Psychotherapy Notes

These new therapist directories aim to beat Psychology Today

July 23, 2018 by Ben Caldwell

If you’re a therapist in private practice, you’re probably listed on Psychology Today. For better or worse, it’s the 800-pound gorilla of therapist directories: It gets a ton of traffic, which means its pages show up high in search results, which generate even more traffic.

Despite owning the market, the Psychology Today directory is not necessarily well-liked. Its user experience looks and feels dated. While advanced searches are possible, the main search page only allows searches by name and location. Therapists and clients alike sometimes grumble that the information therapists can share on their profiles is limited.

For a new generation of online therapist directories, the failure of Psychology Today to improve its product represents a tremendous opportunity.

Medicare needs counselors and family therapists

July 23, 2018July 18, 2018 by Ben Caldwell

US Capitol dome ACA, AAMFT, and CAMFT continue to work with and others in Washington to get LPCs and LMFTs included as eligible providers in Medicare. Bills pending before both the House and Senate would do it. And that change would be beneficial for consumers and taxpayers alike.

Why good therapists suffer from exploitation

July 16, 2018 by Ben Caldwell

Barry Duncan has an article in the current Psychotherapy Networker asking, “Why would anybody become a therapist?” The job offers low pay compared to other jobs with similar training requirements. Workers in community mental health are often stretched beyond the breaking point. And as we’ve covered here regularly, employer abuses of therapists are unfortunately common. When even a single therapist pushes back against exploitation, it makes a real difference. But that doesn’t happen very often.

Duncan’s article offers some interesting overlaps with our past coverage here. It can explain fairly well why even the best therapists can be easy targets for exploitation at work.

Most complaints about the BBS are wrong

July 11, 2018July 11, 2018 by Ben Caldwell

Look, I’m not here to defend the BBS (California’s Board of Behavioral Sciences) or any other licensing board. They’re not your friend. They require deeply flawed exams that even they know don’t work. Their disciplinary guidelines, especially around substance use issues, are unreasonably punitive. They are notoriously unresponsive. There are a lot of problems there. But it’s also true that most complaints about the BBS are based on flat-out falsehoods.

Why is license exam prep material so expensive?

July 9, 2018 by Ben Caldwell

Becoming a therapist is ridiculously expensive. There’s grad school, which costs about five times as much even in inflation-adjusted dollars today than it did 30 years ago. There’s the time between graduation and licensure, which is often filled with low-paying employment. And then at the end of all of that, you take your final license exam. (Some states have bumped up some exams to be earlier in the process.) Given all the expense that leads up to it, it’s common to wonder why that last major hurdle is itself so expensive. If your education and experience should have prepared you for licensure, why should you have to do license exam prep courses in addition? And if you do go the test-prep route, why is it so expensive?

Let’s take those questions in order.