In late 2017, I sat down with my friends at LA-CAMFT for a wide-ranging discussion of issues that impact prelicensed therapists. Advocacy is sort of my jam, so we knew that advocacy would be a big part of the discussion. But we also got to talk about interviews, health insurance, employment, exams, and a lot of other issues relevant to early-career therapists.
Family therapy
Podcast episode 5: Reports of loan forgiveness death greatly exaggerated
We’ve spent the last two episodes talking about student loan debt. It’s reshaping the mental health professions. Two doctoral students were kind enough to share with us their own personal stories. In this episode, we talk about the great hope for many who are in the deep end of student loan debt: Public Service Loan Forgiveness.
Handling sexist comments in therapy
There is a huge gender gap in the field of psychotherapy. At least 80% of psychotherapists in the US are women. So when a man pursues therapy, unless he specifically seeks out a man, he will most likely get a woman therapist. The dynamic of a male client with a female therapist can be both beneficial and problematic to the therapy. It can spark discussion over issues the client did not realize were there until working with a woman. It can replicate his relationship with another woman in his life. It also can reveal sexist beliefs.
Fee splitting in private practice may be illegal and unethical
We’ve talked here many a time about employment of prelicensed therapists. Most of our discussion has focused on employer abuses and how you can push back. But of course it’s worth noting that plenty of employers are fantastic, and that even a lot of the illegality in employment arrangements can be chalked up to well-meaning mistakes rather than purposeful villainy. It is in that spirit that we approach what seems to be one of the most common structures for paying prelicensed therapists who work in private practices here in California: Fee splitting.
Podcast episode 4: Two stories of student loan debt
In our last episode, we talked about how student loan debt is crushing the mental health professions. This time, we get a lot more personal. For this episode of the Psychotherapy Notes podcast, we interviewed two graduate students working on their doctorates at a private university in southern California. By the time they both graduate, they will together owe more than half a million dollars for their education.