2020 TLPCA Counseling and Therapy Summit (Virtual)
Session 1 – 9:45 – 10:45 AM
Effective Assessment and Treatment Strategies for Suicidality
Presenter: Julie Barnes
Program Summary: In the United States, 132 die by suicide every day. Clients share their experience living with intense feelings of disconnection from life or a sense of being an unnecessary weight to their loved ones. Research reflects suicide is not predictable, yet it is preventable. What does this mean for us as counselors? Learning or refreshing effective strategies is needed. In this interactive presentation, participants will learn to assess, manage, and treat clients experiencing suicidality.
- Utilize Suicide Assessment and management tools
- Identify various treatment strategies to target the suicidality
Involuntary Commitment in the State of Tennessee
Presenter: Julia Neilan-Keaton
Program Summary: My presentation will cover the history of involuntary commitment in the United States, the ethics of involuntary commitment, what mobile crisis is, how mobile crisis is involved in the involuntary commitment process, what a 6401 is, what a 6404 is, how to fill out a 6404 so that the court will accept it, how long a 6404 holds a person against their will and who is allowed to transport a person under a 6404.
- Following this presentation, participants will be able to understand the involuntary commitment process in Tennessee.
- Following this presentation, participants will be able to explain the role of mobile crisis in the involuntary commitment process.
- Following this presentation, participants will be able to explain what a 6404 is and will know how to fill one out.
Anorexia Nervosa, Weight Restoration and Psychological Trauma
Presenter: Tyler Rogers
Co-Presenter: Abigail Smith
Program Summary: The purpose of this presentation is to introduce the possible effects of psychological trauma on anorexia nervosa including the process of restoring weight and relapse. The presentation will include an overview of anorexia nervosa, psychological trauma and the weight restoration process as well as an introduction to a trauma-based psychotherapy model and its potential use for reducing relapse.
- Following this presentation, participants will be able to understand the impact of trauma on individuals with anorexia nervosa from a medical and psychological perspective.
- Following this presentation, participants will be able to understand the weight restoration process and current limitations of this process.
- Following this presentation, participants will be acquainted with a trauma-informed psychotherapy model and understand the importance of treating individuals with anorexia nervosa using trauma-informed interventions.
LBGTQ+ Issues in Counseling: Conceptualizing Sexual Identity
Presenter: Catherine Tourangeau
Program Summary: In working with LGBTQ+ clients, it is important to understand common terms, definitions, and concepts around sexual identity. This presentation will focus on current research that suggests sexual identity can be effectively conceptualized as a multi-variable or multiple continua model. Understanding these variables can help clinicians to increase competency in working with LGBTQ+ clients, strengthen the therapeutic alliance, and aid in addressing and working through issues specific to this population.
- Following this presentation, participants will be able to understand and define common terminology and concepts relating to LGBTQ+ clients.
- Following this presentation, participants will be able to understand the multiple continua model of sexual identity.
- Following this presentation, participants will be able to utilize concepts from the multiple continua model of sexual identity when working with LGBTQ+ clients.
Best Practices for Brainspotting with Clients of Color
Presenter: Tiffany Wilson
Co-Presenter: Michelle Stevens
Program Summary: Brainspotting is quickly becoming a powerful and effective tool to use when working with individuals who have experienced trauma. For clients of color, this approach could revolutionize the healing process from the unique traumas they experience. Being a therapeutic approach that demonstrates a brain and body attunement process with a focus on the relational presence of the counselor and client, Brainspotting can help clients of color experience healing more profoundly than traditional talk therapy.
- Following this presentation, participants will understand the foundational premise of Brainspotting.
- Following this presentation, participants will understand how clients of color experience trauma including racism, institutional racism, slavery (generational trauma), and other forms of trauma not typically recognized as trauma.
- Following this presentation, participants will understand why Brainspotting can be an effective therapeutic approach when working with clients of color and how Brainspotting can benefit clients of color who have experienced trauma.
Session 2 – 11:00 AM – 12:00 PM
Mental Health Counselors in Private Practice: Risk Factors for Burnout
Presenter: Frankie Fachilla
Co-Presenter: James Schut
Program Summary: Private practitioners are a vital part of the mental health workforce. Burnout can decrease effectiveness and even drive counselors out of the mental health field altogether. Based on a study of 256 participants, this is a research-driven presentation that will help private practitioners (and those supervising private practitioners) identify risk factors for burnout that are relevant to private practice. This presentation will also discuss how to alleviate burnout symptoms within private practice.
- Attendees will learn and understand the Maslach and Jackson (1981) model of burnout: a sequential, three-stage process of feeling exhausted/depleted by work, disconnected from work/clients (a coping mechanism for exhaustion), and, finally, feeling less competent and accomplished at work. Burnout will be normalized and de-stigmatized through a review of research supporting the prevalence of burnout in the mental health field. Attendees will learn how burnout harms clients, as well as practitioners, and how identifying risk factors for burnout and remedies for burnout will improve client care as well as attendees’ own mental health and wellness.
- Attendees will identify the following eight, research-supported risk factors for burnout and how they apply to private practitioners: a higher proportion of managed care clients compared with direct pay clients, a higher proportion of administrative hours versus direct client hours, more clients exhibiting difficult/challenging behaviors, over-involvement with clients, low income and higher debt, higher conflict between work and home roles, and lower professional support.
- In light of the known risk factors, attendees will learn four research-supported remedies for burnout that can be applied to their practice, including: having at least 25% of their client load pay for services directly (instead of through managed care), increasing daily balance behaviors to counteract over-involvement and overwhelm, increasing professional support and professional development, and decreasing conflict between work and home roles.
Redesigning a multicultural counseling graduate course: Strategies to increase multicultural competence
Presenter: Jessica Fripp
Co-Presenter: Kim Coggins
Program Summary: Training in Counseling graduate programs emphasizes the importance of multicultural competence, yet many students feel ill-prepared when working with clients from diverse populations. Furthermore, instructors are often met with resistance related to course content. To navigate these concerns, workshop presenters will discuss barriers to teaching multicultural course content, introduce a revised concept to structuring the course material and recommend strategies for implementing effective teaching methods to increase student preparation.
- Critically address the unique challenges of facilitating multicultural course material.
- Deliver the modified course content and structure for participants to utilize at their programs.
- Utilize strategies for integrating and implementing this course design in future Counselor Education graduate courses related to diversity and multicultural competence.
A Counselor's Guide to Counseling Mixed Orientation in Couples
Presenter: Joshua Gebhardt
Program Summary: Mixed-orientation couples (MOCs) are a marginalized LGBTQ+ population that have received little attention from researchers and clinicians. Those in mixed-orientation relationships seem to face specific challenges that contribute to unique difficulties in marriage or partnership. The topics covered in this presentation will include a discussion of best practices, relationship qualities and characteristics, clinical approaches, and risk factors when working with mixed-orientation couples.
- Following this presentation, participants will be able to understand and establish common treatment guidelines when working with mixed-orientation couples.
- Following this presentation, participants will be able to identify common relationship components and characteristics of mixed-orientation couples.
- Following this presentation, participants will be able to utilize treatment and conceptualization resources of mixed-orientation couples for their own practices.
Building Competency with Religious and Spiritual Integration in Supervision
Presenter: Rebecca Hill
Co-Presenter: Megan Hersher
Program Summary: Using Power Point as a guide, speakers will provide an interactive teaching experience with current ASERVIC competencies, discussing their impact in supervision and counseling. Current research examining current barriers and strategies to implementing spirituality into supervision are addressed. Participants will receive information on assessment tools for intake and beyond. Finally, ethics of this type of supervision and client care will be discussed. Case studies will be examined for supervisors and counselor educators to discuss.
- Following this presentation, participants will be able to understand ethical considerations of integrating spiritual/religious concerns within the context of supervision.
- Following this presentation, participants will be able to discuss ASERVIC competencies for spiritual/religious integration in supervision.
- Following this presentation, participants will be able to identify barriers and strategies when integrating religion and/or spirituality into supervision.
Ethics, Law, and Risk Management: Stay in Your Lane
Presenter: Robert Moore
Program Summary: Mitigating risk in clinical practice requires purposeful planning, common sense, and adherence to the ACA Code of Ethics and the Scope of Practice Rules of Tennessee Board for LPCs. The objectives involve the participant being able to identify the most common reasons for practice violations by reviewing the literature, the Tennessee Rules, the ACA Ethical Code. Participants will also have an opportunity to identify which areas of their practice are the most vulnerable.
- Following this presentation, participants will be able to identify which areas of practice are the highest risk for legal and ethical violations.
- Following this presentation, participants will be able to able to explain the specific Rules of the Tennessee Board for LPCs regarding the Scope of Practice.
- Following this presentation, participants will be able to identify three specific ways to reduce risk in their practice as LPCs.
Presenter: Susan Hammonds-White
Co-Presenter: Kim Speakman
Program Summary: This presentation will walk attendees through the process of becoming licensed as a Licensed Professional Counselor with Mental Health Service Provider designation through the State of Tennessee. After a step-by-step review of the requirements, the presenters will answer questions regarding the individual issues or audience members.
- Learn about the licensure process
- Receive answers regarding issues with application process
Session 3 – 1:30 – 2:30 PM
Recession-Proof Your Private Practice
Presenter: Katya Brewington
Program Summary: Most economists agree we are headed for another recession. In our reality economic cycles are the norm. We have experienced about 13 recessions since The Great Depression or approximately one every 6 years. Signs in the current market point out to another one, possibly in the next 2-6 quarters. Recessions hurt small businesses the most. This presentation will address ways to prepare your practice for a possible recession and remain stable in unstable economic times.
- Learn about Signs of Economic Recession.
- Learn about the effect of recession on private therapy practices.
- Learn 3 easy steps to prepare and survive recession.
Professional Counseling Within A Law Enforcement Agency: A Nationally Recognized Program
Presenter: Carol Harp
Program Summary: An area of significant growth is in forensic services – offenders, victims of crime and first responders. Nashville is home to the largest Family Justice Center in the US. The Department of Justice also has recognized the Behavioral Health Services Division of the Metropolitan Nashville Police Department as one of the top ten programs in the nation. An overview will be provided of positions, clientele and best practices within a model delivery system.
- Understand the multitude of settings available for professional counselors within the criminal justice system.
- Identify the variety of clientele needing services, from offenders and victims of crime to first responders.
- Identify a number of best practices and model programs in the field of forensic counseling, along with a model system of delivery.
How to Facilitate Group Empathy with Communologue
Presenter: Judy Herman
Program Summary: It can be challenging to provide connection for groups in transformational ways. Facilitating requires empathic techniques to create dynamics that bring awareness for each member. In addition, group participants are able to increase attunement to the group as a whole. Communologue provides validation. There will be no more concerns for verbose members to dominate and quiet members to hide. Instead deepen camaraderie. Based on a variation of the dialogue model, Communologue brings healing, understanding and connection.
- List 4 problems our clients face, especially during the pandemic, that makes facilitating group empathy crucial.
- Define the term “Communologue.”
- Describe the process of Communologue
- Identify what “breathing in fresh A.I.R.” means as it relates to facilitating group empathy.
Counselors' Role in Relapse Prevention and Recovery in Treating Individuals with Substance Use Disorder
Presenter: Mark Loftis
Co-Presenter: Nathan Payne
Program Summary: While relapse rates in substance abuse differs little from relapse in other illnesses such as diabetes and hypertension, relapse for persons in recovery can be challenging on many levels. Counselors need to be knowledgeable of relapse prevention, relapse determinants, and intervention strategies. This presentation intends to equip counselors with resources in these three critical areas.
- This presentation intends to equip counselors with information about effective relapse prevention techniques.
- This presentation will explore the determinants of relapse.
- This presentation will identify relapse intervention strategies.
Presenter: Jenny Ford
Co-Presenter: Janie Wilkerson
Program Summary: This session will present an update on current legislative efforts for TLPCA. Our government representative, Jenny Ford, will share information about current legislation affecting our organization and her work to address key pieces of legislation.
- Understand current legislative efforts for both organizations
- Identify best practices for collaborative advocacy
- Have a clearer understanding of the short-term and long-term gains for the mental health profession in Tennessee
- Be able to identify regulatory and legislative trends at the national level that impact our state activity
BDSM ... Pathology or Pacification?
Presenter: Ray White
Program Summary: This workshop is intended to serve as a clinician’s primer on the subject of BDSM. What is it? Is it pathological? Am I qualified as a counselor to see clients presenting with issues related to their BDSM practice? Participants will learn there is much more to BDSM than Fifty Shades of Grey.
- Following this presentation, participants will be able to differentiate BDSM as a “pathology” versus a “pacification.”
- Following this presentation, participants will be able to identify three or more common psychological characteristics of BDSM practitioners.
- Following this presentation, participants will be able to understand the potential of BDSM practice as a harm reduction activity for certain clients.
Session 4 – 2:45 – 3:45 PM
Unsocial Media: A Look at the Relational Problems of Teens and Young Adults in the Internet Age and Strategies to Effect Positive Change
Presenter: S. David Hall
Program Summary: Technological advancements have provided more ways for people to communicate and share information than ever before. But evidence also seems to show that feelings of social isolation and anxiety in relationships is also rising. This training will look at the context of these trends, explore research as to why connecting technology is creating greater feelings of isolation, and ways that counselors/therapists can have positive impact on decreasing anxiety and improving relational satisfaction.
- To identify the major trends in social media and others interactive technologies and how they have impacted recent generations.
- To understand the research as to how social media and interactive technology are creating contexts of greater social isolation and relational anxiety.
- To implement practical ways for counselors and others in helping professions to apply a greater knowledge in the social effects of interactive technology to support people in creating and maintaining healthy habits and relationships.
Exploring the Translational Neuroscience of Mindfulness-Based Counseling Interventions
Presenter: Chad Luke
Co-Presenter: Logan Shock
Program Summary: Translational Neuroscience is the science of exploring the neurobiological correlates of human phenomena. It can also be used to understand the effects of counseling interventions, like mindfulness. This presentation will describe the systems underlying mindfulness practices in counseling and then demonstrate mindfulness practices described in the counseling and neuroscience literature. Participants will be invited to discuss the clinical value in understanding the neuroscience of mindfulness in their work with clients.
- Following this presentation, participants will be able to identify the brain structures and systems related to mindfulness-based practices.
- Following this presentation, participants will be able to engage in mindfulness-based activities used in counseling.
- Following this presentation, participants will be able to describe the value of neurobiological explanations underlying mindfulness-based practices in counseling.
A Neuro Sequential Model for Developmental Trauma
Presenter: Tony Michael
Co-Presenters: Mark Loftis
Program Summary: The purpose of this presentation is to evaluate the effects of trauma on a developing brain to promote best practices in mental health counseling. A review of Adverse Childhood Experiences, the foundational parts within the traumatized brain, and the importance of a bottom-to-top neuro sequential approach to healing developmental trauma will be discussed.
- Following the presentation, participants will be able to identify the effects that developmental trauma has on the brain.
- Following the presentation, participants will be able to understand what Adverse Childhood Experiences are.
- Following the presentation, participants will be able to utilize a basic neuro sequential model for treating developmental trauma.
You or Someone You Know Has a Temperament of High Sensitivity
Presenter: Heather Smith
Program Summary: Despite a lifetime of hearing comments such as, “stop being so sensitive” or “why can’t you enjoy things like most people,” the individual with the high sensitivity temperament cannot change this aspect of themselves. The goal of this presentation is to inform LPCs about the trait, teach them how to use an instrument to assess for the trait, prepare them to provide psychoeducation, and assist them in discerning between DSM disorders and the trait.
- Participants will be able to use the Highly Sensitive Person scale to assist in identifying individuals with the highly sensitive temperament trait (sensory processing sensitivity).
- Participants will be able to provide clients and students with psychoeducation about the highly sensitive temperament trait (sensory processing sensitivity).
- Participants will be able to sharpen clinical diagnostic skills differentiating between DSM disorders and a normal temperament trait that exists in a minority of the population and is largely misunderstood.
Beginning with Babies: Introduction to Infant and Early Childhood Mental Health
Presenter: Evonna Surrette
Co-Presenter: Kat Johnson
Program Summary: It’s never too late, but early intervention is best. According to the Zero to Three “1 in 5 children has a diagnosable mental disorder, but factors that predict mental health problems can be identified in the early years.” This presentation will focus on the foundations of IECMH and will provide a better understanding of the mental health needs of infants, toddlers and young children and their caregivers as well as modalities for supporting them.
- Following this presentation, participants will have a greater understanding of the foundations of Infant and Early Childhood Mental Health.
- Following this presentation, participants will understand the importance of reflective supervision and consultation within Infant and Early Childhood Mental Health.
- Following this presentation, participants will understand have insight into the different modalities used to engage clients and families in therapy.
Ethical issues related to the use of technology in clinical practice: What you need to know.
Presenter: Jay Tift
Program Summary: As technology becomes progressively more infused in all aspects of our lives, it behooves professional counselors to consider appropriate and ethical use of it in their practices. This presentation will explore the various ways that technology is being used by counselors, the potential ethical issues which arise around this use, and the potential for benefits to both providers and clients.
- Participants will be able to identify five ethical concerns related to the use of technology in clinical practice and ways to address them.
- Participants will understand the potential benefits of the utilization of technology in clinical practice and populations that are most affected.
- Participants will be able to identify appropriate training and certification programs which will allow them to utilize technology ethically in their own practices.
PhotoTherapy and Photovoice: Applications for Counselors
Presenter: Charaya Upton
Co-Presenter: Alexandra Barnette
Program Summary: PhotoTherapy began around 1977 and PhotoVoice started in the early 1990s, but the applications of both of these interventions are still relevant today. In fact, with the growth of modern technology and easy access to devices with cameras, the use of photography is becoming more popular. This presentation is going to describe the differences between these two approaches and how counselors can use them with their clients.
- Following this presentation, participants will be able to understand the history behind the different approaches to photography in counseling.
- They will also be able to understand the current applications for using phototherapy verses using photovoice.
- Lastly, they will understand the strengths and weaknesses of these approaches and discuss collaboratively how they could apply these approaches to their own work with clients.
Session 5 – 4:00 – 5:00 PM
Finding Connection in the Digital Age: The 30-Day Blackout Intervention
Presenter: Stacy Jagger
Program Summary: The 30-Day Blackout Intervention targets behavioral problems in children that are caused by excess screen time. The overabundance of screen time prevents children from developing meaningful connections in their relationships. Created within an experiential, family-systems framework, The 30-Day Blackout Intervention incorporates elements of nervous system regulation, attachment-focused family play therapy, Theraplay, nature-based expressive arts techniques and child-centered play therapy to address behavioral problems, trauma, and attachment injuries, while strengthening the family system.
- Following this presentation, participants will be able to describe how attachment injuries occur within the parent-child relationship and the methods to help repair and strengthen attachment.
- Following the presentation, participants will be able to identify and implement five attachment-based play therapy activities to foster connection in the parent-child relationship.
- Following the presentation, participants will be able to implement the 30-Day Blackout Intervention with their clients in family-based play therapy sessions.
Culture is Habit: Harnessing Teamwork and Institutional Resilience to Promote Safe Outcomes
Presenter: Tiffany Lindsey
Program Summary: Culture lives in habit. Some say culture is “what we tolerate.” Other safety-critical industries, like healthcare, draw from the fields of ergonomics, engineering, psychology, and human factors to inform a “safety culture” within their agencies. In a safety culture, organizations and the professionals within them harness rhythm to team-based practice, value psychological safety– feeling accepted, respected, free to disclose a mistake,– and take strategic effort to institutionalize resilience rather promote individual self-care and heroic behaviors.
- Understand the role of culture in providing care to clients and how mental health professionals can experience silo-ed cultural practices.
- Explain the relevance of psychological safety and the importance of institutional resilience (in contrast to expectations of individual resilience and self-care models).
- Identify and be able to utilize team-based strategies for safe, reliable, and effective client care.
Trauma-Informed Advocacy: Helping Our Clients
Presenter: Lamar Muro
Co-Presenter: Joel Muro
Program Summary: As counselors, we are charged to advocate for clients who face institutional barriers. Given the increased awareness of trauma-informed practices, how can we also assist clients with self-advocacy in their contexts of family, work, and community? As we become a trauma-informed profession, is there wisdom in the professional values and standards of counseling practice to guide us in navigating trauma-informed advocacy?
- Following this presentation, participants will be able to describe general types and forms of trauma.
- Following this presentation, participants will be able to identify microaggressions that clients can encounter within their systemic contexts.
- Following this presentation, participants will understand methods that can support client welfare, as well as counterproductive strategies, based on professional values, standards, and practices.
Self Compassion: Implications for Self-Care Strategies and the Prevention of Burnout
Presenter: PaQuita Pullen
Program Summary: This session is designed to increase knowledge and awareness about burnout and self-compassion in counseling. Participants are invited to engage in a Socratic and experiential styled lecture to help enhance learning and to promote the utilization of their own self-compassionate practices.
- Following this presentation, participants will be able to understand the constructs of self-compassion and burnout as they relate to the counseling profession.
- Following this presentation, participants will be able to utilize self-compassionate strategies that have been supported in the literature as mitigating factors to burnout.
- Following this presentation, participants will be able to identify facilitators and barriers of their own self-compassionate practices.
What Are Your Pronouns?: Understanding Transgender Clients
Presenter: Janie Wilkerson
Co-Presenter: Evan Wilkerson
Program Summary: The need for counselors for transgender and non-binary clients is high, and the stakes are higher. Nearly half of this population have attempted suicide – and competent and compassionate therapists can be hard to find. In this presentation, a therapist and her transgender son will share the unique challenges of the transgender experience and discuss gender identity and expression, with specifics participants can utilize immediately to support their own clients and their families.
- Following this presentation, participants will be able to identify and understand the basics of transgender identity.
- Following this presentation, participants will be able to understand and explain the nuances between gender identity, gender expression, and sexual orientation.
- Following this presentation, participants will be able to utilize resources to support transgender clients and their families through the process of transition.
Impostor Phenomenon: What It Is and How to Deal with It
Presenter: Peter Wilson
Co-Presenter: Aimee Isenberg
Program Summary: Experienced counseling professionals as well as counseling students often experience the impostor phenomenon. Despite sufficient training and many clinical successes, the thought “I don’t know what I am doing” and the fear of being exposed as a “fraud” are ever present. This presentation will focus on defining the imposture phenomenon, it’s frequency, cause, and how to deal with it.
- Following this presentation, participants will be able to define the concept of “impostor phenomenon.”
- Following this presentation, participants will be able to explain factors that contribute to the development of the impostor phenomenon.
- Following this presentation, participants will be able to identity several strategies for reducing the negative impact of the impostor phenomenon on their work with clients.