Professional Counseling Archives - Psychotherapy Notes

How coronavirus is affecting the California BBS [Updated 4/2/20]

April 3, 2020March 16, 2020 by Ben Caldwell

I’ve gotten a lot of questions in the past few days about how COVID-19 (novel coronavirus) is affecting the California BBS, or how it is likely to. I’m rounding up those questions here in hopes of making it easier to find the information you need. This post most recently updated on April 2, to include information about BBS waivers.

Exams

Will license exams be cancelled or postponed?

The BBS-contracted testing provider Pearson VUE has announced that it is closing its US and Canada testing centers until at least April 16. All exams scheduled until then have been cancelled and you will need to reschedule. With stay-at-home orders in California and other states likely to extend beyond that date, it currently seems unlikely that mid- or even late-April testing will be possible.

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.

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.

Why you shouldn’t share an exam prep login

April 16, 2019 by Emma Jaegle

We all want to pass our licensing exams. If we don’t pass, we may prolong our progress to licensure by several months. Preparing for exams takes a lot of time and money. One way people have sought to save money is by sharing an exam prep login. In other words, letting a friend or colleague access license exam test prep material under your username and password.

Paying half (or less) of the price feels a lot better than paying the whole price, and sharing an exam prep login provides a sense of community around your study experience. But before offering your password to someone else or using someone else’s account, here are some things you should consider.

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.

Here’s a site charging you just to apply to volunteer there

March 19, 2019March 19, 2019 by Ben Caldwell

Santa Barbara’s Community Counseling and Engagement Center is a popular and well-respected training site for prelicensed therapists. And they’re doing something I’ve never heard of any community agency doing: They charge prospective volunteers just to apply to work there.

Decoding counselor alphabet soup: LPC, LPCC, LMHC, and more

February 17, 2019February 19, 2019 by Ben Caldwell

Used under license Around the US, most mental health professions have the same titles. A Psychologist in New York is likely to be pretty much the same, in terms of what they do, as a Psychologist in California, Montana, or anywhere else. Same for Licensed Clinical Social Workers (LCSWs) and Licensed Marriage and Family Therapists (LMFTs). In other words, you can recognize the job by its title. If you’re a counselor, on the other hand, you may have any one of several different titles.

Read moreDecoding counselor alphabet soup: LPC, LPCC, LMHC, and more