The Therapist Thrival Guide

Join Miranda Barker, LICSW, and Dr. Robyn Janssen, licensed psychologist, for a deep dive into the realities of working with Borderline Personality Disorder (BPD). In this episode, Dr. Janssen shares insights from her dissertation on therapist countertransference when supporting clients with BPD—and why structured approaches like Dialectical Behavior Therapy (DBT) can make all the difference.

You’ll hear us talk about the trauma often underlying BPD, what makes relationship dynamics so complex, and how trust (on both sides!) plays a key role in the work. Whether you’re new to working with BPD or have years of experience, you’ll walk away with practical strategies and some validating reminders for therapists doing this challenging, meaningful work.

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

TIMESTAMPS:

00:00 Introduction and Guest Introduction

00:29 Understanding Borderline Personality Disorder

00:47 Therapist Countertransference

05:50 The Role of Structure in Therapy

09:00 Link Between Trauma and BPD

12:31 Navigating Therapeutic Relationships

15:53 Understanding the Push-Pull Dynamic in Relationships

16:26 Inching Towards the Gray in Relationships

16:55 Foundational Skills for Healthy Relationships

18:59 Compassionate Approach to Borderline Personality Disorder

20:25 Can Borderline Personality Disorder Be Cured?

22:20 Differential Diagnosis: BPD vs. Other Disorders

27:13 Tips for Therapists Working with BPD Clients

29:00 Conclusion and Final Thoughts

In this episode, Miranda is joined by Jennifer Keehn, LPCC, to unpack all things therapeutic letter writing. We’re talking emotional support animal letters, housing accommodations, FMLA, gender affirming surgery documentation—you name it. Whether you’re brand new to writing letters or have been doing it for years, we’re breaking down what needs to be included, how to protect your license, and the key do’s and don’ts to keep in mind. If you’ve ever wondered "Should I be writing this?" or "What should I say?"—this one’s for you.

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

TIMESTAMPS:

00:00 Introduction and Host Introductions

00:38 Overview of Letter Writing in Therapy

00:59 Types of Letters and Their Purposes

01:26 Challenges and Concerns in Writing Letters

03:28 Guidance on Writing Emotional Support Animal Letters

07:27 Writing FMLA Documentation

10:18 Gender Affirming Surgery Letters

16:07 Ethical Dilemmas in Writing Letters

19:09 Court Summaries and Custody Plans

21:34 School Accommodations Letters

22:10 Discussing Military Deployment Letters

22:52 Writing Return to Work Letters

24:13 Bariatric Surgery Letter Considerations

26:02 Adoption Process and Therapy Letters

29:32 Emotional Support Animal Letters

32:42 Workplace Accommodations and Letters

37:03 Tips for Writing Effective Letters

42:55 Conclusion and Resources for Clinicians

In this short but meaningful episode, Miranda (a licensed clinical social worker) is joined by fellow therapists Letisha and Gina for a real conversation about social anxiety. They break down how it can show up in both kids and adults, and share effective ways to treat it—including CBT, ACT, and the power of social stories.

You’ll also hear about tools like the SCARED assessment that help guide diagnosis and treatment. Whether you're a clinician or just curious, you'll walk away with practical strategies and insight to better understand and manage social anxiety.

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Timestamps:

00:00 Introduction and Episode Overview

00:32 Understanding Social Anxiety

01:40 Diagnosing Social Anxiety in Kids

03:59 Treating Social Anxiety: CBT and ACT

07:26 Using Social Stories for Anxiety

13:19 Exposure Therapy and EMDR

14:45 Conclusion and Final Thoughts

In this episode of Therapist Thrival Guide, Miranda is joined by trauma therapist Amy Wilkerson, LICSW, for a conversation that many of us need but don’t always know how to start—understanding dissociation.

Amy brings deep experience working with clients in foster care, adoption, and the military, and she breaks down what dissociation really is (hint: it’s not just zoning out during a boring meeting). We talk through how dissociation shows up in everyday life, why it’s often connected to trauma, and how therapists can support clients with curiosity and care.

We also dig into therapeutic approaches like EMDR, parts work, and Deep Brain Reorienting (DBR), plus we share some grounding tools you can use right away.

Whether you’re a therapist or someone who’s ever felt disconnected from yourself—this one’s for you.

Links:

• Learn more about Amy and her practice here.
• The Haunted Self by Onno van der Hart, Ellert Nijenhuis, and Kathy Steele
• Trauma and the Struggle to Open Up by Robert T. Muller
• Deep Brain Reorienting by Frank Corrigan
• Trauma Related Dissociation by Suzette Boon, Onno van der Hart Ph.D., and Kathy Steele

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Time Stamps:

00:00 Introduction and Guest Introduction

00:27 Amy's Background and Experience

02:23 Understanding Dissociation

03:03 Symptoms and Everyday Examples of Dissociation

05:18 Causes of Dissociation

06:03 Trauma-Related Dissociation

10:12 Parts Work and Dissociation

17:29 Deep Brain Reorienting (DBR)

22:19 Grounding Skills and Regulation

27:38 Recommended Resources and Conclusion

In this episode, Miranda interviews Kailah Tuttle, LPC, a certified geek therapist, about the innovative field of geek therapy. They discuss how incorporating elements of geek culture, such as anime, video games, roleplaying games, and superheroes, can enhance therapeutic practices.

Kayla shares her experiences with therapeutic Dungeon Master training and how geek therapy helps clients connect with their passions, process experiences, and learn skills through relatable characters and stories. They also touch on the importance of play and staying connected to one's inner child.

Whether you're a therapist looking to expand your toolkit or simply interested in the intersection of mental health and geek culture, this episode offers a fascinating insight into an emerging approach to therapy.

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Timestamps:

00:00 Introduction and Guest Welcome

00:25 Diving into Geek Therapy

02:00 Therapeutic Dungeon Master Training

02:41 Play Therapy and Geek Therapy

04:36 Certification and Competency in Geek Therapy

07:27 Practical Applications of Geek Therapy

08:29 Therapeutic Dungeons and Dragons

15:59 Finding Your Niche as a Therapist

19:13 Exploring Art and Geek Therapy

19:24 Narrative Therapy and Superhero Stories

20:09 Creative Activities in Therapy

21:35 Geek Therapy in Practice

22:29 Integrating Geek Culture in Talk Therapy

23:54 Building Rapport Through Shared Interests

28:06 Geek Therapy as a Therapeutic Lens

31:02 Practical Interventions and Techniques

33:58 Connecting with the Inner Child

35:10 Final Thoughts and Resources

In this episode, licensed clinical social workers Miranda, Gina and Letisha, discuss 'Attached' by Amir Levine and Rachel S.F. Heller. They explore the book's insights on attachment styles—secure, anxious, and avoidant—while noting its omission of disorganized attachment. The episode touches on how these styles influence relationships, offers critiques on the book's approach, and provides practical advice on communication and self-awareness in relationships.

Link to book: https://amzn.to/41yJBYd

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In this episode, therapists Miranda Barker and Karna Boynton share an in-depth conversation about secondary traumatic stress (STS). Karna, an experienced clinician and licensed marriage family therapist, opens up about her personal experience with STS, describing how the compounded stress from her professional and personal life led her to encounter PTSD-like symptoms.

We're discussing the distinctions between burnout, compassion fatigue, vicarious trauma, and secondary traumatic stress, emphasizing the need for mental health professionals to prioritize self-care and seek support when needed.

Karna offers valuable advice on recognizing warning signs, setting boundaries, and finding coping mechanisms that work. This episode aims to shed light on the significant impact of STS on therapists and the importance of acknowledging and addressing this often-overlooked issue.

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Timestamps:

00:00 Introduction and Meet the Guest

00:24 Karna's Career Journey

02:06 Understanding Secondary Traumatic Stress (STS)

03:24 Burnout vs. Compassion Fatigue

07:14 Vicarious Trauma Explained

11:49 Personal Experiences and Warning Signs

24:55 The Pressure Cooker: Personal and Professional Struggles

33:09 The Breaking Point: Recognizing the Signs

33:21 Physical Manifestations of Stress

34:12 Therapeutic Modalities and Their Impact

35:40 The Emotional Toll of Trauma Work

36:28 Navigating Client-Therapist Boundaries

39:40 Assessment and Realization

41:56 Experiencing Secondary Trauma

48:45 Steps Towards Recovery

51:49 Reevaluating and Rebuilding

53:26 Sharing the Journey

58:36 Final Reflections and Advice

Heather Olsson, LCPC and Matthew Toman, APRN, both at Ellie Mental Health in Naperville, IL, join this episode to explore how some physical illnesses or issues can mask as mental health problems.

Heather and Matt share their experiences and insights on how to best support clients and the huge benefits of interdisciplinary collaboration in healthcare.

They also discuss the impact of physical health on mental well-being and the role of lab tests in diagnosing and treating various conditions. This conversation aims to empower therapists and healthcare professionals to better support their clients by understanding the connection between physical and mental health and collaborating with physicians.

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Timestamps:

00:00 Introduction to the Therapist Thrival Guide

00:31 Meet the Guests: Heather and Matt

01:27 The Importance of Medication Management

02:07 Personal and Professional Collaboration

05:13 Bridging the Gap Between Mental and Physical Health

05:40 Understanding the Role of Lab Work

11:05 The Impact of Thyroid Function on Mental Health

17:12 GeneSight Testing and Medication Management

24:18 Starting SSRIs and SNRIs: What to Expect

24:38 Overlap of PCOS and Mental Health Symptoms

25:45 Empowering Clients and Treatment Teams

26:01 Key Lab Tests for Mental Health

28:03 Alcohol's Impact on Mental and Physical Health

30:20 SSRIs and Sexual Dysfunction

37:39 Exploring Medication Alternatives

41:45 Final Thoughts and Takeaways

What if you could separate your work and personal life—along with all the emotions tied to them? In this episode of The Therapist Thrival Guide, therapists Miranda and Lucas unpack the psychological and philosophical themes of Apple TV+’s Severance.They explore dissociation, compartmentalization, and the human desire to escape suffering, connecting these ideas to real-life therapy. How does avoiding discomfort affect mental health? Is the pursuit of happiness overrated? And what can Severance teach us about meaning and fulfillment?

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Timestamps:

00:00 Intro & Welcome

00:29 Severance Themes & Psychological Concepts

03:27 Dissociation, Compartmentalization & Therapy Insights

06:59 Escaping Suffering vs. Finding Meaning

15:42 Is Happiness the Goal?

26:20 Final Reflections & Practical Takeaways

💬 Would you sever uncomfortable emotions if you could? Share your thoughts in the comments!

In this episode of the Therapist Thrival Guide, join Miranda, a licensed clinical social worker, alongside Letisha and Gina, as they candidly discuss Oppositional Defiant Disorder (ODD).

The discussion covers the DSM-5 criteria for ODD, its symptoms, and the stigma associated with the diagnosis. They explore alternative diagnoses, underlying issues like trauma, ADHD, and autism, and talk about effective treatment strategies including parent management training and cognitive-behavioral therapy.

The conversation also emphasizes the importance of seeing each child through a fresh and unbiased lens.

OUR HOST:

Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on⁠⁠⁠⁠ LinkedIn.⁠⁠⁠⁠

The Therapist Thrival Guide is a podcast by⁠⁠⁠⁠⁠⁠⁠ Ellie Mental Health⁠⁠⁠⁠⁠⁠⁠. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.⁠⁠

Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Timestamps:

02:32 Symptoms and Diagnostic Criteria of ODD

05:02 Challenges and Controversies in Diagnosing ODD

06:01 Personal Experiences and Case Studies

08:49 The Impact of Labels and Diagnoses on Children

21:59 Differential Diagnoses and Overlapping Conditions

23:42 Understanding ODD and ADHD Differences

24:09 Trauma and Its Impact on ODD

25:15 Foster Care and ODD Diagnoses

28:49 Mood Disorders and Autism in Relation to ODD

31:19 The Unique Aspect of Vindictiveness in ODD

34:06 Challenges in Diagnosing and Treating ODD

38:02 Effective Strategies for Managing ODD

44:48 Conclusion and Final Thoughts