What’s in a title? “Couple” versus “Marriage” and family therapists

Sarah Pflug / Burst / Used under licenseMarriage and family therapists (MFTs) work with individuals, families, and couples of all types. We assess, diagnose and treat the full range of mental and emotional disorders. So, the title “marriage and family therapist” doesn’t provide the whole picture of what we do.

Should the name of the license be changed?

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Facebook connects your clients, even if you don’t use Facebook

Woman using mobile app / Burst via Creative Commons Zero licenseIn testimony to Congress the week before last, Facebook CEO Mark Zuckerberg made a point of emphasizing that if you’re a Facebook user, you own your information. This is meant to reassure users, but it is more than a little misleading. “Your information” is what you personally have uploaded to Facebook. You do not own what other people have uploaded about you. That’s what has privacy advocates so concerned. It’s also why even therapists who don’t use Facebook should be worried about the client confidentiality risks that the company poses.

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California to change Counselor and MFT intern title to “associate” on January 1, 2018

California flagUnder a bill signed into law last week by Governor Jerry Brown, counselors (PCCs) and marriage and family therapists (MFTs) in California who have completed their graduate degrees but are not yet licensed will see their title change from “Intern” to “Associate” on January 1, 2018. [Originally published September 26, 2016. Updated August 2, 2017: Added FAQ section. Republished December 19, 2017.]

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Why therapists can’t prevent violence

via Wikimedia Commons[Originally published May 2014.] Last week in Isla Vista, California, Elliot Rodger killed six people before taking his own life. His family says he was seeing multiple therapists. Meanwhile, in the California legislature, discussion of a bill that would mandate additional suicide prevention training for therapists has focused on research showing that more than 30% of those who commit suicide had seen a mental health professional within the past year. Why can’t therapists do more to stop violence among our own clients?

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Graham-Cassidy health care bill would be disastrous for US mental health care

US Capitol domeThe US Senate may take action this week on the Graham-Cassidy health care bill, a last-ditch effort by Senate Republicans to repeal and replace the Affordable Care Act. If Graham-Cassidy becomes law, the consequences for US mental health providers and their clients would be disastrous.

The nonpartisan Congressional Budget Office will not score the bill before a September 30 deadline for Senators to vote on it. But estimates suggest that under the bill, at least 16 million Americans would lose health insurance entirely after 10 years, given the bill’s similarity to prior Republican health care bills. This would leave millions paying out of pocket for mental health care that is currently covered by insurance.

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Do something real about race

George Hodan / PublicDomainPictures.net / Licensed under Creative Commons 0Issues of race in the US routinely boil over into violence. Charlottesville is only the latest example. Before that, there was Charleston. And Charlotte. And Ferguson. And Baltimore. After each one, there is a wave of questioning on social media amounting to, “Why aren’t more white people speaking out about this?”

Some of that questioning comes from well-meaning and legitimately confused white people. Some of it comes from people of color who are tired of seeing senseless death after senseless death be forgotten with each new news cycle.

The problem with white people sharing on Facebook that they are against racism and racial hatred is that it’s an empty gesture. It reaffirms the individual’s beliefs to people who probably already share them. It becomes a circle of self-congratulation where white people get to reassure each other about how woke we all are. It feels good and does nothing.

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Mental health groups respond to Trump military transgender ban

VoA / Public domainYesterday, President Donald Trump announced a ban on people who identify as transgender serving in the US military. US mental health professional associations swiftly challenged the ban. The associations cite research supporting the inclusion of transgender men and women. For example, a 2016 RAND Corporation study showed that inclusion of transgender servicemembers would have little to no impact on costs or combat readiness.

The major US mental health associations issued the following statements in regard to the ban.

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What single-payer health care would mean for California therapists

California flagThe Healthy California Act — California’s single-payer bill — continues to make progress through the state legislature. If signed into law, it would make California the first state to have a statewide single-payer health care system, even as the federal Affordable Care Act may be scaled back. How would single-payer health care impact therapists, counselors, and related mental health providers?

Here, I’ll do a quick review of what we know so far. It’s broken down into three questions providers rightly ask about the bill: How would it impact my client load? How would it impact my rates? And, How would it impact how I run my practice?

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