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Adapting evidence-based interventions for telehealth

The COVID-19 pandemic expedited the push to move mental health services to distance platforms. With providers ethically and legally bound to ensure their clients are not neglected or abandoned, state boards and federal regulators, such as the Health Insurance Portability and Accountability Act (HIPAA), relaxed their guidelines to support all


The sensitivity of boundary setting in collectivist cultures

In our Westernized culture, we are prone to upholding a dominant approach to managing our relationships that involves boundary setting. Thus, our therapy practices and culture often emphasize setting boundaries as a key element of developing and maintaining “healthy” relationships. The United States mostly engages in an individualistic culture, which


Six steps for addressing behavioral addictions in clinical work

The first time I worked with a client who said he was addicted to internet pornography, I had no idea how to respond. I quickly tried to recall material from my master’s-level addictions course, but we had discussed only substance use disorders. I hadn’t learned anything about how to address


Tapping into the benefits of EMDR

Andie Bernard, a licensed professional clinical counselor at Rootworks Wellness in Cincinnati, was working with children and families in marginalized communities who had experienced complex trauma, but she didn’t get the sense she was truly helping them get better through the use of play and talk therapies. “As I was




Hard at work

No employee clocks in to work each day entirely free from personal issues and struggles. However, individuals with mental illness face an extra layer of adversity in the workplace. Simply showing up and fulfilling job responsibilities can be an uphill battle for employees who are bombarded by intrusive, obsessive or


Suicidality among children and adolescents

This past spring, Children’s Hospital Colorado declared a “state of emergency” in youth mental health. Over the course of the COVID-19 pandemic, the hospital system’s pediatric emergency rooms and inpatient units had become increasingly overrun with children and adolescents with serious mental illness, many of whom were actively suicidal. “It


Restoring relationships with survivors of human trafficking

Jenna Hershberger, a licensed associate professional counselor, was working on a crisis response team for a regional human service center in North Dakota when she received a call from a young woman reporting physical abuse. The woman was forthcoming about her medical complaints but not the state of her mental


Game, set, mental health

Tennis superstar Naomi Osaka joined the growing list of athletes who are putting their mental health first when she decided to withdraw from the French Open in May, a few days after being fined for refusing to participate in post-match news conferences with the media. She shared on social media