The Balancing Act – Self Care for Mental Health Professionals

Feb
17
2011

Self-care is different from selfishness, self-absorption, or self-indulgence. . . . Given the fine line between the therapist’s personal and professional self, self-denial or self-abnegation is neglectful not only of real self needs, but ultimately of patient care.”
~  Ellen K. Baker, Ph.D. ~

The Care and Feeding of a Mental Health Professional

I made it all the way through graduate school Image of Work Life Balance Signpostwithout ever hearing about the self-care of mental health professionals.  However, that was 20 years ago and just within the last two years I’ve been inundated with workshops, articles, and collegial conversations about the critical need for therapists to engage in an active plan for self-care.

As a mental health professional, today your own self-care is considered to be a minimum standard of professional practice.  Your clients deserve to be served by a healthy, well-balanced, health-care professional.  And, you deserve to take the time to take care of your needs before you begin to take care of your clients’ needs.

Establish Health Routines of Self-Care

Every mental health professional needs and deserves to establish routines of self-care.  With that in mind, I’m wondering what your routines of self-care entail . . . . Here are some questions for you to consider:

  • How does your stress manifest in you physically?  Mentally?  Emotionally?  Spiritually?
  • When are you at your best physically?  Mentally? Emotionally?  Spiritually?
  • When are you at your worst?
  • What are your personal limits?
  • What are the personal factors and experiences in your life that have most affected your work?
  • What are the professional experiences and factors that have most affected your personal life?

Every mental health professional has vulnerabilities, weaknesses, and needs.  Take time today to identify yours.

Better yet, take these questions back to your supervisor or your consultation group to have a series of discussions about these things.  And, then, develop your own plan for establishing routines of self-care.

If you liked this post...
You'll love my updates! Sign up here to get updates delivered to your inbox.
Name Email

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.

If you liked this post...
You'll love my updates! Sign up here to get updates delivered to your inbox.
Name Email

Chuckle For The Day . . . “Stop It!”

Nov
9
2010

A friend of mine sent me this video in email. Thought you might need a chuckle, too.  Enjoy!

If you liked this post...
You'll love my updates! Sign up here to get updates delivered to your inbox.
Name Email

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.

If you liked this post...
You'll love my updates! Sign up here to get updates delivered to your inbox.
Name Email

A Facelift For Your Private Practice

Aug
9
2010

Are you looking back to the “good ole days” when your practice was shiny and new . . . ? Remembering when your appointment book was full and you had a two week waiting list and wondering where all the clients have gone?

Well, I’m here to tell you that they are all still right here . . . right around the corner from you and they are wondering whatImage of Hmmm happened to their bright and enthusiastic therapist that you used to be!  That’s right!  You heard me!  Any client will tell you that s/he would rather return to the same therapist s/he’s seen before rather than change to a new one.  They only change when they have no choice but to go elsewhere to get the help they are seeking.

If your old clients are going elsewhere for their counseling services, then it might be time for you to give your practice a facelift and that means taking a fresh look at your office, your office practices, and yourself.

Outside the Office

  • Take a look at the appearance of your building.  Has it fallen into disrepair?  Does it need trim work or to be repainted?
  • Is the landscaping well-tended?
  • Is the parking for your clients easily accessible and is the lot well-lit?  Does it feel safe?
  • Are the windows clean?

Inside the Office

  • Inside the office, take a look at the paint on the walls.  Is it dingy?
  • Is the carpet dirty or stained?
  • How does your office smell?
  • Is the lighting warm and welcoming?
  • Is your office well-insulated for privacy?
  • Is the temperature in your office comfortable?

Office Practices

  • Does your office staff greet your returning clients as warmly as they greet your new clients?
  • Is your staff well-trained on respecting clients’ privacy?
  • Are you records safely locked away out of sight so that clients do not see information about other clients?

Self Check

  • Are you taking care of yourself outside of the office?  Eating and exercising?  Getting enough rest?  Attending to your personal relationships?
  • Are you arriving at the office in time to get settled in and appear calm and focused when your clients arrive? Or are you rushing in harried at the last minute?
  • Are you scheduling your clients far enough apart that you have time to attend to phone calls, go to the bathroom, and complete your notes in between appointments?
  • Do you have a plan for continuing your professional competency and are you following it? Are you continuing to learn new and interesting things to help you in your clinical work?

These are useful things to discuss with your peer consultation group.  A fresh pair of eyes can help you identify areas that need a bit of a facelift.  And, that, in turn, may help you re-engage some of those wayward clients.

Can you think of other areas in your practice that may need a facelift?  If so, I hope you will let me know!


If you liked this post...
You'll love my updates! Sign up here to get updates delivered to your inbox.
Name Email