Jeffrey Liebert, Author at Psychotherapy Notes

Attending my first licensing board meeting

August 8, 2018 by Jeffrey Liebert

The first licensing board meeting that I attended was in Sacramento. I did not live locally, so I had to travel to attend the meeting. I can remember well that trip and all of the expectations that I had. Basically all I knew about the California Board of Behavioral Sciences (BBS) was what I had heard from professors while in my master’s program, which was that the BBS was some ultimate authority that was to be revered and respected.

Because of what I had been told, I had honestly expected the meeting to be at some lavish location with lots of amenities. I expected the board members to be sitting on a platform, similar to a judge in a court, to highlight their authority. I had expected there to be structured, pre-arranged seating for those in advocacy positions. (I was attending as part of my advocacy role within the California Division of AAMFT.) Arriving early seemed critical, as I had expected there to be a relatively large crowd of attendees present.

None of those expectations came to pass.

The TV therapists who do the job well

June 11, 2018 by Jeffrey Liebert

At the risk of being exposed for the nerd I am, I’ve been closely following the TV show The Flash. It tells the story of the superhero dubbed “The fastest man alive.” When I sat down to watch a recent episode, I read the description before starting. That description noted that the main character was going to be attending a therapy session with his wife. I immediately became skeptical. Most movie and TV therapists act unprofessionally, unethically, or some combination of the two (for example, the therapist in 13 Reasons Why).

I didn’t know whether to continue watching, for fear that a bad therapist would ruin the entire show. I recognize the irrationality in that thought, but I’m proud of my education and my profession. I have a hard time supporting those who portray it poorly.

I decided to stick it out and give the show a chance, and I am glad that I did.

Boundaries, apps, and dispensaries: Seeing clients in public

June 13, 2018June 6, 2018 by Jeffrey Liebert

Brodie Vissers / Burst / Used under license As mental health clinicians, we all know the importance of setting and maintaining boundaries with clients. We have several posts on this blog about setting boundaries online, specifically in regards to social media use (1 2 3). One boundary that we have not discussed is how to manage situations when you see a client outside of the regular therapy setting.

Therapists generally agree that we do not to approach clients outside of therapy, out of respect for the client’s confidentiality. If someone else knows that you are a therapist, they may make the connection that the person you are interacting with is a client. If a client approaches the therapist first, however, engaging is often considered appropriate. Even so, many therapists agree that it is difficult to maintain professional boundaries while also engaging clients socially.

Legal and technological changes are further complicating the potentially uncomfortable situations where we might encounter clients outside of the office. More specifically, we may see clients in settings that were not previously socially acceptable or accessible. Therapists today are at risk of seeing clients on dating apps, at meet-up groups, and at marijuana dispensaries. The potential for seeing clients in social situations has always been present, but there is added risk that those interactions will reveal private details about your personal life.

Protecting confidentiality on Facebook

June 17, 2018April 25, 2018 by Jeffrey Liebert

Many of our readers reacted with surprise to Monday’s post (“Facebook connects your clients, even if you don’t use Facebook”). It certainly reinforces the idea that if you are not actively and regularly working to protect the confidentiality of your clients on social media, you may not be doing enough.

Three easy ways to collect outcome data

April 16, 2018April 16, 2018 by Jeffrey Liebert

Therapists and counselors are increasingly required to formally gather outcome data on their work. This is good: The more data that we have on our work, the more intentional and effective our clinical decisions can become. Regularly collecting and attending to outcome data, therefore, suggests constant movement towards improvement.

Many therapists struggle, however, with questions about what data to gather, and how to best gather it. Even among those who philosophically agree that regularly collecting outcome data helps to more meaningfully direct therapy, they often don’t do it.

Thankfully, there are a number of easy ways for therapists to collect outcome data. Many come at no cost. The following are just three of the many different tools/assessments therapists can use to collect and interpret outcome data.