Mistakes Happen . . . What’s A Therapist To Do?

Aug
26
2010

Instructors nor colleagues ever spoke to me . . . in a classroom, as a supervisor, one on one, or even in a text about therapists’  mishaps and what to do about them.  No one ever spoke about them being opportunities for learning and growth.Image of Oops

Instead, when errors were made, I was taught that they were embarrassments, shameful, and dangerous for any mental health professional. They were things to be talked about behind closed doors with an attorney or forgotten about and not to be discussed with clients and colleagues and under certain circumstances maybe even lied about . . . .

Then, several years back, I attended a workshop at an annual conference for the Association of Women in Psychology. The workshop focused on discussing those very things that I was taught should not be discussed . . . clinical misjudgments, errors in thinking, and client-related mishaps.  It was, for me, a practice-altering experience . . . to be in the presence of counselors, psychologists, and social workers candidly speaking about their professional and sometimes costly gaffs.  It was also a very healing experience . . . to learn that other professionals (many more experienced than me and a few quite well-known) also made mistakes . . . as we grappled together with how to responsibly and ethically admit our mistakes, make amends for our transgressions, and learn from our own misjudgments.

Ours is not the only profession that struggles with how to undo any damage that we may have caused.  Physicians are also taught to play it safe when errors are made and keep their gaffs to themselves.  However, research is increasingly showing that it is often in a client’s  best interest for medical professionals to ‘fess up and admit mistakes made.  Check out When Doctors Admit Their Mistakes and also Risk Management: Extreme Honesty May Be the Best Policy.

Here’s my point . . . . I am a better therapist when I am able and willing to tell the truth . . . the whole truth to myself, to my colleagues and to my clients.  I am a better person when I am able to tell the truth.   And, my clients deserve the best therapist that I can be . . . 100% of the time.  Until the mental health professions are able to create a culture and space in which we can take responsibility for and  learn from our own mistakes, we are not the professionals that our clients deserve.

Surely I’m not a lone voice for shedding the embarrassment over clinical misjudgment and shelving the self-imposed shame of making errors with clients.  When well-trained therapists with good intentions make choices that, in hindsight, are not the most helpful ones to our clients,  I believe it should be the standard of our professions to create a space for owning our mistakes and making amends to our clients with dignity and heartfelt regrets.

It’s time for our professional associations and our graduate institutions of learning to model healthy and appropriate ways to create spaces for dialogue and healing and forgiveness when therapists err.  It’s the right thing to do . . . for our clients, for ourselves, and for our profession. If you, like me, have ever made a mistake and felt the tug to do the right thing and yet have also felt the fear of doing the right thing, today is a good day to start the dialogue.

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When Mental Health Professionals Mock Their Clients

Aug
24
2010

“Fat . . . Borderline . . . Retard . . . .”

It is always shocking to me how easy it is for medical and mental health professionals to reduce their clients to less-than-desirable and less-than-accurate one dimensional labels behind closed doors.  I’ve heard excuses that range from Image of Loserminimizing (“oh-he-knows-I-don’t-mean-it”) to intellectualizing (“it’s just a short-hand way to refer efficiently to a particular group of symptoms).

Whatever the reason . . . ignorance, mean-spiritedness, or just plain old laziness . . . if you’ve been tempted to mock a client or speak derisively about a client behind closed doors, you might want to check out Tara Parker-Pope’s post on professionals mocking their clients. It’s one of those things that wasn’t discussed in my ethics classes  but probably should have been.  After all, if we are reducing our clients and all of their complexities to a simple one word label, it’s likely we don’t have our client’s best interest at heart.

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Have You Had Your Dose Of Disruption Today?

Aug
19
2010

In 1977, Ilya Prigogine was awarded the Nobel Prize in Chemistry for his work on dissipative structures.“  Prigogine contends that because dissipative structures are disturbed i.e. shaken up by definition, they are able to change and evolve.  On the other hand, those structures that are too well insulated, and thus unable to be disturbed, will simply stagnate and die.  According to Ilya,  friction is a good thing!

I was reading about Ilya’s work and got toImage of Detour Ahead Sign thinking about how friction has served my practice well over the years. Here’s what I’m talking about . . . .

When my referral sources are disturbed . . . they call me to consult when they are in over their heads.  They call me with referrals. Or, they call me wanting referrals.  They do something different.

When my community is disturbed . . . by elections, substance abuse, suicides, natural disasters, my community gets busy!  It get activated! And, they do something different, too.

When my clients are disturbed . . . they are motivated to pick up the phone and call me. They make appointments and come to see me. They follow through with their homework in between sessions.  And, if they are disturbed with me, the tell me!  And, all of that serves me (and my clients) well.  They do something different.

And, when I am disturbed . . . I seek additional information.  Or, I take action.  I tell someone just to be heard.  I take a class or seek consultation. I learn a new strategy.  I, too,  do something different.

Although I’m always up for a new adventure, I must admit, I don’t always relish the unpredictability of my work being disturbed.  But . . . does it help in the long run?  Keep me on my toes?  Sharpen me mentally and emotionally?  Help me stay flexible and alive in my practice?  You bet!  And, that flexibility and willingness to do something different helps my business stay vibrant and thriving.

So maybe tomorrow . . . when chaos looms out of no where to disturb my daily practice . . . . Maybe, just maybe I’ll remember Ilya Prigogine’s ideas and instead of digging in my heels and whining, I’ll say “thank you” for my dissipative practice and the wisdom to see the gift!

How about you?  Got a dissipative practice?  Or have you gone rigid and stagnate?  Needing a little help loosening up and learning to ride the waves?  If so, email me!  I’m happy to help you get unstuck and start enjoying the fruits of a little disruption.



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Nuggets From Marketing For The Mental Health Professional

Aug
16
2010

My e-friend, David P. Diana, was kind enough to send a copy of his new book to me.  I’ve only read one hundred pages into Marketing for the Mental Health Professional but already I can tell you that it is an excellent addition to your practice-building library.

As David notes in the preface, this is a book full of ” innovation, opportunity, and abundance.”  He is quick to remind you of what you already know . . . understanding human behavior . . . while teaching you what you may not know as well . . . the tools of marketing, business, and sales.

Here are some of the nuggets that I have already gleaned from David to help you grow your business:

  • On making mental health relevant – Become “part of the conversation people are having both online and offline.  Offer helpful information. Image of Marketing for the Mental Health Professional Build awareness by sharing your expertise.  Reach out to others in ways that show you genuinely care about them.”
  • When you are doing something right – ” . . . you are highly visible within the marketplace . . . ” and  ” . . . you are viewed as a valuable resource and partner, people begin to seek you out without any soliciting on your part.”
  • To gain power and influence when networking – “Take some time to notice when you are rushing your speech and begin making an effort to slow down, relax, and confidently present your point.”
  • Concerning the need to establish credibility – If you (or any other mental health professional) do not have “distinguishing characteristics or credentials, then why would someone choose that person when so many options are available?”
  • About strategic use of your time and energy – “. . . shifting your time and energy in new and more productive ways can have such a powerful impact.”
  • On the art of public speaking – “Try to identify two to three new concepts and ideas that you will feature in your presentation.  Your audience will buy you and your message if you are able to do so.”
  • And, here’s a tip that I didn’t know – “When customers consider a particular set of choices (services or products), they tend to favor alternatives that are so-called compromise choices. These are choices that fall between what a person needs at a minimum, and what they could possibly spend and fully desire at a maximum.”(Thanks to David, I’m actively re-thinking my menu of services and ways to include more-than-the-minimum compromise choices.)

So have I peaked your interest in Marketing for the Mental Health Professional? If I’m learning from it, I’m betting you have some things to learn, too.  Run out and get the book.  Read it.  Apply it.  And, let me and David P. Diana know what is changing because of it!


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News Flash – Privacy Concerns With Psychology Today

Aug
12
2010

Dr. Keely Kolmes of San Francisco continues  to be a valuable resource for therapists engaging in social media.  Check out her blog post dated August 5thImage of Psychology Today Logo in which she exposes the privacy concerns  caused by Psychology Today’s newly implemented call tracking.

I just changed the setting on my own listing to decline call tracking and, I’m encouraging you to do the same.

[Thanks, Keely, for continuing to keep us informed on these matters!]



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