I had just returned from a 3-week respite in Spain, and I was riding the post-vacation emotional high.
The quaint cobblestone streets of Seville left me with feelings of joy and amusement; the romantic plazas of Madrid left me with love; the vast beaches of Barcelona left me with serenity and awe; and the seafood paella in each of these cities left me with each of the top 10 positive emotions (mostly gratitude).
I was rejuvenated, and I was eager to dive back into work.
My first day back to work was at a new therapy rotation. For the first time, I was scheduled for five consecutive 1-hour sessions (my previous maximum was two consecutive sessions). New schedule, new clients, new office – a perfect reset after vacation.
But by the time my fifth client left my office, I was feeling sheer exhaustion. I felt like someone siphoned every drop of energy out of me. I ended up napping for an hour on my therapy couch (indeed, therapy couches are a real thing) before driving home. I chalked it up to jet lag.
Burnout is believed to be coined by the psychologist Dr. Herbert Freudenberger who defined it as “failing, wearing out, or becoming exhausted through excessive demands on energy, strength, or resources” .
At times, graduate school seems synonymous with burnout – it is a multi-year, grueling process of hurdle after hurdle.
There is often a mentality in graduate programs that this “suffering” is a right-of-passage of sorts, an initiation that all therapists before us endured and overcame before entering into the profession.
However, the reality is that these expectations and this laissez faire attitude, when left unchecked, can produce burnout that is of detriment to not only the physical and mental health of graduate students, but also to their productivity and quality of work. Unfortunately, for many in the psychology field, this experience does not end with graduate school.
Clinical psychology comprises the fastest growing subfield in the study of psychology, and it accounts for approximately half of all doctoral degrees earned within the field . There are two primary degrees awarded for doctoral study within psychology: the PhD and the PsyD. Briefly, the PhD holds a primary research focus in addition to clinical practice, while the PsyD is focused primarily on provision of clinical services. The PsyD, or the Doctor of Psychology degree, emerged in the 1970s and has since grown rapidly as a primary model of training for clinical psychology.
Most PsyD programs follow the scholar-practitioner model, also known as the Vail model. This type of training is characterized by emphasis on practical clinical training. In the course of this training, students also learn how to analyze and evaluate existing scientific research, and they may carry out their own original research, as well.
The PhD, or the Doctor of Philosophy, takes a balanced approach to research and clinical work. In addition to learning the practice of clinical psychology, the PhD emphasizes conducting research. This is the scientist-practitioner model, or the Boulder model. Students in PhD programs gain extensive training in the development, execution, and dissemination of research.
Graduate students and early-career professionals know how challenging, nay, grueling our work can be without a good night’s sleep. With all the demands of practice, coursework, family matters, research, and so forth, how can we hope to squeeze in a solid 8-hour sleep session?
Furthermore, how can we fall asleep when our minds are racing through that seemingly endless list of responsibilities and deadlines? We toss and turn and check our phones, remembering that each waking moment is wasted rest time.
All of us (well, hopefully all of us) try to practice good hygiene by bathing regularly, brushing/flossing teeth, and so forth. Yet, few of us try to practice good sleep hygiene.
In my book, The Beginning Counselor’s Survival Guide, my main goal is to simplify the difficult-to-understand. For a career that is all about helping people, we certainly do make it complicated to get into sometimes! I get questions all the time, many of them starting with, “What do they mean by _______?”
The fact is, with counseling licensure, as well as with counseling practice, there are a lot of gray areas. “This means this if this is the case…unless of course, this happens.”
That’s why I wanted to take this opportunity to clear up some of the confusion, specifically about the concept of HOURS. By that I mean the specific number of hours we as counselors (or psychologists, marriage and family therapists, or other behavioral health professionals) are required to earn in order to switch from a provisionally licensed mental health professional to the real deal.
The first time I worked with a physician was during my training as a suicide risk assessment consultant in a hospital.
My job was simple: give the nice doctor a brief run-through of the patient presentation and make recommendations for treatment. I walked into the doctor’s office, smiled, took a deep breath, and I began to regale them with the tale of my time with the patient and how they made me feel.
After about thirty seconds, my story was cut short.
The doctor shook his head, raised his hand, and said “you’re burning my time buddy, just tell me what I need to do.” Caught off guard and sweating profusely, I managed to stumble through some recommendations before the physician said “sounds great” and turned back to his notes.
When I entered graduate school, I knew one thing: I would never become a clinical psychologist. I had no idea what I wanted to do with my life, but I knew psychology wasn’t it, and I figured that spending a few years in a doctoral program was a good way to pass the time while my interests worked themselves out. (Side note: It isn’t. There are much easier ways to spend six years.)
Now I am the one thing I thought I would never be: a clinical psychologist. How in the world did that happen?
The truth is that I began graduate school with a narrow sense of what it means to be a psychologist. Over the course of my training, I learned that there are many ways to match your interests, passions, and values to a career in behavioral health and many opportunities to fall in love with this work.
Whether you have well-defined professional goals or are utterly confused about the path ahead, here are a few questions to consider as you work toward developing your professional identity and choosing a meaningful career.
For parents, the idea of pursuing an advanced degree can sound daunting and even impossible. Being a successful parent and student can require a bit more juggling than what’s required of those who are in just one role.
Yet, many do make it work — in fact, 4.8 million undergraduate students, or 26 percent, are raising dependent children.
The key to joining this group of colleagues who are seemingly doing it all? Mastering the three keys of balancing parenthood and your studies: setting boundaries, practicing time management, and being compassionate.
After what seemed like a lifetime of being in school, I was finally done! I could finally call myself a psychologist. I remembered breathing a huge sigh of relief after I realized that I would not have to worry about writing papers, participating in weekly discussions, or giving presentations anymore; I was finally free and ready to do what I loved, and get paid for it!
But wait…what was I supposed to do next? So, you mean I just go and start working? Who is going to walk me through the career world now? I was so used to always having a directive and a professor to guide me that I did not even think about the fact that one day, the training wheels would be removed and I would be launched out on my own!
The core purposes of clinical supervision are to protect the welfare of clients by ensuring they are receiving ethical, quality care and to promote the growth of pre-licensed clinicians .
A couple of main areas that distinguish pre-licensure clinical supervision from consultation, mentoring, or another form of guidance are the evaluative and non-voluntary components of the supervisory relationship .
This tends to amplify a supervisee’s existing anxiety related to questions of competency, training demands, and balancing academic, occupational, and personal obligations . Too often, the level of anxiety is suboptimal, negatively impacting learning, growth, and clinical work.