"Oriang" by Amin Choc

Andrea from Anchorage, Alaska wrote in . . .

I will be looking for an internship and practicum site in July and I’m not feeling very confident about the process . . . .

Why would an agency want to bother with a student who knows so little and has no experience?”

I get questions like this every semester and thought it might be useful to address this here so that others can read it, too.

Andrea, here’s what I know about why agencies, hospitals, and group practices want  you . . . .

Interns tend to be full of energy, optimism, and enthusiasm. Who wouldn’t want those qualities on site when the staff is likely to deal with addiction, abuse, illness, and death?

Interns see with “fresh” eyes. It is easy after being in the trenches of mental health for a while to become complacent and sloppy.  Teaching  / supervising you helps us stay sharp.

Interns are cost-effective. This is particularly important for non-profit agencies and organizations who survive on a “shoestring” budget.  These agencies often take great pride in being a training ground for new professionals – knowing that you will be lured away to more lucrative positions in a few short years.
Interns are often open to new information and new ways of doing things. Because of this, they are often more malleable to the culture and policies of a new placement – more so than those of us who have done things “our way” for a long period of time.

Interns that excel in their internships and practicums make great employees. Many sites for internships and practicums have a high rate of employee turnover.  If you stand out in your placements, it is likely that you will then become an obvious candidate for those newly opened positions.

If you have been in the position of hiring / supervising interns and practicum student, I hope you’ll drop in here and leave a few words of encouragement and advice to those just beginning their jouney in the mental health professions!

Tags: Internship / Practicum

My oops . . . . I forgot to tell you that I would be co-presenting a workshop, “The In’s and Out’s of Private Practice”  with Colorado mental health attorney, Denis Lane, on Friday, February 26th at the request of the Colorado Counseling Association.

My session was called Business Planning for Your Private Practice.  Below are some of the observations made by  participants:

• “I really needed this information and the networking was an added bonus.  Thank you!”
• “Totally worth my traveling 5 hours from Western Nebraska!  Thanks!”
• “Wonderful information shared. Informative.”
• Thank you! This was well worth the effort to attend!”
• “Loved Tamara’s presentation.  Would’ve been happy to hear more / longer.”
• ” Both presenters were extremely knowledgeable and passionate about the topic. It was even better than anticipated!”
• “Tamara was warm and inspiring.  She enabled me to set future goals for my practice.”
• “Tamara was extremely informative!”
• “The most valuable thing Tamara presented, for me was the idea of facing my fears regarding claiming my niche.  Her presentation was a big push towards making a commitment / articulating that.”

Thanks so much to all of you who were able to attend!  You were a terrific group to work with!

And, for those of you who were unable to attend, over the next few weeks I will try to post on some of the most salient points here in my blog so that you, too, can begin to develop (or tweak) a business plan for your private practice.

Tags: Testamonials

Earlier this month, I was asked to speak to a group of new professionals interning at Aurora Mental Health Center.  The topic was on why it’s important to join your state and national professional associations.  Just in case you are hesitating, here are 23 reasons that I believe you should join your professional associations today.

1. This is your number one career development tool.
2. This is how mental health professionals get things done.
3. Often there are special resources available to you.
4. This is where you go to learn how to be a professional.
5. This is how you stay informed about your profession’s standards of practice.
6. This is where you learn about professional trends and mandated changes in practice.
7. This is where you can build relationships and expand your network.
8. This is where you get continuing education at affordable prices via conferences, workshops, and forums.
9. Often those continuing education opportunities include a free breakfast, lunch or dinner.
10. This is how you protect and promote your own profession.
11. This is where you increase others awareness of your practice or your employer’s visibility in the community.
12. Student memberships are often reduced or no fee.
13. There are always opportunities here to give back to / build up your profession by your volunteer efforts within the organization.
14. There are often opportunities for community service.
15. This is where you go to stretch your own thinking and stay creative in your work.
16. This is where you learn what others in your profession are doing.
17. This is where you can easily establish yourself as a leader.
18. This organization may choose to sponsor your work, research, or workshop.
19. Many organizations offer members free listings and links on their websites.
20. This is who negotiates for the best and most affordable liability insurance.
21. This is where you get free advice on ethics issues.
22. Many organizations offer job placement services.
23. This will allow you to know other professionals to consult with and refer to (and vice versa) as your needs dictate.

I’m sure there are more benefits / reasons to join.  Can you tell me why you’ve joined your professional associations?

Tags: Ethics, Insurance, Relationships, Workshop

offers free training on ”Best Practices in Critical Incident Response in the Workplace – Online.”

If you would like to learn more about this offer, you can do so by clicking here.

Tags: Best Practices, Free

I just discovered a free source for professional development (no CEU’s) at

"Podcast Subscribe" by Derrickkwa

CounselorAudioSource.net .  This website offers free weekly podcasts on topics primarily of clinical interest to counselors.

Additionally, if you would like to expand your resume to include your own podcasts on topics relevant to counselors, you can check out their guidelines and suggestions for contributing here.

Do you know of other free resources for the professional development of counselors and allied health professionals?  If so, please let us know!

Tags: Free, Podcast, Resume

Before you even decide where you are going to locate your office,

"Mr. Zip, 1966" by Roadsidepictures

you need to conduct market research on possible locations. 

One way to begin that process is to learn about the demographics of different zip codes in your area.

Check out ZipSkinny to help you start your own market research because location matters.

Tags: Demographics, Location, Market Research, Office

Marketing and the Ethics of Advertising is a free 60 minute teleconference offered by CPH and Associates.  Take advantage of this free opportunity to learn.

Tags: Advertising, Free, Teleconference

As 2010 gets under way, I hope you’re planning for your professional development needs.  I am excited to say that will be attending (not presenting at) the annual conference of the Association for Women in Psychology February 11-14, 2010 in Portland, Oregon.  AWP is a terrific professional organization open to all mental health students and professionals.

If you are also planning to attend this conference,  I hope you’ll take a moment to let me know so that we can meet face to face and possibly share a bite to eat together!

Tags: Professional Association, Professional Development

If you have been marketing to the educational community with little success, you may need to slow down and reassess your own educational history.  Your personal relationship with education may be getting in the way . . . .

Linda L. Lawless and G. Jean Wright suggest in their book, How to Get Referrals: The Mental Health Professional’s Guide to Strategic Marketing, that you ask the following questions when reviewing your educational history:

"Not My Hat!" by Alan Levine / cogdogblog

• Are there any teachers in your family? Are any family members employed by the school system?  What is their input to other family members regarding their work and the system?
• What has been the family response to their vocation?
• What educational levels have been attained by family members?  Did they attend public or private schools?  If private, was it religious or nonsectarian?
• What has been shared about their experience?  What was the quality of the experience?
• What has been your educational experience from kindergarten through graduate school?  Your siblings?  How do you rate it?
• Who were your favorite teachers?  Worst teachers?  In your experience and /or perceptions, what were the characteristics of each that made them “good” or “bad” teachers?  As you reflect on these relationships, what are you feeling now?
• What are your family’s belief systems, biases, prejudices, regarding education and the educational system (school taxes, the school board, election of board members)?
• Did any family members ever serve on the school board?
• What is your trust level of teachers?
• Do you have special training that would correlate with the experiences and needs of educational professionals?
• Do you have children in school?  If so, public or private?  How do you make decisions regarding your children’s education?

It is critical when marketing to the educational community that you feel comfortable and that they know that. Liberally share your unique school stories with other professionals in the educational community.  Use your unique experiences to help guide where you choose to enter the market.  If you attended a private or parochial school, consider focusing your energy on the same.

By taking the time to reflect on your own school experiences, you will increase your comfort and effectiveness in marketing to this community.

Related Posts

Another Strategy for Marketing to the Educational Community:
Collaborating with Your Competitors

Gathering Market Research on the Educational Community

Teachers Needs Vary and So Should Your Marketing Strategies

Tags: School, Stories

When I left employment to begin my own private practice in 1991,

"Question Marks on the Wall" by Lone Black Rider / Filip Bunkens

I started by identifying therapists that I believed to be highly successful.   Then, I picked up the phone, introduced myself, and asked if I could take them to lunch or coffee to pick their brains about being in private practice. Whether you are just starting out in private practice or are wanting to revitalize your practice, that’s a good place for you to start, too.

Most mental health professionals will be flattered if you call.  Let’s face it, it’s an ego boost when someone else thinks that you are successful.  And, many mental health professionals really enjoy mentoring others in the field.

Once you’ve made your phone calls and scheduled your lunches, here are 20 questions for you to ask:

1. How long have you been in private practice? This is really important.  you want to identify therapists who have longevity in the field.  They are who you can really learn from.
2. How did you learn what to do when you were ready to go into private practice? If it worked for him, there’s a good chance that at least part of his learning can work for you, too.
3. What do you know now that you didn’t know when you got started about being in private practice? You might as well learn it now rather than wait.
4. How did your clients initially learn about your services and how do your clients learn about your services now? You want to know about how it was in the beginning for them.  Back then, they were probably on a shoestring budget at best (perhaps like you are now) and still they survived.  In the process of learning what they did back then and what they do now to get clients, you’ll most likely hear how their income and their efforts have changed and refocused.  
5. What mistakes did you make in your early years of private practice? Find out now so that you don’t have to reinvent the wheel.
6. What critical decisions did you need to make about your private practice and why? You may choose to make different decisions but it is often helpful to understand why someone in private practice makes the decisions that they make . . . about policies, workload, billing and fees, etc.
7. Did you ever have a mentor?  Do you now? And, how did you find one? One of the fastest ways for you to jump start your practice is to have a personal mentor to shepherd you on your journey.  Hiring a business coach is one way to find a mentor but it is certainly not the only way.
8. How much time do you set aside to work on the business (not the clinical) of private practice? Successful therapists in private practice spend time visioning, developing, and implementing new ways to grow their businesses.
9. What is your biggest challenge now? Challenges continue throughout the life cycle of a private practice.  Challenges happen; they do not disappear.
10. How long did it take you to turn a profit? The Small Business Administration says that most small businesses fail within the first 5 years and that most successful small businesses take 3-5 years to turn a profit.  I’ve certainly taken it take less time to break even or fail.  However, be wary of those who promise that you’ll be earning big money fast.  Research clearly shows to slow and steady is the way to build a strong foundation for a long-term practice.
11. What do you believe causes a practice to succeed?
12. What do you believe causes a practice to fail?
13. What type of clients do you see? Remember this when you need to refer a client of your own to another therapist.
14. What type of clients do you refer out? If this is a population / issue that interests you, make sure this therapist knows that.  If it is not, then keep an ear open so that you can refer another professional to this therapist.  This is how you network.
15. What resources can you recommend to me as a new therapist that can help me get started on the right track? He may have a favorite website on developing a private practice or an online diagnostic code finder. He may know another therapist looking to share an office or a CPA who can help you set up your quarterly tax payment.  Or, he may have a favorite book or magazine or office supply store to send you to.
16. What do you do to take care of you? Balancing work and home (much less children and additional schooling) is one of those topics that is hardly addressed while you are in school.  Take time to identify now how you will put systems of self care in place.
17. How has your practice changed over the last X (number) of years? It’s important to understand about the life cycle of a practice.  Once it’s up and running, it doesn’t necessarily stay up and running at that level.  Change happens . . . a group practice moves in next door, the local school system has an unexpected need for counselors, an army base closes, you get new clinical training, etc.  Your practice’ life cycle will be different than the therapists’ that you are interview but it is helpful to be reminded that change happens and what you need to do to recognize it as another opportunity for growth.
18. What is the hardest thing about being in private practice? Again, what is hard for him may not be hard for you but knowing about the challenges helps you prepare for them from the beginning.
19. How is your personal life affected by being in private practice? Your professional life and your family’s lives will be impacted by your decision to practice mental health.  When you are in private practice, that impact is even greater.
20. What precautions do you take to keep you and your clients safe in your office? This is another area that is not adequately addressed in graduate school.  There are many things you can do to increase your safety.  Learn about them now.

Remember to take pen and paper with you so that you can take notes.  I’m sure you’ll think of more questions along the way!

If you use this list, I hope you’ll drop back in and let me know how the questions worked for you.  Are there other questions that would be helpful to ask other therapists?

And, if you are a therapist who has been in private practice for a while, why don’t you drop in here  and answer all 20 of these for us.  It’s a good way to introduce yourself and your practice to our community!

Tags: Mentor, Network, Opportunity, Self Care, Vision

Part of growing your private practice includes learning new things.

"Red Thread at WSDP Nepal" by Sara Parker

What books have you been reading to help you grow your private practice and what are you learning from them?

Tags: Red Thread

I just discovered an inexpensive source for your online professional development in mental health called The Innovations Institute! from Boston University’s Center for Psychiatric Rehabilitation.

At a cost of about $5-15 / hour, you can choose from an extensive list of distance learning opportunities taught by world-class presenters.  Or, if you prefer, sign up for the $99 All Access Package that gives you access to 150 of their most popular courses.  All courses have been approved by the largest and most respected professional associations in mental health (as well as many state licensing boards) in the United States.

I’m hoping that you can help me find other sources for low cost or free online professional development and CEU opportunities to enhance your work in mental health.

Add your suggestions right here!

Tags: CEUs, Continuos Learning, Distance Learning

If you are getting ready to start shopping for a clinical supervisor, here are 10 more questions you need to ask before you invite them to work with you.

"Question Mark" by Segozyme

1. What professional associations are you a member of?
   Don’t assume that they are telling you the truth.  Make sure that you verify their membership through your state licensing board.
2. How are you involved in these associations?
   Does she hold an office in the organization?  Remember to verify that your prospective supervisor is as involved as she represents herself to be.
   A supervisor who is actually involved in a professional association (rather than just paying her membership dues), is better able to help develop you as a professional in the field.
3. Why did you choose to join these organizations?
   Was it about the membership fee?  The purpose of the organization?  The benefits of membership?  This can tell you a lot about what is important to your prospective supervisor.
4. Do you expect me to be involved in a professional association?
   If so, then you will want to know which organization and how involved.
5. How will you monitor my client’s welfare?
   Your supervisor may monitor you through a one-way mirror, ask you to audio / video record your sessions for review, obtain self-reports from you, contact your clients, etc.  Most clinical supervisors use a variety of methods to monitor client welfare.
6. How do you insure my compliance with ethical, legal, and professional standards?
   This is a critical task for your supervisor and you want to make sure that she has a solid plan for this to take place.  In doing so, your client as well as you will be protected.
7. What do you expect of me as your supervisee?
   Yes, your supervisor will have expectations of you and the best way to meet them is to go in informed.  A professional clinical supervisor will have a written contract that stipulates your supervisor’s expectations (as well as your own).  Don’t accept a supervisor who does not have this in place.
8. What conflicts typically arise between you and your supervisee?
   Everyone has conflicts.  You want a supervisor who is aware of them and comfortable enough to talk about them openly and honestly.
9. How do you handle conflict when it arises with a supervisee?
   You want to know that your supervisor has basic problem solving skills.
10. How do you address counter transference between me and my client?
    As a new therapist, it is likely that you may not have much experience dealing with this predictable but sticky issue.  You’ll want a clinical supervisor who doesn’t flinch, judge or shy away from helping you develop skills to deal with issues of transference and counter transference.

Are you finding these questions to be helpful?

These questions came from the Institute in Counselor Supervision taught at the University of North Texas’ Counseling Program by Carolyn W. Kern, Ph.D., LPC, NCC and Cynthia K. Chandler, Ed.D., LPC, LMFT.

Related Posts

10 Questions You Must Ask Your Prospective Supervisor

Clinical Supervision and Money Gouging

Tags: Contract, Counter Transference, Professional Association, Transference

If your post-graduate supervision is not all that you had hoped for, there may be a really good reason.  Do you know that clinical supervision is different from administrative supervision?

An administrative supervisor typically operates from a business model rather than a clinical model.  His priority is to make sure that the organization (or her department) runs smoothly. There are local, state, and federal regulations  (like the EEOC guidelines and the Disability Act) that impact his decisions concerning her supervision of you.

Administrative supervisors are often

"In Which Zac Never Realized . . . " by Zac Peckler

what you encounter as a new graduate entering the workforce through an agency, hospital, or school setting. You will recognize an administrative supervisor because he will emphasize paperwork and productivity, managing your caseloads, scheduling, and accountability.

An administrative supervisor must train employees to systematically complete basic paperwork, manage crises, work within systems, and deal with large numbers of clients needing many different things at the same time.  There is much to be learned from an administrative supervisor that will serve you well throughout your career but this is NOT clinical supervision.

If you are frustrated with the quality of the supervision you are receiving, perhaps you assumed that the supervision you would be receiving from your supervisor would be clinical supervision rather than administrative supervision.  Here are some things that you can do to insure that your experience under supervision is all that you want it to be.

Related Posts

9 Steps You Can Take to Insure a Great Supervisory Experience

4 Things to Consider if Your Supervision is Less Than Ideal

Supervision or Consultation?

Tags: Client Load, Crisis, Documentation, Schedule

The National Child Traumatic Stress Network is offering free continuing education through their Culture and Trauma Speaker Series.

November 18, 2009
1 pm EST / 12 pm CST / 10 am PST
It’s Not All Black & White: Working with African-American Families in Post-Katrina New Orleans

December 16, 2009
1 pm EST / 12 pm CST / 10 am PST
Clinical Implications of Spirituality, Religion, and Child Trauma Recovery

January 20, 2010
1 pm EST / 12 pm CST / 10 am PST
Making Strengthening Family Coping Resources Relevant to African-American Families in Urban Poverty Contexts: Stakeholder Input in the Treatment Development Process

February 17, 2010
1 pm EST / 12 pm CST / 10 am PST
In-Home TF-CBT and the Self-Reflection Process

March 17, 2010
1 pm EST / 12 pm CST / 10 am PST
Cultural Considerations in Working with Latino Clients Using the Child-Parent Psychotherapy Model

April 21, 2010
1 pm EST / 12 pm CST / 10 am PST
Immigration & Trauma: Clinical Observations of Four Immigrant Psychotherapists Working with Latino Immigrant Families

May 19, 2010
1 pm EST / 12 pm CST / 10 am PST
Hispanic Stigmas Toward Trauma Treatment & Engagement Recommendations in TF-CBT

To sign up or get additional information about these distance learning opportunities, click here.

Tags: Continuous Learning, Culture, Distance Learning, Trauma