

The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
Curt Widhalm, LMFT and Katie Vernoy, LMFT
The Modern Therapist’s Survival Guide: Where Therapists Live, Breathe, and Practice as Human Beings It’s time to reimagine therapy and what it means to be a therapist. We are human beings who can now present ourselves as whole people, with authenticity, purpose, and connection. Especially now, when clinicians must develop a personal brand to market their private practices, and are connecting over social media, engaging in social activism, pushing back against mental health stigma, and facing a whole new style of entrepreneurship. To support you as a whole person, a business owner, and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age.
Episodes
Mentioned books

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”)

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

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

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

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

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

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

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

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

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