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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 .

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’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 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 keeps skills sharp, knowledge current, and ensures compliance with licensing requirements. But navigating the world of CE credits can sometimes feel overwhelming. This guide is designed to help you master the process with ease, clarity, and a touch of calm. Whether you’re just starting or looking to streamline your ongoing education, you’ll find practical tips and insights here. Understanding CE Credits for Therapists: What You Need to Know CE credits for therapists are units earned by completing approved educational activities. These credits demonstrate your commitment to professional growth and are often required to renew your license. Different states and professional boards have specific rules about how many credits you need and what types of courses qualify. For example, some states require a mix of ethics, clinical skills, and cultural competency courses. Others may have specific mandates for hours spent in supervision or specialized training. It’s essential to check your local licensing board’s requirements to stay compliant. Key points to remember: CE credits usually have a set number of hours per credit. Courses must be approved by recognized organizations. Deadlines for submitting proof of completion vary by state. By understanding these basics, you can plan your education strategically and avoid last-minute scrambles. How to Choose the Right CE Credits for Therapists Selecting the right courses can feel like a maze. The goal is to find programs that not only fulfill your credit requirements but also enrich your practice. Here are some tips to help you make informed choices: Align with Your Specialty Choose courses that deepen your expertise in your therapy niche, whether it’s trauma, family therapy, or cognitive-behavioral techniques. Look for Accredited Providers Always verify that the course provider is approved by your licensing board. This ensures your credits will count. Consider Format and Flexibility Online courses offer convenience, while in-person workshops provide hands-on experience. Pick what fits your schedule and learning style. Check for Practical Application Courses that include case studies, role-playing, or interactive elements tend to be more engaging and useful. Budget Wisely Some courses can be costly. Look for free or low-cost options that still meet your requirements. For example, continuing education credits offered through reputable platforms can provide a variety of topics and formats tailored to therapists’ needs. How do I check my CE credits in California? If you are a therapist licensed in California, keeping track of your CE credits is crucial. The California Board of Behavioral Sciences (BBS) provides an online portal where you can verify your completed credits and ensure you meet renewal requirements. Steps to check your CE credits in California: Visit the California BBS website. Log in to your licensee portal using your credentials. Navigate to the continuing education section. Review your submitted courses and credits. If you find discrepancies, contact the board promptly. California requires therapists to complete 36 hours of continuing education every two years, including specific hours in ethics and law. Staying organized by regularly checking your credits can prevent surprises during license renewal. Tips for Staying Organized and Stress-Free with CE Credits Managing CE credits doesn’t have to be a chore. With a few simple strategies, you can keep your education on track and stress levels low. Create a CE Calendar Mark deadlines and plan courses throughout the year to avoid last-minute rushes. Keep Digital and Physical Records Save certificates, receipts, and course descriptions in a dedicated folder or cloud storage. Set Reminders Use phone alerts or calendar apps to remind you of upcoming courses or submission deadlines. Join Professional Groups Networking with other therapists can provide recommendations for quality courses and support. Review Requirements Annually Licensing rules can change. Make it a habit to check for updates yearly. By adopting these habits, you’ll find the process more manageable and even enjoyable. Embracing Lifelong Learning: Beyond the Credits Continuing education is more than just a licensing requirement. It’s an opportunity to grow as a therapist and enhance the care you provide. Embrace this journey with curiosity and openness. Explore new therapeutic approaches. Engage in self-care and mindfulness courses. Attend conferences and workshops for inspiration. Share your learning with colleagues. Remember, every credit earned is a step toward becoming a more effective and compassionate therapist. Celebrate your progress and keep your passion alive. Mastering CE credits for therapists is about balance - meeting requirements while nurturing your professional soul. With thoughtful planning and the right resources, continuing education can be a fulfilling part of your career path. Keep learning, growing, and thriving.

My theory is that young adults went underground during COVID. Some thrived, while others got lost in the weeds. This led to a new brand of anxiety called overthinking . This phenomenon is especially evident in girls. I have heard girls spend entire sessions discussing one text, one TikTok, one meme, or one like. They are driven by the dopamine rush that comes from likes. I honestly don't think Zuckerberg had any idea what he was unleashing. The need to be "liked" is paramount for teen girls. There is nothing more important! The Impact of Social Media Perhaps this need stems from personality traits, family dynamics, or even past traumas. Constant hyper-vigilance in thoughts is likely a product of the teen brain at a critical moment. The reinforcement they receive is akin to indulging in a Carvel ice cream sundae! If you "see and hear" their TikTok, you might even "get" them. Understanding their perspective can foster patience and empathy. Girls are wired for attachment, and through this lens, the neediness of a whole generation becomes apparent. Parents, often distracted by work and the middle-class anxiety over survival and finances, have contributed to this problem. Let’s not place all the blame on social media; I happen to appreciate it. The Feeling of Unsafety Feeling unsafe is another significant issue. Trauma can lead to hyper-vigilance regarding one's surroundings. A good starting point for intervention involves the two best anti-depressants in the world: exercise and creativity. Here’s a more detailed list of activities to try. Start by trying one new thing and see how it makes you feel! Activities for Young Adults Feeling Isolated Join a Club or Group Book Clubs : Connect with fellow readers and share insights. Sports Teams : Engage in physical activity while building camaraderie. Art or Craft Classes : Explore your creative side with others. Volunteer Local Charities : Give back to your community and meet new people. Community Gardens : Enjoy nature while contributing to sustainability. Animal Shelters : Help care for animals in need. Attend Workshops or Classes Cooking Classes : Learn new culinary skills and enjoy delicious food. Dance Lessons : Get moving and express yourself through dance. Fitness or Yoga Sessions : Improve your physical health and mental well-being. Explore Nature Hiking : Discover beautiful trails and enjoy the great outdoors. Picnicking in Parks : Relax and unwind in a natural setting. Biking Trails : Combine exercise with exploration. Engage in Online Communities Social Media Groups : Connect with like-minded individuals. Online Gaming : Enjoy gaming while building friendships. Virtual Meetups : Participate in discussions and activities from home. Start a New Hobby Photography : Capture moments and express your creativity. Gardening : Cultivate plants and enjoy the therapeutic benefits. Writing or Blogging : Share your thoughts and experiences. Participate in Local Events Festivals : Celebrate local culture and meet new people. Concerts : Enjoy live music and connect with fellow fans. Community Fairs : Discover local artisans and vendors. Connect with Friends or Family Game Nights : Enjoy fun and laughter with loved ones. Movie Marathons : Share your favorite films with friends. Cooking Meals Together : Bond over food and create lasting memories. Practice Mindfulness or Meditation Join a Meditation Group : Learn techniques to calm your mind. Use Mindfulness Apps : Incorporate mindfulness into your daily routine. Attend Retreats : Immerse yourself in a peaceful environment. Seek Professional Support Therapy or Counseling : Talk to a professional about your feelings. Support Groups : Share experiences and gain insights from others. Workshops on Mental Health : Learn strategies to improve your well-being. By engaging in these activities, young adults can combat feelings of isolation and foster connections. Remember, taking the first step is often the hardest, but it can lead to significant changes in your life.

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.

Continuing education is a vital part of a therapist’s professional journey. It keeps skills sharp, knowledge current, and ensures compliance with licensing requirements. Yet, managing CE credits can sometimes feel overwhelming. How do you find the right courses? How many hours do you need? What counts toward your license renewal? This guide will help you master CE credits for therapists with a thoughtful, caring, and relaxed approach. Let’s explore practical tips and insights to make continuing education a rewarding part of your career. Understanding CE Credits for Therapists: What You Need to Know Continuing education credits, often abbreviated as CE credits or CEUs (Continuing Education Units), are the building blocks of professional development for therapists. These credits represent the time and effort you invest in learning new skills or deepening your understanding of therapeutic techniques. Why are CE credits important? License Renewal: Most states require therapists to complete a certain number of CE credits to renew their licenses. Skill Enhancement: They help you stay updated with the latest research, tools, and methods. Professional Growth: CE credits can open doors to specialization and advanced certifications. How to choose the right CE courses? Look for courses approved by your licensing board. Prioritize topics that align with your practice or areas you want to grow. Consider formats that fit your lifestyle: online, in-person, workshops, or webinars. For example, if you specialize in trauma therapy, seek courses that deepen your understanding of trauma-informed care. If you want to expand into family therapy, find CE credits that cover systemic approaches. Practical Tips for Managing CE Credits for Therapists Balancing work, life, and continuing education can be tricky. Here are some actionable strategies to help you stay on track without stress: Create a CE Calendar: Mark deadlines for license renewal and plan your courses accordingly. Break down the required hours over months to avoid last-minute rushes. Mix Learning Formats: Combine online courses with live workshops or conferences to keep learning engaging. Keep Records Organized: Maintain a folder (digital or physical) with certificates, course descriptions, and receipts. This will save time during audits. Set Learning Goals: Define what you want to achieve with each course. This focus makes the experience more meaningful. Use Trusted Providers: Choose reputable sources for your CE credits. For example, continuing education credits from certified providers ensure your hours count toward your license. Example: Jane, a licensed therapist, schedules one online course every two months and attends a yearly conference. She keeps all certificates in a cloud folder, making license renewal smooth and stress-free. How Many Hours is 1 CEU? Understanding the value of one CEU helps you plan your education efficiently. Typically, 1 CEU equals 10 contact hours of participation in an approved continuing education program. However, this can vary depending on your state or licensing board. Contact hours refer to actual time spent in learning activities, excluding breaks or meals. Some states may accept clock hours instead, where 1 clock hour equals 1 CE credit. Always verify with your licensing board to ensure you meet their specific requirements. Example: If your state requires 30 CE credits for renewal, that usually means 30 clock hours or 3 CEUs. You could complete three 10-hour courses or several shorter ones adding up to 30 hours. Knowing this conversion helps you budget your time and select courses that fit your schedule. Making the Most of Your Continuing Education Experience Continuing education is more than just a requirement - it’s an opportunity to grow personally and professionally. Here’s how to maximize the benefits: Engage Actively: Take notes, ask questions, and participate in discussions. Apply New Skills: Try integrating new techniques into your practice soon after learning them. Reflect on Learning: After each course, spend time thinking about how it impacts your approach to therapy. Network: Use workshops and conferences to connect with peers and experts. Stay Curious: Explore topics outside your immediate specialty to broaden your perspective. For instance, a therapist specializing in cognitive-behavioral therapy might take a course on mindfulness to enhance their toolkit. This cross-disciplinary learning enriches client care and keeps your work fresh. Embracing Lifelong Learning with a Zen Mindset Mastering CE credits for therapists is not just about ticking boxes. It’s about embracing a mindset of lifelong learning with calm and intention. Here are some mindful practices to keep your continuing education journey balanced and fulfilling: Set Realistic Expectations: Don’t overload yourself. Quality over quantity matters. Create a Dedicated Learning Space: A quiet, comfortable spot helps you focus and enjoy the process. Practice Self-Compassion: It’s okay to take breaks and recharge. Celebrate Milestones: Acknowledge when you complete courses or reach goals. Stay Present: Focus on the learning moment rather than worrying about the future. By approaching continuing education with a relaxed and thoughtful attitude, you transform it from a chore into a meaningful part of your professional life. Continuing education is a powerful tool for therapists to stay relevant, effective, and inspired. With clear planning, trusted resources, and a mindful approach, managing your CE credits can become a smooth and enjoyable part of your career path. Remember, every hour you invest in learning is a step toward better serving your clients and nurturing your own growth.

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.

My Daughter's Hawaii Trip 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 challenges. 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 for growth 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. 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.

Boyz to Men I don't see many boys. It seems they don't like therapy. And the world watches as they become angrier, disenfranchised, downsized and addicted. Why why why - if I only knew I'd be rich. Well you can't blame the Mothers. That's old news. Now men are armed and dangerous. Every time they raise their voices I myself get a little more afraid. So what, if anything, can be done about this rage? Channel it? I like David Hoag. He stands up to challenge the status quo only after witnessing the unimaginable. I like Steven Colbert. He acts impenetrable in the face of doom. I even like Doug Emhoff and Pete Buddigege who push back on anti semitism and lgbtg shaming. How did they get their voices to be reasonable? How are the fathers doing? Probably not too fine as their 401ks stumble and their workspaces shrink. Probably not so thrilled that their college savings bought their kids access to what exactly? Clearly it's time for new leadership. New role models. What? Barack Obama wasn't cool enough for you? Now what? A young man in my office is bright and worthy and emotionally astute. I'm so proud of him as he battles his demeaning father's narcissism. Another one is doing so well after facing down porn addiction and shame during his teen years. He will go on to feel normal again. And still another young man tries desperately not to fall into grief after a big family secret unraveled his reality. He can manage by leaning into his more true self, a more compassionate one. What they all share is a willingness to create space. Men always ask me the how of it all. This IS the how. Being present. Being woke even. Allowing anger to rise and fall as all things do. Giving permission to a more spontaneous version of heck yeah I'll try it, not running away. The how is the process. The how is listening. The how is now. Shake off and dissolve the story of what you think is happening and watch for a new one. The grooves have moved. The story is unfolding. Awake! Men may not be good with emotion for many evolutionary reasons. But some men can evolve with patience and a deference to their better halves!

My Father was a book man. Door to door at first, like his father, selling magazines before him, although they both had a secret penchant for sneaking away from work and playing bridge or ping pong or chess somewhere in Queens, NY. The books kept coming as he worked his way from seller to publisher to agent to producer. Long years of Tolkien and Roth and Atwood and Smiley; of Atlas Shrugged and Night; of East of Eden and Crime and Punishment, of reading, buying, editing, talking, books, books books. It was an idyllic childhood having literature at my fingertips. We also played every kind of ball, and I endured some rage from him as he was a serious competitor. My father and I adored each other, and our relationship defined my life. Until it didn’t. When he walked out not long after my 15th birthday, (and I was a late bloomer, even more devastating), things didn’t not turn out so well. Gone was my number one cheerleader besides my ever-nurturing mom. My father was bright, good looking, athletic and charismatic. A real live narcissist. It was a blast. He never laid a hand on me, but was big on smacking tennis balls and throwing rackets. His bipolar mood swings were under control with medication and my parents thankfully were not big drinkers (preferring ice cream). The world has changed so dramatically since 9/11 I used to think. My parents missed my kids’ things because my mom died young and my dad was on the other coast. Bicoastal was his term; of course I never liked it. When I visited him at his new home in California, I hated that too. He did not take me to outdoor adventures, but rather to Rodeo Drive and Universal Studios. He was caught up in a new culture. Once we bumped into a real movie star whom I admired, William Shatner, on the street. I was not in awe of Los Angeles. I found it to be full of fakers and takers. I didn’t understand why no one seemed to work but everyone was in line for the next-big-thing in the movie business. My dad’s bold idea was to bring books to movies and introduce them into a partnership. Some might say he was visionary in that. He failed. No matter, because life was good out there in LA LA Land. He also failed on the child support, which tore my mother up, as she worked tirelessly as a teacher - special ed English, Bronx, NY - while he sipped in his martinis and screenplays. My mother’s economic fortunes shifted downward, as is typical in divorce, and we went off to college feeling a deep sense of otherness at our new found drop in status. I was able to identify that I needed help. I kept latching on to the wrong people, hoping they could replace my missing father. But it was the ONGOING coming and going of him that set me off balance. It’s one thing to be abandoned, but over and over again? He would come in like a Disneyland Dad for sure, and then leave at the airport or train or taxi or whatever, and it was emotional whiplash. I never understood that I was his narcissistic supply until later. Our relationship had inverted. After my father’s funeral, after I had shipped his worthless antiquarian book collection back and forth across the country several times at my own expense, I let out a long, hollowed out howl that came from the darkest corner of my soul. It was cleansing to be sure. I felt as if I could fly, that’s how long it had been since I exhaled. I feel guilty that I’m not sadder. I also had a dream some time later. I was walking away from a funeral procession (presumably his?), and a dancing witch (not unlike Helena Bonham Carter in “Big Fish”) was laughing and dancing behind the crowd. She turned her head to look at me, wagged her finger and cackled distinctly, “I won’t be seeing you again,” (or something to that effect). Again I felt released. To this day I cannot recall the last book my dad and I discussed when he was hospitalized and bloated with water from congestive heart failure - though I can remember all the other books we shared together. I must have blocked it out. The mind is a strange thing when it goes from insecure people-pleasing to living on your own terms. Perhaps there’s a book in that.

In my groups we discuss pets a lot. I have always allowed space for my clients and their pets. Pets are an amazing source of comfort to so many. Of course and they don't talk back!! I have watched many of my clients grieve the loss of their pets. This is a process like no other. The stages of grief, which it turns out, are NOT LINEAR, will help to guide us, but there's so much more. The loss can last a day a week or a year. The entire family is effected. You cannot replace a beloved pet. In some cases, I've noted, pets receive better care than humans do. More and more people ask me for letters of support for a pet providing emotional wellness. I am happy to do that for people with whom I work. Kids going off to college have even asked me for an emotional support Guinea pig. Why not? My husband told me he had a dog during college that went off leash and followed him around to his classes. I currently have 3 pets and it's a lot of work; but they have given me such joy. My neighbor's dog suddenly passed away last week. All we can say is that loss is loss. There's no easy way to get through it but to go through it. Pets came way before therapy and they'll probably sustain us long after AI has taken our jobs! So allow your family and clients to do whatever they need to for the short-term. In fact, here's what Google AI says about dealing with it: Some other reasons why losing a pet can be hard include: Isolation Grieving the loss of a pet can feel isolating because it's considered a disenfranchised grief in today's society. Comments like "It's just a dog" or "Are you going to get another cat" can fe el hurtful. Depression It's normal to feel a sinking feeling of depression after losing a pet, but it can be detrimental if the depression doesn't subside after sev eral months. Difficulty concentrating You might have trouble focusing and concentrating on tasks, which can lead to forgetting things, misplacing things, or feeling like yo u have no energy to think. Guilt You might feel guilty for having to euthanize a pet, or if your pet died a natural death, you might think you should have had them euthanized to prevent suf fering. Anger You might feel angry at the vet, at yourself, or even at your pet for leavin g you.  And here's more practical advise from the Humane Society: ( https://www.humanesociety.org/news/grieving-loss-companion-animal ) Reach out to others who can lend a sympathetic ear. Do a little research online, and you'll find hundreds of resources and support groups that may be helpful to you. Some of these include: The Pet Compassion Careline, which provides 24/7 grief support with trained pet grief counselors. Lap of Love, which provides grief courses and 50-minute one-on-one support sessions with a grief counselor. Everlife Support Groups by state. Association for Pet Loss and Bereavement support groups, available at specific times throughout the week. If you are part of a congregation, ask if your place of worship offers bereavement support for pet loss. Memorialize your pet through a bereavement ritual. You might: Spread your pet’s ashes somewhere special, or reserve a place in your home for your pet’s ashes and photos of your pet. Plant a native tree or flowering shrub in memory of your pet. Create a memory box with your pet’s collar or favorite toys. Purchase a product that incorporates your pet’s ashes into a memorial necklace, bracelet, ring or suncatcher. (Search “pet cremation jewelry.”) Commission a painting, statue, memorial stone or plush animal representation of your pet. (Search “pet memorial” on Etsy.com for a wide range of options at all price points.) Write about your feelings, or write a letter to your pet about all the things you’d like to say to them or how you’d have liked to spend your last day with them. Write an obituary for your pet. Share photos and memories of your pet via social media. People and pets are inseparable and we love them with all our hearts. Give your little guy a pat on the head and an extra treat tonight. He got you through a lot of long days.

In therapy 3's are dangerous.  The potential for triangulation is rife.  Three means exclusion, secrets, pairs and pains.  Like the original three (mom, dad, baby), or in religion; jealousy or competition.  I learned a hard lesson about three many years ago when two of my friends "boxed me out" because of some nonsense with the kids.  I was mortified.  It took me years to get over it.  I still get nauseous when I see them out together, so I can only imagine how a teenager must feel, seeing friends on social media without even an invitation. My client yesterday informed me that this very thing had happened. She marched right up to those girls and demanded, why was I not included?  I don't think I would have had the guts to do that in high school. Then again, we didn't have exclusive, hierarchical  "friend groups."  You were free to float to your heart's content, and that worked well for me. As a social creature, I could manipulate things so that groups overlapped and I was never too lonely.  It worked as an insurance plan against feeling left out.  Why being on your own is so awful, it's hard to say.  I wasn't particularly bothered about being alone at times in my life.  In fact, I think I'm the rare exception - I could be an introvert or an extrovert on many occasions.  But knowing you were deliberately left behind is surely torture.  As my 10th grade client from an affluent suburb said, "I  looked like I had no friends."  What does that mean?  Why does it matter what it looks like? Kids really and truly think that people are watching them.  It's no wonder they're upset and paranoid. Three came up in another instance in my work with a younger child, a middle schooler.  I had been working with this highly verbal and precocious child for close to two years.  Whenever I suggested we were done, she insisted, no-- call me next Wednesday.  Here was a kid who was being asked by her mom to be a kind of investigator-in-training against dad, and his problems.  She could describe in minute detail his every move, whether at home or out at a party.  How many drinks he had, how many times he went to the restroom, how many times he lost his balance, where he hid his keys, etc. "She's good at it," said mom.  The kid is 12!!  Do you think this job contributes to her anxiety? (I wondered rhetorically).  Now I'm the detective. Finally, after several weeks of me not sleeping, I asked the mom, with whom I have a relationship, could we have a family meeting.  "I'm too stressed out," she replied.  "I can't nail him down," she replied.  On my third attempt, she blew me off completely.  I asked the child permission to reach out to dad.  Upon calling him, and putting him at ease, I explained my concerns.  By elevating the child to the triangle she essentially was too scared to do anything but her mother's bidding. By alerting the dad, he spoke with her and alleviated her responsibilities in this regard.  "You're fired!" he said to her.  With my help, he also told her, if it happens again, simply say, I can't do it anymore, I'm busy.  When I next talked to her, she was beyond relieved.  It was as if she was experiencing childhood again.  She was taken out of triangulation and put squarely into 7th grade again.  Let the dyad work it out.  And note to therapist/self: do not wait to engage parents when you get a red flag.  Soon you'll be triangulated if you don't!