The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy

The Therapist as Expert Witness: Standard of Care, Objectivity, and Staying in Your Role - An Interview with Nicol Stolar-Peterson, PsyD, LCSW, BCD Nicol Stolar-Peterson, PsyD, LCSW, BCD on expert witness work for therapists, standard of care, and court roles. Curt and Katie talk with Nicol, a national expert witness in child abuse, child protective services, and clinical social work, about what it takes for therapists to do this kind of work. The conversation grew out of Curt's first experience as a defense expert in a licensing board complaint, when he turned to Nicol to help him prepare. Nicol explains how fact witness and expert roles differ, why treating therapists should be cautious when invited to testify as experts, and why standard of care means what a reasonable therapist would do rather than best practice. She also describes staying objective with attorneys trained to persuade, and what records review, reports, and depositions look like in real cases. A useful listen for therapists curious about expert witness work, clinicians who may be called to testify, and anyone who wants to understand how standard of care gets evaluated in licensing board and civil cases. In this episode, we discuss: - What makes a therapist a strong expert witness, including the ability to explain expertise in plain language - Where therapists find expert work, from child custody evaluations to records review - How fact witness and expert roles differ, and why treating therapists should stay in their lane - Why standard of care means reasonable, basic practice rather than best practice - How experts stay objective when attorneys push for a particular opinion - What records review, reports, and depositions look like in a typical case Timestamps: 05:30 - What makes a good expert witness 09:11 - Where therapists find expert work 13:49 - Fact witness, expert witness, and testifying expert roles 22:06 - Standard of care: bronze versus gold 24:30 - Staying objective with attorneys 33:39 - Scheduling and what a typical case involves 37:23 - Depositions, settlements, and trials Guest Bio: Nicol Stolar-Peterson, PsyD, LCSW, BCD is a national expert witness in child abuse, child protective services, and clinical social work. She co-founded and runs Kids Court & Counseling Center, a nonprofit that helps children who are victims of crimes and abuse prepare for court testimony. She also provides therapy, trains new social workers, and offers mandated reporting trainings. Learn more at www.nicolstolar.com. Full show notes and transcript: https://mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Why Is It So Hard for Therapists to Delegate? Letting Go of Control Over Scheduling, Billing, and Bookkeeping - An Interview with Bibi Goldstein Bibi Goldstein of Buying Time on why therapists struggle to delegate, and how automation and online scheduling help. Curt and Katie talk with Bibi Goldstein, founder of Buying Time, LLC, about why so many therapists keep doing their own scheduling, billing, bookkeeping, and social media long after it stops making sense. Bibi has spent nearly 20 years helping business owners delegate and automate, and in her experience, the resistance usually comes down to control. Bibi shares how to choose practice systems and software you can grow into, why delegating to software counts as delegating, and how online scheduling and automation can bring in new and returning clients while still protecting your calendar. She also walks through her simple happy face/sad face exercise for deciding what to delegate first. This is a useful conversation for private practice therapists, group practice owners, and anyone who knows they should hand off admin work but hasn't yet. In this episode, we discuss: - Why therapists get emotionally attached to scheduling, billing, bookkeeping, and social media - How to choose practice systems your private practice can grow into - Why automation and software count as delegation, even if you can't hire staff - How the happy face/sad face exercise shows you what to delegate first - How online scheduling brings in new and returning therapy clients - How booking limits and buffers keep automation within your boundaries - How delegating frees up time for income like paid speaking Timestamps: - 02:57 - What therapists get wrong when setting up practice systems - 06:20 - Decision paralysis and getting guidance before you choose software - 09:48 - How AI and automation have changed delegation - 13:47 - Technology-shy therapists and the superbill story - 18:27 - The admin tasks therapists are most emotionally attached to - 22:24 - The happy face/sad face exercise: what to delegate first - 25:33 - Delegation that helps therapists make more money - 28:00 - How online scheduling brings in clients - 30:55 - Keeping control of your calendar with limits and buffers Guest Bio: Bibi Goldstein is the founder of Buying Time, LLC, a virtual support company that helps therapists, entrepreneurs, and small businesses streamline operations through systems, automation, and time management strategies. A systems expert and productivity consultant with multiple software certifications, she is co-author of Get Organized Today, Navigating Entrepreneurship, and Business Success with Ease, and serves as Chair of the Board of the Redondo Beach Chamber of Commerce. Learn more at buyingtimellc.com. Full show notes and transcript: https://mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Private Practice Has Changed. Now What? How Therapists Can Find Clients and Stay Profitable - An Interview with Dr. Ajita Robinson, LCPC Curt Widhalm, LMFT, and Katie Vernoy, LMFT talk with Dr. Ajita Robinson, LCPC, on how private practice has changed and how therapists can find clients and stay profitable. Caseloads are thinning, insurance panels and directories send fewer referrals, and venture-backed platforms can book a new client by tomorrow. Yet demand for mental health care is as high as it has ever been. Curt and Katie welcome back Dr. Ajita Robinson, LCPC, grief and trauma therapist and CEO of Legacy Wellness Group, to talk about what has changed in private practice and what therapists can do now. Dr. Robinson explains why the private practice model most therapists started with no longer works the same way, and why a wait-and-see approach leaves therapists behind. She shares how to find the referral and revenue data already sitting in your intake process, how to build referral partnerships with primary care and other trusted providers, and how therapists can diversify income through government, employer, and EAP contracts. If you have been wondering whether it's just you, this conversation offers a clear picture of the market and practical next steps for staying profitable in private practice. In this episode, we discuss: - Why fast scheduling and intake automation help you compete with therapy platforms - How your intake forms and call logs reveal where your practice is losing clients - How referral partnerships with pediatricians and primary care helped one practice grow from 1 location to 18 - Why diversifying income through state, federal, and employer contracts protects your practice - How therapists can use psychoeducation, consulting, and local media to reach more people - Why therapist training teaches us to serve to depletion, and what that costs the profession Timestamps: 02:40 - How the private practice model has changed 04:40 - How clients seek help and find therapists now 10:08 - Using your intake data to find referral sources 17:47 - Finding the gaps in your client pipeline 22:57 - Diversifying income with contracts and EAP carve-outs 26:44 - Why therapists are taught to serve to depletion 35:20 - Trusting your expertise and speaking up Guest Bio: Dr. Ajita Robinson, LCPC, is a grief and trauma specialist and international bestselling author of The Gift of Grief: A Practical Guide on Navigating Loss, The Gift of Grief: Supporting Grieving Children, and The Purposeful & Profitable Therapist's Guide to Diversifying Income. She founded Friends in Transition Counseling Services in Bethesda, MD, and is CEO of Legacy Wellness Group, where she helps therapists build diversified income and sustainable private practices. Learn more at www.ajitarobinson.com. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Skill Issue or Systemic Reality? Systems, Platforms, and What Therapists Are Still Responsible For Curt Widhalm, LMFT, and Katie Vernoy, LMFT on how systems shape private practice, therapy platforms, insurance reimbursement, burnout, and what therapists are still responsible for. A payer cuts reimbursement by 12 percent and adds a six page renewal form. A platform runs your credentialing, your marketing, and your client matching, and keeps the client relationship if you leave. Which parts of that belong to the system, and which parts are still yours to carry? Curt and Katie open a new sprint with two of the principles that hold up this show: systems shape practice, and the profession has to evolve with the world around it. Either one on its own turns into a trap. They test the pair against scenarios most therapists will recognize, including midnight crisis texts, a payer cutting rates, and an early career therapist working 32 clinical hours a week on a gig platform to cover rent. The answer keeps coming back both. From there they run a corporate translator on the marketing language aimed at clinicians, follow the fee into the treatment room, and look at the business preparation gap the profession creates and then hands back to each clinician to cover alone. Nobody wins this argument, and that is most of the point. In this episode, we discuss: - Why systemic pressure and personal responsibility are both live at once in private practice - What a therapy platform actually owns when it owns your credentialing, marketing, and referrals - How to read the marketing language behind phrases like working at the top of your license - Why business decisions, from your fee to your paperwork, are clinical decisions - What absorbing the system's failures costs you, and where the limit sits - Why the business preparation gap in this profession is structural Timestamps: - 02:00 - Systems shape practice, the first principle - 03:26 - The profession must evolve with the world - 08:43 - Skill issue or systemic reality, working the scenarios - 13:13 - Thirty two clinical hours a week to cover rent - 16:51 - Systems are real and you are still fully responsible - 19:06 - What you own when the platform owns your referrals - 25:29 - Translating corporate speak for therapists - 29:56 - Business decisions are clinical decisions - 31:50 - The business gap grad school does not fill Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Knowing When They're Ready: Navigating the Shift from Stabilization to Deeper Work in Psychotherapy Trauma readiness in DBT and EMDR: how to tell when a client is ready to move from stabilization into deeper work. Curt Widhalm, LMFT, and Katie Vernoy, LMFT walk through the judgment call at the center of trauma treatment, which is knowing when a client has the behavioral and autonomic stability to move past stabilization. Drawing on DBT stages of treatment, EMDR phase two and phase three, and recent research on trauma readiness, they cover what readiness looks like in session and in the week between sessions. Deeper work covers a lot of ground, from small titrated experiential moments through to full trauma reprocessing. Move too early and you get dysregulation, post-session distress spikes, and dropout. Stay in stabilization indefinitely and clients stall out, sometimes feeling managed rather than treated. Curt brings the structured version of this assessment from EMDR and comprehensive DBT. Katie brings the less protocol-bound version, where the shift happens session to session and sometimes mid-session. They also get practical about dual awareness, micro-markers of dissociation, window of tolerance tracking, the four-part pacing agreement that prevents most of these mistakes, and the therapist countertransference that pushes clinicians toward premature processing. This is a continuing education podcourse. One unit of CE is available through the Modern Therapist Learning Community at moderntherapistcommunity.com. In this episode, we discuss: - Why trauma readiness is a fluctuating state rather than a milestone a client reaches once - How to tell intellectual eagerness apart from behavioral and autonomic capacity - Why stabilization shortens trauma treatment instead of delaying it - What dual awareness requires before EMDR reprocessing or DBT stage two work - How to build a pacing agreement, including a code word and a dissociation preference set at intake - What to do when your own impatience is driving the timeline Timestamps: - 07:02 - What readiness actually means, and why it prevents dropout - 13:38 - Readiness as a state, and the three pillars - 23:29 - What clients report when they are pushed too deeply, too soon - 31:19 - Dual awareness explained - 32:49 - Why stabilization shortens treatment - 38:02 - The false green light, and consistency under stress - 53:26 - Micro-dissociation at target activation - 59:50 - Building the pacing agreement Full show notes and transcript: mtsgpodcast.com CE credit: moderntherapistcommunity.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Your Client Is Not a Category: Binary Thinking, Gender Trauma, and Presence as a Clinical Skill - An Interview with Alex Iantaffi Alex Iantaffi, Ph.D., LMFT, author of Gender Trauma, on binary thinking, gender trauma, and presence as a clinical skill. Curt and Katie talk with Alex Iantaffi about why binary thinking is a clinical problem before it is a political one. Therapists are trained to sort: into diagnoses, into special populations, into victim and perpetrator. Alex argues that the sorting habit costs us the person sitting in front of us, and that gender is where it shows up most visibly. Alex traces the rigid gender binary to colonial and Christian supremacist thinking rather than to biology, then shows how it surfaces in everyday couples and family work: in parenting expectations, in who is allowed to earn more, in who gets to have an appetite. Everyone is shaped by gender trauma, including cisgender clients whose gendered pain has never once been asked about, and Alex states plainly that Black and Brown trans feminine people and Indigenous people bear the heaviest cost of it. The conversation also covers two systemic models Alex uses to read what is happening in the room, why they choose the language of gender liberation, and what it means to be an accomplice rather than an ally. Alex's practical starting point is smaller than most listeners will expect: presence. This is a useful conversation for all therapists, especially family and couples therapists, clinical supervisors, and any therapist working with gender, sexuality, and relationship diversity. In this episode, we discuss: - Why "special population" framing quietly installs cisgender, heterosexual, and monogamous as the default - How colonial constructions of gender show up in everyday couples and family work - What therapists miss when they cast clients as victim or perpetrator - Why the manosphere reads as a symptom of collective gender trauma - How to track relational patterns instead of sorting clients into categories - What gender liberation asks of therapists that gender abolition does not - Why presence may be the most underrated clinical skill in the room Timestamps: - 03:38 - The blind spot in how therapists are trained on gender and sexuality - 11:44 - The colonial roots of the rigid gender binary - 15:54 - The gendered pain cisgender clients carry unexamined - 20:21 - The manosphere as collective gender trauma - 24:57 - Social GRRAACCEESS and positionality in the room - 29:33 - Non-binary thinking as an ongoing practice - 36:30 - Gender liberation, and being an accomplice rather than an ally - 40:45 - Presence as an underrated clinical skill Guest Bio: Alex Iantaffi, Ph.D., MS, SEP, CST, CST-S, LMFT (they/them) is a systemic psychotherapist, WPATH certified gender specialist, AASECT certified sex therapist and supervisor, Somatic Experiencing(R) practitioner, and AAMFT Approved Supervisor and Supervisor Mentor. They are the author of the award-winning Gender Trauma, co-author of How to Understand Your Gender, Life Isn't Binary, and Hell Yeah Self-Care, and editor of the Trans and Disabled anthology. Alex hosts the podcast Gender Stories. Learn more at alexiantaffi.com. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Just a Hypothesis: Case Formulation and Treatment Planning for Real-World Therapy - An Interview with Nikki Rubin, PsyD Nikki Rubin, PsyD on behavioral case formulation, treatment planning, and clinical decision-making for therapists. Curt and Katie talk with Nikki Rubin, PsyD, licensed clinical psychologist and co-founder and COO of MindScience Collective, about what case formulation looks like when it is built for real-world therapy instead of for a graduate school assignment. Most of us learned case conceptualization as an exhaustive academic exercise and then quietly stopped doing it. Nikki describes behavioral case formulation as one large working hypothesis: a holistic read on seven areas of a client's functioning that tells you what you are targeting, why, and what to do when treatment stalls. Formulation and treatment planning are inseparable, and neither one requires you to be a CBT therapist. Nikki walks through the seven components (drawn from the work of Jacqueline Persons, PhD), the traps clinicians fall into, how to operationalize target behaviors, why structure creates flexibility rather than rigidity, and what a scaled-down formulation looks like under session limits or in crisis work. A useful conversation for therapists across orientations, for supervisors and educators, and for anyone who has felt unsure where a treatment is going. In this episode, we discuss: - The three traps therapists fall into with case formulation - The seven areas of a behavioral case formulation, and why they work across orientations - Why a formulation is a set of hypotheses to test, not conclusions to defend - How to operationalize target behaviors so you can track them in session - Why covert behaviors (worry, rumination, suppression) belong in your formulation - How to scale a formulation down when you are short on time or sessions Timestamps: - 04:16 - The traps therapists fall into with case formulation - 08:56 - The seven areas of a behavioral case formulation - 15:05 - What case formulation looks like in real time - 17:59 - From formulation to treatment planning and target behaviors - 21:04 - Does structure make case formulation rigid? - 29:35 - Case formulation under time pressure and session limits - 36:17 - Where to start if you have not done this since graduate school Guest Bio: Nikki Rubin, Psy.D. is a licensed clinical psychologist specializing in Acceptance and Commitment Therapy (ACT) and other 3rd wave cognitive behavioral therapies. She is an Associate Clinical Professor at UCLA, where she trains doctoral students in ACT, and co-founder and COO of MindScience Collective, a continuing education company for clinicians. Learn more at mindsciencecollective.com and drnikkirubin.com. Special offer for Modern Therapist listeners: use code MTSG10 for 10% off at mindsciencecollective.com. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

What This Work Asks of Therapists: Integration, Not Knowing, and the Capacity to Stay - An Interview with Juliane Taylor Shore, LMFT, LPC, SEP Juliane Taylor Shore, LMFT, LPC, SEP, on therapist integration, not knowing, and the capacity to stay in the room. Curt and Katie talk with Juliane Taylor Shore, LMFT, LPC, SEP, about what determines how much a therapist can do in session. Her answer is not which model you reach for, but how integrated you are while you reach for it. Jules wrote Setting Boundaries That Stick and created the STAIR Method. Jules separates eclectic practice, pulling from whichever training fits the moment, from integrative practice, where one theory of mind and theory of change organizes which tool gets used when. Hers is neurobiological: the brain as an open, dynamic, complex system, most stable and most flexible when its parts stay differentiated and cross-share information. She also names what she thinks training got wrong. Many therapists learned to read client comfort as the measure of their therapeutic presence, a poor gauge when most clients arrive in a threat state. Her alternative is the therapist's own integration, because that is what creates capacity for connection, bonding, and creativity when a session gets hard. In this episode, we discuss: - What separates integrative from eclectic practice - Why client comfort is an unreliable measure of therapeutic presence - How adding compassion to empathy keeps a clinician from fatiguing - What humility and self-kindness predict about client outcomes - How power with differs from power over and power under - Why presence and skill have to be trained in the same state - What grief this job asks therapists to hold Timestamps: - 02:32 - Integrative therapy versus eclectic practice - 05:07 - Theory of mind, theory of change, and integration - 09:10 - What therapists get wrong about presence - 16:27 - Why empathy fatigues and compassion does not - 19:36 - Color shifting and finding felt compassion - 28:11 - PONS: power, of-courseness, not knowing, and self - 35:23 - The salience network, presence, and skill - 38:41 - The grief this work asks you to hold Guest Bio: Juliane Taylor Shore, LMFT, LPC, SEP, is a therapist, author, and teacher who translates neurobiology into practices that support brain change. She wrote Setting Boundaries That Stick, created the STAIR Method, and is an associate Instructor with the Coherence Institute and core faculty with Therapy Wisdom. Learn more at julianetaylorshore.com. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

The Clinical Depth Principle: Why Therapy Cannot Be Reduced to Tools, Hacks, and Sound Bites Curt and Katie on the clinical depth principle: case conceptualization, pacing, and the limits of coping skills. Curt Widhalm, LMFT, and Katie Vernoy, LMFT take on this month's modern therapist principle, clinical depth over simplification, and the two extremes the profession keeps swinging between. On one side is a therapy culture shaped by medicalization, medical necessity documentation, productivity pressure, and pop psychology trends that flatten complicated people into one size fits all narratives. On the other is the overcorrection, where clinical ambition outpaces the client and depth work turns into chasing catharsis before the relationship can hold it. Curt and Katie talk about why reaching for a worksheet is usually a reaction to real systemic pressure rather than a lack of care, how tools can quietly become the therapist's own defense mechanism, and why premature depth without pacing or consent can push a client outside their window of tolerance. They also describe what clinical depth looks like in their own sessions, from process versus content and case conceptualization to helping clients track their capacity, not just their story. A useful conversation for therapists, supervisors, and clinicians in community mental health or private practice who want deeper clinical reasoning without flooding their clients. In this episode, we discuss: - Why the pull toward tools, hacks, and protocols is a response to systemic pressure - How medicalization and medical necessity documentation shape what happens in session - Why social media has become the cheapest available substitute for clinical consultation - The difference between content and process in ongoing clinical work - Why premature depth, without pacing or consent, is not clinical depth - How to track a client's capacity rather than only their story - What it takes to build your own capacity for deep clinical work Timestamps: 01:53 - The principle: clinical depth over simplification 04:19 - Medicalization and the trade therapists made for legitimacy 09:47 - Content versus process in ongoing clinical work 11:46 - Tools as the therapist's defense mechanism 14:51 - Social media as the cheapest available consultation 19:03 - Premature depth, consent, and common factors 22:47 - What the research says about symptom control versus depth 24:44 - Everything is process, everything is pattern 27:12 - Tracking capacity, not just story 30:23 - Building the capacity to do deep work Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Burnout Before Licensure: Why Prelicensed Therapist Exhaustion Is a Supervision Problem, Not a Time Management Problem A continuing education episode on prelicensed therapist burnout, clinical supervision, and why early career exhaustion is a systemic problem rather than a time management one. Curt Widhalm, LMFT, and Katie Vernoy, LMFT examine why prelicensed clinicians are entering the mental health workforce already depleted. Client acuity climbed during the pandemic and has not come back down, the least experienced clinicians are frequently assigned the most complex cases, and roughly a third of the work week goes to compliance, tracking, and billing. Add student loan debt, low paid and unpaid associate and practicum roles, and severe evaluation anxiety, and burnout arrives long before licensure. This is not a self-care episode, and Curt and Katie say so at the top: no toxic positivity, no bubble bath prescriptions. They treat prelicensee burnout as a systemic and relational problem, then look at clinical supervision as the place it can realistically be buffered. That includes the supervisor seat, where new supervisors often receive no training in how to supervise, absorb vicarious trauma from every caseload they oversee, and watch as much as 90 percent of the supervision hour get swallowed by administrative work. The back half of the episode is practical. Supervisees get transition rituals, boundary architecture, and a realistic look at managing up. Supervisors get better check-in questions, guidance on modeling vulnerability, and structural adjustments they can make in the next supervision hour. This is a continuing education podcourse. One unit of CE is available through the Modern Therapist Learning Community at moderntherapistcommunity.com. In this episode, we discuss: * Why prelicensed clinicians burn out at higher rates than their licensed colleagues * How burnout presents differently before licensure, as exhaustion, brain fog, and vicarious trauma rather than cynicism * Why treating early career exhaustion as a rite of passage is a supervisory failure * What supervisors are carrying that supervisees rarely see * Concrete strategies supervisees can use without waiting for a supervisor to change * How supervisors can build restorative space into the structure of supervision * Why note lag is a signal of clinical capacity rather than poor organization Timestamps: 00:54 - Why prelicensees arrive already exhausted 02:41 - CE objectives and the systemic frame 09:40 - The data on prelicensed burnout rates 14:26 - The competency trap 17:36 - How burnout looks different before licensure 22:32 - The supervision paradox and the 90 percent problem 29:06 - Strategies for supervisees 37:37 - Strategies for supervisors 50:31 - Case vignette: note lag as a capacity signal 1:04:58 - Key takeaways and call to action Full show notes, references, and CE information: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

You Can't Pizza Party Your Way Out of Burnout: Moral Injury, Compassion Fatigue, and Treating Healthcare Workers - An Interview with Kimberly Johnson, PhD, LMHCD, and Lucy Li, MD Kimberly Johnson, PhD, and Lucy Li, MD, of the Emotional PPE Project on healthcare worker mental health and moral injury. Curt and Katie talk with Kimberly Johnson, PhD, LMHCD, a counselor educator at Touro University with more than thirty years of clinical experience in trauma, crisis, and disaster mental health, and Lucy Li, MD, a pediatric anesthesiologist at the Children's Hospital of Philadelphia. Both serve on the board of the Emotional PPE Project, a volunteer-run nonprofit reducing the barriers that keep healthcare workers from accessing mental health care. Healthcare workers rarely arrive in therapy looking the way the distress would suggest. They mask, they overcompensate, and they spend session time explaining the job before they get to what the job has done to them. Kimberly describes the trifecta therapists often flatten into ordinary workplace burnout: burnout, compassion fatigue and complex trauma, and moral injury braided together, frequently presenting subclinically. Lucy describes the same terrain from inside medicine, including what shifted for her after her friend and co-resident died by suicide during residency. They also walk through the Emotional PPE Project's directory of volunteer therapists and its ePPE 101 training for mental health professionals who want to work with healthcare workers well. In this episode, we discuss: - Why healthcare workers are a heterogeneous population, not a single clinical profile - How burnout, complex trauma, and moral injury show up together and subclinically - The intake questions that surface occupational risk factors early - Why moral injury sits where occupational, vocational, and personal identity stop aligning - What stigma costs healthcare workers, their patients, and the workforce - How the Emotional PPE Project connects healthcare workers to free, confidential care - Why the same barriers show up for therapists as healthcare providers Timestamps: - 02:38 - What therapists get wrong with healthcare workers - 07:11 - Professional humility and the questions worth asking early - 09:24 - Burnout, trauma, and moral injury as a trifecta - 15:30 - Where moral injury actually lives - 17:43 - Stigma and the fear of seeking care - 22:00 - The second victim effect and being sent home - 25:10 - Beyond pizza parties: what structural support looks like - 33:27 - Inside the Emotional PPE Project and ePPE 101 Guest Bios: Kimberly Johnson, PhD, LMHCD is Director of Special Projects and Assistant Professor in Clinical Mental Health Counseling at Touro University, a licensed therapist in New York, a certified Compassion Fatigue Therapist and Educator and Field Traumatologist, and a Diplomate with the American Academy of Experts in Traumatic Stress. Lucy Li, MD is an attending anesthesiologist in Pediatric Anesthesiology at the Children's Hospital of Philadelphia and a board member of the Emotional PPE Project. She completed her anesthesiology residency at Massachusetts General Hospital, where she was chief resident, and focuses on physician mental health and wellness. Learn more at emotionalppe.org Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Rest, By Force or By Choice: Burnout, Self-Care, and Sustainable Practice for Therapists - An Interview with Cecily Moore, PhD Dr. Cecily Moore on burnout, rest as a clinical intervention, and unlearning the Strong Black Woman Narrative. Curt and Katie talk with Dr. Cecily Moore, a licensed therapist, counselor educator, and clinical supervisor, about why the expectation of endless strength and infinite patience is an unsustainable ask for therapists and other helping professionals. As clinicians carry collective grief and moral exhaustion alongside their clients, Dr. Moore reframes what burnout is actually asking of us. At the center of the conversation is a simple, uncomfortable idea: your body is designed to protect you, so you will stop either by force or by choice. Dr. Moore makes the case for rest as a clinical intervention rather than a reward, unpacks how self-care has been co-opted into something you buy instead of something that restores you, and explains why advocacy that runs on depletion is a ticking time bomb. Real self-care, she argues, is honest about limits, boundaries, and capacity. From there the discussion turns practical. Dr. Moore shares how deeper values work (asking where a value came from and how it was modeled) opens the door to change, how her "BS Job" checklist gives clinicians a concrete mirror for what is draining them, and why systems will not shift until the people inside them do. She also connects this to her research on unlearning the Strong Black Woman Narrative and the survival-based beliefs about strength, productivity, and worth that keep so many helpers over-functioning. This is a grounded, hopeful conversation for any therapist trying to build a sustainable career without abandoning the work they care about. In this episode, we discuss: - Why endless strength and infinite patience are an unsustainable ask for helping professionals - How to tell rest as a clinical intervention apart from self-care that has been co-opted - Why your body will make you stop, by force or by choice - How to size your advocacy to your actual capacity so it does not deplete you - What deeper values work looks like, and why it drives real change - Why unlearning survival-based beliefs about strength and worth makes practice more sustainable Timestamps: - 01:20 - Who Dr. Moore is and what she puts into the world - 02:49 - What therapists get wrong about endless strength and infinite patience - 04:17 - Collective trauma and watching the world change in real time - 06:37 - Moral injury, privilege, and truth-telling across lived experience - 10:29 - How self-care got co-opted, and why advocacy runs on your well-being - 13:07 - Why rest feels so scary - 15:00 - Reframing self-care as self-maintenance - 18:58 - Over-functioning students and learning to be human - 22:49 - Insight versus implementation, and the systemic barriers - 24:15 - Why systems can't shift until the people do - 28:13 - Sustainable choices, by force or by choice - 29:16 - Values work and the "BS Job" checklist - 31:24 - The Strong Black Woman Narrative and questioning conditioning - 35:28 - Where to find Dr. Moore Guest Bio: Dr. Cecily Moore is a licensed therapist, counselor educator, researcher, and clinical supervisor with a PhD in Counselor Education and Supervision. She is the founder of Dr. Cecily Moore & Associates and the creator of the Reappropriate, Redefine, Recover framework, which helps Black women unlearn the Strong Black Woman Narrative and the survival-based beliefs around strength, productivity, and worth that fuel burnout. Her work blends trauma-informed care, nervous system regulation, and culturally responsive practice, and reframes rest as a clinical intervention, not a reward. Learn more at drcecilymoore.com. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Suffering Is Collective, and So Is Healing: Belonging, Ritual, and Meaning in Uncertain Times - An Interview with Suzan Song, MD Suzan Song, MD, psychiatrist and medical anthropologist, on why suffering is collective and healing comes through belonging, ritual, and meaning. Curt and Katie talk with Suzan Song, MD about why the exhaustion so many therapists and clients are carrying right now is not only personal. Drawing on more than two decades of global mental health work with survivors of war, trafficking, and mass violence, Suzan makes the case that distress is often collective, shaped by culture and unstable systems, and that healing happens through belonging, narrative, ritual, meaning, and agency, not symptom elimination alone. She names what American mental health training often misses when it treats suffering as something bounded inside a single person, and offers concrete, low-cost rituals therapists can use to stay grounded. The conversation moves from collective grief and moral exhaustion to the difference between functioning and healing, and to grounding in relationship: who you matter to, and who matters to you. This is a grounding conversation for therapists feeling stretched by the current moment, and for anyone drawn to a global mental health lens on collective trauma, ritual, and sustainable healing. In this episode, we discuss: - Why the distress therapists and clients carry right now is collective, not only individual - What American mental health training misses when it locates suffering inside a bounded self - How belonging, narrative, ritual, and meaning function as healing - Why functioning is not the same as healing - Grounding in relationship as an alternative to purely individual nervous-system regulation - How small acts of agency protect against demoralization - Low-cost rituals therapists can use to keep moral exhaustion from following them home Timestamps: 01:44 - Who Suzan Song is and what she puts into the world 02:58 - How a medical anthropology lens changes clinical work 05:34 - When the self is collective, not bounded 09:18 - Collective suffering and the loss of agency 12:18 - Moral injury and disengagement in therapists 17:23 - Finding your own rituals as a therapist 24:07 - Grounding in relationship 28:13 - Why functioning is not healing Guest Bio: Suzan Song, MD, MPH, PhD is a child, adolescent, and adult psychiatrist and medical anthropologist, and a professor of psychiatry at George Washington University. She has spent more than two decades advising on mental health and psychosocial support (MHPSS) in humanitarian and conflict-affected settings, and is the author of Why We Suffer and How We Heal (Harmony / Penguin Random House, 2026). Learn more at suzansong.com. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Sustainability Is a Fundamental Responsibility: Therapist Burnout, Moral Injury, and the Systems We Practice Within Therapist burnout, sustainability, and moral injury, and why fixing burnout can't land on individual clinicians alone. Curt Widhalm, LMFT, and Katie Vernoy, LMFT kick off a series of discussions on modern therapist principles with the one that shapes almost everything they cover: sustainability is a fundamental responsibility, paired with the reminder that therapists are human first. Nine years into the show, they revisit a question they keep returning to. If therapist burnout is a systemic problem, why does the job of solving it keep landing on individual clinicians? It is a framing the show has argued for since 2017, and it still cuts against most of the advice therapists are sold about fixing their own burnout by charging their worth and tightening their own schedules. This episode holds a both/and at its center. You are responsible for practicing competently and staying well enough to do the work, and yet shrinking reimbursement, vertically integrating insurance companies, inconsistent platforms, and constant collective crisis sit far outside any one therapist's control. Curt and Katie talk honestly about martyrdom, moral injury, and the polished corporate language now reshaping the field, then name the four places where sustainability tends to break down: too much work, not enough of the right work, work that betrays your values, and isolation. They also name what is shifting fastest right now, from AI and insurance chatbots to platforms that lower fees and fragment how clinicians document their work. Burnout is not a personal failing, and sustainability is not something you can white-knuckle alone. This conversation makes the case for navigating the system as it is, a refusal to accept that it has to stay that way, and building community on purpose, through consultation groups, networks, and professional relationships, as one of the few reliable protections therapists have. It is honest company for a problem the profession has not solved, plus a look at the collective work that might eventually move it. In this episode, we discuss: - Why therapist burnout is a systemic problem, not an individual failing - How to hold the both/and of working within the system while working to change it - The four ways sustainability breaks down, and how to spot them in your own practice - Why moral injury and isolation can be harder to carry than sheer overwork - How consultation and community become a real strategy for sustainability - What collective action, including guild-style organizing, could eventually require Timestamps: - 01:17 - The principle: sustainability is a fundamental responsibility, and therapists are human first - 04:41 - Nine years in: why systemic burnout still isn't fixed - 06:47 - Martyrdom, sacrificial helping, and band-aiding a broken system - 10:21 - What years of burnout and advocacy episodes have taught us - 16:31 - Seductive corporate language and the insurance chatbot future - 20:33 - Four ways sustainability gets hindered - 23:36 - Isolation and strategically building community - 26:31 - Building the plane while flying it: delayed competence and shared trauma - 32:10 - No more therapist martyrdom, and a word from Audre Lorde Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

What It Means to Be a Modern Therapist: The Principles That Guide Our Work Curt Widhalm, LMFT, and Katie Vernoy, LMFT, on the principles that define a sustainable, ethical, modern therapy practice. After nearly nine years and almost 500 episodes, Curt and Katie step back to name what the Modern Therapist's Survival Guide actually stands for. This episode lays out the guiding principles behind the show, the standards they hold and the practices they refuse, and reintroduces the hosts and the experience that shapes how they show up. Across nearly a decade of conversations, the same themes keep resurfacing. Therapists are human first, and neutrality is more myth than reality. Sustainability is a professional responsibility, not a luxury, which means martyrdom, self-sacrifice, and exploitative business models are no-goes rather than badges of dedication. Clinical depth matters more than ever in an era of influencer psychology, short-form content, and AI. Representation and inclusion strengthen the field, while gatekeeping and elitism weaken it. Systems shape practice in ways no amount of self-care can fix. Therapists are stewards of their own profession through advocacy, leadership, and calling each other in. And the work has to keep evolving, met with critical thinking rather than fear-based rejection or unexamined enthusiasm. Curt and Katie also explain why they are naming these principles now: to frame a run of upcoming deep dives that take these themes further with guests and conversations built to move past lip service. Taken together, the principles work less like a mission statement and more like a filter for the decisions therapists face every week, from which job to take to which trend to adopt and which one to let pass. Whether you have listened since the beginning or found the show last week, this is a clear look at where Curt and Katie are coming from, and an invitation to build a practice that is more human, more sustainable, and more connected to a community of therapists working through the same questions you are. In this episode, we discuss: - Why "therapists are human first" still matters in an era of corporate consolidation and AI - How to build a sustainable practice free from martyrdom - What keeps clinical depth relevant against influencer psychology and short-form content - Why representation, inclusion, and systems awareness strengthen the whole field - How therapists can act as stewards of the profession without shaming or policing - What it looks like to evolve with the field through critical thinking, not fear or hype Timestamps: - 00:15 - Nine years in: why this episode now - 02:54 - Curt and Katie reintroduce themselves - 06:46 - The modern therapist principles and no-goes - 07:09 - Therapists are human first - 10:26 - Sustainability as a fundamental responsibility - 12:49 - Clinical depth over simplification - 16:21 - Representation and inclusion strengthen the field - 18:57 - Systems shape practice - 20:49 - Therapists as stewards of the profession - 22:55 - Evolving with the field through critical thinking - 25:21 - An invitation to join the community Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Are We Really Better at Empathy Than the Bots? What the Research Says About AI in Therapy AI in therapy, therapy chatbots, and AI empathy: what the latest research actually says, and what it means for your clinical work. Curt Widhalm, LMFT, and Katie Vernoy, LMFT close out AI month by setting the hot takes aside and looking at what the research actually says about AI in mental health. They walk through the Dartmouth Therabot randomized controlled trial, where an expert-built, safety-monitored therapy chatbot outperformed a waitlist control, and a Communications Psychology study in which third-party raters judged AI-generated responses as more compassionate than those of expert human crisis responders. The findings are uncomfortable, and that's the point. In short in-the-moment exchanges, AI empathy can read as warmer than a human's, which is exactly the kind of result that makes therapists defensive. Curt and Katie talk through what these studies do and do not show, why a quick hit of empathy is not the same as a real therapeutic relationship, and the safety risks of consumer-grade chatbots that can validate delusions or miss a crisis. This is a conversation about staying credible instead of fearful: getting literate about AI therapy tools, talking with clients honestly about where these tools help and where they are dangerous, and leaning into the clinical depth, presence, and human connection that AI cannot fake. In this episode, we discuss: - What the Therabot trial really shows about AI therapy chatbots: better than a waitlist, not better than a human therapist - Why third-party raters judged AI as more compassionate than expert crisis responders - The difference between in-the-moment empathy and the long-term therapeutic relationship - How sycophancy and "context pollution" can make AI empathy feel good while keeping clients stuck - The safety risks of consumer-grade chatbots, and the regulation starting to address them - How to talk with clients about AI in a way that makes you more credible, not less Timestamps: 00:15 - Welcome and the two traps therapists fall into with AI 06:24 - The Therabot trial: AI therapy chatbots vs. a waitlist control 09:14 - Do people rate AI as more empathetic than human responders? 12:56 - Sycophancy, context pollution, and deceptive empathy 19:40 - Safety, crisis risk, and the regulation that is coming 26:27 - What people actually want in a crisis moment 35:45 - Be credible, not fearful: talking with clients about AI 37:40 - Deliver what AI can't fake: presence and clinical depth 41:36 - Closing: be aggressively human Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

How AI Tools for Therapists Are Built: Trust, Data Privacy, and Choosing What to Adopt - An Interview with Ian Knox and Megan Toomey Ian Knox and Megan Toomey of SimplePractice take therapists behind the scenes of how AI tools for mental health are actually built, trained, and kept secure. We're in the middle of AI month, and Curt and Katie wanted to move past the buzzwords and talk with the people who actually engineer this technology. As part of the show's partnership with SimplePractice, they sit down with Ian Knox, Chief Product Officer, and Megan Toomey, Sr. Director of Clinical Support AI Product Management, to pull back the curtain on how AI tools for therapists get designed, what "training the model" really means, and how client data is handled. They get specific about what to evaluate before adopting any AI tool, from vendor trust and HIPAA compliance to data practices, and why note taking is the most mature use case while insurance, scheduling, intake, and referral matching are still emerging. Ian and Megan also take on the fear that AI-first companies want to replace therapists, and explain why clinicians have to stay at the center of care and review anything they put their name on. This is a grounded, practical conversation for any therapist trying to decide what AI belongs in their practice, and what to be cautious about, without panic or hype. In this episode, we discuss: - How an EHR decides which clinician tasks AI is mature enough to help with - What to evaluate before trusting an AI vendor with client data - Why "HIPAA compliant" is a floor, not proof of strong security - What "training the model" does and does not mean, and why SimplePractice says it is not training an LLM on your data - How transcripts are retained, and the new opt-in for de-identified data - Why you remain responsible for every AI-assisted note you sign - How to talk with clients about AI and get meaningful consent Timestamps: 00:16 - AI month, and why we wanted to talk to people who build AI 01:33 - Who Ian and Megan are 03:21 - SimplePractice's history with AI tools 05:38 - What therapists should know when adding AI to a practice 08:44 - Where clinicians can streamline with AI 12:23 - How to choose which AI features to adopt 16:10 - Why you can't fully trust AI, and best practices 19:29 - What clinicians should know about their data 21:13 - The Trust Center, and "are you here to replace therapists?" 23:55 - How AI systems are trained (the puppy analogy) 27:00 - White-label LLMs and the "golden data set" 29:11 - De-identified transcripts and the opt-in 31:40 - Current tools and the product roadmap Guest bios: Ian Knox is Chief Product Officer at SimplePractice, with prior product leadership at Expedia and Microsoft. Megan Toomey is Sr. Director of Clinical Support AI Product Management at SimplePractice, leading the team building AI tools for behavioral health clinicians, with prior experience at Microsoft and Amazon. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

When Clients Bring AI to Therapy: Working with ChatGPT, Sycophancy, and the New Third Wheel in the Room Clients are bringing AI into therapy, from ChatGPT chat logs handed over as homework to AI companions that never disagree, and therapists need a clinical response. Curt Widhalm, LMFT, and Katie Vernoy, LMFT dig into what happens when clients bring their own AI into the therapy room. The profession built ethics guidance for when therapists send clients toward AI, but it largely sidestepped the reality already showing up in sessions: clients processing the same issues with ChatGPT between appointments, using chatbots to interpret and respond to relationships, and increasingly offloading their social and dating lives onto AI companions. Drawing on emerging research about chatbot use, loneliness, emotional dependence, and sycophancy, Curt and Katie make the case that concern is more useful than alarm. Clients are already using these tools, so the clinical task is to assess how and why they are using them, provide psychoeducation on sycophancy, confidentiality, and safety, and separate the healthy, adaptive uses from the problematic ones. They also share concrete in-session moves: entering the opposite position to expose how a chatbot validates any side, reframing how clients use AI for medical and diagnostic questions, and recognizing when AI has become a client's primary support system, along with how to begin weaning a client back toward real-world connection. In this episode, we discuss: - The three main ways clients are bringing AI into the therapy room - Why a client's AI use can be a clinical opportunity, not only a risk - How to assess the function and pattern of a client's AI use - What the research suggests about chatbot use, loneliness, and sycophancy - How to teach critical thinking and protect client confidentiality - What to do when a client has become dependent on AI Timestamps: 00:15 - AI as the new "third wheel" in the therapy room 04:15 - Three ways AI is showing up in clients' lives 05:55 - What the research suggests: loneliness, dependence, and sycophancy 10:24 - Why client AI use can be a clinical opportunity 13:24 - Assessing use and treating chatbots as public spaces 18:17 - Explaining AI's mechanics: it is not an objective third party 20:14 - A critical-thinking exercise: enter the opposite position 24:47 - Using AI for medical and diagnostic questions 30:53 - When a client is already dependent on AI Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Why AI Mental Health Chatbots Fail When It Matters Most: The Hidden Vulnerabilities Stress-Testing Reveals - An Interview with Shirali and Arul Nigam of Circuit Breaker Labs Shirali and Arul Nigam of Circuit Breaker Labs on why AI mental health chatbots fail, how stress-testing exposes their hidden vulnerabilities, and what therapists need to know. Curt and Katie talk with Shirali and Arul Nigam, the sibling co-founders of Circuit Breaker Labs, about what therapists tend to get wrong about AI, why the safety infrastructure behind many mental health chatbots is weaker than it looks, and how their team stress-tests these tools to find dangerous failures before real users ever encounter them. Generative AI is probabilistic, so the same prompt can return a safe answer one moment and a harmful one the next. Shirali and Arul explain how guardrails get bypassed by a misspelled word, a teenager's slang, or the hundredth message in a long conversation, why mental health chatbots tend to fail in the moments that matter most, and what stress-testing hundreds of thousands of simulated conversations actually reveals about model safety. The conversation closes on what clinicians can do now, why clinical insight is the missing ingredient in AI safety, and why third-party validation is becoming the standard regulators and developers expect. Used well, AI can be a supplement to care or a gateway to a human therapist, but it is not a replacement, and getting there safely starts with building clinical insight in from the foundation. In this episode, we discuss: - Why people usually turn to AI in place of no care, not in place of a therapist - Why generative AI's unpredictability, not a single bad answer, is the real safety problem - How a misspelling, slang, or a long conversation can slip past chatbot guardrails - Why AI mental health chatbots tend to fail in the highest-risk moments - What stress-testing hundreds of thousands of conversations reveals about model safety - Why clinical insight is the missing ingredient, and what clinicians can do now Timestamps: 0:00 - Introduction 1:38 - Meet Shirali and Arul Nigam and Circuit Breaker Labs 3:37 - What therapists get wrong about AI 5:28 - Deterministic versus generative AI, and why the risk scales 8:26 - The safety problem in AI mental health: trust, training data, and agreeableness 11:29 - Guardrails, lifeguard models, and the 988 problem 17:30 - Deploying clinical insight at scale and building safety in from the start 21:09 - How stress-testing works: context pollution and adversarial simulation 27:11 - What the stress tests reveal: variance, typos, and bypassed guardrails 30:59 - Regulation, credential hallucination, and third-party validation 36:58 - What clinicians can do, and the missing clinical insight 40:20 - Where to find Circuit Breaker Labs Guest Bios: Shirali and Arul Nigam are siblings and the co-founders of Circuit Breaker Labs, which autonomously pressure-tests the AI systems that interact with people to find hidden mental health vulnerabilities before they reach real users. Shirali brings expertise in neuroscience, translational research, and clinical work, with experience at the Howard Hughes Medical Institute's Janelia Research Campus, NIH NINDS, Harvard's Wyss Institute, Johns Hopkins, and Children's National. She holds a BS in Biomedical Engineering from The George Washington University and an MBA from The Wharton School, University of Pennsylvania. Arul has conducted technical and policy research on ethical AI, with a focus on bias and fairness, at Georgetown University and Thomas Jefferson High School for Science and Technology, and holds a BSBA in Operations and Analytics from Georgetown University. Learn more at circuitbreakerlabs.ai. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

AI Ethics Codes for Therapists: What CAMFT, APA, NASW, and AAMFT Now Require How the CAMFT, APA, NASW, and AAMFT ethics codes now regulate AI in therapy: a CE podcourse on competence, informed consent, data privacy, bias, and human accountability. Curt Widhalm, LMFT, and Katie Vernoy, LMFT, walk through the recent artificial intelligence updates to the major mental health ethics codes. Centering on the new CAMFT updates and cross-referencing the APA, NASW, ACA, and AAMFT codes, they turn the new language into a practical roadmap for everyday clinical work. The conversation covers what competence with AI actually requires (closer to safely driving a car than building one), the three CAMFT obligations that travel together (disclosure, informed consent, and informed decision making), and a client's right to opt out. They get specific on data privacy, including business associate agreements and why "HIPAA compliant" is a marketing claim rather than a certification, on spotting demographic and medical-model bias in AI output, and on why the human in the loop still owns and is accountable for anything signed under their name. This continuing education podcourse is for therapists, supervisors, and clinical educators who want to use AI tools ethically and stay accountable in an automated world. In this episode, we discuss: - Why the codes aim for broad, durable AI principles instead of tool-specific rules - What competence with AI actually requires of a clinician - The three CAMFT obligations: disclosure, informed consent, and informed decision making - How to vet data privacy, including BAAs and why "HIPAA compliant" is only marketing - How to catch demographic and medical-model bias in AI output - Why the clinician remains responsible for anything produced under their name Timestamps: - 0:55 - Why the ethics codes are updating for AI - 3:30 - Defining artificial intelligence (California AB 2885) - 9:49 - The four Beauchamp and Childress principles - 12:28 - Timeline: CAMFT, APA, NASW, and AAMFT updates - 16:11 - Competence and the "driving a car" metaphor - 21:09 - Disclosure, informed consent, and the right to opt out - 33:18 - Data privacy, BAAs, and "HIPAA compliant" as marketing - 41:20 - Bias, social justice, and reading the output - 44:52 - The human in the loop and accountability - 53:12 - Is AI right for this client? - 1:00:59 - Supervision, education, and the AI vetting guide 1 CE unit is available through the Modern Therapist Learning Community: moderntherapistcommunity.com Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Supporting Conversion Therapy Survivors After Chiles v. Salazar: SOGIECE, Clinical Care, and Community Response - An Interview with Samuel Nieves Samuel Nieves of the Conversion Therapy Survivor Network on supporting conversion therapy survivors, recognizing SOGIECE, and clinical care after Chiles v. Salazar. Curt and Katie welcome back Samuel Nieves, a conversion therapy survivor and board member of the Conversion Therapy Survivor Network, for a follow-up to their earlier conversation and to the host-led discussion of the Chiles v. Salazar decision. Rather than re-litigating the legal details, they focus on the clinical and human aftermath for survivors. Sam shares what he saw the day the ruling came down, how to recognize a conversion therapy survivor on your caseload (including memory loss and shifting narratives), why validation has to come before strengths work, and how to lead with curiosity instead of challenge. He explains SOGIECE, sexual orientation and gender identity or expression change efforts, and why naming it can be the validation that lets a survivor finally call their experience what it was. The conversation also sits with why reducing these practices to "speech" misses the harm, what licensing boards and clinicians owe survivors, and how survivors and the advocates who serve them stay in the work through firm boundaries and intentional queer joy. This is a grounded, affirming episode for any clinician working with LGBTQ+ clients. In this episode, we discuss: - How to recognize a conversion therapy survivor on your caseload - Why validation has to come before strengths-based work - How to lead with curiosity instead of challenge with traumatized clients - What SOGIECE is and why naming it can be profoundly validating - Why framing conversion therapy as "speech" misses the real harm - What licensing boards and the profession owe survivors - How survivors and advocates sustain themselves through boundaries and queer joy Timestamps: - 02:00 - Who Sam is and the Conversion Therapy Survivor Network - 03:14 - The day the Chiles v. Salazar decision came down - 06:26 - Validation before strengths with survivors - 09:04 - What well-meaning therapists can miss - 11:10 - The public "permission" and its harm to survivors - 18:40 - Why "it's just speech" misses the harm - 22:10 - SOGIECE, allies, and survivor organizations - 27:45 - What the profession owes survivors - 32:21 - Solution-focused therapy, ACT, and queer joy - 35:01 - How Sam sustains himself in the work Guest Bio: Samuel Nieves (he/they) is a board member of the Conversion Therapy Survivor Network, a 501(c)(3) nonprofit supporting survivors of conversion therapy and SOGIECE worldwide. Trained as a marriage and family therapist, Sam advocates online as "CantPrayMeAway" and helps facilitate the organization's weekly survivor support group. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Should Conversion Therapy Be Protected Speech? What Chiles v. Salazar Means for Conversion Therapy Bans and the Future of the Profession In Chiles v. Salazar, the Supreme Court ruled 8 to 1 that a therapist's talk therapy is protected speech, putting state conversion therapy bans at risk. Curt Widhalm, LMFT, and Katie Vernoy, LMFT break down what the March 31, 2026 decision actually says, what it does not say, and what it means for therapists who work with LGBTQ+ clients. The Court did not call conversion therapy safe, effective, or ethical, and it did not make the practice mandatory. It treated talk therapy as speech rather than regulable conduct, and sent Colorado's ban back to the lower courts for stricter First Amendment review. Curt and Katie walk through the strict scrutiny test at the center of the case, the Kagan and Sotomayor concurrence, and Justice Jackson's dissent, then sit with the harder question: what happens to the profession when the state can no longer set a guardrail on harmful practice before harm has occurred. Released during Pride Month, this is a candid, values-forward conversation about protecting LGBTQ+ clients and practicing affirming, anti-conversion-therapy care out loud. In this episode, we discuss: - What the Chiles v. Salazar ruling does, and does not, change about conversion therapy bans - Why the Court treated talk therapy as protected speech instead of medical treatment - How the strict scrutiny test decided the case - Where the concurrence and the dissent point the profession next - Concrete ways to signal affirming, anti-conversion-therapy care in your practice Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Good Enough, Safe Enough: Affirming LGBTQ+ Clients When You're Not a Specialist Affirming LGBTQ+ clients when you are not a specialist: Curt Widhalm, LMFT, and Katie Vernoy, LMFT on being a good enough, safe enough therapist when you cannot refer out. Curt and Katie take on a question therapists often avoid: what do you do when an LGBTQ+ client needs care, you are not a specialist, and referring out is not possible, not safe, or not honest? In this Pride Month episode, they make the case that you can be a good enough, safe enough therapist for LGBTQ+ clients even when affirming care is not your declared specialty. Mental health deserts, narrow insurance panels, long specialist wait lists, and unsafe home environments mean referral is not always available, and sometimes referring out is closer to abandonment than care. Curt and Katie argue that scope of competence is too often used as polite cover for therapist discomfort, and that most clinical work with LGBTQ+ clients is the same work you already do well. Affirming care is the container, not a separate specialty. They also get practical about being a safe enough stopgap therapist: building a just in time consultation kit, doing the cultural humility work, and reckoning with the invisible labor and consultation tax of allyship, including why you should never bill a client to research their own identity. And they name the specific moments when referring an LGBTQ+ client out is still the right and ethical call. This is a useful conversation for generalist therapists, rural and solo clinicians, insurance-based practices, and anyone doing the ongoing work of affirming, culturally humble care. In this episode, we discuss: - Why "refer out" can be avoidance dressed as ethics, and when it is genuinely the right call - How to tell a true scope of competence limit from your own discomfort - What it means to be a good enough, safe enough therapist for LGBTQ+ clients - How to build a just in time kit so an LGBTQ+ client never lands on you cold - Why the invisible labor and consultation tax of allyship is yours to carry, not your client's to fund - The specific signs that mean you should refer out anyway Timestamps: 00:15 - Why a Pride Month episode on being good enough, not a specialist 02:56 - "Just refer out": sound advice or avoidance? 05:05 - Scope of competence versus therapist discomfort 13:08 - The good enough therapist, and when referral becomes abandonment 16:55 - Meeting clients where they are until specialist care opens up 19:03 - Building a just in time kit for your practice 24:44 - The invisible labor and consultation tax of allyship 32:10 - When you should refer out anyway Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Allyship Is Awkward: How Therapists Can Keep Showing Up Anyway What if the awkwardness of ally work is not a sign you are doing it wrong, but the actual work? Curt Widhalm, LMFT, and Katie Vernoy, LMFT explore what it looks like to do ally work as a therapist when you hold majority identities the people around you do not share. They move across three zones where this shows up: with clients in the therapy room, with colleagues and consultants in professional spaces, and in broader community and advocacy work. Drawing on their own missteps and on the work of creators like Ashani Mfuko of Anti-Racism School Is In Session and Dr. Raquel Martin of Mind Ya Mental, Curt and Katie make a direct case to white, cis, straight, and other majority-identity therapists: cultural humility is not a credential, fragility shifts the labor onto the people around you, and the strong feelings that come with ally work belong with other allies, not with clients or colleagues of color. This is an episode about staying in the room, decentering yourself, and learning to fail better. In this episode, we discuss: Why ally work is inherently awkward, and why that is not a problem to be solved How fragility, over-apologizing, and gold-star seeking shift the emotional labor onto clients and colleagues of color What repair actually looks like when a cross-cultural rupture happens in session Why being called out by a client can be a sign the relationship is alive enough to repair How to process defensiveness and hurt with other allies instead of with clients or colleagues of color Why cultural humility is not a free pass, and what therapists owe their own continuing education How consultation with diverse colleagues protects clients from being conscripted as your teacher Ally work is ongoing. The goal is not to stop making mistakes. The goal is to keep failing better. Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community: Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

The Seven Stages of Queer Love: Therapy with Queer Couples, Queer Sex, and the Developmental Model - An Interview with Tom Bruett, LMFT Tom Bruett, LMFT on the seven stages of queer relationship development, the Developmental Model, queer couples therapy, and queer sex. Curt and Katie talk with Tom Bruett, LMFT, founder of the Queer Relationship Institute, about what therapists most often get wrong when working with queer couples, why queer sex is still treated as an asterisk in most sex therapy training, and how the Developmental Model of Relationship Therapy can be expanded to better reflect queer experience. Trained under Drs. Ellyn Bader and Peter Pearson, Tom adds two stages to the five-stage Developmental Model: Second Queer Adolescence and Agreement. The expanded seven-stage model gives therapists a clearer way to track differentiation, autonomy, and connection in queer relationships that do not fit the standard "relationship escalator." Tom is the author of The Go-To Relationship Guide for Gay Men: From Honeymoon to Lasting Commitment (Jessica Kingsley Publishers). This is a useful conversation for therapists working with queer couples, sex therapists, couples therapists trained in heteronormative models, and queer therapists looking for better tools and community for this work. In this episode, we discuss: - What therapists most often get wrong with queer couples and queer sex - The Seven Stages of Queer Relationship Development, including Tom's two additions - Why a "second queer adolescence" matters clinically - Mutual interdependence versus codependence in gay male relationships - Minority stress, the relationship escalator, and queer identity formation - How the current political moment is showing up in queer couples therapy - Trauma activation, nervous-system regulation, and slowing the work down - Support for queer therapists working through a difficult cultural moment Timestamps: 02:28 - What therapists get wrong with queer couples and queer sex 04:43 - Sex therapy training and the asterisk problem 08:20 - The Seven Stages of Queer Relationship Development 13:00 - Mutual interdependence versus codependence 17:39 - The relationship escalator and minority stress 21:14 - The current political moment in queer couples therapy 25:18 - Trauma, regulation, and slowing down the work 27:08 - Writing The Go-To Relationship Guide for Gay Men 33:21 - Doing the work on the back end, not asking clients to educate you 34:13 - Where to find Tom and the Queer Relationship Institute Guest Bio: Tom Bruett, LMFT is a therapist, trainer, consultant, and author who works extensively with the queer community. He is the founder of the Queer Relationship Institute, which provides therapy for queer folx and training for therapists who work with queer relationships. Tom has trained under Drs. Ellyn Bader and Peter Pearson in the Developmental Model of Relationship Therapy, which he now trains other therapists in. His book The Go-To Relationship Guide for Gay Men: From Honeymoon to Lasting Commitment is published by JKP. Tom has spoken at national conferences including AASECT. Learn more at www.QueerRelationshipInstitute.com. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Modern Therapist's Consumer Guide: Paubox. HIPAA Compliant Email, Secure Communication, and Practice Privacy. An Interview with Hoala Greevy, Founder and CEO of Paubox Curt and Katie talk with Hoala Greevy, Founder and CEO of Paubox, about what HIPAA compliant email actually requires, where standard Google Workspace and Microsoft 365 Business Associate Agreements leave gaps, and why most secure-portal solutions fail at the inbox. Paubox is a HIPAA compliant email security platform built to deliver encrypted messages straight to the recipient's inbox, without portals, plugins, or extra clicks. Hoala explains how Paubox wraps around the email systems therapists already use, why domain ownership and TLS encryption matter, and how inbound threats like display-name spoofing affect small practices. The conversation also covers HITRUST certification, AI scraping, the Paubox Foundations, the Paubox Kahikina Scholarship supporting Native Hawaiian students in STEM, and how to evaluate a HIPAA compliant email vendor on security, reliability, and ease of use. This episode is part of our Modern Therapist's Consumer Guide series. While this interview is a paid partnership, our discussion and opinions are our own. In this episode, we discuss: - Where standard Google and Microsoft BAAs leave HIPAA compliant email gaps - Why most secure-portal solutions never get read on mobile - How TLS encryption and secure email delivery actually work - What domain ownership has to do with HIPAA compliance - How Paubox integrates with Google Workspace and Microsoft 365 - Inbound threats, display-name spoofing, and ExecProtect - HITRUST certification and how to evaluate a HIPAA compliant email vendor Timestamps: - 02:18 – What Paubox does and why it was created - 05:19 – Mission, vision, and the Paubox Foundations - 08:38 – What HIPAA compliant email actually requires - 10:26 – The Google and Microsoft BAA gray area - 14:48 – What the client experience looks like - 21:09 – Inbound email security and display-name spoofing - 24:32 – Data access, HITRUST certification, and trust - 34:05 – Pricing, value, and the referral program - 38:43 – Curt and Katie Chat: Our Review of Paubox Guest Bio: Hoala Greevy is the Founder and CEO of Paubox, a leading provider of HIPAA compliant email solutions for healthcare organizations. Born and raised in Honolulu, he founded Paubox after a meeting with the CEO of the Make-A-Wish Foundation of Hawai'i revealed a critical need for secure healthcare communication. Greevy supports Native Hawaiian students entering STEM and technology careers through the Paubox Kahikina Scholarship. Learn more at paubox.com. Special Offer for Modern Therapist Listeners: Get $250 off an annual Paubox plan. Visit paubox.com and use promo code MODERN. Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Before You Refer to the Hospital: De-Escalation, Safety Planning, and Wraparound Care for Teens in Crisis When a suicidal teen is in crisis, is the hospital really the safest call? What outpatient therapists need to know. Curt Widhalm, LMFT, leads this episode from his work running a comprehensive DBT private practice in Los Angeles that specializes in higher-acuity adolescent cases, including teens with serious suicidality, self-harm, and emotional dysregulation. These are exactly the clients most often routed toward psychiatric hospitalization or platform-based care, and Curt argues the default-to-hospital reflex frequently makes things worse, not better. Drawing on recent research and his clinical experience, Curt walks through the iatrogenic harms of adolescent psychiatric inpatient care, why post-discharge is the highest-risk window for completed suicide, and how clinician anxiety can drive premature 5150 holds and crisis referrals. Katie Vernoy, LMFT, joins with years of LPS-designated assessment experience from community mental health, naming what really happens when a teen gets sent in, including the relational rupture that often starts the moment a crisis evaluation is requested. Together they show outpatient therapists, including solo practitioners, how to build the clinical infrastructure that makes hospital diversion a real option: standardized risk assessment, collaborative safety planning that starts at intake, verbal de-escalation, family-integrated care, and wraparound treatment teams that include both formal providers and informal natural supports. This is a continuing education podcourse. Therapists can earn 1 CE credit through the Modern Therapist Learning Community at moderntherapistcommunity.com. What you'll take away: - How to recognize when a teen client really needs inpatient care, and when escalation will cause more harm than help - How to use standardized risk assessment tools (C-SSRS, LRAMP) without losing the therapeutic relationship - How to build a safety plan that actually works, and what to leave out (hint: no-suicide contracts) - What to teach parents about verbal de-escalation and environmental modifications at home - How to construct a mini Intensive Outpatient Program inside a solo or small-group practice - Who belongs on a wraparound treatment team, and how to find informal supports that families often forget to mention - How systemic barriers and health disparities shape access and outcomes for Black, Hispanic, and lower-SES adolescents Timestamps: 00:15 - CE intro and how to earn 1 CE credit 05:17 - Why outpatient therapists need real de-escalation protocols 11:23 - What actually happens during a crisis evaluation, with Katie's LPS-designated insights 18:46 - Iatrogenic harm and post-discharge suicide risk in adolescents 26:27 - Distant admissions, capped beds, and reentry into school and community 30:43 - Building safety plans from the first session, not the first crisis 34:32 - What belongs in a comprehensive adolescent safety plan 41:05 - When a teen says "I want to die," and why language matters 47:27 - Family-integrated care in solo private practice 48:56 - Building a mini IOP without the institutional overhead 55:29 - Wraparound teams and the role of informal natural supports 59:51 - ROIs, HIPAA-compliant communication, and minor consent 1:01:00 - Health disparities and access for marginalized adolescents Earn 1 CE credit: Therapists can earn 1 CE credit for this episode through the Modern Therapist Learning Community. Register, purchase the course, pass the post-test, and complete the evaluation to receive your certificate. Therapy Reimagined is approved by the California Association of Marriage and Family Therapists (CAMFT CEPA #132270). Please check with your licensing board to confirm eligibility. Full show notes, references, and transcript: mtsgpodcast.com CE enrollment: moderntherapistcommunity.com Join the Modern Therapist Community: Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Inside the Troubled Teen Industry: Wilderness Therapy, Residential Treatment, and the Harm Done to Kids – An Interview with Chelsea Maldonado and Dr. Will Dobud Dr. Will Dobud and survivor advocate Chelsea Maldonado on wilderness therapy, residential treatment, institutional abuse, and what therapists need to know to support troubled teen industry survivors.  Curt and Katie talk with Dr. Will Dobud and Chelsea Maldonado about what actually happens inside the troubled teen industry, why the marketing rarely matches the reality, and how wilderness therapy programs and residential treatment facilities continue to operate despite decades of survivor testimony, documented abuse, and youth deaths.  The conversation covers why so many adopted youth and foster youth end up in these facilities, how restraints, isolation, and medical neglect produce lasting trauma, and why power dynamics and institutional structure undermine real therapeutic work. Will and Chelsea also discuss the silence of professional associations after youth deaths, the recent Atlantis Leadership Academy case in Jamaica, and what therapists working with troubled teen industry survivors can do to create safer therapeutic relationships.  In this episode, we discuss:  What therapists get wrong about wilderness therapy and residential treatment Why "round the clock therapy" marketing rarely matches the reality inside facilities How restraints, isolation, and medical neglect cause lasting harm Why adopted youth and foster youth are disproportionately placed in these programs The role of power dynamics and institutional structure in the troubled teen industry Why survivors are highly traumatized and highly therapy resistant How therapists can work more safely and effectively with survivors The silence of professional associations after youth deaths in licensed, accredited facilities  Timestamps:  07:34 – What actually happens inside troubled teen industry facilities 13:04 – Katie reflects on her own residential treatment experience 16:28 – Common harms: restraints, medical neglect, sexual abuse 19:38 – Power, conversion-style programming, and adopted youth 24:31 – Why these facilities still exist 28:07 – Attachment, restraints, and institutional contradictions 33:00 – What actually helps youth in crisis 38:14 – The Atlantis Leadership Academy case and survivor-led advocacy  Guests: Dr. Will Dobud, Senior Lecturer in Social Work at Charles Sturt University and former wilderness therapy field guide whose research focuses on improving outcomes for teenagers and exposing harm in the troubled teen industry (willdobud.com). Chelsea Maldonado, troubled teen industry survivor, lead researcher for the Trapped in Treatment podcast, and consultant to Paris Hilton's nonprofit 11:11 Media Impact (1111mediaimpact.com).  Full show notes and transcript: mtsgpodcast.com  Join the Modern Therapist Community  Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined  Modern Therapist's Survival Guide Creative Credits  Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Why Therapists Stop Working with Kids and What It Takes to Stay: Sustainability, Boundaries, and Pivots for the Long Haul Curt Widhalm, LMFT, and Katie Vernoy, LMFT push back on the field's quiet stereotype that working with kids is the "starter home" of private practice, the place clinicians put in time before graduating to a cardigan and a wing-back chair. Working with kids and teens is not entry-level work. It is some of the most clinically and physically demanding work in the profession, and it has a sustainability problem that rarely gets named honestly. Curt and Katie examine why so many therapists who work with kids and teens hit a wall around the five-year mark, and why that wall is rarely about clinical depth. They unpack the sensory toll, the parent communication load, the school and provider coordination, the cost of running a play therapy room, and the way a child caseload can quietly distort a clinician's sense of what is developmentally typical. They also talk about how to build a long-haul career working with kids, teens, and families without becoming, in Curt's words, "a cynical, glitter-covered shell of a human being." This is a conversation for therapists in private practice, supervisors of clinicians who work with minors, and anyone weighing whether to keep working with kids, scale back, or pivot. In this episode, we discuss: Why working with kids is not a lesser clinical specialty Why the work is hard to sustain, and why "burnout" alone does not fully explain it How shifting from kid sessions to family work and parent work extends the clinical impact The sensory, physical, and administrative load of working with kids Why parents contact child therapists more than adult clients contact their own therapists The financial and logistical reality of running a play therapy room How a clinical caseload can distort a therapist's sense of typical development When a pivot to adult, family, or parent work is healthy, and when it is avoidance Timestamps: 00:15 — The "starter home" stereotype, and the five-year wall 06:03 — The 167-hour problem and why kid work is family work 10:08 — The sensory and physical toll 12:58 — Caseload diversification and structuring the day 19:41 — The unpaid hours: parents, schools, and the village 23:43 — The play therapy industrial complex 27:59 — Keeping up with kids' culture without losing yourself 30:19 — How a clinical caseload distorts the sense of typical development 33:09 — Expectations, moral injury, and what "fix my kid" really costs 35:01 — When a pivot is survival, and when it is avoidance Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann — https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano — https://groomsymusic.com/

When Good Moms Feel Bad: Supporting Mothers in Therapy with IFS and the Mom Parts Method – An Interview with Jessica Tomich Sorci, LMFT Jessica Tomich Sorci, LMFT, creator of the Mom Parts Method, on IFS, maternal mental health, mom shame, and why "bad mom" parts are protectors, not problems. Curt and Katie talk with Jessica Tomich Sorci, LMFT about what therapists often miss when working with mothers, and how Internal Family Systems (IFS) can be adapted for the real conditions of motherhood. Jessica is the creator of the Mom Parts Method and author of When Good Moms Feel Bad: An Empowering Guide for Transforming Guilt, Anxiety and Anger into Compassion, Confidence and Connectedness (Balance, 2026). Drawing on more than fifteen years of clinical work in maternal mental health, Jessica translates IFS into accessible, motherhood-native language. The Mom Parts Method gives mothers simple tools to identify their parts, access their Inner Mom, and approach guilt, grief, rage, and overwhelm with curiosity instead of correction. This is a useful conversation for therapists working with mothers, perinatal mental health clinicians, and anyone interested in more affirming, non-pathologizing approaches to maternal mental health. In this episode, we discuss: What therapists often get wrong when working with mothers How the Mom Parts Method translates IFS into motherhood-native language The role of patriarchy, under-resourcing, and matrescence in maternal distress Why "bad mom" parts (rage, panic, perfectionism, the inner critic) are protectors The five-step Mom Parts Method, from triggering event to remedy How therapists' own parts show up in this work Why healing in maternal mental health is wholeness, not elimination Full show notes and transcript: mtsgpodcast.com Timestamps: 03:30 - What therapists get wrong with mothers 04:47 - Shame and the "bad mom" taboo 10:45 - Patriarchy, matrescence, and the systemic context 17:42 - The five-step Mom Parts Method 29:56 - Healing is wholeness, not elimination 33:48 - When to bring parts work into session 35:27 - When Good Moms Feel Bad and Mothercentered training Guest Bio: Jessica Tomich Sorci, LMFT is a Level 3 Certified IFS Therapist, IFSI Approved Clinical Consultant, and a Certified Perinatal Mental Health therapist (PMH-C) with advanced training in IFIO. She is the creator of the Mom Parts Method and author of When Good Moms Feel Bad (Balance, 2026). She trains clinicians through her Mothercentered certification program. Learn more at www.momparts.com. Join the Modern Therapist Community Podcast: mtsgpodcast.com Patreon: patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Why Fixing Teens Doesn’t Work and What Actually Helps Youth Mental Health: An Interview with Dr. Will Dobud Curt and Katie talk with Dr. Will Dobud about what therapists often get wrong when working with teens, why adolescent behavior is so often overpathologized, and how connection, play, risk, and mastery can better support youth mental health. They also explore the so-called youth mental health crisis, the impact of overmanagement and disconnection, and what therapists can do to better engage young people in meaningful, developmentally appropriate ways. About Our GuestDr. Will Dobud is a social worker, researcher, and educator who has worked with adolescents and families in the United States, Australia, and Norway. He is a Senior Lecturer in Social Work at Charles Sturt University and an award-winning researcher focused on improving therapy outcomes for teenagers and promoting safe, ethical practices. His work has also examined America’s Troubled Teen Industry, especially wilderness therapy. Key Takeaways Teens are often overpathologized when they may be showing developmentally normal behavior. Youth therapy should focus on engagement, interaction, play, and doing things together, not just sitting and talking. Social disconnection, fewer third spaces, and less unstructured play may be contributing to youth distress. Young people will seek connection wherever they can find it, including online and through AI relationships. Therapists can help teens build resilience by supporting autonomy, mastery, and meaningful participation. Find the full show notes and transcript at mtsgpodcast.com. Join the Modern Therapist Community: Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Homepage: https://mtsgpodcast.com Facebook Group: https://www.facebook.com/groups/therapyreimagined Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

The Burden of Potential: Therapy for Gifted Adults Navigating Burnout, Identity, and 2e Considerations Gifted adults do not usually come to therapy naming giftedness as the issue. More often, they present with burnout, anxiety, depression, underperformance, identity confusion, relationship strain, or existential distress. In this continuing education episode, Katie Vernoy and Curt Widhalm explore how gifted adults show up in therapy, how to distinguish giftedness from high achievement, and how 2e considerations can complicate assessment and treatment. Curt and Katie discuss the hidden cost of success, including masking, perfectionism, chronic overfunctioning, executive functioning workarounds, code-switching, and the pressure of living up to potential. They also look at what helps in therapy: deeper assessment, intellectual attunement, self-compassion, sustainability, accommodations, and values-aligned treatment. In this podcast episode, we discuss: common presenting concerns for gifted adults in therapy the difference between giftedness, achievement, and eminence burnout, perfectionism, and chronic overfunctioning masking, self-editing, and existential loneliness 2e considerations and hidden neurodivergence treatment strategies that go beyond basic coping skills This episode is eligible for 1 CE credit through the Modern Therapist Learning Community. To receive CE credit, listen to the episode, register for your free profile at moderntherapistcommunity.com, purchase the course, pass the post-test, and complete the evaluation. Full show notes, transcript, and episode resources will be available at mtsgpodcast.com. Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Homepage: https://www.mtsgpodcast.com Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

How Therapists Can Help Clients With IBS, Chronic Nausea, and Gut-Brain Disorders: An Interview with Dr. Ali Navidi, PsyD Curt and Katie talk with Dr. Ali Navidi, PsyD about disorders of gut-brain interaction, including IBS, chronic nausea, and other GI conditions that therapists may see more often than they realize. They explore how the gut-brain axis works, which clients may be more likely to struggle with these concerns, how therapists can stay within scope, and why specialized behavioral health treatment can directly improve symptoms rather than only helping clients cope with them. About Our GuestDr. Ali Navidi, PsyD is a licensed clinical psychologist and co-founder of GI Psychology, a national telehealth practice specializing in the treatment of gastrointestinal (GI) disorders and chronic pain. In addition to providing patient care, Dr. Navidi oversees clinical training and outreach initiatives at the practice. He has presented on GI disorders and chronic pain to organizations across the country, including the American College of Gastroenterology, UNC School of Medicine, George Mason University, Georgetown University (Grand Rounds), INOVA, as well as through podcasts, television appearances, and multiple State Academies of Nutrition and Dietetics. Key Takeaways Therapists are in a strong position to notice GI issues, especially in clients with anxiety, trauma histories, autism, or eating disorders. Disorders of gut-brain interaction are not just “in someone’s head.” The pain and symptoms are real, even when there is no visible structural problem. Therapists should encourage appropriate medical evaluation and collaborate with gastroenterologists rather than trying to diagnose IBS or other GI disorders on their own. Specialized CBT and clinical hypnosis can directly treat gut-brain disorders, not just the anxiety that surrounds them. Dr. Navidi, PsyD describes a treatment model focused on hypervigilance, catastrophizing, and visceral hypersensitivity. When diet questions come up, therapists should be cautious and refer to GI-focused dietitians when appropriate. Therapists should also be careful about overconfident claims related to the microbiome, SIBO, and other popular gut-health conversations. For full show notes and the transcript for this episode, visit mtsgpodcast.com. Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Homepage: mtsgpodcast.com Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

What Therapists Need to Know About Neurodivergent Clients and Families: An Interview with David Smith, LCSW Curt and Katie talk with David Smith about neurodiversity-affirming therapy, autism, ADHD, PDA, family systems, and burnout for neurodivergent therapists. David shares both clinical expertise and lived experience as an autistic therapist, offering practical guidance for working more effectively with neurodivergent clients and the families around them. About Our Guest: K. David Smith, LCSW K. David Smith, LCSW, is an autistic therapist who provides neurodiversity-affirming, trauma-informed therapy online in 5 states (Oregon, California, Idaho, Vermont, and Florida). He also provides clinical supervision for therapists working toward LCSW or LPC licensure in Oregon, particularly those who are neurodivergent themselves or who are passionate about supporting neurodivergent clients. In addition, he provides consultation, training, and workshops for medical practices and professionals, other therapists, employers, and school districts about ways to become more neurodiversity-affirming and supportive of neurodivergent people. Key Takeaways - Therapists often miss neurodivergence entirely and may treat anxiety, depression, or “thought errors” without considering whether a client is struggling in environments that were not built for their nervous system. - Neurotypical therapists can work well with neurodivergent clients when they lead with curiosity, attunement, flexibility, and a willingness to adapt how therapy is structured. - PDA can look like defiance, but David reframes it as an anxiety- and threat-based response to demands. Traditional rewards and consequences may backfire. - Neurodivergence in families is often intergenerational, with different neurotypes shaping attachment, communication, expectations, and family roles. - Neurodivergent therapists need more than generic self-care. Sustainable practice may require reducing demands, grounding, rest, and nervous-system-informed regulation. Full show notes and transcript will be available at mtsgpodcast.com. Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

How Clients Experience Therapy: From First Inquiry to the Waiting Room: An Interview with Michael Ashford Curt and Katie talk with Michael Ashford about how clients experience therapy before the clinical work even begins. They explore what therapists can learn from customer service, communication, and marketing to create a smoother, more supportive experience from first inquiry through intake, onboarding, waiting room logistics, and practice policies. This conversation looks at how clarity, thoughtful systems, and strong boundaries can improve client experience while also supporting therapists. About the Guest Michael Ashford is the Senior Director of Marketing at Sign In Solutions and has spent the past decade building and leading marketing teams at companies large and small. Michael is a former award-winning journalist, a two-time TEDx speaker, and holds a Master’s degree in Communication from Kansas State University. Michael’s approach to marketing focuses on scaling companies through the power of effective communication, storytelling, and humanizing brands. Key Takeaways Client experience starts before the first session Clear expectations reduce client stress and confusion Website messaging, intake, and onboarding should feel seamless Waiting room and check-in systems matter more than many therapists realize Good customer service includes strong boundaries around time, fees, and cancellations Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community: Podcast Homepage: https://mtsgpodcast.com/ Linktree: https://linktr.ee/therapyreimagined Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Adapting EMDR for Neurodivergent Clients: Parts Work, Attunement, and Affirming Trauma Therapy, An Interview with Cathy Hanville and Christine MacInnis Curt and Katie talk with Cathy Hanville and Christine MacInnis about how to adapt EMDR for autistic and ADHD clients with more flexibility, safety, and affirming care. They explore why standard protocols can miss important client needs, how parts work can support trauma treatment, and what therapists should consider when working with neurodivergent clients whose trauma is tied to masking, chronic correction, social rejection, and being misunderstood. In this episode, we talk about: Why EMDR often needs adaptation across all eight phases How parts work can support neurodivergent clients in trauma treatment The impact of masking, correction, and misunderstanding as trauma Sensory, communication, and processing differences therapists need to consider Moving away from compliance-based care toward attunement and collaboration About the guests Christine MacInnis, MSed, MS, LMFT owns Transcends Family Therapy in Torrance, California, specializing in neurodiversity and LGBTQIA+ affirming, trauma-informed care. She is additionally licensed in Arizona and Ohio, is an EMDRIA-approved consultant, and provides advanced training on neurodiversity-affirming EMDR, ADHD, and autism. Learn more at www.transcendstherapy.com. Cathy Hanville, LCSW (They/She) is a licensed clinical social worker in Pennsylvania and California, an EMDRIA-approved consultant, and a continuing education provider. They help therapists identify blind spots so they can provide gender- and neurodiversity-affirming care. Learn more at www.cathyhanville.com. Cathy and Christine are under contract with Norton Publishing to write Neurodivergent Paths to Healing: Affirming EMDR and Parts Work for Autistic and ADHD Clients, expected in early 2027. Key takeaways Therapists often need to adapt EMDR for every client, not just neurodivergent clients Neurodivergent-affirming EMDR requires flexibility, collaboration, and sensory awareness Parts work can help therapists better understand protection, shame, and responses often mislabeled as resistance Many neurodivergent clients carry trauma tied to masking, chronic correction, and social rejection Full show notes and transcript: https://mtsgpodcast.com Join our community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Podcast Homepage: https://mtsgpodcast.com Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

When Clients Reject Your Diagnosis: How to Handle Pushback Without Losing the Therapeutic Alliance What do you do when your client doesn’t agree with your diagnosis? Whether it’s a parent resisting an autism or ADHD diagnosis, a client attached to a different label, or someone overwhelmed by what a diagnosis means for their identity, these conversations can feel high-stakes. In this episode, Curt and Katie explore why clients push back on diagnoses and how to navigate these conversations without damaging the therapeutic relationship. They break down the role of stigma, identity, and real-world consequences, and offer practical strategies for staying collaborative while still doing effective clinical work. Key Takeaways: Why clients resist diagnoses (stigma, identity, and real-world impact) How to respond without arguing or damaging the alliance When disagreement means your assessment isn’t finished How to focus on function and treatment instead of labels Navigating documentation, insurance, and cultural considerations Get the full show notes and resources at mtsgpodcast.com. Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

The Lasting Harm of Conversion Therapy: An Interview with Samuel Nieves This interview was recorded in November 2025 in anticipation of the Supreme Court ruling in Chiles v. Salazar and released afterward. Rather than focusing on the legal details of the decision, Curt and Katie talk with Samuel Nieves about the harms of conversion therapy, how change efforts can be disguised as therapy, and what clinicians need to understand when working with survivors. Sam shares from his lived experience as a survivor and explains why the deepest harms often involve identity damage, loss of self-trust, and disconnection from one’s own lived experience. About our guest:Sam Nieves has a Bachelor’s in Psychology. In 2019, he entered grad school to become a Licensed Marriage and Family Therapist, but left the field after 6 months of clinical experience. Since 2020, Sam has used his personal, clinical, and educational background to support survivors of conversion therapy. He is now a board member of the non-profit organization Conversion Therapy Survivor Network. Sam uses the online name “CantPrayMeAway” to share his own experiences as a client of conversion therapy and advocates for the end of all conversion practices worldwide. Key takeaways: Conversion therapy is broader than many therapists realize and can show up in subtle, disguised forms SOGIECE (sexual orientation and gender identity or expression change efforts) offers a clearer framework for recognizing sexual orientation and gender identity or expression change efforts The core harm of conversion therapy is often identity damage and loss of self-trust Even well-intentioned therapeutic tools can become retraumatizing when they are used in the service of changing identity Survivors may need therapists to move slowly, stay client-centered, and understand that therapy itself may have been part of the harm Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

The Private Practice Pivot: How Therapists Are Adapting to Platforms, Agency Work, and the Changing Therapy Economy Are therapists leaving private practice - or simply adapting to a changing mental health economy? Curt Widhalm, LMFT, and Katie Vernoy, LMFT discuss a growing shift across the profession as therapists pivot between private practice, agency jobs, group practices, and therapy platforms. As referral patterns change, venture-backed platforms grow, and the economics of therapy evolve, many clinicians are reconsidering how they structure their careers. Curt and Katie explore why therapists are pivoting their practices, how platforms like Headway, Alma, and Rula are shaping the field, and what therapists can do to build sustainable careers in a rapidly changing environment. Key Takeaways • Why many therapists are pivoting their private practices • How therapy platforms and venture capital are reshaping the profession • The role of agency work, group practices, and hybrid careers • Why isolation can undermine sustainability in solo practice • How therapists can design careers that prioritize stability Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Is Independent Private Practice Sustainable? Data on Caseloads, Insurance & Income Is independent private practice still financially sustainable? Curt and Katie sit down with Lindsay Oberleitner, PhD, Director of Clinical Strategy at SimplePractice, to examine national data on caseload trends, insurance participation, income realities, and therapist burnout. Drawing from Lindsay's research at SimplePractice, they explore whether independent private practice is truly viable long term - and what clinicians need to understand to remain financially and professionally sustainable. In this episode, we discuss: • Why some clinicians are seeing declining caseloads despite high demand for mental health care • Typical full-time caseload ranges in independent private practice • How insurance participation is shifting year over year • The financial impact of reimbursement rates and overhead costs • Why burnout is both a personal and systemic issue • The significant role independent private practice plays in delivering outpatient behavioral health care across the United States Independent private practice represents an estimated 15–20% of outpatient behavioral health services. This episode helps therapists think strategically about income, sustainability, visibility, and long-term viability in today’s healthcare landscape. For full show notes and resources, visit mtsgpodcast.com. Join the Modern Therapist Community: • Patreon: https://www.patreon.com/c/mtsgpodcast • Facebook Group: https://www.facebook.com/groups/therapyreimagined • Podcast Homepage: https://therapyreimagined.com/modern-therapists-survival-guide-podcast-episodes/ Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Why You’re Exhausted in Private Practice: The Hidden Work Behind the Client Hour Exhausted in private practice - even with a “manageable” caseload? Seeing 20-25 clients a week does not mean you’re working 20-25 hours. Every client hour includes hidden administrative work, financial decisions, emotional labor, and CEO-level responsibility. In this host-led episode, Curt and Katie break down why private practice feels heavier than expected - and how to think strategically about the real math behind your workload. Key Takeaways: • 20 client hours often equals 30+ hours of actual work • Emotional task-switching drains capacity • Burnout often comes from business demands, not just clients • Sustainable practice requires protected CEO time and clear boundaries Full show notes and resources: https://mtsgpodcast.com Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Burnout Recovery in a Failing System – An Interview with Shaina Siber, LCSW Therapists are navigating hiring freezes, wage stagnation, insurance instability, identity-level threats, and mounting systemic uncertainty — all while supporting clients experiencing the same instability. What happens when burnout isn’t just about workload, but about working inside a system that feels like it’s failing? Curt and Katie talk with Shaina Siber, LCSW, about moral injury, burnout as a fawning trauma response, and how therapists can move from control strategies to agency using Acceptance and Commitment Therapy (ACT) and Compassion-Focused Therapy (CFT). Shaina shares how psychological flexibility, compassionate prioritization, and values-based action can help therapists recover from burnout without abandoning their humanity. In this episode, we discuss: • Burnout as a trauma response • Moral injury in modern mental health care • The “K-shaped” labor market and therapist stagnation • Moving from overcontrol to agency • Sustainable contribution without collapsing Guest Bio: Shaina Siber, LCSW is the founder of Affirm Mental Health, host of The Affirming Minds Podcast, and author of the forthcoming Routledge book Using ACT and CFT for Burnout Recovery: The Beyond Burnout Blueprint (available for pre-order February 25, 2026). She brings over 15 years of clinical and leadership experience and specializes in trauma-informed, LGBTQ+, and culturally responsive care. Full show notes and resources: mtsgpodcast.com Join our community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann – https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano – https://groomsymusic.com/

Should Texas Therapists Stop Treating Kids? Texas SB14, Gender-Affirming Care, and the Risks for Therapists In this episode of the Modern Therapist’s Survival Guide, Curt Widhalm and Katie Vernoy discuss a new interpretation of Texas SB14 that may place therapists at risk for providing gender-affirming care to trans youth. They explore how a recent opinion from the Texas Attorney General could broaden the law’s reach beyond medical providers to include mental health professionals. Curt and Katie break down what this interpretation could mean for therapists working with minors, including possible risks related to licensure, malpractice coverage, mandated reporting, and criminal liability. They also discuss the ethical tension between evidence-based care and compliance with state law, and the difficult decisions clinicians may face when considering whether to continue working with kids. Key Takeaways: A new interpretation of Texas SB14 may include mental health professionals as part of the “healthcare pipeline” facilitating gender transition for minors. The legal term “facilitating” could potentially include referrals, letters, or even supportive therapy conversations. Therapists may face risks related to licensure complaints, malpractice coverage exclusions, or legal consequences if their care is interpreted as supporting gender transition. Mandated child abuse reporting requirements could create additional legal and ethical concerns. Clinicians may need to assess their personal risk tolerance when deciding whether to continue working with minors. Full show notes and additional resources will be available at:mtsgpodcast.com Join our community: Modern Therapists Group (Facebook): https://www.facebook.com/groups/therapyreimaginedLink Tree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

The Licensing Racket: Therapist Licensing, Discipline, and Access to Care – An Interview with Rebecca Haw Allensworth Who does licensing protect - the public or the profession? Curt and Katie talk with Rebecca Haw Allensworth, law professor and author of The Licensing Racket, about how professional licensing boards actually function, and what that means for therapists, discipline, and access to care. After attending licensing board meetings across professions and states, Rebecca identified a troubling pattern: entry requirements that continually “ratchet up,” while discipline decisions can lean toward giving professionals the benefit of the doubt. The result? Higher barriers to entry, workforce shortages, and inconsistent public protection. This episode explores therapist licensing reform, self-regulation, professional turf wars, board funding structures, and the tension between prestige, professional identity, and public safety. About Our Guest:Rebecca Haw Allensworth is the David Daniels Allen Professor of Law at Vanderbilt Law School and author of The Licensing Racket: How We Decide Who Is Allowed to Work and Why It Goes Wrong. Her research focuses on antitrust and professional licensing and has been cited by the U.S. Supreme Court. Key Takeaways: • Why licensing requirements tend to increase over time • How self-regulation can create blind spots in discipline • The impact of licensing barriers on workforce shortages and access to care • Why complaints about unlicensed practice may be prioritized over client complaints • How professional identity and funding structures shape board decisions Full show notes and resources: mtsgpodcast.com Join our community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Training Therapists in the Age of AI: Preventing Deskilling and Teaching Clinical Judgment As artificial intelligence becomes increasingly embedded in mental health care, therapists, supervisors, and educators face a critical responsibility: integrating AI tools without eroding clinical judgment, reasoning, and skill development. In this continuing education episode of the Modern Therapist’s Survival Guide, Curt Widhalm and Katie Vernoy examine how AI can create the illusion of competence while quietly undermining the processes therapists rely on to learn how to think clinically. They explore therapist deskilling as a systemic issue shaped by training models, supervision practices, and productivity pressures rather than individual failure. This episode focuses on how supervisors, educators, and clinicians can preserve clinical mastery while using AI responsibly, emphasizing learning science, supervision ethics, and the importance of maintaining human judgment in an automated world. In this episode, we discuss: How AI can mask gaps in clinical reasoning The competence paradox and automation bias in therapy Why struggle and ambiguity are essential for learning The role of supervisors and educators in preventing deskilling How to use AI without outsourcing clinical judgment Continuing Education: This episode is eligible for 1 unit of continuing education (CE). To earn CE credit, go to moderntherapistcommunity.com, register for a free profile, purchase the course, complete the post-test and evaluation, and download your certificate. Full show notes, transcript, and course details are available at mtsgpodcast.com. Join the Modern Therapist Community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Home: https://mtsgpodcast.com Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Why Food Anxiety Is Not Always About Dieting: Understanding ARFID and Intuitive Eating - An interview with Robyn L. Goldberg, RDN, CEDS-C Diet culture often dominates conversations about eating disorders, but not all struggles with food are driven by weight, body image, or dieting. In this episode, Curt Widhalm and Katie Vernoy talk with registered dietitian nutritionist and certified eating disorder specialist Robyn L. Goldberg about Avoidant Restrictive Food Intake Disorder (ARFID), intuitive eating, and how therapists can recognize when food anxiety requires a different clinical approach. Robyn explains how ARFID differs from more familiar eating disorders, why it is often mislabeled as “picky eating,” and when intuitive eating principles need to be adapted or set aside. This conversation offers therapists practical guidance for assessment, referral, and collaboration with eating-disorder-informed dietitians. Key Takeaways ARFID is not driven by weight or body image concerns and is often rooted in sensory sensitivities, trauma, or fear of aversive consequences Intuitive eating is not a one-size-fits-all model and may require significant structure for some clients Rigid food rules and avoidance can be protective for clients but may also limit functioning and quality of life Exposure-based approaches are often central to ARFID treatment and require specialized training Therapists should refer to eating-disorder-informed dietitians when food restriction significantly impacts health or daily life Guest Bio Robyn L. Goldberg, RDN, CEDS-C, is a registered dietitian nutritionist and certified eating disorder dietitian and consultant with over twenty-eight years of experience. She is the author of The Eating Disorder Trap, host of The Eating Disorder Trap Podcast, and a nationally recognized expert featured in major media outlets. Full Show NotesRead the full show notes and resources at: https://www.mtsgpodcast.com Community and SupportJoin our Facebook group: https://www.facebook.com/groups/therapyreimaginedSupport the podcast on Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist’s Survival Guide Creative Credits Voiceover by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

The Epstein Files Fallout: Navigating Client Trauma, Justice Fatigue, and Clinical Responsibility In this episode of the Modern Therapist’s Survival Guide, Curt Widhalm and Katie Vernoy explore the emotional and clinical fallout following the release of the Epstein files. Rather than reacting to breaking news, they focus on what happens after the headlines fade—when trauma resurfaces, justice feels out of reach, and both clients and therapists are left carrying the weight. This conversation examines how trauma responses show up in the therapy room, how therapists can avoid minimization or burnout, and what clinical responsibility looks like when systems fail and outrage turns into numbness. Key takeaways for therapists: How public disclosures can retraumatize survivors and trigger moral injury Why clients may experience numbness, irritability, or hopelessness instead of anger How to ethically hold space without rushing clients toward resolution Ways therapists can manage their own exposure and remain grounded The importance of containment, validation, and agency during collective trauma Full show notes and resources available at:https://mtsgpodcast.com Join the Modern Therapist Community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Why the Math Doesn’t Work: How Student Loan Debt Hits Therapists Harder Than Other Professions – An Interview with Mick MacLaverty Student loan debt affects nearly every corner of the mental health field, but for therapists, the numbers often don’t add up. In this episode, Curt Widhalm and Katie Vernoy talk with student loan expert Mick MacLaverty about why therapists carry disproportionately high debt, how inconsistent income makes repayment especially difficult, and the structural factors in higher education and healthcare that created this imbalance. Mick explains how federal student loan policies have evolved, why forgiveness programs have become politically volatile, and what therapists need to understand about repayment options, refinancing, and employer-based student loan benefits. This conversation offers clarity on an issue that directly impacts career sustainability, burnout, and long-term financial health. About the guest:Mick MacLaverty is the CEO and co-founder of Highway Benefits, a company that helps employers offer student loan repayment as a benefit. He has spent thousands of hours researching the student debt crisis and works closely with healthcare and therapy-adjacent organizations to help employees reduce long-term loan burden. Key takeaways for therapists: Therapists often graduate with significantly more student loan debt than the average worker. Income instability makes consistent monthly repayment especially challenging. Student loan debt is driven by structural issues in education and healthcare, not individual failure. Federal loan policies and forgiveness programs can be confusing and politically driven. Employer-based student loan repayment benefits can meaningfully reduce debt and interest over time. Full show notes and transcript:https://mtsgpodcast.com Join the community: Patreon: https://www.patreon.com/c/mtsgpodcast Facebook group: https://www.facebook.com/groups/therapyreimagined Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

Starting Out After Graduate School: Team-Based Care, Stability, and Early Career Decisions - An Interview with Eden LathemSpecial Series: Becoming a Therapist In this Becoming a Therapist special series episode, Curt Widhalm and Katie Vernoy welcome back Eden Lathem for a second-year check-in following her graduation from graduate school. Now working under temporary licensure, Eden shares what it has been like to enter the workforce in an intensive outpatient treatment setting, navigate supervision requirements, and make early career decisions focused on stability, learning, and sustainability. This conversation explores the realities of life after graduate school, including team-based care, financial considerations, and flexibility in building a therapy career. About the GuestEden Lathem is a Marriage and Family Therapist practicing under temporary licensure and working in an intensive outpatient treatment setting. She provides individual and group therapy as part of a multidisciplinary clinical team and works with individuals and families navigating caregiving stress, disability, trauma, anxiety, depression, identity shifts, and major life transitions. Eden is also completing training in Parent–Child Interaction Therapy (PCIT), an evidence-based approach that uses live coaching and play to support parent-child connection. Key Takeaways • What the transition from graduate school to the workforce can actually look like • Why team-based treatment settings can offer stability and support early in a career • The financial and structural realities of supervision and licensure • How early career clinicians can stay flexible while working toward long-term goals • Choosing learning and sustainability over rushing into private practice Find the full show notes and resources for this episode at https://mtsgpodcast.com Join the Modern Therapist Community Patreon https://www.patreon.com/c/mtsgpodcast Facebook Group https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Becoming a Therapist as a First-Generation Clinician-in-Training: An Interview with Marvin Vasquez Special Series: Becoming a Therapist In this Becoming a Therapist special series episode, Curt Widhalm and Katie Vernoy welcome back Marvin Vasquez for a second-year check-in as he moves into the clinical phase of his training. Marvin reflects on beginning direct client work as a first-generation clinician-in-training, providing therapy in both English and Spanish, and supporting members of his own community during a time of heightened systemic stress. This conversation explores practicum placement, supervision, self-doubt, and the emotional realities of becoming a therapist while holding personal, cultural, and professional identities at the same time. About the Guest Marvin Vasquez is a first-generation Marriage and Family Therapy graduate student at California State University, Northridge. He is currently completing his clinical training as an intern at Phoenix House, where he works with individuals and families impacted by mental health challenges and systemic barriers, with a focus on Latinx communities. Marvin provides bilingual therapy in English and Spanish and is committed to culturally responsive, strengths-based care and community advocacy. Key Takeaways • What it’s like to move from coursework into direct clinical work as a first-generation clinician • The emotional impact of serving your own community while still in training • How supportive supervision helps reduce self-doubt and “flailing” early in practice • Why bilingual and culturally responsive care can deepen trust and engagement • Navigating systemic stressors while developing confidence as a new therapist Find the full show notes and resources for this episode at https://mtsgpodcast.com Join the Modern Therapist Community Patreon https://www.patreon.com/c/mtsgpodcast Facebook Group https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

After Graduation: Starting a Therapy Career on a Nontraditional Path - An Interview with Derek Isetti In this Becoming a Therapist special series episode, Curt Widhalm and Katie Vernoy check back in with Derek Isetti one year after his first appearance on the podcast. Now graduated from his MSW program, Derek reflects on the prelicensed phase of the journey, including navigating post-graduation registration requirements, taking the Law and Ethics Exam, and searching for supervised clinical work while maintaining a full-time academic career. This conversation explores what it really looks like to start a therapy career on a nontraditional timeline and path. About the Guest Derek Isetti, MSW, PhD, CCC-SLP is an Associate Professor at the University of the Pacific in Stockton, California. With a background in the performing arts, Derek is both a speech-language pathologist and a social worker pursuing licensure as a psychotherapist. His professional work spans academia, healthcare, and clinical training, offering a unique perspective on early-career development and prelicensed practice. Key Takeaways • What the prelicensed phase looks like after graduating from a master’s program • Common challenges with registration, exams, and supervision requirements • Searching for supervised clinical work on a part-time or nontraditional timeline • Balancing another professional career while accumulating hours toward licensure • Why supervision quality and fit matter during the early stages of practice Find the full show notes and resources for this episode at https://mtsgpodcast.com Join the Modern Therapist Community Patreon https://www.patreon.com/c/mtsgpodcast Facebook Group https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

From Corporate Leadership to Counseling Advocacy: An Interview with Iris Wilson-Farley Special Series: Becoming a Therapist In this special Becoming a Therapist series episode, Curt Widhalm and Katie Vernoy welcome back Iris Wilson-Farley for a second-year check-in on her journey through graduate school. Iris reflects on how her expectations of training have shifted, what the internship search was really like in an online program, and how she’s preparing to move into primarily in-person clinical work. She also shares how her background in corporate leadership informs her approach to professional development, advocacy, and research, with a growing focus on sexual wellness and gender-affirming care. About the Guest Iris Wilson-Farley is a second-career counselor-in-training and graduate student in Clinical Mental Health Counseling at The Chicago School. After a 33-year career in corporate Human Resources and executive leadership, Iris is now focused on sexual wellness, gender-affirming care, and advocacy within the counseling profession. She is actively involved in professional organizations including ACA divisions focused on sexology and LGBTQIA+ identities and is working toward sex therapist certification through the Sexual Health Alliance. Key Takeaways How expectations often shift between the first and second year of graduate training What the internship search can look like in online counseling programs Preparing to transition from virtual learning to in-person clinical work How prior professional experience can shape identity and leadership in training The value of early involvement in advocacy, research, and professional organizations You can listen to Iris’s first interview in the Becoming a Therapist series here:https://therapyreimagined.com/modern-therapist-podcast/finding-alignment-in-a-second-career-special-series-becoming-a-therapist-an-interview-with-iris-wilson-farley/ Find the full show notes and resources for this episode at:https://mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann – https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano – https://groomsymusic.com/

When Does Therapy Really Start? Managing Risk and Responsibility Before the First Session When does therapy actually begin—and when does therapist responsibility start? Curt Widhalm and Katie Vernoy explore the ethical, legal, and clinical risks that can arise before the first session ever happens, and what therapists can do to protect both their clients and themselves. In this host-led episode, they break down common scenarios involving consultation calls, intake paperwork, crisis disclosures, collateral contacts, and missed first appointments. They offer practical guidance for clarifying client status, setting boundaries early, and reducing risk at the very start of care. Key Takeaways for Therapists Therapy can begin earlier than many clinicians expect Agreeing to treatment may create responsibility even before the first session Intake paperwork disclosures can require timely follow-up Clear communication about availability and crisis procedures reduces risk Collateral contacts are not clients unless explicitly defined as part of treatment Follow-up and documentation matter, even when therapy never fully begins Read the complete show notes and resources for this episode at:https://mtsgpodcast.com Join the Modern Therapist Community Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist’s Survival Guide Creative Credits Voice Over: DW McCann – https://www.facebook.com/McCannDW/ Music: Crystal Grooms Mangano – https://groomsymusic.com/

When Therapy Goes Vibe-Forward: The Cost of Losing Clinical Depth An Interview with TJ Walsh, LPC When therapy becomes more about relatability and “vibes” than clinical depth, what gets lost? Curt Widhalm and Katie Vernoy talk with TJ Walsh, LPC about how social media culture is shaping therapy expectations, why neutrality and containment still matter, and how supervision and self-work support real therapeutic change. This episode challenges therapists to balance authenticity with professionalism and to clearly orient clients to the slower, relational work that meaningful therapy requires. Key Takeaways for Therapists Why vibe-forward therapy can feel supportive but limit long-term change How neutrality functions as containment, not disengagement The difference between validation and treatment How social media shapes client expectations of therapy Why supervision should continue well beyond licensure Full Show Notes & Transcript: https://mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Creative Credits Voice Over: DW McCann – https://www.facebook.com/McCannDW/ Music: Crystal Grooms Mangano – https://groomsymusic.com/

REPLAY: Working With Politically Divided Families with Angela Caldwell, LMFT In this Reprise episode, Curt and Katie revisit their timely conversation with Angela Caldwell, LMFT on working with politically divided families. This episode explores family systems, differentiation, distress tolerance, and therapeutic neutrality when political conflict enters the therapy room. Angela offers a hopeful, clinically grounded framework for helping families tolerate opposing viewpoints, stay in relationship, and navigate discomfort without forcing agreement, making this episode especially relevant during election cycles and holiday family gatherings. You can see the original show notes and transcripts for episode 375 here: https://therapyreimagined.com/modern-therapist-podcast/how-can-therapists-help-politically-divided-families-an-interview-with-angela-caldwell-lmft/

Replay Episode: Therapy As a Political Act with Dr. Travis Heath In this reprise episode, Curt and Katie revisit their powerful conversation with Dr. Travis Heath on why therapy is inherently a political act. Originally recorded in June 2020, just days after the murder of George Floyd, this episode examines how therapists navigate racism, systems of oppression, political overwhelm, and community trauma in the therapy room. Curt and Katie reflect on how the cultural landscape has shifted over the past five years, why Travis’s insights still resonate, and what therapists must continue doing to stay engaged in anti racist, decolonizing, and community centered work. You can see the original show notes and transcripts for episode 158 here: https://therapyreimagined.com/modern-therapist-podcast/therapy-as-a-political-act/

How Therapists Can Actually Rest During the Holidays: Letting Go of Guilt, Productivity, and Instagram-Worthy Expectations Curt and Katie explore how therapists can create a real holiday break - not a performative or productivity-driven one. They discuss the pressure to rest “perfectly,” the guilt of not fully unplugging, how to shift into restorative downtime, and why passive vs. active rest matters. They also highlight anxiety, money scarcity, grief, and family dynamics that often intensify during the season, offering compassionate strategies for caring for yourself as a therapist and a human. Key Takeaways for Therapists You don’t need an Instagram-worthy vacation: real rest is allowed. Rest is a process, not a switch; transition time matters. It’s okay to be partially off and still check in lightly as needed. Passive rest (scrolling) and active rest (movement, nature, connection) serve different purposes. Anxiety, scarcity mindset, or family stress may drive overworking—notice the “why.” The holidays can be hard; grief and emotional complexity deserve compassion. Full show notes at: mtsgpodcast.com Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Creative Credits Voice Over by DW McCann — https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano — https://groomsymusic.com/

When Good Intentions Lead to Bad Policy: Why the BBS Needs Therapist Feedback – An Interview with Dr. Benjamin E. Caldwell, LMFT Curt and Katie talk with Dr. Benjamin E. Caldwell about the California BBS’s new regulatory proposals and why several well-intended ideas may actually undermine therapist education and professional standards. We discuss the proposal to award CE hours simply for providing supervision, giving CE credit for passive activities, concerns about codifying the licensing exam vendor, and the surprising reason behind the upcoming four-year fee reduction. Ben breaks down what therapists need to know—and how to make their voices heard during the public comment period. About Our Guest: Dr. Benjamin E. Caldwell, PsyD, LMFT Benjamin E. Caldwell, PsyD is a California Licensed Marriage and Family Therapist and Adjunct Faculty for California State University Northridge. He is the author of Basics of California Law for LMFTs, LPCCs, and LCSWs and the lead author of AAMFT’s Best Practices in the Online Practice of Couple and Family Therapy. His company, High Pass Education, provides exam prep and continuing education for mental health professionals. Key Takeaways for Therapists • Why the BBS’s proposed changes matter for therapists in and beyond California • Concerns about awarding CE for providing supervision instead of structured learning • How CE requirements may shift toward passive or non-educational activities • Issues with naming Pearson VUE in regulation • Why BBS fees will be reduced for four years • How therapists can participate in the public comment period to influence policy Full show notes and transcript available at mtsgpodcast.com Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Creative Credits Voice Over by DW McCann – https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano – https://groomsymusic.com/

How Therapists Can Help Clients Finally Sleep: An Interview with Jessica Fink, LCSW-S Curt and Katie interview sleep specialist Jessica Fink, LCSW-S, about what therapists often misunderstand about sleep—and what actually helps when clients are stuck in cycles of insomnia, nighttime anxiety, or maladaptive sleep behaviors. Jessica breaks down the limits of sleep hygiene, the fundamentals of CBT-I, what to do when clients wake up at 3 a.m. spiraling, how to distinguish tired vs. sleepy, and why wearables and blue light might be overrated concerns. She also shares how therapists can confidently assess sleep disorders and support behavioral sleep change without overmedicalizing the issue. About Our Guest: Jessica Fink, LCSW-S Jessica Fink, LCSW-S is a Texas-based therapist who specializes in sleep issues, PTSD, OCD, chronic pain and maladaptive overcontrol. As a CBT-oriented provider, Jessica uses structured, data-driven approaches combined with flexibility and creativity to create real, lasting change. Jessica values client independence, designing therapy to equip individuals with their own tools and coping strategies. Jessica's practice is entirely online and accessible to all Texas residents. Key Takeaways for Therapists Sleep hygiene is prevention—not treatment for insomnia. CBT-I is counterintuitive: don’t go to bed until sleepy, and get out of bed if awake too long. A consistent wake time matters more than bedtime. Blue light isn’t the enemy most people think it is. Wearables can increase anxiety and worsen sleep perfectionism (“orthosomnia”). Therapists play a crucial role even in medically driven sleep disorders like sleep apnea. Scheduled “constructive worry” times can reduce nighttime rumination. Full show notes and transcript available at:https://mtsgpodcast.com Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Creative Credits Music by Crystal Grooms Mangano – https://groomsymusic.com/ Voiceover by DW McCann – https://www.facebook.com/McCannDW/

Navigating Client Crises When Your Own Life Hits Hard Curt and Katie talk about what therapists can do when client crises show up at the exact wrong time—during holidays, illness, personal stress, or overwhelming seasons of life. They explore capacity, boundaries, communication, safety planning, and how to ethically support clients without becoming a 24/7 crisis line. This is a practical, validating look at the realities therapists face when their own lives get complicated. Key Takeaways Therapists can assess capacity and complete a “busyness audit” to stay realistic about bandwidth. Clear communication about availability helps prevent crisis-time misunderstandings. Clients benefit from learning how to reach out with context so you can triage effectively. Safety plans and community resources reduce client over-reliance on the therapist. Therapists can hold boundaries while still supporting clients through crisis moments. Full show notes and transcript are available at mtsgpodcast.com. Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann – https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano – https://groomsymusic.com/

When Crisis Hits Home: How Therapists Can Survive and Support Each Other — An Interview with Jeanine Rousso Curt and Katie chat with Jeanine Rousso, a licensed counselor and supervisor in Florida, Georgia, and North Carolina and founder of Therapist Resource Network, about how therapists can care for themselves when natural disasters or crises directly impact them. They discuss why therapists often push past their limits, how to assess capacity and step back ethically, and the importance of financial preparedness and peer support. About Our Guest:Jeanine Rousso is a licensed counselor and supervisor in Florida, Georgia, and North Carolina. She founded the nonprofit organization Therapist Resource Network to provide emergency financial support, burnout prevention and recovery, and advocacy for mental health professionals. Key Takeaways for Therapists: Therapists often try to maintain pre-crisis workloads after disasters, leading to burnout. It’s essential to check your own capacity before showing up for clients. Build financial documentation and savings as a personal safety net. Disaster recovery requires both individual resilience and systemic advocacy. Full Show Notes: mtsgpodcast.com Join the Modern Therapist Community:Linktree | Patreon | Facebook Group Credits:Music by Crystal Grooms Mangano | Voiceover by DW McCann

Surviving Family Gatherings Without Becoming the Family Therapist: Emotional Boundaries for the Holidays Curt Widhalm and Katie Vernoy explore how therapists can navigate family gatherings without slipping into the role of “family therapist.” They discuss emotional boundaries, guilt, codependency, and the importance of authenticity during the holiday season. Learn how to recognize old family patterns, manage emotional triggers, and show up as a whole human (not just a clinician) when family dynamics get complicated. Key Takeaways for Therapists: Therapists often revert to caretaker or mediator roles during family gatherings. Emotional boundaries matter as much as physical ones: protect your energy. “JADE” doesn’t go to Thanksgiving: Don’t Justify, Argue, Defend, or Explain. It’s okay to have emotions and step away from unproductive conversations. Clarify your role (family member, not therapist) and engage authentically. Listen to the full episode and access resources:Full show notes at mtsgpodcast.com Join the Modern Therapist Community: Patreon Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

Designing a Sustainable Therapy Career: Reflections on Burnout, Legacy, and Letting Go Curt Widhalm and Katie Vernoy reflect on what it takes to build and sustain a meaningful therapy career and how to leave the profession well. They explore professional identity, burnout, and how to stay connected to the work without losing yourself in it. Drawing from recent interviews with Lynn Grodzki, Margaret Wehrenberg, and Ofra Obejas, they share insights on sustainability, capacity, and creating a “good finish” for your therapy career. Key Takeaways for Therapists: Therapists need intentional career design. Sustainability doesn’t happen by accident. Burnout can distort your love for the work and your professional identity. Regular reflection helps ensure your career still aligns with your values and capacity. Building community and connection is essential to avoiding isolation in private practice. Planning early for closure allows for a more graceful and fulfilling finish. Link to Full Show Notes:https://mtsgpodcast.com Join the Modern Therapist Community: Linktree Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

When Burnout Ends Your Therapy Career: An Interview with Ofra Obejas Curt and Katie speak with Ofra Obejas, LCSW (Retired), about what happens when even the most dedicated therapists reach their limits. After 20 years in practice, Ofra recognized she could no longer sustain the emotional and systemic demands of the work and chose to close her practice with integrity. She shares what burnout really looks like, how unrealistic professional expectations fuel it, and what therapists can do to protect themselves before it’s too late. About Our Guest: Ofra Obejas, LCSW (Retired) Ofra Obejas, LCSW Retired, has just closed her practice after 20 years and many letters after her name. Over her career, she provided individual and group therapy to thousands, was on the faculty of a university therapy training program, and presented CEs to hundreds. Despite this clear proof of her expertise, she feels like a failure, a fate she wishes to save newer therapists from. Key Takeaways for Therapists Burnout isn’t a personal weakness—it’s a mismatch between what therapy demands and what clinicians can sustainably give. “Self-care” can’t fix systemic overload or chronic emotional depletion. Therapists must honor their own limits and values to avoid running out of gas. Leaving the field can be an act of integrity, not failure. Listen to the full conversation and find resources at: mtsgpodcast.com Join the Modern Therapist Community Patreon Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano

How Therapists Retire: Planning, Ethics, and Letting Go of the Work You Love – An Interview with Lynn Grodzki, LCSW and Margaret Wehrenberg, PsyD Curt and Katie talk with Lynn Grodzki and Margaret Wehrenberg about how therapists can plan for retirement with intention and integrity. They explore the emotional, ethical, and practical considerations of closing a practice, navigating readiness, and redefining identity after a lifetime of therapeutic work. About Our Guests Lynn Grodzki, LCSW-C, MCC is a pioneer in private practice development and the author of six influential books on therapy and coaching.Margaret Wehrenberg, Psy.D. is an internationally recognized expert on anxiety and depression and the author of 13 books, including The 10 Best-Ever Anxiety Management Techniques. Together, they offer a rare blend of clinical experience, practical strategies, and heartfelt compassion. Key Takeaways for Therapists Retirement is one of the most consequential transitions in a therapist’s professional life. Lynn and Margaret’s Readiness for Retirement Model helps therapists plan across four stages: pre-contemplation, contemplation, preparation, and action. Planning early supports ethical closure and a smoother emotional process for both therapist and client. Common barriers include guilt, grief, and identity shifts—as well as lack of business or financial planning. Creating a professional will and protecting intellectual property are essential parts of ending well. Therapists can honor their legacy by recognizing the lasting impact of their work and embracing new opportunities in retirement. For more information and full show notes Visit: mtsgpodcast.com Join the Modern Therapist Community Linktree Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano

Modern Therapist’s Consumer Guide: SimplePractice Curt and Katie talk with Jonathan Seltzer, CEO of SimplePractice, about how the company continues to evolve to meet the needs of independent mental health professionals. They discuss SimplePractice’s mission to empower clinicians with intuitive tools, transparency around investors, and the responsible use of AI to reduce administrative burdens while maintaining clinical integrity. This episode is part of our Modern Therapist’s Consumer Guide series, where we explore tools and services that help therapists and their clients thrive. Guest Bio Jonathan Seltzer is the CEO of SimplePractice, a software platform built to empower private practice clinicians to run thriving, independent practices. He leads a team of over 550 people supporting more than 225,000 clinicians who use SimplePractice to provide care. Jonathan is passionate about helping therapists operate with greater confidence, ease, and connection to the broader healthcare ecosystem. Key Takeaways SimplePractice remains focused on empowering independent and small-group clinicians. The company prioritizes transparency and clinician trust in how it handles data, investment, and innovation. AI tools are designed to **augment—not replace—**therapists, with high clinical and ethical standards. 🔗 Full show notes: mtsgpodcast.com 🎁 Special Offer: Check out current SimplePractice offers at simplepractice.com Join the Modern Therapist Community Patreon Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano

Protecting Clients Through Better Notes: An Interview with Dr. Maelisa McCaffrey Curt Widhalm and Katie Vernoy talk with Dr. Maelisa McCaffrey about how therapists can document ethically and protectively in a politically charged climate. They explore how to handle sensitive topics like gender identity, reproductive rights, and immigration status while keeping documentation accurate, ethical, and safe for clients. About Our Guest Dr. Maelisa McCaffrey is a licensed psychologist, nail design enthusiast, and author of the book, Stress-Free Documentation for Mental Health Therapists. Through her business QA Prep, she empowers therapists with training and consultation on clinical documentation. Maelisa focuses on the “why” behind the usual recommendations and encourages clinicians to think outside the box, while also keeping their ethics intact. Key Takeaways for Therapists Documentation can carry legal and ethical risks in today’s climate. Use clear but sensitive language when writing notes. Informed consent and collaboration with clients are essential. Focus on clinical themes rather than politically charged terms. Review your own forms and practices for unnecessary information. More Info and Full Show Notes Visit mtsgpodcast.com for the full show notes, transcripts, and resources from this episode. Join the Modern Therapist Community Linktree Creative Credits Voice Over by DW McCannMusic by Crystal Grooms Mangano

How Conscious Awareness Shapes Leadership, Therapy, and Collective Healing: An Interview with Pardis Mahdavi, PhD Curt and Katie chat with Pardis Mahdavi, PhD, about how consciousness and intentional awareness can transform therapy, leadership, and community. Pardis shares how cultivating our “inner state," moving from suffering to a “beautiful state,” impacts how we lead, connect, and heal collectively. She offers practical ways therapists can integrate mindfulness, breath mastery, and curiosity into their work to help clients (and themselves) live with greater awareness and alignment. About Our Guest:Pardis Mahdavi, PhD is an author, educator, and entrepreneur. She has written seven non-fiction books and two edited volumes, including Book of Queens (2023) and Riding (2024). A former university president and global human rights expert, Pardis now leads Entheon Journeys, focusing on consciousness, leadership, and transformation. Her work has been featured in Time, Ms. Magazine, Huffington Post, and the Los Angeles Times. Key Takeaways: Consciousness work deepens mindfulness into an ongoing framework for intentional living and healing. Therapists can help clients identify and shift their inner “state” from suffering toward beauty, calm, and connection. Preventive practices such as meditation, journaling, and breath mastery support long-term wellbeing and resilience. Leadership and therapy are energetic processes: awareness of one’s own state affects how others experience us. Community healing grows when curiosity replaces critique and connection transcends identity barriers. More Info & Full Show Notes:https://mtsgpodcast.com Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

The Crisis in College Mental Health: An Interview with Dr. Pardis Mahdavi, PhD Curt Widhalm and Katie Vernoy talk with Dr. Pardis Mahdavi about the growing mental-health crisis among college students. Pardis shares insights from her years in higher education leadership—revealing how rising costs, outdated systems, and lack of purpose are driving student anxiety and burnout. Together they explore what therapists, universities, and communities can do to realign education with meaning, wellbeing, and real-world readiness. About Our Guest: Dr. Pardis Mahdavi, Ph.D. Pardis Mahdavi is an author, educator, and entrepreneur whose work spans human rights, education policy, and consciousness. A former university president and provost, she is the author of seven nonfiction books including The Book of Queens (Hachette Books, 2023) and Riding (Duke University Press, 2024). She currently leads Entheon Journeys and The Bondery House, fostering connection and expanded awareness. Key Takeaways for Therapists College students face unprecedented levels of anxiety and depression—driven by systemic disconnection, financial stress, and unclear purpose. Higher education often fails to evolve with societal change, leaving students feeling unprepared and unseen. Preventive supports like mindfulness and mentorship should be built into the college experience. Therapists can help students find meaning, manage uncertainty, and advocate for collaborative care across campus systems. Full show notes: mtsgpodcast.com Join the Modern Therapist Community Our Linktree Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

Medical Necessity or Personal Growth? Why Documentation Matters in Therapy Curt and Katie talk about medical necessity in therapy documentation – what it is, why it matters, and how therapists can navigate the tension between clinical care, insurance requirements, and personal growth. We explore how documentation protects therapists in utilization reviews and disciplinary processes, and how to ethically distinguish therapy from coaching or self-improvement. Key Takeaways for Therapists Why documenting medical necessity matters for insurance, ethics, and liability Risks of over-diagnosing or misrepresenting symptoms The role of treatment plans and progress notes in demonstrating medical necessity Navigating personal growth requests vs. clinical therapy Protecting yourself with clear, consistent documentation About Our Hosts Curt Widhalm, LMFT – www.curtwidhalm.com Katie Vernoy, LMFT – www.katievernoy.com Find the transcript and additional resources at mtsgpodcast.com. Join the Modern Therapist Community Linktree Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano

Beyond Coping: Radical Healing in a World Not Built for Us – An Interview with José Rosario Curt and Katie chat with José Rosario about radical healing, disability, cultural trauma, and intersectionality. José shares his story as a scholar, practitioner, and activist, and how his lived experience as a disabled person of color who is also queer informs both his clinical work and research. He discusses how healing must move beyond coping, the importance of community engagement, and how therapists can better support clients with marginalized identities. About Our Guest: José Rosario Born to young Puerto Rican parents, José Rosario developed Cerebral Palsy as a premature baby. His family's journey towards equity deeply impacted his mental health. Currently nearing his PhD in Clinical Psychology, his research focuses on cultural trauma in intersectional communities. He is an Interdisciplinary Minority Fellow for the American Psychological Association, member of the Congressional Diversity and Equality Advisory Board for Congressman James Langevin, and member of the Rhode Island Attorney General Community Advisory Board. He has been honored with the Chris Martin Humanitarian Award and the Victoria Lederberg Award for Excellence in Psychology. Key Takeaways for Therapists Radical healing means moving beyond coping to systemic change and community-based healing. Disability, race, and queerness intersect in ways that compound stigma and systemic barriers. Community is both a source of hope and a vital element of healing. Therapists must step outside the therapy room and engage genuinely with the communities they serve. For full show notes and transcripts, visit: mtsgpodcast.com Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano

Navigating Food, Body Image, and GLP-1 Medications: An Interview with Robyn L. Goldberg, RDN, CEDS-C Therapists are seeing more clients struggling with confusing medical advice, new medications, and diet culture messages that impact their relationship with food and body. In this conversation, Curt and Katie talk with Robyn L. Goldberg, RDN, CEDS-C about how therapists can examine their own biases, support clients navigating restrictive medical guidance, and encourage healthier, more intuitive approaches to eating. About Our Guest: Robyn L. Goldberg, RDN, CEDS-C Robyn began her career at Cedars-Sinai Medical Center in Los Angeles as the in-patient dietitian in the Department of Cardiology. Over the last twenty-eight years she has developed her own private practice in Los Angeles, CA. She is a contributing author and is a nationally and internationally known registered dietitian nutritionist. She has been quoted in The New York Times, The Huffington Post, and Vogue. She has been on national television as the eating disorder expert on The Insider. Robyn is the author of The Eating Disorder Trap: A Guide for Clinicians and Loved Ones, Co-author of the online course Your Recovery Resource, and the host of The Eating Disorder Trap Podcast. Key Takeaways for Therapists Therapists must examine their own food and body biases to avoid unintentional harm to clients. Many physicians have minimal training in dietetics and may give inadequate advice. Clients can advocate for themselves in medical settings, including refusing to be weighed. GLP-1 medications may reduce appetite but can cause malnutrition, fatigue, and bone/muscle loss. Intuitive eating offers a path back to a healthier, more trusting relationship with food. For full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano

Somatic Therapy, Nervous System Regulation, and Expanding Capacity for Rest: An Interview with Linda Thai Curt and Katie chat with Linda Thai, LMSW, ERYT-200 about practical, culturally aware somatic tools therapists can use, helping clients (and themselves) expand capacity for rest, and integrating bottom-up work ethically when working with trauma survivors and adult children of refugees and immigrants. Full show notes and transcripts available at mtsgpodcast.com. About Our Guest: Linda Thai, LMSW, ERYT-200 Linda Thai is a trauma therapist and educator specializing in brain- and body-based modalities for addressing complex developmental trauma. She teaches mindfulness, grief tending, and somatic practices with a special focus on adult children of refugees and immigrants. Linda has assisted Dr. Bessel van der Kolk in psychotherapy workshops on attachment trauma and offers trainings and courses worldwide. Key Takeaways for Therapists Gentle rocking and orienting to distance are accessible entry points for regulation. Track SUNs (Subjective Units of Nourishment) as well as distress in sessions. Somatic work expands capacity for rest, not just activation. Therapists must contextualize disembodiment within colonization, hustle culture, and systemic exploitation. Choose teachers and communities that match your style before committing to long trainings. Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann: DW McCann FacebookMusic by Crystal Grooms Mangano: groomsymusic.com

The Initial Consultation Call: Setting the Foundation for Therapy Curt and Katie chat about consultation and intake phone calls — the crucial first step in the client–therapist relationship. They explore how to balance logistics with empathy, set realistic expectations, and create safety and rapport from the very beginning. About our Hosts:Curt Widhalm, LMFT – www.curtwidhalm.comKatie Vernoy, LMFT – www.katievernoy.com Key Takeaways for Therapists: How consultation calls set the tone for therapy Balancing logistics (fees, scheduling, insurance) with rapport-building Exploring referral sources, past therapy experiences, and client expectations Avoiding underselling yourself when discussing fees For more information and full show notes, visit: mtsgpodcast.com Join the Modern Therapist Community: Linktree Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

Unmasking Shame, Myths, and Healing for Male Survivors of Sexual Abuse: An Interview with Jeremy Sachs Curt and Katie chat with Jeremy Sachs, integrated therapist and Narrative Exposure Therapist, about supporting male survivors of sexual abuse. We explore harmful myths and stereotypes, the developmental impacts of sexual trauma, and the systemic and cultural barriers that make healing harder. Jeremy shares therapeutic approaches for early disclosure, building safety, and integrating trauma-specific interventions like Narrative Exposure Therapy, as well as the role of transformative justice in recovery. About Our Guest:Jeremy Sachs is an integrated therapist and Narrative Exposure Therapist from London, UK, now based in Glasgow, Scotland. Since the 2010s, he has run services that support individuals living with trauma or marginalisation, helping them to connect and find community. In 2016, he focused on developing therapy services for men, boys, and trans people who have survived sexual abuse and rape. He runs recovery groups and a private practice both online and in-person. Key Takeaways for Therapists: Myths like “men always want sex” or “they must have enjoyed it” are harmful and based on misunderstandings. Sexual abuse rarely occurs in isolation—context and systemic oppression matter. Containment and safety should precede trauma-specific work. Narrative Exposure Therapy can help integrate fragmented memories. Transformative justice offers community-based alternatives to the criminal justice system. Get the full show notes and transcript at: mtsgpodcast.com Join the Modern Therapist Community Linktree Patreon Podcast Homepage YouTube Facebook Group Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

Relational Healing, Neuroplasticity, and the Power of Psychedelic-Assisted Therapy: An Interview with Dr. Alexa Altman, Ph.D. and Shira Myrow, LMFT In this episode, Curt and Katie chat with Dr. Alexa Altman and Shira Myrow, LMFT, about psychedelic-assisted therapy and how it supports trauma healing, neuroplasticity, and relational transformation. They explore how these treatments work, what integration really means, and how therapists can ethically and safely engage with this emerging field. About our guests:Dr. Alexa Altman and Shira Myrow, MFT, are co-founders of iPsychedelic Therapy. With backgrounds in trauma-informed psychology, spiritual counseling, and relational healing, they offer a holistic approach to psychedelic-assisted therapy that centers ethical care, integration, and transformational growth. Key takeaways: Psychedelics are not shortcuts—they act as amplifiers and accelerants in trauma work. Integration is a crucial part of psychedelic-assisted therapy and often overlooked. Clinicians must examine their own biases and seek robust training. Some clients are not appropriate for these treatments due to fragility or lack of therapeutic background. A safe therapeutic container, rigorous consent, and preparation are essential. Regulatory frameworks are still emerging and need clinician involvement. More info, transcripts, and full show notes: mtsgpodcast.com Join the Modern Therapist Community: Linktree Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

Advanced Minds, Unique Challenges: Therapeutic Approaches for Gifted Children Gifted children often present with complex needs that are misunderstood or misdiagnosed. In this continuing education episode, Curt and Katie explore how asynchronous development, emotional intensity, and cognitive complexity show up in the therapy room—and what therapists need to build effective therapeutic alliances. They highlight key research, therapist characteristics that support clinical success, and how to work with masking, perfectionism, and challenging behaviors without pathologizing giftedness. Key Takeaways: Giftedness includes uneven cognitive, emotional, and social development Misdiagnosis and masking are common Therapist flexibility, intensity, and curiosity matter more than techniques Gifted children often resist therapy when they feel misunderstood Parents may need education and validation around giftedness About Our Hosts: Curt Widhalm, LMFT – www.curtwidhalm.com Katie Vernoy, LMFT – www.katievernoy.com CE Available for this Episode To earn 1 CE unit, visit moderntherapistcommunity.com More info and full show notes at mtsgpodcast.com Join the community: linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann – facebook.com/McCannDW Music by Crystal Grooms Mangano – groomsymusic.com

Relational Self-Awareness and the Hard Truths of Couples Therapy: An Interview with Dr. Alexandra Solomon Dr. Alexandra H. Solomon joins Curt and Katie to discuss what therapists get wrong in couples therapy, how to work with high-conflict dynamics, and the power of relational self-awareness. We explore how therapists can show up better prepared for the real work of helping relationships grow—or gracefully end. About Our Guest:Dr. Alexandra H. Solomon, PhD, is a licensed clinical psychologist, professor, author, and host of the Reimagining Love podcast. Known globally for her relational self-awareness framework, Dr. Solomon bridges clinical wisdom, research, and pop culture in her work with couples. She is the author of Loving Bravely, Taking Sexy Back, and Love Every Day. Key Takeaways: The relationship—not the individuals—is the client in couples therapy Why individual therapist skills don’t always translate to couples work How regulation and self-awareness reduce conflict and promote connection What therapists should know about the "change partner vs. acceptance partner" dynamic Why therapist bias and romantic myths can derail the work More info, transcripts, and full show notes at mtsgpodcast.com Join the Modern Therapist Community:https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann: facebook.com/McCannDW Music by Crystal Grooms Mangano: groomsymusic.com

What Do You Have to Offer? How Describing Your Ideal Client Might Be Repelling Good Enough Clients Curt and Katie chat about common mistakes therapists make when writing their websites and directories — especially using “ideal client” language that may turn away the very clients they want to help. They explore how to write therapist website copy that’s client-centered, inclusive, and more effective for attracting referrals. Key Takeaways: Describing ideal clients too rigidly can unintentionally alienate potential referrals Language should reflect client experiences and therapy process — not just therapist preferences Blog posts are a flexible, strategic way to expand on specialty areas without over-niching Websites should be regularly updated to reflect current practice and make contact easy Listen to the full episode and access resources:https://therapyreimagined.com/podcast Join the Modern Therapist Community:https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano

Mindfulness, EMDR, and Wearable Tech: An Interview with Dr. Steve Dansiger Curt and Katie chat with Dr. Steve Dansiger about integrating mindfulness into EMDR, what therapists often get wrong about mindfulness, and how wearable technology might enhance trauma healing. Steve shares his journey from punk rock drummer to EMDR trainer to tech innovator—and how sound and vibration may support grounding, resourcing, and trauma reprocessing. About Our Guest: Dr. Steve Dansiger Dr. Steve Dansiger is a clinical psychologist, EMDRIA-approved EMDR consultant, longtime mindfulness practitioner, and co-founder of HapTech Holdings. He is the creator of the MET(T)A Protocol and co-author of multiple books on EMDR, trauma, addiction, and mindfulness. Steve’s work spans clinical practice, innovation, and international teaching, bringing together ancient wisdom and cutting-edge tech. Key Takeaways: Therapists and clients often misunderstand mindfulness as “clearing the mind.” Mindfulness is already embedded in EMDR and helps stabilize and prepare for trauma work. Starting with just 1–2 minutes a day can be effective, especially with neurodivergent clients. Wearable tech using sound and vibration may help ground and resource clients in session and beyond. Therapists need to maintain their own mindfulness practice to model and teach it effectively. For full show notes, transcripts, and more episodes: 🔗 www.mtsgpodcast.com Join the Modern Therapist Community: 🌐 Linktree Creative Credits: 🎙 Voice Over by DW McCann 🎵 Music by Crystal Grooms Mangano

Rethinking Oppositional Defiant Disorder—Children Reacting to the System Around Them Curt and Katie chat about Oppositional Defiant Disorder (ODD), reframing it as a response to systemic and environmental stressors rather than a characterological flaw in children. They explore diagnostic challenges, systemic bias, and treatment considerations that support children and families more holistically. This episode is designed to help therapists critically assess and intervene when working with oppositional or defiant behaviors. Course Available for CE Credit:One unit of continuing education is available for this episode at moderntherapistcommunity.com. Listen, purchase the course, pass the post-test, and earn your certificate! Key Takeaways: Understand how ODD criteria can be misapplied without systemic context Identify the impact of trauma, neurodivergence, and racism on misdiagnosis Apply a functional, family systems-based approach to treating oppositional behaviors Learn which interventions are evidence-based—and which to avoid Recognize the importance of treating ODD like an adjustment to environment, not a lifelong label Link to Full Show Notes:Full references, transcript, and resource list at mtsgpodcast.com Join the Modern Therapist Community:Linktree: https://linktr.ee/therapyreimagined Creative Credits: Music by Crystal Grooms Mangano – groomsymusic.com Voice Over by DW McCann – facebook.com/McCannDW

How Virtual Clinical Supervision is Changing the Field: An Interview with Rachel Ledbetter, LMFT Curt and Katie chat with Rachel Ledbetter, LMFT, CEO and Co-Founder of Motivo, about how virtual supervision is transforming therapist training and professional development. We explore how technology can remove barriers for prelicensed clinicians, improve the supervision experience, and create space for mentorship beyond administrative oversight. Rachel also shares insights on the future of AI in mental health and what supervisors can do to better support early career therapists. Guest Bio:Rachel Ledbetter is the CEO and Co-Founder of Motivo Health, a pioneering platform dedicated to transforming the landscape of mental health care by facilitating virtual clinical supervision for behavioral health professionals. As a Licensed Marriage and Family Therapist (LMFT), Rachel's personal experiences navigating the licensure process have profoundly influenced her mission to remove barriers for aspiring therapists. Through Motivo, she continues to make a lasting impact by supporting the next generation of therapists and ensuring that quality mental health services are accessible to all. Key Takeaways: Supervision should focus on developing a clinician’s unique identity—not just administrative tasks. Virtual supervision increases access and continuity, especially for rural and underserved areas. Motivo actively tracks licensure requirements and verifies supervisor qualifications. AI can ease therapist burdens (e.g., documentation) but shouldn’t be used to raise productivity quotas. Supervisors are more effective when they support both professional development and self-of-the-therapist work. More info and full show notes at mtsgpodcast.com Join the Modern Therapist Community:https://linktr.ee/therapyreimagined Creative Credits: Music by Crystal Grooms Mangano – groomsymusic.com Voiceover by DW McCann – facebook.com/McCannDW

Why It’s Hard for Therapists to Be Friends Curt and Katie chat about why therapists often struggle with friendships—especially with non-therapists. They explore the impact of emotional labor, overidentifying as caretakers, and the challenges of setting boundaries and expressing needs in personal relationships. Key Takeaways: Therapists often default to caretaking in friendships, especially if they have a history of being “the helper.” Emotional exhaustion from client work can make socializing difficult. Confidentiality and identity boundaries limit what therapists can share about their day. Friendships become healthier when therapists drop the therapist role and prioritize reciprocity. Intentional communication and boundary-setting help create sustainable relationships. More information and transcripts available at:https://mtsgpodcast.com Join the Modern Therapist Community:Linktree Creative Credits: Music by Crystal Grooms Mangano Voiceover by DW McCann

Special Episode: Modern Therapist's Consumer Guide on Relias Curt and Katie talk with Candace Wallace, Chief Customer Officer at Relias, about how this tech-enabled platform supports therapist training, infrastructure, and regulatory compliance. Candace explains how Relias helps practices of all sizes reduce admin burdens, improve staff retention, and compete in a changing behavioral health landscape. This episode is part of our Modern Therapist Consumer Guide, where we explore tools and services designed for therapists and their clients. About Our Guest:Candace Wallace is the Chief Customer Officer at Relias, overseeing Customer Success, Renewals, Support, and Professional Services. Since joining in 2013, she’s led several key teams and now focuses on delivering customer value at scale. With degrees in Archaeology and Religion from Baylor University, Candace’s career path includes both compliance consulting and a deep commitment to healthcare systems transformation. Key Takeaways: Relias reduces administrative burdens to improve patient care Solutions are tailored to solo, small, and large practices alike Training, leadership development, and compliance tracking in one platform Helps therapist-led organizations stay competitive and grow sustainably Started with small providers—continues to focus on accessible, effective tools For full show notes and transcripts, visit:https://www.mtsgpodcast.com Join the Modern Therapist Community:Linktree Creative Credits:Voice Over by DW McCannMusic by Crystal Grooms Mangano

Title: How to Launch Therapy Intensives in Private Practice: An Interview with Steffeny Feld, LCSW Description:Curt and Katie chat with Steffeny Feld, LCSW, Therapist and Creator of the Intensive Design Lab, about how therapists can bring therapy intensives into private practice. We explore how therapy intensives differ from traditional therapy, how to structure and prepare for intensives, clinical considerations for both clients and clinicians, and why this model can be particularly supportive for highly sensitive or neurodivergent therapists. About Our Guest:Steffeny Feld is a Therapist, Copywriter, and the Creator of the Intensive Design Lab where she supports therapists of all backgrounds and modalities to launch therapy intensives in private practice. Steffeny believes that therapy intensives are powerful and transformative for clients and the clinicians who offer them. She supports therapists to bring intensives into their practice so that they can work less and earn more while helping clients heal. Steffeny lives in St Louis, Missouri with her partner and 4-year-old son, Felix. Key Takeaways: Therapy intensives offer a distinct therapy format, not just longer sessions. Therapists must assess client readiness and window of tolerance carefully. Intensives can support therapist sustainability, especially for highly sensitive and neurodivergent clinicians. Practical considerations include session structure, pacing, and client comfort. Therapy intensives provide an opportunity for deep clinical work and income diversification. Link to Transcripts and Full Show Notes: https://mtsgpodcast.com Join the Modern Therapist Community:Linktree: https://linktr.ee/therapyreimagined Creative Credits:Voice Over by DW McCann - https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano - https://groomsymusic.com/

Curt’s Guide to Life: Real-World Advice for Therapists Navigating Their Careers Curt Widhalm and Katie Vernoy chat about the practical and meaningful life lessons Curt has gathered throughout his career as a therapist, supervisor, and leader. From networking and curiosity to flexibility and reputation, this episode offers real-world advice for therapists trying to build sustainable careers. Key Takeaways: Network laterally with peers at similar stages Stay curious—your clinical focus may evolve Learn by doing, not just studying Be kind and human in all professional interactions Protect your reputation—it’s everything Full show notes and transcript available at mtsgpodcast.com Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/mtsgpodcast Podcast Homepage: https://therapyreimagined.com/modern-therapists-survival-guide-podcast-episodes/ YouTube: https://www.youtube.com/@TherapyReimagined Facebook Group: https://www.facebook.com/groups/therapyreimagined/ Creative Credits: Voice Over by DW McCann – https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano – https://groomsymusic.com

How Therapists Can Responsibly Support Disaster Mental Health: An Interview with Dr. Shannon Goodhue, LCSW, PhD Curt and Katie chat with Dr. Shannon Goodhue about how therapists can ethically support disaster-impacted communities. We explore how disaster mental health differs from traditional therapy, why most people don’t need long-term services, and how trained professionals can provide stabilization and support in both local and national crises. Shannon outlines the American Red Cross training process, the structure of deployments, and the importance of understanding when to step in—and when not to. About Our Guest:Shannon Goodhue is the Senior Program Manager, Disaster Mental Health at the American Red Cross, overseeing the nationwide DMH team. With a PhD in International Psychology, a background in trauma and grief therapy, and past roles in D.C. disaster planning, Shannon brings deep experience in crisis response and ethical care. She’s also a former volunteer firefighter/EMT and currently lives in Virginia with her family. Key Takeaways: Disaster mental health is not the same as therapy Most survivors recover without mental health services Therapists must be trained and vetted before entering shelters Prevention and resilience-building are critical parts of crisis care Red Cross deployments can be virtual, local, or national More information and transcripts: mtsgpodcast.com Join the Modern Therapist Community:https://linktr.ee/therapyreimagined Creative Credits:Hosted by Curt Widhalm and Katie VernoyMusic by Crystal Grooms Mangano – https://groomsymusic.comVoice Over by DW McCann – https://www.facebook.com/McCannDW

How Therapists Can Support Community-Building in Immigrant and Marginalized Populations: An Interview with Adriana Rodriguez, LMFT Curt and Katie chat with Adriana Rodriguez, LMFT, about how therapists can support clients from immigrant and marginalized communities in building and maintaining safe, affirming relationships. They explore cultural responsiveness, identity, risk appetite, and how therapists can expand their awareness and approach beyond individualistic norms. Guest Bio:Adri Rodriguez, LMFT is a therapist, educator, and host of Entre Tías y Amiguis Podcast. Their work focuses on generational healing, identity, and resilience through culturally grounded and justice-oriented approaches. Key Takeaways: Community is built on safety, belonging, and mutual understanding. Risk appetite and intersectionality must shape how clients engage with community. Therapists can use their online presence as a safety signal. Staying informed without burnout is a clinical responsibility. More Info:Full show notes and transcript available at mtsgpodcast.com Join the Modern Therapist Community • Linktree: https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann: facebook.com/McCannDW Music by Crystal Grooms Mangano: groomsymusic.com

The Business of Therapy: Surviving Economic and Industry Disruptions Curt and Katie chat about how therapists can adapt to the changing business landscape of private practice, including fewer client inquiries, economic challenges, and increased competition. We share practical strategies for maintaining a sustainable therapy practice, improving marketing efforts, and building strong referral networks. Transcripts and additional information for this episode will be available at mtsgpodcast.com! In this podcast episode we discuss running a private practice during times of economic uncertainty We’ve heard a lot about the real-time challenges that therapists are facing in a changing business landscape. With a drop in inquiries, increased financial pressures on clients, and greater competition from virtual and AI-based services, private practice clinicians are feeling the pinch. We explore how to adapt your business model, rethink marketing strategies, and prioritize networking and flexibility to weather the storm and build a more resilient practice. What is the current state of private practice therapy businesses? • A drop in referrals and inquiries: Therapists are seeing fewer new client inquiries, especially compared to the pandemic boom. • Economic pressures on clients: Some are requesting fee reductions or shifting to less frequent sessions, even when practices are technically full. • Rising competition: Therapists are competing not just with other clinicians, but also with VC-backed platforms and AI services. What can private practice therapists do to navigate the current business climate? • The need for adaptability: Offering in-person and virtual options, adjusting your fee structure, and being flexible can help retain clients. • Business evolution: It’s more important than ever to regularly assess your practice’s expenses, operations, and marketing strategy. • Standing out in a crowded market: Specializing in specific modalities (like DBT or EMDR) and diversifying your service offerings (e.g., walk-and-talk therapy) can help. • Networking and community support: Building strong referral networks and staying connected with colleagues is essential in today’s climate. • Sustainability for therapists with additional needs: Flexibility can also support therapists who are neurodivergent or living with chronic illness. Key Takeaways from this podcast episode for therapists • Monitor your referral trends and be proactive about filling client gaps—even if your caseload seems full. • Adjust your practice model as needed—offering hybrid sessions or reduced fees may help sustain your income. • Reevaluate your expenses and time investments (marketing, admin, documentation) for a more efficient practice. • Stay current and visible by evaluating SEO, trying Google Ads, and maintaining a strong online presence. • Network consistently—both online and in-person—to build a robust referral stream. • Don’t be afraid to evolve. Practices that are nimble and responsive to change are more likely to succeed long-term. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Special Episode: Modern Therapist’s Consumer Guide on Buying Time, LLC Curt and Katie talk with Bibi Goldstein, of Buying Time, who provides virtual assistant services for therapists. Bibi shares her journey from starting a personal assistant service in 2007 to evolving into a comprehensive VA company. She emphasizes the importance of delegating tasks, using systems like QuickBooks and scheduling software, and maintaining consistent social media presence. Bibi's team provides comprehensive support, including bookkeeping, social media management, and email inbox management. Bibi stresses the importance of regular communication and flexibility to meet clients' needs. Curt and Katie highly recommend Buying Time for its efficiency and quality of service. This episode is part of our Modern Therapist Consumer Guide, where we explore innovative tools and services built for therapists and their clients. In this podcast episode we talk about how to effectively incorporate business systems and delegate to a Virtual Assistant company like Buying Time, LLC We talk with Bibi Goldstein about her business philosophy, strategic advice for therapists, and the services offered by her virtual assistant company, Buying Time. Interview with Bibi Goldstein, Buying Time 0:01:00 - Introduction 0:04:06 - Company Origin Story 0:11:46 - Advice for Therapists on Business Operations 0:16:34 - Social Media Strategy vs. Implementation 0:20:00 - Delegation and Task Management 0:34:14 - Virtual EA vs. Virtual Assistant 0:36:17 – How to vet a potential Virtual Assistance Company 0:40:04 - How to Sign Up with Buying Time 0:43:20 - Contact Information Curt and Katie Chat – Our review of Buying Time 0:45:24 – Katie and Curt talk through our impressions of Buying Time: We view Buying Time as an exceptional virtual support service that goes beyond typical administrative assistance, offering strategic guidance and practical solutions for therapists and entrepreneurs. A Special Offer for the listeners of Modern Therapist’s Survival Guide podcast from Buying Time Buying Time has put together a free Systems Inventory Checklist to help all of us to uncover hidden expenses and optimize spending in your practice. Go to buyingtimellc.com/mtsg to get your free checklist now! Relevant Links: • Website: buyingtimellc.com/mtsg • Email: service@buyingtimellc.com • Social Media: @buyingtimellc Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/

Understanding Sexual Trauma and Hookup Culture in Therapy with Gay Men: An Interview with Michael Pezzullo, LMFT Curt and Katie chat with Michael Pezzullo, LMFT, about providing affirming and trauma-informed therapy for gay men. We explore common misconceptions therapists hold, the complexities of hookup culture, and how sexual trauma often shows up in subtle and misunderstood ways. We also look at how clinicians can better navigate issues of consent, drug use, and boundary violations when working with this population. Transcripts and more information for this episode will be available at mtsgpodcast.com! In this podcast episode, we explore affirming, trauma-informed therapy for gay men We invited Michael Pezzullo to the podcast to discuss the often-overlooked nuances of working with gay men in therapy. From hookup culture to sexual trauma, Michael breaks down what therapists need to understand to avoid causing harm or misinterpreting client behavior. His perspective emphasizes the importance of clinical humility, cultural knowledge, and a collaborative approach. Common Therapist Mistakes When Working with Gay Men What Therapists Need to Understand About Hookup Culture, Risk, and Drug Use Addressing Sexual Trauma and Boundary Violations in the Gay Community Helping Gay Men in Building and Enforcing Boundaries Navigating Presenting, Shame, and the “Velvet Rage” Creating a Safe and Affirming Space for Gay Clients Using Social Media and Influencers as Cultural Education Therapist Takeaways Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Therapy Insurance and Billing Trends for Private Practice in 2025: An Interview with Sanjana Sathya Curt and Katie chat with Sanjana Sathya, co-founder of Thrizer, about the current landscape of mental health billing and insurance. Drawing from the 2025 State of Mental Health Insurance and Marketing report, Sanjana shares insights from hundreds of clinicians on reimbursement trends, hybrid practice models, and strategies for reducing administrative burden. They explore how therapists can make sustainable choices about private pay, insurance, and out-of-network billing — all while preparing for future changes in the mental health field. Transcripts and more information for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about how insurance is working for therapy right now Therapists in private practice must make choices between insurance, private pay, or hybrid billing. They all have pros and cons that can shift as the economy and insurance reimbursement rates change. We talked with our partner, Sanjana Sathya from Thrizer about a survey they conducted to identify what the state of insurance is now. ·       Survey insights on therapist billing models ·       Pros and cons of accepting insurance as a therapist ·       Exploring private pay and hybrid models for therapy practices ·       What is out-of-network billing and how can therapists use this model to best effect? ·       How therapists can choose a trustworthy billing service ·       How to future-proof your therapy practices Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Navigating Incel Culture: Therapy Approaches for Manosphere Clients Curt and Katie respond to all the discussions that popped up about the Netflix series Adolescence and its portrayal of a 13-year-old boy accused of murder. We chat about the complexities of working with clients labeled as "incels." We also explore the importance of understanding the impact of that label (especially when clients are not self-identified as “incels”), internet culture - particularly the manosphere, and the challenges therapists can face when working with clients holding these beliefs.  Transcripts and additional information for this episode will be available at mtsgpodcast.com! In this podcast episode we discuss working with clients labeled as "incels" Curt and Katie explore the focus on “incels” in the discussions about the Netflix series Adolescence. We dive into the nuances of understanding internet subcultures and how therapists can effectively work with clients influenced by the manosphere, while also addressing concerns about suicidality, homicidality, and therapy strategies. What is an "Incel" and where does that term fit into the evolution of the manosphere internet community? Challenges in therapy with clients from the manosphere (incels, red pill, men's rights groups) The intersection of autism and the incel community in therapy Safety concerns: Suicidality and homicidality in clients from manosphere communities Strategies for effective therapy with clients from the incel/manosphere communities Key treatment goals when working with clients from the incel community Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Planning for Death or Incapacitation - What Therapists Need to Do: An interview with Dr. Robyn Miller, Ph.D. Curt and Katie chat with Dr. Robyn Miller, Ph.D., of TheraClosure about professional wills and what therapists need to do to effectively plan for their own incapacity or death. She shares her experience stepping in as a practice executor for colleagues, the trauma that can result when therapists disappear without explanation, and the systems she’s created through her program to provide compassionate and organized transitions for patients. This is a conversation about professional wills, ethical responsibilities, and why planning for the worst brings peace of mind. Transcripts and more information for this episode will be available at mtsgpodcast.com! (Show notes provided in collaboration with Otter.ai and ChatGPT.)   In this podcast episode, we talk about planning for a therapist’s unexpected absence, incapacity, or death Too many therapists avoid thinking about what will happen to their clients if they can no longer practice due to sudden illness, incapacitation, or death. Dr. Robyn Miller joins Curt and Katie to discuss why it’s essential to have a professional will, and how to make sure you’re not leaving your clients without closure or support. Why Therapists Must Plan for Death or Incapacitation What Goes into a Professional Will for Therapists The Role and Burden of a Practice Executor Creating a Plan that’s Clinically Thoughtful Systemic Issues and Professional Responsibility Action Steps for Modern Therapists Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Interpersonal Branding - Therapist Marketing That Aligns With Who You Are: An interview with Carrie Wiita Curt and Katie chat with Carrie Wiita about authenticity, first impressions, and why traditional business coaching doesn’t work for most therapists. Carrie critiques traditional business coaching models that rely on anecdotal “success stories” and mindset hype, and instead offers a relational, thoughtful, and research-informed framework to help therapists show up in alignment with their professional identities. We also explore the unique challenges therapists from marginalized communities face in marketing, and how systemic issues influence visibility and access. Transcripts and more information for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about how therapists can market themselves ethically, authentically, and effectively Marketing for therapists doesn’t have to feel slimy, manipulative, or one-size-fits-all. Carrie Wiita, a marketing therapist and creator of interpersonal branding, shares how therapists can use their natural strengths, values, and clinical insights to build trust through marketing—without pretending to be someone they’re not. What is Interpersonal Branding for Therapists? The Problem with Traditional Business Coaching for Therapists The Impact of First Impressions on the Therapeutic Relationship Navigating Identity and Professional Boundaries as a Therapist Marketing and Systemic Oppression with the Therapist Profession Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Special Episode: Modern Therapist’s Consumer Guide on JotPsych Curt and Katie talk with Nate Peereboom, CEO and co-founder of JotPsych, an AI-powered scribe designed to automate therapy notes and save therapists 90–95% of their note-taking time. Jot Psych supports over 30 languages, integrates with many EHRs, and prioritizes security and privacy. In this conversation, we dive into how AI can support clinicians while protecting the integrity of the therapeutic relationship. This episode is part of our Modern Therapist Consumer Guide, where we explore innovative tools and services built for therapists and their clients. In this podcast episode we talk about AI Scribes and making your clinical documentation more efficient and effective with JotPsych We explore how Jot Psych uses artificial intelligence to ease the documentation burden in therapy practices, while maintaining HIPAA compliance and respecting client privacy. Interview with Nate Peereboom, JotPsych 0:01:07 - Nate introduces himself and JotPsych 0:02:18 - Origin story of JotPsych and why they created the company 0:05:34 - Mission, vision, and values of the business 0:09:42 - Process of using JotPsych and note generation 0:12:08 - Business and clinical considerations for using AI scribes 0:16:14 - Privacy concerns and client consent 0:20:30 - Concerns about data training and potential AI therapist replacement 0:31:18 - Multilingual capabilities 0:31:52 - Quality assurance processes 0:34:49 - Onboarding process for new users 0:40:16 - Where to find more information about JotPsych Curt and Katie Chat – Our review of JotPsych 0:42:07 – Katie and Curt talk through our impressions of JotPsych: Considerations for choosing JotPsych, paying attention to scope and accuracy in documentation that is produced, how tools like Jot Psych can serve solo and group practices, the importance of testing AI tools in real-world practice before full adoption A Special Offer for the listeners of Modern Therapist’s Survival Guide podcast from JotPsych Try Jot Psych with a 10-day free trial and get 50% off the first two paid months. Visit jotpsych.com/modern-therapist and use code MODERN Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/

When Laws and Ethics Conflict: Civil Disobedience, Social Justice, and Our Role as Therapists Curt and Katie chat about what happens when legal requirements clash with ethical responsibilities—and how therapists can stay grounded in their values while navigating complex decisions. When you find yourself in a situation where the law seems to contradict your ethics, or even violate your clients’ basic human rights, what do you do? In this deep-dive episode, we explore the tension between law and ethics and the moral courage required to practice in alignment with your values. From post-9/11 changes in APA’s ethics code to current issues like gender-affirming care restrictions, we explore real-world implications and guide you through a framework for ethical decision-making in the face of legal and systemic challenges. This is a continuing education podcourse. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we talk about laws, ethics, and the difficult decisions therapists face in practice Executive orders and nationwide proposed legislative bills that affect mental health have left therapists wondering, “Will my ethics protect me?” This episode and podcourse explores the interplay between laws and ethics, how professional organizations guide therapists when laws and ethics collide and gives a framework for how therapists should proceed. Participants will learn how to identify potential conflicts, understand their legal and ethical obligations, and develop effective decision-making processes. Topics explored will include risk management strategies, consultation best practices, and documentation considerations in conflictual situations. How do Modern Therapists navigate Ethics vs. Law in our practices? ·      Where clinical ethics and legal obligations collide ·      How our ethical codes approach this conflict (APA, ACA, NASW, CAMFT) ·      The importance of understanding your responsibilities beyond compliance Civil Disobedience as Therapists out in the world and in our offices ·      Philosophical roots: Antigone, Nuremberg, and post-9/11 ethics reform ·      When following the law may cause harm to clients or communities ·      How to protect your license while still honoring human rights Real-Life Legal versus Ethical Dilemmas for Modern Therapists ·      What to do when reporting requirements might increase harm ·      How to support trans and gender-diverse clients in states with discriminatory laws ·      Navigating confidentiality, documentation, and advocacy A Therapist’s Decision-Making Process for Civil Disobedience From Knapp, S., Gottlieb, M., Berman, J., & Handelsman, M. M. (2007). When laws and ethics collide: What should psychologists do? ·   Seek consultation to understand your legal requirements (know what the law is actually asking you to do, even if that means taking the time to consult with an attorney) ·      Clearly understand your ethical obligations (read the language of the ethics code and consult with trusted colleagues) ·      Consider alternatives that allow following the law while upholding your values ·      Contemplate violating the law only if no viable alternatives exist, and if so, limit disobedience to the minimum necessary to fulfill the higher goal Receive Continuing Education for this Episode of the Modern Therapist’s Survival Guide Continuing Education Approvals: Continuing Education Information including grievance and refund policies. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Reproductive Mental Health, Intersectionality, and Systemic Barriers: An interview with Dr. Loree Johnson Curt and Katie chat with Dr. Loree Johnson about the intersections of reproductive mental health, race, and systemic injustice. Dr. Johnson shared powerful insights about the shame, grief, and medical trauma that many clients face, especially Black women and other folks from historically marginalized communities. We dive into how therapists can hold safer, more informed spaces for clients experiencing infertility and pregnancy loss, and how systemic racism and historical harm continue to shape reproductive healthcare today. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about reproductive trauma, systemic barriers to care, and the need for cultural humility in therapy We were honored to sit down with Dr. Loree Johnson, LMFT, PhD—an expert in reproductive mental health who brings both clinical expertise and lived experience to the conversation. We explore how therapists can better support clients navigating infertility, pregnancy loss, and trauma, especially clients from marginalized communities. What do therapists often get wrong about reproductive mental health? ·    Avoiding the conversation about infertility and pregnancy loss because therapists feel undertrained or uncomfortable ·   Therapists overlook the impact of race, history, and oppression in reproductive trauma ·   Assuming fertility issues affect only straight, cisgender couples ·   Minimizing or misunderstanding the grief associated with pregnancy loss and infertility What is the role of systemic racism and historical trauma for Black women seeking reproductive care? ·    Mistrust of the medical system due to real, generational harm (e.g., J. Marion Sims, Henrietta Lacks, Tuskegee) ·    Myths of hyper-fertility in Black women and the erasure of infertility struggles in communities of color ·   Disenfranchised grief and cultural stigma around fertility challenges ·   Weathering: the cumulative impact of chronic stress and racism on physical and reproductive health How can therapists show up better for clients who are experiencing infertility and pregnancy loss? ·   Learn the terminology and processes around fertility treatments and pregnancy loss ·   Create space for conversations around sex, reproduction, and grief—even if it’s uncomfortable ·   Practice cultural humility and intimacy: be willing to be wrong, to sit with pain, and to build trust ·   Acknowledge your own limitations and biases while staying curious and committed to learning ·   Be prepared for these conversations—even if you don’t specialize in reproductive mental health Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

What Therapists Need to Know to Support the Trans Community: An interview with Artie Hartsell Curt and Katie chat with Artie Hartsell from ACLU North Carolina about how current anti-trans policies are impacting the trans community. We explore the historical erasure of trans identities, the rise of anti-trans legislation, and the real-world impact on housing, medical care, and documentation. Artie also shares resources for legal aid, community support, and how therapists can show up for their trans clients. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode, we explore the real-life consequences of anti-trans policies Curt and Katie sit down with Artie Hartsell, MSW, an advocate and organizer with the ACLU of North Carolina, to discuss how recent political changes are affecting the trans community. How are trans rights being threatened today? Over 1,000 anti-trans bills and executive orders have been introduced in the U.S. Passport and documentation delays create barriers for trans individuals. Housing discrimination and increased risks for unhoused trans individuals. Medical care restrictions limit access to gender-affirming treatment. A rise in state and local laws emboldening discrimination against trans people. What can therapists do to support trans clients? Make their practice as welcoming as possible by being transparent about their knowledge and limitations. Partner with local LGBTQ organizations to stay informed and provide accurate resources. Be mindful of documentation practices to protect trans clients from potential harm. Encourage trans clients to build strong communities and mutual aid networks. Resources for Trans Individuals and Allies: Legal Aid and Advocacy: ACLU, Lambda Legal, National Center for Lesbian Rights Medical Resources: Campaign for Southern Equality, Gay and Lesbian Medical Association (GLMA) Community Support: PFLAG, local LGBTQ centers How can allies and therapists take action to support the trans community? ·   Educate yourself on trans rights and the implications of recent laws. ·   Provide direct support by connecting trans clients to legal and medical resources. ·   Engage in advocacy through organizations like the ACLU and local LGBTQ groups. ·   Encourage trans individuals to document and preserve their community’s history. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/