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

Curt Widhalm, LMFT and Katie Vernoy, LMFT
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Sep 11, 2023 • 35min

Modern Therapist Reflections on Preventing a School Shooting

Modern Therapist Reflections on Preventing a School ShootingCurt and Katie chat about an incident within Curt’s practice. We look at how therapists are called upon to make challenging risk assessments. We look at threat to other assessments including threats of serious violence. We explore the therapist’s experience during these intense risk assessments and the tasks that follow. We identify action steps for trauma informed support.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we explore a therapist’s role in preventing a school shootingRecently, Curt was called upon to make an intense risk assessment that required administrative steps to prevent threats of violence. We thought it would be helpful for other modern therapists to understand the experience from a therapist’s perspective, so we can support each other and get the support we need.What is involved for therapists to complete risk assessments for threats to self and others, including threats of serious violence?·      Both harm to self and others assessments are indicated·      How to determine whether a homicide assessment is appropriate·      Calming the situation, decreasing dysregulation·      Understanding plans and current thought processes·      Going through the protocol related to duty to warn, including calling law enforcement and the schoolWhat is the experience of a therapist during and after an intense risk assessment?·      Deep mindfulness·      Goal driven conversation (toward safety planning)·      Frustration and overwhelm related to required reporting to law enforcement·      Having to switch gears for the next session·      Potential rupture and loss of client·      Trauma response, anger, frustrationWhat kind of support is important for therapists when they have responded to threats of a school shooting?·      The question of “how are you doing” is less effective in these crisis situations than “what are you going through?”·      Using a trauma informed approach to provide adequate, planned support·      The tendency of therapists to compartmentalize that requires more attention from colleagues than others facing these types of crisis situations·      Plans and best practices for managing these types of incidentsStay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:Our Linktree: https://linktr.ee/therapyreimaginedPatreonBuy Me A CoffeePodcast HomepageModern Therapist’s Survival Guide Creative Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano https://groomsymusic.com/
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Sep 4, 2023 • 45min

Why Do Therapists Feel They NEED to be Coaches? An Interview with Jo Muirhead

Why Do Therapists Feel They NEED to be Coaches? An Interview with Jo MuirheadCurt and Katie interview Jo Muirhead about the increasingly common trend of therapists becoming coaches for other therapists. We talk about what coaching actually is, mistakes therapists make when pursuing coaching, how therapists can identify if someone is a good (or bad) coach, problems with some coaching for therapists, and how therapists can future-proof their business (rather than turning to coaching for the answer). Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode, we look at the therapist-coaching-other-therapists trendWe’ve received feedback from listeners that they are overwhelmed and disillusioned by some of the business coaching available for therapists. We reached out to our friend, Jo Muirhead, to talk through the current landscape and how therapists can find (and be) better business coaches. What is coaching?·        Coaching is working with someone to help them become the person, professional, etc. they would like to be·        A Coach is someone who helps you with your mindset or helps you with how you think·        Coaching is not training·        MentorshipWhat are mistakes that therapists make when pursuing coaching for themselves?·        Unreasonable expectations·        Lack of implementation support·        Seeking out lots of free consultation (versus paid consultation)How can therapists identify whether someone is a good or bad coach?·        You need to know how you learn, so you can find someone who matches your learning style·        Coaching should make you feel uncomfortable·        Understand whether you’d like a done with you approach versus a done to you or for you type of program·        Avoid people who focus only on themselves and what they’ve accomplished versus helping you find the right path·        Find someone who can help you think (not tell you what to think)What are some problems with coaches who work with therapists?·        They create a program based on a single success·        They believe that they have to tell people what to do·        Marketing practices, manipulation·        Urgency as a tactic works, but can feel manipulative at times·        Fake friending is not effective and pretty awful·        Failing to deliver on promises·        Becoming a business coach because they are tired of listening to peoples’ pain·        If you’re too tired to be a therapist, don’t coach·        There is a problem with their relationship to work·        Needing coaching clients rather than identifying best match clientsHow can therapists future-proof their businesses?·        We need to listen to the experts who are focusing attention on how the business is advancing·        Understand that we’re not “fit for purpose” based on the changes in the industryStay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:Our Linktree: https://linktr.ee/therapyreimaginedPatreonBuy Me A CoffeeModern Therapist’s Survival Guide Creative Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano https://groomsymusic.com/ 
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Aug 28, 2023 • 1h 6min

Humor in Psychotherapy

Humor in PsychotherapyCurt and Katie chat about the benefits and challenges of using humor in the therapy room. We look at the research exploring how humor is used, potential risks, and best practices. We work to infuse humor, even as we take our therapeutic humor pretty seriously. This is a continuing education podcourse.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we talk about how therapists can best work within treatment teamsAnecdotal evidence suggests that humor can have positive effects on therapeutic relationship development and as a skill that can be used for interventions. Concerns that humor may be used incorrectly or be potentially harmful make many clinicians wary of utilizing humor in therapy and empirical research is in its infancy about how it can be used effectively. This podcast episode explores the themes of therapeutic humor, which populations might present with different humor styles, and cultural considerations when using humor.What are the beneficial uses of humor in therapy?·      Authenticity versus rigidity·      Serious versus humorous interactions·      Irreverence in DBT·      Humor must come from within your own personality, it is not something that is teachable·      Within the relationship and the therapeutic alliance, humor can increase connection·      Using humor as a therapist can address power imbalances·      Opportunities to challenge beliefs and shift behavior with a lighter touch·      Diffusing situations, gallows humor, and moving on from challenging situationsWhat are the risks of using humor in therapy?·      When clients don’t understand the humor, it can cause iatrogenic harm·      Confusion on the intent of humor·      Confusion regarding the connection fostered by humor (i.e., could be seen as seduction)·      Humor can be a distraction or a way to deflect from the therapeutic work·      Humor can be seen as reinforcing power imbalances, especially when the client sees the humor as an insult, criticism, or the therapist putting the client down·      Clients may not be able to give feedback on their reactions to humor·      Self-deprecating or self-pitying humor is not recommended in therapyWhat is in the research on using humor in therapy?·      Not a lot of research·      Research on humor in therapy is usually done with western therapists and clients·      It is important to understand the different cultural impacts on humor·      There is research on the 7 stages and themes of humor within therapy·      Assessing the use of banter in therapy·      Identifying whether aggressive humor can improve outcomes in therapy·      Misapplication of humor as confrontation versus using it for facilitationHow can therapists use humor effectively in therapy?·      Assess jokes and humorous interactions from the lens of it being for the benefit of the client·      Focus on “reading the room,” so you’re not using humor inappropriately·      Connecting and affirming your understanding of the client’s experience·      Balancing activities in session (business time versus fun time)·      Using humor as a diagnostic tool·      Addressing ruptures or potential ruptures caused by humorReceive Continuing Education for this Episode of the Modern Therapist’s Survival GuideYou can find this full course (including handouts and resources) here: https://learn.moderntherapistcommunity.com/pages/podcourseContinuing Education Approvals:Continuing Education Information including grievance and refund policies.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/
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Aug 21, 2023 • 35min

How Therapists Can Deal with the Crisis of the Week

How Therapists Can Deal with the Crisis of the WeekCurt and Katie chat about a typical dynamic that can happen in therapy sessions, namely the “crisis of the week.” We look at how this dynamic comes up and what therapists can do to deal with it more effectively. We identify both clinician and client factors and suggest strategies to improve therapy sessions.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we explore how therapy can get stuck responding to the crisis of the weekDuring one of our Patreon coffee hour/Q+A sessions, we got a request from a patron to talk about how to navigate client sessions that were mostly focused on worrisome incidences from the week, rather than on treatment goals.What is “Crisis of the Week?”·      When therapy gets stuck with only talking about what has happened in the week·      Crises take precedent over treatment goals·      There are also biases in how this topic has been brought up during training or supervision for early career cliniciansHow do therapists determine whether the “crisis of the week” conversations are helpful·      If conversations are repetitive or there is little progress made, these conversations are likely not helpful·      “Crisis of the week” can be conversations from clients and (for kids) their parents·      If the conversations align with treatment goals, they are more likely to be helpfulHow can therapists mitigate the concerns related to “crisis of the week”?·      Making sure to talk about the therapy and determine whether the treatment goals are appropriate for the client·      Providing structure on how to work on therapy goals can help make therapy more effective·      Making sure that you’re hearing the client and then redirect to treatment goals or the client’s hopes for therapy·      Making sure that everyone is on the same page with how the treatment progresses·      Insight into why there is a tendency to go to the crisis of the weekWhat are the clinician factors in getting stuck in a “crisis of the week” conversation?·      Feeling uncomfortable with structuring therapy·      Allowing the client to lead, when they are not ready to do so·      Potentially not taking responsibility for the session due to laziness, burnout, or other concern·      Therapists not clarifying expectations early enough in treatmentWhat are the client factors in getting stuck in a “crisis of the week” conversation?·      Clients are fearful and potentially using a decoy issue to avoid discussing a more relevant·      Clients may be having a trauma response that leads to speaking about safer topics·      Clients are not yet comfortable enough with the therapist to dig deeper·      Clients do not have the skills to manage the topic·      Cultural factors could impact communication and expectationsWhat conversations can therapists have with clients related to avoiding crisis of the week?·      Setting up structure for sessions·      Addressing the relational elements related to attachment and getting to the clinical work·      Identifying how to address it when “crisis of the week” happens·      Determining how best to start your session with each clientStay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:Our Linktree: https://linktr.ee/therapyreimaginedPatreonBuy Me A CoffeeModern Therapist’s Survival Guide Creative Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano https://groomsymusic.com/ 
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Aug 14, 2023 • 45min

Making Sense of Insurance Billing and Client Referral Services for Therapists

Making Sense of Insurance Billing and Client Referral Services for TherapistsCurt and Katie chat about a lot of the different services that therapists can sign up for to provide therapy. We talk about Alma, Headway, TalkSpace, BetterHelp, etc. We also look at what therapists should consider when deciding which service to sign up for (or whether they should). Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we explore therapist insurance referral services like Alma and HeadwayWe’ve been asked to weigh in on insurance referral services like Alma and Headway. We explore the different things to consider when choosing a service to sign up for.What client referral services should therapists sign up for?·      Betterhelp and TalkSpace models do not include insurance billing and pay therapists very little. We do not recommend therapists sign up as providers on BetterHelp and TalkSpace.·      Alma, Headway, and other similar models get therapists credentialed, bill insurance, etc.·      These services are very different and there are a lot of choices for therapists to makeWhat are questions therapists should consider when deciding which therapist referral service to sign up for?·      Can I actually use these platforms?·      How quickly am I credentialed and how many different panels can I sign up for?·      Will this service get me clients?·      How many clients are they going to get you?·      Are the insurance benefits checks accurate?·      What does customer service look like?·      What are the rates they pay therapists?·      Is there a minimum number of clients you’re expected to see?·      What benefits are included for therapists (like CEs, group meetings, EHR, etc.)·      What do you want your practice to look like?·      What purpose will this platform serve for my practice? For example, are you wanting to get more clients or are you wanting to add insurance billing capacity (or both)?Concerns about digital therapy platforms and insurance referral services·      The tendency for things to change as startups grow·       Privacy concerns from app-based therapy apps (like BetterHelp and TalkSpace, etc.)·      Systemic impacts of tech companies negotiating with insurance companies instead of therapists·      Most are set up as 1099 businesses versus W2 employee models and seem to skirt some labor laws and put liability on the therapistStay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:Our Linktree: https://linktr.ee/therapyreimaginedPatreonBuy Me A CoffeeModern Therapist’s Survival Guide Creative Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano https://groomsymusic.com/ 
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Aug 7, 2023 • 37min

Choosing Yourself as a Therapist: Strategies to address burnout, compassion fatigue and vicarious trauma, An Interview with Laura Reagan, LCSW-C

Choosing Yourself as a Therapist: Strategies to address burnout, compassion fatigue and vicarious traumaCurt and Katie interview Laura Reagan, LCSW-C, of the Trauma Therapist Network. We engage in real talk about burnout and compassion fatigue. We look at why therapists are especially susceptible to burnout, what therapists can do to take care of themselves, and what systems we can set up to try to avoid burnout and compassion fatigue. Laura also shared some ideas for group practice owners who want to support their clinicians. Transcripts for this episode will be available at mtsgpodcast.com!An Interview with Laura Reagan, LCSW-C, Trauma Therapist NetworkLaura Reagan, LCSW-C is an integrative trauma therapist who owns a group psychotherapy practice in the greater Baltimore area. Laura also hosts Therapy Chat and Trauma Chat Podcasts, and she founded Trauma Therapist Network in 2021. Laura trains trauma therapists around the world in using bottom-up therapy methods and accessing their highest selves while doing meaningful psychotherapy work for sustainable careers.In this podcast episode, we take a deeper look at therapist burnout workWe’ve spoken many times about burnout and compassion fatigue. We decided to revisit this important topic with our friend, Laura Reagan.What do therapists need to know about “burnout” and “compassion fatigue?”·      Burnout isn’t necessarily us not wanting to work, but feeling that the world will fall apart if we aren’t there for our clients·      Not paying attention and ending up losing our clients’ trust·      You forget you have agencyWhy are therapists at particular risk for burnout?·      Our stuff coming up and not being there for ourselves·      Not metabolizing our own trauma triggers·      Getting dissociated and numb due to our compassion fatigue and moral injury·      There are different levels of risk based on developmental stagesWhat can therapists do to take care of themselves?·      Identify whether there is space for experiencing emotions as well as being present for clients·      Step away when needed, even when that could mean stopping see clients·      Exploring other options to take care of yourself financially·      Learning to choose yourselfWhat can therapists do to prevent deep burnout and compassion fatigue?·      Being in tune with yourself and your body·      Paying attention to your responses to a client session, day, week·      Understanding what is happening inside yourself to identify what you need to be well·      Making sure to move in between sessions to recalibrate your nervous system·      Being in community while also working to stay in connection with yourself·      Specific suggestions for group practice ownersStay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:Our Linktree: https://linktr.ee/therapyreimaginedPatreonBuy Me A CoffeeModern Therapist’s Survival Guide Creative Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano https://groomsymusic.com/
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Jul 31, 2023 • 1h 6min

Building Your Treatment Team in Private Practice: Essential Networking Skills for Therapists

Building Your Treatment Team in Private Practice: Essential Networking Skills for TherapistsCurt and Katie chat about treatment teaming, especially for clinicians in private practice. We look at the benefits of a treatment team, how to effectively create an interdisciplinary treatment team (including some networking skills), the qualities of a strong team, and the practicalities for therapists to collaborate effectively in treatment teams. This is a continuing education podcourse.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we talk about how therapists can best work within treatment teamsClients are often best served by a robust treatment team. Specific diagnoses (like Eating Disorders or Serious Mental Illness) require treatment teaming as a best practice and many others are best served when you are collaborating with the other health and wellness professionals in your clients’ lives. Creating and working within treatment teams in private practice creates a unique challenge. How do you find these professionals and how do you best work with them? The meetings in the hall in treatment centers and agencies can’t happen when you’re at your own office or working virtually. What can modern therapists do? This episode will explore the importance of treatment teams, how to identify who belongs on your treatment teams, and the essential networking skills to create these important relationships.We answer the following questions:What do treatment teams look like in private practice?What are the benefits of treatment teams, especially for lower acuity cases?How can therapists create treatment teams when they are in private practice?How do therapists vet the people they are meeting with?What are the qualities of strong treatment teams?How can therapists collaborate effectively with other professionals in private practice?Receive Continuing Education for this Episode of the Modern Therapist’s Survival GuideYou 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 including grievance and refund policies.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:*The full reference list can be found in the course on our learning platform.Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:PatreonBuy Me A CoffeeModern Therapist’s Survival Guide Creative Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano https://groomsymusic.com/ 
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Jul 24, 2023 • 41min

Revisiting SEO and AI – Ethics and best practices: An Interview with Danica Wolf

Revisiting SEO and AI – Ethics and best practices: An Interview with Danica WolfCurt and Katie interview Danica Wolf, COO of Simplified SEO Consulting, on the basics of SEO and how AI is being used in marketing. We look at best practices and ethics for both SEO and AI. We also talk through the potential pitfalls and cautions in the current state of AI for marketing.  Transcripts for this episode will be available at mtsgpodcast.com!An Interview with Danica Wolf, MSW, Simplified SEO ConsultingDanica is a not-so-secret strategy nerd who loves coffee and conversations about all things entrepreneurial. Especially when helping professionals are ready to dive into the world of ethical marketing strategies that actually work. As COO of Simplified SEO Consulting, Danica gets to spend most of her time helping therapists and other mental health professionals build the business of their dreams with dream clients who are already searching for them. As a birth business owner, former trauma advocate, University instructor, and single mom, Danica knows how important it is for busy practice owners to get the info they need quickly with action steps to implement right away.In this podcast episode, we return to our discussions about SEO and AIWe’ve talked with caution about AI for your therapy practice but thought it would be helpful to talk to a marketing pro about effective ways to consider AI for your practice marketing. We also look at SEO best practices.What is SEO? What are best practices for on-page optimization?·      Search Engine Optimization·      Using keywords and content to get better ranked on Google·      Content needs to be specific and aligned to ideal client·      It is important to use ethical practices in your SEOWhat are the best practices for making marketing activities more efficient?·      We talk about ways that AI is being used for marketing, including cautions and best practices·      Google wants to see original content and wants folks to identify that AI has been used·      There may be a google penalty for using AI generated content·      When using AI for writing, make sure it actually sounds like you, you are editing it, and is accurate information·      A better strategy with AI is using thoughtful prompts, your own examples, etc. as well as re-prompting and iterating on the content·      Always check and read through things before putting anything on your website·      Accessibility and simpler language (e.g., 3 am trauma brain)What are some good resources for writing content?·      Jasper.ai·      Copy.ai·      Previous recommendation was originality.ai (which has had problems recently)·      https://hemingwayapp.com/What are concerns with using AI for your business at this point?·      There is a shift in how AI content is being viewed, so initial dopamine hits may be leading you down the wrong path·      You will need to be able to keep up with the evolution of AI, not just use it as a shortcut·      It needs to be done strategically, intentionally, and ethicallyStay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:Our Linktree: https://linktr.ee/therapyreimaginedPatreonBuy Me A CoffeeModern Therapist’s Survival Guide Creative Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano https://groomsymusic.com/
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Jul 17, 2023 • 37min

How Can You Create an Ethical Faith-Based Practice? An Interview with Whitney Owens, LPC

How Can You Create an Ethical Faith-Based Practice? An Interview with Whitney Owens, LPCCurt and Katie interview Whitney Owens, LPC of Wise Practice, about faith-based practice. We look at what therapists can get wrong when considering incorporating faith into therapy. We also talk about what to do (and NOT do) when creating a faith-based therapy practice, specifically talking about ethics, using faith as a tool when requested, and the harm caused when therapists have a religious agenda in session. Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode, we talk about faith-based therapy practicesFaith is a big part of many people’s lives. It is important for therapists to understand how to use faith as a resource in therapy. Further, there are Christian, faith-based therapists who can identify how best to remain within their ethics as a therapist when incorporating faith into therapy.What can therapists get wrong when creating a faith-based therapy practice?·      Therapists become unethical when they try to convert clients to Christianity in therapy·      When therapists mismatch how much clients want to include faith and belief·      Therapists are not supposed to have an agenda for how their clients grow and change·      Conversion Therapy (e.g., Sexual Orientation Change Efforts, Anti-trans therapy) are illegal and wrong, regardless of your beliefs or faith·      Telling clients what to do about “moral” issues·      Refusing to work with people based on “morals”What can therapists do to create an ethical faith-based practice?·      Using faith as a tool in therapy·      Letting clients dictate how faith is incorporated in therapy·      Providing clients space to interpret the bible or create the lives that they want to create·      Addressing our own bias·      Helping clients to make their own decisions·      Getting supervision and even joining secular consultation groups·      Doing the work to overcome bias and increase inclusion and affirmative practicesWhat are the benefits of incorporating faith into therapy and therapy practices?·      When therapists and clients share faith and beliefs, there can be an alignment of lived experience·      Therapists can extend their faith into the work to be more aligned (as long as they remain ethical in how they incorporate it into practice)·      Making business decisions that are both faith-based and ethicalResources 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!Wise Practice SummitWise Practice PodcastRelevant Episodes of MTSG Podcast:Am I Honoring My Personal Values OR Am I Discriminating? An exploration of ethics for modern therapistsWhat Therapists Need to Know About Abortion and Termination for Medical Reasons: An Interview with Jane Armstrong, LCSWThe Practicalities of Mental Health and Gender Affirming Care for Trans Youth: An Interview with Jordan Held, LCSWWhat Goes in Your Notes? Interstate therapy practice and documentation for clients considering abortion or gender affirming careHas Therapy Become the New Religion?Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:Our Linktree: https://linktr.ee/therapyreimaginedModern Therapist’s Survival Guide Creative Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano https://groomsymusic.com/
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Jul 10, 2023 • 38min

What Can Therapists Do When Clients Don’t Getting Better?

What Can Therapists Do When Clients Don’t Getting Better?Curt and Katie chat about what modern therapists can do when their clients don’t (or can’t) get better. We explore what “getting better" looks like in therapy, what can get in the way of clients improving, how we can support clients who are unable to reach traditional treatment goals, and how clinicians can take care of ourselves while doing this longer-term work.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we talk about how therapists can happen when clients aren’t improvingAt a recent talk, we got the question – what if my clients aren’t getting better? We decided it was time to look at how goals are set, what “getting better” actually looks like, and how therapists can cope with clients whose treatment goals are "not getting worse."What does “getting better” look like in therapy?·      Treatment goals are often set based on functionality, independence, and productivity·      Outcome measures can be used to track improvement on mood, anxiety, etc.·      Goals of “not getting worse” or prevention of future concerns are often hard to quantify or are unsatisfying for therapists (and potentially for their clients)What can get in the way of clients improving in therapy?·      Situational concerns that are not changed·      Longer-standing diagnoses that don’t go away, but can be stabilized·      When improvement is defined as reaching goals, rather than avoiding relapseHow can therapists support clients who are unable to reach traditional treatment goals?·      Collaborative treatment goal setting·      Identifying appropriate expectations·      Quality of Life goals·      Showing ongoing medical necessity and documenting appropriate need for ongoing care·      Higher acuity and relevant diagnoses documentedHow can clinicians take care of ourselves when we have longer term clients who don’t show dramatic improvement?·      Getting clear on client’s capacity for growth·      Be clear on your own skills and capacity as a therapist·      On-going conversations with the client to determine whether other help is needed·      Exploring quality of life goals·      Identifying incremental gains and reframing to build hope·      Deepening the therapeutic relationship, focusing on the attachment·      Redefining success and understanding the pieces that are still uncomfortable·      Making sure that therapists do not define their own success based on client outcomes·      Destigmatizing long-term weekly therapy as a coping strategyStay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:Our Linktree: https://linktr.ee/therapyreimaginedPatreonBuy Me A CoffeePodcast HomepageModern Therapist’s Survival Guide Creative Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano https://groomsymusic.com/

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