Colleague Down the Hall

More of us than ever are practicing in solo or online psychotherapy practices and we all need colleagues to process cases with, commiserate with on those really hard days and also to celebrate our successes with. The Colleague Down the Hall podcast is a place where we’ll discuss fictionalized cases and ways to practice sustainably. I'll also bring you insights about trends and changes in our field, and sit down with amazing therapists who are doing amazing work.

62. Online Video Content: Boost Your Private Practice's Digital Presence

In today’s episode of the Colleague Down the Hall podcast, I delve into how to enhance your marketing strategy for your private practice using a simple and accessible method. I share insights to guide you on how to create short, engaging, and authentic videos to enhance your online presence. I also touch on leveraging these videos for SEO benefits and building connections with potential clients and other therapists. The more accessible and authentic your marketing, the more clients you attract and connect with.    “As therapists, we know the issues that our clients deal with, we are in a great position to market ourselves, and to be able to define the issues and talk about how we can help people. So some of the videos will be about what are the issues that you work with, and some of them are going to be about how you work with clients to resolve these issues. And you might even consider having a colleague come on. And maybe you can do a swap, they can talk about what they do in their practice. And then you can talk about what you do in your practice.”   Let’s delve into:   ***Video Content Creation: how to plan and create short, five to six-minute videos on topics relevant to your ideal clients   ***Utilization of Multiple Platforms: The videos were not only hosted on my personal blog for SEO benefits (the transcripts) but also on a dedicated video page and a YouTube channel, taking advantage of YouTube's function as a search engine.   ***Authentic Presentation: The importance of therapists presenting themselves in an authentic manner in videos.    ***Content Driven by Client Interactions: The topics for the videos are inspired by common themes and issues discussed during therapy sessions with clients. This ensures the content is relevant and engaging for the target audience.   ***Simplifying the Technical Aspects: using simple tools for recording videos, such as Zoom or Canva, highlighting that no expensive equipment or software is necessary to get started.   ***Regular Content Creation: Setting a regular schedule for recording videos to maintain a consistent presence and suggests using downtime effectively by preparing content in advance.   ***Engaging with Colleagues for Cross-promotion: Collaborating with other therapists for video content can help widen reach and establish a supportive network. Cross-promotion through these connections also enhances SEO through backlinks.   ***Overcoming Nervousness: Recognizing that being on camera can be nerve-wracking, push through the discomfort, picture a conversation with a client to ease anxiety, and recognize the professional benefits of this marketing approach.   ***Listen In: I share the audio from one of my first videos, completely unedited.  Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

05-09
17:06

77. Balancing Therapy Practice and Parenthood: Strategies for Back-to-School Season

Here’s another episode of The Colleague Down the Hall Podcast. In today's episode, I explore the challenge of balancing a therapy practice with the demands of parenthood during the back-to-school season. I talk about strategies to manage this seasonal stress and maintain well-being, from setting boundaries at work to adjusting your practice schedule to accommodate family needs. I also share practical tips on using EHR systems, streamlining client scheduling, and outsourcing tasks to lighten the load.   “Remember it's okay to say no to extra commitments that don't align with your top priorities. In fact, it's more than okay. It can be vital if you've ever reached that extra crispy level of burnout, you know what I mean? So if you're someone who has trouble saying no, especially with extracurricular activities your kids might be involved in, decide how much time you have to give, if any, and stick to that amount.”   In this episode, let’s talk about: ***Set Boundaries at Work: Reassess your work schedule to better align with family needs, particularly during the back-to-school season. Saying no to extra commitments and setting clear work boundaries can help reduce stress and prevent burnout. ***Streamline Practice Management: Utilize EHR systems for scheduling, billing, and client records. Consider features like self-scheduling and automation tools to minimize administrative tasks and improve efficiency. ***Outsource and Delegate Tasks: Don’t hesitate to ask for help, whether it's hiring a virtual assistant, getting extra help at home, or leveraging support from your clinical consultation group. Delegating tasks can ease your workload significantly. ***Prioritize Self-Care and Presence: Focus on quality time with your family, practice self-care, and accept imperfection. Remember that balancing a therapy practice and parenting is challenging, and giving yourself grace is essential to navigating this busy season.   Connect with Jeanene: *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

08-22
13:20

76. Normalizing and Managing Imposter Syndrome in Private Practice

Welcome to another episode of The Colleague Down the Hall podcast where I delve into the pervasive issue of imposter syndrome, especially as it relates to therapists in private practice. I unpack the insidious nature of this phenomenon, where self-doubt creeps in despite years of experience and success, making professionals feel like frauds. In this episode, I offer practical strategies like creating a "book of evidence" and an "imposter syndrome survival kit" to combat these feelings, while also highlighting the importance of community support and self-compassion.   Listen in for valuable insights and tools to navigate this challenge in your professional journey.   “Remember, you're not alone in this. Imposter syndrome is a shared experience. I've been in this field for over 30 years, and I still find myself experiencing it. I don't always recognize it at first, but it doesn't have to dictate your professional journey. By acknowledging it, talking about it, and taking steps to manage it, you can reclaim your confidence and continue doing the very important work you do for your clients and your communities.”   Here are the key highlights:   ***Imposter Syndrome is Common: Imposter syndrome is a widespread experience where self-doubt and feelings of being a fraud can undermine confidence. ***Strategies to Counteract Imposter Syndrome: Creating tools like a "book of evidence" to document successes and an "imposter syndrome survival kit" can help ground you in your achievements and provide support when self-doubt arises. ***The Importance of Community Support: Connecting with colleagues or mentors can normalize the experience of imposter syndrome, offering reassurance and valuable perspectives that combat feelings of isolation. ***Self-Compassion is Crucial: Practicing self-kindness and allowing yourself to embrace imperfections can help mitigate the harsh self-criticism that often accompanies imposter syndrome. ***Prioritizing Self-Care: Engaging in self-care practices, from mindfulness to time outdoors to somatic techniques, builds resilience and helps manage the pressures that contribute to imposter syndrome.   Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

08-15
09:48

75. Measuring Success: Key Performance Indicators for Private Practice Growth

Here’s another episode of The Colleague Down the Hall Podcast where I dive into a crucial topic for private practice owners: Key Performance Indicators (KPIs). Understanding which KPIs to track to transform your practice from merely surviving to thriving. KPIs are metrics that offer insights into how effectively your practice is meeting its business objectives, from financial health to client satisfaction and operational efficiency. Understanding these KPIs isn't just about numbers, it's about gaining insights into what's working and what isn't. Join me as we unlock the power of KPIs to enhance your private practice journey.   “I talk to a lot of therapists who don't really understand that having a therapy practice is running a small business, and so I really encourage you to get into that mindset. There are things that you have to do as a small business, there are things that you need to learn about to run an effective small business, and so try and wrap your head around that and reach out for some resources. Remember the goal of tracking KPIs is not just to collect data, but to create a roadmap for improvement. Each KPI you track should lead to actionable insights that drive your practice forward.”   Hear more about:   ***Key Performance Indicators (KPIs) are metrics that help private practice owners understand how effectively their practice is achieving its business objectives. ***Client Retention Rate: This KPI measures the percentage of clients who return after their initial visit.  ***Tracking missed appointments is crucial as they directly impact revenue and scheduling efficiency. ***Gathering feedback through surveys helps quantify client satisfaction. ***Operational Efficiency: This KPI can be measured by looking at the ratio of administrative costs to total revenue. ***Ways to Set Up and Implement KPI Tracking ***By harnessing the power of KPIs, private practice owners can enhance their business operations, improve client satisfaction, and ensure sustainable growth.   Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

08-08
09:59

74. Choosing Your Private Practice Path: The Pros and Cons of Working Solo or Joining a Group

Welcome to another episode of The Colleague Down the Hall Podcast! In today's episode, I’m diving into a pivotal decision that many therapists face: should you start your own solo private practice, or is joining a group practice the better path? Each option offers distinct benefits and challenges that can greatly impact your career satisfaction and personal life. We’ll explore the pros and cons of both paths, providing examples and steps to guide your decision-making process. Starting with solo private practice, we'll discuss the allure of independence, clinical autonomy, flexibility, and financial potential. We'll also cover the challenges of administrative load, isolation, and uncertain income. On the flip side, joining a group practice offers a built-in community, shared resources, and a collaborative environment, but comes with its own set of drawbacks like less autonomy and revenue splitting.    "Solo practices often highlight the independence to make decisions and the responsibility of managing the way your practice functions. Group practices can provide a built-in support system and admin support which can ease the burden of day-to-day operations. Reflect on your personal and professional goals, perhaps by writing them down or discussing them with a mentor. As you navigate this decision, think about how each model aligns with your values, career aspirations, and lifestyle needs, and seek advice from mentors or trusted colleagues to help clarify your path. And remember, this choice doesn’t have to be permanent. Many solo practitioners started out with a group practice before deciding they wanted to go out on their own."   In this episode, I delve into solo private practice vs joining a group in these areas:   ***Understanding The Nuances Of Solo Practice Vs Group ***Financial Differences ***Flexibility With the Work Experience Itself, i.e. Schedule, Time Off, etc ***Decisions Around Client Populations You Work Best With ***How Policies and Procedures Are Handled ***Type of Support Around Clinical Issues and Decision-making ***Administrative Tasks and How They Are Managed   Connect with Jeanene: *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

08-01
19:36

73. (From the Archive) Fictionalized Case: Working With a Minor Who is Using THC

In this episode of Colleague Down the Hall, a group of my colleagues discuss the complexities and ethical considerations in adolescent therapy, particularly in a case involving cultural factors, parental skepticism towards mental health treatment, and the issue of confidentiality regarding a client's substance use. We delve into the importance of understanding family dynamics, addressing cultural aspects, and navigating the delicate balance between maintaining client confidentiality and ensuring the client's well-being, especially when substance use is involved. This case presents the challenges therapists face in making informed decisions that respect the client's autonomy while considering the broader context of their family and cultural background. “I think also in here is the inherent systemic racism that dad has experienced his whole life and wants his son to do really well in a society where you're constantly swimming upstream, no matter how hard you work. So I wonder how much is just pure concern and love for his son, that they really want, that's really important to help them have every opportunity. Because I mean, we all want that for our children. But when you're in a society that you recognize puts limits, just by virtue of your skin color, that I think that would be, I mean, I can only speak as an outsider, but I could see how that could really drive you to drive your kid. Because you really want them to have that opportunity and to be able to achieve”- Lise Key points from this episode: Challenges of Therapy with Adolescents: The case of 16-year-old Paul highlights the complexities of working with adolescents in therapy, especially when there is parental skepticism towards mental health treatment. Cultural Considerations: Paul's identity as an African American male is relevant, influencing both the therapist's approach and the parents' perception of therapy. There is an emphasis on understanding and addressing cultural factors in therapy. Parental Attitudes and Family Dynamics: Paul's parents' views on mental health and therapy, along with their high expectations and perceived judgment, significantly impact Paul's situation and his progress in therapy. Confidentiality and Ethical Dilemmas: The therapist faces a dilemma regarding whether to disclose Paul's marijuana use to his parents, weighing the importance of confidentiality against the potential risks of substance use. Therapeutic Progress and Skills: Paul has shown progress in managing his anxiety through various therapeutic techniques, such as mindfulness and Cognitive Behavioral Therapy (CBT). Consultation and Peer Support: The therapist seeks advice from colleagues, demonstrating the value of professional consultation and peer support in navigating complex cases. Documentation Practices: The importance of careful and thoughtful documentation in therapy is discussed, considering legal and ethical implications. Connect with Jeanene: *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Join a clinical consultation group: https://oasisfortherapists.thrivecart.com/enrollment *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LInkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

07-25
36:43

72. Crisis Intervention and Coping Ahead Strategies for Teens: Insights from Mallory Grimste

You are listening to another episode of The Colleague Down the Hall podcast.  I'm excited to be joined by Mallory Grimste who specializes in helping teenagers face some of the toughest challenges, including self-harm, feeling lost, battling anxiety, and navigating depression. In this episode, we explore practical, evidence-based coping skills for teens and young adults dealing with self-harm, suicidal thoughts, and anxiety. Mallory shares her approach, which includes working closely with parents and leveraging tools like dialectical behavior therapy (DBT) and the Coping Ahead Plan. We'll also discuss the importance of clear communication, privacy, and confidentiality in therapy, as well as self-care strategies for both clients and therapists.  Listen in as we delve into some foundational aspects of mental health therapy and practical tips for working with high-risk populations. You won't want to miss it!   “I have a tool that I created called the Coping Ahead Plan, where it literally walks through these potential stressors, or known stressors, but I know could set off something that's problematic for me. If you've got an exam coming up, I think everybody could agree exams, even if you're an “A” star student, they're stressful. So coming up with coping strategies or coping skills that can apply to that situation, and then identifying safe, responsible adults that you can reach out to support, and I'm very clear that it should be a safe, responsible adult, not another teenager, because we never know what our friends are going through, and we don't always know at the time, or all the resources and strategies that could be available to us. It's not that they can't be helpful, but if you're in a crisis, then you're going to want to go to again, a safe, responsible adult, not just anybody.”- Mallory Grimste   Key takeaways from this context: ***Understanding the Signs: We discussed how to recognize early warning signs of mental health struggles in teenagers, including changes in behavior, mood, and social interactions. ***Building Trust and Rapport: Mallory shared techniques on how to establish trust and a strong therapeutic rapport with teenagers, which is crucial for effective therapy. ***Evidence-Based Approaches: We explored several evidence-based therapeutic approaches, such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), which are effective in treating anxiety and depression in teenagers. ***Parental Involvement: The importance of involving parents or guardians in the therapy process was emphasized, including strategies for effective communication and support at home. ***Coping Skills and Strategies: Practical coping skills and strategies were provided to help teenagers manage their anxiety and depressive symptoms in their daily lives.   About the Guest: Mallory Grimste, LCSW sees teens and young adults in Connecticut. She's a mental health therapist, and her superhero cape is tailored to helping teenagers dealing with some of the toughest challenges—think self-harm, feeling lost, battling those anxious thoughts, and navigating the shadowy valleys of depression. And she believes that the secret sauce is as simple as learning effective coping skills.   Connect with Mallory: Website: https://www.mallorygrimste.com YouTube: mallorygrimste.com/youtube Instagram: @mallorygrimste   How to Handle Consistent Suicidal Thoughts using a Coping Ahead Plan https://youtu.be/So-c6mpg_Ic   4 ways you can help friends who cut (+ get them help) https://youtu.be/7LRBvFdTOUQ   Connect with Jeanene: *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

07-18
42:04

71. Bridging Gaps in Mental Health: Insights on Trauma, ADHD, and Autism with Linda Thai

Linda Thai joins me in this new episode of the Colleague Down the Hall podcast to explore how trauma symptoms often overlap with traits of ADHD and autism, stressing the need for accurate differentiation and personalized treatment plans. Our discussion highlights the significance of continuous assessment, a multidisciplinary approach, and the role of peer consultation. We also discuss promoting self-empowerment, reducing stigma, and integrating diverse therapeutic perspectives to enhance client outcomes. Join us as we unravel these complexities and offer insights for effective therapeutic practices.   “Big shout out to Janae Elisabeth of Trauma Geek for their work around distinguishing between autistic traits and autistic trauma, and to bring that information and pull it forward into ADHD traits versus ADHD trauma. It really helps when I do the psychoeducation with clients, so that they can distinguish between the areas that may not change, or actually, we may actually see more of these symptoms. We may see more of these traits emerge as we actually address the trauma, and this doesn't mean that we're failing at our treatment plan. It means that as we take away the trauma associated with your need to mask and self protect, that need to mask and self protect actually diminishes. But then how can we support you as your innate neurodivergence begins to emerge, so that it will flourish, so that you can flourish.”- Linda Thai   Takeaways from this episode:   ***Overlap of Symptoms: Trauma symptoms can mimic or overlap with traits of ADHD and autism, necessitating careful differentiation. ***Personalized Treatment Plans: Tailoring treatment plans to individual needs is crucial, as each client's experience of trauma and neurodivergence is unique. ***Continuous Assessment: Ongoing assessment and monitoring are essential to adapt therapeutic strategies and ensure effective treatment. ***Multidisciplinary Approach: Collaboration across various fields and disciplines enhances the understanding and treatment of clients. ***Peer Consultation: Engaging in peer consultation helps therapists gain new perspectives and refine their approaches. ***Self-Empowerment: Empowering clients to take an active role in their therapy fosters resilience and growth. ***Reducing Stigma: Efforts should be made to reduce the stigma around trauma and neurodivergence to create a more supportive therapeutic environment. ***Diverse Therapeutic Perspectives: Integrating various therapeutic approaches and perspectives can lead to more comprehensive and effective treatment outcomes.   About Linda Thai:   Linda Thai, LMSW, ERYT-200, CLYL (she, her) is a trauma therapist who specializes in cutting edge brain- and body-based modalities for the healing of complex developmental trauma.   As an educator and consultant, she is gifted with the capacity to contextualize, synthesize and communicate complex and nuanced issues pertaining to trauma, attachment and the nervous system, including the impact of oppressive systems upon identity, mental health and wellbeing.   Linda is passionate about breaking the cycle of historical and intergenerational trauma at the individual and community levels, and deeply believes in the healing power of coming together in community to grieve.   Born in Vietnam, raised in Australia, and now living in Alaska, Linda is a former child refugee who is not only redefining what it means to be Vietnamese, to be Australian, and to be a United States-ian....she is redefining what it means to be wounded and whole and a healer.   Connect with Linda:   Facebook: https://www.facebook.com/LindaThaiCoachingConsulting/ Website: https://www.linda-thai.com/ Linkedin: https://www.linkedin.com/in/linda-thai-77bb47165   Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

07-11
44:57

70. Harnessing GRIIT and POWER: Transforming Therapy for Your Clients and Yourself with Kelly Lynch

Kelly Lynch joins me in this new episode of the Colleague Down the Hall podcast where we explore the GRIIT and POWER methods she developed for enhancing mindset, resilience, identity, and problem-solving. She explains that often clients don't need new modalities but instead new ways of understanding the tried-and-true concepts you’ve already been using and teaching. She outlines the GRIIT method, focusing on growth, resilience, identity, integrity, and training, and the POWER method, which emphasizes pause, observation, working the problem, expressing impact, and recovery. We explore the applicability of these methods for both clients as well as the therapist. Kelly has been using these methods with populations such as first responders and entrepreneurs, and she highlights the importance of psychoeducation, rapport building, and using these strategies to empower both clients and therapists in managing professional and personal challenges.   “ As therapists, we can also use GRIIT to get back to that, to really be able to keep ourselves in alignment with what it is that we value in terms of what we want our clinical work to look like, being able to remember, okay, here's what my value system is under that integrity pillar to say I want to work with first responders or these are not my people, and that's okay to really let that be acceptable, because not every client should be the right fit for us”- Kelly Lynch   Highlights to discuss:   ***GRIIT and POWER Methods: Kelly Lynch developed these methods to enhance mindset, resilience, identity, and problem-solving.   ***Focus on Understanding: Clients often benefit more from new perspectives on established concepts rather than new modalities.   ***GRIIT Method Components: Includes growth, resilience, identity, integrity, and training.   ***POWER Method Components: Encompasses pause, observation, working the problem, expressing impact, and recovery.   ***Clinical Applicability: These methods are useful in clinical settings, especially with first responders and entrepreneurs.   ***Importance of Psychoeducation: Education about psychological concepts is crucial for effective therapy.   ***Rapport Building: Establishing a strong connection between therapist and client is essential.   About the Guest:   Kelly Lynch, LCSW, EMT (ret.), CPT, PN-1 is a Licensed Clinical Social Worker, Life Coach, Personal Fitness Trainer, Nutrition Coach, and retired EMT. She has been walking with people through their journeys and challenges for over 20 years, beginning as an EMT in 2002, and moving into the mental health field in 2009. Kelly launched her first business, Turning Point Wellness, in 2014, and her clinical specialty is Acute Stress and Post Traumatic Stress Injuries in EMS professionals.   Kelly launched The GRIIT Project in 2022, offering mindset coaching through her transformational GRIIT and POWER coaching systems. She speaks nationally and internationally on topics related to mindset and problem-solving, as well as teaching clinicians in private practice how to brand and successfully market. Kelly is also a bestselling author, with her breakout book, ‘F*ck the Rules.’ She specializes in teaching people how to practice authenticity and find alignment through the power of self-leadership.   Connect with Kelly:   Website: www.thegriitproject.com Facebook: https://www.facebook.com/iamkellylynch/ Instagram: https://www.instagram.com/iamkellylynch/   Don’t miss out on Kelly’s transformative insight by grabbing her book, “F*CK the Rules!” Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

07-04
33:45

69. (From the Archive) The Progress Note Dilemma: Insights, Tips and the Use of AI with Dr. Maelisa McCaffrey

“Any note is better than no note.” In today’s episode of the Colleague Down the Hall podcast, Dr. Maelisa McCaffrey joins me to talk about her expertise; clinical documentation in therapy work. She discusses the challenges therapists face when it comes to writing treatment plans and progress notes. She delves into issues such as getting behind on progress notes, lack of confidence in note-writing and not understanding the implications of certain documentation choices. She provides practical tips for therapists to improve their documentation, including the key components of a progress note and the need for customization based on individual needs and legal considerations. She also touches on the use of AI in private practice. The goal of this episode is to normalize the challenges therapists face with clinical documentation, review the basics that need to be in every progress note, provide guidance on common mistakes, encourage therapists to approach documentation with confidence and practical strategies, and explore the use of AI in private practice.   “If you're going to have a private practice and do this stuff on your own, you have to be willing to take a little bit of that extra step. A little extra time to review those things and make sure that it is personalized to you and same with note templates. I see so many people who are like, you'll hear people say, you know, I thought I was supposed to put this in a note, and I thought I was supposed to put this in a note, and someone told me this or when I worked at this agency or this group practice, we had to write our notes this way. 99% of those are arbitrary guidelines. There are very few guidelines around what goes into note and so it does require a little critical thinking about one - what should go in and out for you based on your clients in your profession, but also two - what's helpful, what's useful.”- Dr. Maelisa McCaffrey   The key highlights: The importance of understanding the "why" behind documentation recommendations and thinking outside the box while maintaining ethical standards. The impact of the pandemic on increasing the number of therapists seeking support for documentation issues. Addressing the common struggle of therapists feeling unprepared due to a lack of training in documentation during graduate school. The stigma and stress surrounding documentation issues, creating a cycle of shame in the profession. Therapists often feel hesitant to seek help or admit their struggles with documentation due to fear of judgment. The common mistakes therapists make, including being behind on paperwork and lacking confidence in their notes.  The lack of specific guidelines for documenting and decision-making in the gray areas of therapy work. Specific tips for more efficient and effective progress note writing. The insights on AI adoption in private practice.   About Dr. Maelisa McCaffrey: Dr. Maelisa McCaffrey is a licensed psychologist, nail design enthusiast, and multi-passionate entrepreneur. Through her business QA Prep, she empowers therapists with trainings and consultation on clinical documentation. Maelisa focuses on the “why” behind the usual recommendations and encourages clinicians to think outside the box, while also keeping their ethics intact. As someone with ADHD who’s had to figure out what works through trial and error, Maelisa aims to make sure her trainings are practical, while also allowing for plenty of laughter and fun.   Connect with Dr. McCaffrey: QA Prep website: https://www.qaprep.com (Sign up for the FREE Private Practice Paperwork Crash Course)  YouTube: https://www.youtube.com/channel/UCytXRIFI17MtbmTh5QTJhsg   Connect with Jeanene: *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Join a clinical consultation group: https://oasisfortherapists.thrivecart.com/enrollment *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LInkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

06-27
47:25

68. Addressing Mental Health in Aviation, the Military and Law Enforcement: Insights with Dr. Janette McMurtrie

Dr. Janette McMurtrie is here with me in this new episode of the Colleague Down the Hall podcast. Janette discusses the unique challenges and nuances involved in providing mental health support to individuals in high-stress, highly regulated professions such as aviation, law enforcement, and the military. She talks about the need for mental health professionals to understand the specific cultural and professional environments of these populations to offer effective and non-detrimental care. She stresses the importance of appropriate documentation and the delicate balance required to ensure that clients receive the help they need without jeopardizing their careers. She also discusses the barriers posed by insurance and documentation requirements.   “You have to realize you're dealing with a very unique personality type when you're dealing with that group. So in that group, if you don't have any understanding of what that job is like, there are times in that job when you're on the line and you've got to make a split second decision, life or death, and you don't get to make a mistake, you don't get to second guess, you don't get to analyze, you get to just react. And that's what all their training is about, is to react and do it correctly. Well, the problem happens when they go home, that personality type does not switch off as you and I both know It stays there.”- Dr. Janetter McMurtrie   In this episode, we’ll talk about:   ***Mental Health in Aviation: The episode focuses on mental health in aviation, emphasizing the unique challenges faced by pilots and other professionals in high-stress jobs like law enforcement and the military.   ***Cultural Understanding: Therapists need to understand the specific cultures and stressors associated with these professions to provide effective mental health support.   ***Career Vulnerability: Pilots face significant career risks when seeking mental health treatment. Historically, seeking counseling could lead to being removed from flight status without eligibility for unemployment or disability payments. These same risks occur with military service members and law enforcement officers.   ***Regulatory Barriers: The Federal Aviation Administration (FAA) has stringent regulations regarding pilots' mental health. The FAA has full access to counseling records, and HIPAA does not apply, creating additional barriers for pilots seeking help.   ***Pilot and Clinician Challenges: Clinicians must navigate complex documentation requirements and the risk of unintentionally grounding their pilot clients due to specific diagnoses. The process for pilots to be cleared to fly again can be lengthy and complicated.   ***Personality Types: Understanding the typical personality types of pilots (mostly ESTPs for men and ESTJs for women) and how these types influence their behavior is crucial for effective therapy.   ***Support Systems: Pilots and law enforcement often have internal peer support systems, but professional help is crucial for addressing deeper issues effectively. About Dr. Janette McMurtrie:   Dr. Janette McMurtrie is known by most as a “Jill of all Trades,” a retired Captain from American Airlines with nearly 50 years of flying experience. She is currently an instructor pilot at American Airlines Flight Academy. She has been a Chief Pilot and Check Airman in leadership airline. She is also retired as a deputy sheriff from the Los Angeles Sheriff's Department and an ordained pastor.   She holds a Doctorate in Clinical Psychology, with a master’s in counseling psychology, & pastoral counseling. She is an expert in aviation issues, trauma, & marriage, with over 20+ years in clinical practice. She has owned and consulted in multiple businesses - including her flight school, brewery, and the family furniture manufacturing businesses.   Dr. J’s goal is to help others by helping them cope with aviation-related issues and develop into effective leaders. When she’s not flying or teaching, Dr. J volunteers with Women in Aviation International (WAI), ALPA, ISA-21, and Amelia Earhart’s the Ninety Nine’s. She provides education in mental health, leadership, business development, and aviation-related issues. She has hosted multiple public and private seminars in these areas as well as published articles in magazines.  She is currently writing two books that hope to be published soon.   Connect with Janette: Website: www.Drjanettem.com; Facebook: DJM Innovative Solutions Connect with Jeanene: *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

06-20
40:20

67. Exploring Hypnotherapy and Hypno-breathwork: A Journey of Transformation with Mary Crutchfield

Mary Crutchfield joined me in this episode of the Colleague Down the Hall Podcast to discuss the impact of clinical hypnotherapy and hypno-breathwork on personal transformation and healing. Mary shares her journey and discusses the misconceptions and powerful benefits of these modalities for both clients and therapists. Our conversation also touches on the importance of being open to alternative healing methods, the role of vulnerability in therapy, and the evolving landscape of mental health practice. The conversation aims to educate and encourage therapists to consider these alternative healing approaches for deep emotional and psychological healing.   “I have had some people that I referred to use medication to help them drop past the resistance. But we even explore resistance. Let's say someone comes in and they say, ‘I don't like this feeling. It's uncomfortable’. We go into that. Where's this resistance from? ‘I'm afraid’. What happens if you're afraid? ‘I might get hurt’, you know? And try to show people we're safe here right now, and let's learn to calm your nervous system right here, right now.”   In this episode, we discuss:   ***Therapeutic Benefits: Clinical hypnotherapy and hypno-breath work are powerful tools for personal transformation and healing; how can non-traditional methods like hypnotherapy, sound healing, dance, and art can be integrated alongside traditional western medicine.   ***Misconceptions About Hypnotherapy: Hypnotherapy is often misunderstood as mind control; it is actually a state of focused attention similar to daydreaming.   ***Professional Evolution: Mental health practitioners are increasingly embracing alternative healing modalities, enhancing their ability to help clients. Trust in the practitioner is crucial for clients to feel safe and supported in their healing journey. There is some societal stigma around alternative healing practices, but openness and authenticity can foster acceptance and understanding.   ***Group vs. Individual Therapy: Hypnotherapy can be effective in both one-on-one and group settings, with group settings enhancing collective healing. Offering group therapy can also be a more affordable option for clients, allowing them to access several hours of treatment for the same cost as multiple individual sessions.   ***Holistic and Integrative Approaches: Combining traditional and alternative therapeutic methods can provide comprehensive care, addressing the whole person and their unique needs.   ***Self-Healing Belief: There's a strong belief with these alternative modalities that the body and mind have inherent healing capabilities, and therapists using alternative approaches can help unlock these abilities.   About the Guest: Mary Crutchfield is a clinical hypnotherapist, Go-Within Hypno-Breathwork Practitioner as well as a Psychiatric and Family Nurse Practitioner. She’s a trauma specialist and has continued on her self-healing journey since her early 20s. She shares the healing methods that transformed her life and radically changed her by leading groups through her alternative healing practice:  Ignite Your Spark: Holistic Healing.     Connect with Mary: Website: www.igniteyourspark.club Social Media Handles: @psychbosspmhnp; @igniteyoursparkhh   Connect with Jeanene: *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

06-13
43:30

66. Therapist Dilemmas for Moms: Maternity Leave Challenges in Private Practice with Ashley Comegys

In this episode of the Colleague Down the Hall podcast, Ashley Comegys joins me for an insightful conversation about the logistics, challenges, and emotional aspects of taking maternity leave while working in private practice. We dive into the challenges, necessary preparations, and flexibility required to balance professional and personal life during this time of life. Ashley emphasizes the importance of preparing clients, the personal and professional adjustments needed, and the supportive aspects of private practice in accommodating maternity leave, while also touching on the broader societal issues and pressures faced by working mothers in the United States.    “I think it's one of those things you were talking about like there's a lot of fear with taking leave. And I think the financial piece is a part of that. But we can make informed choices; let's actually crunch the numbers. What do I have to cover business-wise? What are the expenses I need to cover family-wise? What does it look like to be able to save that? Are there things that I can put on pause if I'm in private practice? When I went on maternity leave, I put my EHR on a lower tier because I didn't need all of the things when I was on leave, but I still wanted to have it all maintained so I dropped it down two tiers and saved money that way. I can still do this and not feel I'm beholden to going back before I really feel ready, but being able to make a decision that's informed. Information is power, it’s cliche but it really is.”- Ashley    Key takeaways:   ***Experiences and Challenges: Ashley shares her experiences and insights into the difficulties and decisions women face when planning maternity leave. This includes the financial implications, emotional challenges, and the balance of personal and professional responsibilities.   ***Flexibility of Private Practice: Both speakers discuss the flexibility that private practice offers compared to traditional employment, such as the ability to adjust schedules and the challenges of not having paid leave. They emphasize the importance of planning and preparing for maternity leave, including saving money and adjusting expectations.   ***Client Management: The conversation delves into how to communicate with clients about maternity leave, manage their expectations, and ensure continuity of care. This includes planning for coverage, discussing availability, and dealing with client reactions and needs.   ***Postpartum Realities: Ashley highlights the realities of postpartum life, including dealing with sleep deprivation, postpartum anxiety, and the physical and emotional recovery process. She stresses the importance of giving oneself permission to take the necessary time off and being flexible with return dates.   ***Support Systems: The need for support systems, including discussions with partners about shared responsibilities and planning for childcare, is emphasized. The speakers also discuss the broader societal context of maternity leave in the United States and the support (or lack thereof) for new mothers.   ***Personal Assessment and Timing: The speaker shares their experience of needing to assess their readiness to return to work, considering personal challenges like stress and exhaustion. They highlight the importance of waiting until mentally prepared to re-engage with clients.   ***Client Reassurance: It’s important to reassure clients of the intention to return while being honest about potential delays or changes. This transparency helps maintain trust and manage client concerns effectively.   ***Use of Scripts: The speaker advocates for using prepared scripts to communicate with clients about sensitive topics, including maternity leave. Practicing these scripts can reduce anxiety and ensure clear, confident communication.   About the Guest:   Ashley Comegys is a licensed clinical social worker with a multi-state online therapy practice that helps women with anxiety navigate life transitions, and specializes with working with women in the perinatal period as well as military spouses.    Outside of the therapy room she is passionate about empowering other women and mom clinicians to build their own online therapy practices, so they can have the time freedom, flexibility and autonomy. Ashley also has her own podcast called Raised to Empower, that helps challenge listeners to break free of mindsets and oppressive systems that often hold us back from stepping out and creating the practices of our dreams.    Outside of work Ashley can be usually found chasing around her two wild boys and baby girl, or binging trashy reality TV shows.   Connect with Ashley:   Raised to Empower:  https://www.raisedtoempower.com Maternity Leave Blueprint:  https://bit.ly/maternityleaveblueprint Instagram: @RaisedtoEmpower   Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

06-06
46:40

65. Leading with Intention: Empowerment Through Self-Discovery

In today’s episode of the Colleague Down the Hall Podcast, Charese Josie joins me to talk about how to achieve personal and professional growth as clinicians, particularly through the lens of leadership and self-discovery. Charese shares her insight on the importance of aligning personal and professional goals with one's values, prioritizing emotional energy and well-being, and creating a supportive community. Our discussion highlights the need for community, support, and the development of emotional intelligence to navigate the complexities of clinical work and leadership effectively.   “I'm like, I need to try so many things outside of my comfort zone because I had to prove to myself that I don't have to live a cookie cutter box cutter life, I needed to do things by myself, not always with the crutch of a friend with me. I was like, I just want to go by myself. If I meet people, fine, if I don't, fine. I just had to hear my own voice and feel my own feelings. And then trust that I can work through whatever comes from that. And so, courage is a huge, huge factor in doing”- Charese Josie   Key highlights: ***Empowerment Through Self-Discovery: The importance of self-discovery in personal and professional growth. Understanding our strengths, values, and motivations is crucial for becoming effective leaders and clinicians. ***Intentionality in Actions: Aligning our actions with our intentions can lead to more fulfilling and impactful work.  ***Leadership Development: Developing leadership skills is essential for clinicians; The significance of mentorship, continuous learning, and embracing new challenges in order to grow as leaders in the healthcare field. ***Work-Life Balance: Maintaining a healthy work-life balance is vital for sustained success and well-being. Tips on setting boundaries, prioritizing self-care, and finding joy outside of work. ***Building Resilience: Resilience is key to navigating the challenges of the healthcare profession; The insights into building mental and emotional resilience through mindfulness practices, support systems, and maintaining a positive outlook. ***Community and Collaboration: The power of community and collaboration was another focal point. Charese stressed the importance of building supportive networks and collaborating with colleagues to foster a positive and dynamic work environment. About the Guest: Charese L. Josie is a Leadership Development Trainer, Licensed Clinical Therapist, Author, and Speaker. She's the founder of CJ Counseling and Consulting Services, a private practice and consulting agency. Charese's mission is to empower leaders through emotional intelligence. With a career journey spanning from leadership in foster care to co-starting and leading a thriving federal government agency.   Charese inspires growth, captures profound wisdom through her book "Two Witty Girls," and has been featured in renowned publications like Cosmopolitan, SHAPE,The Lily-The Washington Post, TODAY, and Essence. Her expertise is sought after on programs such as WHRO NPR's 'Another View' 89.5 FM and WTKR News 3. Connect with Charese: Website: https://charesejosie.com/ Linkedin: https://www.linkedin.com/in/leadershipdevelopmenttrainer/ Facebook: https://www.facebook.com/chareselj Instagram: https://www.instagram.com/charese_josie/   Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

05-30
41:06

64. Emotional Echoes: When Our Work Hits too Close to Home

In this episode of the Colleague Down The Hall Podcast, I dive into the concept of “Emotional Echoes” and how our clients’ experiences can sometimes resonate with our own life experiences. I talk about ways for therapists to recognize and manage these emotional reactions to maintain professional efficacy and personal well-being. I touch on the importance of self-awareness, support systems like peer consultation, and self-care strategies to navigate these challenges, and encourage sharing these experiences with colleagues to normalize and address them within the therapeutic community.   “Recognizing our personal reactions influence our professional duties is crucial. It's about asking ourselves, am I reacting as a therapist? Or is this my personal feeling surfacing? This recognition is the first step towards effective management of these emotions. And it gets easier with time and experience. But nevertheless, it makes those sessions much more complex for us.”   Key takeaways: ***Emotional Echoes: Understand how clients' experiences can resonate deeply with therapists' own personal histories, creating emotional challenges. ***Self-awareness: Recognize the importance of distinguishing between personal feelings and professional reactions during therapy sessions. ***Support Systems: Utilize supervision, peer consultation, and support from colleagues to navigate personal impacts in therapy. ***Self-care and Resilience: The importance of engaging in activities that help detach and recharge. ***Boundary Setting: How to establish and maintain clear professional boundaries to protect both the therapist and the client. ***Preparation and Recovery: Tips to prepare mentally before challenging sessions and to take care of personal needs afterward. ***Self-compassion: The need to be self-compassionate and seek support when feeling frustrated or uncomfortable about personal reactions during therapy sessions.   Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

05-23
10:18

63.Treating Religious Abuse in Private Practice: A Primer for Clinicians with Chris Conley

In today’s episode of the Colleague Down The Hall Podcast, Chris Conley joins me to talk about religious and spiritual abuse, which is the manipulation or exploitation of a person by a religious or spiritual authority. Chris shares a variety of dynamics for assessing and treating this type of abuse including knowing when to refer out. He also discusses how important it is to be mindful of one's own biases and limitations when dealing with clients' spiritual concerns and the role of therapists in maintaining professional boundaries.   “You as the therapist are somebody who is feeling very needed in that moment, if you're not careful to mind your own feelings. Meanwhile, your client is somebody who has potentially struggled to feel connected and is feeling connected. So you take somebody who's struggled with connection or relationships, they have a connection with a therapist who gets them, that therapist starts to feel really needed and important, it's only a matter of time before those lines can blur if we're not careful. And that is the exact same dynamic that can happen in a religious or spiritual relationship.” - Chris Conley   Key takeaways: ***Characteristics and Examples: This type of abuse can manifest in various forms, including financial exploitation (e.g., mandating tithes even at the cost of personal hardship), emotional manipulation, and misuse of scripture or spiritual practices to control or harm individuals. ***Impact on Mental Health: Victims of religious and spiritual abuse may experience a wide range of emotional and psychological issues, including guilt, anxiety, confusion, and a disturbed sense of spiritual identity. ***Therapeutic Approaches: It's important for therapists to recognize signs of religious and spiritual abuse and approach such cases with sensitivity. Therapists should maintain professional boundaries and avoid imposing their own religious beliefs, while supporting clients in exploring and healing from their experiences. ***Challenges for Therapists: Therapists need to be aware of their own biases and the potential to either over-identify with or reject the client’s religious beliefs. Ethical considerations include not providing theological guidance unless specifically qualified and requested by the client. ***Resources and Tools: Therapists can utilize specific tools, such as the Spiritual Abuse Harm Scale, to assess the presence and impact of spiritual abuse. This can guide the therapeutic process and help identify specific areas that need addressing. ***Normalization and Validation: It's crucial for therapists to normalize and validate the experiences of those who have suffered from religious and spiritual abuse. This includes acknowledging the complex feelings associated with betrayal by trusted religious figures and institutions.   About the Guest: Chris Conley is the co-creator of Clinician Connection and the Clinical Director of Turning Point Counseling and Consulting in Hampton Roads. He is a doctoral student at the University of the Cumberlands, where his focus is on religious and spiritual abuse, and has been a licensed professional counselor since 2014, having worked in a wide variety of mental health settings, including private practice, nonprofit organizations, and large community mental health corporations. He loves punk rock music and often wishes he was a comedian.     Connect with Chris Conley: Website: www.clinicianconnection.net Facebook: @ iamconley Instagram: @iamconley      Connect with Jeanene: *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

05-16
40:42

61. Breathing Space for Healing: Empowering Therapists To Care for Themselves

In this new episode of the Colleague Down the Hall Podcast, I provide some supportive suggestions and activities for therapists to make sure they are taking care of themselves. I reflect on my observations of stress and challenges among my peers. I also talk about the  necessity of therapists incorporating self-care into their routines, similar to the advice they give their clients. I provide practical tips on managing workloads, offer sensory and somatic exercises for stress relief, and encourage building a supportive community among therapists.   This episode not only highlights the pressures therapists face but also provides practical strategies for maintaining mental and emotional health.    “Think about what are the ways that you can get a release? What are the ways that you can check in with your body? What are the cues you need to be paying attention to and at what point when you've had those cues do you need to do what you tell your clients to do? Take some time to take care of the things that your body needs.”   Key takeaways:   **Recognition of Challenges: Therapists face significant stressors, still heightened from the pandemic, and often lack support from those in their lives who do not understand the demands of their profession. **Importance of Care of Self: It is crucial for therapists to implement the same strategies they recommend to their clients, such as managing their nervous system, building resilience, and taking necessary time off. **Community and Support: Building a supportive community among therapists is vital, as understanding and empathy from peers can significantly help in managing the emotional toll of their work. **Practical Adjustments: Therapists should consider making practical adjustments in their work, such as changing office hours, client types, and the structure of appointments to help make their workload more sustainable. **Reflective Practices: Therapists are encouraged to reflect on their own needs and stressors regularly, making notes and adjustments as necessary to prevent burnout and maintain well-being. **Empowerment to Make Changes: Therapists should feel empowered to make changes that support their well-being, including potentially referring out clients who are not a good fit or are particularly draining. **Engagement in Relaxation Techniques: Jeanene guides therapists through sensory and somatic exercises to help them relax and manage stress, illustrating the importance of regular practice of such techniques. **Advocacy for Self Inclusion: Therapists are reminded to include themselves in their clinical care equation, moving away from being a 'blank slate' to recognizing their own needs in their professional practice.   Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

05-02
30:53

60. When to Refer Out: Professional and Practical Guidelines for Therapists

In today’s episode, I discuss the importance of referring clients out when their needs exceed a therapist's training or specialization along with some personal needs for the therapist. Therapists need to consider clinical competence, ethical and legal considerations, and dual relationships when deciding to refer a client out. I also address common concerns and challenges therapists face when deciding to refer clients as well as  provide strategies for managing challenging cases in therapy.    “We also need to look at personal and logistical factors. We've all had those moments when a particular client triggers an emotional response in us. That's countertransference, and it's normal in our work. It can also be a sign to tread cautiously in the best interest of your client or of yourself. An actionable step is you don't want to ignore these feelings. Instead, use them as an area for exploration in your own supervision or consultation group. You might uncover subconscious biases or emotional wounds that are affecting your clinical work. The support and feedback you receive from your peers can be really helpful. But, keep in mind that as humans who are also therapists, there may be times when you need to refer out due to working with a client whose beliefs or values impinge on some aspect of your identity, your beliefs, or your values.”   Key points: **Clinical Competence: Recognizing when a client's needs surpass a therapist's area of training or specialization is crucial. **Emergency Protocols: Developing and rehearsing emergency response protocols is essential for immediate and urgent client situations, such as suicidal ideation or acute psychosis. This ensures that the therapist can act swiftly and effectively. **Ethical and Legal Considerations: Addressing dual relationships, such as encountering a client in a setting outside of the office, is sometimes unavoidable or even acceptable. Therapists should engage in discussions with clients about possible encounters and what the client can expect from the therapist. . **Client Progress: Regularly assessing client progress is important. If a client is not progressing despite best therapeutic efforts, it may indicate the need for a different therapeutic approach or a referral to a therapist. **Personal and Logistical Factors: Therapists should be aware of their own emotional responses or biases that might affect their work. If such issues arise, it might be necessary to explore these feelings in supervision or consultation and potentially refer the client out if these responses compromise the therapy or the wellbeing of the therapist. **Financial and Reputation Concerns: Therapists may worry about loss of income or reputation when referring clients out, but it is important to prioritize the client's best interests and professional ethics over these concerns. **Consultation and Documentation: Seeking peer consultations and thoroughly documenting the referral process are key steps to ensure ethical practice and protect the therapist’s professional standing.   Get your free sample discharge summary: https://docs.google.com/document/d/1zXsQzCNYEM7ZV_E3k-eOCrq9nVq6QpJGXrLYHNRbvW0/copy   Connect with Jeanene: *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

04-25
21:12

59. Fictionalized Case Consultation: A Therapist Is Contacted By A Former Client Who Now Lives In Another State

In today’s episode of the Colleague Down the Hall Podcast, I am joined by some colleagues to process a fictionalized case. Client Molly has moved to another state and is contacting her former therapist for support. The discussion involves client safety, state jurisdiction laws, licensure requirements, and ethical dilemmas, especially in scenarios involving inter-state practice and teletherapy,    “One of the things that I would be looking at is in the dynamics of the therapy that we did do, what is this client's propensity to say I need help? Is this someone who, you know easily escalates and you know, kind of goes up the pole? Or is this someone who actually does not find it easy to make that statement? Because that would tell me somewhat where the client might be and level of urges.”- Lise Peterson   Key highlights:   Fictionalization for Anonymity and Ethical Considerations: The practice of using fictionalized cases, drawn from a variety of real client experiences, ensures confidentiality and ethical compliance. It highlights the importance of safeguarding client identities while allowing professionals to discuss complex scenarios and learn from each other. Respectful and Collaborative Environment: The  emphasis on creating a respectful, non-judgmental, and collaborative environment underscores the value of supportive peer interactions. Such an atmosphere encourages open sharing and learning, essential for professional growth and for fostering a positive therapeutic community. Affirmation of Gray Areas and Professional Challenges: The discussion acknowledges the complexities and "gray areas" inherent in mental health practice. By normalizing these aspects, the sessions aim to affirm and support therapists in navigating the many uncertain aspects of our work. Diverse Perspectives and Solutions: Highlighting that multiple suggestions or approaches can be valid reflects the diversity of therapeutic methods and personal styles. Encouraging the sharing of different perspectives enriches the consultation experience and aids in comprehensive problem-solving. Licensure and Legal Considerations: The case discussions incorporate considerations related to licensure, legal guidelines, and ethical dilemmas, especially in scenarios involving inter-state practice and teletherapy. This aspect stresses the importance of being informed about and compliant with regulatory standards to ensure ethical practice. Crisis Management and Client Safety: The dialogue brings attention to the critical nature of assessing and responding to client crises, especially concerning potential suicidality. It emphasizes the need for vigilance and appropriate action to ensure client safety. Continuity of Care versus Licensing Restrictions: The tension between wanting to provide continuous care for a client moving out of state and adhering to licensing restrictions highlights a common ethical dilemma. This situation prompts discussions on finding balance and exploring alternative solutions, such as networking for local referrals or consulting with licensing boards for guidance. Documentation and Due Diligence: The importance of thorough documentation  is underscored. Proper documentation serves as a protective measure and supports ethical practice. Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

04-18
35:30

58. Aligning Values: The Foundation of Your Private Practice

In this episode, I explore the significance of aligning personal values in private practice. Drawing from my own experiences and discussions with colleagues, I highlight the pivotal role that values play in shaping decisions regarding policies, client interactions, niche selection, and self-care.   "Values act as a compass guiding us in how we show up in the world and in our work."   Key Points: Examining personal values is essential for creating a private practice that aligns with individual identity. Values serve as a reference point for making practice decisions regarding policies, fees, and client interactions. Assessing one's passion and effectiveness, along with needs of self, helps prevent burnout and ensures optimal client care. Decisions regarding client work and self-care should prioritize both the client's needs and the personal well-being of the therapist.  Integrating values into daily practice involves assessing actions and decisions to ensure alignment with your authentic self as a human who is also a therapist .  Building a values-driven practice fosters authenticity, clarity, and satisfaction for both therapists and clients. Reflecting on and integrating personal values helps create a practice that resonates authentically with oneself as well as allows clients and colleagues to know what to expect from you.    Get your free worksheet for applying your values in private practice here:  https://collaboasis.com/values   Connect with Jeanene:   *Get your free Four Keys to Private Practice Peace of Mind workbook: https://collaboasis.com/4keysworkbook *Learn more about clinical consultation groups: https://collaboasis.com/ *Join my free therapist Facebook group: https://www.facebook.com/groups/oasispcgt *Connect on LinkedIn: www.linkedin.com/in/jeanene-wolfe-lcsw-64042220a/

04-11
07:31

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