Cultural Competence in Therapy: Why We Must See Color

Cultural Competence in Therapy: Why We Must See Color

It seems that workplaces, schools, companies, and organizations are increasingly paying more attention to diversity and culture lately.

While this growing interest is encouraging, there are times when there is a significant lack of follow-through regarding the attention these issues receive. This is a disservice to everyone involved, but it comes at a special price in the realm of therapy.

I know of several graduate programs that pride themselves on their emphasis on diversity, yet have only a few course offerings specifically related to the topic and do not consistently revisit cultural issues throughout other courses.

With regard to psychology and therapy, the lack of consistent attention to cultural issues has the potential to create and maintain impasses that can affect the client’s progress.

As aspiring mental health professionals, we have the best of intentions in our work with clients. It is very important, however, to assess for cultural importance and issues of diversity in our first meetings with clients and then to be mindful of the ways we communicate with those clients moving forward.


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Working with Suicidal Clients: 6 Things You Should Know

Working with Suicidal Clients: 6 Things You Should Know

One of the scariest things therapists work with is suicidality.

Suddenly, therapy feels like, and sometimes is, a life-or-death situation, one where clinicians hold a great deal of responsibility.  To make matters worse, suicide continues to be one of the leading causes of death in the U.S. [1], and many believe the prevalence rates are a gross underestimate [2].

The numbers highlight the inevitability of encountering suicidality in our line of work.  Early-career psychologists and practicum students may feel overwhelmed by the intensity and risk of working with suicidal clients.


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My First Session With a Client is Tomorrow. Help!

My First Session With a Client is Tomorrow. Help!

So, tomorrow is your first session with a new client. First, congratulations! Every new client is a new opportunity to assist and provide support to someone along his or her journey. Whether this is your first session with a new client or the very first session of your career, it is completely understandable to feel nervous or experience jitters.

Fear of the unknown regarding new clients can be intense. You may be asking yourself questions similar to these as you prepare to meet your new client: Will I be able to help her? Will he like my therapeutic approach? What if he asks a question I can’t answer? Will she even show up? The following are some tips to help you prepare for your first session.


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Terminating Psychotherapy with Success

Terminating Psychotherapy with Success

We are not always so good at saying goodbyes. There’s just something a bit uncomfortable about it. While we, as mental health professionals, obtain instruction and training in the nuances of communication and relationship, carrying out a solid, healthy therapeutic adieu with our clients requires some forethought, preparation, and skill. The following is a review of considerations and tips for terminating psychotherapy with success.


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The “Why” & “How” of Tracking Treatment Progress

The “Why” & “How” of Tracking Treatment Progress

Treatment tracking is important because it gives you a baseline, and therapists can use repeated assessment to track progress and re-plot the course when things get off track.

Imagine walking into a therapist’s office seeking services to deal with a so-called problem or issue you have. You walk in with immense nervousness and torpidity, you feel you want it to be over before it even begins. You find yourself sitting on a sofa across from a stranger and all you’re thinking about is what you’re supposed to say or do.

But then, the stranger across from you starts to speak and describes an entire process of how therapy generally unveils. You hear about confidentiality, possible therapeutic styles and interventions, and length of treatment. You begin to feel a bit comfortable and start to relax. This information starts to ease your discomfort and the picture begins to appear clearer about what you’ve gotten yourself into.


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The Gut-Brain Connection: What Clinicians Need to Know

The Gut-Brain Connection: What Clinicians Need to Know

Butterflies in your stomach. A gut-wrenching feeling. Your stomach suddenly drops… You’d better go with your gut.

I don’t know about you, but all of these phrases packed together gives me a general sense of unease, and for good reason. For most people, these sayings have become synonymous with the kind of scary, traumatic, or anxiety-provoking situations that simply make your stomach churn (pun intended).

On the other hand, for the positive psychology folks, we could also be talking about a remarkably exhilarating experience — falling in love, skydiving, riding a rollercoaster. There are endless scenarios that have elicited this reaction in our lives. But what do they all have in common?


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A Crash Course in Deafness for Therapists

A Crash Course in Deafness for Therapists

Typically, when therapists are asked to define “cultural competence” their response is usually race-based or location-based. Occasionally some include gender and sexual minorities, age, and ability. It’s rare that clinicians and therapists with little experience in deafness consider “Deaf” as a culture.

The topic of deafness and Deaf culture is vast, with many aspects to consider. It would be impossible to cover everything in only a few blog posts. This article is the first of a series about working with Deaf and Hard-of-Hearing (DHH) clients is intended as a starting point for clinicians to begin their own research into deafness and Deaf culture.


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5 Ways to Support Your LGBQ & Gender Non-Conforming Clients in Session

5 Ways to Support Your LGBQ & Gender Non-Conforming Clients in Session

As helping professionals, we share a united goal of empowering the individuals with whom we work to meet their goals. Though it remains important to address social issues on a large scale (e.g., protests, donations, advocating for policy change), a lot of what we do as helpers happens one-on-one. That is, most of us work to empower individuals interpersonally through therapy.

With this in mind, I would like to share tangible ways to support LGBTQQIA (Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Intersex, Asexual) and/or gender non-conforming (individuals who do not identify as cisgender, meaning they have gender identities that do not match the sex they were assigned at birth, and/or those who reject the gender binary, or do not identify as male or female) clients in session while also acknowledging the importance of social justice advocacy on a much larger scale.


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3 Essential Ingredients for Effective Family Therapy

3 Essential Ingredients for Effective Family Therapy

One of the challenges I faced during my training as a psychologist was determining how to improve client behavior between sessions in order to optimize treatment outcomes.

Clients often presented with stressful family relationships, relationships that seemed to limit therapeutic progress. I wanted to help my clients as individuals, but I also understood that they did not exist within vacuums. In family therapy, I was able to help clients appreciate how family dynamics and communication styles are important factors in achieving their individual behavioral health goals.

Family therapy also extended my therapeutic reach beyond the individual and beyond the one hour that we had together each week.


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