The first guide to cover all aspects of therapeutic practice, The Therapist′s Starter Guide: Setting Up and Building Your Practice, Working with Clients, and Managing Professional Growth provides new practitioners, and those in the first few years of establishing a practice, with the skills needed to succeed, thrive, and grow professionally as well as personally. This vital guide recognizes the practice of psychotherapy as a unique blend of science, art, and business. It equips new mental health professionals with the knowledge they need to transition to their first job out of school or the start of their own therapy practice.
Written by two seasoned mental health professionals with both clinical and managerial experience operating a network of behavioral health providers, this hands–on book is designed for those seeking realistic advice on how to manage a successful career as a therapist be it working on one′s own or as part of a larger organization or practice. Filled with relevant case studies and self–test questions, it presents solid, practical answers to questions including:
How should you recognize ethical dilemmas and handle them when they occur?
How can you position your practice for success in a very competitive marketplace?
How do you recognize when your clients are ready for change?
How will you handle working with insurance companies?
What issues are important in the beginning and during treatment?
How do you end treatment gracefully?
The Therapist′s Starter Guide: Setting Up and Building Your Practice, Working with Clients, and Managing Professional Growth provides practitioners in counseling, social work, and psychology with the tools they′ll need to become outstanding, effective, ethical, and satisfied professionals.
SECTION I SETTING UP AND BUILDING YOUR PRACTICE.
1 DEFINING YOUR PURPOSE.
What Is the Purpose of Therapy?
The Goals of Psychotherapy.
Relationship–Oriented versus Evidence–Based Therapy.
What Kind of Practitioner Are You?
A Trip to the Therapist s Couch . . . .
2 ETHICAL ISSUES.
Why Study Ethics?
Practicing Outside Your Scope of Practice.
3 LEGAL ISSUES.
Tarasoff v. Regents of the University of California.
Duty to Warn.
Duty to Report.
Confidentiality and Working with a Minor.
Dealing with Licensing Boards.
What Is Malpractice?
The Difference between Supervision and Consultation.
Receiving a Subpoena.
4 THE IMPORTANCE OF DOCUMENTATION: USING CLIENT CHARTS TO KEEP CARE FOCUSED.
Who Will See Your Charts?
Before the Client Arrives: Getting Your Files Ready.
5 ESTABLISHING YOUR PRACTICE.
Creating a Professional Identity.
What Will You Charge?
Developing Peer Consultation.
Working with Insurance Companies.
Your Physical Space.
Trends on the Horizon.
The Use of Technology.
SECTION II WORKING WITH CLIENTS.
6 THE THERAPEUTIC RELATIONSHIP.
What Makes the Counseling Relationship Different?
Carl Rogers and the Therapeutic Relationship.
John Norcross and the Division 29 Task Force.
7 HOW WILL YOU INTERACT WITH THE CLIENT?
Creating a Sense of Hope.
Eliciting the Client s Concerns.
Developing Collaboration with the Client.
The Quest for Why: Insight versus Behavior Change.
Setting Realistic Treatment Expectations.
8 UNDERSTANDING THE CHANGE PROCESS.
Prochaska s Model of Change.
The Processes of Change Model.
Assessing Stages of Change and Matching Interventions.
The Stages of Change Model.
Understanding Clients Learning Styles.
Locus of Control.
Learned Helplessness and Learned Optimism.
Mental Wellness What Is It?
9 BEGINNING TREATMENT.
Determining What the Client Wants.
Taking a Comprehensive History: The Structured Interview.
Setting the Stage for Treatment: Accurate Diagnosis.
Assessing Functional Impairments and Functional Goals.
Setting the Stage for Treatment: Focused Treatment Planning.
10 THE MIDDLE PHASE OF TREATMENT.
Frequency of Sessions.
Setting Up Time Frames.
Working with Client Strengths and Exceptions.
Identifying Intervention Points.
Client Behaviors That Interfere with Therapy.
Practitioner Behaviors That Interfere with Therapy.
The Two Sides of Catharsis.
Transference and Countertransference.
What to Do When Therapy Isn t Working.
Iatrogenic Effects of Therapy.
Working Toward Termination.
11 ENDING TREATMENT.
Helping Clients Live Life between Sessions.
Positive Termination Strategies: How to Know When You Are Done.
Setting Up a Relapse–Prevention Plan.
The Importance of the Final Session.
12 WORKING WITH COMMON THEMES.
Working with Resistance and Avoidance Behaviors.
Forgiveness and Acceptance.
The Role of Laughter and Humor.
13 WORKING WITH CHALLENGING CASES: CHEMICAL DEPENDENCY AND PERSONALITY DISORDERS.
Treating Clients with Active Chemical Dependency Problems.
Axis II: Personality Disorders.
Introduction to Dialectical Behavior Therapy.
14 MANAGING ADVERSE EVENTS.
Suicidal Ideation and Intent.
15 UNDERSTANDING MEDICATIONS AND THE ROLE OF MEDICAL CONDITIONS.
Types of Medications.
Working Effectively with Prescribers.
SECTION III MANAGING PROFESSIONAL GROWTH.
16 PROFESSIONAL GROWTH THROUGH PERSONAL MANAGEMENT.
Creating a Professional Identity.
Dealing with Burnout and Vicarious Trauma.
Developing Core Characteristics.
Clients Influence on Your Development.
Finding Your Niche: Generalist or Specialist?