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Showing posts from August, 2020

Law & Ethics as a Mental Health Provider

Welcome to this week's blog post.  Today I'm simply sharing what's on my mind after attending a full day training on Law & Ethics in Youth Services and Child Welfare. This past week I attended a full day of Law & Ethics for Youth Services & Child Welfare, via Zoom, no less.  Sounds riveting, doesn't it.  Well, I agree.  Usually a full day training of Law & Ethics is dry and boring, but mandatory for mental health clinicians to keep their license.  So, a necessary evil, of sorts.  However, this training was much different and much more interactive, keeping me engaged far better than any previous Law & Ethics trainings I've attended. Some of the topics that I have regularly struggled with, came up during this training, and the responses from the other attendees was interesting.  Such vignettes as:     "Your client is selling Girl Scout cookies and has an ambitious goal.  She asks if you will help her out   and buy a few boxes?  And asks if you

Cautions of Couples Counseling

 When I embarked on the path of becoming a Marriage & Family Therapist, I had high hopes of helping people address the issues that impacted their relationships (and honestly, what issues DON'T impact relationships).  I had hopes of being able to help couples improve their communication, relationships, and marriages.  I wondered to myself if being the product of divorced parents would hinder my ability to adequately help other people with their relationships. But the more I thought about it, the more I saw it as an experience that could lend itself to helping others.  So, instead of shying away from it, I became more determined.  Then I got married myself and thought that would also help me better relate to clients and their relationship issues.  And I believe that to be true to this day.  However, as my first marriage began to slowly deteriorate, I began to once again question my ability to provide good couples counseling.  I mean, after all, I was in a failing marriage.  And w

Suicide During the Pandemic

  This past week, I had the opportunity to attend a training about Suicide Assessment & Prevention.  And it got me thinking about society's collective mental health condition as a result of the "Quarantine" over the past almost 6 months.   Isolation, even partially, is especially difficult for many people.  People who regular socialize with many people, who consider themselves extroverts, and who get their energy from being with people, are especially affected during this pandemic.  The lack or decrease of being around people significantly impairs their emotional well-being.  This puts more people at a higher risk of suicide. I have a full time job as a Social Work Supervisor with Child Protective Services AND I work as a private practice therapist.  In those roles, I have to be keenly aware of any changes in mood, even ever so slight, that could indicate that someone I work with or one of my clients is depressed or having suicidal thoughts.  While this is something t

The Down & Dirty of DBT (Dialectical Behavior Therapy)

This past week, I had the opportunity to attend a 2 hour DBT 101 training, free through my employer.  As a Child Protective Services social worker, I have seen the benefits of DBT with various clients over the years and knew it had some very valuable tools, but I had never taken the time to learn much about it.  So I thought this was my opportunity.  Dialectical Behavior Therapy (DBT) centers around the fact that two opposing facts can be true at the same time.  For example - "I am tough, but I'm also gentle." or my favorite, "I'm doing the best I can, and I can do better."  DBT is an evidence based practice that stems from Cognitive Behavioral Therapy (CBT) and was originally created to treat Borderline Personality Disorder. I learned about the Bio-Social Theory around DBT.  Bio - there is a biological vulnerability to emotions and Social - an invalidating environment that communicates that what you're feeling, thinking or doing doesn't make sense. 

What is Self-Care?

Today is Self-Care Sunday, and I a sit here and think about what that means, I realize that self-care can take many forms and it's different for each person.   Self-Care for me often means relaxation with no particular agenda in mind, or with very little on my "To Do" list.  But it also means taking a walk out in nature, enjoying the beauty of God's creation - the sights, the smells, the sounds.  It can mean doing meal prep for the week, to better ensure than I will eat healthy, even on busy days.  It can mean catching up on chores I didn't get to during the week, so that they aren't hanging over me as I start the week.  It can mean spending time with my husband or my pets.  It could also mean spending some dedicated time working on things related to my private practice. In an article by Tami Forman at the www.pathfoward.org website, she explains that "Self-care is not an indulgence.  Self-care is a discipline.  It requires tough-mindedness, a deep and pe

How It All Began

Welcome to This Therapist's Therapy Blog.  www.brittaniedmillslmft.com   This is my debut blog post, so bear with me.  I'm new to blogging. Since 8th grade, my heart's desire has been to be a therapist.  No, seriously!  I have not wavered from this calling since 8th grade.  When I was in high school, I used to spend hours at the library reading books about Psychology and taking copious notes.  I was (and still am) fascinated by people - what makes them behave the way they do and what goes on in their minds.  My dream was to have a private practice, helping people get through their personal barriers and becomes the best version of themselves. My journey to private practice didn't go as planned, but I think I learned a ton along the way.   For the past 20+ years, I have worked as a social worker in public Child Welfare.  CPS or Child Protective Services, as most people know it.  And in those 20 years, I've learned even more about people.  I've learned about addict