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Embracing intuition

One meaning of intuition is “something that is known or understood without proof or evidence.” Given that definition, it’s not surprising that objectively studying and measuring a counselor’s intuition can be challenging. But that hasn’t stopped Jesse Fox from trying. In 2013, as part of research Fox was doing for


Reconsidering ADHD

The stereotypical image of attention-deficit/hyperactivity disorder (ADHD) is the raucous little boy who can’t sit still in the classroom and is a discipline problem at home. But counselors who commonly work with ADHD know that it can also manifest as a young girl who is seemingly always in her own


Recognizing and managing deception in the therapeutic relationship

I had been working with “Alex,” an 8-year-old boy diagnosed with attention-deficit/hyperactivity disorder, for longer than six months. His hyperactivity had become a major problem at school, and much of our clinical focus had been on managing behavior in the school environment. Each week, Mrs. T, his mother, who drove almost


Polyvagal theory in practice

Picturing brain chemistry can be something like picturing a hurricane. Although we can imagine bad weather, it is difficult to imagine changing that weather. But Stephen Porges’ polyvagal theory gives counselors a useful picture of the nervous system that can guide us in our efforts to help clients. Porges’ polyvagal


Counseling in isolation

Nebraska native and licensed mental health practitioner Tara Wilson grew up in a town so small that her high school graduating class comprised only 10 people. When her young niece was diagnosed with cancer a few years ago, Wilson’s family organized a pancake breakfast and benefit auction to cover the


Professional trip to India opens eyes, fills hearts

Counselors around the world have more in common than you might think. Angela Coker, an associate professor at the University of Missouri – St. Louis (UMSL), found herself talking about some very familiar issues with international colleagues recently at a conference in Bangalore, India. Challenges that American counselors face –


The serious leisure perspective in mental health counseling

In his book The Gift of Therapy, Irvin Yalom explains the vital role of learning about a client’s “leisure-time activities,” “hobbies” and “recreation habits,” yet he never defines what leisure is and how it is connected to mental health or mental health counseling. Many other well-known mental health theorists have



Stepping across the poverty line

According to a study by the U.S. Census Bureau, there were 46.7 million Americans living in poverty in 2014, or a poverty rate of 14.8 percent. The picture was even bleaker for many ethnic and racial minorities. The same study found that 26.2 percent of African Americans (10.8 million people) and