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

Curt Widhalm, LMFT and Katie Vernoy, LMFT
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Jun 13, 2022 • 36min

Portrayals of Mental Health and Therapy in the Media: An Interview with Danah Davis Williams, LMFT

Portrayals of Mental Health and Therapy in the Media: An Interview with Danah Davis Williams, LMFTCurt and Katie interview Danah Davis Williams, LMFT on the portrayals of mental health and therapy in the media. We explore responsible portrayals as well as the harmful practices that some writers and studios engage in. We also talk about the opportunities for modern therapists to have an impact on how diagnoses and mental health treatment are represented on film and television.Transcripts for this episode will be available at mtsgpodcast.com!An Interview with Danah Davis Williams, LMFTDanah Davis Williams is a Licensed Psychotherapist, an Actor, a Psychological Creative Consultant, a Podcast Host and current Past President of the California Association of Marriage and Family Therapists (CAMFT).As a therapist, Danah is in private practice in Santa Barbara, California (California Coastal Counseling) where she specializes in helping people break destructive patterns of coping through the use of practical, evidenced-based coping skills and personal process. She is extensively trained in Dialectical Behavior Therapy (DBT) and Cognitive Behavior Therapy (CBT).As a consultant, Danah provides personalized psychological consultation for filmmakers, executives and creatives committed to socially responsible, captivating storytelling through authentic characterization of mental health, its treatment and interpersonal impact. She runs a psychological consulting business helping entertainment industry leaders ensure accurate representation of mental health: working with filmmakers, writers, execs, and high-profile actors from networks like FX, CBS, ABC, NBC, Freeform and MGM.What does the media get wrong when portraying mental health and therapy? Inaccurate portrayals of diagnoses Manipulative or unethical therapists The problems with “guilty pleasures” that include inaccurate or harmful portrayals The opportunities for therapists to be creators and consultants Translating clinical work into consulting and creating Vulnerability when sharing journey as a therapist Using skills from practice building to create opportunities as a creator The process of consultation for scripts and what to consider when providing feedback Ethical thoughts related to representations How to build a network and consulting business How the storytellers look at mental health and healing The silver bullet that “heals” the client Inaccurate portrayals of therapy or healing and the impact on clients Ethics to consider (especially given you’re not acting within your profession with an ethical code) The challenges of unscripted shows Shows that get it right when it comes to mental health and treatment This is us – Toby Comprehensive and realistic, tapping into lived experience within actors and/or writers The attempts to portray diversity and the experience of marginalized communities and their interaction in the mental health system Diversifying Media and the Portrayals of Mental Health and Therapy Ava Duvernay’s Array program Michael B Jordan hiring students and mentoring the next generation Decreasing stigma for folks who have not typically sought mental health services How to advocate for accurate mental health portrayals in the media Calling things out on social media that are good and things that are done poorly (or are harmful) Content creation about shows you watch (like blogs, articles, etc.) Discussing content in sessions to help process what folks are viewing or their own experience Not watching or purchasing tickets to content that is harmful (not reinforcing “guilty pleasures”)
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Jun 6, 2022 • 31min

Beware of Scams Targeting Therapists

Beware of Scams Targeting TherapistsCurt and Katie discuss common scams that specifically target therapists. We look at how to identify scams or sketchy business practices that can be very confusing as well as dangerous to clinicians. We also talk about how to protect yourself as well as solid business practices that you can implement to stave off some of these scammers. Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we talk about scams that target therapistsWe have heard about a lot of scams in our careers. We figured it was time to do another “survival guide” episode on how to protect ourselves as therapists.What are the most common scams targeting therapists? Information used from popular therapist directories Claiming to be a law enforcement professional, missed court date, or the IRS Image copyright infringement Businesses that target you to charge them for things that are free or with another company Clients or people seeking therapy for family members and then overpay and ask for a refund Text messages or emails with unsolicited links that can leave malware on your computer Phishing schemes Testing stolen credit cards or stolen identities How can modern therapists protect ourselves from these scams? Get into wise mind (avoid responding to false urgency) Go through official channels (contact actual officials) Contact an attorney if unsure Understand how legal notices are properly delivered Caution with financial systems and not allowing people to pay upfront Requiring person seeking services to contact therapist Cyber security trainings Communicating appropriately and consistently Holding to systems and boundaries Make sure to share these scams with professional organizations, the official entity, or your licensing board 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! Abundance Practice Building Article on Copyright InfringementFrom Joe Borders: Currently Active Scams Targeting Therapists From APA: Protect your practice from scams targeting psychologists From APA: More reports surface of telephone scammers targeting psychologists From the SF Chronicle: ‘He held me hostage with no gun but with his words’: The phone scam gaslighting therapists From Counseling Today: Technology Tutor: Scams aimed at counselors From Psych Today: The Phone Scam That Targets Psychologists From CPH & Associates: Scam Targeting Therapists: What You Need to Know From 10News.Com: The jury duty scam you should know about
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May 30, 2022 • 1h 17min

Beyond Reimagination: Improving your client outcomes by understanding what big tech is doing right (and wrong) with mental health apps

Beyond Reimagination: Improving your client outcomes by understanding what big tech is doing right (and wrong) with mental health appsCurt 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.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 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?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 Receive Continuing Education for this Episode of the Modern Therapist’s Survival GuideHey 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 learn.moderntherapistcommunity.com/pages/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://learn.moderntherapistcommunity.com/pages/podcourseContinuing 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
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May 23, 2022 • 40min

The Risks and Consequences of Failing to Report Child Abuse

The Risks and Consequences of Failing to Report Child AbuseCurt 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 reportingWe 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? 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? 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 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 killingRelevant 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
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May 16, 2022 • 38min

Should Therapists Correct Clients?

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 inappropriateWe 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 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 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   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
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May 9, 2022 • 38min

Is the Counseling Compact Good for Therapists?

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 PsypactThe 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 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 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) 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 CompactPsypactVery Bad Therapy PodcastRelevant 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 
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May 2, 2022 • 41min

Clinical Considerations When Working with Asian Immigrants, Refugees, and Dreamers: An Interview with Soo Jin Lee

Clinical Considerations When Working with Asian Immigrants, Refugees, and Dreamers: An Interview with Soo Jin LeeCurt 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, LMFTSoo 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 dreamersIn 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? 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? 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 
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Apr 25, 2022 • 35min

Reflections on Content Creation and the Therapy Profession

Reflections on Content Creation and the Therapy ProfessionCurt and Katie chat about our principles and philosophies as they relate to the work we do, including podcast creation. We also reflect on the feedback we’ve received on episodes with large listenership as well as other typical responses we get to the work we do. Considering content creation as part of your business? This isn’t a how-to, but it certainly can give you things to consider before you dive in.In this podcast episode we talk about how we put together the podcastWe’ve received a lot of feedback recently about our episodes and we wanted to talk about how we make decisions on what we talk about, who we interview, whether we call folks out on the podcast, and how we edit the episodes.Our Philosophy and Principles for creating content for the Modern Therapist’s Survival Guide How to navigate the career as is (tools and strategies to survive in this field) The importance of advocacy in moving forward with our field How to strategically time advocacy for best effect How we take in feedback and respond Responding to Feedback from our Audience on our “What’s New in the DSM-5-TR?” Episode The concern about the Autism diagnosis changes Whether we should have called out Dr. Michael B. First and the impressions of what was said Grappling with the tension between protecting our audience and getting our guests on record and/or advocating for change in the larger systems How people can impact what becomes DSM 6 (and the efforts we are advocating for) The feedback we received and how we sort through it and improve The limits of our capacity Our plans for additional interviews to address the changes A Broader View of the Feedback We Receive on the Modern Therapist’s Survival Guide Podcast The depth of the conversation and our ability to deepen conversations with additional episodes Audience members anchoring on the title or episode artwork and not looking at the whole episode when pieces of the content resonate in a different way Our Plan Going Forward with the Podcast Advocacy, information, and focus on the profession Not as much of a focus on business building, money mindset, and side hustles Real conversations about the realities of working in this profession Working to leave the profession better than we find it  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!The Therapy Reimagined MissionOur PatreonBuy Me A CoffeeRelevant Episodes of MTSG Podcast: What’s New in the DSM-5-TR? A Living Wage for Prelicensees Mission Driven Work Therapists are Not Robots Why You Shouldn’t Sell Out to Better Help Advocacy in the Wake of Looming Healthcare Shortages
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Apr 18, 2022 • 43min

What is Eco Anxiety? An Interview with Dr. Thomas Doherty

What is Eco Anxiety? An Interview with Dr. Thomas DohertyCurt and Katie interview Dr. Thomas Doherty about Eco Anxiety. We look at the history of eco anxiety, what therapists should know about the environment, the concept of environmental identity, and how we can support clients with Eco Anxiety in therapy. We look at ways to bring these topics up with our clients as well as empower them to take action.An Interview with Dr. Thomas J. DohertyThomas is a clinical and environmental psychologist based in Portland, Oregon, USA. His multiple publications on nature and mental health include the groundbreaking paper “The Psychological Impacts of Global Climate Change,” co-authored by Susan Clayton, cited over 700 times. Thomas is a fellow of the American Psychological Association (APA), Past President of the Society for Environmental, Population and Conservation Psychology, and Founding Editor of the academic journal Ecopsychology. Thomas was a member of the APA’s first Task Force on Global Climate Change and founded one of the first environmentally-focused certificate programs for mental health counselors in the US at Lewis & Clark Graduate School. Thomas is originally from Buffalo, New York.In this podcast episode we talk about what therapists should know about Eco AnxietyIn preparation for Earth Day, we wanted to understand more about Eco Anxiety and what therapists can do to support our clients and the planet.What is Eco Anxiety? The history of Eco Anxiety, including worry about the use of chemicals, climate change The importance of words, personal experiences, how the client sees the world The diagnoses that align with this area, the types of impacts on clients What Should Therapists Know About the Environment? Resources related to climate change How to explore Environmental Identity Understand our own Environmental Identity The 3 basic psychological impacts from the environment (disaster, chronic, or ambient) The benefits of nature and how people in all environments can access them What is your Environmental Identity? Relationship to the natural world Significant experiences in the outdoors The nuance of bringing these ideas up in Urban areas What “nature” means to each of us How Can We Support Clients with Eco Anxiety in Therapy? Understanding the basics on the environment and climate change Building capacity to be with these issues Reeling in the anxiety, imagination Understanding the waves of emotions and completing the anxiety cycle Giving clients permission to talk about the environment and how to open up the conversations Coping strategies specific to Eco Anxiety Suggestions for activism and what clients can do to improve the environment Helping clients to identify if they are doing enough Where to find resources on environmental efforts How therapists can employ climate awareness in their practices 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! Dr. Thomas Doherty's Practice Sustainable SelfClimate Change and Happiness PodcastDr. Thomas Doherty’s Consultation and Training Program on the Environment The Psychological Impacts of Global Climate Change by Thomas J. Doherty and Susan Clayton NY Times: Climate Change Enters the Therapy RoomClimate Psychology AllianceProject Draw DownRelevant Episodes of MTSG Podcast: What’s New in the DSM-5-TR with Dr. Michael B. First What You Should Know About Walk and Talk Therapy part 1 What You Should Know About Walk and Talk Therapy part 2 (Law and Ethics) Shared Traumatic Experiences
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Apr 11, 2022 • 36min

Therapists Are Not Robots: How We Can Show Humanity in the Room

Therapists Are Not Robots: How We Can Show Humanity in the RoomCurt and Katie discuss how big life events (a big diagnosis, a huge personal loss, injuries and medical conditions) can show up in the room. We explore how much humanity is okay to share with our clients. How do we decide what we tell our clients (and how do we manage their reactions)? We also look at how we take care of ourselves while also taking care of our clients. Therapists aren't robots, but we certainly need to be aware of our clients when life happens. In this podcast episode we talk about appropriate self-disclosure practices for modern therapists going through life eventsAs therapists it’s important that we hold a professional exterior during therapy. But can it be helpful to share with clients the big moments in our lives? How can we be human in the room?What are some considerations for therapists when deciding to self-disclose? Showing your humanity can help bond a client with the therapist. Self-disclosure may be different for planned or unplanned life events and whether they come into the room or private/hidden and in the background of your life Deciding when and whether to tell clients Clients often will use the therapist as an example on how to handle big life events. Not all settings are appropriate for therapist disclosure. Clients do not have the same confidentiality requirements as therapists; if you self-disclose to a client, it could be known by others or other treatment team members. In self-disclosing, the therapist will need to process the disclosure with the client. Processing difficult personal material with multiple clients could be difficult for the therapist. How much you disclose will depend on the client, but you might share more with a long-term client than a newer client. Are there ethical considerations for therapists sharing about our lives? There are no BBS outlined ethical considerations for sharing personal disclosures in therapy. The therapeutic environment should encourage a client to question the therapist. The therapeutic environment should encourage clients to participate in self-advocacy. Remember that certain self-disclosures might be triggering for clients; be mindful of what you share with who. Document all ruptures in relationships in your note and what you did to help heal the rupture. Be mindful - clients could be retraumatized or try to care take after a therapist’s disclosure. Not all clients need to know everything; know your population. What should new counselors and therapists know? Therapists are human! Life will continue to affect you even while working. It is important for therapists to take time off when they need it. Ruptures in the therapeutic relationship will happen; it’s all about how you handle it. New counselors often want hard rules for how to act, but it gets easier with experience. The most damage happens from not acknowledging or apologizing for ruptures. When ruptures occur, be honest and accountable to your clients. Sharing our human moments with clients can create a deeper and richer relationship. Don’t forget you don’t have to do this alone – always consult if unsure on disclosures! 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! Struggles of the Novice Counselor and Therapist by Thomas M. Skovholt and Michael H. RønnestadAbstract: Shared Trauma: The Therapist’s Increased Vulnerability by Dr. Karen W. Saakvitne

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