An ACEs community for connecting with others who practice trauma-informed care. You can also access the latest news and research related to ACEs; this site also has a huge resource section with guides, surveys, webinars, and more.
A variety of free worksheets,
handouts, book chapters, articles, and more. Acceptance and Commitment Therapy
(ACT) is a unique and creative model for both therapy and coaching; a type of
cognitive behavioural therapy based on the innovative use of mindfulness and
The Centre for Applied Research in
Mental Health and Addiction (CARMHA) is an internationally recognized research
centre based at the Faculty of Health Sciences, Simon Fraser University,
Vancouver. CARMHA conducts innovative and interdisciplinary scientific research
related to mental health and substance use, primarily in the areas of clinical
or other intervention practice, health systems and population health and
epidemiology. Access free downloadable workbooks for stress in the workplace,
depression, coping with chronic pain, and other topics.
This website provides CBT self-help
and therapy resources, including a large collection of worksheets and
information sheets and self-help mp3s; a useful tools for therapists or
individuals seeking to manage a mental health condition.
Kim Peterson, LPC-S, specializes in
child and teen issues, parenthood, play therapy and relationships. She provides
links to online worksheets or PDF versions that she has collected over time as
a therapist. Topics include abuse, depression, anxiety, self-harm, and more.
A nonprofit organization that
discovers and reviews mental health apps, which are rated as unacceptable,
questionable, or acceptable. You can also search target conditions and
treatments. Use this site to make recommendations to your clients.
A division of the American
Psychological Association, this site provides an up-to-date list of
evidence-based treatments, and includes links to free assessments, manuals,
handouts, etc. for many of the treatments
There are a variety of 12-step support groups for recovery. 12-step meetings are not facilitated by a therapist; they’re self-run. Support groups are not a substitute for treatment, but can play a crucial role in recovery.
The following list, while not comprehensive, will link you to both well-known and less-familiar 12-step (and similar) organizations and support groups for recovery.
As a #researchNerd, I’m obsessed with new discoveries and scientific explanations, especially when it comes to human behavior. Here are five interesting studies that have been published this year (and it’s only April!)
By Cassie Jewell, LPC, LSATP
I’m something of a #researchNerd. I fell in love with my research and stats class in college. My undergrad study (on tipping behavior) was even published in a peer-reviewed international journal!
It was in grad school that I strayed from the research path to pursue a more clinical route (counseling).
Today, to satisfy my appetite for science, I subscribe to ScienceDaily, an amazing site that posts short summaries of the latest findings in health, technology, and society.
Here are some of the more interesting findings from ScienceDaily in 2019 (and it’s only April!):
We already know there’s a link between junk food and certain medical conditions (i.e. obesity, cardiovascular disease, diabetes), but more and more researchers are finding a strong correlation between diet and mental well-being.
In this study,
researchers found that people who ate more junk food (sugar-sweetened
snacks/drinks, fried foods, etc.) had higher levels of psychological stress.
It turns out, there’s a reason it’s hard to forget about all the good times with your ex or get that cringe-worthy mishap at work out of your head; it takes more brain power to forget than to remember. According to a recent study, it takes a “moderate amount” of brain power to intentionally forget something. (#worthIt)
Are you being “hunted”?
Or “gathered”? It turns out, male and female serial killers have distinct approaches
when it comes to killing. Evolutionary science may explain why men tend to
stalk their victims while women’s victims tend to be people they know.
This unsettling study revealed that individuals with obesity are not only stigmatized, but dehumanized. Researchers found that obese persons were considered “less human.” This type of attitude can lead to ridicule or discrimination.
Why is it important to set and adhere to healthy boundaries? How can you tell if yours are weak?
By Cassie Jewell, LPC, LSATP
“Good fences make good neighbors.”
When I picture a boundary, I imagine drawing a circle with a stick in the dirt… with me in the middle. I stay in; everyone else stays out. Boundaries are protective; they keep us safe. Without boundaries, you have no limits, no sense of direction. Without boundaries, you open yourself up… anyone can come in, with good or bad intentions.
If you have poor boundaries in a dating relationship, you could end up doing things you’re not comfortable with. Or, another example might be with your boss; if you don’t set firm limits, you could end up taking one extra tasks.
I once worked with a client who regularly violated his partner’s boundaries by yelling, “Phone check!” whenever he wanted to check his girlfriend’s cell. She’d hand it over and he’d review her calls/read her texts. It was a boundary violation for sure. Everyone has a right to privacy. (That being said, your partner never has the right to go through your phone, read your journal, request your social media passwords, etc. Those are all boundary violations; they could also indicate that the relationship is in trouble.)
Another way to conceptualize a boundary is to picture mosquito netting. It keeps the mosquitoes out, but it’s flexible and lightweight. It lets in air, sunlight, a cool breeze… A mosquito net is a healthy boundary. If you were to instead build a brick structure, you’d be doing a lot of unnecessary work and you’d probably still get bit.
It’s best to be up front and honest about the boundaries you set (which requires assertiveness). With your boss, the first time he asks if you can stay late on a Friday, you might end up saying yes. (It’s probably just a onetime thing, right?) Seeing that you don’t say no the first time, he may continue to ask you to stay late or take on extra work. The alternative (boundary-setting) option would be to say (when he first asks), “I’m sorry, although I’d love to be able to, I have a policy against being away from home on Fridays. It’s family night at my house.” It’s unlikely he’ll ask you again because you very firmly (and politely) set a boundary.
On the other hand, if you’re passionate about your career, you could be flexible and stay late (especially if you’re hoping for a promotion or a raise) without feeling as though your boundaries have been violated. The important thing is to know where you stand (i.e. what your boundary is).
Equally important to setting boundaries is adhering to them once they’re established. There are people out there who love to test boundaries. A boundary is useless without follow through. Your boundary becomes meaningless if you say you’re not going to do something and then you do it anyway. If you tell your child “no candy before dinner,” but then finally give in after several bouts of dramatic tears, you’re sending a message. The message is “When I say no, I don’t mean it.” It’s important to be consistent with boundaries.
Signs of Weak Boundaries
A lack of assertiveness
Altering your personal values for someone (especially in a romantic relationship)
Having a sexual relationship with someone when you’re not ready
Not being able to say “no”
Trusting others quickly (when it’s not warranted)
Falling in love quickly or believing an acquaintance is your best friend when you only met the day before
Rigid boundaries, on the other hand, are at the opposite end of the spectrum. A person with rigid boundaries doesn’t trust easily or let others in. It would be difficult to be in an intimate relationship with a person with rigid boundaries.
How to Develop Healthy Boundaries
Firstly, know that it will take time. Be patient with yourself and don’t criticize yourself if you fall back into old habits.
Recognize (and accept) your right to establish and adhere to personal boundaries. Read one of Dr. Cloud’s books on boundaries or Melody Beattie’s Codependent No More. Personally, I like Co-dependents Anonymous’ recovery literature. It’s an easy read (four pages) and you can access it for free.
If you haven’t already, take time to clarify your values. You can do a values sort – there are plenty of free resources online. It’s something I frequently do with my clients. What’s most important to you? Family? Integrity? Kindness? Have unhealthy boundaries affected this value in the past? (If kindness is most important to you, and you identify as a “people pleaser,” consider all the times you’ve been unkind to yourself. Explore ideas for practicing kindness to both others and self.)
Also, deliberate on the behaviors you find unacceptable (in terms of how you’re treated). Looking back on past relationships, I dated men who cheated on me, called me names, were mean to my friends, and yes, even checked my phone. Completely unacceptable. At this point in my life, I have a zero tolerance policy.
When you establish boundaries, especially with those who don’t expect it (i.e. your mother-in-law or the neighbor who regularly lets his dog romp through your garden), anticipate some push back. It probably won’t feel good in the moment.
Practice assertiveness. Don’t back down. If someone is particularly resistant, don’t engage in an argument. You don’t owe an explanation. You don’t even have to respond. Remain calm; walk away if needed. If it helps, pre-plan your exact wording. (“I’m sorry, but I’m no longer able to stay till 9 on Fridays. Unexpected circumstances at home won’t allow it.”) Be concise. Don’t be overly apologetic.
If the person you’re setting boundaries with is a significant other or family member, I’d recommend transparency. Let them know that you’re going to make some changes. Share how unhealthy boundaries have negatively impacted you. (Give specific examples if you can.) Don’t place blame. Talk about how healthy boundaries will positively impact not just you,but the relationship. It may still be difficult. There may be some tension; the relationship might feel strained. (And it’s okay.)
If you set boundaries and find them repeatedly violated; firstly, take a step back and reevaluate the situation. Have you been clear and consistent? If so, you may want to consider spending less time with this person or even ending the relationships. Unfortunately, while you can set boundaries, you can’t force someone to respect them.
In sum, boundaries are imperative. Skin is a boundary that keeps other organs in place; it shields our body systems from toxins, viruses, and bacteria that would otherwise be deadly. It keeps the bad stuff out (and the good stuff in). Healthy boundaries are our emotional skin. If you need a boundaries tune up, it could take some effort, but is well worth it. You’ll experience increased satisfaction in your relationships and will feel more confidence.Your overall well-being will improve; boundaries are freeing – by communicating your needs, it’s less likely you’ll feel angry or resentful. And lastly, you’ll find that others have a greater level of respect for you. “Good fences,” it would seem, are not limited to neighbors!
Icebreaker activity – good for newly formed groups. Each group member writes down other clients’ names. The facilitator then reads each “impression” and group members have the opportunity to share their answers. Group facilitator can link this activity to how addiction and mental illness are “invisible” (optional).
Give group members 15-20 minutes to find signatures. The first person to collect 20 signatures sits down. (I usually give prizes.) The group facilitator then reviews the questions. (If short on time, use the short version.)
A writing assignment for an individual who is in treatment and has relapsed on drugs or alcohol. (This can be used as a narrative therapy technique; the client is tasked to write a story. If they are struggling to process what happened, it may be easier to write in third person or about someone else’s life, not their own.)
“It was the bad supervisors who taught me what NOT to do.”
Are you an effective clinical supervisor? What is helpful… and unhelpful in supervision? Read about Reddit users’ experiences with clinical supervision, including the traits of “bad” supervisors.
By Cassie Jewell, LPC, LSATP
Shortly after being trained and approved as a clinical supervisor, I took on my first supervisee (whom I’ll call “DM”). I was confident in my abilities and knowledge as a counselor, but quickly learned it takes more than skill or expertise to provide effective supervision.
In one of my first sessions with DM, I inadvertently offended her (and thereby damaged our newly forming rapport). We were discussing personal and professional growth, which led to a “bucket list” discussion. I shared how I’d always wanted to do a police ride-along; DM immediately stated that as an African American woman, this was distasteful to her. Unfortunately, I missed my cue and continued to talk about how exciting it would be. Meanwhile, she felt disrespected. In this instance, I got carried away with talking about myself and my interests, ignoring her feelings on the subject. I came across as ignorant, in the least, and at worst, culturally insensitive or uncaring.
Another time, I suggested that DM (who held a doctorate degree in counseling) stop referring to herself as “Dr. ____,” as it caused confusion when coordinating with outside agencies. Once again, she felt upset and misunderstood. She later explained that I failed to take into account all she had overcome to earn that degree. It was more than a title to her; it represented triumph in the face of adversity. Furthermore, it was a piece of her identity as a helper and as a role model to African American women. Although well-intended, my suggestion was offensive on several levels. In hindsight, I could have explored how she viewed herself as a professional or simply asked why she called herself “Dr. ____” before commenting.
Self-awareness is crucial for effective supervision and self-care is essential for coping with stress.
More recently, a different supervisee (whom I supervise both clinically and administratively) told me that I had been acting out of character by “harping” on her about completing various assignments. I checked myself and was able to recognize my high level of stress was indeed impacting our interactions. Self-awareness is crucial for effective supervision and self-care is essential for coping with stress.
Reversing roles, looking back on supervisors I had in grad school and as a new counselor, I can recall what was beneficial and what wasn’t (or was annoying/upsetting/disturbing… even unethical). What helped the most was direct feedback, along with specific suggestions for improvement. Constructive criticism, while unpleasant, made me a better clinician (and probably a better person). Feeling supported and having my doubts or fears normalized was also helpful.
The bad supervisors taught me what not to do.
On the flip side, unhelpful, “bad,” supervisors were the ones who rambled on about their clients, micromanaged, were punitive, or who never met for supervision. There was even one who called me a hurtful name; the comment came from a misunderstanding, but I took it to heart. It was inappropriate and unprofessional; I carried it for a long time. The bad supervisors taught me what not to do.
This post was inspired by my desire to learn more about what makes supervision effective. I looked to Reddit for others’ experiences and opinions and asked what’s most (and least) helpful in clinical supervision.
Gr8minds is a master’s student and MFT trainee who wrote, “For myself, what I find most helpful is when my supervisor shares questions I may have not thought of about the client’s case. This really helps give a second pair of eyes and I can take those into the next session.”
Questions are as fundamental to supervision as they are to the counseling process. A question inspires contemplation and may lead to a new understanding. An effective supervisor asks thoughtful questions about the client, their upbringing, their beliefs, etc., providing the supervisee with valuable tools to use with their clients.
RomeRawr, a doctoral student, shared about a self-centered supervisor who used sessions to talk about their clients instead of promoting the supervisee’s growth. “What I’ve found least helpful is my supervisor complaining to me about clients. Not conferencing, or asking my opinion, but just complaining to unload.”
A supervisor who complains/vents about clients should not be in a supervisory role. It’s one thing to consult, but to complain shows a lack of empathy and professionalism. It makes me question why that person is even in the field.
To an extent, I can relate; I previously mentioned a “bad” supervisor who, while he didn’t complain, regularly discussed his difficult cases in group supervision. This is how it would go: Dr. BS (Bad Supervisor) would present a case and then seek our (the students’) opinions. He had the audacity to take notes. When we were provided with (rare) opportunities to talk about our clients, he’d make comparisons to his private practice… and seek advice (un-cleverly disguised in the form of, “Well, what do you think you [I] should do?”)
While it can be helpful for a supervisor to share client stories, it should only be as a teaching tool (or to convey empathy). Similarly, a counselor should self-disclose for the client’s benefit, never their own.
grace_avalon, clinical counselor, holds a master’s degree and has been licensed in Minnesota for over a year. “I’ve had so many supervisors. The best ones worked me hard, required consultation with every DA (a word-for-word transcript of a counseling session)… [were] highly involved and observed me closely, tirelessly… and responded neutrally and understood my tears. We met privately, which was pivotal to growth.”
A supervisor can’t be a gatekeeper if they don’t know to close the gate.
An effective supervisor expresses empathy; they’re not reactive. An effective supervisor is also dedicated; they strive to help the supervisee by observing his/her interactions with clients and/or reviewing lengthy transcripts. A lazier supervisor might give advice/feedback based solely on the supervisee’s report, which is subjective. There’s a place for this in supervision, but it can’t be the only method of assessing a supervisee’s skill. Reviewing recorded sessions or transcripts is time-consuming (and, not gonna lie, boring), but imperative for a counselor’s growth. (It should also be noted that a supervisor can’t be a gatekeeper if they don’t know to close the gate.)
_PINK-FREUD_ is a clinical psychology doctorate student (with an MA in clinical psychology) who provides therapy to children, adolescents, and families. “My most helpful supervisor taught me to examine how my history comes into the room with clients. For example, my very first client told me something painful about a learning disorder and I responded with humor. Basically achieved the polar opposite of attunement. The footage was cringeworthy af. She didn’t shame me about it (of course, I was shaming myself anyway), but just inquired as to why I did that I realized I’ve dealt with my own LD with humor and by “laughing it off,” which led me to automatically and inappropriately apply that same response to my client… That supervisor showed me to move past the shame of making mistakes and towards understanding why I made that mistake. She led me through that process of self-examination countless times, and it taught me to do it independently.”
Being aware, both self and of what the client/supervisee is experiencing, is a vital component of counseling and supervision. In fact, many of my early (and more recent) mistakes could have been avoided had I been more attuned.
_PINK-FREUD_ also shared, “Another good supervisor trait IMO is someone who does not guess why a mis-step was made. I’m currently working on interrupting my clients more instead of letting them ramble –something I think mainly stems from the very common newbie clinician fear of invalidating or injuring the client. That supervisor pointed out my mis-step, then spoke about my need to “be friends with clients,” which felt off to me. When I tried to express that, I was perceived as defensive about having poor boundaries. It really broke my trust with that supervisor. I felt that he had made blind judgments about my underlying motivations for responses without listening to my explanation. It made it difficult for me to go to him for help with tough cases as I was afraid of the conclusions he would jump to. ASK, don’t tell your students for their motivations. It builds trust that you seek to understand them and also teaches them how to do this independently.”
Similarly, it broke trust when one of my “bad” supervisors called me a name. She made an assumption based on a blind judgment. Assumptions, sometimes true, but more than often not, have no place in supervision (or counseling). Going back to awareness, it’s important for a supervisor to recognize when they’re making assumptions.
alfredo094, an undergraduate student, shared that as a supervisee, “having [a supervisor] that knows me very well and listens to everything that happened to the session in detail is important.”
As counselors, we listen to what our clients say. By listening, we learn and are able to provide support and guidance. The same is true for supervisors. Listening and being fully present with the supervisee will help him/her to become a better counselor.
What are some of your experiences in supervision? Share in a comment!
What questions are people asking about mental health? Quora posts indicate that misconceptions and myths related to mental illness and addiction prevail. Read the top 40 most unsettling questions on Quora.com.
By Cassie Jewell, LPC, LSATP
I conducted a Facebook poll to ask about knowledge of mental health. A majority of the respondents (83%) viewed themselves as “very or quite knowledgeable.” Only 17% of those polled reported having little (or no) knowledge.
I turned to Quora (an online platform for asking questions) to see what individuals who view themselves as less informed may be asking about mental illness. What I found ranged from thought-provoking to comical to disturbing.
Continue reading for 40 of the most unsettling inquiries I came across. The following Quora question posts illustrate some of the misconceptions surrounding mental disorders.
1. “Is mental illness really an illness?”
2. “Is mental illness catchable?”
3. “Do people with mental disorders have friends?”
4. “Are people who self-harm just looking for attention?”
5. “Is drug addiction really just a lack of willpower?”
6. “Can a person be intelligent and a drug addict?”
9. “Why should one feel sorry or sympathetic for drug addicts, given most of them chose this life?”
10. “Instead of ‘rescuing’ drug addicts who have overdosed, wouldn’t society as a whole benefit from just letting nature take its course?” (If that was the case, shouldn’t we then withhold all types of medical treatment and preventative or life-saving measures… to allow nature to take its course?)
11. “Is there any country in the world that won in the war against drugs by killing the users or the drug addicts?”
12. “Why should we lament drug addicted celebrities dying of drug-related causes? It’s their fault for starting a drug habit.”