Expert Interviews & Perspectives in Counseling

If you aspire to work with trans and nonbinary people as a mental health professional, there are many trans-focused career paths to explore, depending on your area of focus and level of training and certification.

As always, clients should be encouraged to ask questions, yet due to the long history of discrimination, LGBTQ+ individuals may have some unique concerns pertaining to their privacy, emotional safety, and legal rights.

Mental health internships offer students the opportunity to learn hands-on clinical skills in various settings. Most graduate-level psychology programs require students to complete a practicum and an internship experience prior to graduation.

Some clients begin therapy without learning healthy boundaries or taking responsibility for their actions. For many, their behaviors are a reflection of the abusive systems they were raised in. Abusive systems teach a skewed perception of responsibility through blame and shame. These circumstances do not take away the need for personal responsibility but offer an understanding to counselors who encounter these behaviors. A part of therapy will be to hold the space, validate these experiences, and teach clients personal responsibility.

When clients show up for therapy, they often have exhausted all other resources, such as Internet searches, self-help videos, books, and other people’s advice. They may feel drained and unsure if therapy can help them.

Building rapport creates increased communication, trust, and motivation in the counselor-client relationship. Developing a positive emotional connection leads to client satisfaction and greater therapeutic outcomes.

An important part of the empathic process is holding the space or creating quiet moments for your client. It is in these times, when less is said, clients and counselors can have the most profound insights.

Rather than being motivated by self-referral, mandated clients do not choose to go into counseling and often must report their progress to a third party. Mandatory or court-ordered treatment areas can range from alcohol or substance use disorders, protective services cases, sex offenses, or anger management.

Pregnant women often complain about sudden lapses in memory. We all have had the experience of walking into a room and then completely forgetting what we planned to do, but pregnant women seem to report these lapses more frequently than others of the same age. Are these experiences due to tiredness and sleep deprivation? Or are there other explanations?

Those who suffer from clinical perfectionism fear negative evaluation or failure. Some clients procrastinate, over-prepare for meetings, and seek over-reassurance from others because they fear the task they complete will not be exactly right.