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That's where the light comes in... What can you possibly learn in school to prepare you for this level trauma, shock sadness and grief? In my suicide bereavement group it is raw. Then, allowing for the individual and collective pain points, they soften and comfort each other. They participate as if it was a group no one would ever be a member of. Because it is. I am bearing witness, gently guiding, holding space. I manage the monopolizers and the retreaters. This is how I make my living. What does it do to me to feel this empathy and confusion and lack of meaning day in and day out. I thought I was immune to the vagaries of my work. Far from it. I need rest, relaxation and hell-yeah, self-care. I need exercise and alone time. I need space to vent and make sense of the senseless. But week after week these people have something to teach me. They put it right in my face: you are the lucky one. You survived. You must therefore carry on. Axiomatic. **Suicide prevention is about connection, support, and making it easier to get help—especially in moments when pain feels unbearable. It’s a hard field because risk can change quickly, stigma can keep people silent, and there’s rarely one clear cause, precursor or one simple solution. Prevention work asks us to hold urgency and hope at the same time: to listen without judgment, take warning signs seriously, and help people reach care and community support. If you or someone you know is struggling, you can call or text 988 (24/7). In New York City, you can also contact NYC Well at 1-888-NYC-WELL or text “WELL” to 65173. If there’s immediate danger, call 911.** People may look “fine” on the outside while feeling overwhelmed inside, and many carry a mix of depression, anxiety, trauma, substance use, chronic pain, grief, financial stress, discrimination, or isolation that can intensify over time. That complexity means prevention isn’t about finding the perfect thing to say—it’s about showing up consistently, taking suffering seriously, and helping someone stay connected to care and to other people. The group ends - I know I'm scared and shocked but I'm also really grounded to myself. I know I am safe from harm. And that is enough.

Therapists play a vital role in supporting mental health and well-being. To maintain their professional skills and stay updated with the latest therapeutic techniques, ongoing education is essential. Specialized training programs offer therapists the opportunity to deepen their expertise while earning valuable continuing education credits. These credits are often required for license renewal and professional development. Why Education Credits for Therapists Matter Continuing education credits for therapists are more than just a licensing requirement. They represent a commitment to excellence and ethical practice. By engaging in specialized training, therapists can: Enhance clinical skills : Learn new therapeutic approaches and interventions. Stay current with research : Understand the latest findings in psychology and mental health. Meet licensing requirements : Fulfill state or national mandates for professional development. Increase client outcomes : Apply evidence-based techniques to improve therapy effectiveness. For example, a therapist specializing in trauma might take a course on Eye Movement Desensitization and Reprocessing (EMDR) to better serve clients with PTSD. This not only benefits clients but also adds to the therapist’s credentials. How to Choose the Right Specialized Training Selecting the appropriate training program is crucial for maximizing the benefits of continuing education. Here are some practical tips: Check accreditation : Ensure the course is approved by relevant licensing boards. Match your specialty : Choose training that aligns with your clinical focus or interests. Consider format and schedule : Decide between online, in-person, or hybrid options based on your availability. Review course content : Look for comprehensive curricula that include theory, practice, and case studies. Evaluate instructor expertise : Learn from experienced professionals with strong backgrounds in the subject matter. For instance, a therapist interested in family therapy might seek a program that offers interactive workshops and role-playing exercises to practice new skills. Benefits of Specialized Training Beyond Credits While earning continuing education credits is important, specialized training offers additional advantages: Professional growth : Expands your knowledge base and clinical toolkit. Networking opportunities : Connect with peers and experts in your field. Increased confidence : Gain assurance in applying new methods with clients. Career advancement : Open doors to new job roles or private practice specialties. Personal fulfillment : Stay motivated and passionate about your work. For example, a therapist who completes a certification in mindfulness-based stress reduction may find new ways to help clients manage anxiety and improve overall well-being. Practical Steps to Earn Continuing Education Credits To efficiently earn continuing education credits, follow these actionable steps: Identify your credit requirements : Know how many credits you need and the deadlines. Research available courses : Use trusted platforms and professional organizations. Register early : Secure your spot in popular or limited-enrollment programs. Engage actively : Participate fully in lectures, discussions, and assignments. Keep documentation : Save certificates and transcripts for license renewal. One excellent resource is the continuing education credits offered by Donna C. Moss, which provides specialized training tailored for therapists. Making the Most of Your Training Experience To get the greatest value from your specialized training, consider these recommendations: Apply new skills immediately : Integrate techniques into your practice as soon as possible. Reflect on learning : Keep a journal to track insights and client outcomes. Seek feedback : Discuss new approaches with supervisors or colleagues. Stay curious : Continue exploring related topics and advanced courses. Balance learning with self-care : Avoid burnout by pacing your education. By following these strategies, therapists can transform continuing education from a requirement into a rewarding journey of professional and personal growth. Specialized training is a powerful way for therapists to enhance their skills, meet licensing requirements, and improve client care. By choosing the right programs and engaging fully, therapists can earn valuable continuing education credits while advancing their careers. Whether you are new to the field or an experienced practitioner, investing in ongoing education is a smart step toward excellence in therapy.

Why should a therapist be smart, wise, empathic and CURIOUS?  Because we are dealing with individual lives. Lives that are part of the greater society. Lives that MATTER. Right now the collective is the personal. The political is personal. If we don't get some leadership pronto, we will be in this mess for decades to come. So what does our work mean? It means even if you're exhausted, you follow up, ask the questions, wonder what's going on over in that house. One house has little food. Another has too much. Yesterday I followed up on a hunch with one of the parents of my client. The client had mentioned that things were going poorly at home but didn't go into much detail. When I followed up with the Mom, boy did she give me a mouthfull! It turns out something quite serious was going on with the other step sibling in the home that is impacting everyone. If I hadn't followed up, I would have never known! In another case, a teen was telling me about her new hobby. I asked her to show me her art work and it opened a whole can of insights through her eyes. Teenagers are stuck in the middle of the greatest economic shift we have seen in a Century. The landscape of school, college, jobs, families are forever changed. Sure some kids will weather the storms to come. Some won't. I have a client who has been emotionally abused by her parents her whole life. Right when she was scheduled to "launch," the pandemic hit. She is emotionally, physically and mentally stuck now. Like literally. Can't leave an abusive home. Let that sink in. Other signs that therapy is working: you go deeper, you ask harder questions, you ask them to come up with why things are going well, you ask them to practice it, you wait in the silence, and you help make connections from past to present. You offer perspective and patience. Great phrases that capture this are:  What was that like for you?  I wonder why you're avoiding the deeper issue here?  Do you need time to process this?  Why not practice doing things a new way?  Is it scary to give up being the victim?  I feel upset hearing this, it must be intense for you?  Maybe "fixing" it is not the answer; perhaps you can accept it?  There is no shame in feeling your feelings.  Therapy on zoom/phone is not ideal but it's the best we have right now.  Insurance doesn't dictate our therapy. If they don't want to cover it, perhaps you can pay on your own? There is no stigma in asking for help. You do not have to be crazy to go to therapy. You don't have to share your therapy experience with anyone if you don't want to or are not ready.  If you feel you are not making progress, why don't we talk about it?  I guess what I'm saying is this is new for all of us. So jump in and maybe something important can grow within in spite of our ever-changing, uncertain environment.

It occurred to me the other day that I was laughing with a client because I completely and utterly understood where she was coming from. And then it hit me. No wonder I've been so busy helping my young adult clients overcome anxiety—wait for it—I “have it”, or should I say, “it has me” too! Of course, I have known this for many decades, but that day I had a kind of breakthrough. I can laugh at the insanity of it all. I've been there and done that on almost every occasion. My client Elsa said she was afraid of driving over bridges. Hmm, I don’t have that one. But I do have the one where my husband is driving too fast and I think I’m going to fall into the Hudson River. Then there’s the one where I’m going on a job interview and I think to myself, “OMG, I have gained so much weight since I had kids!” Or my mind goes blank and I forget everything I ever accomplished. Then there was the time my puppy ran across the highway and I had a panic attack. The worst is ruminating. Although I teach clients all day about fight or flight or freeze, I forget that I myself need to take a break from overthinking. When my kids started driving, I gained a new and paralyzing dread that someone would run into them. Add to that health and money worries, and sirens passing by while I’m quietly doing paperwork at home—catastrophizing is my specialty. Like what you are reading? For more stimulating stories, thought-provoking articles and new video announcements, sign up for our monthly newsletter. Self-care is our therapy buzz-word and it works wonders. My friend, a fellow therapist, said I need a spa day. “Do it!” My patient debated the whole day if she should take a “mental health day” from her demanding teaching schedule. “Do it!” Another patient wondered if she should take up journaling again. “Do it!” And the very process of pushing through your fears is instructive; it combats avoidance. My client was afraid to call her doctor for some results. “No problem, do it in my office.” My client was terrified to sleep over at his Dad’s new apartment. “Build up to it.” Once, many years ago, when my mother was dying of cancer, a kind and wonderful boss at Disney.com handed me a laptop and said, “I’ll see you when you’re ready.” Ask for help. Take a small step. All the clichés stacked up to the sky, or, as Annie Lamott says, “Bird by Bird.” The simple catchphrase, “Do it” flows so easily from my mouth—it just doesn’t quite make it to my ears and into my brain. Clients often ask me, “How I can begin to trust my inner voice when all I know is worry.” And I tell them “For one thing, you have a choice. It’s your life. Own it. Take care of it.” It seems to me that people in other countries get more time off to recharge. Only here do we grind ourselves until there’s no more fuel. And, let’s see if we are mislabeling anxiety as something else? If it’s not anxiety then what is it? 1. Anxiety from the past may be triggering a fear of abandonment. My client Mary wants to marry her boyfriend but thinks he might be cheating. She stalks him on Facebook, Instagram and Twitter on an hourly basis, based on her "hunch." She finds nothing but cannot stop her obsession. This is no longer a gut feeling, it's a bad habit, a self-destructive, relationship-bombing behavior that is sure to drive someone away. In this case, although there is no evidence whatsoever that he's a cheater, Mary continues to rely on her false "gut feeling" which only serves to create more anxiety and self-sabotage. Go back to where it’s coming from and try to counter the fear with a more realistic appraisal. 2. Anxiety masks as fear of the unknown. My client Joya wants to go out with a boy from her fraternity, but he is a “player.” When he finally asks her out, she says no based on what her friends have said. The information she has obtained is from the past, and unproven, especially since Joya really likes him. She continues to rely on second-hand information instead of living her own life. She is more afraid of the unknown than finding out the truth about him by using her own judgment. Unknown fears need to be faced, not avoided. Sometimes when I’m driving to a new place, I make it a habit to stop somewhere en route to pick up a treat or run an errand. This makes the unknown into a little adventure. 3. Anxiety is not the same as intuition. Jessica thinks her boyfriend is simultaneously dating someone else. Her so-called intuition is based on patterns and evidence that she has directly observed—he's always late, keeps his phone locked away and acts sneakily. Intuition tells her from observed experience that he is hiding something. Anxiety, fueled by insecurity misguides her into convincing herself that he is doing something wrong and that he will inevitably leave her, instead of leading her to confront him directly. As psychologist David Barlow warns us, “don’t believe everything you think.” “Ask him what's going on instead of making up stories in your head,” I suggest. Test the intuition with objective observation. Your anxiety may have something to tell you. If this sounds tricky, it is. Intuition can be considered a neutral and unemotional experience, whereas fear is highly emotionally charged. Reliable intuition feels right, it has a compassionate, affirming tone to it. It confirms that you are on target, without having an overly positive or negative feel to it. Fear is often anxious, dark or heavy. Take a step back and breathe deeply for a moment. What's the worst that can happen? What part is objective and what part has no business in the present? If it belongs in the past look at what happened. It's over. You are safe now. The only way to separate from rumination is to pause. My last client of the evening recounted her fight with her ex-girlfriend over text. “Please Hannah,” I said, “unplug for just five minutes. Then assess how you feel. You are only feeding the attention-seeking behavior of your ex. Can you step back? What will happen if you just sit quietly?” Can a therapist, this therapist, heal herself? The phone rings, the news blares, and real tragedy rings into our consciousness, implanting itself in vivid living color from a smart TV into our visual field whether we want it or not. I can help my clients not because I’m master of my anxiety and of my fate, but because I’m continuously right there with them. My friend calls and says “Let’s take a walk.” “Yes, I say. Let’s do it, everything else can wait.”   https://www.psychotherapy.net/blog/title/combatting-anxiety-bird-by-bird Originally published: GoodTherapy.org © 2020 Psychotherapy.net

Many therapists have "branded" their practices: Winding Road, Finding Yourself, Path to Fulfillment, Thoughtful Change, etc. etc. Nice, calm and creative names. They have a blog and a podcast. They pitch themselves on Youtube.  What does it all mean? To be honest, I'm not sure.  I just finished reading "Maybe You Should Talk to Someone" and it was good. Better than I expected in this hallowed Irvin Yalom corner of the world where therapy becomes the drama for a book, filled with colorful anectdotes and insights. Marketing works. That lady is probably really busy now! I am already really busy. I don't even want to be really busy! Balance is more what I'm after with myself and my patients. I have taken the week off to practice what I preach: get away, take time to breathe, visit the doctor, take a walk with a friend. These things are priceless right now. After counseling young adults about going back to college in a pandemic, I need to see some teens who are thriving. They are! They will! The world may yet be the same, but perhaps we can now hope for progressive change for all? With all the terrible of 2020, will there be a chance to reset, evolve, move forward? I sure hope so. Kamala Harris, no matter her potential flaws, is a ground breaking choice. Let's try to be better! My therapy practice consists of patience, reassurance and routine. I don't impose any critiques on my patients that I don't try on myself. I am not above it all; I am right there with you. Being the therapist means you also engage in self-care. It means that if the process itself is slow that's OK. It means if you have been traumatized in this life, there's time for you and I to heal. I have discovered for myself that "the body keeps the score." After a lifetime of therapy, adding Yoga to my own practice has illuminated the meaning of mind/body. You do your CBT, then you do your DBT. In other words, gain empathy, gain strength and insight and distress tolerance, then do body work to integrate everything, consolidate, put the energy where it belongs. Put your money where your mouth is. Learn to calm down. Perfectionism is our curse. In my Inhale Peace practice I am teaching young people to take more risks, to get out of their rooms, to do something creative, purposeful and consistent, NO MATTER WHAT IT IS. Have a reason to wake up each day and make MISTAKES. Making mistakes, as Aaron Beck has repeatedly pointed out, is the ONLY way we learn and gather experience. Avoidance only reinforces avoidance. How easy it is! But how constricting. Boredom, not depression is the scourge of young people. Don't mistake boredom for depression. Boredom can be remedied. In fact, why not do something new today? Go around the block if you haven't been out. Start small. Cook dinner for your family! Take a ride. One of my clients tried a new coffee place every day during quarantine. It's his only daily adventure! Get off your phones. Try online learning. Although I haven't been too happy doing Yoga online, get outside and take a stretch. Move around. Yes the body holds the stress, the mind perpetuates it. Take a break! Really. It can't hurt.

The Balancing Act of Parenthood When you're traveling, you get tired. I recently traveled to DC to see my wonderfully grown-up kid. She accomplished so much in her 20s—much more than I ever did. But I was exhausted, and out of my mouth came the following sentence: She: "Mom, you seem tired." Me: "I feel as if my entire life-force energy just drained out of me and into you!" It was hot. She did not appreciate this statement and said she wouldn't have kids based on that. OK, can you give a Mom a break?!! Moms get few breaks. That's why we often find ourselves frustrated with Dads. They simply cannot multitask in the ways that we can. Their brains are wired differently. (Men tend to disconnect from feelings - read more here ) Juggling Responsibilities I am trying to work, take care of myself, run a household, and support my grown kids—all while figuring out what happens next. And let's not forget, the world feels like it's on fire, but nobody seems to be able to stop it. The Wheel of Life In this wheel lies the secret to aging well! If only all of these aspects could be balanced, life would be grand. Often, the people I work with, including myself, have an imbalance in at least two areas. Emotional and psychological support can work wonders. Financial confusion has nearly ruined me, but I can seek help there too! Physical health is tricky because our bodies sometimes lose track of what’s going on (haha). I find social and spiritual aspects to be the icing on the cake. It's essential to carve out time to explore what's happening in your mind and body, gaining new insights about integration. The Importance of Hobbies In these challenging times, we need consistency and creativity! Having a hobby allows us to grow, stretch, and care for others. Simple activities like sitting, walking, breathing, or praying can set a positive intention. Explore spiritual practices here . Navigating Change and Embracing Authenticity In this life, you must make hard choices. Pain and regret are inevitable. What makes you think you won't experience them? Change is an internal process. I had to overcome a lot, and while I don’t dwell on it, I do feel overwhelmed at times. Don’t sit around marinating in disappointment and grief forever. Taking Risks for Authenticity Take a risk to be the authentic you. Be kind to yourself. Stop worrying about what others think. Their opinions of you are none of your business! We only have this one sacred life. Finding Peace Amidst Chaos Life can be chaotic, but it's crucial to find moments of peace. Whether through meditation, nature walks, or simply enjoying a cup of tea, these moments can help ground us. Building a Support Network Surround yourself with supportive people. Friends, family, or even online communities can provide the encouragement we need. Sharing our experiences can lighten the load and foster connection. The Journey of Self-Discovery Self-discovery is a lifelong journey. Embrace it! Learn about your strengths and weaknesses. Understand what brings you joy and what drains your energy. This awareness can guide your choices and help you lead a more fulfilling life. Conclusion: Embrace Your Journey Remember, life is not about perfection. It's about progress. Embrace your journey, with all its ups and downs. Celebrate your achievements, no matter how small, and be gentle with yourself during tough times. We only have this one sacred life. Let's make it count!

Dreams of falling are among the most common and vivid experiences people report. They often leave a lingering sense of unease or confusion upon waking. What do these dreams really mean? Are they just random brain activity, or do they carry deeper messages about our waking lives? Exploring the symbolism behind dreams of falling can reveal insights into our emotions, fears, and personal challenges. What Falling Dreams Typically Represent Falling in a dream often reflects feelings of losing control or insecurity. This sensation can relate to various areas of life, such as relationships, work, or personal goals. The sudden drop can symbolize a fear of failure or a lack of stability. Loss of control : Many people experience falling dreams during times of stress or uncertainty. The dream mirrors the sensation of being overwhelmed or unable to manage a situation. Fear of failure : Falling can represent anxiety about not meeting expectations or fear of making mistakes. Transition and change : Sometimes falling signals a period of change where the dreamer feels unsteady or unsure about the future. These interpretations depend on the dreamer's current life circumstances and emotional state. For example, someone facing job insecurity might dream of falling to express their worries about financial stability. Common Variations and Their Meanings The details in falling dreams can add layers of meaning. Consider these common variations: Falling from a great height : This often intensifies the feeling of vulnerability or fear. It may suggest the dreamer feels overwhelmed by a situation that seems beyond their control. Falling but not hitting the ground : This can indicate a fear of failure that is not yet realized or a hope that things will improve before reaching a breaking point. Falling into water : Water often symbolizes emotions. Falling into water might suggest the dreamer is confronting deep feelings or emotional turmoil. Falling and waking up suddenly : This is a classic experience that may reflect the body’s physical reaction to the sensation of falling, but it also highlights the dreamer’s anxiety or stress. Understanding these nuances helps connect the dream to specific emotional or psychological challenges. Psychological Perspectives on Falling Dreams Psychologists often view dreams of falling as expressions of subconscious fears. According to research, these dreams can be linked to: Stress and anxiety : Studies show that people under high stress report more frequent falling dreams. Self-esteem issues : Falling can symbolize feelings of inadequacy or fear of losing status. Unresolved conflicts : The sensation of falling might represent internal struggles or conflicts that the dreamer has not addressed. For example, a person going through a breakup might dream of falling to express their emotional instability and fear of losing control over their life. How to Reflect on Your Falling Dreams To gain personal insight from falling dreams, consider these steps: Recall the context : What was happening in your life when you had the dream? Stressful events or changes often trigger falling dreams. Note your feelings : Were you scared, calm, or indifferent during the fall? Your emotional response can reveal how you handle challenges. Look for patterns : Do you have falling dreams regularly? Frequent dreams might indicate ongoing anxiety or unresolved issues. Connect to waking life : Identify areas where you feel unstable or insecure. The dream may be urging you to address these concerns. Keeping a dream journal can help track these patterns and deepen your understanding. Practical Ways to Address Falling Dreams If falling dreams disturb your sleep or cause anxiety, try these approaches: Stress management : Practice relaxation techniques such as deep breathing, meditation, or yoga to reduce overall stress. Improve sleep hygiene : Maintain a consistent sleep schedule and create a calming bedtime routine. Talk it out : Discuss your dreams and feelings with a trusted friend or therapist to gain perspective. Set intentions before sleep : Visualize positive outcomes or stability to influence your dream content. My dream had me slipping off a high mountain path -- holding onto someone else (who????) and as we fell through the sky I may have had a very present, surrendering feeling of process; I am here; I am falling. I fell into a body of water often nearby mountain cliffs (oceanic). There could be some positives here. Letting myself fall could be the beginning of aligning with the reality of change. I may not like it but I was able to go with it.

My daughter recently traveled to Hawaii after completing the grueling two-day BAR exam. This exam is not about drinking at a bar; it’s the one that qualifies individuals to practice law in our country, ensuring that all people are safe, secure, and entitled to due process. What an achievement! The Emotional Rollercoaster When she expressed feelings of worry, insecurity, and overwhelm, I reassured her that these emotions were completely normal. It’s common to feel jealous of friends who seem to navigate life effortlessly. I reminded her that it’s okay to care deeply about others, like her anorexic friend, while still feeling overwhelmed. Life is full of tremendous changes, and we all face difficulty in the face of this change. Let's have therapists normalize this as growth, development, learning, and character, not weakness, paralysis and pathology! I recall a time when my sister asked, "How did I get here?" Life takes us on unexpected journeys, teaching us valuable lessons along the way. As Pema Chodron wisely said, " Nothing ever goes away until it has taught us what we need to know ." Life can be a good teacher, presenting difficulties as opportunities rather than problems to avoid. When my 26 yo client said, I don't know who I am, I said, as my therapist once told me, "What makes you think anyone knows these things?!" All a process. This article from NY Times explains it well: “Ask a dozen therapists what they do that best promotes change in their clients, and you’ll hear just as many answers.” The Power of Normalizing in Therapy A skilled therapist will tell you that normalizing is about letting people know they are not alone in their struggles and they don't have to identify with their struggles. While at the same time not minimizing those same issues. This is especially beneficial in group therapy settings. In a suicide bereavement group I facilitate for a small non-profit, I’ve witnessed members normalize grief for newcomers. They especially do this through sharing, joking, and even laughing in the face of immense tragedy. It bonds them to each other instead of the pain. In therapy, normalizing refers to helping clients understand that their thoughts, feelings, and experiences are typical given their circumstances. It reassures them that they are not alone in their challenges. Benefits of Normalizing in Therapy Normalizing offers several key benefits to clients: Reduces Shame and Isolation: Many individuals feel alone or ashamed of their struggles. Normalizing reassures them that their feelings are not unusual, fostering a sense of belonging and acceptance. Promotes Open Communication: When clients feel less stigmatized, they are more likely to speak openly about their concerns, leading to a more productive therapeutic process. Enhances Self-Esteem and Fosters Self-Compassion: Normalizing helps clients realize that their struggles do not define their worth. It encourages them to be kind to themselves during tough times. Perseverance Through Challenges When I’ve faced challenges that seemed insurmountable—whether in parenting, finances, or creative pursuits—my support system often reminded me, "This too shall pass." Perseverance is key. Some individuals have persevered for generations. My family, for instance, fled Russia during the pogroms of World War I. That must have been terrifying! My grandmother was one of four sisters born after their mother arrived at Ellis Island. Tragically, a fifth sister died shortly after birth from scarlet fever. What Not to Normalize While normalizing experiences can be beneficial, there are certain aspects of life that should not be normalized. Recognizing these can help us maintain a healthy perspective and encourage positive change. Abuse: Any form of abuse—whether physical, emotional, or psychological—should never be normalized. It's crucial to seek help and support in these situations. Mental Health Issues: Struggling with mental health should not be seen as a normal part of life. It's important to address these issues with professional help. Unhealthy Relationships: Accepting toxic or unhealthy relationships as normal can lead to further emotional harm. Healthy boundaries and mutual respect should be prioritized. Discrimination: Normalizing discrimination or prejudice in any form is harmful. It’s essential to challenge and combat these attitudes. Chronic Stress: Living in a constant state of stress should not be accepted as normal. Finding ways to manage stress and prioritize self-care is vital. By recognizing what should not be normalized, we can foster a healthier mindset and encourage others to seek the support they need.

Continuing to grow as a therapist means more than just gaining experience with clients. It involves staying current with new techniques, ethical standards, and research in the mental health field. One of the best ways to do this is by earning therapist CE credits . These credits not only fulfill licensing requirements but also enhance your skills and confidence in practice. Let’s explore how you can maximize your career by strategically using CE credits. Why Therapist CE Credits Matter for Your Career Therapist CE credits are essential for maintaining your license and staying updated with the latest developments in therapy. But beyond compliance, they offer many benefits: Skill Enhancement : Learning new therapeutic approaches or deepening your knowledge in specialized areas. Professional Credibility : Demonstrating commitment to your profession and ethical standards. Networking Opportunities : Connecting with peers and experts through workshops and courses. Career Advancement : Opening doors to new job roles or private practice specialties. For example, if you want to specialize in trauma therapy, taking CE courses focused on trauma-informed care can give you the tools and credentials to attract clients needing that expertise. Therapist desk with learning materials Therapist’s workspace ready for continuing education How to Choose the Right Therapist CE Credits Not all CE courses are created equal. Choosing the right ones can make a big difference in your professional growth. Here are some tips: Check Licensing Board Requirements Each state or region may have specific CE requirements. Make sure the courses you select are approved by your licensing board. Focus on Your Career Goals Identify areas where you want to improve or specialize. For example, if you want to work with children, look for courses on child psychology or play therapy. Consider Course Format Some therapists prefer in-person workshops for hands-on learning, while others benefit from online courses that fit their schedule. Look for Quality Providers Choose reputable organizations or instructors with strong credentials and positive reviews. Balance Theory and Practice Select courses that offer practical skills you can apply immediately, not just theoretical knowledge. For instance, continuing education credits offered by Donna C. Moss provide a variety of topics and formats that cater to busy therapists looking to expand their expertise. How many hours is 1 CE worth? Understanding how CE hours translate into credits is important for planning your education. Typically, 1 CE credit equals 1 hour of instruction . This means if a course is 3 hours long, you earn 3 CE credits. However, some courses may include additional activities like quizzes or assignments that count toward credit hours. Always verify with the course provider how credits are calculated. For example, a 6-hour workshop on cognitive behavioral therapy techniques will give you 6 CE credits, which you can apply toward your license renewal. Practical Tips to Maximize Your CE Experience Earning CE credits is more than just ticking a box. Here are ways to get the most out of your learning: Set Clear Learning Objectives Before starting a course, decide what skills or knowledge you want to gain. Take Notes and Reflect Write down key points and think about how you can apply them in your practice. Engage with Instructors and Peers Ask questions and participate in discussions to deepen your understanding. Apply New Techniques Quickly Try out new methods with clients soon after learning to reinforce your skills. Keep a CE Log Track your completed courses, credits earned, and renewal deadlines to stay organized. By following these steps, you turn CE credits into real career growth rather than just a requirement. Therapist taking notes during continuing education Therapist actively taking notes during a continuing education course Beyond Credits: Building a Lifelong Learning Mindset While CE credits are necessary, the ultimate goal is to cultivate a mindset of lifelong learning. This approach keeps you curious, adaptable, and passionate about your work. Stay Curious Explore new topics even outside your immediate specialty. Seek Feedback Regularly ask clients or supervisors for input to identify areas for improvement. Join Professional Groups Engage with communities that share knowledge and support. Attend Conferences and Seminars These events offer fresh perspectives and networking opportunities. Read Widely Books, journals, and blogs can supplement formal education. By embracing continuous growth, you not only maintain your license but also become a more effective and fulfilled therapist. Maximizing your therapist career with therapist CE credits is a journey of ongoing development. By choosing the right courses, understanding credit requirements, and applying what you learn, you can enhance your skills and open new doors in your professional life. Remember, education is not just a requirement - it’s a powerful tool to deepen your impact and satisfaction in your meaningful work.

Continuing education is a vital part of a therapist’s professional journey. It helps maintain licensure, sharpens skills, and keeps therapists updated on the latest research and techniques. But navigating the world of CE credits can sometimes feel overwhelming. This guide will walk you through everything you need to know about earning CE credits for therapists in a thoughtful, caring, and relaxed way. Why CE Credits for Therapists Matter Therapists are lifelong learners. The field of mental health is always evolving, with new therapies, research findings, and ethical standards emerging regularly. CE credits ensure that therapists stay current and competent. They also demonstrate a commitment to professional growth and client care. For example, a therapist specializing in cognitive-behavioral therapy might take a course on trauma-informed care to better serve clients with PTSD. This not only broadens their skill set but also enhances client outcomes. Many states require therapists to complete a certain number of CE credits to renew their licenses. Failing to meet these requirements can result in penalties or even loss of licensure. Therefore, understanding how to earn and track CE credits is essential. How to Find the Right CE Credits for Therapists Finding the right CE credits can feel like searching for a needle in a haystack. Here are some practical tips to help you choose courses that are both relevant and enjoyable: Check State Requirements: Each state has its own rules about the number and type of CE credits required. Start by reviewing your state licensing board’s website. Look for Accredited Providers: Ensure the courses are approved by recognized organizations such as the American Psychological Association (APA) or the National Board for Certified Counselors (NBCC). Match Your Interests and Needs: Choose courses that align with your specialty or areas where you want to grow. For example, if you want to improve your skills in family therapy, look for courses focused on that. Consider Format and Flexibility: Online courses offer convenience, while in-person workshops provide hands-on experience. Some therapists prefer a mix of both. Read Reviews and Ask Colleagues: Feedback from peers can help you find high-quality courses. By following these steps, you can make your continuing education both effective and enjoyable. What are continuing education credits? Continuing education credits are units that therapists earn by completing approved educational activities. These credits count toward the requirements needed to maintain professional licensure. Typically, one credit equals one hour of instruction. CE credits cover a wide range of topics, including ethics, clinical skills, cultural competence, and new treatment modalities. They can be earned through various formats such as: Workshops and seminars Online courses and webinars Conferences and symposiums Self-study programs For example, a therapist might attend a weekend workshop on mindfulness techniques and earn 12 CE credits. Alternatively, they could complete an online course on ethical decision-making at their own pace. Tracking your CE credits is crucial. Many licensing boards require documentation, so keep certificates and transcripts organized. Some states also have specific deadlines for submitting proof of completed credits. If you want to explore options, consider this continuing education credits resource for therapists. Tips for Maximizing Your CE Credit Experience Earning CE credits doesn’t have to be a chore. Here are some tips to make the process more rewarding: Plan Ahead: Don’t wait until the last minute to complete your credits. Spread them out over the license renewal period. Set Learning Goals: Identify what you want to achieve with each course. This keeps your learning focused and meaningful. Engage Actively: Take notes, participate in discussions, and apply new knowledge to your practice. Balance Theory and Practice: Choose courses that offer both conceptual understanding and practical tools. Network: Use workshops and conferences to connect with other professionals. Sharing experiences can deepen your learning. Reflect: After completing a course, reflect on how it impacts your work and client relationships. By approaching CE credits with intention and curiosity, you transform them from a requirement into an opportunity for growth. Staying Zen While Managing CE Credits Balancing work, life, and continuing education can be stressful. Here are some strategies to keep a calm and positive mindset: Create a Schedule: Dedicate specific times for CE activities to avoid last-minute stress. Choose Enjoyable Topics: Learning is easier when you’re interested in the subject. Practice Self-Care: Take breaks, meditate, or do something fun after completing courses. Use Technology: Apps and online platforms can help you track credits and deadlines. Seek Support: Join study groups or professional organizations for encouragement. Remember, earning CE credits is part of your professional journey, not just a box to check. Embrace it as a chance to deepen your expertise and enhance your impact. Continuing education is more than a requirement - it’s a pathway to becoming the best therapist you can be. By understanding the importance of CE credits for therapists, finding the right courses, and managing your learning with care, you set yourself up for success and fulfillment in your career. Keep learning, stay curious, and enjoy the journey.

A 27-year-old female came to my office in 2025 wearing a mask. I thought, "COVID is kind of over, so why would a beautiful young adult be afraid now?" During the in-person intake session, she explained that she had been hiding her whole life. She appeared shut down and said she couldn't talk about most things—she would be too worried about me! I then shared how therapy works. Hesitant, she said she needed time. As an experienced clinician, I understood what this meant: her trauma story. The Importance of Co-Regulation in Therapy Part of me wanted to know more. I wanted to keep the day moving and see what I was dealing with—the girl behind the mask. But that was me being selfish. I told myself to slow down and match her energy. It might be cool to hear this on TikTok, but it's a real-life skill that can be quite helpful. It starts with the parent-child attachment and is called "co-regulation." Co-regulation in a clinical setting refers to the process by which healthcare providers and patients work together to manage emotional and physiological states. This collaborative approach emphasizes the importance of interpersonal relationships in fostering a supportive environment, which can enhance patient outcomes (See: relational approach/integrative approach). By actively engaging in co-regulation, clinicians can help patients feel more secure and understood. This ultimately leads to improved compliance with treatment and better overall health. I also recognize that I am a good co-regulator because I do it too much. As a lifelong people-pleaser, it comes easily. You match the mood, and you stay out of trouble. Any trauma survivor knows this—just ask an adult child of an alcoholic parent. They know their way around. But to skillfully do it in a session takes a lot of patience. I think of my mother and how she helped children learn to read. What amount of patience did that take? I could never have done that. I slowed down my pacing, which is also a technique in therapy, assuming the dog doesn't completely wreck it. Most good books on trauma will tell you: take your time. Repeating the story isn't a must, but generally, it helps. Should You Tell the Trauma Story or Does That Re-Traumatize in Therapy? When navigating the complexities of trauma in therapy, the decision to share your trauma story can be daunting. On one hand, recounting your experiences can be a vital part of the healing process. It allows you to process emotions, gain insight, and integrate the trauma into your life narrative. This storytelling can foster a sense of empowerment and agency, shifting the focus from being a victim to becoming an active participant in your recovery. However, there is a valid concern that revisiting traumatic events may lead to re-traumatization. The act of recounting the trauma can exacerbate feelings of distress and anxiety. It is crucial for therapists to create a safe and supportive environment. Utilizing techniques such as grounding exercises and gradual exposure can help clients navigate their stories at a pace that feels manageable. Ultimately, the choice to tell the trauma story should be guided by individual readiness and the therapeutic relationship. This ensures that the process promotes healing rather than harm. The Role of Yoga, Mindfulness, and Distress Tolerance in Healing Yoga, mindfulness, and distress tolerance play vital roles in the healing process. Here are some key reasons why they are essential: Promotes Relaxation: Both yoga and mindfulness techniques help reduce stress and promote relaxation. Improves Focus: Mindfulness enhances concentration and helps individuals stay present, which can aid in the healing journey. Enhances Emotional Regulation: Distress tolerance skills equip individuals with tools to manage difficult emotions effectively. Physical Benefits: Yoga improves physical health, flexibility, and strength, contributing to overall well-being. Mind-Body Connection: These practices foster a deeper connection between the mind and body, facilitating holistic healing. The Therapeutic Process: Being Present As we approach the end of the session, I focus on the process in the here-and-now. "How are you doing? How was it to be here?" Then I gather the courage to say some words. I don't honestly know how long I've been doing this work, but it felt so right. Thank God it landed: "I have a feeling that some really bad things happened to you," I say quietly. She nods, still much frozen. She knows that the body keeps the score. I hope she comes back. Conclusion: The Journey Ahead Healing from trauma is a journey that requires patience, understanding, and support. It is essential to create a safe space where individuals can explore their feelings and experiences. Whether through storytelling, co-regulation, or practices like yoga and mindfulness, the path to recovery can be transformative. Each step taken is a step toward a healthier, more peaceful life. In this journey, remember that you are not alone. There are resources and support available to help you navigate the complexities of trauma. Embrace the process, and allow yourself the grace to heal. --- For more insights on mental health and therapeutic practices, visit Donna C Moss .

Poppy In my work with clients, I've often encountered a deep sense of cynicism. Why wouldn't they feel this way? They were born into a world forever changed by events like 9/11. My daughter, born in 2001, missed much of her college experience due to COVID-19. Now, she faces a daunting job market and overwhelming debt in a world that feels increasingly flat and uncertain. Understanding Their World How can I help them make sense of it all? I often find myself wishing I could tell my daughter how sorry I am. Sorry that she doesn't know the pure joy of riding her bike after school without a phone in her pocket. Sorry that there seems to be no supportive community for young people to come together, sing, and dance. Sorry that for much of her life, a chaotic political landscape has loomed over her, with rising student debt and soaring medical costs stealing from her future. Imagine living in a world where you hesitate to call an ambulance, fearing it might lead to bankruptcy. This is the reality many young adults face today. Relationships in a Changing Landscape When it comes to relationships, the situation appears grim. The divorce rate remains steady at over 50%. How can young adults beat those odds while juggling two jobs? I've seen my friends' kids struggle. Those who aimed high often find their souls drained by corporate demands, while those who took a slower path encounter fewer opportunities. Living in a city like New York is increasingly unaffordable. The dating apps are disheartening. It's tough to find someone who shows up with maturity and good manners. The city can be isolating, and many young men seem to lack the reliability that is so crucial in relationships. Can we learn to set a time and a place for a date? Can we avoid ghosting one another? For young women, it's essential not to lower your standards but to adjust them. Embrace mental flexibility when facing challenges. The Importance of Compromise I have a client who has a long list of conditions for meeting a partner. The issue? Those conditions are too rigid. Compatibility is vital, but so is chemistry, stability, and shared values. These ingredients mix to create a fulfilling relationship. However, compromise is not your enemy. These times call for awareness and understanding. We need to find a path where we can believe in ourselves and our connections. People should come together, even in the cold, for freedom, hope, and community. It's not just about greed; it's about breaking bread and traveling together. A Call for Change I don’t want to sit around and sing Kumbaya—though it wouldn’t hurt. I recognize that the world is shifting beneath our feet. Did I ever imagine, at their age, wandering alone in Tel Aviv, that we would live in a time where expressing our identity could feel dangerous? I do not support any country's overreach or lack of humanity. Yes, any nation has the right to defend itself. But if we love our children more than our weapons, we must pause and listen. We need to inject spontaneity and unstructured fun into our kids' lives. Going back to basics is better than turning inward and darker. The Anxious Generation Jon Haidt got it right—this is not just an Anxious Generation ; it is a bewildered, confused, and angry one. We must strive to make America joyful again. #MAJA. In these challenging times, we can foster healthier, more peaceful lives for ourselves and those we support. By embracing flexibility, community, and understanding, we can navigate the complexities of modern life together.