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

Curt Widhalm, LMFT and Katie Vernoy, LMFT
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Jul 3, 2023 • 35min

Are You Actually Neurodivergent Affirming? An Interview with Sonny Jane Wise

Are You Actually Neurodivergent Affirming? An Interview with Sonny Jane WiseCurt and Katie interview Sonny Jane Wise, the Lived Experience Educator. We chat about therapists getting stuck in neuro-normative expectations and norms or refusing to accept medication or accommodations as neurodivergent affirming. We look at how you can get more creative and individualized to support neurodivergent individuals more effectively. We also look specifically at neurodivergent friendly DBT and whether skills-deficit models are inherently ableist.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode, we talk about creating neurodivergent affirmative therapy practicesToo often, therapists create goals and engage in practices that are neuro-normative. When working with neurodivergent clients and their families, these practices can be harmful. We asked Sonny Jane Wise, the Lived Experience Educator, to talk with us about how to best incorporate neurodivergent affirming practices for therapy.What do therapists get wrong when moving toward neurodiversity affirming practice?·      Removing medication or accommodations as an acceptable option·      Failing to allow for individual differences and preferences·      Neuro-normativity shows up in goals, especially looking at independence and productivity·      Setting expectations inappropriatelyHow can therapists become more neurodivergent affirming?·      Understanding the impacts of intersectionality on how someone chooses how they navigate their neurodivergence·      Moving away from independence as the goal of therapy·      Understanding that a neurodivergent person’s needs are more important than neuro-normative norms·      Getting creative with problem-solving and communication·      Recognizing differences, learning to work with them and not try to change them or work against themAre skills-deficit based models (like Dialectical Behavioral Therapy) inherently ableist?·      When the model states that the problem lies with the individual, then it is ableist·      Adjusting the environment and the external factors is more appropriate·      DBT skills can be helpful to learn emotions regulation that wasn’t learned when growing up·      It is important to recognize differences and giving opportunities to work with differences·      Letting go of the one size fits all and moving toward optionsWhat is an ideal for neurodiversity affirming spaces?·      Viewing differences as differences and not something to be fixed or changed·      Needs based system (not diagnosis-based system)·      Understanding that everyone needs different things and accommodations, not just those with·      Removing neuro-normative standards and expectationsStay 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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Jun 26, 2023 • 1h 7min

Liability Hot Potato: Defensive Therapy practices that give clients inadequate care

Liability Hot Potato: Defensive Therapy practices that give clients inadequate careCurt and Katie chat about defensive therapy practices. We talk about how therapists avoid liability by practicing defensively, which can harm our clients. We look at common defensive therapy practices, like refusing to see clients with certain types of risk or too quickly hospitalizing someone. We explore the risks to our clients when we practice this way and how we can navigate risk to avoid practicing defensively. This is a continuing education podcourse.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we talk about therapists minimizing their own liability without benefitting their clientsTherapists facing difficult decisions in therapeutic treatment are presented with the competing tasks of providing quality care to clients while also trying to minimize their legal risks. This can lead to therapists who may choose courses of action that do not benefit clients while doing things to protect the therapist. This podcourse explores the types of defensive practices that therapists take, how to recognize them, what steps can be done to protect therapists, and how to maximize client outcomes.What are defensive therapy practices?·       Actions taken by a therapist that don’t benefit the client, but are done to protect the legal liability of the therapist·       Avoidant versus Assurant defensive therapy practices·       Responding to very scary law and ethics classes·       Avoiding lawyers and subpoenasWhat are examples of Defensive Therapy practices?·       Avoidant: Avoiding talking about anything that is even related to things outside of our scope of practice (e.g., medical or legal advice); refusing to see clients with specific types of risk·       Assurant: Sending clients to the hospital quickly based on risk rather than on treatment efficacy, over-reporting abuse and engaging clients with systems·       Therapists are employing defensive therapy practices when making sure to shift liability elsewhereHow do I navigate the risk that often leads to defensive therapy practices?·       Make clear the limitations on your knowledge, but respond to questions and needs in the best way you can, referring to experts as appropriate·       Prescriptive Assurant practices (taking action based on laws, rules, and/or ethical decision-making)·       Documentation of ethical decision-making process and the decision and actions made·       Documentation of the conversations with the client related to the action or inaction·       Also, documentation of the ongoing evaluation procedure for the action takenReceive 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.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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Jun 22, 2023 • 43min

Special Episode: Modern Therapist’s Consumer Guide on Thrizer

Special Episode: Modern Therapist’s Consumer Guide on ThrizerCurt and Katie talk with Raunak Sharma, owner of Thrizer, a modern payment processing app for private pay therapists. Thrizer is a modern payments solution built for therapists. You can charge clients securely, receive payments seamlessly, and enable insurance reimbursements automatically. We chat with Raunak about Thrizer as well as his perspective on the finances of therapy, specifically out of network billing. We explore the challenges (and ineffectiveness) of super bills as well as a new solution (ThrizerPlus) that will help clients only pay what they owe.This is the Modern Therapist Consumer Guide, a series of special episodes to help modern therapists navigate products and services specifically designed for therapists and their clients. We dig deeply into the companies, the people, and the products and services so you can make smart decisions in building your practice and serving your clients.Transcripts will be available on mtsgpodcast.com.Interview with Raunak Sharma, Founder and CEO of ThrizerRaunak is the Founder and CEO of Thrizer, a payments app for private pay therapists. A therapy-goer himself, he got tired of the struggle to leverage his out-of-network benefits and get reimbursed for his sessions, and wanted to build a solution to help both therapists and their clients. Thousands of therapists now use Thrizer daily to securely charge for appointments and upgrade their client experience.In this podcast episode we talk about out of network billing and payment processing with ThrizerInterview with Raunak Sharma, Thrizer2:04 How did you decide to create Thrizer? How did you put together the business?3:08 What are the values that guide your business and business decisions?4:51 When therapists are putting together their private pay practice, what should they consider when designing their financial systems? (i.e., Private pay, Insurance-based, Out of network billing)8:14 What does out of network billing involve?10:34 What does out of network billing look like when using Thrizer?12:59 What kind of out of network rates are people getting?15:33 How often are clients wanting and able to use their out of network benefits?18:49 How does Thrizer work?21:22 How do you actually have enough information to create a claim?24:22 How can you make a profit if you are only charging the 3% processing fee?26:40 What is ThrizerPlus?31:21 What makes Thrizer different than other payment processors and/or other out of network billers?32:40 What’s still a work in progress at Thrizer?34:04 Special offer from Thrizer for our Modern Therapist audienceCurt and Katie Chat – Our review of Thrizer36:19 What do you see as the deciding factors when deciding whether to use Thrizer for payment processing and out of network billing (or not)?A Special Offer for the listeners of Modern Therapist’s Survival Guide podcast from ThrizerGo to bit.ly/moderntherapists and use the code MODERNTHERAPISTS for free payment processing on your first $2,500 of payments.Relevant Links:Thrizer WebsiteEmail: Raunak at thrizer.comSocial Media:Thrizer on InstagramThrizer on FacebookThrizer on LinkedInStay in Touch:www.mtsgpodcast.comwww.therapyreimagined.comOur Facebook Group – The Modern Therapist’s Grouphttps://www.facebook.com/therapyreimagined/https://twitter.com/therapymovementhttps://www.instagram.com/therapyreimagined/Credits:Voice Over by DW McCann https://www.facebook.com/McCannDW/Music by Crystal Grooms Mangano http://www.crystalmangano.com/
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Jun 19, 2023 • 36min

How to Provide Culturally Appropriate Care for African American Families: An interview with Mercedes Samudio, LCSW

How to Provide Culturally Appropriate Care for African American Families, An Interview with Mercedes Samudio, LCSWCurt and Katie interview Mercedes Samudio, LCSW, about working with African American Families. We talk about what therapists typically get wrong when working with these families, what therapists need to know about working with African American families, how to work cross culturally, and how both conscious and unconscious bias impact therapy.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode, we talk about how therapists can work with African American families more effectivelyOur friend, Mercedes Samudio, LCSW, is researching how therapists can best support African American families. She is looking at how these clients are treated and how they traverse the mental health system to get healing.What do therapists get wrong when working with African American Families?·      Therapists will apply therapy universally to diverse groups that require nuance and different interventions·      Therapists don't understand enough about African American families to understand the differencesWhat do therapists need to know about African American families?·      There are differences between “Black” and “African American”·      The impacts of the transatlantic slave trade·      Cultural differences based on which country one is living in as well as how one travels as a human in their country of residenceHow can therapists work cross-culturally with African American families?·      Specialized training like Mercedes’ training: Engaging African American Families·      Work with people who have expertise·      Google alerts for·      Understanding how you show up in the world, create an identity statement for all of the identities you have that are relevant to you, your social location·      Talking about conscious and unconscious bias and identities throughout the therapy process·      Understanding generational differencesHow do conscious and unconscious bias impact therapy?·      What we know we don’t like about people (conscious)·      What may influence us from before we understand labels and differences·      Prejudices that influence how we show up in the therapy room can cause conflict·      Explore the conflict, explore the potential biases·      Use tentative language (I wonder if this is showing up here or impacting our relationship)·      Understanding how your identity often shows up socially can provide the therapist with fodder for exploring what bias may be present in the roomWhat are best practices for working with African American families?·      Genograms are helpful to explore how everything impacts the family members and who they say are included in their families·      Understanding how these families fit within their communities and who is involved with each of these familiesResources 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!https://shameproofparenting.com/Stay 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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Jun 12, 2023 • 39min

The Future is Now! Chatbots are Replacing Mental Health Workers

The Future Is Now: Chatbots are Replacing Mental Health WorkersCurt and Katie chat about what happened with the National Eating Disorder Association and their chatbot, Tessa, as well as new prompts to make ChatGPT act like a CBT therapist. We also look at the risks related to chatbots taking over mental health and crisis services. We also discuss what therapists can do to safeguard their practices in the wake of the robot revolution.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we talk about Tessa, the chatbot replacing NEDA hotline workersAfter their hotline workers unionized, National Eating Disorder Association (NEDA) fired all of their hotline workers and replaced that service with Tessa, an AI chatbot. This chatbot quickly started telling folks seeking eating disorder assistance that dieting could be a good idea. There are already prompts folks are using to have ChatGPT act as your therapist. We decided we needed to talk about how the chatbots are coming for our jobs.What happened with National Eating Disorder Association (NEDA) and Tessa?·      The hotline workers unionized and were fired by the association and replaced with Tessa·      Tessa is a prevention chatbot that was created to provide support to folk waiting for resources·      Tessa was launched and when tried, provided harmful advice, and then was taken down·      Now there is no crisis hotline or back up chat support offered by NEDAWhat is the Tessa Chatbot?·      An evidence-based practice was redesigned as conversations·      Writing prompts and infographics to break up the text·      Studies were done to see how it works and to fix some of the errorsWhat are the risks related to chatbots taking over mental health services?·      There are now instructions for prompts to have ChatGPT act as a CBT therapist·      As people interact with chatbots, they will add to the dataset, theoretically improving it·      The concerns about the iterations, if unchecked, will become more and more harmful as it adopts human disordered thinking and language·      Evidence-based practices are prime to be put into chatbots·      The utility of the resources that chatbots can provide (including coping strategies and writing prompts)What can therapists do to address the concerns of the robot revolution?·      Understand the technology and pay attention to the innovation process·      Look at where AI may not be able to replace immediately, focus your attention there in developing your skills·      Intuitive leaps that humans make that AI may find too risky·      Higher level risk assessment and more challenging diagnoses may be reserved for humansStay 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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Jun 5, 2023 • 36min

The Sky is Falling: How Therapists Can Protect Our Industry, Patient-Centered Care, and Our Businesses, An Interview with Dr. Ajita Robinson

The Sky is Falling: How Therapists Can Protect Our Industry, Patient-Centered Care, and Our Businesses, An Interview with Dr. Ajita RobinsonCurt and Katie interview Dr. Ajita Robinson about innovation within the mental health industry that could threaten therapists in private practice. We chat about Value Based Care in insurance, insurance credentialing companies, and big tech disruptors. We also talk with Dr. Ajita (an income strategist) about ways that therapists can diversify their income leveraging both their license AND their knowledge, to try to mitigate these risks to our businesses.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode, we talk about how therapists can protect our professionWith the changes to our industry, we thought it would be important to talk with Dr. Ajita Robinson, an income strategist and insurance expert, about how therapists can weather the storm. What are the threats to the mental health industry?·      Big tech companies innovating in our space, with a focus on efficiency·      Value-based insurance billing·      Credentialing and billing services (like Alma and Headway) moving us out of direct communication with insurance companiesHow can therapists leverage their skills for alternative revenue streams?·      Understanding what other types of services can therapists provide·      Clarifying when we’re leveraging our knowledge versus leveraging our license·      Identifying problems that we’re best situated to solve·      Entering the self-help industryHow can therapists get started when they are ready to leverage alternative revenue?·      Identifying the problem you solve rather than the transformation you want to provide·      Understanding what your target client has already tried·      Knowing what the barriers are for them to solve their problem·      Clarifying who is the customer and who is the consumer·      Contracting with schools, cities, etc. is possible for therapists to increase income·      Accessing resources and experts to help you do what you need to do·      Distinguishing when to start a separate businessResources 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. Ajita’s websiteDr. Ajita Robinson’s book: The Gift Of Grief: A Practical Guide On Grief And Loss​Facebook: facebook.com/drajitaInstagram: instagram.com/dr.ajitarobinsonLinkedIn: linkedin.com/ajitarobinsonFacebook group: Purposeful & Profitable Therapist CommunityPurposeful and Profitable Summit in JulyRelevant Episodes of MTSG Podcast:Private Practice Planning for the Future of Mental Healthcare: An interview with Maureen WerrbachPost-Pandemic PracticeIs AI Smart for Your Therapy Practice?Stay 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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May 29, 2023 • 38min

How Do Therapists Develop?

How Do Therapists Develop?Curt and Katie chat about how therapists can be rigid in their thinking at times and then seem to be performing mental gymnastics at other times. We look at the developmental stages of therapists (drawing from William Perry’s work) and identify where therapists get stuck, where they often regress, rebel, or sink into compliance.Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we talk about what typical development looks like for therapistsTherapists go through developmental stages just like everyone else. We thought it would be good to look at how therapists can get stuck in rigidity (or do mental gymnastics) at early stages of development.How can therapists be both rigid AND do mental gymnastics?·      Therapists employ mental gymnastics when they are trying to put together conflicting ideas and solve all of the problems in the field, individually·      Rigidity can happen when people have “figured out” their own choices and believe that everyone should do what they do·      Under-resourced and under-motivated folks can often get very rigidHow do William Perry’s developmental stages apply to therapist development?·      First stage is dualism (i.e., right or wrong), everything is fixable or solvable (grad school students wanting to know what to do)·      Second stage is about finding the right authority to listen to (i.e., sticking very tightly to a specific modality)·      Third stage, early multiplicity, which is getting to the stage where therapists start to know what they don’t know·      Fourth stage, late multiplicity, most problems have solutions we don’t know, people can have their own opinions, and some problems can’t be solved. This is a very uncomfortable stage.·      There are additional stages mentioned in the episode, we focus on Stage 4·      When people get stuck at stage 4, they are likely to regress to early stages (and become more rigid) or they are likely to rebel, or play the gameWhat are the concerns with therapists at earlier stages not moving through to later stages?·      Therapist Facebook groups may support stage 4 and earlier therapists providing dualistic or simplistic questions and answers leading to shortsighted·      Difficulty looking at any opposing voices due to rigidity or rebellion or complianceHow can therapists avoid rigidity in their thinking (or rebellion, or compliance)?·      Providing space to understand the options·      Employing critical thinking·      Deeper thought about what you’re doing and why you’re doing it·      Explore context and have conversations with folks further along in their developmentResources 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!William Perry’s Scheme of Intellectual and Mental DevelopmentStay 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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May 22, 2023 • 1h 11min

Teaching Wisdom: Best practices for decision-making to support your clients

Teaching Wisdom: Best practices for decision-making to support your clientsCurt and Katie chat about decision-making best practices. We look at how we make decisions, what the decision-making process looks like, what can get in the way of effective decision-making, and how therapists can support their clients in making the best possible decisions.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 support clients in decision-makingWhen therapists are asked “what do I do?!?” by their clients, we can often redirect our clients back and encourage them to make their own decisions. But what if we could provide them with best practices to support their decision-making process? This workshop is designed to help therapists learn more about how people typically make decisions, the cultural differences that can show up in the decision-making process, and best practices to support clients in making informed decisions.How do we make decisions?·      We don’t often choose what is in our best interest·      Emotions, mood, bias impact how we make decisions·      The DBT concept of Wise Mind, is a strong space to make decision·      Individual differences, including age, generation, family structures·      Cultural differences, including individualistic versus collectivist, tight or loose cultures (how many norms and how strictly they are enforced), cognitive style (wholistic versus analytic)·      Intersectionality also plays a part in how these factors can impact decision-makingWhat does the decision-making process look like?·      Does a decision need to be made?·      Who/what makes this decision?·      How is the decision?·      How much time and energy are invested in the decision-making?·      What are the alternatives?·      What could happen if the decision is implemented?·      What would happen if I make this decision?·      What values are relevant?·      What are the tradeoffs?·      How acceptable is this decision to the people around me?·      ImplementationWhat can get in the way of effective decision-making?·      How someone has been parented·      Mental health concerns like anxiety·      Cognitive biases like confirmation bias, anchoring, and availability bias·      Misalignment with values·      Errors from Decisive by Dan and Chip Heath: narrow framing, confirmation bias, short-term emotions, overconfidence·      Defensive decision-making when there is a lack of resources or safety·      Low sleep impacts both at overall cognitive and metacognitive levelsWhat are best practices for decision-making?·      Looking at opportunities for moral development when there are misalignments or conflicts between core values when making a decision·      From Decisive: WRAP techniques to improve decision-makingReceive 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 InformationStay 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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May 15, 2023 • 33min

Does Your Social Media Make You Look Like a Bad Therapist?

Does Your Social Media Make You Look Like a Bad Therapist?Curt and Katie chat about therapists putting out advice on social media. We look at how bad this advice can be and when it can even be harmful. We talk about what makes this advice bad and what to do instead.  Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we talk about therapist influencers giving advice on social mediaWe look at really bad relationship advice that seems to proliferate on social media by therapist influencers.Why is the advice oftentimes bad from therapists on social media?·      Micro-validation of what clients are already believing about themselves or their partners·      Lack of context and very specific related to your target client (but seen by all folks)·      Focusing on the people around the person reading the post, rather than the reader themselves·      Single posts that go viral or reach wider audiences may be misconstrued or taken out of contextWhat is the potential for harm for the therapy profession?·      Bad advice = bad therapist, which can be generalized to all therapists·      Harmful advice can lead to harm in the wider population·      Saying that you’re speaking for all of mental health (when it is actually not grounded in the evidence base)·      It is hard to distill nuanced information in very short timeframesWhat should therapists do to improve their social media posts?·      Citing sources rather than standing out as a sole expert·      Grounding self in the evidence base or recognized psychological knowledge·      Talking to clients about what they can do, rather than how to judge the people around them·      Designing the content to be engaging, but also tie back to longer form content that can have more nuance and context·      Each post has to stand alone, with sufficient context·      Identifying questions or considerations for folks to look at (versus definitive statements)What are the concerns with therapists being too limited with what they share on social media?·      Not providing information that can help folks in abusive relationships·      Coaches and “fake therapists” may be the only people in the space, putting out even worse adviceWhat are the characteristics of very bad social media advice?·      Rigidity in perspective·      Equating hurt and abuse·      Overusing pop psychology terms like “trauma bond”·      Giving overarching, single tactic coping advice that can be harmful for many folks·      Putting things very definitively, without nuance relatedResources 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!Relevant Episodes of MTSG Podcast:Navigating the Social Media Self-Diagnosis TrendHas Therapy Become the New ReligionWhat Can Therapists Say About Celebrities: The ethics of public statementsStay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:PatreonBuy Me A CoffeeOur 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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May 8, 2023 • 40min

Oklahoma Bureaucrats Want Your Mental Health Records

Oklahoma Bureaucrats Want Your Mental Health RecordsCurt and Katie chat about some Oklahoma legislation about health information exchange. We talk about what a health information exchange is, the concerns with Oklahoma’s legislation related to health information exchange, and how therapists can advocate effectively (as modern therapists in Oklahoma have done).   Transcripts for this episode will be available at mtsgpodcast.com!In this podcast episode we talk about new Oklahoma legislationWe look at “coordinated care” and the problems that could ensue if therapists are required to participate in the health information exchange.What are health information exchanges?·       A central location for all health providers to chart to help with coordination of care·       Psychotherapy notes are not required to be put into these systems, but diagnosis, treatment dates, and prescriptions seem to be required.·       Patients can opt out of this information being shared, but it will still be stored in these databasesWhat are the concerns with the new Oklahoma legislation related to health information exchange?·       Oklahoma is now asking to put medical information into a system regardless of whether they are on Medicaid or any other type of service as well as for folks who are paying out of pocket·       The price tag of connecting to this system is high·       The confusion around whether therapists are “medical providers” or not·       Interstate practice can be impactedWhat can therapists do to understand and impact legislation?·       Acknowledge that we’re healthcare providers to stay aware of responsibilities·       Watching legislation that is relevant·       Being involved in your professional organization or member benefit organization, so you know that there is someone watching for these types of legislation and prepped for advocacy·       Advocacy and activism within these orgs as well as individual and small group advocacy·       Understanding the concerns related to lack of privacy for clients·       All 50 states have a health information exchange, so all clinicians need to pay attention·       Paying attention from the bill writing process all the way through implementation·       Going to public meetings to provide feedback on implementation·       Donate to your professional association’s Political Action CommitteesResources 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!Oklahoma Providers for PrivacyKeeping Oklahomans' Mental Health Records ConfidentialLawmaker says concerns about Oklahoma health information exchange 'unfounded'State board approves health information exchange rules despite pushbackRelevant Episodes of MTSG Podcast:What Goes in Your Notes (About Abortion and Gender Affirming Care)?The January 2022 Surprise of Good Faith EstimatesIs the Counseling Compact Good For Therapists?Joining Your AssociationLet’s Get Political: An interview with Heather Walker Janz, LMFTNow Modern Therapists Have to Document Every F-ing Thing?Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:PatreonBuy Me A CoffeeOur 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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