We can’t say we didn’t see this coming. In the first edition of The Heart and Soul of Change: What Works in Therapy, published in 1999, authors Mark Hubble, Barry Duncan, and Scott Miller predicted that psychotherapists would soon be facing a new era of accountability for their work. Clients, payors, and policymakers would all demand hard evidence that psychotherapy was effective. That era is well underway, and so far we have provided a wealth of the kind of information these parties have demanded.
We can demonstrate that therapy works as an overall conclusion, and within the contexts of specific problems and populations. Proving the effectiveness of specific models has been helpful in many ways (showing that model-based treatment is superior to no treatment) and enlightening in others (showing that, for most problems, the model of therapy has little to no impact on outcome). The brain research discussed by Siegel, Cozolino, and others explains why therapy works. Psychotherapy in general is being held accountable, and it is passing the test with flying colors.
The same cannot be said of specific therapists, or of therapy training programs – yet.
Therapists, as a group, are pretty friendly people. We entered into a helping profession, one that relies on our ability to connect with a wide range of people. Generally speaking, we try to assume the best of others, whether friends or strangers. We go to great lengths to avoid jumping to negative conclusions. These are all great traits, and useful in the therapy room.
Therapists and counselors in private practice find all kinds of creative ways to keep clients coming back. Some therapists offer clients package pricing, which they might also call a prepayment discount. For example, a therapist who charges $100 per session might offer five sessions for $450 if the client agrees to pay up front. Under either name, the therapist agrees to a price cut in exchange for a commitment to a certain number of sessions.
If you’re on your path to becoming a clinical social worker in California, you will need to take the state’s Clinical Social Work Law & Ethics Exam in your first year of registration as an Associate. I’m proud to announce the release of our new study guide for that exam.
If you’re in the process of preparing for social work licensing exams, you may be dreading them. Those fears may be based on what you’ve heard about the exams — and what you’ve heard may not be true.