Archive for the tag 'Continuous Learning'

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

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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Have You Had Your Dose Of Disruption Today?

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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What They’re Saying . . . About 2009 Annual Series Of Private Practice from the Inside Out

Published under Marketing

I just realized that many of you are asking about what’s happening in the 2009 Annual Series of Private Practice from the Inside Out and I haven’t been very good about letting you know.  Here’s what they’re saying after our last session . . . .

It was really good for me to look at my low confidence and speak it out loud.”

Direct feedback on my business cards and brochures was the best part about our class today.  It took the concepts we had talked about and it made them practical, usable and real.”

“My energy and excitement continues to grow as we talk about (and as I write / journal about) building our practices.”

“I am encouraged and motivated to do get my business cards made . . . and to create the language I want to use for my business.”

If you are interested in joining me for the 2010 Annual Series of Private Practice from the Inside Out, drop me an email back channel and I’ll put you on my tickler list!

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Culture and Trauma Speaker Series – Free Continuing Education

Published under Professional Development

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.

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Your Therapeutic Bag of Tricks

Not everything that’s therapeutic is therapy.

Magic by Jess Lo

"Magic" by Jess Lo

And, as a matter of fact, not everything that’s called “therapy” is actually therapy!

Here’s an interesting website that talks about The Healing of Magic.  If you are looking for new tools to augment your work, perhaps you can find some creative ones here.

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5 More Identifying Characteristics of Shortcuts

I’m still reading Be a Shortcut: The Secret Fast Track To Business Success by Scott G. Halford.  Here are five more identifying characteristics that I’ve found:

Hobbity by Rakka

"Hobbity" by Rakka

  1. Shortcuts are resourceful and often rely on their relationship assets.
  2. Shortcuts collaborate and negotiate rather than compete.
  3. Shortcuts know that their networks wither without time, attention and care.
  4. Shortcuts seek out new challenges.
  5. Shortcuts are involved in continuous learning and take responsibility for their own personal and professional growth.  They do not rely on external motivation to learn new information or to develop new skills.

I live in a state that, I’m embarrassed to say, doesn’t require continuing education for the licensed professionals in the health care fields.  Because of that, I’m particularly aware how this last one – taking responsibility for continuous learning – really does set you apart as a shortcut.

Those of us who take the initiative to continue our education on a consistent basis really are the ones that develop a reputation as having a depth of knowledge in our respective fields.  We really are the ones that become the shortcuts.

Have you found an area yet that you can work on to build your reputation as a shortcut?

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