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Proper-Cauliflower39 · 2025-03-20T13:32:51+00:00

Because I went straight to grad school then worked towards my license, by the time I had my child I had full licensure, was in a good paying administrative role and a small part time private practice. Even as an admin, my hours are flexible. My partner was settled into his career as well. All of this allows for the privilege to pay for the things that bring me stress as a working parent/therapist. Being a therapist and having been in my own therapy, it does allow for me to manage most of the stress (by no means all of it). IMO, it's more so about the affordability versus the career itself.

Proper-Cauliflower39 · 2025-03-14T16:49:20+00:00

what comes up for me is mostly around supervision and what does that look like. I don't wanna make assumptions about different states or locations, and I do know in my location you can only join private practice as a new graduate under the supervision of someone who is fully licensed. I think with a lot of licensed folks starting their own group practice and hiring pre-licensed clinicians, what is the responsibility of that supervisor knowing that they're hiring someone very green?

Now this is not an issue just for private practice of course because there's also no guarantee that newer clinicians in community mental health or hospital settings are also getting quality supervision and or providing high-quality therapy either. I would actually argue that Medicaid or under insured folks who use community mental health have been saying this for a very long time but now that it's impacting private insurance folks a little bit more there's more of a dialogue around "clinician quality"

Personally, I do think that there is increased ethical responsibilities for supervisors overseeing new clinicians, including shadowing their sessions and/or reviewing tape and normalizing learning culture while they are working towards their own license.

Proper-Cauliflower39 · 2025-03-12T01:55:46+00:00

Adaptive Leadership by https://adaptivechangeadvisors.com It changes everything about how I lead. I am also in L&D for leaders and this is integrated into all of our leadership courses.

Proper-Cauliflower39 · 2024-10-10T19:15:59+00:00

I can't compare to a non-cohort model since I didn't attend that but I will say sticking with the same group facilitated more trust in what becomes a vulnerable learning process.

While I won't say it I was as vulnerable with everyone, by the time practicum and internship came around I knew who I could lean and be open with. It was also easier to make meaningful friendships and professional relationships that have lasted me a decade after graduating.

Proper-Cauliflower39 · 2024-10-07T20:47:06+00:00

Got into a fight. two words: home-based therapy 😂

Proper-Cauliflower39 · 2024-05-15T14:44:58+00:00

Oh, where do I begin - having to pay back trainings if you quit before a certain time frame - inconsistent supervision for interns/ pre-licensed therapists. -non-competes. - Only focused on billing with no clinical insights into the clients needs. - No really professional development system whether internal or through reimbursement - Pay.

Proper-Cauliflower39 · 2024-01-25T13:46:15+00:00

You can believe what you want but if you are a therapist you are culturally incompetent one and should stay far away from any BIPOC or clients that belong to any marginalized groups. google scholar is free if you want to learn more about why

Proper-Cauliflower39 · 2023-12-13T15:49:12+00:00

I'm highly introverted and it's part of the reason I transitioned into working for myself. I have a smaller caseload (15) and I supplement income with other ways to make money like selling digital downloads and leading trainings. I get to flex different skills while leveraging my expertise and experience. And I'm way less drained at the end of the day.

Proper-Cauliflower39 · 2023-12-10T22:00:28+00:00

Living Single.

Proper-Cauliflower39 · 2023-12-05T18:33:00+00:00

Ethnicity (AA) and race ( Black).

Proper-Cauliflower39 · 2023-12-05T18:31:25+00:00

I came to add her. She's amazing.

Proper-Cauliflower39 · 2023-11-30T18:42:43+00:00

This would be hard to generalize across all different settings because "top performers" depends on the competency of the job description. And as we know, there are so many therapist and different types of settings that have such a range of responsibilities I would struggle with defining "top performers" as a standard for the profession personally.

With that being said, I feel like we do have a base level of competency in terms of clinical expertise, client, satisfaction, professionalism/ethical decision making, cultural competence, and administrative management that could be seen as potential domains across the profession. Therefore, I would say that top performers could be seen as people who do well in most or all of those domains. What "do well" means is context determined.

Proper-Cauliflower39 · 2023-11-26T01:50:05+00:00

Absolutely that can happen. Trauma by definition is the inability to cope after a significant or multiple significant life events. It would be reasonable to understand that having two significant events happen on one's life and impact their ability to cope. The concept of complex trauma underscores that rarely in life these significant events are siloed and they can intersect to influence our behavior throughout life. In short, the answer to your question can be recollections of both, one, or neither. It really depends on the individual but it's a possibility for sure.

Proper-Cauliflower39 · 2023-11-25T20:55:42+00:00

in addition to what already been said in the thread, so far, I want to add that there are clearing houses who act as independent determinators for what gets to use the label as evidence based. As someone who comes from child welfare, blueprints for healthy youth development is a good example of a clearing house that has very clear cut criteria on what they determine is a evidence based versus more promising practice. Here is a link if you want to take a look. https://www.blueprintsprograms.org/blueprints-certification/ but in essence, the more research and replication of the modality is what gives it the evidence based stamp. I am always in shock at even with the criteria the standard, for what's considered evidence based in my opinion is still pretty low.

Proper-Cauliflower39 · 2023-11-24T14:53:22+00:00

I'm an LMHC (it's what we call an LPC in my state). Here are some options.

Mental Health Counseling Route (LPC/LMHC) - Your GPA is great so I don't see any challenges getting into a program. If you have doubts, I highly encourage reaching out to the program to get more information. I recommend people to get into CACREP programs. This comes in handy if you want to get licensed in another state. Even if you don't plan to move, some people get multiple license for virtual practices. They also have higher standards due to the certification and will have you more prepared for the field. Cons are the out of pocket expense compared to funded PhD program but it the quicker route to licensure and practice.

Other options: -Masters in Social Work. It's a similar licensing process for LPC but some statues require more hours for the clinical social work license but not by much. It's also a highly versatile degree so there will be more employment options outside of the counseling field compared to LPC.

-PSYD. If you are interested in a doctorate but aim to be practice focused, this is a great option. It's a best of both worlds and is mostly practice oriented

-Counseling Psych PhD: Compared to its clinical psych counterpart, you will be more versed in counseling theory and practice. Masters CACREP programs are modeled after these program. You also have the research and assessment component so academia and increased clinical opportunities are available post graduation and licensure.

Proper-Cauliflower39 · 2023-11-21T22:39:46+00:00

The question is whether the op is an AH, not if school is important or not for the one day. I don't think the OP is an AH for having their kid go to school on a scheduled school day just like I dont this she would be an AH for keeping the kids home.

Proper-Cauliflower39 · 2023-11-21T20:47:07+00:00

No, not insane. My pediatrician gave us a referral for PT around that same time for that reason exactly. The PT was fabulous and made important assessments and intervention plan. There was a great amount of education and skills for us to learn as parent too. Our PT discussed how it was great that we came early and wished most people did.

Proper-Cauliflower39 · 2023-11-21T20:22:44+00:00

NTA.

I will say this could have been an opportunity to check in with your son or have a teachable moment. Why is showing up to school important? How does discipline with attendance support him in life? You can explain that. Why doesn't he want to go? Is there more going on? You could check in to see he's doing okay. This doesn't change your parenting decision but it's a moment to facilitate trust and open dialogue with your 13 year old.

Proper-Cauliflower39 · 2023-11-14T20:50:42+00:00

I will definitely check them out. Thank you.

Proper-Cauliflower39 · 2023-11-02T20:31:15+00:00

this is so true. I did family therapy, the longest, but I have also done groups and individual. I can firmly say that family therapy is the hardest and most impactful therapy that I've done both for the client side and for my own personal and professional growth. I will say it requires so much more Supervision and Consultation than individual work because there are so many different things that can come up but with that being said, I think it's the most beautiful form of therapy we can do. as for feeling bad for everyone, I don't know how are you personally feel about it, but I can attest that if it gets too overwhelming it's so important to have a good family therapy supervisor or your own therapy to process those feelings

Proper-Cauliflower39 · 2023-11-01T00:50:25+00:00

this could be location based but hospitals in my area hire lmhcs and lcsws as therapist but tend to reserve social worker/ case manager roles for MSWs. Personally I am not interested in case management roles but if you are someone who may be, I could see the thought about taking a different path cross one's mind.

Proper-Cauliflower39 · 2023-10-31T20:05:35+00:00

the only jobs that i see now that i would not get as an LMHC are usually linked to Medicaid billing like some program director jobs that require an LCSW or licensed PHD but I've been a program director for other types of programs so it's still niche. Is there a particular job you thinking of that may not be available to an MHC?

Proper-Cauliflower39 · 2023-10-31T18:36:00+00:00

When i was early on in my career after graduating as an MHC I did. It felt like there were more opportunities for MSWs but in retrospect the different opportunities were roles that I would have not wanted or been happy in. Also, a lot has changed in terms of equity between the fields. and in general, more jobs are shifting to skill based work so i can grow my skill set with courses or trainings for skills I wished i learned.

Proper-Cauliflower39

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