaity-titled episode, Angela Nauss, EMDRIA-certified LMFT, joins us to describe the experience of paying thousands of dollars to “watch the dumpster fire from inside the dumpster.” Please direct all angry emails to vbtpodcast@gmail.com.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Introduction: 0:00 – 9:40 Part One: 9:40 – 1:12:13   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Angela Nauss' Website A Review of EMDR Literature: A Clinician's Skepticism Spreadsheet of EMDR Training Costs

How do we know which psychotherapy research is trustworthy? Dr. Alex Williams and Dr. John Sakaluk help us search for evidence in all the logical places: the replication crisis, RCTs, qualitative studies, dolphin therapy, Canadian football, researchers fighting Connor McGregor, and of course, EMDR. This episode is brought to you by MR. BEAR (Meta-analysis, Registered, Big sample size, Experiment, Active control group, Replicated).   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Alex Williams' Twitter John Sakaluk's Twitter The Heart and Soul of Change: Delivering What Works in Therapy Feeling the Future: Experimental Evidence for Anomalous Retroactive Influences on Cognition and Affect Telling More Than We Can Know: Verbal Reports on Mental Processes (Nisbett & Wilson, 1977) Pim Cuijpers' Publications

What makes for effective group therapy? Cohesion, expectation setting, and as today's guest Thomas can attest to, not having the therapist give the middle finger to a group member. We try to make sense of Thomas' experience by looking into research on group therapy, and we also try to make sense of our own experience of failing to find a single group therapy expert.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 9:57 Part One: 9:57 – 46:11 Part Two: 46:11 – 1:18:17   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Heifer International I Misplaced My Phone For Forty-Five Minutes, And Now I'm A Mindfulness Expert Personalizing Psychotherapy: Assessing and Accommodating Patient Preferences Patient perspectives on working with preferences in psychotherapy: A consensual qualitative research study Group therapy is as effective as individual therapy, and more efficient. Here's how to do it successfully Recent Developments in Group Psychotherapy Research

What exactly is treatment planning and why do some therapists dread having to do it on a regular basis? This episode is Carrie's love letter to treatment plans – why they are used, how they can improve therapy outcomes, and why Ben is wrong in his stubborn resistance to writing out a detailed plan for every client.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Mastering Competencies in Family Therapy: A Practical Approach to Theory and Clinical Case Documentation FREE Clinical Forms from Diane's Textbooks Effective Psychotherapists: Clinical Skills That Improve Client Outcomes Theory-Based Treatment Planning for Marriage and Family Therapists: Integrating Theory and Practice Contra Costa Behavioral Health Clinical Documentation Manual Los Angeles County Department of Mental Health Treatment Plan Navigating the Insurance Maze: The Therapist's Complete Guide to Working with Insurance – And Whether You Should Personalizing Psychotherapy: Assessing and Accommodating Patient Preferences

What's so important about a diagnosis? For neurodivergent clients, it can mean affirmation, community support, and access to much-needed services…if the diagnosis is correct. In today's episode, we talk to Harley about her challenges in seeking diagnoses of autism and ADHD, and Halina Brooke rejoins us to discuss some of the best practices (and controversies) in supporting autistic clients.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 8:24 Part One: 8:24 – 49:54 Part Two: 49:54 – 1:27:20   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Earthjustice Halina Brooke's Website Neurodiversity Affirming Practice Workshop neurodiversecounseling.com sensibletherapypractices.com counselingcompact.org

Nothing lasts forever, including therapeutic relationships. Therapy can end in lots of different ways, but what constitutes a good goodbye? We dig into the research on termination and the related ethics codes and come away with a surprising conclusion: firing a client is almost always ethically acceptable.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Ending Therapy: The Therapeutic Relationship During the Termination Phase 6 Strategies for Ethical Termination of Psychotherapy Practice recommendations for reducing premature termination in therapy. A meta-analysis of psychotherapy dropout. Client initiated termination of therapy at NHS primary care counselling services Comparing therapist and client perspectives on reasons for psychotherapy termination. Client and therapist views of contextual factors related to termination from psychotherapy: A comparison between unilateral and mutual terminators The Oxford Handbook of Psychotherapy Ethics The History and Ethics of the Therapeutic Relationship Termination and Abandonment: A Proactive Approach to Ethical Practice How to Fire a Client How to End Therapy the Right Way 7 Tips for ‘Breaking Up' with Your Therapist

“No bad parts” is a common mantra in therapy – the various parts of ourselves are always working to serve some beneficial purpose. But what happens when a therapist communicates to a client that significant parts of who they are aren't welcome in the therapy room? Today's guest Adam describes having to compartmentalize aspects of his identity with his therapist, and Dr. Sheila Addison joins us to discuss how to provide affirming services to all parts of a client.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Mental Health Match.   Introduction: 0:00 – 4:53 Part One: 4:53 – 41:18 Part Two: 41:18 – 1:23:05   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Trans Lifeline Dr. Sheila Addison: Website / Twitter

What happens in the first session of therapy? More importantly, why do one-third of clients not come back for the second session? We look for answers in the research on client expectations and consider some creative perspectives on increasing first session effectiveness, including a radical idea that clients dropping out of therapy might actually be a positive outcome.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Mental Health Match.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: What's the Smallest Amount of Therapy That's Still Effective? The Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work The First Kiss: Undoing the Intake Model and Igniting First Sessions in Psychotherapy Clinician interventions and participant characteristics that foster adaptive patient experiences for psychotherapy and psychotherapeutic changes. Clients' pretreatment counseling expectations as predictors of the working alliance. A comparison of client preferences for intervention empirical support versus common therapy variables A prediction of initial appointment attendance and initial outcome expectations Premature discontinuation in adult psychotherapy: A meta-analysis. How to make the most of one session Is Dropout After a First Psychotherapy Visit Always a Bad Outcome? Single-session therapy: Maximizing the effect of the first (and often only) therapeutic encounter. Capturing the moment: Single session therapy and walk-in services. The Radical Therapist #100 – Single Session Narrative Therapy w/ Michael Morar

Is good therapy as simple as whatever activity makes a client feel better? What if that activity is a singular focus on sports betting strategy? In today's episode, we talk with Christine to learn from her experience of “gambling therapy” and answer the question of whether or not it's a good thing to be friends with your therapist (spoiler: no, no it is not).   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Mental Health Match.   Introduction: 0:00 – 5:39 Part One: 5:39 – 46:05 Part Two: 46:05 – 1:23:37   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Gamblers Anonymous Buzzfeed: Share Your Therapy Icks, Including The Worst Thing A Therapist Has Ever Said To You Apply to Train at Sentio Counseling Center! 6 Stages of Grooming Adults and Teens: Spotting the Red Flags

Carrie hasn't worked as a therapist in over a year. Will she ever get licensed, and how is her decision connected to the apparent reality that many therapists are actively trying to not see clients? We explore the interesting trend of therapists looking for side hustles, and Carrie forces Ben to confront his extreme aversion to participating in the real world (aka sales and marketing).   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Introduction: 0:00 – 4:16 Part One: 4:16 – 1:09:53   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story

You've already heard that the therapeutic alliance is important to client outcomes, but does anyone actually know why? We dig into the research to figure out if ruptures can be a good thing (yes!), what clients and therapists should know about the therapeutic alliance, and why this topic has been fervently researched over the last half-century.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Mental Health Match.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Taylor Tomlinson: Look At You The generalizability of the psychoanalytic concept of the working alliance. Therapeutic alliance (Wikipedia) Studying psychotherapy using the one-with-many design: The therapeutic alliance as an exemplar. What is the Therapeutic Alliance and Why is it Important? The Alliance in Adult Psychotherapy: A Meta-Analytic Synthesis Current concepts of transference. Therapeutic Alliance and Outcome of Psychotherapy: Historical Excursus, Measurements, and Prospects for Research Therapeutic alliance rupture as therapy event for empirical investigation The development and decay of the working alliance during time-limited counseling. Patterns of working alliance development: A typology of client's working alliance ratings. Clients' and Therapists' Views of the Therapeutic Alliance: Similarities, Differences and Relationship to Therapy Outcome The Therapeutic Alliance: The Fundamental Element of Psychotherapy Therapeutic Alliance Ruptures Alliance rupture repair: A meta-analysis.

Many clients want a spiritual component to their therapy, but what happens when a therapist acts more like a theologian than a mental health professional? Today's guest Kelsey describes her experience of having spirituality weaponized against her in sessions, and Dr. Jim Jobin joins us to discuss how religion can be ethically and effectively incorporated into the therapeutic environment.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Introduction: 0:00 – 7:22 Part One: 7:22 – 37:54 Part Two: 37:54 – 1:23:15   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Effective Altruism Charity Resources: GiveWell / Giving What We Can / The Life You Can Save Pod Therapy ChatGPT

It seems odd that most therapists – us included – aren't 100% certain about what constitutes an intervention. Are interventions scripted in-session activities? What about the theoretical orientations themselves? There isn't one single answer, but interventions aren't that difficult to understand if you zoom out far enough…and get a little bit of help from ChatGPT.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new couples and individual clients.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: ChatGPT Effective Psychotherapists: Clinical Skills That Improve Client Outcomes Types of interventions (NIH) Types of Interventions in Counseling The Complete Set of Client Handouts and Worksheets from ACT books Essential Techniques for the Beginning Psychodynamic Psychotherapist Commonly-Used Intervention Words for Mental Health Progress Notes Therapy Interventions Cheat Sheet What is the Change Triangle? Affect Phobia Therapy

Stereotypes aren't always a bad thing. That may not be true in therapy, especially when a client is made to feel like they are representing an entire group of people. That's what we explore with today's guest Jess, and we're also joined by Deanna Fierman, LPC, to talk about what therapists should do after their biases about identity lead to clinical errors. Plus, Ben finds a therapist and Carrie gets a mammogram.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Introduction: 0:00 – 18:09 Part One: 18:09 – 54:04 Part Two: 54:04 – 1:38:02 Part Three: 1:38:02 – 1:40:39   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Support DC Texas Migrant Solidarity All the Colors Counseling and Consulting

There are over 600 types of psychotherapy. What are they, where did they come from, and what makes them important? We dive deep (too deep, probably) into a $900 textbook in an attempt to make sense of the spectacularly confusing topic of theoretical orientations. This is an integrative episode – we integrate a lot of information with even more information.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: APA Handbook of Clinical Psychology Bruce Wampold on What Actually Makes Us Good Therapists The evidence for evidence-based therapy is not as clear as we thought Evaluating the Evidential Value of Empirically Supported Psychological Treatments (ESTs): A Meta-Scientific Review Obtaining Consensus in Psychotherapy: What Holds Us Back? Becoming an Effective Psychotherapist: Adopting a Theory of Psychotherapy That's Right for You and Your Client Types of Therapy

In the United States, mental health professionals must pass a clinical exam to become licensed in their field. These exams appear to do nothing to make psychotherapy more effective or safe. They are, however, very efficient at furthering structural racism. Dr. Ben Caldwell joins us to make a very compelling, research-based argument for why these clinical exams should be abolished immediately.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Clinical Licensing Exams in Mental Health Care (White Paper) Report: Clinical exams in mental health licensing are structural racism 2022 ASWB Exam Pass Rate Analysis org – ASWB: End Discriminatory Social Work Licensing Exams California BBS discussion of the ASWB report Racial Bias and ASWB Exams: A Failure of Data Equity Ben Caldwell: Email / Ben Caldwell Labs / Psychotherapy Notes

It's not unusual for clients to develop feelings for their therapist. It's also not unusual for therapists to develop feelings for their clients. So why is it such a bad idea for a therapist to share (or act) on those feelings? Today's guest Kate shares a story that illustrates exactly why, and Dr. Ben Caldwell rejoins us to talk about what should happen when clients and therapists develop feelings for one another.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by The Organized Therapist – Social Media for Therapists and Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Introduction: 0:00 – 8:40 Part One: 8:40 – 44:35 Part Two: 44:35 – 1:30:32   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to NAMI: National Alliance on Mental Illness Ben Caldwell on Authory The Patient on Hulu Mentour Pilot (YouTube) Does sorry work? The impact of apology laws on medical malpractice “Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk

Justin Norris rejoins us to conclude our conversation about the perplexing maze that is the application process for grad school. We use the California State University (CSU) system as a case study to illustrate why program requirements aren't always what they seem, and Carrie discusses which therapy programs do a great job of defining and providing quality to their students. Plus, Subaru gets lots of free advertising.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Introduction: 0:00 – 10:35 Part One: 10:35 – 1:10:11 Part Two: 1:10:11 – 1:13:21   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: The Patient on Hulu Sentio Counseling Center: Affordable Online Therapy for Californians MFT California Creating Impact: The four pillars of private psychology practice

Have you ever wondered why the process of applying to grad school is so unclear at times? In part one of two, we are joined by Justin Norris, an expert in systems of higher education, to talk about the surprisingly interesting topics of accreditation, for-profit vs. non-profit designations, and public vs. private universities. If you wanted to become a therapist but ended up in a sales funnel, this episode is for you.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Sentio Counseling Center – high-quality, low-fee online therapy in California with immediate availability for new clients.   Introduction: 0:00 – 19:21 Part One: 19:21 – 1:27:53 Part Two: 1:27:53 – 1:31:45   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: The Patient on Hulu Sentio Counseling Center: Affordable Online Therapy for Californians Sentio University MFT California Living with Harm OCD The Secret History of Thoughts (Invisibilia)

What happens when a therapist doesn't want to work with a client? What should happen? Tom shares his experience with a therapist who chose avoidance over honesty, and we discuss ten types of hard conversations that frequently give therapists anxiety. Plus, is Steve Carrell a good enough TV therapist to avoid getting murdered?   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by The Organized Therapist – Social Media for Therapists.   Introduction: 0:00 – 11:00 Part One: 11:00 – 37:54 Part Two: 37:54 – 1:37:40   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: The Patient on Hulu Sentio Counseling Center: Affordable Online Therapy for Californians Why Therapy Is Broken Social Workers' Ethical Responsibilities to Clients

Dr. Sally Gibbons is an Oxford-educated philosopher, professor of bioethics and philosophy at UCLA, and licensed professional clinical counselor. We discuss her academic background, what inspired her transition to a career in mental health, and how philosophical thinking informs her humility and curiosity with clients. We also explore the intersections between philosophy and psychotherapy and how this relates to questions about what it means to be a human being and what we owe each other. Plus, Dr. Gibbons shares her own experience of very bad solution-focused brief therapy.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 13:08 Part One: 13:08 – 1:11:38 Part Two: 1:11:38 – 1:16:26   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Sally Gibbons' Website The Patient on Hulu Sam Morril: Up on the Roof

Psychological testing can be complicated. It shouldn't have to be hostile, even if the evaluation is not intended to be in a client's best interest. In today's episode, Jacob shares his experience of a truly ridiculous psych assessment, and we speak with Rachel Simon, LCSW MEd about how assessors can minimize the harmful impact of their own biases – and the biases built into the psych tests themselves.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by The Organized Therapist – Social Media for Therapists.   Introduction: 0:00 – 6:49 Part One: 6:49 – 43:54 Part Two: 43:54 – 1:20:49   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Transgender Law Center Rachel Simon's Website The Every Body Book Minnesota Multiphasic Personality Inventory (MMPI) The Gender Affirming Letter Access Project

The history of expertise in medicine and science led the field of psychotherapy to its beloved empirically supported treatments (ESTs). Psychiatrists were prescribing pills, and psychotherapists were offering best practices. But how did these best practices get their reputation, and what happens when clients and therapists alike believe uncertain truths about mental health treatment? We conclude our two-part historical journey with a look at some contemporary alternatives to the medical model and what this all means for the most important aspect of therapy: helping clients get better outcomes.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 3:39 Part One: 3:39 – 58:05   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story

Therapists are considered mental health experts. How did this come to be, and is it necessary for the future of the field? Join us as we trace the surprising history of the medical model in therapy from its origins in the Scientific Revolution to the evolution of treatment manuals. Part I takes us all the way to 1987, with cameos by the Catholic Church, Ben Franklin, Sigmund Freud, Hans Eysenck, and more. If you've ever wondered why psychotherapy seems to have such a confusing relationship with medicine and science, this episode is for you.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 4:02 Part One: 4:02 – 55:39   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story

Today's guest Marie shares her thought-provoking story about a preoccupied telehealth therapist, and we drag Dr. Ben Caldwell into another one of our philosophical crises about what constitutes very bad therapy. Is it not following a treatment plan? Having young children show up in session? Ignoring ruptures? Regularly showing up late? And while we're at it, what even is therapy? Who should get to be a therapist during the pandemic? Join us on the struggle bus as we try to parse out issues related to telehealth, laws, ethics, clinical practices, privilege, social systems…and bullshit.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by The Organized Therapist – Social Media for Therapists and Empifany (Instagram / Facebook).   Introduction: 0:00 – 11:20 Part One: 11:20 – 54:41 Part Two: 54:41 – 1:57:06 Part Three: 1:57:06 – 2:02:04   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Cystic Fibrosis Foundation Ben Caldwell Labs Psychotherapy Notes SimplePractice Learning Calling Bullshit: The Art of Skepticism in a Data-Driven World Potential fabrication in research images threatens key theory of Alzheimer's disease Preventing intrusive memories after trauma via a brief intervention involving Tetris computer game play in the emergency department: A proof-of-concept randomized controlled trial The Radical Therapist #100 – Single Session Narrative Therapy w/ Michale Morar

Carrie and Ben are joined by friend of the podcast Rachel Bennett to talk about how their past careers have shaped their identities as therapists. Topics include: How working in fine dining informs the importance of being of service and providing experiences to therapy clients How very few people in therapy and acting know what they're doing and how this helps with impostor syndrome The humility required to be a successful poker player and therapist, as well as the need to separate short-term results from long-term process The importance of learning how to self-regulate in the presence of others How all of this (as always) relates to feedback-informed treatment   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by Empifany (Instagram / Facebook).   Introduction: 0:00 – 9:03 Part One: 9:03 – 1:17:47   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: MFT California The Surprise of Reaching Out: Appreciated More Than We Think Unexpectedly reaching out to a friend is more appreciated than people assume, new study shows

Consciousness-altering psychedelic drugs have shown tremendous promise in mental health treatment. The future of psychedelic-assisted therapy is uncertain, but one thing seems clear: the psychedelics are for the client, not the therapist. Today's guest Matthew shares his peculiar experience with a not-quite-levelheaded therapist, and Ben Hearn joins us to discuss everything you ever wanted to know about this emerging pathway to psychological healing.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by The Organized Therapist – Social Media for Therapists and Empifany (Instagram / Facebook).   Introduction: 0:00 – 3:57 Part One: 3:57 – 35:46 Part Two: 35:46 – 1:26:38 Part Three: 1:26:38 – 1:28:06   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Multidisciplinary Association for Psychedelic Studies (MAPS) and Decriminalize Nature Michigan Ben Hearn's Website Ethical and legal issues in psychedelic harm reduction and integration therapy Psychedelic Harm Reduction and Integration: A Transtheoretical Model for Clinical Practice Fireside Project Podcast: Cover Story Psychedelics & Counseling Interest Network Chacruna Psymposia CIIS: Center for Psychedelic Therapies and Research Fluence

Dr. Andrew Scull is the Distinguished Professor of Sociology, Emeritus, at UCSD. He has written extensively about the history of psychiatry and the treatment of madness. We discuss why it seems like the more you know about mental illness, the less clear things become. We also explore myths about biology and neuroscience, the likelihood of a clear solution for improving psychotherapy, and the politics that have shaped our mental healthcare systems.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Join our charity drive! We are matching up to $6,000 of your donations to the world's most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.   Introduction: 0:00 – 5:18 Part One: 5:18 – 1:07:11   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Andrew Scull: UCSD Bio / Amazon Page Desperate Remedies: Psychiatry's Turbulent Quest to Cure Mental Illness

The field of psychotherapy has increasingly prioritized discussions about issues of oppression and marginalization. This is, of course, a sign of progress. But who gets left out of these conversations? Today's guest Kaley shares her experience of antisemitism in therapy, and Halina Brooke rejoins us to talk about how Jewish clients are impacted when therapist education reinforces harmful narratives.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by The Organized Therapist – Social Media for Therapists.   Join our charity drive! We are matching up to $6,000 of your donations to the world's most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.   Introduction: 0:00 – 6:09 Part One: 6:09 – 38:26 Part Two: 38:26 – 1:20:00 Part Three: 1:20:00 – 1:22:52   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Hebrew Immigrant Aid Society Halina Brooke: Recourse Counseling / LinkedIn The Jewish Therapist Collective The influence of Judaism on American psychology The Liking Gap in Conversations: Do People Like Us More Than We Think? Job Accommodation Network ADA.gov Family and Medical Leave Act

We're back with Dr. Ben Caldwell to conclude our thoughts on grad school and the surprising reality that it isn't meant to make you a good therapist. We talk about starting supervision, avoiding moral injury, and most importantly, all the things that graduate education does very well in supporting early-career clinicians. Plus, we share our best advice for anyone getting started in their career in mental health.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Join our charity drive! We are matching up to $6,000 of your donations to the world's most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.   Introduction: 0:00 – 2:38 Part One: 2:38 – 1:03:04 Part Two: 1:03:04 – 1:14:45   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Ben Caldwell Labs – Exam Prep / Books / Saving Psychotherapy Sentio University: Mastering Psychotherapy Webinars

Dr. Ben Caldwell joins us to discuss everything you need to know about going to school to become a therapist. His most important message? Treat grad school like a convenience store – get in and get out. We explore how to choose a school, how to get the most out of the experience, and where to focus your energy along the way. This episode is for anyone interested in becoming a therapist or for those already in grad school – especially if some of your experiences don't seem to make sense.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by courtmandatedtraining.com.   Join our charity drive! We are matching up to $6,000 of your donations to the world's most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.   Introduction: 0:00 – 5:44 Part One: 5:44 – 1:16:15   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: MFT California Ben Caldwell Labs – Exam Prep / Books / Saving Psychotherapy

Of course we were going to end up doing an episode about CBT eventually. Emily describes visiting a CBT therapist who seemed uninterested in doing any real work, and Alyssa Davis joins us to cognitively restructure our beliefs about therapy models. Plus, some notes on EMDR, common factors, and deliberate practice. This episode has a bit of everything.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by courtmandatedtraining.com and The Organized Therapist – Social Media for Therapists.   Join our charity drive! We are matching up to $6,000 of your donations to the world's most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.   Introduction: 0:00 – 8:36 Part One: 8:36 – 40:09 Part Two: 40:09 – 1:15:06 Part Three: 1:15:06 – 1:36:40   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Ancient Forest Alliance Alyssa Davis, LMFT: Website / Instagram Learn Psychotherapy: Website / YouTube / Apple Podcasts / Spotify MFT California Does Practice Really Make Perfect? A Longitudinal Analysis of the Relationship Between Therapist Experience and Therapy Outcome: A Replication of Goldberg, Rousmaniere, et al. (2016)

Ben and Carrie have a new podcast! It's called Learn Psychotherapy, and we're inviting you to listen and practice along to develop your therapy skills.   Learn Psychotherapy: Website / YouTube / Apple Podcasts / Spotify   Skill Criteria for Soliciting Client Feedback: Begin with a short response, reflection, or validating comment. Ask the client for feedback about some aspect of therapy that is related to the subject of the client statement.   Thanks for joining us to develop your therapy skills just a little bit beyond where they were yesterday. Visit Sentio University to download the client statements, sample responses, and skill criteria for this episode. To start the practice section, skip ahead to 26:42.   Instructions: We encourage you to learn by trying this skill yourself. Pause the episode after each client statement and try to improvise a response that meets the skill criteria and feels authentic to you. Have fun, and happy learning!

We're long overdue for a good old-fashioned Q&A episode. You've sent in your questions, and we're here to opine about everything from the importance of therapists getting their own therapy to the curious reluctance of the mental health field to embrace social psychology. Plus, we begrudgingly discuss the latest TikTok therapist drama to make a point about when it might be better to actually reject client preferences in session…or something like that. Social media is the worst.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by courtmandatedtraining.com.   Join our charity drive! We are matching up to $6,000 of your donations to the world's most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.   Introduction: 0:00 – 13:10 Part One: 13:10 – 1:18:43   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story

What happens when a therapist and client have two very different conversational styles? Therapists can try to build rapport in many ways, which unfortunately is reflected in our guest Ben's experience of being given terrible advice mislabeled as psychoeducation. Whether a client is talkative or reserved, one thing is for sure: randomly praising Donald Trump as a paragon of confidence is curious at best.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by courtmandatedtraining.com and The Organized Therapist – Social Media for Therapists.   Join our charity drive! We are matching up to $6,000 of your donations to the world's most effective charities. To contribute, visit GiveWell.org and use the fundraising code VBT.   Introduction: 0:00 – 9:31 Part One: 9:31 – 39:55 Part Two: 39:55 – 1:15:01   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Episode 73 – Silence in Therapy: What's the Story? (with Dr. Gene Combs) Hidden Brain – Mind Reading 2.0: Why Conversations Go Wrong

Dr. Robin Hanson is an associate professor of economics at George Mason University and the coauthor of The Elephant in the Brain: Hidden Motives in Everyday Life. He joins us along with guest host Dr. Alex Williams to explore what clients are subconsciously signaling when they seek therapy – and what therapists are signaling to others when they enter the field. Plus, why is feedback-informed treatment similar to paying a friend $100 for a home-cooked meal?   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 4:54 Part One: 4:54 – 1:18:27   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Robin Hanson: Contact / Twitter Alex Williams: Contact / Twitter The Elephant in the Brain: Hidden Motives in Everyday Life

When does somebody officially become a client of therapy? And what happens if, before that distinction is made, crises occur and the therapeutic relationship unravels? Our guest Neith shares her experience navigating this scenario, and Dr. Ben Caldwell explains why little of this is clear cut, but some of it is clearly bad. Plus, we introduce a new segment: Is It Bad Therapy?   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by The Organized Therapist – Social Media for Therapists.   Introduction: 0:00 – 7:16 Part One: 7:16 – 44:14 Part Two: 44:14 – 1:25:45 Part Three: 1:25:45 – 1:27:52   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Strays Hope for Life Rescue Burbank Public Library SimplePractice Learning Ben Caldwell Labs Psychotherapy Notes Duty to the Patient – When Does it Begin? When Does Therapy Begin? In Case of Emergency: The Professional Will SimplePractice Learning Professional Wills SimplePractice Professional Will Template

On Very Bad Therapy, we seek to understand what it's like for clients to have bad therapeutic experiences. Should we focus more on the therapists' side of the story? Dr. Patrick Wiita joins us to continue our conversation from the end of episode #72 to discuss some very interesting questions: Are we doing a disservice to our listeners by not considering the “bad” therapists' point of view? What are we suggesting by being unquestionably validating of our guests' stories? Is it even possible to have this podcast if we challenge our guests' perspectives? Plus, Carrie finds deep meaning in a breakfast sandwich.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 3:57 Part One: 3:57 – 52:28   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story

Dialectical behavior therapy (DBT) is considered the front-line treatment for borderline personality disorder. What exactly is DBT, and why is it nothing like the invalidating experience that Amy describes in today's episode? To accept and change the reality of bad DBT, we speak with Fred Kutnick, LMSW about the propositions of good DBT.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community. Today's episode is sponsored by The Organized Therapist – Social Media for Therapists.   Introduction: 0:00 – 7:17 Part One: 7:17 – 44:17 Part Two: 44:17 – 1:23:33 Part Three: 1:23:33 – 1:26:01   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to Dallas Dog – Rescue. Rehab. Reform. Fred Kutnick, LMSW: Website / Email Persuasiveness: An underappreciated characteristic of effective therapists. Expanding Systems Thinking: Incorporating Tools from Medical Sociology into MFT Education and Research

Thomas Lennon is an acclaimed actor and screenwriter, best-selling novelist, and most importantly, Carrie's long-time friend. We break from our usual format to chat with Tom about his good experiences in therapy, the impact of fame on mental health, and Metallica getting family counseling together. This was a fun conversation – maybe next time we can talk with Paul Rudd!   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 5:42 Part One: 5:42 – 48:19   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Thomas Lennon: Twitter / Instagram / Amazon

Carrie and Ben are joined by Dr. Will Dobud to discuss two burning questions: is good therapy just the absence of bad therapy, and should we ban the use of cognitive behavioral therapy? We explore the importance of teaching people to think about psychotherapy models differently, the appeal of bringing therapy back to its pragmatist roots, and what the biased origins of personality tests can teach us about taking precautions when using theories of pathology. Plus, what can we learn from the wonderful history of smoke enemas?   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 5:43 Part One: 5:43 – 1:08:24   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Adventure Therapy Collective Podcast Which Theoretical Orientation Should You Choose? MFT California The Problem With Personality Testing

Beth is a self-described therapy failure expert. She joins us for the whole episode (and more!) as we discuss her personal bad therapy experiences, what therapists think of clients who disclose their stories of bad therapy, why therapists often struggle to provide specialized services, and the fact that some therapists simply aren't good at making their clients feel understood.   Thank you for listening. To support the show and receive access to regular bonus episodes, check out the Very Bad Therapy Patreon community.   Introduction: 0:00 – 7:53 Part One: 7:53 – 53:02 Part Two: 53:02 – 1:41:23 Part Three: 1:41:23 – 1:44:32   Very Bad Therapy: Website / Facebook / Bookshelf / Tell Us Your Story   Show Notes: Donate to METAvivor People Who've Been To Therapy Are Sharing What They Wish They Knew Before Starting, And It's Sparking An Important Conversation