Podcasts about oot

In deze aflevering ga ik in gesprek met Lianne Smid. Lianne worstelt sinds haar 18e met anorexia, maar is altijd blijven geloven dat ze kan herstellen van haar eetstoornis.Lianne wordt sinds 2 jaar begeleid door Romy, diëtist bij The Nourishing State. In deze aflevering verteld ze hoe haar traject eruit heeft gezien. De volgende vragen komen aan bod:Waar stond je toen je je bij ons aanmeldde? Wat speelde er toen in jouw relatie met eten en je lichaam?Wanneer merkte je dat je iets moest veranderen — en hoe was het voor jou om die stap naar begeleiding te zetten?Wat waren voor jou belangrijke inzichten of veranderingen in het traject, waardoor je je relatie met eten kon gaan herstellen?Wat heeft je het meest geholpen in de begeleiding?Hoe gaat het nu met je? Welke verschillen merk je in je dagelijks leven — fysiek, mentaal, sociaal?Wat zou je willen meegeven aan mensen die nu worstelen met een eetstoornis en al van alles geprobeerd hebben?-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.oot.nl/tns⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ --

In deze aflevering ga ik in gesprek met Romy Thumann. Romy is diëtist bij The Nourishing State en gespecialiseerd in gezonde bloedsuiker en eetgedrag.In deze aflevering komen de volgende onderwerpen aan bod:Bewerkte voeding en impact op de bloedsuikerDarmgezondheidVoedselintoleranties en de juiste productkeuzesMust-producten voor optimale darmgezondheidSupplementen-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.oot.nl/tns⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ --

Acné is niet alleen een huidprobleem, het is vaak een signaal van wat er vanbinnen gebeurt. In deze aflevering ontdek je hoe voeding, hormonen, bloedsuiker en darmgezondheid je huid beïnvloeden. Waarom ontstaat acné? Wat is de rol van je cyclus, stress en suikers? En vooral: wat kun je zelf doen om je huid van binnenuit te ondersteunen?Of je nu al jaren met acné worstelt of gewoon nieuwsgierig bent naar wat je huid je probeert te vertellen — deze aflevering geeft je inzicht én praktische tips.Omega-3: klik hier Collageen: klik hier-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.oot.nl/tns⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ --

Deze aflevering gaat over cravings. Oftewel: die intense trek in iets zoets of zouts. Misschien ken je het als “lekkere trek”, of dat moment dat je ineens móét gaan snaaien terwijl je net gegeten hebt.Maar wat zijn cravings eigenlijk? Waar komen ze vandaan? En belangrijker nog: hoe kun je er beter mee omgaan, zónder dat je jezelf steeds van alles hoeft te verbieden? En wist je dat een koolhydraatarm voedingspatroon hier ook een hele grote rol in kan spelen?In deze aflevering:- Wat zijn cravings?- Oorzaken van cravings: lichamelijk en psychologisch- Praktische tips om met cravings om te gaan- Hoe helpt een koolhydraatarm voedingspatroon bij cravings?- Wat doe je als je toch toegeeft aan een craving?-- De keto granola van Oot ook proberen? Bestel nu met €7 korting via ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.oot.nl/tns⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ --

Deze aflevering gaat over PCOS (polycysteus ovarium syndroom), voeding en leefstijl. PCOS is een hormonale aandoening die veel vrouwen treft: 10 tot 15% van de vrouwen in de vruchtbare leeftijd heeft PCOS.De volgende onderwerpen komen aan bod:Wat is PCOS en hoe vaak komt het voor?Hoe herken je PCOS?Hoe ontstaat PCOS?PCOS & voeding: 5 belangrijke adviezen waaronder koolhydraatarme voeding en een gezonde bloedsuikerPCOS & leefstijl* De keto granola van Oot ook proberen? Bestel nu met €7 korting via ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.oot.nl/tns⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ *

In deze aflevering ga ik in gesprek met Annabel Hagelen, oprichtster van Bakken met Bel.Bakken met Bel begon als een social media platform waarop ze makkelijke en gezonde recepten deelt speciaal voor ouders met kinderen die geen groenten willen eten.Daarnaast heeft Annabel een kookboek geschreven voor gezinnen met kleine kinderen vanaf 6 maanden oud.De volgende onderwerpen komen aan bod:Eerste hapjes van je baby; introductie van vast voedsel“Lastige eters”: hoe ga je daarmee om?Hoe betrek je kinderen bij het koken/bereiden van maaltijden?Kinderen en snoep/zoetigheid: hoe beperk je dit?Kinderen en voldoende groente: hoe pak je dit aan?Praktische tips voor gezond eten voor en met je kinderenDe keto granola van Oot ook proberen? Bestel nu met €7 korting via ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.oot.nl/tns⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Orthomoleculair diëtist Romée Trouw focust zich op hormonale gezondheid en helpt bij hormonale klachten, waaronder PCOS, endometriose, PMS en menstruatieklachten. In deze podcast over hormonen komen de volgende onderwerpen aan bod:- Wat houdt je hormoonbalans in; uitleg hormonen- Symptomen hormonale disbalans- Eigen ervaring hormoonproof leven: hoe ben je zelf begonnen?- Voeding en je hormonen: bloedsuiker, welke voeding vermijden, welke voeding(sstoffen) ondersteunt hormoonbalans- Huis en keuken: koken, plastic, schoonmakenDownload het gratis E-book over hormoonproof leven nu: https://thenourishingstate.com/overzicht-ebooksDe keto granola van Oot ook proberen? Bestel nu met €7 korting via ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.oot.nl/tns⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Hart- en vaatziekten zijn wereldwijd één van de grootste oorzaken van sterfte en ziekte. Gelukkig zijn er leefstijlfactoren die we zelf in de hand hebben; voeding speelt daarbij een cruciale rol. In deze aflevering bespreken we wat hart- en vaatziekten zijn, hoe ze ontstaan en hoe een koolhydraatarm voedingspatroon kan bijdragen aan een gezonder hart- en vaten.De volgende onderwerpen komen aan bod:- Wat zijn hart- en vaatziekten?- Hoe ontstaan hart- en vaatziekten?- Op welke manieren helpt een koolhydraatarm voedingspatroon bij hart- en vaatziekten?- Praktische tips en voedingsadvies bij hart- en vaatziektenInterview Stichting Hartpatiënten Nederland: klik hier De keto granola van Oot ook proberen? Bestel nu met €7 korting via ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.oot.nl/tns⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠**************************

Dr. Eline Dekeyster is Assistant Professor Cognitive Neuroscience aan Universiteit Leiden. Ze is hoofd van de onderzoeksgroep Lifestyle Brain Interaction. Haar focus ligt op het ketogeen dieet en (intermittend) vasten. Zelf ervaart Eline al jarenlang hoe een ketogeen dieet een positief effect heeft op haar mentale gezondheid. Dit onderzoekt ze nu op academisch niveau samen met haar team en veel samenwerkingspartners. In deze aflevering hebben we het over een aantal studies die zij samen met haar team uitvoert:- Keto dieet en stemming, slaap, focus- Keto dieet en ADHD- Keto dieet en AutismeMeer info over en/of aanmelden voor de studies van onderzoeksgroep Lifestyle Brain Interaction: https://lbiresearch.nl/ongoing-studies.html

Guest: Or Brokman, Strategic Google Cloud Engineer, Security and Compliance, Google Cloud Topics: Can you tell us about one particular cloud consulting engagement that really sticks out in your memory? Maybe a time when you lifted the hood, so to speak, and were absolutely floored by what you found – good or bad! In your experience, what's that one thing – that common mistake – that just keeps popping up? That thing that makes you say 'Oh no, not this again!' 'Tools over process' mistake is one of the 'oldies.' What do you still think drives people to it, and how to fix it? If you could give just one piece of cloud security advice to every company out there, regardless of their size or industry, what would it be?  Resources: Video (YouTube) “Threat Modeling: Designing for Security” by Adam Shostack EP16 Modern Data Security Approaches: Is Cloud More Secure? EP142 Cloud Security Podcast Ask Me Anything #AMA 2023 “For a successful cloud transformation, change your culture first” (OOT vs TOO blog) https://www.linkedin.com/in/stephrwong/  New Paper: “Autonomic Security Operations — 10X Transformation of the Security Operations Center” (2021)

Dit is deel 2 van het gesprek met dr Tom Schilder over afvalmedicatie.Tom is arts en medisch adviseur bij stichting Je Leefstijl als Medicijn. Tijdens zijn studie raakte hij gefascineerd door chronische ziektes en het ontstaan daarvan. Dat kwam omdat hij tijdens zijn co-schappen merkte dat het meeste ziekteleed van chronische ziektes kwam. Het viel hem op dat het meerendeel van de behandelingen gericht zijn op de symptomen terwijl de oorzaak van de chronische ziektes niet wordt aangepakt.In deze aflevering hebben we het over:- Afvalmedicatie: wat zijn GLP-1 agonisten?- Verschil tussen Ozempic, Saxenda en Mounjaro- Gevaar van afvalmedicatie / GLP-1 agonisten- Leefstijl en afvalmedicatie / GLP-1 agonisten- Landbouw en microbioom- Tom zijn project: een ZorgboerderijContact Tom Schilder via tom@jeleefstijlalsmedicijn.nl

As they recap season 4 episode 20 of PLL "Free Fall", they discover Ezra's secret smoked meats are not the only things being blazed - so are Ash and Hayley!!!! For this long awaited episode (CHAIRLIFT!!!!!!) they light up in honour of Flopzra getting caught OOT, discover some Norristown canon/Andrew Cunanan and get obsessed with Victoria Slaystings' ability to get to a country club dinner in 5 minutes.   You can also WATCH our regular fortnightly episodes on the Call An Adult YouTube channel: https://www.youtube.com/@CallAnAdult Want more Call An Adult? Come join our Dollhouse over on Patreon! patreon.com/callanadult

In deze aflevering heb ik het met Manouk Hoogerwerf over de winterdip. Manouk is orthomoleculair diëtist bij The Nourishing State en richt zich onder andere op een gezonde hormoonbalans. We hebben het over: - Symptomen winterdip - Wat is een winterdip? - Winterdip vs winterdepressie - Voeding(stoffen) belangrijk bij winterdip - Wat kan je doen tegen winterdip?

"Waarom val ik niet af?" of "Waarom val ik niet meer af?" zijn twee veelgestelde vragen. In deze aflevering ga ik op de belangrijkste punten in, wat ervoor kan zorgen dat jij niet afvalt. Podcast maaltijdideeën koolhydraatarm, keto en carnivoor: klik hier

De feestdagen zijn niet voor iedereen een feest. Al dat eten kan een trigger zijn - iets wat ik uit eigen ervaring ken. In deze aflevering deel ik hoe je een schuldgevoel en overeten tijdens de feestdagen voorkomt. Zodat je niet belant in de "alles of niets" gedachte en de feestdagen meer ontspannen worden. Podcast koolhydraatarm kerstmenu en handige tips: klik hier

In deze aflevering ga ik in gesprek met dr Alice Langeveld over psoriasis en het belang van voeding en leefstijl. Alice Langeveld is dermatoloog in het Tergooi MC en daarnaast leefstijlcoach. In de praktijk ziet ze hoe groot de meerwaarde is van gezonde voeding en leefstijl bij psoriasis We hebben het onder andere over: Wat is psoriasis? Wat is het verband tussen psoriasis en metabole gezondheid? Psoriasis, insulineresistentie en metabool syndroom Onderzoek naar psoriasis Leefstijl advies bij psoriasis: voeding, suiker, stress, roken Alice haar eigen ervaring met leefstijlverandering en koolhydraatarm eten

Deze podcast aflevering gaat over eetbuien. Ik vertel over mijn eigen ervaring met eetbuien en de ervaring van cliënten. Ik deel 5 tips hoe je meer grip krijgt op eetbuien en hoe je eetbuien voorkomt. Podcast aflevering over intuïtief eten: klik hier Magnesium: klik hier

In deze aflevering ga ik in gesprek met Karin Rubano. Karin is Italiaans en toen zij haar familie vertelde dat ze gestart was met een koolhydraatarm dieet, waren ze - zacht uitgedrukt - verbaast. Karin had enorm last van energiedips en worstelde hier erg mee in het dagelijks leven. Door koolhydraatarm te eten is dit verleden tijd. In deze aflevering hebben we het over: Starten met koolhydraatarm eten Voordelen die Karin ervaart met koolhydraatarme leefstijl Reacties omgeving op nieuwe leefstijl Karin haar ervaring met bloedsuiker en bloedsuikersensor Koolhydraatarm eten tijdens familiebezoek in Italië

In deze aflevering ga ik in gesprek met Karin van Oers. Karin is koolhydraatarm voedingsdeskundige en vitaliteitscoach bij The Nourishing State. We hebben het over: Karin haar ervaring met en omslag naar een koolhydraatarme leefstijl Problemen op de werkvloer: energiedips, hersenmist, uitval (lage weerstand, burn-out) Bloedsuiker en energie, focus, productiviteit Bloedsuiker en mentale gezondheid Voordelen gezond eten op de werkvloer Hoe ziet gezond eten op de werkvloer eruit?

In deze aflevering ga ik in gesprek met dr Alice Langeveld. Alice Langeveld is dermatoloog in het Tergooi MC en daarnaast leefstijlcoach. In de praktijk ziet ze hoe groot de meerwaarde is van gezonde voeding en leefstijl bij huidaandoeningen. We hebben het onder andere over: Ervaring als dermatoloog in het ziekenhuis: genoeg van alleen maar medicijnen voorschijven Welke huidklachten kan je door stress en ongezonde leefstijl ervaren? Leefstijlroer (zie website Arts en Leefstijl) Effect van voeding op de huid Effect van stress op de huid Alice haar eigen ervaring met voeding en leefstijlverandering

In deze aflevering gaan we in op diabetes type 2, insulineresistentie en hoe je dit kan omkeren met koolhydraatarme voeding. Het idee heerst dan diabetes type 2 een chronische aandoening is en "van kwaad tot erger" wordt, maar met voeding en leefstijl valt een wereld te winnen. Ook jij kan met een koolhydraatarme leefstijl je diabetes type 2 mee omkeren! De volgende onderwerpen komen aan bod: Wat is diabetes type 2? Wat is insulineresistentie en prediabetes? Diagnose diabetes type 2 Virta Health studie: effect van koolhydraatarm dieet Bloedsuikerspiegel: glucose, insuline Voordelen gezonde bloedsuiker Koolhydraatarme leefstijl en makkelijke aanpassingen Bloedsuiker tips

Intuïtief eten hoor je steeds vaker voorbij komen: maar wat houdt het eigenlijk is? En kan iedereen zomaar intuïtief eten of zijn daar eerst een aantal basisvoorwaarden voor nodig? In deze aflevering: Intuïtief eten Emotie-eten Eetbuien en verstoord eetgedrag Onderscheid tussen lichamelijke honger en mentale honger: hoofd vs buikhonger Concrete tips voor intuïtief eten

Elke puber vliegt uiteindelijk uit en als ouder kun je daar alleen maar trots op zijn. Maar wat als je verhuisde puber verdwijnt? Hoe blijf je in contact? Moet je daar wel achteraan zitten?Deze aflevering vertelt DeMammaVan, oftewel Annemarie Geerts, hoe dat bij haar thuis gaat. In haar grote nest zijn ondertussen al een paar vogels uitgevlogen…** Ga naar Oot.nl/help en bestel de vier populairste granola's van Oot, waarmee je vier weken lang kunt ontbijten, voor maar € 15,-! **** De GUM® ORTHO producten zijn verkrijgbaar bij o.a. Etos en online! **Zie het privacybeleid op https://art19.com/privacy en de privacyverklaring van Californië op https://art19.com/privacy#do-not-sell-my-info.

In deze podcast aflevering deelt Gerard Smith zijn ervaring met een koolhydraatarme leefstijl. Hij had het ene na het andere dieet geprobeerd om af te vallen, maar het gewicht kwam er steeds weer aan. Totdat hij begon met koolhydraatarm eten. We hebben het over: Altijd diëten Starten met koolhydraatarm dieet en hoe dit een leefstijl is geworden Blijvend afvallen en spieropbouw door koolhydraatarm voedingspatroon Bewerkte vs onbewerkte voeding Alcohol en vetverbranding Cafeïne en cortisol Gezonde bloedsuiker

In deze aflevering ga ik in gesprek met Evelien Krijgsheld. Evelien is GZ-psycholoog, EMDR-therapeut en oprichter van vrouwen-psychologiepraktijk Bloom. Bloom specialiseert zich in klachten bij vrouwen en benadert deze klachten holistisch.  We hebben we het onder andere over: Voeding en mentale gezondheid Vitamine- en mineralentekorten die verband houden met mentale klachten Voeding- en leefstijladvies in psychologenpraktijk Resultaten pilot voeding- en leefstijladvies voor cliënten op de wachtlijst van psychologenpraktijk

Koolhydraatarme barbecue ingewikkeld? Nee joh! In deze aflevering deel ik 5 makkelijke, gezonde BBQ tips om van jouw koolhydraatarme barbecue een feestje te maken.

In deze show bespreken we wat er allemaal mis is met de pabo en rectificeert Stef haar ergernis uit 104. In B&B vol liefde zijn er mooie ontwikkelingen rondom Iris, Albert, Mirjam en Thijz. Janneke heeft een ergernis over het niet mogen delen van complimenten, Stef ergert zich aan het niet mogen ergeren aan mensen. Slechts een van hen heeft een warme boodschap.Friendaholic - Elisabeth DayEen lui letterland - Anne Steenhoff4 smaken Oot Granola proberen? Ga naar Oot.nl/shitshow30 dagen gratis Storytel, ga naar Story.tel/shitshowAdverteren in De Shitshow? Mail naar jeroen@streamtree.nlZie het privacybeleid op https://art19.com/privacy en de privacyverklaring van Californië op https://art19.com/privacy#do-not-sell-my-info.

Headlines: 1. President Biden Signs Resolve Tibet Act, Tibetans Rejoice Over US Act 2. China Orders Closure of Another Tibetan Private School in Golog, Tibet 3. Sikyong Penpa Tsering Concludes Visit to Ladakh Tibetan Settlement, Leaves for US 4. Kalon Tharlam Dolma Changra Concludes Talks on SEE Learning in Japan Universities 5. Kalon Gyari Dolma Launches Book ‘The truth as told by Nyima Lhamo' 6. OoT, Canberra Conducts Seminar on “Sino-Tibet Relations in the Post-Xi Jinping Era” 7. OoT Taiwan Undertakes Awareness Campaign on the Middle Way Approach

In this episode of The Top Line, sponsored by the Parenteral Drug Association (PDA), we explore the upcoming PDA/FDA Joint Regulatory Conference, happening September 9-11 in Washington, D.C. Our guest, Janeen Skutnik-Wilkinson, Director of Global Quality Regulatory Surveillance and External Engagement for Moderna and Co-Chair of the 33rd annual event, shares why this conference is the essential annual CGMP event to attend. Janeen notes the direct access to federal regulators and the unique insights from FDA colleagues as standout features. The FDA co-sponsored conference is known for fostering collaboration among scientific minds to create practical solutions and best practices, with this year's focus on improving quality culture, shifting to proactive approaches, and evolving quality maturity. Key sessions will cover de-risking quality control environments by utilizing case studies on OOS and OOT results, and enhancing lab systems with QRM. The conference's focus on Current Good Manufacturing Practices (CGMP) makes it a must attend for quality assurance and operations professionals. Additionally, discussions will delve into the role of AI in manufacturing and data integrity. For a comprehensive look at this year's PDA/FDA Joint Regulatory Conference, listen to the full episode and register at pda.org/PDAFDA2024.See omnystudio.com/listener for privacy information.

We're joined by Rob Morgan and Joumana Mourad to discuss the joys and challenges of integrating immersive technology into live contexts - taking a deep dive into the myriad types of available tech ad different scales and exploring how the creative processes involved in creating tech forward immersive experiences inform the relationship between the work and the audience. Our Guests:Rob Morgan (he/him) is a writer, experience designer, digital dramaturg, and founder and Creative Director of London-based AR design studio Playlines. Rob writes and narrative-designs award-winning AR & VR experiences and has helped create story worlds and immersive experiences for some of the world's largest licences, attractions and cultural institutions. He is a pioneer of Mixed Reality theatre, and has collaborated on some of the most critically-acclaimed games in VR and interactive narrative. https://robmorgan.space/Joumana Mourad is The Bob Lockyer Award for Digital Innovation nominee in 2022. Step into the captivating world curated by Joumana Mourad, where boundaries blur, and innovation reigns supreme. As the Hybrid Performance Curator at Open Online Theatre and the visionary Artistic Director of IJAD, Joumana orchestrates a symphony of dance, science, and technology, transcending conventional norms. She has Transformed traditional theatres into immersive wonderlands, where dancers gracefully descend from ceilings and walls, defying gravity and challenging perceptions. In works like Pas de Cinq, audiences find themselves surrounded by projected water films, becoming integral parts of the performance.IJAD's global footprint is undeniable, from mesmerizing crowds in Taiwan to captivating audiences across 32 countries with the spellbinding In-Finite Space Part 2. Through commissioned productions and collaborations, Joumana and her team craft authentic narratives that resonate deeply with communities worldwide. At the heart of it all lies Open Online Theatre (OOT), a virtual haven where artists converge, pushing the boundaries of hybrid performance. Joumana's dedication extends beyond the stage, nurturing and mentoring artists through OOT's residency program, ensuring a future where art, technology, and cultural enrichment intertwine seamlessly.Hosted by Dr Joanna Bucknall and produced by Natalie Scott for the Immersive Experience Network's, Knowledge Bank. Funded by Arts Council England.Linkedin: https://www.linkedin.com/company/immersive-experience-network/ Instagram @immersiveexperiencenetMailing List https://immersiveexperience.network/sign-up Hosted on Acast. See acast.com/privacy for more information.

Badend in het zweet heb je de zogenaamd gebruiksvriendelijke pop-up tent eindelijk opgezet: klaar om te feesten. Oh ja, muntjes. Als je bier wil drinken, moet je besparen op eten. Welke gerechten zijn festivalproof? Stop je een koelbox, een percolator, of een gasbrandertje in de backpack? En welke groentes blijven het hele weekend knapperig en sappig? Je hoort het in Etenstijd!Onze sponsor:Oot granola: Probeer Oot granola 4 weken voor €15,- i.p.v. €22,- via oot.nl/etenstijdTips:Hungery Planet - Peter Menzel Faith D'AluisioWil je adverteren in deze podcast? Stuur een mailtje naar: Adverteerders (direct): adverteren@meervandit.nl(Media)bureaus: pien@meervandit.nl Hosted on Acast. See acast.com/privacy for more information.

Teil 2 zu „The Legend of Zelda: Ocarina of Time, OoT" - (2/2). Wir besprechen den Klassiker. Es geht um die Highlights der Dungeons. Informationen zur Entwicklung und dem Game Design. Wir sprechen mit Christian Leuenberg, von To Be On Pod über seine und unsere Spielerfahrung. Sprechen kurz über die 3DS-Version und über Zelda OoT-Speedruns. Dazu schweifen wir wie immer großzügig ab und wünschen Euch viel Spaß. --- Send in a voice message: https://podcasters.spotify.com/pod/show/pongpod/message

Welcome to this week's Socially Distant Sports Bar with Elis James, Mike Bubbins and Steff Garrero. This is Part 2 of this week's episode.  Part 1 is out every week on Wednesdays. You can listen to the podcast WITHOUT ADVERTS, every Tuesday (EARLY RELEASE), with 30 minutes of BONUS CONTENT every single week by heading to our Patreon https://www.patreon.com/distantpod HUMPHREY KER Humphrey is the Executive Director at Wrexham AFC where he works alongside Rob McElhenney and Ryan Reynolds. He is a writer, actor and comedian who won Best Newcomer at the Edinburgh Festival in 2011. He has worked on the TV shows Mythic Quest and It's Always Sunny In Philadelphia. MICHAEL OWEN'S MOVIE CLUB & HOFFI POD Every month we produce TWO bonus podcasts for the top two levels of our Patreon. Michael Owen's Movie Club is Elis, Mike and Steff talking about a Sports Movie they've watched. Hoffi Pod is the boys talking about clips they like which are nothing to do with Sports. Head to https://www.patreon.com/distantpod and sign up for the £8 or £10 levels today! PUPPETS ON YOUTUBE “Puppet” Paul Melin has been busy creating puppet versions of our funniest moments on Distant Pod. Head over to our YouTube Channel, SUBSCRIBE AND CLICK ON THE BELL to see the latest episode whenever it gets published.  https://www.youtube.com/thesociallydistantsportsbar  THIS WEEK'S SHOW WAS RECORDED LIVE AT THE WILLIAM ASTON HALL, WREXHAM ON SUNDAY NOVEMBER 5th 2023 Elis: Goalposts https://twitter.com/hanginheadlines/status/1718691384486432850?s=46&t=xNP1SKBBE6956ZzmJNuI9g Humphrey: Superbowl Shuffle: https://www.youtube.com/watch?v=ooT_uz--O2A&t=66s&ab_channel=Dj.CLASSIKLRNTHAMIXX Superbowl Shuffle Tribute, The Superbroker Shuffle https://www.youtube.com/watch?v=yW-GhCeqkk4&ab_channel=criscrsh Nobody's Choice: Sex Offender Shuffle https://www.youtube.com/watch?v=VfCYZ3pks48&ab_channel=ScottGairdner Humphrey: Tottenham Tottenham https://www.youtube.com/watch?v=jwD8zQGcchU&ab_channel=1pdonlon Humphrey: The Anfield Rap https://www.youtube.com/watch?v=Kcy3gwwxat4&ab_channel=TheSpionKop Learn more about your ad choices. Visit podcastchoices.com/adchoices

Welcome to this week's Socially Distant Sports Bar with Elis James, Mike Bubbins and Steff Garrero. This is Part 1 of this week's episode.  Part 2 is out every week on Fridays. You can listen to the podcast WITHOUT ADVERTS, every Tuesday (EARLY RELEASE), with 30 minutes of BONUS CONTENT every single week by heading to our Patreon https://www.patreon.com/distantpod HUMPHREY KER Humphrey is the Executive Director at Wrexham AFC where he works alongside Rob McElhenney and Ryan Reynolds. He is a writer, actor and comedian who won Best Newcomer at the Edinburgh Festival in 2011. He has worked on the TV shows Mythic Quest and It's Always Sunny In Philadelphia.  MICHAEL OWEN'S MOVIE CLUB & HOFFI POD Every month we produce TWO bonus podcasts for the top two levels of our Patreon. Michael Owen's Movie Club is Elis, Mike and Steff talking about a Sports Movie they've watched. Hoffi Pod is the boys talking about clips they like which are nothing to do with Sports. Head to https://www.patreon.com/distantpod and sign up for the £8 or £10 levels today! PUPPETS ON YOUTUBE “Puppet” Paul Melin has been busy creating puppet versions of our funniest moments on Distant Pod. Head over to our YouTube Channel, SUBSCRIBE AND CLICK ON THE BELL to see the latest episode whenever it gets published.  https://www.youtube.com/thesociallydistantsportsbar  THIS WEEK'S SHOW WAS RECORDED LIVE AT THE WILLIAM ASTON HALL, WREXHAM ON SUNDAY NOVEMBER 5th 2023 Elis: Goalposts https://twitter.com/hanginheadlines/status/1718691384486432850?s=46&t=xNP1SKBBE6956ZzmJNuI9g Humphrey: Superbowl Shuffle: https://www.youtube.com/watch?v=ooT_uz--O2A&t=66s&ab_channel=Dj.CLASSIKLRNTHAMIXX Superbowl Shuffle Tribute, The Superbroker Shuffle https://www.youtube.com/watch?v=yW-GhCeqkk4&ab_channel=criscrsh Nobody's Choice: Sex Offender Shuffle https://www.youtube.com/watch?v=VfCYZ3pks48&ab_channel=ScottGairdner Humphrey: Tottenham Tottenham https://www.youtube.com/watch?v=jwD8zQGcchU&ab_channel=1pdonlon Humphrey: The Anfield Rap https://www.youtube.com/watch?v=Kcy3gwwxat4&ab_channel=TheSpionKop Learn more about your ad choices. Visit podcastchoices.com/adchoices

Oot the Scottish afore December, Paul's Good, Bad & Ugly, Morton Preview, The Loan Report, The Academy team, The Women's Team, Our A to Z of Dundee United and On This Day with the Arab Archive… It's all coming up on Episode 218 of The Dode Fox Podcast… You can follow us @dodefoxpodcast on Facebook, Twitter and Instagram, head to the website at www.dodefoxpodcast.com and get more info from https://linktr.ee/dodefoxpodcast

Still Game 2002 s3 e5 Oot

For this very special Halloween bonus episode, Stephen and Brendon finally play and discuss The Legend of Zelda: Majora's Mask and ask the scariest question of all: How do you follow up what many claim to be your greatest work?---Find us everywhere: https://intothecast.onlineJoin the Patreon: https://www.patreon.com/intothecast---Follow on Threads: https://threads.net/@intothecastFollow on Tumblr: https://intothecast.tumblr.com---Follow Stephen Hilger: https://stephenhilgerart.com/Follow Brendon Bigley: https://threads.net/@brendonbigleyProduced by AJ Fillari: https://bsky.app/profile/ajfillari.bsky.social---Season 6 Cover Art by Scout Wilkinson: https://scoutwilkinson.myportfolio.com/Theme song by Will LaPorte: https://instagram.com/ghostdownphoto---Timecodes: (00:00) - You've met with a terrible fate, haven't you? (00:15) - DAWN OF THE FIRST DAY | 72 HOURS REMAIN (02:58) - Quick breakdown (04:22) - Brendon's experience with the game and series (21:12) - What is happening in the game (23:02) - Stephen's history with the game and series (40:20) - A sign to move to Day 2 (46:05) - DAWN OF THE SECOND DAY | 48 HOURS REMAIN (47:10) - SPOILERS AHEAD (48:02) - The opening (01:05:00) - The three day structure (01:06:48) - The "Zelda" of it all (01:11:27) - The central thing (01:41:32) - How to talk about Majora's Mask (01:52:19) - DAWN OF THE FINAL DAY | 24 HOURS REMAIN (01:55:17) - Favorite mask? | Eric B (02:00:40) - IRL Mask? | Rob (02:03:17) - Improvements on OoT? | KoopCL (02:05:36) - Spookiest part? | KoopCL (02:07:44) - Role of SKull Kid | Rufus (02:09:39) - Is Link the main character? | Rufus (02:11:29) - What is the Happy Mask Salesman? | Rufus (02:14:11) - Aliens? | Rufus (02:16:18) - Faveorite time travel games? | Yoomanity (02:20:24) - Horror or ZHorror? | BrittleMoon (02:23:51) - Views on music? | GJ (02:26:39) - Zeld-A | Will (02:29:34) - Zeldark | Chase (02:40:37) - Best quests? | Bug Ryder (02:43:49) - Dude, fish bone guitar? | Scott Ethington (02:44:49) - Ingredients to a good Zelda | Devon Polaski (02:53:08) - Dude, people? (02:54:00) - A NEW DAWN ---Thanks to all of our amazing patrons including our Eternal Gratitude members: | Jim W | Susan H | Olivia K | Dan S | Zach D | Dominick N | Brett S | Evan B  | Robert L | min2 | Aaron G | Matthew S | Erik M | Brady H  | Joshua J | Tony L | Danny K | Shanna P | Seth MC | Adam B | Andy H | Demo | Maxwell L | Spiritofthunder | Jason W | Jason T | Corey T | Minnow Eats Whale | Caleb W | Jesse W | Mike T | Codes | Wesley | Erik B | Butterfly B | Gabe O | Lasse B | Jeff N | Sergio L | ninjadeathdog | Rory B | A42PoundMoose | Mr Andrew S | Peter | Stellar.Bees | Brendan K | Scott R | wreckx | Noah OR | Michael G | Arcturus  | Chris R | hepahe | Chase A | Anna | Nick Q | Chris M | RB | Karen H | Michaela W | Adam F | Scott H | Lauren H | Ben G | Therese K | jgprinters  | Matt H | Murray | Trevor B | David P | Jason K | Bede R | Kamrin H | Andrew D | Kyle S | Philip N ★ Support this podcast on Patreon ★

Here is Chapter 46 of Majora's Mask by FakeJake93- New Wave Bossa Nova. You can find FakeJake93's story here: https://m.fanfiction.net/s/6429588/46/ Cast Credits Author______ FakeJake93 CaroCabaConiVO _______ Link Thank you to the following Patrons for supporting this channel and podcast. Joseph Sigler Millan Kollarcik Preston Dohrer Hero of Snow CassieO Elena, K. Ana Becky, R. TyFire02 MB Modstin Tyler, S. The Biggest Chills Music Credits Terrible Fate by Theophany New Wave Bossa Nova by Hylian Symphony Zora's Domain by Koji Kondo Pirates' Fortress by Koji Kondo Great Bay by Koji Kondo House Theme by Koji Kondo Battle Theme (OoT/MM) by Koji Kondo Laboratory Theme (also OoT's Potion Shop theme) by Koji Kondo New Wave Bossa Nova (Remix) by Henriko Magnifico Light & Shadow (Twilight Princess) by Koji Kondo Majora's Mask Theme by Koji Kondo Picture Credits Beware the Deep by CloudsGirl7 https://www.deviantart.com/cloudsgirl7/art/Beware-The-Deep-Python-372179182 --- Send in a voice message: https://podcasters.spotify.com/pod/show/dragonrand100/message

Weeeeee're back this week on Radio Active Kids! We have an incredible mix of new songs, & Don't Splash Marty made this AMAZING “new music” jingle for us!!! THANK YOU SO MUCH!!!! You can still donate to Asheville FM‘s Fall Fundrive at https://www.flipcause.com/secure/fundraiser/MTk1ODg5/90781! Please help to keep Radio Active Kids on the air before Saturday! New songs by Laurie Berkner, 123 Andrés, Lucy Kalantari and the Jazz Cats, Levity Beet (ft. Angel Star & Itty Bitty Beats), DJ Willy Wow ft. Genevieve Goings, Munslow Music, The Oot n' Oots, Hot Toast Music Co., Ms. D & Me, DARIA, Noodle Loaf, Key Wilde & Mr Clarke (ft. No Parking Studio), Miss Julieann (ft. Fyütch), Young Folkies, & Top of the Bus, plus Red Yarn ON VINYL & more!!! Here's the playlist.

We've got an incredible amount of amazing new music this week on Radio Active Kids, and the ever-awesome Kelli Welli has made a little promo for us! Brand-new songs & more by Andrew & Polly ft. Lucy Kalantari, TIPTOE GIANTS, Micah and Me, Fabulous Lemon Drops, The Oot n' Oots, Mike Phirman, Knuckleheadz: Father/Son Rap Group, #MrBooDaddy, Father Goose Music, Marsha and the Positrons ft. SaulPaul, fleaBITE, Dots and Lines & Totally Knuts, Marko Polo Music, & RiffinGriffin, plus older songs by caspar babypants, POCO DROM & The Board of Education! Here's the playlist.

Heel Nederland stond deze week met bezwete bovenlip in de keuken: het was heet. Teun de smeerselman zette zijn tafel vol met mezze. Wat blijft er nog meer lekker fris in de brandende zon? Kan je nog wel vis en vlees eten? En wanneer haal je dat dan uit de koelkast? Je hoort het in Etenstijd!Onze sponsor:Oot granola: Ga naar oot.nl/etenstijd en vraag een Starterspakket aan!Tips:Barmbrack van YvetteMuziek en montage: Keez GroentemanInstagram: @etenstijd_ Hosted on Acast. See acast.com/privacy for more information.

On this episode of Everyday AI, we're joined by Thyagi DeLanerolle, Co-Founder and CEO of OOt Social to talk about what impact AI will have on the future of social media and what it's already being used for to advance our social experience. We also cover how AI is being used in other industries, the importance of making meaningful connections in networking events, and the potential for social media to bring humans closer together.For more details, head to our episode page!Time Stamps:Full show notes hereAI News - [00:00:57] Facebook challenges Google & OpenAI[00:01:30] Vimeo adding an AI script generator[00:02:11] AI can predict a person's political stance?Guest - [00:02:55] About Thyagi DeLanerolle and OOt Social[00:04:55] Will Social media improve with AI?[00:06:42] How OOt uses AI to transform social media[00:12:07] Blog tools used to optimize social media[00:15:34] AI as an executive assistant improving efficiency[00:19:27] Optimize networking with an AI approach[00:22:28] Optimize time with tech and balance natureTopics Covered in Today's Episode:1. The role of AI in enhancing the human experience on OOt platform- Moderation in the chat function- Customized event recommendations - Conversation starters - Internal debates on other AI avenues2. Tools and hustle in leveraging blogs and social media- Auto-generating headshots with Headshot Pro- Successful email pitch to Ryan Turnbull - Meta's competition with Google and Microsoft in generative AI - Vimeo's new AI script generator - AI's ability to predict political leanings based on profile pictures3. Tiagi de Le Narol on making social media more social and human- Current social media is not truly social- Potential for social media to improve in the next wave of new tools - Importance of face-to-face connections for human biology and health4. Optimization of networking events and AI tools in coding- The importance of meaningful connections- Using AI tools like Copilot and Jasper - The value of using ChatGPT4- The balance between using technology to be efficient and disconnecting completely 5. OOt Social's origin story and vision for a new platform - Personal struggle with loneliness and disconnection - Creating a new platform for human connectivity - Real-life connections with people with similar interests - Detecting other users' proximity and interests to connect in real-time at a venueKeywords:AI, moderation, chat function, events, event recommendations, conversation starters, enhance, human experience, leverage, blogs, social media, Headshot Pro, press release, chatbot, Member of Parliament, Ryan Turnbull, sales, hustle, Meta, Google, Microsoft, generative AI, text-to-speech, text-to-image, Vimeo, AI script generator, paid subscribers, Fox News, political leanings, social media, LinkedIn, coding, Copilot, Jasper, ChatGPT4, networking events, optimization, face-to-face connections, executive assistant, education, balance, technology, efficiency, nature, platform, social networking, real-life connections, proximity, opt-in. Get more out of ChatGPT by learning our PPP method in this live, interactive and free training! Sign up now: https://youreverydayai.com/ppp-registration/

In 1998, the most people knew of Zelda was 16 bit adventures framed in a top down style. And nobody minded. Zelda was still a top three Nintendo franchise. But when Ocarina of Time hit stores in time for holiday 98, it became a sensation. Nobody would have guessed the leap from 2D to 3D would be so dramatic, so immersive, and so special. On this episode of A Gamer Looks at 40, we continue our romp through the Legend of Zelda series with Ocarina of Time. Join a cast of OOT super fans and I as we dive into this magical game and swap plenty of stories. Starring (all handles from Twitter unless otherwise noted)Allen PetrozziAndrew CraigDonnie and Blue of @gamersweekpcGreg Sewart (@sewart) of Player One Podcast (@p1podcast)Helena aka @hellhathfury on TikTokIan aka @teacherbloke85Julian of @nwpcastMike Albertin of Games My Mom Found (@momfound)Trevor and Jeff of @newdadgamingSong CoversGERUDO VALLEY UNPLUGGED - Legend of Zelda Ocarina of Time (Acoustic Cover) by The Warp Zone - https://www.youtube.com/watch?v=Cwa4KJ9v968My Discord: https://discord.com/invite/SdaE4atGjCMy Twitter: @agamerlooksat40My Facebook: facebook.com/agamerlooksat40My Insta: @agamerlooksat40My Patreon: patreon.com/agamerlooksat40My Email: agamerlooksat40@gmail.comMy Phone Number: Ehhhhh, not gonna happen. :-DSupport the show

It all comes down to this... The climactic epic final showdown that'll make yo momma say 'DAMN BOYS I THOUGHT I TOLD YOU TO DVR THAT SHIT!'THE WIZARD SCROLL is written, read, performed and edited by me, Chris RR Bauso. Tales of high fantasy, warriors, wizards and laser guns with my own sick little twist. Special thanks to Tim Jennings for providing his vocal talent & his funnybone to the episode: https://twitter.com/TheTimJennings Links to everything: https://linktr.ee/thewizardscroll Show Artwork by Nick Vanamee: instagram.com/nickvanamee Background Ambiences by Michael Ghelfi: https://michaelghelfi.bandcamp.com/ Songs used: Monkey Fight Menu- Super Monkey Ball OST ; Zora's Domain (from OoT), Startup NEW GAME, & Birdman (from PilotWings 64) - Equip ; Becoming Insane- Infected Mushroom ; Kill the King- Wucan ; Hip Shop- Toby Fox ; Real American Dubstep Remix- nekocrimmy

IT'S FINALLY HERE! The 2022 Radio Active Kids Halloween episode is HAPPENING this week, with BRAND-NEW Halloween songs by (in alphabetic order): Andyroo & the Andyrooniverse, Freddy Apple, Auntie Kayte, Laurie Berkner, Flor Bromley & Genevieve Goings, Coach Kody, The Dolly Shakes, Johnette Downing, From Page To Play, Lori Henriques, Itty Bitty Beats, Jesse Jukebox, Lucy Kalantari and the Jazz Cats, James Kochalka Superstar (with ROUGH FRANCIS & Jello Biafra!), Little Feet Music, Simone Ludwig, Martin and Rose, #MrBooDaddy, Mr. Pete's Playhouse, Nanny Nikki & Kelli Welli, Nathalia, Bee Parks and the Hornets & Ants on a Log, Pata Punn & Pez al revés, Stacey Peasley, Ronnie Boy Kids, Three O'Clock Rock, Uncle Jumbo, Trevor Walls (ft. Billy Kelly, Mista Cookie Jar, & The Oot n' Oots!), & Key Wilde & Mr Clarke!!!!!!!!!!!!!!!!! Here's the playlist.

Beyond Reimagination: Improving your client outcomes by understanding what big tech is doing right (and wrong) with mental health apps Curt and Katie chat about the big tech “disruptors” in the mental health space and what therapists can learn from their tactics to support clients. We look at who is using mental health apps, what mental health apps are getting right (and wrong), and how therapists can take what is working and work differently to more effectively serve our own clients. This is a continuing education podcourse. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we look at what therapists can learn from big tech disruptors in mental health We have seen more and more tech companies and apps come into the mental health space and have heard more and more folks worried about how their private practices will be able to survive. We are revisiting a topic we covered in a presentation at our Therapy Reimagined 2021 conference to help modern therapists navigate this new mental health landscape. Looking at the gaps in mental health treatment and how big tech is working to “fix” them Exploring the goals from the Rand report on fixing mental healthcare in the United States Mental Health apps (with many broad definitions) Access to lots of different types of services and self-help A one stop shop with a full range of services Direct negotiation with insurance companies The types of technology used in mental health apps and the risks and benefits of these advances Algorithms Geo location data Complex payment structures Outcomes and feedback What mental health apps are doing well for clients Getting clients into therapy much more quickly Decreasing costs for consumers Increasing flexibility and availability Not requiring for things to happen in real time (asynchronous therapy) What mental health apps are getting wrong McDonaldization and commoditization Proprietary treatment methods and incentives for specific worksheets or staying within the app Misalignment between the goals of the client and the goals of the corporation Self-driven, leading to folks to potentially getting insufficient resources Individual versus community focus Caseloads and potential for therapist income (as well as burnout and poor care) Concerns about the additional risks that can happen with mental health apps “[In] this profit versus service model… there's this idea that you are not a client, not a patient, you are a consumer and someone to market to. And so you'll be marketed to as a client throughout the app. And as a clinician, you become a marketer for those things behind the paywall. And that is terrifying. Because it's not based on treatment.” – Katie Vernoy The apps are not bound by HIPAA, but instead the SEC Data sharing and Alexa suggesting supplements to address client mental health concerns Additional legal and ethical risks Who is using app-based mental health services? Therapy veterans are moving to apps Access is not actually improved The reasons that clients are moving from a traditional therapist to therapy apps Outcomes across different types of apps and different types of clients Niche apps are more effective than generalist apps What we can do to move our therapist practices forward? “Now I've seen a number of people describe… if these therapy apps are going to be the McDonald's of therapy, well, we're the prime rib! You actually have to consider are you providing actual prime rib? Or are you more like a Carl's Jr?” – Curt Widhalm Using the benefits of technology to decrease friction for your clients accessing therapists Increasing flexibility and creativity Be a better therapist and understanding the digital therapeutic alliance Paying attention to laws and ethics, scope of practice, and treatment planning Our Generous Sponsors for this episode of the Modern Therapist's Survival Guide: Turning Point Financial Life Planning Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. Turning Point is a financial planning & coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed... And arrive at a place where you feel relief, validation, motivation and hope. And for listeners of MTSG, you'll receive $200 off the price of any service. Just enter promo code Modern Therapist. Be sure and visit turningpointHQ.com and download the free whitepaper “7 Money Mindset Shifts to Reduce Financial Anxiety” OOTify OOTify. "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence-based hub to unify relevant mental health resources. Community, Connection, and Collaboration are critical to OOTIFY.  As they lift the mental healthcare system, they ensure providers are part of the process. OOTIFY is a platform for providers, built by providers, and owned by providers. OOTIFY is the process of lifting up mental healthcare, while lifting each other up. We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're going to go through trials and tribulations. But if we can work on our mental health, proactively, our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, “Hey, listen, I'm going through this too.” Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates. Receive Continuing Education for this Episode of the Modern Therapist's Survival Guide Hey modern therapists, we're so excited to offer the opportunity for 1 unit of continuing education for this podcast episode – Therapy Reimagined is bringing you the Modern Therapist Learning Community!  Once you've listened to this episode, to get CE credit you just need to go to moderntherapistcommunity.com/podcourse, register for your free profile, purchase this course, pass the post-test, and complete the evaluation! Once that's all completed - you'll get a CE certificate in your profile or you can download it for your records. For our current list of CE approvals, check out moderntherapistcommunity.com. You can find this full course (including handouts and resources) here: https://moderntherapistcommunity.com/podcourse/ Continuing Education Approvals: When we are airing this podcast episode, we have the following CE approval. Please check back as we add other approval bodies: Continuing Education Information CAMFT CEPA: Therapy Reimagined is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LPCCs, LCSWs, and LEPs (CAMFT CEPA provider #132270). Therapy Reimagined maintains responsibility for this program and its content. Courses meet the qualifications for the listed hours of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences. We are working on additional provider approvals, but solely are able to provide CAMFT CEs at this time. Please check with your licensing body to ensure that they will accept this as an equivalent learning credit. Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! TR 2021: Beyond Reimagination - Moving the mental health field from thought to action (video course) Thrizer (payment and billing platform) Economides, M., Ranta, K., Hilgert, O., Kelleher, D., Arean, P., & Hoffman, V. (2019, November 1). The impact of a remote digital health intervention for anxiety and depression on occupational and functional impairment: an observational, pre-post intervention study. https://doi.org/10.31234/osf.io/rhfpa McBain, R. K., Eberhart, N.K., Breslau, J., Frank, L., Burnam, M.A., Kareddy, V, and Simmons, M. M. (2021). How to Transform the U.S. Mental Health System: Evidence-Based Recommendations. Santa Monica, CA: RAND Corporation, 2021. https://www.rand.org/pubs/research_reports/RRA889-1.html. *The full reference list can be found in the course on our learning platform.   Relevant Episodes of MTSG Podcast: Special Series: Fixing Mental Healthcare in America Fixing Mental Health in America: An interview with Dr. Nicole Eberhart, Senior Behavioral Scientist, and Dr. Ryan McBain, Policy Researcher, The RAND Corporation Online Therapy Apps Why You Shouldn't Sell Out to Better Help Non-Traditional Therapy Series: Part 1 and Part 2   Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group 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 Risks and Consequences of Failing to Report Child Abuse Curt and Katie discuss the CA Board of Behavioral Sciences case against Barbara Dixon, LMFT who failed to report child abuse for Gabriel Fernandez and Anthony Avalos who both subsequently died from abuse by caregivers. We look at what this therapist missed as well as appropriate child abuse reporting, including the nuance of when to report. CW: details of child abuse discussed. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about the importance of child abuse reporting We talk about the failure to report abuse by Barbara Dixon, LMFT that has recently been in the news related to the deaths of Gabriel Fernandez and Anthony Avalos. The case related to the child abuse death of Gabriel Fernandez Content Warning: Details of the case, including the actions taken (and not taken) by Barbara Dixon, LMFT The decision-making process with child abuse reporting Who is responsible to decide to report child abuse – the clinician or the supervisor? “I hear [prelicensees] wrongly state that ‘I'm working under somebody else's license; this falls on them' … I cannot emphasize enough that decisions like this, in [Barbara Dixon's] case, really do indicate that it is your responsibility, no matter what your agency says… People can and do get punished for not following through on their individual licensee or registration responsibilities as mandated reporters.” – Curt Widhalm When supervisors or agencies tell clinicians under supervision not to report child abuse report The individual responsibility that each clinician holds The myth that you're working “under” your supervisor's license How do you decide whether you should report child abuse? “It's these gray areas where there's this nuance that I think feels really overwhelming. And for some folks, they'll lean towards reporting or consulting to identify if it's reportable. And for other folks, they use that as cover to not report when it feels too uncomfortable.” – Katie Vernoy Clarity from child abuse reporting laws Hesitation based on systemic response, the therapeutic relationship, and the paperwork hassle Where there are gray areas and nuance The consequences of failing to report child abuse or adequately document services or risks Your agency or supervisor may not be held liable for your actions (especially if you don't document what you did) Incomplete documentation hurts – it doesn't help you hide from liability Appropriate Child Abuse Assessment and Reporting Interviewing the child separately Following up on what you've asked for Understanding at what point it becomes our responsibility (i.e., having sufficient information) Documenting each stage and make sure to appropriately close out treatment file when needed Consultation and not making the decision on your own Defining the injury and assess from there Understanding normal childhood response to typical life events (and noting changes) Navigating the gray areas in child abuse assessment Looking at impact, intent, and injury Using the context to help decide when there isn't a definitive line Adequately documenting, even when you aren't sure you're making the right decision, is important and necessary Looking at what needs systemic intervention and what needs family therapy Getting past the discomfort to report child abuse report It is your responsibility Taking a moment to understand the purpose of reporting Reducing your own liability Obtaining resources for families Understanding the risk for families of systems getting involved Our Generous Sponsors for this episode of the Modern Therapist's Survival Guide: OOTify OOTify. "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence-based hub to unify relevant mental health resources. Community, Connection, and Collaboration are critical to OOTIFY.  As they lift the mental healthcare system, they ensure providers are part of the process. OOTIFY is a platform for providers, built by providers, and owned by providers. OOTIFY is the process of lifting up mental healthcare, while lifting each other up. We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're going to go through trials and tribulations. But if we can work on our mental health, proactively, our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, “Hey, listen, I'm going through this too.” Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates. Turning Point Financial Life Planning Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. Turning Point is a financial planning & coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed... And arrive at a place where you feel relief, validation, motivation and hope. And for listeners of MTSG, you'll receive $200 off the price of any service. Just enter promo code Modern Therapist. Be sure and visit turningpointHQ.com and download the free whitepaper “7 Money Mindset Shifts to Reduce Financial Anxiety” Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Los Angeles Times Article: Counselor who didn't report abuse of Gabriel Fernandez, Anthony Avalos put on 4-year probation Citation/Enforcement Decision on Barbara Dixon LA Times Article: Charges dismissed against social workers linked to Gabriel Fernandez's killing Relevant Episodes of MTSG Podcast: Now Modern Therapists Have to Document Every F*cking Thing in Our Progress Notes? Do Therapists Curse in Session? Toxic Work Environments Giving and Getting Good Supervision Make Your Paperwork Meaningful: An interview with Dr. Maelisa McCaffrey Hall Noteworthy Documentation: An interview with Dr. Ben Caldwell, LMFT CYA for Court: An interview with Nicol Stolar-Peterson, LCSW   Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   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 Therapists Correct Clients? Curt and Katie chat about whether therapists should correct clients who use offensive language. We look at what we should consider when addressing what clients say (including treatment goals and the relationship), how therapists can take care of themselves to be able to treat clients who hold a different worldview, and how (and when) therapists can address problematic language appropriately. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about whether therapists should call out their clients on words they find inappropriate We decided to address the language that clients use in session and what to do when we find the language offensive or harmful. Should therapists correct clients when they use language we find offensive or harmful? Blank slate or “join your clients” approaches Whether the language should be addressed when it doesn't align with a client's stated treatment goals Showing up as a human and addressing the therapeutic relationship Judgment or shaming that can happen with clients What should therapists consider when addressing what clients say? The relationship between the therapist and client Relevance to clinical goals The impact on trust in the therapeutic alliance The importance of using the client's language to affirm their experience The power differential between therapist and client How can therapists show up with clients who see the world differently than they do? Addressing objectification of therapist's identities Assessing when therapists are centering their own experience versus responding to what is in the room Using the relationship to process client's perspective “I feel like just living in the client's world without honoring my own experience at all doesn't feel quite right. But centering my experience feels wrong.” – Katie Vernoy What can therapists do to appropriately address problematic language with their clients? Process what is being said before correcting specific words Address within the relationship and within the treatment goals Using our own coping skills to be able to navigate what our clients bring to session “I'm very worried that therapists don't have enough of their own coping skills to deal with these things coming up in sessions. Where they feel that they have to shut these clients down for the protection of themselves. You know, their only coping mechanism seems to be – I need to escape working with clients that don't already agree with my worldview.” – Curt Widhalm Where social justice plays a role (and maybe shouldn't) Education and supporting the client's whole development Assessing the impact of these interventions (both positive and negative) Assessing the harm in not pointing out bias or harmful language   Our Generous Sponsors for this episode of the Modern Therapist's Survival Guide: Turning Point Financial Life Planning Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. Turning Point is a financial planning & coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed... And arrive at a place where you feel relief, validation, motivation and hope. And for listeners of MTSG, you'll receive $200 off the price of any service. Just enter promo code Modern Therapist. Be sure and visit turningpointHQ.com and download the free whitepaper “7 Money Mindset Shifts to Reduce Financial Anxiety” OOTify OOTify. "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence-based hub to unify relevant mental health resources. Community, Connection, and Collaboration are critical to OOTIFY.  As they lift the mental healthcare system, they ensure providers are part of the process. OOTIFY is a platform for providers, built by providers, and owned by providers. OOTIFY is the process of lifting up mental healthcare, while lifting each other up. We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're going to go through trials and tribulations. But if we can work on our mental health, proactively, our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, “Hey, listen, I'm going through this too.” Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates.   Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Therapist–Client Language Matching: Initial Promise as a Measure of Therapist–Client Relationship Quality Feedback Informed Treatment   Relevant Episodes of MTSG Podcast: Do Therapists Curse in Session? How to Fire Your Clients (Ethically) How to Fire Your Clients (Ethically) part 1.5 When is it Discrimination? Conspiracy Theories in Your Office   Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Is the Counseling Compact Good for Therapists? Curt and Katie chat about the brand-new Counseling Compact and what therapists may not know or understand about these interstate agreements. We explore the proposed benefits as well as the potential risks and complications like regulatory discrepancies and a lack of consumer protections. We also look at how big tech can benefit while individual clinicians may be left unable to compete in a larger market. In this podcast episode we talk about the new Counseling Compact and Psypact The counselors got their 10th state and officially have Counseling Compact to practice in other states. We thought it would be a good idea to talk about what that means (and what we might want to pay attention to). What is the Counseling Compact? Opportunities for practicing privileges (not licensure) in other states The complexity of putting together these interstate compacts Implementation and regulation hurdles Scope of practice discrepancies and concerns Law and Ethics practices across states Benefits of Interstate Compacts for Mental Health Providers Continuity of care Ease of meeting with clients who are moving around the country Bringing clinicians to areas where there is a workforce shortage Potential Problems with the Counseling Compact “This very much goes against, according to the FBI, any sort of patient protection – that any of these licensing boards are put into place in the first place: to protect consumers.” – Curt Widhalm Not bringing more clinicians, if only states with workforce shortages join Doesn't solve the infrastructure problems (i.e., stable Wi-Fi) for rural areas that typically don't have local therapists The people who most benefit: the big tech companies like Better Help The FBI is opposing this legislation due to lack of federal background checks Lack of consumer protection or consistency in what consumers can expect from their therapist Costs for the therapists to get practicing privileges Large gigantic group practices and tech solutions will contract with insurance and leave smaller practices unable to compete and required to be private pay Solving the Problems with the Counseling Compact “It may actually delay [a national license], because it's a band aid where people can go practice in other states. So why would I get a national license, if I can practice in a couple other states and not worry about taking another test, getting another background check…?” – Katie Vernoy Overarching regulation and expectations at a national level Federal bodies to oversee background checks and consumer protections Expensive, time-intensive We don't have universal healthcare, so insurance parity will need to be addressed (and not just by big tech) Our Generous Sponsors for this episode of the Modern Therapist's Survival Guide: OOTify OOTify. "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence-based hub to unify relevant mental health resources. Community, Connection, and Collaboration are critical to OOTIFY.  As they lift the mental healthcare system, they ensure providers are part of the process. OOTIFY is a platform for providers, built by providers, and owned by providers. OOTIFY is the process of lifting up mental healthcare, while lifting each other up. We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're going to go through trials and tribulations. But if we can work on our mental health, proactively, our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, “Hey, listen, I'm going through this too.” Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates. Turning Point Financial Life Planning Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. Turning Point is a financial planning & coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed... And arrive at a place where you feel relief, validation, motivation and hope. And for listeners of MTSG, you'll receive $200 off the price of any service. Just enter promo code Modern Therapist. Be sure and visit turningpointHQ.com and download the free whitepaper “7 Money Mindset Shifts to Reduce Financial Anxiety” Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Counseling Compact Psypact Very Bad Therapy Podcast Relevant Episodes of MTSG Podcast: Special Series: Fixing Mental Healthcare in America Fixing Mental Health in America: An interview with Dr. Nicole Eberhart, Senior Behavioral Scientist, and Dr. Ryan McBain, Policy Researcher, The RAND Corporation Online Therapy Apps Why You Shouldn't Sell Out to Better Help   Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   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/   Transcript for this episode of the Modern Therapist's Survival Guide podcast (Autogenerated): Curt Widhalm  00:00 This episode is brought to you by OOTify.   Katie Vernoy  00:03 OOTify is an immersive digital mental health ecosystem. It's designed to help minimize the fragmentation, trial and error and overwhelm felt by both patients and providers in the process of giving and receiving care. OOTify is the process of lifting up mental health care while lifting each other up.   Curt Widhalm  00:20 Listen at the end of the episode for more information.   Katie Vernoy  00:23 This episode is also brought to you by Turning Point.   Curt Widhalm  00:26  Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life from practice financials and personal budgeting to investing taxes and student loans.   Katie Vernoy  00:39 Visit turningpointhq.com. To learn more and enter the promo code 'moderntherapist' for $200 off any service.   Announcer  00:47 You're listening to The Modern Therapist's Survival Guide where therapists live, breathe and practice as human beings. To support you as a whole person and a therapist, here are your hosts, Curt Widhalm and Katie Vernoy.   Curt Widhalm  01:03 Welcome back modern therapists. This is The Modern Therapist's Survival Guide. I'm Curt Widhalm with Katie Vernoy. And this is the podcast for therapists about things going on in the therapy worlds. And recently, the 10th state has joined the counseling compact, which initiates that it is all coming together for licensed professional counselors here in America. And what this does is creates a whole lot of space for people to make up what they think that it is. And we are here to correct that information. So, Katie, lots of things to talk about in this episode, what are your initial reactions.   Katie Vernoy  01:49 So my initial reactions typically with all of these pacts, so there's Counseling Pact, there's PSYPACT or Counseling Compact and PSYPACT, which is a psychologist, and then the social workers are working on something. As for MFTs so far, we don't have something going on. But I have mixed feelings. Because I think for me, I have clients who travel around to different states. And so I can only see them when they're in states I'm licensed in, I've got ideas around being able to support folks in areas that have fewer clinicians or clinicians who specialize in and what they need. And I also recognize I live in a state that has a very high cost of living. And so if there are therapists in states with much lower cost of living who are quote, unquote, taking my clients, I think it would be something where that that may make it harder for me to compete in my own market. So lots of mixed feelings. And I'm not quite sure at least until we started prepping for this episode, I wasn't quite sure what these compacts meant. And so I think probably we should start with, What's the Counseling Compact? If we, you know, it's PSYPACT different? What's the social workers working on? But broadly, what are these things? And why do people care about them?   Curt Widhalm  03:05 So these pacts are going to be slightly different between the counselors and the psychologists and psychologists is PSYPACT. The Counseling Compact is for counselors, we're not really going to talk a whole lot about social workers and MFTs, because they have not gotten their act together and have anything moving in this direction yet. Social workers do. But in talking about the two that are already in place, or quickly moving into place, what it does is allows for somebody, this is language from the Counseling Compact, what it does is allows for somebody who is licensed in and resides in one of the member states to have practicing privileges through some regulation stuff in other states. So it's not just like a license reciprocity where you are granted now a 10 state license, you have to go through some certain steps of just picking a couple of states out of this here. But if you are, say, practicing in Nebraska, and you have a person in West Virginia, who wants to utilize your services, you would need to go to the West Virginia Board and have a streamlined ability to get a privilege to practice with clients in West Virginia.   Katie Vernoy  04:30 Okay, but you have to live in Nebraska, it can't be like I live in California, and I'm licensed in Nebraska. So now then I can practice with somebody in West Virginia, if I get that streamlined.   Curt Widhalm  04:42 Yes, and this is the language that you have to be licensed in and reside in one of those states. So many people have licensure in multiple states already. If you are not one of the 10 states as a resident this does not apply to you. So this is not like a, you know, huge like opening up the gates to everybody living all over the place. California being where Katie and I reside, we can't just go and get licensed in Utah and now have the ability to practice in all of these other states. A residency requirement is part of this as well.   Katie Vernoy  05:20 Well, one thing, I think that it does start things moving, because I know with PSYPACT, there are 34 states in process. So it is the beginning of something, it's just a matter of right now, this is the very beginning stages and other states may join. But in some of the conversations and research we've done, it sounds like there's a lot that goes into it once a state joins. And even in putting together the overarching compact, there is this need to get kind of almost universal expectations, kind of an overarching, regulatory body, there's also needs to, you know, look at scope of practice issues, which at least as we're aware of MFT stuff, but there's very different scope of practice for California MFTs than there is for Texas, or West Virginia MFTs, for example. And so there's a lot of complexity that's going to be sorted out as this starts to get implemented. But the idea is that these compacts these interstate compacts are meant to provide a launchpad for more states to join, right?   Curt Widhalm  06:29 And this is some of the stuff that's got to be ironed out over the next couple of years. And frankly, I'd be surprised if all 10 of these states are able to address some of these discrepancies over the next few years. And for example, and I know not all of these states are currently part of the 10. But they do sometimes have some legislation to get them involved in the Counseling Compact here. But looking at the different requirements in different states, Georgia as an example, one of the 10 States does have a pretty high barrier to entry when it comes to becoming licensed within the state. And so I'm going to emphasize again, this is practicing privileges in other states, that is not a full reciprocity of license. So if somebody is practicing, gets practicing privileges in Georgia as a member of this Counseling Compact, one of the things that needs to be addressed is the discrepancy between what is allowed from one state to the next, for example, some states allow counselors to provide diagnostics of clients, other states do not and what has yet to be ironed out on this is how much does this change the scope of practice in these other states? What's unclear at this point is how these things are going to be regulated. While there is a central body that will oversee this compact, because of the way that it's set up each of these states are the ones who are still overseeing their own licensees, disciplinary actions and abilities to practice. So it's not like you're gonna be able to sit at home and do telehealth across all of these 10 states, and be able to practice just in the way that you are at home with your home state's clients, you're also going to run into well, I can diagnose this client but not this one. Or I need to be aware of, you know, my ability to do things ethically, one way in one state, but because of the ways that the laws are written in another state, I'm not allowed to do this. So these are some of the things that now have to be centrally addressed across all of these states here.   Katie Vernoy  08:48 And I think it's something that can get very confusing, but I want to re emphasize that there is this element of expectation that this means I'm in licensed and these other states and and because it's practicing privileges, is it telehealth only? If I go visit the state, could I still see those clients in person? Like what is the what is the practical difference between practicing privileges and licensure? In this regard.   Curt Widhalm  09:12 The differences is, it's not a license in another state. It's the allowance of you to be able to provide services to people in that state. But it is not the equivalent of having a license in both states.   Katie Vernoy  09:30 But what is the practical difference there? Like why do I care if I'm licensed or have practicing privileges?   Curt Widhalm  09:37 One of the major differences is that it's a lot easier to revoke practicing privileges than it is to revoke somebody's license. Having a license in both states means that you are obligated to both states licensing boards. What practicing privileges means is that you're allowed to practice here but you're still responsible to your own state's governing body for disciplinary actions, and so on and so forth. So it could be very easy. If a therapist is working with a client who's out of state and residing in Georgia, for example, Georgia could very easily be like, you're not meeting the requirements of practice in our state where you're doing out things, things outside the scope of practice in our state. And we don't like that, and you're no longer allowed to practice here. So it's a lot easier than going through a lot of the big disciplinary actions that may require revoking somebody's license in a state that they're actually licensed in.   Katie Vernoy  10:40 So for the clinician, it means that they would really need to be able to identify all the different scope of practice, how to really stay up to date in all these different states, as well as what is that kind of fine line that I can walk, either to treat all my clients the same, but super restricted, or, you know, like having different rubrics for how I treat each client. So it can get pretty complicated is what you're saying, for the clinician to pay attention to what's required of them.   Curt Widhalm  11:11 Yeah, and I think to this is where the goal is over the next couple of years to change some of this information. So that way, we're able to make it a lot simpler for people because the goal in this is with the intention of making practice easier, allowing for more people to have access to more mental health providers. However, these obstacles exist, and giving kind of the next couple of years of the ability for state legislatures to change the subsequent laws that now need to go into effect because this is in place, the goal probably is to simplify this stuff.   Katie Vernoy  11:50 Okay.   Curt Widhalm  11:51 And I haven't heard or seen anything where any of these member states have, you know, any real opposition in this way, it's just that things in the legislature can take other priorities. I mean, we saw this with the COVID 19 pandemic, where it's like all the states for a couple of years where like, everything now has to focus on COVID. So some of these obstacles are still in place. And it's just a acknowledgment that that's the system that we currently live in.   Katie Vernoy  12:21 So you mentioned kind of getting more providers for places that have provider shortages. And I think that's one of the biggest stated benefits, I think, clinician match and finding clinicians that have a specialty when you don't have a lot of clinicians in your state can be very helpful. There's also continuity of care. I've talked about my clients traveling around and especially as things open back up, there's clinicians or clients that are traveling a lot more and so we have to time their sessions versus just being able to meet at a regular time via telehealth, I think there's a lot of positives that are being seen here. We've started talking about some of the hesitations and and and we are aware that the for the MFT stuff CAMFT, AAMFT and AAMFTRB, you know, what least AMFT and CAMFT are talking and have reached out to AAMFTRB, whatever that is.   Curt Widhalm  13:12 Yeah, you got it right.   Katie Vernoy  13:13 So there's, there's conversations happening, I think, and obviously different stages for all the licenses, there's, there's a, there isn't a knowledge that this is something it's kind of the wave of the future, because we can interact so freely across state lines, like why not get this process in place, but there's a lot of complications, you know, the overarching scope of practice, the complication of setting it up and running it and all those kinds of stuff. There's a lot of stuff that's very challenging there. How much do we want to talk about that, that element versus you, you've already previewed for me anyway, that you are a little bit of a skeptic here. When do we want to what do we When do we want to shift gears to that? Because I think that there's so many folks are super excited about this. And I think there are things that are exciting about it. But there are some real concerns that I want to make sure we get to. So where should we go next? I guess is the question that I'm asking here.   Curt Widhalm  14:06 So this has all of the makings of a wonderful piece of legislation and cooperation that I don't know actually addresses what it's saying that it's intended to address.   Katie Vernoy  14:21 Okay.   Curt Widhalm  14:21 It is no surprise to anybody who listens to our podcasts that we have a mental health crisis, and we have a very understaffed mental health workforce. This theoretically allows for more clients to address more providers, but many of these states are amongst the most impacted as far as having the fewest providers available. And so if you combine 10 states who don't have enough workforce for each of their own individual states, by their 10 powers combined, theoretically can't address that even more people are going to be able to access a limited number of providers. It's not like we have, you know, a bunch of people who are all just residing in Utah, there's, you know, 9 million LPCs in Utah, who now just have like all of this free time to go and see clients who need to see counselors that Utah just has this, you know, mass amounts of people who have been confined to by state lines. This is, you know, a bunch of people without enough food now sharing that they don't have enough food with more people in more places.   Katie Vernoy  15:38 It doesn't make it worse. It just doesn't solve it is what is how I see it. But I think if folks who, if these states that have those needs don't get it started, I think it's hard because I think the big states don't need those extra jobs. Right? I mean, it maybe they do. I mean, I think there's a lot of clinicians in California, they're like, yeah, let me practice somewhere else, because I need I need clients, there's, you know, you could trip over a therapist, every few steps in California. So I mean, it's possible that with this starting, I mean, PSYPACT is going on 34 states. So we've moved beyond the the threshold in PSYPACT, where it's just states that are having provider shortages. I think I think I see what you're saying this does not solve? Did you want to start it?   Curt Widhalm  16:28 But I do want to correct one thing that you're saying is, we have a bias because we hang out with a lot of therapists in a very populated city.   Katie Vernoy  16:38 Sure.   Curt Widhalm  16:38 But California has a mental health workforce shortage as well. It's just that, this goes to address that there's rural parts of our states. And there's rural parts of a lot of these other states that are part of this, that we we have our own shortages, and we're not able to address this inviting more people to address, you know, people in rural areas. It's well intended, but it doesn't motivate or necessarily get people to the jobs that are needed in these positions.   Katie Vernoy  17:12 What you just said actually made me think about the series that we're still somewhat in the process of Fixing Mental Healthcare in America. But I think there's that that piece that the the RAND Corporation identified where there has been efforts and telehealth is a great effort to try to bring, you know, therapy to these rural areas, but the infrastructure and you know, good good WiFi, and all of the pieces to actually be able to address these things potentially are more impactful than just adding clinicians from another state that are probably going to want to access or your wealthy urban clients anyway.   Curt Widhalm  17:52 Which leads to my second criticism of this is that because of the scramble that's going to happen, the people who are most likely able to address the shortcomings of this public policy position across these 10 states are venture capital led groups like BetterHelp, that will do all of the legwork to match you up with clients in all of these rural areas. And we've got other episodes that we will talk in, you know, in BetterHelp's defence it's not just BetterHelp who can take advantage of these. But I have my concerns that the people who have already been doing this against the law, as we've discussed in our previous episodes are motivating therapists to practice across state lines, when they're not allowed to are the ones who are going to continue to contribute to the already capitalistic problems of our profession. And once again, not really with the best intentions of what clients have in store for them. But just by virtue of being able to match people more easily than any of the individual therapists in private practice. Where like, hey, my clients going on vacation, I can still see them for their regular session.   Katie Vernoy  19:21 We'll link to a lot of those episodes in the show notes. But but what I'm hearing you say Curt, is that this is super charging the big tech problem.   Curt Widhalm  19:31 Yes, it is.   Katie Vernoy  19:32 Okay. Mic drop.   Curt Widhalm  19:39 Pick that mic right back up, because they're, I don't know, I'm the resident, you know, contrarian of the show, the one who's maybe trying to poke at things and often I hear from listeners or from Katie or other people in my life is like, Why let perfection be the enemy of good? And so I am looking, you know, for who else opposes this? And I did come across somebody else on the opposition side of this. And it's a little group called the FBI.   Katie Vernoy  20:20 Why? Why is the FBI opposing this?   Curt Widhalm  20:25 For those unfamiliar with the FBI, they are a law enforcement agency. And they are one of the generally two places that when you go to get licensed that your background checks go to.   Katie Vernoy  20:38 Ah, yes.   Curt Widhalm  20:39 And so the rationale in other interstate compacts, including Counseling Compact, including PSYPACT, including medical compacts, and nurses compacts, the FBI has had a pretty consistent position on this. And their reasoning is that these states entering into these agreements, does not give them the right to supersede federal background checks. Now, allowing for practicing privileges in another state allows for the bypass of doing a background check for that state.   Katie Vernoy  21:13 Oh, interesting.   Curt Widhalm  21:14 And the way that the Department of Justice allows for some of these states to get the results of background checks, does not allow for them to share the information from those background checks.   Katie Vernoy  21:27 Oh, that's why if you get licensed in another state, even if you can say like, Hey, I'm licensed over here, they did my background check. The new state still needs a background check.   Curt Widhalm  21:37 And giving practicing privileges as I understand this legislation to be written today does not require background checks. It allows for the disciplinary boards to share information about discipline. But let's say that a therapist from one of these 10 states, goes on a weekend Bender in Vegas and ends up in the Clark County Jail. That information does not necessarily get shared with either licensing states because why, but then also doesn't get shared with any of the other practicing privileged states. It's not something that would mess like up. Overall therapists don't get arrested.   Katie Vernoy  22:22 Yeah, just don't   Curt Widhalm  22:23 Yes. But especially don't get arrested in your practicing states, because you're practicing states have with their own State Department of Justice's, like, California BBS. Like if somebody gets arrested, and they're licensed California, they get a little like, ping the next morning of like, hey, one of your licensees was arrested. But if you're, if you're gonna get arrested, don't get arrested, you know, being outside of your jurisdiction, at least, there's some opportunities to fall through the cracks there. And the...   Katie Vernoy  22:55 Are you telling people to how to avoid getting in trouble?   Curt Widhalm  22:58 This is not legal advice. And legal advice, once again, is don't get arrested. But what the FBI's database does, is allows for this information to be pinged in each time that somebody goes through a background check. The FBI is saying that this does not actually empower any of the states to know information if somebody was to have a an offense against them that wasn't caught or happened after their own background check to get a license in their own state.   Katie Vernoy  23:31 Well, I'm just even thinking for myself, I have not been arrested. I don't have anything that I have to worry about. But yeah, I haven't had a background check for 15 years? So I could be doing all kinds of stuff and get practicing privileges elsewhere - is what you're telling me?   Curt Widhalm  23:48 Yes. And so this very much goes against, according to the FBI, any sort of patient protection that any of these licensing boards are put into place in the first place to protect consumers.   Katie Vernoy  24:03 Well, I haven't think taking this further the whole consumer protection angle, and I think I'm gonna give you credit, you mentioned this before we started recording. But as a consumer, I have no place to check if you actually do have practicing privileges in my state, or if there's any problems. I mean, I guess I could look at your licensing state if I knew how to do that, knew where to do it, and can see if there's any any dings on your license, but, but it really takes some of the stuff out of the consumers hand being able to identify, you know, anything about the person that they're working with.   Curt Widhalm  24:41 And I imagine that these are things that are going to need to be addressed over the next few years as having some way of centrally notifying each other's state licensures or any of that kind of stuff. And I'm sure that there's somebody out there saying, But Curt this hasn't been a problem with PSYPACT yet. And the answer that I have back in response to you is "that we know of, and it will likely happen."   Katie Vernoy  25:13 Well, I think it's something where there's, and this was something that I hadn't thought about. But in a conversation that we had, I think it's something where, with psychologists, the, as far as I know, the licensing exams, their expectations are pretty constant across the United States. And so if somebody messes up in the state that they're licensed in, that's going to have a big impact, because it is the same pretty far across and I, this doesn't address the federal background checks. But I think it does address this kind of idea of all the complexity and and consumers having an issue because what they're expecting from their clinician is not what they get, because their clinician practices way differently than anybody in their state, for example, but MFTs don't have that. I mean, there's that there's a national association, but all 50 states basically have different expectations. Counselors, I think, are a little bit more streamlined and so that's probably why they're moving forward. Social workers are very streamlined, and I'm sure they're going to probably get, you know, glide through this. But I think it's something where that feels solvable, you know, getting a getting some way that there's this the background checks and that kind of stuff, if you're if you're part of this compact, if you choose to get practicing privileges, there's a federal body that you then have to get a background check. And then that, you know, somebody at the federal level is running it versus each state having to do it. You know, I think there's some legislation that could probably really help this. But that seems really expensive. And I'm wondering, you know, there's part of me, that's like do therapists care? Do to consumers care? I mean, like, we're worried about this regulation and there's part of me, and there's a whole podcast devoted to this Very Bad Therapy. But there's, there's bad clinicians that are not going to have oversight. But then there's also all of these clients, who don't have access to therapists who accept them as who they are. And so having some of these things come into place, like to me, it seems like it could be good. So I'm getting all over the place. So bring us back to something that's that's helpful. But I think there's, there's this element of it feels solvable. I just don't know the timeline, or how much money, but...   Curt Widhalm  27:36 That those two points are the problems that I foresee with this, that it's none of these things that I'm bringing up are unsolvable. Maybe the BetterHelp thing. But...   Katie Vernoy  27:52 That's a different problem. It's separate from this problem to solve.   Curt Widhalm  27:55 Right. But it's probably going to be a lot more costs that are passed on to the providers than anybody sees. The buzz that I'm initially hearing from people on this is very much like you that most people are taking this as, oh, I can just kind of see my clients wherever they travel, as long as they're in one of these 10 states.   Katie Vernoy  28:19 Yeah.   Curt Widhalm  28:19 And that is not true. And each one of these states is going to be additional costs. And you know, the background checks thing is, all right, you still go down to your local fingerprinting place, you do your live scan, you're just having it reported to a different state board and the FBI each time. And those things add up, you know, 50 bucks at a time adds up. Yeah, times that by 10 states, times it by the application fees, because part of the legislation that was written for all of these states is basically written by the same people. And it's, you know, quote, unquote, not actually a direct quote here, but not going to have anything more than administrative costs passed on to clinicians. There's a lot of administration costs in this that any of the licensing boards are more or less operating at a break even point that adding on a bunch of new staff to process out of state therapists and to verify things. Those are going to be cost that add up. Are they going to be cheaper than getting a license and meeting all the requirements in these other states? Absolutely. But these are costs that are going to add up for people. This is not going to be a free for all that all of these state licensing boards are going to allow here.   Katie Vernoy  29:40 Yeah, I think that's the thing that's that's hard because there's a lot of elements to this, that says that like this is this, this makes everything smooth and easy. This really provides additional access and the more we've talked together about it when we've talked to other folks about it, it just I'm hearing that there is so much complexity to how this operates, that it may not happen for all states, because you know, states that have enough clinician, states that have a higher cost of living, they may not feel the need to, to add to their costs, or their clinician base. And so they're not going to take it on. But but when I look at, you know, really what we're talking about, it's, it's trying to put a bandaid on this problem. And hopefully, it's it's something that there's actually real federal legislation that can help to increase the infrastructure in places that need more clinicians, help to, to create systems that actually address some of these concerns that you're bringing up. But that would require tax dollars, versus clinicians paying application fees, and all those things. I mean, I heard, I think that's the thing I heard was like, millions of dollars to get this setup, you know, I mean, like, that's, I guess, if you've got a lot of clinicians, that's a cross of a lot of clinicians, you know, if they are savvy clinicians, those fees are then incorporated into the fees they charge, which then for private pay clinicians anyway means that they're charging more. Insurance panels aren't going to pay you more just because you've got some extra that's under your belt. And so it's something where the cost thing hasn't been figured out, nor has the infrastructure both on the client side, but also on this regulatory side, it feels like there's just so much to figure out here.   Curt Widhalm  31:35 And that's something that I haven't even seen how insurance is going to work across state lines that I willingly admit that I don't know the inner workings of a lot of the insurance process, but knowing that, all right, yeah, it's great that you can see a client to timezones away. But does their insurance allow it? And this is another factor that's going to be in it. And, you know, we can talk all day long, and I'm already pre addressing some of the criticisms of this episode from people. We don't yet have universal health care. Don't even bring that up, like...   Katie Vernoy  32:14 Sure.   Curt Widhalm  32:15 Don't make arguments about systems that we don't have. These are problems that need to be addressed in the meantime. And yeah, I know that some people are going to say that this is the first step towards national licensure and this kind of stuff. OK or maybe...   Katie Vernoy  32:32 It may, it may actually delay it, it may delay it, because it's a band aid where people can go practice in other states. So why would I get a national license, if I can practice in a couple other states and not worry about taking another task, getting another background check, blah, blah, blah. I before we before we finish up, because I think there's probably going to be responses that then lead to additional episodes on this topic. But I think that just to kind of maybe poke the beast here a little bit. But with the with the insurance stuff, I think we're already seeing what insurance companies are going to do. And that is contract with these large tech companies that have clinicians across all the states pay them more so clinicians can get more, but it means that individual practitioners almost de facto have to be private pay, because they're going to get worse insurance rates, and they're not going to be able to really compete, certainly not in advertising dollars, or whatever. And we have a whole episode on this, but they're not able to compete with a gigantic quote unquote, tech solutions and or group practices. And so I think, I think it's something where there is a lot to consider here. I think there's going to be a lot of conversations that we want to have related to the disruptors, the tech disruptors in the space, who are the good ones, who are the ones that are challenging, and potentially hurting our profession? How do we, you know, step into this and, and take ownership of this space because, you know, there is so much and and potentially these these compacts allow for us to compete at this level. Or it may make it harder and I guess that's to be seen, I really think.   Curt Widhalm  34:14 Giving over the power, giving over the insurance contracts to publicly traded corporations means decisions get made quarter by quarter based on profits. And that is not what the healthcare system should be. We're kind of in a space where some people are able to compete against that but so many more episodes to be done on this. We will include some links to some stuff in our show notes. You can find those over at mtsgpodcast.com. You can bring up your concerns or tell us why you think that I am wrong on our social media.   Katie Vernoy  34:54 Or I'm wrong. I we've got a lot that we said here. So definitely join us over at the Facebook Group, tell us what we're what we missed, because we certainly missed a lot, I'm sure.   Curt Widhalm  35:04 And until next time, I'm Curt Widhalm with Katie Vernoy.   Katie Vernoy  35:08 Thanks again to our sponsor, OOTify.   Curt Widhalm  35:10 “OOT” or “uth” (उठ) means “lift up” in the Hindi language. OOTify is a digital health solution that acts as an evidence based hub to unify relevant mental health resources. Community connection and collaboration are critical to OOTify. As they lift the mental health care system, they ensure providers are part of the process. OOTify is a platform for providers built by providers and owned by providers. OOTify is in the process of lifting up mental health care while lifting each other up.   OOTify  35:43 We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're gonna go through trials and tribulations. But if we can work on our mental health proactively our wellness, we can handle all that as a community and come together, people are more open to talk about these stories and say, Hey, listen, I'm going through this too. Do you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the unified community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates.   Curt Widhalm  36:25 This episode is also brought to you by Turning Point.   Katie Vernoy  36:29 We wanted to tell you a little bit more about our sponsor Turning Point. Turning Point is a financial planning and coaching firm that helps therapists stop worrying about money. Dave, our good buddy over atTurning Point will help you navigate every aspect of your financial life from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed, and arrive at a place where you feel relief, validation, motivation and hope.   Curt Widhalm  37:00 And for listeners of MTSG you'll receive $200 off the price of any service. Just enter the promo code 'moderntherapist', be sure and visit turningpointhq.com and download the free white papers Seven Money Mindset Shifts to Reduce Financial Anxiety. That's turningpointhq.com   Announcer  37:18 Thank you for listening to The Modern Therapist's Survival Guide. Learn more about who we are and what we do at mtsgpodcast.com. You can also join us on Facebook and Twitter. And please don't forget to subscribe so you don't miss any of our episodes.

Clinical Considerations When Working with Asian Immigrants, Refugees, and Dreamers: An Interview with Soo Jin Lee Curt and Katie interview Soo Jin Lee, LMFT on the clinical implications of working with Asian American immigrants, refugees, and dreamers. We explore how best to assess these clients, specific clinical considerations related to the immigration experience (and legal status in the country), and ideas for working with these clients clinically. We also talk about the impact of societal views, media portrayals, and representation on AAPI clients. An Interview with Soo Jin Lee, LMFT Soo Jin Lee is a co-director of Yellow Chair Collective and co-founder of Entwine Community. She is a licensed marriage and family therapist in CA and has a special focus on training and consulting on Asian mental health related issues. She is passionate about assisting individuals find a sense of belonging and identity through reckoning of intersectional identity work and those that are navigating through difficult life changes.   In this podcast episode, we talk about what therapists should know about Asian American immigrants, refugees, and dreamers In preparation for Asian American Pacific Islander Heritage month, we wanted to dig more deeply into specific issues relevant to the AAPI community that are often not discussed in grad school or therapist training programs. What assessment questions should be included for AAPI immigrant clients? How to assess and ask about the immigration story (including about whether someone is documented or undocumented) The assumption of citizenship status during the assessment Exploration of cultural values and family dynamics The definitions for refugee, asylum seekers, immigrant, undocumented immigrant, dreamer Looking at reasons behind coming to the United States as well as legal status in the country   What is the impact of societal views and media portrayals of Asians on AAPI clients? The common stereotypes and the gap in the representation in the Asian diaspora The typical portrayal of undocumented immigrants from Latin America, Mexico, etc. Lack of representation in the media of the broad experience of being an undocumented immigrant or refugee The misrepresentation of families being all documented or undocumented (it's actually a mix of statuses) Language, cultural and values differences between the generations   What are the unique clinical issues for refugees and undocumented immigrants? “We call ourselves dreamers, but at the same time the dreams tend to be a lot smaller or not attainable because there are also educational barriers and there are financial barriers as well.” – Soo Jin Lee, LMFT The uncertainty of staying in the country The hidden traumas and the fear of being kicked out The lack of planning for the future Education and financial barriers to pursuing the future Trauma and PTSD are key elements, but sharing the story means that their survival is at risk   How do therapists more effectively work with refugees and undocumented immigrants in therapy? “Provide a safe enough space and perhaps a more creative space, so that the story, the entirety of their journey, does not have to be nitpicked and talked about in a verbal manner. Are there modalities that you can adapt as a therapist, that they can go through in their mind, in a story book, in an art format, or any other way… that they can tell their story without being asked and interrogated about their story?” – Soo Jin Lee, LMFT The fear and risk involved in disclosure and the challenge of talking about identity Exploring their story creatively, without nitpicking or having to interrogate or make them verbalize their story The importance of building trust and building a safe space within therapy Bringing the mainstream media into the session Addressing fear and decision-making Soo Jin Lee's healing journey to become a therapist and advice for other dreamers   Our Generous Sponsors for this episode of the Modern Therapist's Survival Guide: Turning Point Financial Life Planning Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. Turning Point is a financial planning & coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life - from practice financials and personal budgeting to investing, taxes and student loans. He'll help you move through that feeling of being stuck, frustrated and overwhelmed... And arrive at a place where you feel relief, validation, motivation and hope. And for listeners of MTSG, you'll receive $200 off the price of any service. Just enter promo code Modern Therapist. Be sure and visit turningpointHQ.com and download the free whitepaper “7 Money Mindset Shifts to Reduce Financial Anxiety”   OOTify OOTify. "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence-based hub to unify relevant mental health resources. Community, Connection, and Collaboration are critical to OOTIFY.  As they lift the mental healthcare system, they ensure providers are part of the process. OOTIFY is a platform for providers, built by providers, and owned by providers. OOTIFY is the process of lifting up mental healthcare, while lifting each other up. We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're going to go through trials and tribulations. But if we can work on our mental health, proactively, our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, “Hey, listen, I'm going through this too.” Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates. Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Yellow Chair Collective Yellow Chair Collective on Instagram Asian American Experience Support Group   Relevant Episodes of MTSG Podcast: Asian American Mental Health: An interview with Linda Yoon, LCSW Let's Talk About Race Again: An interview with Yin Li, LMFT Therapy with an Accent: An interview with Nam Rindani, LMFT Invisible and Scrutinized: An interview with Dr. Sheila Modir Therapy for Intercountry Transracial Adoptees: An interview with Moses Farrow, LMFT     Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   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/   Transcript for this episode of the Modern Therapist's Survival Guide podcast (Autogenerated):   Curt Widhalm  00:00 This episode of Modern Therapist's Survival Guide is brought to you by Turning Point.   Katie Vernoy  00:04 Turning Point Financial Life Planning helps therapists stop worrying about money. Confidently navigate every aspect of your financial life from practice financials and personal budgeting to investing taxes and student loans.   Curt Widhalm  00:17 Visit turningpointhq.com to learn more and enter the promo code "moderntherapist" for $200 off any service.   Katie Vernoy  00:25 This episode is also brought to you by OOTify.   Curt Widhalm  00:28 OOTify is an immersive digital mental health ecosystem. It's designed to help minimize the fragmentation, trial and error, and overwhelmed felt by both patients and providers in the process of giving and receiving care. OOTify is the process of lifting up mental health care while lifting each other up.   Katie Vernoy  00:45 Listen at the end of the episode for more information.   Announcer  00:48 You're listening to The Modern Therapist's Survival Guide, where therapists live, breathe, and practice as human beings. To support you as a whole person and a therapist, here are your hosts, Curt Widhalm, and Katie Vernoy.   Curt Widhalm  01:04 Welcome back modern therapists, this is The Modern Therapist's Survival Guide. I'm Curt Widhalm with Katie Vernoy and this is the podcast for therapists about the things that we do, the things that we should be aware of in helping our clients and making the therapy a better place. And we are joined today by Soo Jin Lee, LMFT, and director of the Yellow Chair Collective, and wanting to have a really good conversation today about working with immigrants and refugees. Particularly, we're going to focus this episode around working with Asian clients, Asian immigrants and refugees, some of the considerations that we should have and how this fits within kind of the broader discussions around immigrants. And we're working with these kinds of clients that we've either ignored or not really had a great conversation about. So welcome to the podcasts. Thanks for joining us.   Soo Jin Lee  02:05 Thank you for having me.   Katie Vernoy  02:06 We are so excited to have you here and have this conversation. You and I met like almost probably a year ago and talked about this. And so I'm so glad we were able to make this happen. The first question we ask everyone is who are you? And what are you putting out into the world?   Soo Jin Lee  02:23 Yeah. So as Curt introduced, my name is Soo Jin Lee, I'm a licensed marriage and family therapist and the director here at Yellow Chair Collective. I guess a little bit about me outside of that is I myself am also an immigrant. So I am what's considered a 1.5 generation immigrant. And that just means that I came here at a very young age. I will also talk about this a little bit, I'm sure within this podcast, but I also grew up as an undocumented immigrant. And so those are aspects that I would love to introduce everyone to today.   Curt Widhalm  03:02 So we usually start with questions to help people in the learning process. This is not a shaming sort of question. This is a if we can prevent people from making the same mistakes that other people have made in the past. But what do therapists typically get wrong in working with immigrants and refugees?   Soo Jin Lee  03:22 Yeah, so one of the biggest things that come to mind for me is not having a proper assessment questions, or maybe even just having a lot of fear, general fear around asking clients about their immigration story. Right? When I say immigration story, I imagine that when people see me when I went to go see a therapist, my therapist also never bothered to ask me about my immigration story. So she'd never, in the span of two years, found out that I was an immigrant, and that even I was an undocumented immigrant, which speaks to a big chunk of my life, right. And so those are missing pieces, I think, in the therapy room, oftentimes, because those are not asked. So the therapists don't really get a full picture of a lot of immigrant and refugee experiences or the family of origin backgrounds. And I think this comes often for the case for a lot of mono lingual clinicians that are speaking English. And they find themselves sitting with a client that also speaks English very fluently. So then the assumption is that we're both American citizens sitting in the room together, right?   Curt Widhalm  04:46 There seems to be a lot of space for assumption in here and wondering if you could maybe give a little bit more guidance as far as like, on one hand, I don't want to assume that you're American by birth, but also don't want to assume that you're in immigrant just because you would appear different than a monolingual like clinician. I can see this potentially going both ways here and you have maybe a recommendation for people working with communities outside of their own backgrounds to maybe navigate that line a little bit.   Soo Jin Lee  05:20 Yeah, for sure. And I think one of the things that we'll go into detail about a little bit later is about how to frame and ask these questions. But I think the first thing is to quick get into the mindset of when you're assessing a client, just as much as you're asking them about their trauma history, that you get into the habit of asking about their cultural values and backgrounds and belief systems, which not only includes their immigration story, but it also includes their spiritual backgrounds as well.   Katie Vernoy  05:51 I would imagine that even just broadly asking about family and about cultural values, that that would be something that would organically come up. Is that your experience?   Soo Jin Lee  06:01 Exactly.   Katie Vernoy  06:01 Your immagration story?   Soo Jin Lee  06:02 Yeah, exactly. Right. And so when the therapist was asking me and I often are asking about family dynamic issues, or things that are impacting barriers that your parent and you are having, oftentimes, the immigration story is part of that if they are immigrants or refugees.   Katie Vernoy  06:23 It seems like there's a knowledge here that we need to have that we don't quite have yet. And so I want to ask more of a basic question, which is we're kind of using immigrant, refugee and undocumented immigrant, can you help us kind of make sure that we're all on the same page on those definitions?   Soo Jin Lee  06:40 Yes. So let's start by definitions, the fun stuff, right. All right. So I'm going to add another term to this conversation as well. Another definition as well. But first things, let's define refugees, right? This is a term that is being thrown around a lot on the news right now. So refugees are people who have fled their own country, because they are at the risk of serious human rights violation and persecution, from where they're residing, right. They're fleeing their country, they're fleeing their home. Okay, so those are widely known as refugees and can be defined as being refugees. Now, another term that I want to define that you didn't ask, is asylum seekers. And the reason why I want to do that is because on the news, they're also used, you know, interchangeably.   Katie Vernoy  07:34 Yeah.   Soo Jin Lee  07:34 Yeah. So asylum seekers are exactly the same, like a person that is leaving their country and seeking protection from persecution and serious human rights violations from their own country, but who haven't yet been legally recognized as a refugee, and they're waiting to receive the decisions for the claim of their asylum. Right? So there's kind of this legal status, that is the difference. So on the news, they're kind of thrown around, you know, interchangeably. But if a client is defining themselves to be either asylum seeker or refugee, that really speaks into kind of this political legal status of standing that they're in, in this country. So now we go into immigrants then. And immigrants, like I identified myself as an immigrant, right, are people that have made a conscious decision to leave their country, their home and to move to a foreign country and their intention of moving is to resettle there, right, to not go back home and relive there but to resettle into this new country. So we have a lot of immigrants in this country, right. A lot of people come from other places around the world and their intention and they make that decision very consciously. They plan for this immigration journey. And they intend on resettling here making this into their home, right. A lot of the reasons for resettling, a lot of people ask me this too like, what why do people want to live here? Why the United States? Some of them with a little bit of a snarky attitude, right, like why would anybody want to live here? Right. And there's a bunch of reasons. So I can't tell you exactly what those reasons are. And that's for you to find out with your client.   Katie Vernoy  09:37 Sure sure.   Soo Jin Lee  09:38  There are that immigrants if they're the refugees, and you know that these are two different kind of journey that they have gone through, if they're refugee, they've really left out of a need, while for immigrants to they do leave out of a need oftentimes, too. But for refugees, really they had no choice but to leave. But for most of the times, a lot of immigrants did would have the choice to leave. Now I'm gonna add to that just a little bit. Because for me, as I've introduced myself, it was kind of a unique, where I didn't really get a choice to leave, but I am still an immigrant too, right. And so an undocumented immigrant are people who are born in another country, but have no legal status in the United States. You know, it's funny, because as I was kind of preparing this, and I was trying to think about how to define these kinds of terms, I read an article that was defining undocumented immigrants as foreign born person who does not have legal rights to remain in the United States. Right. And so when I saw this definition, I felt like, wow, this is perfect portrayal of how many Americans think about undocumented immigrants, right, that they don't have any rights to be here.   Katie Vernoy  11:03 Hmm, interesting. Yeah.   Soo Jin Lee  11:07 So my definition is that I just don't have or had in the past, a legal status here, a document that tells me my identity as anything here in the United States.   Curt Widhalm  11:20 You're talking about dreamers. Right.   Soo Jin Lee  11:22 So dreamers? Well, I do identify as dreamers, but undocumented immigrants or anyone that does not have any legal status in the United States.   Curt Widhalm  11:32 Okay.   Soo Jin Lee  11:33 Yeah, dreamers, I identify as dreamers. And that's another term where they came so with their parents, as young children in the United States, and became undocumented through that journey, right.   Curt Widhalm  11:49 Okay.   Soo Jin Lee  11:49 So an example of that is, and you can add this too. So the reason why I was undocumented is because my parents came here with a ToR visa, a visitor's visa. So a visitor's visa in the United States from where I'm from, allows you to stay in the United States for up to six months. Their intention was to overstay the visa and resettle here. But they could not find any other way of staying in the United States. Without having found a job in the six months of visiting the country, right, which they really couldn't, they couldn't find a right sponsor and the job. So then, during the time that my parents were looking for a job that would sponsor them to become residents, we all became undocumented. And then, during the time, where that sponsorship, was gained and lost, and this whole process of becoming a resident, I ended up becoming 21 years of age and older, which meant that my parents were able to gain their residency status, where I had to now be an adult here by myself, applying to become a resident. So that defined me to be a dreamer. Dreamers are under this umbrella of undocumented immigrants.   Curt Widhalm  13:22 So depending on the mainstream news source that people watch, there's some different portrayals of people. And I think that that has created an overarching narrative around some of these terms, and especially around you know, as you're describing undocumented, and refugees, and I don't know that the media necessarily separates them as well as you do here. Katie, and I is born and bred, people from America, we have a different perspective on how the media portrays immigrants. How are from your side of things, how are Asian immigrants portrayed? And what does that impact like?   Soo Jin Lee  14:04 Yeah, that's a really good question. So Asian Americans in general, right, whether they are immigrants, whether they're refugees, whether they're undocumented, or and all of these terms, whether they were born here, or whether even they might be fourth or fifth, sixth generation Americans, they're all portrayed into this box. And often this box is painted as Asians with lighter skin color, often East Asians, and often a lot more recently, too, as wealthy or quote unquote, Crazy Rich, right? They're often portrayed to be smart, law abiding, but not yet citizens. They're still foreigners, but they are law abiding right? So there's this huge gap of representation in the Asian diaspora. So geographically, Middle East, Southeast Asians are still part of Asia too. Right. But in the United States, it really seems that how Asian and Asian Americans are displayed is really just one way in one picture. And I fall under that category to as Korean American as East Asian, often I find myself seeing people that look like me have my colored skin being displayed on the media. But yeah, they don't really have the full scale of experience that I carry, right. They're usually very wealthy, I have no idea what they, how those people got their wealth. But often, right, that those are the stories that are being told. And none of the other stories get to be represented in the media.   Katie Vernoy  16:02 Or it seems like if they're represented in the media, there is this kind of sinister tone to it. And there's kind of a negative portrayal. And so I guess the question I have we've, we've had some of this conversation before, we've talked a few times about the model minority myth, we've talked about kind of some of the representations in the media, but but like, holding this conversation into immigrants, refugees, and undocumented immigrants, it seems like that experience is a bit different than the folks that are fourth, fifth generation, those types of things. Because I think there's, there's something that we're missing, when we don't have that full perspective. So maybe speaking into that would be helpful for our audience today. And we'll link to the other episodes in the show notes so people can dig deeper into kind of the broader topic of AAPI mental health.   Soo Jin Lee  16:52 Yeah, for sure. And so going off of that a little bit. So then when you think of undocumented immigrants, right, oftentimes, there is absolutely no portrayal or representation of Asian immigrants in that picture in that light at all. Right? Oftentimes, you are seeing on the news of people from Mexico or Latin America, Central America that are crossing the border, or they're criminals, or they are portrayed to be drug dealers, and undocumented immigrants, for a lot of them, although around half of them are from either Mexico or Latin America. A lot of the other half are from all other parts of the world, and a big chunk of that are Asians. And yet, we're not being displayed in that way. Right? We don't We are not represented in that manner.   Curt Widhalm  17:50 What's the impact on people growing up without that representation?   Soo Jin Lee  17:55 A lot of the things the, I guess, the commonly shared concerns that undocumented immigrants and refugees have, first of all, most of the immigrants and refugee families when we also think about them, it's that family unit that we think are all immigrants, or refugees, right? Because that's also portrayed in the media, like all the families are coming together to have this survival. But in the United States, most immigrants and refugee families are what we like to call a mix immigration status. Right. So one of the examples of that is, of course, what I've mentioned, right, where my parents became president, and then now citizens were I wasn't able to I was undocumented. Right. So there's this mix immigration status within one family unit. So I read that about two thirds of children of undocumented parents, right. Have US foreign citizen, kids. So then they also have a lot of this, you know, mixed status within families. Right. And then there's also children, like me, who move to the country at a young age and then stay undocumented. And then their parents got status. So there's a lot, right. Commonly shared concern that this family unit can have is this gap, right? between parents and children. There's a huge gap of sometimes language barrier, but cultural barrier and value barriers to an understanding each other. And so these are things that a lot of our clients, my own clients are bringing to the table of being able to kind of discuss, hey, here's my identity as this one person And my parents do not share that identity in a similar manner, or their struggles are looks so different from me. And yet I'm trying to figure out how to connect with them, and connect with myself and connect with the community. And so these are very, very common struggles that I hear.   Katie Vernoy  20:20 I'm thinking that you have two clients, similar age, potentially similar heritage, you know, let's say both are Korean American, and one is a refugee and one or, or an undocumented intergroup immigrant. And you can decide which one is more relevant here. And one is fourth or fifth generation. I may make assumptions if I don't understand the different stories, but But what might be the nuance there of what I need to be aware of for this client that has either refugee undocumented immigrant status, like what what what are the things that are important for me to be aware of separate from kind of the experience as an Asian American, or Korean American in the United States?   Soo Jin Lee  21:02 Yeah. So as undocumented or refugee immigrant, that daily struggles of unhidden trauma that they endure, can look really different. If you can imagine, if you're an undocumented immigrant in the United States, you always can be thrown out of your home at any time of the day, they literally come to your door, say pack up your things, and then you're headed to the jail, where then you will wait to be sent to the airport, and then out of here. For a lot of undocumented immigrants like me, who consider themselves to be dreamers, this is our home. This is where we grew up, we have no other home, we have, oftentimes, the dreamers may not even speak the language of their parents origin or where they come from themselves, right? So then there's this continual fear of is this going to be it. So a lot of times, you'll find that we call them dreamers, we call ourselves dreamers. But at the same time, the dreams tend to be a lot smaller or not attainable, because there's also educational barriers. And there's financial barriers to right. Undocumented immigrants also suffer from the fact that after you graduate from high school, you may not be able to go to college, because oftentimes, undocumented immigrants need to go through this whole other other paperwork in order for them to be admitted, and pay for the tuition. And out of college, if they do get through college, then how to find a job, right. Without documentation, oftentimes, they are unable to find employment, or when they do, it's what's called, you know, under the table, pay, right? So then this whole question of what is my future going to look like? I want to become this or that I want to be an engineer, just like everyone else. And I'm told that in America, that we can fulfill this dream, right? I'm told I can be anything. Except I'm not an American. So that dream is not really applicable to me. Right? What I have to think about is, what I'm, what am I going to do to survive here? What am I going to do to obtain status here so that that dream can come true? Right, so this extra barrier, extra concern, extra fear, that is always in the back of their minds.   Curt Widhalm  23:48 What do you recommend for therapists to do to work with this? I mean, there seems to be such great existential exploration here. But a lot of existential stuff can kind of come with the, at least the traditional ways that it seems to be taught comes with the security of at least you have this time in this space that is going to be yours. But what do you recommend therapists do in working with clients presenting with kind of this fear that's kind of constantly always sitting there?   Soo Jin Lee  24:20 Yeah, so I think for a lot of therapists, you're pretty familiar with being able to work with trauma, and being familiar with working with PTSD. And so the first thing that I do want to note is for a lot of undocumented immigrants and for refugees, sharing the story oftentimes meant that they their survival was at risk. And it speaks true still for undocumented immigrants that are living here, right. For refugees, that might mean that back home that that was the case, if they identify themselves in a certain way or if they find And if people find out or the government finds out about their their identity, their status, then they might be murdered, right? For undocumented immigrants here, if their undocumented status becomes known to the public known to the government, anybody reports them, or anything like that, there's always the fear that now my home is going to be taken away, my everything will be taken away, right. So there's always that fear. So being able to come to therapy, and to be asked to speak on your identity, to speak on your journey is quite a huge gap of what's being told for you to do on a survival basis. Right. And to get to that story, I think, takes a long time of building rapport. And, of course, that is the basic of all therapy. But really, though, to treat it, treat it very carefully, and being able to provide a safe enough space, and perhaps a more creative space. So that perhaps the story, the entirety of their journey, does not have to be nitpicked and talked about in a verbal manner, right? Are there modalities that you can adapt as a therapist, that they can go through in their mind, in a storybook, in an art format, or any other way in a motion format, right? That they can tell their story, without having to be asked and interrogated about their story.   Katie Vernoy  26:39 I feel like I want to know more about what you're describing here. Because this I think I'm understanding but I don't want to make, I want to make sure I'm not making assumptions. So you're talking about putting creative methods forward.   Soo Jin Lee  26:53 Yeah.   Katie Vernoy  26:54 Tell me more. I'm still kind of trying to sort this out.   Soo Jin Lee  26:56 Okay. I don't know. So, I really love utilizing EMDR as part of my practice. And I know brainspotting can be another another one that goes off of EMDR. Because it utilizes the body, and it goes through the journey of people's trauma without having to verbalize it. I think that's a perfect example of how people can go through processing their fear and trauma responses, without having to tell me about it.   Katie Vernoy  27:29 That makes sense. Thank you.   Soo Jin Lee  27:32 Yeah. Another thing EMDR is definitely not for everyone. And it may not be very acceptable for some of my clients too, especially some of the older older folks. They really don't like having to move their eyes or, you know, they they really don't understand, like, Why Why am I keep tapping myself. So, so then I introduce just another format of like, being able to draw out their story. So literally trying it out, like is there a color that represents how you're feeling is there, or a rock or any item on your on your table that you want to tell me about? Right, that speaks to your culture, that speaks to your value. So then we're talking about this headband, that's sitting on their table, we're talking about sensory oriented things, too. We talk about the weather a lot, actually, as a way to imagine and use imagery of going back into their place of origin. Because weather exists everywhere, it's a common thing that we are experiencing. And we are using our sensories to connect with it all the time, connect with ourselves, and our sense of belonging in the world is oftentimes through temperature through weather through the humidity in the air. So then we talk about that, and we talk about in comparison to how it was back in your country as well, right. And so then that brings about a little bit of healing in a way I get to explore, I get to talk about my other self, or my other parts that I was told that I have to be hiding. And I get to bring that in here without being interrogated.   Curt Widhalm  29:25 And like you said earlier, this for clinicians who are coming from different backgrounds takes a lot of time to develop that trust and that ability to create and honor the space and the stories of people being able to tell them in their own ways. You know, one of the things and this is totally not on our list of questions, but one of the things that I've seen a lot of excitement about is even just kind of the positive representations of like the movie Turning Red coming out that has really opened up a lot of these stories and opportunities to talk about things in ways that haven't necessarily been so mainstream that clients, clinicians are really resonating with as an opportunity to say, oh, yeah, this is this is now something that allows for me to connect to this in a way that you might not have understood before.   Soo Jin Lee  30:22 Yes. What is the question in that?   Curt Widhalm  30:25 There is not a question.   Soo Jin Lee  30:30 Okay, yes, for sure. I think if I were to kind of just add to that, yeah. For a lot of clinicians, you can do a lot of research now, on looking at these shows, and being able to bring that into the therapy room, I think being able to talk about some of the mainstream media, that is how they are portraying certain cultures, and how clients they resonate with that or not resonate with that, what the differences are, what were you drawn to, what emotions came out of you from that watching that? Those are really good conversations to have about their family immigration journey, or they're just their own understanding of their, their own cultural backgrounds.   Katie Vernoy  31:14 I want to address a couple of things. I know, we don't have a lot of time, but I want to address a couple of things that you've talked about, because I think they're just so visceral to me. And I think that that element of fear, and dreams are small, and some of these ideas around when you have either an undocumented status, or if your refugee status maybe is at risk, depending on I know, there's a lot of different ways that folks are able to seek refugee status. And I know that there's some folks that have to keep reupping it every, you know, whatever, few years, those types of things. And I think it can be extremely hard to build a life when you don't know if the future is what the future holds. And so maybe a little bit more into that topic, because there's the trauma, of course, and I love how you talked about kind of assessing that and being able to heal that. But I'm a practical person, I'm like, Okay, well, part of our mental health is being able to set a course for our lives and be able to do some of these things. And I know that just doesn't sound like it's completely possible. So maybe if you can talk a little bit about how you walk in that space of finding mental health and wellness, while also knowing that these fears are completely justified. And this temporary status is something that that really does impact folks on a day to day basis.   Soo Jin Lee  32:41 Yeah. So when we talk about how fear interrupts their day to day basis, then we're getting into more of the behavior and the cognition of what what it looks like on their day to day and how it impacts their day to day, right. So if the client is interested in working through their decision making, because the fear is getting in the way of making certain decisions of, for example, let's say should I even accept this college? Because I'm not even sure if I'm going to continue into graduation? Why bother? Right? Now, that's a mindset and a cognition, and that belief system that we can work through, within whatever, you know, therapists modality of choice in order for them to achieve the whatever it is that the client wants to achieve. Is it that they really want to go into college, but the fear is getting getting in the way, right. Another thing, I think, on a very practical level, is just the level of anxiety and the threshold that they're living with on a day to day basis. So then the fear response, and the trauma response comes out in a way where it's oftentimes is insomnia, within their relationships. Right. So those are things that I think, as mental wellness practitioners can really provide the tools for, right on a day to day basis of like, okay, what are you eating? What, how are you sleeping? And are these things that we really should be concerned about? Right.   Katie Vernoy  34:15 And just the the final question that I have is, is about, you're walking this journey yourself. And so I'm thinking about our audience members, who are also undocumented immigrants or folks who are in this space and you've accomplished becoming a therapist and doing those things, but it seems like it's something where there would be some additional things for our health, mental health providers who are in these spaces to be able to take care of themselves and to think about their journey as a therapist. And so kind of the survivor guide element for our our therapists who are, are grappling with being undocumented or being a dreamer.   Soo Jin Lee  34:56 For me, I think I and everyone has their story of why they became a therapist. For me, I became a therapist because of my immigration journey. And that practice of finding myself, my story, my voice, and how to even understand that was the healing journey for me. And I found that through working with others that were telling about their story and was willing to open up their lives, their emotions, their family dynamic issues with me, I think. So oftentimes people find understanding, through relating their stories with others. The theme of what we're talking about today is how we're not being represented enough, that we're not being seen enough, we're not being heard enough, right? In all these different aspects of layers, in the media, in the government, through this whole legal journey. So I think what I want to say is, finding myself was the most healing thing that I could have done for my community at the end.   Katie Vernoy  36:28 I love that.   Curt Widhalm  36:30 Where can people find out more about you and the work that you're doing?   Soo Jin Lee  36:34 So you can find us at yellowchaircollective.com and on Instagram at YellowTreeCollective. We provide individual, family, couples therapy services. But the unique thing that I think we're providing is the cultural specific identity issues. And the support groups that built around those issues. Right, we have a support group, just called the Asian American Experience support group. And although we wanted to make it a little bit of a therapy group, where people can be doing doing a lot of processing, which we do, but we call that a support group, because we realized that a lot of people outside of California were in need of mental health support and community spaces that they couldn't find it within their own states. So that we expanded it to be a support group. That way anyone in the United States can find us and sit in this online space, and hear other people's stories like and connect and relate and find healing and that   Curt Widhalm  37:48 We will include links to all of that in our show notes. You can find those over at mtsgpodcast.com. And follow us on our social media, join our Facebook group, The Modern Therapist group. And let us know your reactions to this episode as well as, especially if you are a therapist with a similar story around being a refugee, immigrant. we would love to continue to elevate voices in our community around that. And until next time, I'm Curt Widhalm with Katie Vernoy and Soo Jin Lee.   Katie Vernoy  38:26 Thanks again to our sponsor, Turning Point.   Curt Widhalm  38:29 Wanted to tell you a little bit more about our sponsor Turning Point. Turning Point is a financial planning and coaching firm that helps therapists stop worrying about money. Dave at Turning Point will help you navigate every aspect of your financial life from practice financials and personal budgeting to investing taxes and student loans. He will help you move through that feeling of being stuck, frustrated and overwhelmed and arrive at a place where you feel relief, validation, motivation and hope.   Katie Vernoy  38:58 And for listeners of The Modern Therapist's Survival Guide. You'll receive $200 off the price of any service. Just enter promo code 'moderntherapist' and be sure and visit turningpointhq.com and download the free white paper Seven Money Mindset Shifts to Reduce Financial Anxiety. Thanks again to Turning Point.   Curt Widhalm  39:18 This episode is also brought to you by OOTify.   Katie Vernoy  39:22 "OOT" or "uth" (उठ) means "lift up" in the Hindi language. OOTify is a digital health solution that acts as an evidence based hub to unify relevant mental health resources. Community connection and collaboration are critical to OOTify as they lift the mental health care system. They ensure providers are part of the process. OOTify is a platform for providers built by providers and owned by providers. OOTify is a process of lifting up mental health care while lifting each other up.   OOTify  39:54 We need to talk about our mental health. We need to make our mental health stronger so we can withstand the things that happen in our life. We're gonna go through trials and tribulations. But if we can work on our mental health, proactively our wellness, we can handle all that as a community and come together. People are more open to talk about these stories and say, Hey, listen, I'm going through this too. Do be you want to be a part of the solution by joining a new web three community focused on mental health and wellness? Join the OOTify community as an investor or mental health provider by visiting ootify.com/contact. You can also give us a follow on social media to stay tuned on exciting updates.   Announcer  40:35 Thank you for listening to The Modern Therapist's Survival Guide. Learn more about who we are and what we do at mtsgpodcast.com. You can also join us on Facebook and Twitter. And please don't forget to subscribe so you don't miss any of our episodes.