Psyched to Practice

School refusal isn’t just about kids staying home. It shows up in subtle ways—frequent nurse visits, missed classes, late arrivals, and quiet disengagement that often goes unnoticed until it becomes a major problem.In this episode, we break down what’s actually driving school refusal behavior and why a one-size-fits-all approach doesn’t work. Drawing from real clinical and school-based experience, we explore the four core functions behind these behaviors and how they often overlap in ways that make intervention more complex than it seems.You’ll hear how anxiety, avoidance, attention-seeking, and access to more rewarding alternatives all play a role—and how modern factors like virtual learning, technology, and shifting family dynamics are changing the landscape.We also walk through practical, evidence-based strategies that clinicians, schools, and families can use together. From distress tolerance and exposure work to environmental changes and caregiver collaboration, this episode focuses on what actually helps move kids back toward consistent school engagement.If you’re working with students who are struggling to attend—or families who feel stuck—this conversation will give you a clearer framework and more confidence in how to respond.Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"

Social media isn’t going anywhere, but the way we’re handling it with kids and teens might be making things worse. In this episode, we sit down with Kelly McCullough, LCSW, to unpack what’s actually happening when kids spend hours on their phones. From sleep loss and anxiety to comparison and constant pressure to respond, we explore why this generation is struggling and why it’s not just a “self-control problem.” You’ll hear how clinicians can guide parents without turning the phone into a constant battle, what actually motivates teens to change their behavior, and how to shift from control to collaboration. We also break down practical strategies that work in real homes, including setting limits without escalating conflict, helping kids rethink what they see online, and building healthier habits that stick. If you work with kids, teens, or families, this conversation will change how you approach screen time, connection, and mental health.Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"

Many clinicians leave graduate school with strong foundational skills but very little guidance on how to shape their professional path. Over time, therapists begin to notice patterns in their work—certain populations, problems, or clinical questions that keep showing up in the therapy room. The question is what to do with those patterns. In this episode, Paul Wagner and Ray Christner explore how clinicians develop areas of focus in their practice. They discuss the difference between chasing trends and building a thoughtful specialty, how real clinical needs often reveal themselves through repeated client concerns, and why personal fit matters just as much as professional opportunity. The conversation also highlights the importance of curiosity, ongoing reading, mentorship, and honest self-reflection when deciding where to grow professionally. Listeners will hear examples from leaders in the field who built unique niches by combining emerging needs with their own interests and strengths. Whether you are early in your career or rethinking the direction of your practice, this episode offers a practical framework for deciding where to invest your time, training, and energy.Upcoming Live Webinars:(1 Credit) Same Symptoms, Different Stories: Differentiating Neurodevelopmental and Emotional Disorders- 03/27/2026 08:00 AM EST(https://learn.psychedtopractice.com/course/same-symptoms-different-stories-differentiating-neurodevelopmental-and-emotional-disorders)(3 Credits) Using AI Tools for Research and Practice- 04/14/2026 3:00 PM EST(https://learn.psychedtopractice.com/course/live-using-ai-tools-for-research-and-practice)(1 Credit) Automate-Then-Audit: Building Sustainable Systems for ADHD Success- 04/17/2026 12:00 PM EST(https://learn.psychedtopractice.com/course/automate-then-audit-building-sustainable-systems-for-adhd-success)Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"

Most clinicians enter this field wanting to help everyone. But over time, we learn a hard truth: being willing isn’t the same as being the right fit. In this episode of the Psyched to Practice Podcast, Paul Wagner and Ray Christner unpack what “fit” really means in clinical work. They explore how scope of practice, availability, client preferences, professional development, and even our own life circumstances shape whether we’re truly the best provider for someone sitting across from us. They share personal stories of cases that stretched them in healthy ways—and others that should have led to earlier referrals. You’ll hear practical ways to assess fit during intake, how to build a thoughtful “stretch protocol” for growth areas, and how to navigate referrals without shame or abandonment. This conversation challenges the myth that strong clinicians can treat anything. Instead, it offers a more sustainable model: intentional growth, honest boundaries, and clinical decisions grounded in competence—not ego. If you’ve ever wrestled with whether to take a case, keep a case, or refer a case, this episode will give you language, clarity, and a framework you can actually use.Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"

Most mental health professionals have felt it at some point but rarely say it out loud: the fear that they don’t really belong, that they’re one mistake away from being exposed as a fraud. In this episode of the Psyched to Practice Podcast, Paul Wagner and Ray Christner unpack imposter syndrome as it shows up in clinicians across all stages of their careers. They explore why imposter syndrome is more common in thoughtful, conscientious professionals, how it often shows up during transitions and high-stakes moments, and why it’s not a diagnosis or a sign of incompetence. The conversation focuses on reframing imposter syndrome as a signal of growth rather than a flaw, the role of shame and silence in making it worse, and practical ways clinicians can respond when self-doubt creeps in. This episode offers normalization, perspective, and grounded strategies for clinicians who care deeply about their work and sometimes wonder if they’re doing it right.Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"

Hey everyone, quick heads up.For the first time in our recording history, we ran into some technical issues, and the audio from a really solid conversation between Ray and Paul on imposter syndrome didn’t survive. We’re still holding out hope that an uncorrupted version turns up, and if it does, we’ll get it posted immediately. So keep an eye on the feed.Because of that, we’re not able to release a full episode on our usual schedule. We’ll be back in two weeks with a complete episode and more of the conversations you expect from us.Thanks for sticking with us, and we really appreciate your patience.As always, Be Well, and Stay Psyched.Brightminds AdPAR AdThis episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"

Adult ADHD is often misunderstood as a motivation problem or a lack of effort. In this episode, psychologist and researcher Dr. Laura Knouse joins Psyched to Practice to explain why that framing misses the mark—and how cognitive behavioral therapy can actually work for adults with ADHD when it’s done right.We explore how ADHD shows up as a self-regulation challenge, why behavior change often has to come before thought work, and how everyday environments quietly sabotage or support follow-through. Laura breaks down why traditional CBT models often fall short, how medication and skills can work together, and what clinicians need to know about perfectionism, avoidance, and “overly positive” thinking in this population.This conversation is packed with practical, clinician-ready insights for working with adults and emerging adults with ADHD, including how to structure treatment, build momentum through small wins, and help clients stop blaming themselves for systems that were never designed for their brains.Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"

Social anxiety isn’t just about nerves in social situations, it slowly shrinks lives through avoidance, self-judgment, and fear of being seen. In this episode, Dr. Deb Dobson joins The Psyched to Practice Podcast to talk about what actually keeps social anxiety going, why reassurance and comfort can backfire, and how exposure really works in the real world. We explore subtle safety behaviors clinicians often miss, how avoidance becomes seductive, and why progress depends more on persistence than perfection. This conversation offers practical insights for clinicians who want to help clients live fuller lives without promising unrealistic cures.Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"

Too often continuing education is expensive, rigid, or disconnected from real clinical work, until now. Our Bright Minds Subscription is officially live, and it’s built for how clinicians actually live and practice. This all-access membership gives you unlimited entry to a growing library of high-quality CE courses, live webinars, and expert-led trainings, all in one place. No waiting for scheduled dates. No pressure to finish a course in one sitting. No wasting your CE budget on one or two workshops a year. Every course is designed to be practical, relevant, and easy to fit into your day—whether that’s between sessions, after the kids go to bed, or on the treadmill. You’ll learn from clinicians who live the work you do, across topics that matter in real practice, with assessments and downloadable CE certificates included. Bright Minds is about making continuing education accessible, flexible, and genuinely useful again. If you’re ready for a smarter, more supportive way to meet your CE requirements, this is it. Head over to www.psychedtopractice.com to get started today. Brightminds AdPAR AdThis episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"

In this episode, Paul and Ray sit down with psychologist Marie Hooper to break open one of the most misunderstood autism profiles: PDA (Pathological Demand Avoidance), or the pervasive drive for autonomy. Marie explains why these kids look oppositional on the surface but are actually responding to a nervous-system threat, why typical behavior plans often backfire, and how masking—especially among girls—keeps PDA hidden for years. She walks through the six core features clinicians should recognize, what burnout looks like in kids who stop attending school entirely, and how to shift from compliance-based approaches to safety-based, trauma-assumed care. Whether you’re a therapist, educator, or parent, this conversation reframes what “can’t, not won’t” truly means.Brightminds AdPAR Ad This episode is brought to you by PAR.Explore the AI Report Writer here:https://www.parinc.com/product/ai-report-writer?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsLearn more about the RIAS-2 NU here:https://www.parinc.com/product/groups/rias-rist-assessments?utm_campaign=38111624-Psyched%20to%20Practice%202026&utm_source=P2P%20Podcast&utm_medium=Related%20PodcastsTo hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com “Be well, and stay psyched"