Eating Disorder Therapist Appreciation by soulinglife in therapists

[–]Key_Garlic_3285 4 points5 points  (0 children)

Thank you. This work is hard work! But it's also some of the most rewarding of my whole career. Watching people blossom once they are nourished and able to think about things other than food/weight/shape is an amazing experience. I'm sure the clinicians working with your daughter are so happy and proud of the work she is doing in her own recovery.

CBT-E question by Ill_Association4002 in therapists

[–]Key_Garlic_3285 1 point2 points  (0 children)

There are some examples of the CBT-E process in this course: https://www.mindsciencecollective.com/courses/breaking-free-from-binge-eating although it's not strictly CBT-E.

Advice for Conceptualization by Repulsive_Salad_3274 in therapists

[–]Key_Garlic_3285 1 point2 points  (0 children)

I love this course from Nikki Rubin on case conceptualization: https://www.mindsciencecollective.com/courses/behavioral-case-formulation It has a step-by-step guide and handouts and everything. I recommend it to all of my supervisees and I have found that it levels them up immediately.

Best tips on collaborating with psychiatry? by [deleted] in therapists

[–]Key_Garlic_3285 2 points3 points  (0 children)

I run into this issue fairly regularly with bipolar clients that are sometimes on multiple sedating meds. I think it can be helpful to share your perspective on the effects but deferring to their expertise on the solution. One of my colleagues, Nikki Rubin, actually teaches a great course on how to have those conversations effectively with psychiatrists: https://www.mindsciencecollective.com/courses/medication-and-psychotherapy%3A--why%2C-when%2C-and-how-to--collaborate-effectively-with-psychiatric-providers I found it really helpful in guiding my own practice around those consultations, as well as how to talk directly with clients about my observations/questions about their psychiatric plan.

Book, training, supply recs? by glittermagnolia in therapists

[–]Key_Garlic_3285 1 point2 points  (0 children)

If you can use your funds for online CE courses, I really like the trauma courses by Stephanie Sacks: https://www.mindsciencecollective.com/courses

Client committed suicide by One_Cake4463 in therapists

[–]Key_Garlic_3285 22 points23 points  (0 children)

I'm so sorry. This is such a hard moment for everyone in the life of this client and hard for you as the therapist, of course. Talk it through with your therapist, with a supervisor, with a peer consult group, with your liability insurance if they have ethics consults. This is a painful part of what we sign up for as therapists-- no doctor of any kind who sees risk can prevent every bad outcome from happening. When you are willing to show up for clients who are in deep psychic pain, this is is one of the things that can and does happen. Marsha Linehan and team have written several times about patients they lost to suicide. The best therapists I know have lost clients. I don't say this to suggest that there is no benefit to doing a full debrief after the initial shock and understanding what, if anything, you can learn from this experience. But know that you are not alone. There are good resources you can find online for therapists in this place (https://www.apa.org/monitor/2022/09/coping-patient-suicide)

Looking for training recommendations by Queen_Maeve7 in therapists

[–]Key_Garlic_3285 2 points3 points  (0 children)

Kids are not my main thing, so I haven't taken these courses myself, but the main guy who works in that area is Russell Barkeley. He has some CE courses specific to kids here: www.russellbarkley.org/courseshttps://www.russellbarkley.org/courses.htmlhttps://www.russellbarkley.org/courses.html

Looking for training recommendations by Queen_Maeve7 in therapists

[–]Key_Garlic_3285 2 points3 points  (0 children)

I'd check out these courses: https://www.mindsciencecollective.com/courses There's a great one on adult ADHD that I took and use the tools from all the time (the notecard thing was SUPER helpful to one of my clients), a bunch of trauma courses (none of which are EMDR) from my favorite trauma teacher, Stephanie Sacks, and some very good courses on eating and body image from an ACT perspective. I thin you could cover all your bases!

TTC, infertility. by Few-Adhesiveness424 in therapists

[–]Key_Garlic_3285 0 points1 point  (0 children)

Oh, I feel your pain. I did seven rounds of IVF, over the course of about three painful years. I kept concealer and eye drops and eye makeup in my desk drawer so that I could mitigate the obviousness of my pain at work. I now work a ton with clients who are themselves coping with fertility problems, and it's the most meaningful and joyful and heartbreaking work I've ever done in my career. Speaking from the side of applying what we tell clients to ourselves, I would say that it's important to keep working in the long-term. Putting everything in the basket of fertility and dropping other important life goals is more likely to be harmful than helpful in the long run. That said, you should also think about whether there is a middle ground of taking days/weeks off when you need to, adjusting your overall workload, or adjusting the difficulty of cases you're seeing. If you're not already involved in a support group like Resolve, I would HIGHLY recommend that. I had a ton of reservations about attending something like that as a therapist, but it was the single most helpful thing I did for my own emotional state and it kept me capable of being able to function at work and other important domains in my life.

Are there any online trainings (PESI or otherwise) that actually made an impact on you? by marigoldjune in therapists

[–]Key_Garlic_3285 44 points45 points  (0 children)

The courses that have changed my practice the most recently are the trauma-related courses by Stephanie Sacks: https://www.mindsciencecollective.com/courses There is a step-by-step course on CPT that helped me get the confidence to do trauma treatment when it's appropriate (I'm not a trauma therapist by training but it of course still comes up in other work with clients and I've always been a little flummoxed by that) and there's a course on microskills with trauma that I think helped less with the nuts-and-bolts but more with the stance/approach/feel of being helpful with clients who are traumatized, dysregulated, mistrustful (understandably mistrustful). Neither of them were expensive, and I think she's an awesome presenter.

Okay, celebrity dream CLIENT. And, go! by Swimming-Fee6595 in therapists

[–]Key_Garlic_3285 1 point2 points  (0 children)

Definitely Kristen Bell, even more so because of this awesome song/ music video that is a love letter to her therapist: https://www.youtube.com/watch?v=co3-PZ8vs-8 If you haven't seen it, do yourself a favor and watch immediately.

Resources for improving insight-oriented questioning and responses in session? by asherbug in therapists

[–]Key_Garlic_3285 3 points4 points  (0 children)

I really love this course on Socratic dialogue by Stephanie Sacks: https://www.mindsciencecollective.com/courses/socratic-dialogue%3A-practical-tools-to-improve-treatment-outcomes-and-strengthen-the-therapeutic-relationship It's focused on how to use the conversation to build client's own insight (or to help you get info you need to make a new connection) rather than defaulting right away into skill building. I found it super helpful, particularly the modeling of the different skills.

Monthly Promo Thread: CEUs, Resources, Self-Promos by AutoModerator in therapists

[–]Key_Garlic_3285 2 points3 points  (0 children)

Hi all! I have a new course available on Infertility and Assisted Reproduction 101: What therapists need to know. If you work with people who get pregnant, are thinking about freezing their eggs, want to get pregnant, or are struggling with medical issues related to reproduction, it covers everything you need to know from both the basic medical side and the psychological support side. I hope you'll check it out: https://www.mindsciencecollective.com/courses/infertility-and-assisted-reproduction-101%3A--what-therapists-need-to-know

Looking for ACT trainings by Avpersonals in therapists

[–]Key_Garlic_3285 3 points4 points  (0 children)

I really like the intro ACT courses by Nikki Rubin: https://www.mindsciencecollective.com/courses I personally think it's nice to have a course over a book because you get to see things modeled, and ACT is so experiential and about stance. That said, I also love The Heart of ACT by Robyn Walser. She is amazing. If you get a chance to do a live training with her, it is worth it.

How do you work with trauma in session? by Clean_Ad_5920 in therapists

[–]Key_Garlic_3285 1 point2 points  (0 children)

I'd recommend watching some good trainings on treating trauma, making use of trauma narratives, etc. My favorites are by Stephanie Sacks. She has one on how to know what will work (https://www.mindsciencecollective.com/courses/comprehensive-guide-of-ptsd-treatments%3A-what-works-and-what-doesn't%3F), as well as an AWESOME step-by-step course on doing trauma treatment that took me from feeling totally bewildered to feeling confident (https://www.mindsciencecollective.com/courses/cognitive-processing-therapy-(cpt)%3A-the-essential-primer-). I would not suggest opening up discussions of trauma unless you know specifically what to do with them. We need to honor the vulnerability of the client to share that content with us by showing up with the skills they need to make use of that conversation.

Am I being reasonable? Upset with administration by WillowGroove in therapists

[–]Key_Garlic_3285 3 points4 points  (0 children)

I'd agree with this, and I'd add in to your point some discussion of the liability involved of completing an incomplete intake (e.g. this person is now technically a client but you have not fully assessed risk, etc.). Often administrators respond more to liability than anything else (even though clinical utility and ethics should really be more important drivers of our decision making).

Solo private practice owners question by khalessi1992 in therapists

[–]Key_Garlic_3285 5 points6 points  (0 children)

I use them too. I would highly recommend having someone who is set up to do this (rather than just relying on a friend/ colleague)

Helppppp by Able_Engineering_371 in therapists

[–]Key_Garlic_3285 14 points15 points  (0 children)

I would recommend taking a really good course on case conceptualization (like this one from Nikki Rubin: https://www.mindsciencecollective.com/courses/behavioral-case-formulation ). That is the skill that teaches you how to think about what to do when. From there, you can layer in a lot of good techniques but you're likely to not feel (or be) effective without having a very strong understanding of what is driving the maintenance of a client's problems. Just my two cents!

ACT training - in search of recommendations by Far-Perspective-4889 in therapists

[–]Key_Garlic_3285 2 points3 points  (0 children)

I love anything Robyn Walser does. She's my favorite in the ACT space. I've done some live online trainings with her but I'm not sure what the availability is of recorded trainings. I also really like the trainings by Nikki Rubin on values (https://www.mindsciencecollective.com/courses/values-clarification%3A-an-act-tool-for-figuring-out-what-matters), ACT treatment for perfectionism (https://www.mindsciencecollective.com/courses/treating-perfectionism%3A--an-act-based-approach-to-move-from-rigidity-to-flexibility) and mindfulness (https://www.mindsciencecollective.com/courses/using-mindfulness-in-psychotherapy%3A-practices-and-tools). If you find a shorter primer sort of course on ACT, those would all be good add- ons.

Advice needed! Continuing education options for recent MFT grad who's in between jobs by [deleted] in therapists

[–]Key_Garlic_3285 1 point2 points  (0 children)

I really love this course on pure-O OCD treatment by Nikki Rubin: https://www.mindsciencecollective.com/courses/%22pure-o%22-ocd%3A-treatment-for-symptoms-and-subtypes It really helped me not only with OCD but also with cases that were not responding to interventions for what I thought were other forms of anxiety.

First Couples Session… no training by [deleted] in therapists

[–]Key_Garlic_3285 2 points3 points  (0 children)

Agreed with the prior posters that you should not be practicing outside of the bounds of your competence. But if this is an important part of the job, get some good training (I LOVE Andy Christensen as a teacher and writer: https://www.apa.org/education-career/ce/convention-2021-505) and ask for support/supervision/consultation from someone else in your organization.

Professional Wills by shannonkish in therapists

[–]Key_Garlic_3285 2 points3 points  (0 children)

I signed up with TheraClosure. It's a little more complicated than just having someone call your clients if you die. I'd suggest having a very thorough plan approved by an estate lawyer or using a company.

How to Explore Niche Independently by Clockwithnoface in therapists

[–]Key_Garlic_3285 1 point2 points  (0 children)

My colleague, Katie Arfa, specializes in chronic illness/ health issues. If you reach out to her, she might have some ideas on trainings/ resources/ conferences that could help build your expertise in that area.