When people find out I served in the military, their usual response is, “Thank you for your service.” This is popular on Veterans Day.
Honestly, I never know how to respond. I typically say ‘thank you’ back. I never say, “You’re welcome.” Something meant to be pleasant sometimes becomes an awkward exchange. It’s not like other holidays when I can confidently reply ‘Happy Thanksgiving’ or ‘Happy Holidays.’
I reflected on why I have such a hard time accepting credit for my service – and I found two major culprits.
Firstly, when I hear the word “veteran,” it conjures up images of classic war movies with brave heroes like John Wayne in The Green Berets or Charlie Sheen in Platoon, engaging in jungle warfare in Vietnam.
I also think about the men of WWII considered ‘The Greatest Generation’ with their elegant olive drab green uniforms and Jeeps; one of my favorite shows is Band of Brothers on HBO.
Although I tried my best to do my job everyday, I couldn’t relate to nor live up to those expectations. Those men jumped out of airplanes into aerial artillery to fight off the Nazis.
But every Veteran has their own story – and this one is mine.
Combat, Coffee, & Staying Sane
My first combat tour was Operation Iraqi Freedom from the year 2004 to 2005. I remember one long year of staring at a computer, daily gym workouts, and running on the treadmill.
We came under attack several times, and it was dangerous; however, the hardest part of the deployment was keeping our minds busy and sane. The best medicine for my mental health was coffee, music, workouts, bootleg movies, and books. Care packages and letters were a rare treat.
A prominent memory I have is when the helicopters landed on our last night to take us to the airport to start our long journey back home. The memory of that night has remained vivid in my mind for over 17 years.
PTSD
I think the second reason I find it difficult to respond to ‘thank you for your service’ is that I try to avoid traumatic memories. For a person with post-traumatic stress disorder (PTSD), it is typical to steer clear of conversations that may trigger unwanted memories.
Recently, I reflected on a memory I had been avoiding for quite some time. I was attached to a unit in Herat, Afghanistan in 2009, co-located with our Italian NATO partners. I remember the first day I landed. It was a cold morning, about 3 a.m., and I was transported alone by a cargo plane. All I could see was shadows of tents and huts and the silhouette of the mountains. I remember the stars shined like bright diamonds like I had never seen before in the United States.
I would spend four months at that location. It was difficult at first; however, we gained momentum and accomplished several missions.
Our base was attacked late one night; most of the staff had already gone to bed. I heard the first explosion from a distance. Several explosions followed, and they kept getting closer.
The enemy was creeping Rocket Artillery from the mountains. We were extremely vulnerable because we lived in tents and worked out of wooden huts. There were several concrete bunkers spread throughout the base for added protection, so my first reaction was to put on my gear and go wait it out in the bunker.
I was the first one there and I waited for everyone to follow. I was safe but I was alone, and I was worried about the others. No one joined me. I left the safety of the bunker and went to check on one of my friends. He was dead asleep. I remember waking him to the sound of explosions. “We are being attacked,” I said. He woke with a start and put on his armor vest and helmet and set off to check on the others.
The rest is a blur. I remember we split up to wake everyone, directing them to the bunkers, while the reaction team set out to take care of the shooters. By the time I made it back to the bunker, it was full. I crammed in at an exposed end. The explosions kept getting closer and started to hit some of our tents and equipment.
I remember feeling terrified from the uncertainty and the deafening explosions. We were lucky we did not lose anyone that night.
Thinking back on this memory, I realize I didn’t think twice about risking my safety to help my fellow soldiers. It’s what I would expected from them as well.
Normally, when people say “thank you for your service,” they don’t know why they are actually thanking me, and honestly, until recently, neither did I.
The Aftermath
The things I experienced while serving have been the source of nightmares, anxiety, and depression. What’s more, when I returned from deployment, I had to face life, new careers, civilian culture, housing, anger, marital problems, and financial stress without the moral support I used to get in the military.
I actually missed the life purpose supplied by combat and the need to feel needed by my band of brothers. At first, I tried to cope with alcohol, as many veterans do, but I realized it was not the answer. I eventually sought expert help from the Veterans Affairs. Today, part of the way I cope is by helping others as a mental health counselor.
Conclusion
After much thought and self-reflection, I am finally able to accept the great complement, “Thank you for your service.”
This is what you are thanking me for: I chose a timeless and noble profession. I chose to serve. I left the comfort of my family and my home to follow through with a commitment, to make good on an oath I made when I was a skinny 18-year-old fresh out of high school. I chose to stay drug-free and obey all the laws, to lead an honorable life to be fit for duty and able to serve. I chose to risk my safety for the benefit of the greater good. So, thank you for acknowledging my service.
And to all my fellow veterans: Soldiers, Airmen, Sailors, and Marines, “Thank you for your service.”
Call TTY if you have hearing loss at 1-800-799-4889
If you are in crisis or having thoughts of suicide, visit VeteransCrisisLine for more resources.
About the Author: Seferino Martinez is a Texas native who joined the military after graduating high school. He is a veteran of both the Operation Iraqi Freedom and Operation Enduring Freedom (Afghanistan). He has a Master’s Degree in Counseling from Liberty University and is a Licensed Mental Health Professional in the state of Virginia.
This guide has 50+ free resources for overcoming perfectionism including assessments, worksheets/handouts, workbooks, guides, videos, articles, and more.
Do you hold yourself or others to unrealistic standards and find yourself defeated or frustrated when those standards aren’t met? Are you sensitive to criticism and have a fear of making mistakes? Do you have a tendency to procrastinate? Are you driven by fear or have an intense fear of failure? If so, you may be a perfectionist. And it may be hindering you instead of helping.
The best TED Talks for addiction and recovery, along with other powerful YouTube videos to play for clients in a treatment setting – or for yourself or for anyone who desires to learn more about substance use.
The following best TED Talks for addiction are entertaining, insightful, and though-provoking.
2. Addiction: A Story of Stigma, A Story of Hope | Scott McFadden (2020)
This 18-minute talk delivered by Scott McFadden is one of the best TED Talks for addiction as it addresses stigma and sends a message of hope.
Excerpt:Scott McFadden is a Licensed Addictions Counselor, who also identifies as a person in long term recovery from heroin and other drugs. He shares a harrowing story of incarceration and a long journey to recovery while explaining the dynamics of addiction and the labels, shame, and stigma which have become the greatest obstacles to turning around the opioid epidemic.
He shows us the need to talk to one another to overcome the secret places where shame resides. This is a story of vulnerability and hope!
5. Addiction Neuroscience 101 (2018)
Approximately 25 minutes, an overview of the neurobiology of addiction.
4. Chris Herren Speaking on His Addiction Recovery Story | PeaceLove (2015)
A 17-minute motivational speech delivered by Chris Herren.
Excerpt:Hear former professional basketball player and motivational speaker Chris Herren speaking about his recovery from drug addiction. Since August of 2008, Herren has been drug-free and alcohol-free, and has refocused his life to put his sobriety and family above all other things.
This fascinating 19-minute video clip from Rachel Wurzman is one of the best TED Talks for addiction as a biopsychosocial disorder.
Excerpt: Addiction to opioids is now officially a national emergency. But why are addiction rates spiking and what can we do about it? Neuroscientist Rachel Wurzman shares new research about how the brain reacts to opioids, replacing the sense of community and belonging human beings are losing. We are beginning to understand that solving the opioid epidemic will require us to focus on social factors surrounding those addicted.
6. Do You Have More Heart Than Scars? | Zackary Paben (2017)
A 17-minute inspirational talk by Zackary Paben.
Excerpt:How can resilience and interdependence impact the arch of our personal narrative to transcend from victim to hero? Since 1991, Zack has been empowering adolescents and adults as a mental health/recovery professional in a variety of modalities, including wilderness and residential.
As he continues to face his own visible and invisible scars, he innately has to acknowledge the wounds of others and encourage them in their own healing process.
7. Everything You Think You Know About Addiction Is Wrong | Johann Hari (2015)
A 15-minute video from Johann Hari. This piece is somewhat controversial because it suggests that addiction is a social/environmental issue while failing to address the impact of trauma, genetics, brain chemistry, etc. This clip is an excellent tool for generating discussions and is one of the best TED Talks for addiction.
Excerpt:What really causes addiction — to everything from cocaine to smart-phones? And how can we overcome it? Johann Hari has seen our current methods fail firsthand, as he has watched loved ones struggle to manage their addictions. He started to wonder why we treat addicts the way we do — and if there might be a better way.
As he shares in this deeply personal talk, his questions took him around the world, and unearthed some surprising and hopeful ways of thinking about an age-old problem.
8. Great Leaders Do What Drug Addicts Do | Michael Brody-Waite (2018)
An 19-minute talk from Michael Brody-Waite, entrepreneur and addict in recovery.
Excerpt:This is my story from drug addiction and homelessness to founding and leading a company on the Inc 500 list. There are 3 principles that saved me from death and set me apart as a leader. They are small enough to fit in your pocket, yet big enough to change your life. The best part is that anyone can take these principles and immediately implement them after watching this talk.
9. The Harm Reduction Model of Drug Addiction Treatment | Mark Tyndall (2017)
This 17-minute video from Mark Tyndall about harm reduction and recovery is one of the best TED Talks for addiction treatment.
Excerpt:Why do we still think that drug use is a law-enforcement issue? Making drugs illegal does nothing to stop people from using them, says public health expert Mark Tyndall. So, what might work?
Tyndall shares community-based research that shows how harm-reduction strategies, like safe-injection sites, are working to address the drug overdose crisis.
10. How Childhood Trauma Affects Health Across a Lifetime | Nadine Burke Harris (2015)
16-minute talk by Dr. Nadine Burke Harris on the impact of trauma.
Excerpt:Childhood trauma isn’t something you just get over as you grow up. Pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain.
This unfolds across a lifetime, to the point where those who’ve experienced high levels of trauma are at triple the risk for heart disease and lung cancer.
11. Let’s Quit Abusing Drug Users (2015)
19-minute video clip about addiction and recovery reform from Dr. Carl Hart. He discusses drug use in the context of poverty, social injustice, and ignorance. An excellent video for generating discussion and one of the best TED Talks for addiction and policy reform.
Excerpt:Carl Hart, Associate Professor of Psychiatry and Psychology at Columbia University, offers a provocative, evidence-based view of addiction and discusses how it should impact drug policy.
12. The Merits of Harm Reduction | Melissa Byers (2019)
14-minute video clip from Melissa Byers about addiction, harm reduction, and recovery.
Excerpt: Melissa shares her family’s personal story of addiction and how harm reduction plays a much more significant role to recovery than people realize.
13. Nuggets (2015)
A 5-minute cartoon clip of a kiwi bird who tastes a golden “nugget.” This simple animation doesn’t require words to send a powerful message about addiction. Hauntingly accurate.
14. The Power of Addiction and The Addiction of Power | Gabor Maté (2012)
This 19-minute speech delivered by Gabor Maté is one of the best TED Talks for addiction.
Excerpt:Canadian physician Gabor Maté is a specialist in terminal illnesses, chemical dependents, and HIV positive patients. Dr. Maté is a renowned author of books and columnist known for his knowledge about attention deficit disorder, stress, chronic illness and parental relations.
15. Recover Out Loud | Tara Conner (2017)
One of the best TED Talks for addiction, this 10-minute video clip from former Miss USA, Tara Conner, is all about her personal experience with substance use.
Excerpt:Tara Conner, Miss USA 2006, shares her life-long struggle with addiction and what she has learned from 10 years of sobriety. Addicts are not bad people that need to get good, but sick people that need to get well.
In this challenging and at times humorous talk, she calls for a different response to the addiction crisis.
16. Revitalize | Living With Addiction | Amber Valletta (2015)
16-minute inspirational talk delivered by Amber Valletta.
Excerpt:Supermodel, actress, and fashion icon Amber Valletta opens up for the first time about her daily struggle of living with addiction.
17. Rewriting the Story of My Addiction | Jo Harvey Weatherford (2015)
10-minute video clip from Jo Harvey Weatherford about her personal recovery journey.
Excerpt:Jo Harvey Weatherford develops and implements drug and alcohol prevention programs on the campus of The University of Nevada. In this candid talk she discusses the importance of the stories we tell ourselves about our behavior, and how she rewrote her own story of addiction to alcohol.
18. The Stigma of Addiction | Tony Hoffman (2018)
This 15-minute video from Tony Hoffman is one of the best TED Talks for addiction. He shares about his substance use and stigma.
Excerpt:There is a stigma which many assign to drug addicts, even long after they have overcome their addiction. Tony discusses how his first time smoking marijuana led to his eventual drug addiction, homelessness, prison, and finally redemption.
For Families – The Island of Insanity: Navigating Through Loved Ones’ Addictions | Karen Perlmutter (2022)
A powerful 13-minute video for anyone who is traumatized by the addiction of a loved one.
Excerpt: With a master’s degree in clinical social work, Karen has seen first-hand that addiction is a tragedy with a profound effect on the family. She has ideas on how we can support families in combatting the devastating effects of this disease After earning her undergraduate degree through the University of South Carolina in 2003, Karen began working with teens and families through a therapeutic foster care agency. She pursued higher education in the field, earning her Master’s in Clinical Social Work at the University of North Carolina (Wilmington) in 2007, and continuing on to becoming a Licensed Independent Social Worker.
Karen has over a decade of experience working as a therapist with individuals, couples, and families. She specializes in the treatment of substance abuse and mental illness, and has developed a particular interest in supporting the holistic needs of families who are affected by these struggles.
(Updated 9/22/22) This resource list for anger management includes 75+ articles/guides; free anger assessments (both interactive and PDF formats); free printable workbooks, manuals, handouts, and worksheets; treatment planning resources; research articles/dissertations; and recommended mobile apps.
Please share this resource with anyone you think would benefit!
Anger Management: Client Handbook Series (Source: Carleton University, Criminal Justice Decision Making Laboratory, & Ontario Ministry of Community Safety and Correctional Services, 13 pages)
(Updated 9/22/22) This resource guide for grief & loss is for mental health professionals as well as for anyone who is grieving. This grief & loss guide includes a list of recommended books (for both adults and children); free printable PDF workbooks and handouts; and links to education and support sites.
Recommended Books for Grief & Loss
Disclaimer: This section contains affiliate links. As an Amazon Associate I earn from qualifying purchases.
Ambiguous Loss: Learning to Live with Unresolved Grief (2000) by Pauline Boss, Ph.D. (176 pages)
Bearing the Unbearable: Love, Loss, and the Heartbreaking Path of Grief (2017) by Joanne Cacciatore, Ph.D. (248 pages)
The Grief Club: The Secret to Getting Through All Kinds of Change (2006) by Melody Beattie (368 pages)
Grief Day by Day: Simple Practices and Daily Guidance for Living with Loss (2018) by Jan Warner (272 pages)
The Grief Recovery Handbook, 20th Anniversary Expanded Edition: The Action Program for Moving Beyond Death, Divorce, and Other Losses including Health, Career, and Faith (2009) by John W. James & Russell Friedman (240 pages)
Healing a Teen’s Grieving Heart: 100 Practical Ideas for Families, Friends and Caregivers (Healing a Grieving Heart Series) (2001) by Alan D. Wolfelt, Ph.D. (128 pages)
How to Survive the Loss of a Love (2006) by Melba Colgrove, Ph.D., Harold H. Bloomfield, MD, & Peter McWilliams (208 pages)
It’s OK That You’re Not OK: Meeting Grief & Loss in a Culture That Doesn’t Understand (2017) by Megan Divine (280 pages)
I Wasn’t Ready to Say Goodbye: Surviving, Coping and Healing After the Sudden Death of a Loved One (2008) by Brook Noel & Pamela D. Blair, Ph.D. (292 pages)
No Time for Goodbyes: Coping with Sorrow, Anger, and Injustice After a Tragic Death, 7th ed. (2014) by Janice Harris Lord (240 pages)
Permission to Mourn: A New Way to Do Grief (2014) by Tom Zuba (121 pages)
Resilient Grieving: Finding Strength and Embracing Life After a Loss That Changes Everything (2017) by Lucy Hone, Ph.D. (256 pages)
Unattended Sorrow: Recovering from Loss and Reviving the Heart (2019) by Stephen Levine (240 pages)
When Things Fall Apart: Heart Advice for Difficult Times (2016) by Pema Chodron (176 pages)
The Wild Edge of Sorrow: Rituals of Renewal and the Sacred Work of Grief (2015) by Francis Weller (224 pages)
Recommended Books for Children & Adolescents
The Fall of Freddie the Leaf: A Story of Life for All Ages (1982) by Leo Buscaglia (32 pages, for ages 4-8)
Healing Your Grieving Heart for Kids: 100 Practical Ideas (Healing Your Grieving Heart Series) (2001) by Alan D. Wolfelt, Ph.D. (128 pages, for ages 12-14)
Healing Your Grieving Heart for Teens: 100 Practical Ideas (Healing Your Grieving Heart Series) (2001) by Alan D. Wolfelt, Ph.D. (128 pages, for ages 12-18)
The Invisible String (2018) by Patrice Karst (40 pages, for ages 4-8)
The Memory Box: A Book About Grief (2017) by Joanna Rowland (32 pages, for ages 4-8)
Tear Soup: A Recipe for Healing After Loss (2005) by Pat Schwiebert & Chuck DeKlyen (56 pages, for ages 8-12 years)
When Dinosaurs Die: A Guide to Understanding Death (Dino Tales: Life Guides for Families) (1998) by Laurie Krasny Brown (32 pages, for ages 4-8)
When Someone Very Special Dies: Children Can Learn to Cope with Grief (1996) by Marge Heegaard (32 pages, for ages 9-12)
When Something Terrible Happens: Children Can Learn to Cope with Grief (1992) by Marge Heegaard (32 pages, for ages 4-8)
Recommended Books for Clinicians
Creative Interventions for Bereaved Children (2006) by Liana Lowenstein (205 pages)
Grief Counseling and Grief Therapy, Fifth Edition: A Handbook for the Mental Health Practitioner (2018) by William Worden, Ph.D. (352 pages)
Grief Counseling Homework Planner (PracticePlanners) (2017) by Phil Rich (272 pages)
In the Presence of Grief: Helping Family Members Resolve Death, Dying, and Bereavement Issues (2003) by Dorothy S. Becvar (284 pages)
Transforming Grief & Loss Workbook: Activities, Exercises & Skills to Coach Your Client Through Life Transitions (2016) by Ligia Houben (264 pages)
Treating Traumatic Bereavement: A Practitioner’s Guide (2014) by Laurie Anne Pearlman, Ph.D., Camille B. Wortman, Ph.D., Catherine A. Feuer, Ph.D., Christine H. Farber, Ph.D., & Therese A. Rando, Ph.D. (358 pages)
Free Printable Workbooks & Handouts for Grief & Loss
(Updated 8/29/22) This is a recommended list of 75+ “must-read” books for therapists and other mental health professionals.
The first section includes recommendations for both professionals and consumers. The next section includes suggested workbooks for therapy and/or self-help. The “Textbooks” section is comprised of required reading that I found valuable as a counseling grad student. In the “PracticePlanners Series” section, I included the planners I’ve relied on the most. The last section includes additional reads that have been helpful to me in both my professional and personal life.
Disclaimer: This post contains affiliate links. As an Amazon Associate I earn from qualifying purchases.
Must-Read Books for You & Your Clients
250 Brief, Creative & Practical Art Therapy Techniques: A Guide for Clinicians and Clients
Addictive Relationships: Why Love Goes Wrong in Recovery
Attached: The New Science of Adult Attachment and How It Can Help You Find – and Keep – Love
Betrayal Trauma: The Logic of Forgetting Childhood Abuse
Beyond Addiction: How Science and Kindness Help People Change
The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma
The Complete Family Guide to Schizophrenia: Helping Your Loved One Get the Most Out of Life
Drinking: A Love Story
Flourish: A Visionary New Understanding of Happiness and Wellbeing
The Four Agreements: A Practical Guide to Personal Freedom (A Toltec Wisdom Book)
The Gifts of Imperfection: Let Go of Who You Think You’re Supposed to Be and Embrace Who You Are
Hold Me Tight: Seven Conversations for a Lifetime of Love
How to Heal Depression
How to Survive the Loss of a Love
Lost in the Mirror: An Inside Look at Borderline Personality Disorder
The Mind-Gut Connection: How the Hidden Conversation Within Our Bodies Impacts Our Mood, Our Choices, and Our Overall Health
Refuge Recovery: A Buddhist Path to Recovering from Addiction
The Seven Principles for Making Marriage Work: A Practical Guide from the Country’s Foremost Relationship Expert
Staying Sober Without God: The Practical 12 Steps to Long-Term Recovery from Alcoholism and Addictions
Surviving Schizophrenia, 7th Edition: A Family Manual
Workbooks
The Addictions Recovery Workbook: 101 Practical Exercises for Individuals and Groups
The Addiction Recovery Skills Workbook: Changing Addictive Behaviors Using CBT, Mindfulness, and Motivational Interviewing Techniques
Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders
The Anxiety and Phobia Workbook
The Anxiety and Worry Workbook: The Cognitive Behavioral Solution
The Attachment Theory Workbook: Powerful Tools to Promote Understanding, Increase Stability, and Build Lasting Relationships
Building Motivational Interviewing Skills, Second Edition: A Practitioner Workbook (Applications of Motivational Interviewing)
The CBT Toolbox: A Workbook for Clients and Clinicians
The Cognitive Behavioral Workbook for Anxiety: A Step-By-Step Program
The Cognitive Behavioral Workbook for Depression: A Step-by-Step Program
The Complex PTSD Workbook: A Mind-Body Approach to Regaining Emotional Control and Becoming Whole
DBT® Skills Training Handouts and Worksheets, Second Edition
DBT® Skills Training Manual, Second Edition
The Depression Workbook: A Guide for Living with Depression and Manic Depression, Second Edition
The Dialectical Behavior Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation
The Dialectical Behavior Therapy Skills Workbook for Anxiety: Breaking Free from Worry, Panic, PTSD, and Other Anxiety Symptoms
The Dialectical Behavior Therapy Skills Workbook for PTSD: Practical Exercises for Overcoming Trauma and Post-Traumatic Stress Disorder
Healing the Trauma of Abuse: A Women’s Workbook
The PTSD Workbook: Simple, Effective Techniques for Overcoming Traumatic Stress Symptoms
Relapse Prevention Counseling Workbook: Practical Exercises for Managing High-Risk Situations
The Relationship Workbook
The Self-Esteem Workbook
The Shyness and Social Anxiety Workbook: Proven, Step-by-Step Techniques for Overcoming Your Fear
The Wellness Lifestyle Workbook – Self-Assessments, Exercises & Educational Handouts (Mental Health & Life Skills Workbook Series)
The Wellness Workbook: How to Achieve Enduring Health and Vitality
A Woman’s Addiction Workbook: Your Guide to In-Depth Healing
Textbooks
Clinical Mental Health Counseling in Community and Agency Settings
Exercises in the Art of Helping
Family Therapy: An Overview
Foundations of Addictions Counseling (The Merrill Counseling Series)
Learning the Art of Helping: Building Blocks and Techniques
Theory and Practice of Counseling and Psychotherapy
The Theory and Practice of Group Psychotherapy
PracticePlanners Series
The Addiction Treatment Planner: Includes DSM-5 Updates
Addiction Treatment Homework Planner
The Complete Adult Psychotherapy Treatment Planner
Adult Psychotherapy Homework Planner
The Complete Anxiety Treatment and Homework Planner
The Complete Depression Treatment and Homework Planner
The Couples Psychotherapy Treatment Planner with DSM-5 Updates
Couples Therapy Homework Planner
The Crisis Counseling and Traumatic Events Treatment Planner with DSM-5 Updates
The Family Therapy Treatment Planner with DSM-5 Updates
The Personality Disorders Treatment Planner: Includes DSM-5 Updates
The Severe and Persistent Mental Illness Treatment Planner
The Suicide and Homicide Risk Assessment and Prevention Treatment Planner
Additional Reading
86 TIPS (Treatment Ideas & Practical Strategies) for the Therapeutic Toolbox
127 More Amazing Tips and Tools for the Therapeutic Toolbox
103 Group Activities and Treatment Ideas & Practical Strategies
150 More Group Therapy Activities & TIPS
100 Interactive Activities for Mental Health and Substance Abuse Recovery
101 Trauma-Informed Interventions: Activities, Exercises and Assignments to Move the Client and Therapy Forward
Attachment: 60 Trauma-Informed Assessment and Treatment Interventions Across the Lifespan
Diagnosis Made Easier, Second Edition: Principles and Techniques for Mental Health Clinicians
Encyclopedia of Counseling: Master Review and Tutorial for the National Counselor Examination, State Counseling Exams, and the Counselor Preparation Comprehensive Examination
Essential Assessment Skills for Couple and Family Therapists (The Guilford Family Therapy Series)
Essentials of Clinical Supervision (Essentials of Mental Health Practice)
Group Exercises for Addiction Counseling
Motivational Interviewing: Helping People Change (Applications of Motivational Interviewing)
Motivational Interviewing and CBT: Combining Strategies for Maximum Effectiveness (Applications of Motivational Interviewing)
The Therapeutic “Aha!”: 10 Strategies for Getting Your Clients Unstuck
Initially, the idea of group therapy terrified me. What if I couldn’t “control” the group? What if a client challenged me? What if I couldn’t think of anything to say? What if everyone got up and walked out? (That last one actually happened, once, by the way.)
What made group counseling especially intimidating was that if I “messed up,” an entire group of people [as opposed to one person] would witness my failure.
Group facilitation wasn’t always comfortable and I made many (many!) mistakes, but I grew. I realized it’s okay to be counselor and human; at times, humans say dumb stuff, hurt each other’s feelings, and don’t know the answer.
By letting go of the need to be perfect, I became more effective. Group facilitation is now one of my favorite parts of the job.
This resource guide provides practical information and tools for group therapy for mental health practitioners.
Group therapy is an evidence-based treatment for substance use and mental disorders. An effective group calls for a skilled clinician to meet treatment standards. Professional associations, such as the American Group Psychotherapy Association, develop best practice guidelines based on scientific data and clinical research.
Are you a therapist, social worker, or peer support specialist who provides group counseling? Click here for guidelines from the American Group Psychotherapy Association.
Want to learn about current best practice in group work? Click here for the revised guidelines from the Association for Specialists in Group Work (ASGW).
Additionally, SAMHSA promotes research-based protocols and has published several group therapy guides for best practice, including TIP 41: Substance Abuse Treatment: Group Therapy, Substance Abuse Treatment: Group Therapy – Quick Guide for Clinicians, and Substance Abuse Treatment: Group Therapy Inservice Training (a training manual), in addition to group workbooks/facilitator guides for anger management, stimulant use disorder, and serious mental illness.
Book Recommendations
Disclaimer: This section contains affiliate links. As an Amazon Associate I earn from qualifying purchases.
The book itself is small in size but packed with helpful information and creative ideas. As a new counselor lacking in clinical skills, I supplemented with activities to engage the clients. Group Exercises for Addiction Counseling never failed me.
A more recent discovery of mine. This guide provides detailed instructions accompanied by thought-provoking discussion questions for each intervention. I was impressed with both the quality and originality; an instant upgrade to “house-tree-person.”
You only have to Google “icebreakers” and you’ll have a million activities to choose from. I’m not listing many, but they’re ones clients seem to enjoy the most.
Fun Facts
My favorite icebreaker activity involves passing out blank slips of paper to each group member and instructing them to write a “fun fact” about themselves, something no one else in the group would know. I provide them with examples (i.e. “I once had a pet lamb named Bluebell” or “I won a hotdog eating contest when I was 11 and then threw up all over the judges’ shoes”).
Depending on the crowd, you may want to tell clients not to write anything they wouldn’t want their peers to know. (I adopted this guideline after a client wrote about “sharting” himself.) Once everyone has written something, have them fold their papers and place in a container of some sort (a gift box, paper bag, plastic bowl, etc.) Group members take turns passing around the container (one-at-a-time) and picking a slip to read aloud. They must then guess who wrote it. (I give three guesses; after that, I turn it over to the group.)
A similar but more structured activity is to write out questions ahead of time and have clients take turns drawing and answering the questions. Questions can be silly, thought-provoking, or intending to illicit a strong emotional response (depending on the audience and goals for the group).
“People Search” involves a list of traits, feats, talents, or experiences. Each client receives the list and is given x amount of time to find someone in the group who is a match; that individual will then sign off. The first person to have their list completely signed sits down; they win. I typically let clients continue to collect signatures until two additional people sit down.
(Prizes optional, but always appreciated.) During the debriefing, it’s fun to learn more (and thereby increase understanding and compassion).
“First Impressions” works best with group members who don’t know each other well. It’s important for group members to know each other’s names (or wear name tags). Each group member has a sheet of paper with various “impressions” (i.e. judgments/stereotypes).
For example, items on the list might be “Looks like an addict” and “Looks intelligent.” Clients write other group members’ names for each impression. In addition to enhancing a sense of community, this activity provides an avenue for discussing harmful stereotypes and stigma.
Affirmations groups can be powerful, generating unity and kindness. The effect seems to be more pronounced in gender-specific groups. There are a variety of ways to facilitate an affirmations group, ranging from each person providing an affirmation to the client on their right to individuals sharing a self-affirmation with the group to creating a self-affirmation painting.
Another idea is to give each client a sheet of paper. (Consider using quality, brightly-colored paper/posterboard and providing markers, gel pens, etc.) Clients write their name on it and then all the papers are passed around so each group member has the opportunity to write on everyone else’s sheet. Once their original paper is returned to them, they can read and share with the group. This can lead to a powerful discussion about image, reputation, feeling fake, etc. (Plus, clients get to keep the papers!)
Most Likely & Least Likely to Relapse
“Most Likely to Relapse/Least Likely to Relapse” works best with a well-formed group and may require extra staff support. It’s good for larger groups and can be highly effective in a therapeutic community.
Clients receive blank pieces of paper and are tasked to write the names of who they think is most likely and least likely to relapse. After writing their own name on the sheet, they turn it in to staff (effectively allowing staff to maintain a safe and productive environment). Staff then read each sheet aloud (without naming who wrote it). If they choose, clients can share what they wrote and provide additional feedback. (Most do.) Clients selected as “most likely” (in either category) have the opportunity to process with other group members and staff.
Access more group therapy worksheets and handouts here.
In need of fresh material? It can be easy to fall into a rut, especially if you’re burnout or working with a particularly challenging group. The following three PDF downloads are lists of ideas for group topics.
Practical Tips for Psychoeducation & Process Groups
As a group facilitator, consider incorporating some sort of experiential activity, quiz, handout, game, etc. into every session. For example, start with a check-in, review a handout, facilitate a discussion, take a 5-minute bathroom break, facilitate a role-play, and then close the group by summarizing and providing clients with the opportunity to share what they learned.
If an experiential or interactive exercise isn’t feasible, provide coffee or snacks; sitting for 45 minutes is difficult for some, and 90 minutes can be unbearable.
Another idea is to have a “fun” or “free” group in the curriculum. Ideas include going bowling, having a potluck, Starbucks run, game group (i.e. Catchphrase, Pictionary, etc.), escape room, nature walk, etc.
Dealing with Challenges
Clients are not always willing therapy participants; some are court-ordered to attend or there to have privileges restored. Some attendees may be there “voluntarily,” but only to save their marriage or keep a job, not believing they need help. In residential treatment, clients attend mandatory groups as part of the daily schedule — participate or you’re out.
Even when attendance is truly voluntary, a group member may be in a bad space. Maybe they’re stressed about the rent or just got into a fight with their significant other. Or what if the AC is broken and the group room is 80 degrees? What if a client has unpleasant body odor or bad breath or an annoying cough?
Multiple factors combine and it’s suddenly a sh**show. (I’ll never forget the client who climbed onto a chair to “rally the troops” against my tyranny.) Anticipating challenges is the first step to effectively preventing and managing them.
Click here for a helpful article from Counseling Today that addresses the concept of client resistance.
Tips for Dealing with Challenges
1. If possible, co-facilitate. One clinician leads while the other observes. The observer remains attuned to the general “tone” of the group, i.e. facial expressions, body language, etc.
2. Review the expectations at the beginning of every group. Ask clients to share the guidelines with each other (instead of you telling them). This promotes a collaborative spirit.
3. After guidelines are reviewed, explain that while interrupting is discouraged, there may be times when you interject to maintain the overall wellness and safety of the group. (Knowing this, a client is less likely to get angry or feel disrespected when/if it happens.)
4. If you must interrupt, apologize, and explain the rationale.
5. Avoid power struggles at all costs, especially when a client challenges the benefits of treatment. (The unhealthier group members will quickly side with a challenger, leading to a complaint session.) Challenging the efficacy of treatment (or you as a clinician) is often a defense mechanism. Sometimes, the best response is simply “okay,” or none at all… and keep moving. You can also acknowledge the client’s perspective and ask to meet with them after group (and then get back on topic). If the group is relatively healthy, you may want to illicit feedback from other group members.
6. If a client becomes angry or tearful, give them time to vent for a moment or two (don’t “Band-Aid”); they may be able to self-regulate. (If they do self-regulate, share your observations and offer praise.)
7. If a client’s anger escalates to a disruptive level, ask them to take a break. At this point, their behavior is potentially triggering to other group members. Don’t raise your voice or ask them to calm down. Direct them step out and return when they’re ready. You may have to repeat yourself several times, but remain firm and calm, and they will eventually listen.
8. If a client is disrespectful (cursing at you or another client, name-calling, insulting, etc.) while escalated, let them know it’s not okay, but don’t attempt to provide feedback. (A simple, “Hey, that’s not okay,” will suffice.) Bring it up with the client later when they’re able to process.
9. Once the disgruntled client exits the room, acknowledge what happened and let the group know you will follow up with the client. If another client wants to talk about it, ask them to share only how it made them feel, but stress that it’s not okay to talk about an absent group member. (“How would you feel if we talked about you when you weren’t here?”) Strongly suggest that they wait until the person returns (and is open) to have a group discussion.
10. After a major blow-up (and once everyone is calm), it can be beneficial for the group to process it with the person who escalated. Group members can empathize/relate, share their observations and/or how it made them feel, and offer feedback.
11. If other disruptive behaviors occur in group (side conversations, snoring, etc.) address them in the moment (without shaming, of course). Point out the behavior and explain how it’s disruptive to the group. Refer back to the group guidelines. Ask group members to comment as well. If you let a behavior persist, hoping it will eventually stop, you’re sending the message that it’s okay, not only to the person who is disruptive, but to the entire group. This impacts the integrity of the group and opens things up for additional disruptive behaviors.
12. For clients who monopolize, who are constantly joking, or who attempt to intentionally distract by changing the topic, point out your observations and encourage group members to give feedback.
13. If, on the other hand, clients seem disengaged or unmotivated, seek out their feedback, privately or in the group, whichever is clinically appropriate.
14. If there’s a general level of disengagement, bring it up in the group. Remain objective and state your observations.
15. Anticipate that at times, people may not have much to say. (And while yes, there’s always something to talk about, that doesn’t mean someone is ready to or has the emotional energy to.) Maybe they’re distracted or tired or feeling “talked out.” It’s good to have backup plans: watch a psychoeducational film, take a walk in the park, listen to meditations or music, provide worksheets, education reading material, or coloring sheets.
16. Always keep in mind a client’s stage of change, their internal experiences (i.e. hearing voices, social anxiety, paranoia, physical pain, etc.), external circumstances (i.e. recent medication change, loss of housing, conflict with roommates, etc.), and history of trauma. What looks like resistance may be something else entirely.
Adverse Outcomes in Group Psychotherapy | Roback, H. B. (2000). Adverse outcomes in group psychotherapy: Risk factors, prevention, and research directions. The Journal of Psychotherapy Practice and Research, 9(3), 113–122.
Differences that Make a Difference | Change-Caffaro, S., & Caffaro, J. (2018). Differences that make a difference: Diversity and the process group leader. International Journal of Group Psychotherapy, 00: 1-15.
Group Interventions| Ezhumalai, S., Muralidhar, D., Dhanasekarapandian, R., & Nikketha, B. S. (2018). Group interventions. Indian Journal of Psychiatry, 60(Suppl 4), S514–S521.
Group Therapy for Substance Use Disorders | Wendt, D. C., & Gone, J. P. (2017). Group therapy for substance use disorders: A survey of clinician practices. Journal of Groups in Addiction & Recovery, 12(4), 243–259.
Modeling Cohesion Change in Group Psychotherapy | Tucker, J. R. (2016). Modeling cohesion change in group psychotherapy: The influence of group leader behaviors and client characteristics. Graduate Theses and Dissertations, 15175.
Roles People Play in Groups | (Source: Stanford) Identifies and discusses task, maintenance, and hindering roles in groups
Additional Links
The Center for Group Studies | The Center provides a unique method of group training. Principles and techniques are based on the theory that the group is a powerful agent of change.
Group Dynamics | This blog provides some links and book chapters on various topics related to the study of groups. You can also find teaching resources related to group dynamics.
Management Library | This site provides free resources for managers, entrepreneurs, and leaders. Much of the content on facilitation and teams is applicable to group facilitation.
My Group Guide | A great tool for those who do not have the time to find worksheets/handouts for their clients, group activities, and other resources.
Resources in Group Psychotherapy | Helpful resources and links for group psychotherapy from the Sacramento Center for Psychotherapy, including an online forum.
Systems-Centered Training & Research Institute | SCTRI is an non-profit organization with members from all around the world that supports training and research in the systems-centered approach.
(Updated 10/16/22) If you’re a counselor or therapist, you’re probably familiar with Therapist Aid, one of the most well-known sites for providing no-cost therapy worksheets. But Therapist Aid isn’t the only resource for free clinical tools! This is a list of over 200 sites with free therapy worksheets and handouts.
See below for links to websites with free therapy worksheets and handouts for clinical use and self-help.
Click here for therapy worksheets, handouts, and guides posted on this site. Access additional free printables by joining Mind Remake Project’s Facebook group, Resources for Mental Health Counselors & Social Workers. 🆕
Sites with Free Therapy Worksheets & Handouts
Therapy Worksheets for Mental Health
91 Free Counseling Handouts | Handouts on self-esteem, emotions, recovery, stress, and more (Source: Kevin Everett FitzMaurice)
A Good Way to Think: Resources | Therapy worksheets and handouts on happiness, well-being, values, etc. (Source: A Good Way to Think by David)
Articles by Dr. Paul David | Clinical handouts on depression, relationships, substance use disorders, family issues, etc. (Source: Dr. Paul David, PhD)
Black Dog Institute: Resources & Support | Downloadable fact sheets, handouts, mood trackers, and more on a variety of mental health topics (Source: Black Dog Institute Australia)
Bryan Konik: Free Therapy Worksheets | A collection of therapy worksheets on stress management, anxiety, relationships, goal setting, and trauma (Source: Bryan Konik, Therapist & Social Worker)
Cairn Center: Resources | A modest collection of printable assessments, handouts, and worksheets on DBT, anxiety, depression, etc. (Source: Cairn Center)
Coping.us | Printable tools for coping (Source: James J. Messina, PhD & Constance Messina, PhD)
Cornell Health: Fact Sheet Library | A variety of handouts and tracking sheet on various health topics; only a few relate to mental health and addiction (Source: Cornell University)
Counseling Library Handouts | A collection of handouts on depression, trauma, personality, and more (Source: Morning Light Counseling, Carrie M. Wrigley, LCSW)
Downloads | A small collection of therapy worksheets/workbooks on boundaries, anger, anxiety/mindfulness, relationships, and more (Source: Christina Bell, Registered Psychologist)
DOWNLOADS from Get Self Help | Free therapy worksheets and handouts on a variety of topics (Source: Getselfhelp.co.uk)
EchoHawk Counseling: Materials and Resources | Articles, worksheets, and handouts on a variety of topics, including boundaries, emotions, grief, stress, trauma, etc. (Source: Lance Echo-Hawk)
Faith Harper: Worksheets and Printables | A small collection of therapy worksheets and handouts, including a gratitude journal (Source: Faith G. Harper, PhD, LPC-S, ACS, ACN)
Free Social Work Tools and Resources | Worksheets, workbooks, assessments, and other resources for adults and children (Source: SocialWorkersToolbox.com)
Self-Help Library | Multiple handouts on topics including communication, relationships, anxiety, ADHD, anger, depression, and more (Source: Present Centered Therapy)
Self-Help Toolkits | Articles and handouts on worry, depression, assertiveness, etc. (Source: Dr. Danny Gagnon, PhD, Montreal Psychologist)
Therapy Worksheets | A resource blog with links to free therapy worksheets on various mental health topics (Source: Therapy Worksheets by Will Baum, LCSW)
Tim’s Resource Notebook | A small collection of handouts on various topics such as relationships, emotions, and values (Source: Tim’s Resource Notebook)
Therapy Worksheets for Substance Use Disorders & Addiction
Substance Abuse | 12-page PDF packet (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
Relaxation | 15-page packet on relaxation skills for anxiety (Source: Michigan Medicine)
Stress Management | 5-page packet on stress management (Source: Inner Health Studio)
Stress Management – Patient Handouts | A collection of handouts on stress management; some of the other sections, including “General Health and Wellness” and “Nutrition” have links to handouts as well (Source: UMASS Medical School Department of Psychiatry)
Printable Grief and Loss Resources | A fairly extensive collection of printable handouts on grief and loss (Source: Hamilton’s Funeral & After Life Services)
Anger Management | 13-page PDF packet (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
Free Tools | Handouts, worksheets, and workbooks including mindful coloring sheets (Source: The Wellness Society)
Handouts and Worksheets | 21-page PDF packet with handouts and worksheets on self-care topics (Source: Psychological First Aid for Schools Field Operations Guide)
Online CBT Resources | Worksheets and questionnaires from Andrew Grimmer, a counselling psychologist and accredited cognitive behavioural psychotherapist in the UK (Source: Online CBT Resources)
Oklahoma TF-CBT Therapy Resources | Printable trauma-focused handouts and assessments for therapists to use with children and adolescents (Source: Oklahoma TF-CBT Therapy Resources)
Prevention Dimensions: Lesson Plans | Downloadable PDF handouts for children from kindergarten to sixth grade (Source: Utah Education Network)
Printable Worksheets | Worksheets for children on physical activity, substance abuse, nutrition, and more (Source: BJC School Outreach and Youth Development)
Just for Teens: A Personal Plan for Managing Stress | 7-page PDF handout (Source: American Academy of Pediatrics from Reaching Teens: Strength-Based Communication Strategies to Build Resilience andSupport Healthy Adolescent Development)
Oklahoma TF-CBT Therapy Resources | Printable trauma-focused handouts and assessments for therapists to use with children and adolescents (Source: Oklahoma TF-CBT Therapy Resources)
Oregon State University: Learning Corner | Student worksheets on time management, wellness, organization skills, etc. (Source: Oregon State University Academic Success Center)
The Relaxation Room | Self-care and stress management handouts for college students (Source: Andrews University)
Resilience Toolkit | PDF handouts for college students on resiliency (Source: Winona State University)
Self-Help Resources | Links to articles for college students on a variety of topics (not in PDF form) (Source: Metropolitan Community College Counseling Services)
Step UP! Resource Library | Worksheets/handouts for students on prosocial behavior and bystander intervention (Source: Step UP!)
Your Life Your Voice: Tips and Tools | Links to articles and PDF printables on a variety of topics for teens and young adults (Source: Your Life Your Voice from Boys Town)
Therapy Worksheets for Marriage/Relationships & Family
Attitudes and Behaviour | 9-page PDF packet on criminal thinking (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
Motivation To Change | 16-page PDF packet on motivation to change criminal behavior (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
Peers & Relationships | 12-page PDF packet on how associates impact criminal behavior (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
(Updated 8/21/22) This is a list of over 200 free printable workbooks, manuals, toolkits, and self-help guides for children, adolescents, and families. This post is divided into two sections: printable workbooks and resources for providers and printable workbooks and resources for families.
Disclaimer: Links are provided for informational and educational purposes. I recommend reviewing each resource before using for updated copyright protections that may have changed since it was posted here. When in doubt, contact the author(s).
The Adolescent Coping with Stress Course: An Eight-Session Curriculum Developed for the Prevention of Unipolar Depression in Adolescents with an Increased Future Risk | Source: Kaiser Permanente for Health Research (Find more information here)
The Adolescent Coping with Stress Course: A Fifteen-Session Class Curriculum Developed for the Prevention of Unipolar Depression in Adolescents with an Increased Future Risk | Source: Kaiser Permanente for Health Research (Find more information here)
Triad Girls’ Group Treatment Manual | Source: The Louis de la Parte Florida Mental Health Institute, University of South Florida, 201 pages (2003) (More information on the Triad Project here)
Printable Workbooks for Anger
Anger Management for Kids | Source: Behavioral Institute For Children and Adolescents, Dr. Sheldon Braaten, 23 pages
Growing Up Lesbian, Gay, Bisexual, or Transgender | Source: Department of Education and Skills and the Health Service Executive through the Social, Personal and Health Education Support Service in conjunction with GLEN (Gay and Lesbian Equality Network) and BeLonG To Youth Services & Professional Development Services for Teachers, 82 pages (Find more information here) 🏳️🌈
Anxiety Toolbox: Student Workbook | (Printable Workbook) Source: Based on the Anxiety Toolbox curriculum at Counseling Services of California Polytechnic State University, San Luis Obispo, with modifications by the Broene Counseling Center of Calvin College, 42 pages (2017)
COPE | Source: West Carolina University Counseling and Psychological Services
Youth Transition Workbook | (Printable Workbook) Source: Pennsylvania Youth Leadership Network, The Rhode Island Transition Council, & The Rhode Island Department of Health Youth Advisory Council, 68 pages (2017)
Please contact me if a link isn’t working or if you’d like to suggest a resource for free printable workbooks or tools for children, youth, and families!
Discover a new hobby with this diverse list of assorted leisure activities, which range from beekeeping to Kombucha brewing to knife throwing to ghost hunting.
I developed this list (with the help of Wikipedia, and Google, of course) as part of a project I was working on and thought it would be worth sharing. (Click below for a PDF version of this list.)
Watch your favorite Netflix series, but make sure you become overly invested (borderline obsessed) with the story line and characters in order for this to qualify as a legit hobby