More than one-third of adults in the U.S. report experiencing a mental health condition or substance use disorder, yet less than half receive the treatment they need due to provider shortages, high costs, and gaps in coverage. Many individuals with behavioral health needs initially seek help in emergency departments or primary care settings, often leaving without proper treatment. To address this gap, the Centers for Medicare & Medicaid Services (CMS) launched the Making Care Primary (MCP) Model in 2023, focusing on innovative solutions in eight states. A key element of this initiative is the collaborative care model—a proven, evidence-based approach that integrates behavioral health into primary care to enhance access, outcomes, and patient satisfaction. Despite its strong track record, adoption remains limited due to reimbursement and scalability challenges.

In the last episode of this season of Therapy Cafe, join host and Psych Hub co-founder Marjorie Morrison, LMFT, LPCC, and Dr. Caroline Carney, President of Behavioral Health and Chief Medical Officer at Magellan Health, as they explore the principles of integrated care, delve into the collaborative care model, and examine how measurement-informed care can drive better outcomes. This episode is a must-listen for therapists and mental health professionals interested in how they can be a part of the solution to streamline care delivery, improve patient outcomes, and expand their impact within integrated health systems. 

1. Describe the concept and benefits of integrated care

2. Explain the collaborative care model, including the key providers required

3. Examine the value of measurement-informed care

If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

Connect with Dr. Carney: https://www.linkedin.com/in/drccarney/ 

Learn more about the collaborative care work at Magellan: https://www.linkedin.com/company/magellan-health/ 

References: 

https://www.thenationalcouncil.org/resources/2022-access-to-care-survey-results/ 

https://www.cdc.gov/nchs/products/databriefs/db426.htm 

https://www.cms.gov/priorities/innovation/mcp/faqs 

Compulsive Sexual Behavior Disorder (CSBD) is a condition that can profoundly impact individuals' lives, relationships, and mental health. In this course, join addiction psychiatry expert Dr. Kenneth Paul Rosenberg, MD as he delves into the complexities of treating CSBD, exploring its unique challenges and treatment approaches. Through an engaging conversation, you'll gain insights into the nuances between high sexual drive, compulsive behaviors, and addiction. By the end of this course, you'll be equipped with practical tools and insights to better support clients with compulsive sexual behaviors, understand co-occurring disorders, and navigate the challenges these individuals face in their personal relationships.

Learning objectives: 

1. Identify the criteria for diagnosing Compulsive Sexual Behavior Disorder (CSBD).

2. Describe the appropriate assessment protocols for identifying CSBD in clinical settings.

3. Identify effective, evidence-based treatment options, including psychotherapy, medication, and support groups.

Click here to access the slides Dr. Rosenberg reviews at the end of the discussion: https://drive.google.com/file/d/117OCINm3f2gxSLH4gqanPQKPQubu_c6L/view?usp=drive_link

If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

Learn more about Dr. Rosenberg’s work at: https://uppereasthealth.com/about 

Military culture is distinct, and shaped by its values, traditions, and experiences. Individuals within the military community often face unique challenges such as frequent relocations, deployments, and exposure to traumatic events. In this episode of Therapy Cafe, host Marjorie Morrison, LMFT, LPCC talks with Sheena Bice, LCMHC, MLADC, CCTP, CSOTS, U.S. Marine Corps Veteran, and Chief Clinical Officer of Forge Health Veterans and First Responder Services. They explore the unique cultural landscape of the military and what it means for mental health providers who support active-duty personnel, veterans, and their families. They break down the differences among military branches, ranks, and the varied experiences of active duty, reservists, and veterans. We’ll discuss practical tips for establishing trust, adapting therapeutic approaches, and collaborating with military support systems. Whether you're new to working with the military community or looking to deepen your understanding, this episode is packed with strategies and insights to help you serve those who serve.

Learning Objectives:

1. Identify common characteristics of the military population and how this relates to the general population as a whole. 

2. Explain the importance of the distinct culture of the military

3. Describe the challenges within the subgroups in the military. 

If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

Learn more about Sheena Bice’s work at: https://forgehealth.com/ 

Connect with Sheena: https://www.linkedin.com/in/sheena-bice-dmsc-lcmhc-mladc-078102a0 

In this episode of Therapy Cafe, experts Dr. Mona Potter, MD, and Dr. Kathryn Boger, PhD, ABPP, discuss therapeutic approaches for treating anxiety and obsessive-compulsive disorder (OCD) in children and adolescents with host Marjorie Morrison, LMFT, LPCC. The conversation covers evidence-based treatments, such as Cognitive Behavioral Therapy (CBT) and exposure therapy, emphasizing the mind-body connection, physical symptoms, and behavioral responses like fight, flight, or freeze. The likelihood and benefits of integrating virtual therapy, the importance of precise diagnostics, and the need for family and school involvement are highlighted. The experts delve into innovative approaches including the use of virtual reality, medication management, and creating supportive environments. Success stories and strategies for long-term resilience and independence in youth are also shared, underscoring the collaborative effort essential for effective anxiety management.

Learning objectives:

1. Explain the core elements of CBT for anxiety and OCD in youth

2. Describe strategies for involving the family and school in care

3. Describe the role of medication in treatment and associated considerations

4. Understand level of care/treatment intensity 

Content notice: Emetophobia (fear of vomiting) is discussed

If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

Learn more about Dr. Potter’s and Dr. Boger’s work at: https://instride.health/

Managing behaviors typically associated with ADHD can be challenging for parents and caregivers, but behavior management training (BMT) offers an evidence-based approach to help. In this episode of Therapy Cafe, Marjorie Morrison, LMFT, LPCC, co-founder of Psych Hub, speaks to Dr. Dylann Gold, a clinical psychologist and expert in child and adolescent attention-deficit/hyperactivity disorder (ADHD) and parent and caregiver training. Dr. Gold dives into the clinical presentation of ADHD and the critical role BMT plays in supporting children and their caregivers. She explores the key principles of behavior therapy, the effective application of BMT techniques, and the importance of consistency. Dr. Gold also touches on the value of psychoeducation for caregivers and the potential role of medication alongside BMT. 

Learning objectives:

1. Explain the clinical presentation of ADHD, such that they can provide psychoeducation to clients in an accessible way.

2. Contextualize common manifestations of ADHD and weave psychoeducation through parent-based interventions.

3. Describe the evidence-based principles for behavior management training for ADHD

 If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

To learn more about Dr. Dylann Gold visit: https://www.goodthinkingebt.com/ 

In this episode of Therapy Cafe, Marjorie Morrison, LMFT, LPCC, co-founder of Psych Hub, speaks with Dr. Nicole Pacheco Tchalim, a reproductive psychiatrist at Columbia Psychiatry and Program Director at the Women's and Reproductive Mental Health (WARM) Fellowship Program, about perinatal mood and anxiety disorders (PMADs). They discuss the prevalence of PMADs, including postpartum depression, anxiety, OCD, and psychosis, which affect one in five birthing individuals. Dr. Pacheco Challam explains the significant impact PMADs can have on individuals and families, the challenges in identifying and treating these disorders, and the importance of early intervention and tailored treatment approaches. They also explore the importance of comprehensive support systems, from lactation consultants to mental health support groups, and the evolving treatments available, including medication and psychotherapy. The episode aims to raise awareness and provide valuable resources for clinicians supporting individuals affected by PMADs.

Learning objectives:

1. Define perinatal mood and anxiety disorders (PMADs) 

2. Explain the impact of PMADs on parents and children.

3. Assess challenges in treating PMADs

If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

Follow Dr. Nicole Pacheco Tchalim: https://www.linkedin.com/in/nicole-pacheco-tchalim-40671263/ 

Find Dr. Nicole Pacheco Tchalim at: https://psidirectory.com/listing/nicole-pacheco-md.html 

To learn more about the Columbia WARM program visit: https://www.columbiadoctors.org/specialties/psychiatry-psychology/our-services/womens-and-reproductive-mental-health-warm-program  

To learn more about Project Teach, visit: https://projectteachny.org/

In Episode Six of Therapy Café, host Marjorie Morrison, LMFT, LPCC, co-founder of Psych Hub, is joined by Dr. Julie Goldstein Grumet, a leading clinical psychologist in suicide prevention, Vice President for Suicide Prevention Strategy, and Director of Zero Suicide Institute at the Education Development Center, to explore the Zero Suicide framework—a set of evidence-based practices designed to reduce suicide behaviors and deaths. With statistics showing that over 38% of individuals visit a healthcare provider in the week before a suicide attempt, Dr. Goldstein Grumet highlights opportunities for intervention and emphasizes the need for healthcare systems to prioritize patient safety. They discuss the essential components of Zero Suicide, the importance of training and supporting providers, and offer practical strategies to help mental health practitioners care for those at risk. This episode also provides actionable insights into fostering a system-wide culture of prevention, ensuring that both providers and patients receive the care and support they need.

Learning objectives:

1. Explain how Zero Suicide transforms patient care in healthcare systems

2. Describe a clinical care pathway for caring for people at risk for suicide

3. Identify evidence-based practices in suicide care

If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

Follow Julie Goldstein Grumet, PhD: https://www.linkedin.com/in/julie-goldstein-grumet/

To learn more about the work at the Education Development Center and the Zero Suicide Institute, visit: https://solutions.edc.org/solutions/zero-suicide-institute

If you, or someone you know, are in a mental health crisis or having thoughts of suicide, call, text, or chat 24/7 with the 988 Suicide and Crisis Lifeline. If you or someone you know are in immediate danger, call 911.

As menopause becomes a more prominent issue discussed in healthcare, the conversation highlights the importance of understanding the hormonal changes women experience during midlife. Many biopsychosocial influences in midlife influence our moods.  We see an incidence of depression double, anxiety and panic attacks increase, and some individuals even present with a new diagnosis or exacerbation of underlying ADHD. In this episode of Therapy Café, we explore the crucial topic of menopause and its effects on mental health. Our special guests, Dr. Kathleen Jordan, Chief Medical Officer, and Joanna Strober, CEO and co-founder of Midi—a virtual care platform tailored for women over 40—share their expertise with host Marjorie Morrison, LMFT, LPCC, co-founder of Psych Hub. Our guests discuss the significance of recognizing the symptoms of perimenopause and menopause and how they affect women physically, emotionally, and mentally. By sharing practical strategies and evidence-based interventions, they offer hope and solutions to manage these life transitions effectively. The importance of hormone replacement therapy (HRT) is discussed, alongside non-hormonal treatments and lifestyle adjustments. The episode serves as an informative guide for mental health practitioners providing tools to support aging women better and break the taboos surrounding menopause.

Learning Objectives:

1. Explain the physical and psychological symptoms commonly associated with hormone changes during perimenopause and menopause, including hot flashes, night sweats, sleep disturbances, vaginal atrophy, fatigue, mood changes, anxiety, depression, and effects on sexuality

2. Discuss evidence-based hormone therapy options for perimenopausal and menopausal women, including types, benefits, risks, and individualization based on the patient's symptoms and medical history.

3. Describe the effects of perimenopause and menopause on mental health conditions in women, including potential effects on mood disorders, anxiety, psychosis, dementia, ADHD, and eating disorders.

4. Explain the mental health implications of early/premature menopause compared to menopause at average age.

1. Demonstrate cultural competence and sensitivity regarding diverse attitudes, stigma, expectations and experiences surrounding menopause and perimenopause.

If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

Follow Kathleen Jordan, MD: https://www.linkedin.com/in/kathleen-jordan-md-37b6494/ 

Follow Joanna Strober: https://www.linkedin.com/in/joannastrober/ 

To learn more about Midi, visit https://www.joinmidi.com/ 

Atypical anorexia nervosa (AAN) is a sub-diagnosis for patients who meet all the criteria for anorexia, except for being underweight. However, the term “atypical” is a glaring misnomer, as AAN affects up to 4.9% of people during their lifetime, whereas anorexia nervosa (AN) affects about 0.6%. Atypical anorexia became a subtype of other specified feeding and eating disorders (OSFED) in 2013, leading to many common misconceptions about the severity of the illness and its best treatment approach. In this episode, Dr. Cara Bohon, licensed clinical psychologist, Clinical Associate Professor, Department of Psychiatry and Behavioral Sciences, Stanford University, and Senior Vice President of Clinical Programs at Equip, will explore these diagnostic labels, assess the severity and treatment trajectory for patients with AAN compared to AN, and propose considerations for future diagnostic clarifications.

Learning Objectives:

1. Explain the differences (or lack thereof) between atypical anorexia nervosa (AAN) and anorexia nervosa

2. Recognize the severity of AAN and the urgency for treatment

3. Identify necessary components for treatments for AAN

If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

Learn more about Dr. Cara Bohon at https://www.linkedin.com/in/cara-bohon/ 

To learn more about Equip, visit http://equip.health/psychhub.

This episode of Therapy Cafe features Dr. Suzanne Goh, a pediatric neurologist, board-certified behavior analyst, neuroscience researcher, and founder of Cortica, discussing the whole-child approach to treating autism. Dr. Goh explains the historical context, current diagnostic and therapeutic landscapes of autism, and how her holistic model combines optimal medical treatment with the most effective strategies for advancing cognition, communication, and behavior. She emphasizes the importance of collaboration among healthcare professionals and the role of family support in enhancing autism care, demystifying complex treatment processes, and focusing on strengths-based interventions.

Learning Objectives:

By the end of this presentation, listeners will be able to

1. Define autism and list its diagnostic characteristics and commonly co-occurring features

2. Identify how a whole-child approach to care helps to support autistic* children and their families more effectively

3. Utilize a strengths-based framework to better support autistic children and their families.  

If you’d like to obtain continuing education as a psychologist, counselor, social worker, or therapist you can purchase a one-year subscription to Psych Hub’s training center. Once signed up, you’ll have access to earn CEs for this and every Therapy Cafe episode, plus access to our existing library of over 120 evidence-based practice continuing education courses created by expert clinicians. Go to psychhub.com/signup for more information. 

Learn more about Dr. Goh’s research and her recent work “Magnificent Minds: The New Whole-Child Approach to Autism” at: https://www.drsuzannegoh.com/ 

Learn more about the research at Cortica at: https://www.corticacare.com/ 

*This episode will use both identity-first and person-first language. Click here to learn more about respectful language perspectives: 

https://www.nih.gov/about-nih/what-we-do/science-health-public-trust/perspectives/writing-respectfully-person-first-identity-first-language