Ben Caldwell, Author at Psychotherapy Notes

Is therapy more effective when people pay a fee for it?

February 4, 2020February 4, 2020 by Ben Caldwell

Matthew Henry / Burst / Used under license

The idea that clients should pay at least a small fee for therapy in order for therapy to be effective has been around for a long time. But it doesn’t hold up as well as you might think.

This is one of those things that I learned in grad school and simply accepted as truth for a long time. And then I was startled when I actually looked into it. Not only does forcing clients to pay even a small amount for therapy not help outcomes, some evidence suggests it makes outcomes worse.

California’s AB5 signed. How will it impact therapists’ work as independent contractors?

September 29, 2019September 29, 2019 by Ben Caldwell

Despite what you may have heard, the passage of AB5 will not cause the sky to fall.

California’s independent contractor bill, Assembly Bill 5, was described in media reports as an effort to regulate the gig economy, more specifically Uber and Lyft drivers. It actually impacts many, many more workers than that. But it doesn’t change anything for master’s-level mental health professionals in the state. The change that matters for us happened more than a year ago, and most employers have already adapted to it.

Prologue: A poem for new grad students

August 27, 2019August 26, 2019 by Ben Caldwell

Brodie Vissers / Burst / Used under license I wrote this poem several years ago, and republish it each fall as a welcome to students beginning their graduate studies in the mental health professions.

Every fall, the universities where I teach enroll dozens of new students into our family therapy programs. Our new students tend to be immensely talented, and many of them (as at any school) are also immensely anxious as they begin their journey.

Some great new therapy podcasts

July 26, 2019July 26, 2019 by Ben Caldwell

Headphones - Anna Langova / Publicdomainpictures.net A while back, I posted on some of our favorite therapy podcasts. We’ve also celebrated our friends at the Modern Therapist’s Survival Guide releasing their 100th episode. Since then, there’s been an explosion in the number of therapy podcasts available. This is unabashedly good — no matter what element of the therapy process you’re interested in, no matter what problems or populations you serve, odds are there’s now a podcast out there for you.

Why the Kaiser mental health strike matters

June 3, 2019June 3, 2019 by Ben Caldwell

Thousands of California mental health professionals working for Kaiser plan to begin an open-ended strike on June 11. They are protesting the company’s ongoing failure to staff up their mental health operations, resulting in Kaiser patients waiting several weeks between appointments. More than 700 stories of the human impacts of these wait times can be found at kaiserdontdeny.com.

I initially posted about Kaiser’s mental health labor force struggles late last year, when therapists staged a five-day walkout. Kaiser has told its workforce that they believe progress has been made since then on a new contract, but Kaiser’s NUHW workers have been working without a contract since September, and are clearly tired of waiting. The dispute hasn’t fundamentally changed since the December walkout. In April, NUHW workers staged a one-day work stoppage in Pasadena.

My original post, published December 12, 2018, follows:

On Monday, roughly 4,000 mental health professionals employed by Kaiser Permanente in California began a planned five-day strike. The therapists (and nurses, who also walked out in solidarity) say they are protesting the massive and continued failure on Kaiser’s part to provide adequate mental health care to its own patients.

This strike is, in some ways, like other strikes you’ve heard about. While the therapists are highlighting client care issues, Kaiser itself notes that those therapists also are demanding better pay and working conditions — common demands to strike over. But this strike is also deeply unusual in the mental health world. Even when therapists are in a union, strikes are very rare. For that reason, this strike is uniquely important.

California’s 90-day rule for MFTs: An explainer

May 30, 2019May 30, 2019 by Ben Caldwell

BBS logo The time period between completing a graduate degree and obtaining an MFT Associate registration number can feel like a strange state of limbo. You’re no longer a trainee, but you’re not yet a registered associate either. Thankfully, hours of supervised experience gained in that time can still count toward licensure — if you fall within the 90-day rule. What is the 90-day rule, and why does it matter so much?

Our favorite Modern Therapist’s Survival Guide episodes

May 1, 2019April 30, 2019 by Ben Caldwell

Headphones - Anna Langova / Publicdomainpictures.net Last week, our friends at The Modern Therapist’s Survival Guide celebrated their 100th episode. Congratulations Katie and Curt! You’ve given the therapy world a lot of valuable content.

We thought we would join the celebration by calling attention to a few of the best episodes. Enjoy!

Self-care is great, if you can afford it

April 9, 2019April 9, 2019 by Ben Caldwell

From the time you were in graduate school, your instructors and supervisors have likely emphasized the importance of self-care. Burnout is a real risk in the world of counseling and psychotherapy, and you have to be able to take care of yourself in order to avoid it.

These messages come from a good place. But they ignore reality for many therapists, especially those early in their careers. And those messages often come with dangerous assumptions and a dark undercurrent: If you’re having a hard time, it’s your own fault.

Differentiating passing scores and pass rates on license exams

April 2, 2019 by Ben Caldwell

Two of the most frequent questions to come up in social media groups for therapists involve licensing exams: What is the pass rate for [a specific license exam]? And, What is the passing score? Passing scores and pass rates are both good questions, and it’s easy to confuse them.

Sometimes people ask one when they mean the other. And sometimes people ask the question in a way that could mean either one, like “What’s the passing percentage?” Let’s clarify the difference, and answer both.

Could an unpaid MFT associate sue for wage theft and win?

March 25, 2019March 25, 2019 by Ben Caldwell

In 2013, two former interns at publishing company Conde Nast filed suit demanding back wages and attorney fees. Their lawsuit came on the heels of two other successful lawsuits demanding that interns actually get paid for their work: A federal district court sided with the interns who sued Fox Searchlight Pictures, saying the interns should have been paid for their work on the film “Black Swan.” And the year before, Charlie Rose and his production company agreed to pay up to $250,000 to more than 150 former interns to settle a class-action suit.