Twiddling Thumbs? What To Do While Waiting For Your Clients

Feb
7
2011

Are you finding that you have way too Image of Checking the Time (2)much down time and not enough client time?  If you are networking face to face and networking online, then don’t worry!  They’re on their way.  But while you have extra hours in the week, here’s other things that you can be doing to get ready for them:

There you go! Have I left anything out?   There’s plenty that you can be doing to make sure that you are 100% ready to see clients once they find you.  And, if you’ve got all of this in order and are needing  to know “what’s next” just drop me a note below and I’ll be glad to talk with you about that next step.

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What If . . . ? I Need Your Feedback

Nov
12
2010

Reaching Out

WOW!  I love the way that you guys have reached out . . . in comments here on the blog . . . in emails directly to me . . . and by phone, too.  Our vibrant community of professional connections and resources for building and strengthening your private practice continues to grow!  However, I’m feeling like I don’t get to spend as much time and support with each one of you as I would really like to.

I Need Your Help

I’ve been thinking about this a lot . . . about how to share even more information with you and what that format might look like.  This morning I realized that I’m trying to figure this all out all by myself. That’s not very smart and it’s not very effective.  It dawned on me that now I need your help.

A New Idea

I have this idea rumbling around in my head.  It’s about a mentor / coaching / collaborative business think tank to support you on your journey as you build your private practice.  I’m thinking about offering a one hour group phone call twice each month to a limited number of individuals.  On the calls, we will really drill down to what is keeping your practice from taking off.  Our conversations will be about your specific practice concerns. I will bring information and tips to share with you.  Together we will exchange resources and and ideas to keep you motivated and engaged so that you can do the work that you were meant to do.

What Do You Think?

But like I said, to create such a personal group,  I need your help.  Can you  give me your feedback?  I’m looking for your thoughts about:

  • Content.  What would you want to see included or addressed here?  Are there basic must-haves in order for this to be useful to you?
  • Questions.  What questions would you need to have answered in order to see the value in this type of group?
  • Value.  What would make this offer irresistable to you?
  • Cost.  What would you consider to be a fair fee for a group call twice monthly – one hour each?
  • Bonus.  What would be a bonus that I could add on for FREE?

Send your comments to me backchannel or leave them right here on the blog!

P.S.

I’m thinking of starting this group some time in January!  Yes?

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SOS! Needing Clinical Supervision In Hawaii – Part 2

Nov
11
2010

[This is the second of a three-part post on clinical supervision
in Hawaii.  The first post can be found by clicking here.]

While contemplating Shari’s dilemma about finding affordable and competent supervision, one of my colleagues in Hawaii shared her thoughts in support of Shari’s dilemma (and a close up and different perspective from mine):

Licensure at the masters level is relatively new to Hawaii (less than 8 years). The major program for graduating Image of Jigsaw Puzzle Solutionsindividuals with a masters degree is the University of Hawaii Counselor Education program. However, since these people were expected to work primarily in the school system– K-12, they did not have the same kind of supervision required for therapy/private practice. In fact, one of the professors in this program had a doctorate but no experience counseling (more researcher than practitioner). Chaminade University is a small, private college that grants a counseling degree. Therefore, there hasn’t been enough time and people to build the kind of recognition and professional respect that masters level counselors on the mainland have.

Personally, I think it’s unethical to charge a young professional for supervision (if I understand it correctly). I know the beginning mental health professionals hired in a government positions often do not have a more experienced colleague mentor them. I am embarrassed to admit that many professionals seem to be more focused on individual gain/survival than mentoring a less experienced member of the group, especially if they see no personal gain in the relationship. So I guess if they are being compensated they would meet the contract [for supervision], but not provide much more. I presume the supervisors are overworked (if they work for the state) so even if they wanted to spend more time with their supervisee, they would not have the time/energy to do so. I like to believe that there are some professionals who understand the value of the reciprocal relationship that exists in mentoring and make time to create a productive/satisfying relationship. However, those folks are probably few in number.

As for being supervised by a person with limited background/experience, I suspect the market is flooded with individuals who have earned their doctorates, obtained their license, have limited experience, and apply for a job. The assumption is that they are qualified because they have a doctorate and passed the licensing exam. You and I know that this is not true if they have only the minimal hours of clinical supervision, and minimal contact with their colleagues. Licensed psychologists here do not have to participate in continuing education/training to maintain their license. Therefore, it is not unusual for these individuals to be relatively isolated in carrying out their practice. “

Thanks so much for taking the time to share your thoughts on Shari’s experience with us here at Private Practice from the Inside Out!

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6 Ways To Keep In Touch With Clients

Sep
30
2010

On Monday,  I reminded you that when considering ways to keep in touch with your clients, it’s critical that you consider the legal and ethical implications.  Assuming you’ve taken those into consideration, believe that it is in yourImage of 6 Numbers client’s best interest for you to keep in touch, and have his or her permission to do so, here are six ways that you may be able to ethically, professionally, and effectively accomplish that . . . .

  1. Send holiday and birthday greetings.
  2. Send monthly newsletters.
  3. Send quarterly practice “updates” noting any new training you have achieved, colleagues that have joined your practice, or changes in the hours that you are seeing clients.
  4. Send supplementary information that you may run across relevant to a particular client’s interests.
  5. Send information about new support groups in your community.
  6. Send thank-you notes for referrals.

In other words, look for ethical, legal, and professional opportunities to stay connected to your clients throughout the year.

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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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