Telemental health has actually been around for several years.
• Telemental health is only for the underserved and those who live in rural areas.
Anyone can use telemental health. It saves travel time, gas money, and can more easily fit into a busy schedule.
• You miss out on nonverbal cues with telemental health.
During video chat, nonverbal cues can still be picked up. Proper room lighting, camera placement, and having a strong internet / wifi connection play an important role in this. The mental health professional will let you know if they can’t see you.
• It takes longer to develop rapport with telemental health.
It takes the same amount of time as in-office sessions to develop rapport, keeping in mind that the counselor should be a good fit to work with.
• Telemental health is not secure.
Telemental health can be set up HIPAA compliant and secure to the standard of ethics. There are multiple safeguards in place.
For about nine years, I worked as a counselor in higher level of care settings. A ton professional growth occurred during those years. I taught people how to better cope, apply therapeutic strategies, and believe in their own strengths. Days ranged from 8 to 16 hours long. One month, I took an overnight shift. I battled insomnia due to the crazy hours. What I learned during those times still helps me. And I beat the insomnia.
About a year ago, I felt the desire to go into outpatient private practice. It would be a completely different experience, slower pace, though still always busy. I was interested in business. For almost an entire year, I researched how to properly set up the independent contractor and business details, then chipped away at putting the pieces into action. I was also pregnant, so there was no hurry during this process.
The business didn’t start out as teletherapy. I shared an office with another counselor and saw people in-office. That was alright, but I wasn’t happy with a few of the business aspects that weren’t within my control, nothing counseling related. It felt off. I didn’t feel like I was supposed to be there. In the back of my mind, I was thinking about teletherapy, but I didn’t believe that it could be as secure as in-office and wondered about some ethical aspects. I had a lot of questions. Back while I was researching how to set up the business, teletherapy came up, but I had too many concerns about doing harm or something going wrong. So I didn’t go there.
Well, Coronavirus struck and places went into lockdown. Our office was open because we were essential workers. Coronavirus was my sign to leap into teletherapy. I took a 12.5 hour course on properly running a teletherapy private practice and did more research. No one was inquiring about services due to the lockdown. I jumped ship and into the new waters, I swam.
As everything fell into place, it was rewarding on many levels, personally and professionally. Of course, I was setting everything up from scratch, doing it the hard way to save money because I was just starting out. I created my own documents, made sure everything was HIPAA compliant, secure, and private, and used as much free software as I needed. It ran like clockwork. How about that?!
I completed continuing education and became certified in telemental health and in treating anxiety. My business grew and remained steady over the next year. With my heart full, I wanted to upgrade my business and give more to my clients. I researched practice management software and EHR software, comparing all of the platforms, perks, ease of use, and which one would be the best fit for myself and my clients. I went with SimplePractice because it was intuitive and had a great client portal.
The free trial was handy, I picked through everything that SimplePractice offers and learned about it. When it came to getting the system and paperwork to align with what I already had set up, it was a bit overwhelming and difficult. SimplePractice has good “how to” videos and I was getting daily emails from them to make sure things were going well. After fiddling around during that free period, my business was operating on SimplePractice. So happy!
My small private practice has come a long way within a year, as it started from scratch and now uses a fancy EHR. There’s a lot to be proud of and grateful for in this journey of business ownership. The practice has been fruitful. I look forward to meeting and helping people in the years to come.
Mental health professionals: use this code below to try out SimplePractice, and when you’re ready to sign up for a paid account, receive a $50 discount.
What National Certified Counselor (NCC) Means to Potential Clients
Counselors can have multiple letters or credentials behind their name. One that most people are familiar with is Licensed Professional Counselor (LPC). Counselors can be board certified, have a certificate in a specialty (addiction, marriage and family therapy, anxiety…) and treatment method (Cognitive Behavioral Therapy, Solution-Focus Brief Therapy, Dialectical Behavior Therapy…).
The Counselor is Committed
The NCC is voluntary, it is not required to practice (licensure is a requirement), but it is an additional step that counselors can take to display and ensure the high level of service that they provide their clients. Counselors who have NCC are dedicated to the counseling profession.
The counselor voluntarily submits to an established conduct review conducted by professionals in counseling
Counselors work with sensitive health information. If a client or somebody has a question about their actions, they may follow an established process to obtain a neutral review of their concern.
The counselor is required to remain current with developments in the profession
Continuing education that is approved by the National Board of Certified Counselors (NBCC) is required in order to maintain the NCC. This ensures that the counselor is current with all areas of the profession.
The counselor may have areas of specialties
The counselor demonstrates expertise with NBCC specialty certifications. These include, Certified Clinical Mental Health Counselor (CCMHC), Master Addictions Counselor (MAC) and National Certified School Counselor (NCSC). Certifications reflect that they have met national standards for a specialty practice, with additional education and experience and a specialty examination.
These 12 tips are specific to living through a pandemic (COVID-19) where there are multiple tragic events and crisis occurring at once on a worldwide scale.
A brief overview of the destruction that COVID-19 has caused
• People are ill and dying from a virus.
• People are socially isolated from family and friends.
• People are restricted in where they can go and what they can do.
• People have lost jobs and are financially unstable.
– Connected to all of this is the person’s identity because people identify themselves through going out and participating.
• Political issues, finger pointing and name calling are a big part of this pandemic.
• People wear face masks to reduce spread of the virus, but the mask also hides smiles.
• Anxiety, depression and suicide is on the rise.
• People are silently hurting.
The benefits of these tips are (but not limited to)
• Increased happiness
• Connection to others
• Raising awareness
• Fostering positivity
• Finding value and meaning in life
• Learning coping strategies
• Finding help
Keep in mind that this article isn’t telling you to ignore, dismiss, or minimize what’s going on around us. It is important to sit with the difficult emotions and thoughts, to process, and personally grow from what’s occurring in our lives. We can’t run, there needs to be a resolution to do something about it, but there needs to be a balance and healthy approach.
Let’s cover the tips on getting through
1) Limit your time on social media and watching the news. Be informed and have proper understanding about what’s going on around the world, but don’t allow the information to overwhelm and carry you away. The information on social media and the news shouldn’t occupy a good portion of your day.
2) Mute or unfollow people on social platforms such as Facebook, Twitter and Instagram if they are posting unhelpful information on the pandemic or are posting frequently on the pandemic. Always check the resource of what they post to make sure it is true and accurate. There is a lot of information being shared that is inaccurate or highly one-sided. Be your own researcher, fact-checker, and it is beneficial to try to see from both sides of an issue. Widening perspective allows us to have a more open mind and gives us a little more breathing room.
3) Use social media and technology to your advantage. Since we have to limit being around others or can’t be around people at all, use social media to connect and to lift up others. Post something kind or funny. Post a beautiful picture. Have an engaging conversation, but leave out the pandemic and political issues surrounding it. You can lift someone’s spirit and your own!
We use video platforms on almost a daily basis now, continue to use it to connect. Talk to a good friend who you haven’t seen in a while. Use video platforms to check-in with a person’s mental health, you don’t know who is suffering in silence.
Are you feeling unsure about how to check-in? This link will lead you to check-in questions:
Do you have a favorite hobby or interest? Join and follow social media groups and pages to motivate and fuel your interests.
4) Virtual tours, adventures and visits. If you are looking for something new and interesting to do without leaving your house, take a virtual trip to a National Park, zoo, museum, etc. Think of somewhere that you’ve never been and would like to go. Read about it, look at pictures, watch videos, and take a virtual tour. This is fun activity to do with kids and it’s educational.
If you’re religious or spiritual, consider attending a virtual service or practice.
5) Teach someone about your hobby or trade. Write, blog, create social media content, and make a video to do so. Engage with people, answer their questions, and provide them with credible resources so they can learn more.
5) Increase your self-care. Do more of what you enjoy and try new things, even if you don’t feel like it. Take care of your body and mind. Try to keep to a normal schedule, this includes proper exercise, diet, and staying hydrated. If you’re overwhelmed with work, schedule in self-care. Slow down, read a book, take a bath, watch a movie, call someone you care about.
6) Make a vision board to stay focused on your long-term goals. Read how here:
8) Practice mindfulness, breathing and or meditation. Find someone who provides these services online if you need help getting started. Create a YouTube playlist of relaxing music and sounds that you can practice to. Don’t give up if these exercises don’t immediately benefit you in an impactful way, it takes time to learn them. It’s a process.
9) Use online presence to raise awareness or funds for a cause that you’re passionate about. Help people learn more, support people who need it the most, connect to others who care about the same thing as you. Feel good!
10) Use positive affirmations and practice them regularly. Read more and find examples here:
11) Have a safety plan and an emergency plan. For the safety plan:
• Write down what triggers maladaptive behaviors.
• Write coping strategies for each trigger that you can participate in right away.
• Write down three positive affirmations or favorite quotes.
• List three people whom you can trust to call and talk to and receive support from (Do ahead of time: make sure that they know they are on your safety plan list and tell them how they can best support you if you contact them.) (Ideas on how they can help: this can range from a phone call to recall favorite memories or to meet up for coffee.).
• If your situation turns into an emergency, call 911 or the National Suicide Prevention Lifeline 1-800-273-8255 or your local mental health crisis lifeline. Add these emergency phone numbers to your safety plan.
12) Speak with a professional counselor. They can teach you several coping strategies and powerful tools like cognitive reframing. They are someone who will be present with you, be non-judgmental, listen, and provide feedback. They will support you and give you space for you to process your strongest emotions and thoughts.
Check out these other benefits to seeing a counselor:
As a professional counselor, diagnosing is necessary and guides how we help people. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is the universal guide on mental illnesses, housing all of the criteria and statical relevance. The manual is updated every few years, as the mental health field changes and research backs any new findings.
Basic things to know and my thoughts:
▪︎ I am a fan of the DSM-5. If I have a question, I can usually find the answer there.
▪︎ Diagnosis allows professionals to figure out how to effectively treat someone and to stay up-to-date with treatment solutions. A diagnosis is a baseline, where we can learn and build information upon, or dig below the baseline to find a root cause to an issue. A counselor can customize the treatment plan, fitting the unique client.
▪︎ Diagnosis is necessary and can be beneficial to the client when the counselor properly explains it. I think that the client should have an understanding and gain insight to what is going on. – Of course, it starts with the client telling the counselor the perceived problem, and they go from there.
▪︎ Sometimes when a person receives a diagnosis, they feel a sense of relief because they have an answer or insight, and a direction towards treatment. On the other hand, does someone really want a diagnosis? No. Because people would rather not have the underlying issue to deal with in the first place. This makes total sense!
▪ The client should understand that this is a GUIDE, not a total reflection of WHO a person is. If the client has a concern over the diagnosis as it relates to their identity, then they should let their counselor know. Sometimes people allow their diagnosis to become a role in their life, a part of their identity. A diagnosis or illness is NOT the person, it is something that they are experiencing. A person is not their anxiety, though anxiety may be front and center, impacting multiple areas of life, but it is not who they are.
Those are my main thoughts, along with some information that I think that people should know about diagnosis. Whether you’re giving or receiving a diagnosis, it’s important to understand it and understand the treatment approach. Above all, the client should take care when it comes to thinking and speaking about a diagnosis because it is what they’re going through, not meant to become part of their identity.
The purpose of my YouTube channel is to provide you with information on mental health and tips to help you get through everyday life. Since I’m passionate about running and the outdoors, you may also see that as it relates to mental health.
Have you ever wondered the difference between an Emotional Support Animal, Therapy Dog or Service Dog? This article is a brief overview, of the different companions.
Emotional Support Animal (ESA)
The animal provides therapeutic benefits to the owner at home through companionship.
Steps to getting an ESA:
Determine if an ESA is right for you. Ask yourself what are the possible benefits. Understand the work that is involved with owning an animal.
Find a licensed professional mental health therapist who is knowledgeable about ESAs. They will walk you through mental health assessments and other parts of the process. The therapist can write a legitimate letter for you to use and identify your animal as an ESA.
Adopt an animal. Do your research and choose an animal carefully. An animal can come from a rescue, shelter or trusted breeder. Common ESAs: dogs; cats; reptiles; rodents; birds (even chickens!). If you already have a pet that you would like to be your ESA, that’s great! Just be sure that your pet suits your needs.
Train your ESA to behave properly. Only basic animal training is needed, there are no special requirements. You are responsible for your animal’s behavior and if the animal damages property, being responsible paying for the damage.
Use your ESA letter properly.
Enjoy your emotional support companion!
The most common type of therapy animal is a dog, but other animals, like cats and horses can also be supportive.
Used in facilities, such as hospitals and retirement homes to provide affection and comfort.
Not all dog breeds fit being a therapy dog. The dog must be calm, affectionate and friendly to strangers at all times.
Therapy dogs don’t have to be trained for specific tasks like service dogs.
The dog needs to complete obedience training and register to become a certified therapy dog.
Trained to help people with visual impairment, diabetes, mental illnesses, and other disabilities.
The Americans with Disabilities Act (ADA) and local government gives the option to people with disabilities to have a service dog, and (the ADA) punctuates that the dog is a working animal.
Must be well-trained to complete specific tasks related to the needs of the person with the disability. The dog must be fit to complete jobs that you cannot complete yourself.
Document all of the dog’s training and certificate.