Why Is Therapy Taking So Long? The causes and solutions for therapeutic drift

Curt and Katie chat about the tendency for therapists to drift clinically – meaning that they fail to use evidence-based practices that they have been trained to do. We explore the phenomenon of therapeutic drift, contributing factors, ways to mitigate risk, and what therapists can do to address this tendency that leads to poorer therapeutic outcomes. This is a continuing education podcourse.

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode we explore why therapists stray from using evidence-based practices

In order for therapy to be successful, both the therapist and client need to stay invested in the therapeutic process. We explore the reasons that therapy can stall, how to identify the causes, and how to get back on track toward achieving client goals.

What is therapist drift and why is it bad?

What factors contribute to therapeutic drift?

How can we mitigate the risks of therapeutic drift?

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

Very Bad Therapy Podcast

You can find this full course (including handouts and resources) here: https://learn.moderntherapistcommunity.com/pages/podcourse

Continuing Education Approvals:

When we are airing this podcast episode, we have the following CE approval. Please check back as we add other approval bodies: Continuing Education Information

References mentioned in this continuing education podcast can be found in the course on our learning platform.

Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:

Link tree: https://linktr.ee/therapyreimagined

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Modern Therapist’s Survival Guide Creative Credits:

Voice Over by DW McCann https://www.facebook.com/McCannDW/

Music by Crystal Grooms Mangano https://groomsymusic.com/

What Therapists Should Know About Dissociation and Dissociative Disorders: An Interview with Dr. Jamie Marich

Curt and Katie interview Dr. Jamie Marich, author of Dissociation Made Simple, about dissociation and dissociative identities. We talk with Jamie about what therapists often get wrong as well as some basics on what dissociation is and how best to understand and treat it (when it actually needs treating).

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode, we talk about how therapists can support clients navigating dissociation

A friend of the show, Dr. Jamie Marich, wrote a book Dissociation Made Simple, and we wanted to talk about it!

What are therapists getting wrong when learning about and treating dissociation?

What is dissociation? What is dissociative identity disorder or dissociative experience?

How can therapists support clients in understanding and managing their own dissociation?

How can a therapist assess for dissociative identities or systems?

What are clinical goals with clients who have dissociative experiences and/or identities?

How can therapists overcome their fear about dissociation?

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

Dissociation Made Simple (the book)

Jamie’s website: redefinetherapy.com

Jamie’s social media:

 Trauma Therapist Rants on Twitter

Trauma Therapist Rants on TikTok

Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:

Patreon

Buy Me A Coffee

Modern Therapist’s Survival Guide Creative Credits:

Voice Over by DW McCann https://www.facebook.com/McCannDW/

Music by Crystal Grooms Mangano https://groomsymusic.com/

Understanding Your Money in Private Practice: An Interview with Jennie Schottmiller

Curt and Katie interview Jennie Schottmiller, LMFT, CPA, about understanding your numbers when starting a private practice. We explore the simple math that can help you create consistent income and decrease your anxiety about running a business. 

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode, we talk about how therapists can handle their private practice finances

We reached out to our friend, Jennie Schottmiller, to talk about the basics of bookkeeping in private practice. 

What are the business decisions therapists need to make when starting a private practice?

How do therapists create consistent income?

What are the fears that many private practice owners have? (And how can they deal with them?)

What are best practices for addressing your books in private practice?

How can a therapist navigate their neurodivergence and starting a business?

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

Simple Profit website

Simple Profit on Instagram

Simple Profit on Facebook

Free Facebook group: Simple Profit for Mental Health Clinicians

Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:

Patreon

Buy Me A Coffee

Modern Therapist’s Survival Guide Creative Credits:

Voice Over by DW McCann https://www.facebook.com/McCannDW/

Music by Crystal Grooms Mangano https://groomsymusic.com/

Has Therapy Become the New Religion?

Curt and Katie chat about op ed pieces from the New York Times, where there are a lot of opinions on what therapy is and should be. We explore comparisons of therapy to religion, the notion that going to therapy makes one good, safe and dateable, and how therapy seems to have invaded our lives.   

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode we talk about the opinion that therapy has become morally good

Katie likes reading New York Times Op Ed pieces on what therapy is now. We decided to explore some of the questions these articles raise.

What does the New York Times have to say about therapy and therapists?

What is leading to comparisons of therapy to religion?

How are people framing the role of the therapist?

What is the fear about therapy being so central in our lives?

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

New York Times’ Articles:

Why Do People Think Going to Therapy Makes You A Good Person? By Mychal Denzel Smith

We Have Reached Peak ‘Mental Health’ by Huw Green

Is it Toxic to Tell Everyone to Get Therapy? By Zachary Siegel

How the Language of Therapy Took Over Dating by Dani Blum

The Problem with Letting Therapy-Speak Invade Everything by Tara Isabella Burton

Our Linktree: https://linktr.ee/therapyreimagined

Relevant Episodes of MTSG Podcast:

Is Therapy an Opiate of the Masses?

Navigating the Social Media Self-Diagnosis Trend

Modern Therapist’s Survival Guide Creative Credits:

Voice Over by DW McCann https://www.facebook.com/McCannDW/

Music by Crystal Grooms Mangano https://groomsymusic.com/

Understanding Impostor Syndrome in High Achievers: An Interview with Stevon Lewis, LMFT

Curt and Katie interview Stevon Lewison working with high achievers who struggle with impostor syndrome. We explored what impostor syndrome is, how society contributes to impostor syndrome, how you can differentiate impostor syndrome from internalized racism, sexism, heterosexism, ableism, etc., the emotional impacts of impostor syndrome, and how therapists can work effectively with these clients. 

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode, we talk about how impostor syndrome shows up in high achievers

We reached out to our friend, Stevon Lewis, to explore impostor syndrome. 

What do therapists miss related to treating impostor syndrome in high achievers?

How does society contribute to impostor syndrome?

How can therapists support high achievers with impostor syndrome in therapy?

How do you sort out impostor syndrome from internalized racism, sexism, ableism, etc.?

Emotional impacts of Impostor Syndrome

What does healing look like for high achievers with impostor syndrome?

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

Stevon’s Website

Stevon’s Journal: Silencing Your Inner Bully

Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:

LinkTree

Modern Therapist’s Survival Guide Creative Credits:

Voice Over by DW McCann https://www.facebook.com/McCannDW/

Music by Crystal Grooms Mangano https://groomsymusic.com/

Special Episode: Modern Therapist’s Consumer Guide on Mulberry Web Design

Curt and Katie talk with Kat Valentine, owner of Mulberry, a web design company specializing in custom websites for private practice therapists.  

This is the Modern Therapist Consumer Guide, a series of special episodes to help modern therapists navigate products and services specifically designed for therapists and their clients. We dig deeply into the companies, the people, and the products and services so you can make smart decisions in building your practice and serving your clients.

Interview with Kat Valentine of Mulberry

Mulberry is a U.S. based company providing a broad range of website-related services to marketing departments, small businesses, and private practices in California, Washington, and many other States that extend to the East Coast.

We support busy marketing departments with long-term web marketing strategies and daily online marketing activities. And we keep up with the busiest marketing departments, providing business day turn-around on various routine daily web development requests.

We also offer website design & development services to small businesses and those in private practice. We have established many rewarding relationships working directly with business owners who serve their local communities.

In this podcast episode we talk about web design (and website rescue) with MulberryInterview with Kat Valentine, Mulberry

1:14 What do therapists get wrong when putting together their websites?

6:23 What is Mulberry Web Design and where did that name come from?

14:32 What is the process you go through when you start with a new client?

19:15 What is the rescue process like?

23:12 What makes you different from other web developers?

Curt and Katie Chat – Our review of Mulberry

27:37 What do you see as the deciding factors when deciding whether to hire Kat and Mulberry Web Design (or not)?

A Special Offer for the listeners of Modern Therapist’s Survival Guide podcast from Mulberry

Mention Therapy Reimagined and receive a 10% discount (up to $250!) on any service we provide.

Relevant Links:

Mulberry Web Design website

Connect with us!

https://linktr.ee/therapyreimagined

Credits:

Voice Over by DW McCann https://www.facebook.com/McCannDW/

Music by Crystal Grooms Mangano http://www.crystalmangano.com/

Supervision in the Real World: Understanding what makes an effective supervisory alliance

Curt and Katie chat about the relationship between supervisor and supervisee in clinical supervision. We explore what makes up a good supervisory alliance, what the research says (and why it is problematic), as well the practicalities of how to create a good relationship and set up a strong supervision meeting. We also look at the challenges in the real world, especially related to addressing business or administrative needs.  

This is a continuing education podcourse.

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode we explore the clinical supervisory alliance for therapists

We know that the relationship is very important in therapy, but what about supervision? We dig into what makes an effective supervisory alliance (and what can hurt it).

What makes up a good clinical supervision relationship for therapists?

Research on clinical supervision is problematic

What does an effective clinical supervisory alliance look like, practically?

Setting up an effective supervisory session

Receive Continuing Education for this Episode of the Modern Therapist’s Survival Guide

You can find this full course (including handouts and resources) here: https://learn.moderntherapistcommunity.com/pages/podcourse

Continuing Education Approvals: Please check continuing education approval bodies: Continuing Education Information

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

Sign up to get on the list for Curt’s supervision workshop

Saving Psychotherapy by Dr. Ben Caldwell

A Few Thoughts on Impostor Syndrome by Dr. Jordan Harris

*The full reference list can be found in the course on our learning platform.

Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:

Patreon

Buy Me A Coffee

Modern Therapist’s Survival Guide Creative Credits:

Voice Over by DW McCann https://www.facebook.com/McCannDW/

Music by Crystal Grooms Mangano https://groomsymusic.com/

Sex Therapy with Perfectionists: An Interview with Dr. Tom Murray

Curt and Katie interview Dr. Tom Murray about sex therapy for clients with the overcontrolled temperament. We talk about how temperament can affect one’s sex life, what therapists often miss in conversations about sex, and what good sex therapy can look like for these clients. 

Transcripts for this episode will be available at mtsgpodcast.com!

An Interview with Dr. Tom Murray

Dr. Tom Murray, author, international trainer, educator, and couples and sex therapist-supervisor, is a widely sought-after expert in sexuality and intimate relationships. For 20+ years, Murray has worked with everyday folks to embrace their weirdness, shed labels and shame, lean into anxiety, and build better and stronger relationships. Murray has appeared in numerous venues, including the Huffington Post and The Daily Mail, as well as radio, television and podcasts, including the Practice of Being Seen and Shrink Rap Radio. Murray directs A Path to Wellness, a multidisciplinary practice providing sex therapy, couples counseling, and general psychotherapy. He authored "Making Nice with Naughty: An intimacy guide for the rule-following, organized, perfectionist, practical, and color-within-the-line types."

In this podcast episode, we talk about how temperament can impact your sex life

We reached out to Dr. Tom Murray to share with us about his new book, Making Nice with Naughty, and how therapists can understand how to help perfectionists (and other over-controlled types) can improve their sex life.

What is the overcontrolled personality and how does it impact sex and sexuality?

The impact of trauma on those who are predisposed to the overcontrolled temperament

How can therapists help overcontrolled adults to improve their sexual functioning?

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

The book: Making Nice with Naughty: An Intimacy Guide for the Rule-Following, Organized, Perfectionist, Practical, and Color-Within-The-Line Types by Dr. Thomas L. Murray Jr

Tom’s website: drtommurray.com

Dr. Tom Murray on Instagram

Dr. Tom Murray on TikTok

Relevant Episodes of MTSG Podcast:

Sex and Shame: An interview with Eliza Boquin, LMFT

Let’s Talk about Sex: An interview with Liz Dube, LMFT

What Therapists Should Know About Sexual Health, Monkey Pox, and the Echoes of the AIDS Epidemic: An Interview with Mallory Garrett, LMFT

Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:

Patreon

Buy Me A Coffee

Our Linktree: https://linktr.ee/therapyreimagined

Modern Therapist’s Survival Guide Creative Credits:

Voice Over by DW McCann https://www.facebook.com/McCannDW/

Music by Crystal Grooms Mangano https://groomsymusic.com/

What Actually is Therapy?

Curt and Katie chat about the confusing laws related to telehealth and other technologies that open up questions of how therapy is actually defined. We look at what is not therapy, what constitutes a therapy session, what differentiates therapy from coaching, and how therapists can navigate confusing laws related to texting, telehealth, and interstate communication with their clients. 

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode we talk about what therapy is and what it is not

Curt identified some laws that don’t quite work because what is considered therapy is changing. What time does therapy happen if you are texting? Where is it located? And what actually is therapy and needs to be held under the laws of the profession AND the laws regulating telehealth and technology?

Why does Curt want to fix the telehealth laws?

What is therapy and what is not therapy?

How do we differentiate what we do from non-therapists?

What is a therapy session?

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

Article from Stephen P. Becker – Wilderness Therapy: Ethical Considerations for Mental Health Professionals

Relevant Episodes of MTSG Podcast:

Rage and Client Self-Harm: An interview with Angela Caldwell, LMFT

It's the Lack of Thought That Counts: Ethical Decision-Making in Dual Relationships

Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:

Patreon

Buy Me A Coffee

Our Linktree: https://linktr.ee/therapyreimagined

Modern Therapist’s Survival Guide Creative Credits:

Voice Over by DW McCann https://www.facebook.com/McCannDW/

Music by Crystal Grooms Mangano https://groomsymusic.com/

Am I Honoring My Personal Values OR Am I Discriminating? An exploration of ethics for modern therapists

Curt and Katie chat about what therapists should be considering when their strongly held personal values or moral beliefs conflict with a client’s demographics, lifestyle, or choices. We dig deeply into when it’s okay to make a “values-based referral” and when referring out is discrimination.  

This is a law and ethics continuing education podcourse.

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode we explore the difference between honoring our personal values and discrimination

Therapists are people who have their own identities, beliefs, values, and approaches to life. But what happens when those identities come into conflict with the clients that they serve? This CE podcourse explores the ethics behind therapist personal values, when personal values should dictate a client being referred to another treatment provider, and when that referral is actually discriminatory.

What is Julia Ward vs. Eastern Michigan University?

The State of Tennessee has a law that allows therapists to deny services to clients

How do ethics codes handle the conflict between discrimination and holding to personal values?

How do we decide whether we can or should refer out a client based on our firmly held beliefs?

Receive Continuing Education for this Episode of the Modern Therapist’s Survival Guide

Once you’ve listened to this episode, to get CE credit you just need to go to learn.moderntherapistcommunity.com/pages/podcourse, register for your free profile, purchase this course, pass the post-test, and complete the evaluation! Once that’s all completed - you’ll get a CE certificate in your profile or you can download it for your records.

Continuing Education Approvals:

You can verify CE approvals here: Continuing Education Information

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

Saving Psychotherapy by Benjamin E. Caldwell, PsyD

*The full reference list can be found in our show notes at mtsgpodcast.com as well as on the course on our learning platform.

Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:

Link tree: https://linktr.ee/therapyreimagined