Recently I was working on some research and came across a website that provided some information about the DSM that may or may not have been accurate. Although it was not about what is in the DSM, it is a question that only the APA would be able to answer.

Because of this, I was doing some additional research to attempt to find the answer. This brought me across several pages that I found to be very important in our field.

Because these pages are on the APA website, to avoid any type of infringement, we can only provide information about the page and the website page itself.

The first page that was located gave information about ICD-10 changes that went into effect in the Fall of 2020. This is important that you take the time to look at this list to help you with your practice. 

https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm-5/coding-updates

The next page of information is a list of regular updates to the DSM 5 that we should all review. These updates may be minor updates typically, however, sometimes, it could be a change in a diagnostic number. 

https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm-5//updates-to-dsm-5-criteria-text

Finally, if you have never looked at the APA blog, it has quite a bit of information that you might like to review. 

https://www.psychiatry.org/news-room/apa-blogs

I hope this continues to help you in your practices.

Michael Crile, MA, MA, is a Licensed Marriage & Family Therapist and organizational leader. He works as a Student Assistance Program Counselor with Comprehensive Youth Services.

Michael takes the challenges and experiences of life to assist clients he works with to provide the best therapy for each client. He enjoys a variety of therapeutic techniques, being extremely eclectic in the therapy room. He has worked in forensic environments working with individuals who had been in the state mental hospitals and with sex offenders on parole and probation.

Michael currently serves as President for CAMFT - CSJV Chapter, Inc and was recently appointed as Area Director for Toastmasters. 

I realize it has been a while since we have had a blog post added, and for that I apologize. This is why I keep asking for volunteers to assist with the newsletter and blog.

I want to simply provide you some insight into virtual therapy if you are using Zoom. Although the HIPAA rules have been relaxed due to COVID-19 for the time being, I thought that this might help if you chose to utilize Zoom for sessions.

Here are a few Key tips and hot keys with their references below.

When you are called on to speak, stop scrambling to click the microphone button. You can press and hold the spacebar to quickly mute and unmute your mic, right from your keyboard. If you are on the chat screen, however, you will need to return to the video screen and make sure you have clicked on that screen for the spacebar to work.

If you don't want to have client's seeing your "space", change your background. Virtually transport yourself to the beach, outer space or anywhere else you can imagine by customizing your background while on Zoom calls -- everyone's doing it these days. You can read our step-by-step guide to changing your Zoom background on the desktop and mobile app, but basically you go to Settings > Virtual Background and select or upload the image you want from there. However, you do have to make sure that your system meets all of the requirements to do so. 

Are you using this for a group training? Gallery view lets you see everyone in the meeting at once, instead of just the person speaking. To turn that on, click the tab that says "Gallery view" in the top right corner. If the meeting has 49 or fewer attendees, you'll see all of their screens displayed on one page. If there are more, you'll have the option to move between multiple pages. Change it back by clicking "Speaker view" in that same top right corner. 

This is a great tool if you are sharing a file with a client. Say you want to share a CBT task and you didn't email it to them before session. Share your screen for a Zoom meeting (or to watch a movie or play a game) with other participants by clicking the Share screen icon on the toolbar at the bottom of the meeting screen. You'll have the option to share your entire desktop, or just one of the windows you have open. Click the red Stop Share button at the top of the screen to go back to being a normal participant in the meeting. 

RECORDING! 

Both free and paid Zoom subscribers can record their meeting to their laptop or computer using the desktop app (you can't record on mobile at the moment, unless you have a paid account -- keep reading for more on that). Those recorded files can then be uploaded to a file storage service such as Google Drive or Dropbox, or a video streaming service such as YouTube or Vimeo. 

To enable local recording, go to Settings > Recording, and toggle it on. When you're hosting a Zoom meeting, click the Record icon on the bottom toolbar. 

REMEMBER: IF YOU ARE CHOOSING TO RECORD THE VIDEO, YOU MUST INFORM YOUR CLIENT AND HAVE YOUR APPROPRIATE DOCUMENTATION!  Just because HIPAA rules have been relaxed, does not give us a bonus to record without permission.

There are several Zoom shortcut keys as well. Click the link below for those. The following link is the reference for the above information.

https://support.zoom.us/hc/en-us/articles/205683899-Hot-Keys-and-Keyboard-Shortcuts-for-Zoom

https://www.cnet.com/how-to/how-to-use-zoom-like-a-pro-13-hidden-features-to-try-at-your-next-meeting/

No rights or privileges to these websites or their information belong to CSJV-CAMFT nor the Chapter Board of Directors, nor the author.

It has been a while since I have posted a blog. Now that the holidays are over, and life appears to kick back into normal pace, (I actually wonder what that is), as an Associate Marriage & Family Therapist, I wanted to provide some points for taking your Law & Ethics Exam and your Clinical Exam. The following information is from Utah State University Academic Success Program on their web-age,  https://www.usu.edu/asp/studysmart/pdf/TestTakingTips.pdf

Before the Test Tips

1. Get a good night’s sleep and eat a high protein breakfast. Drink plenty of water.

2. Practice guided imagery, visualizations of succeeding on the test, mentally “going where the information is stored in your brain”, or breathing techniques.

3. Don’t study right before the test. Concentrate on being calm and mentally accessing the information you have already studied. Best practice and insight that has been presented by test prep programs, state that you should stop studying five to seven days prior to your exam.

4. Get to the test site early. The current test sites say that the exam starts at 9:00, and to be there no later than 8:30 to sign in.

5. Don’t engage in negative talk with ANYONE before the test, such as “I’m so nervous – I don’t know if I studied enough.” YOU'VE GOT THIS.

6. Eliminate negative thoughts or self-talk by replacing them with a positive affirmation, like “I am prepared for the test and I will do well” or “I am smart – I can do this.”

7. You will not be able to take ANYTHING into the exam room with you. In the past, the test sites have provided a piece of paper and a pencil at your test station.  Use the paper for “brain dumping” or “mind mapping” during the exam.

8. Make a decision to ignore students who finish their test before you. PSI offered a variety of tests, and what I have seen with Pearson VUE, they offer a variety of exams as well. The people around you may not even be working on the MFT clinical exam. You have four hours. Use every minute that you can. If you finish 25 minutes early, review what you felt you might have been stumped on. Research shows that students who leave early usually don’t score as well as those who take more time.

Multiple Choice Test Tips

1. Read the directions carefully. You should receive a booklet from the BBS about the exam and testing program. Review it, don't just sit it aside. There may be vital information in there on the exam that you are never informed of.

2. Read the ENTIRE sentence stem, do not skip a single word, think of the answer, and then find it in the choices.

3. Pay careful attention to negative words (underline them) in the stem and these are distracter's. THIS MAY NOT BE IN THE EXAM, BUT THE BBS HAS BEEN KNOWN TO THROW IN WORDS TO CHALLENGE YOUR THINKING PROCESS.

4. Read all the options, before choosing.

5. Don’t dwell on the ones you don’t know. Close your eyes and tell yourself, “the answer will come,” mark the question, (read the instructions carefully when you start to know how to mark your question, and write the question number on your page, then move on to questions you know. Go back to the one(s) you marked and try again – the answer has probably come to you.

6. Go back to the questions you were unsure of. If the answer hasn’t come to you, use one of the strategies below to help you answer the question. 

True/False Test Tips 

1. 100% qualifiers are usually false statements. no, never, none, every, always, all, only, entirely

2. Qualifiers that fall between extremes are usually true: seldom, sometimes, often, frequently, most, many, few, some, usually, generally, ordinarily. 

3. Remember, if any part of the statement is false, then the entire statement is false.

4. Pay attention to conjunctions and phrases: such as, therefore, thus, because, consequently, so, as a result.

5. Pay attention to negative words in the statement. Not, cannot, can’t, won’t, don’t, no.

Melting “Brain-freeze” Techniques

1. Recreate the testing scene. Take the practice tests from whichever study program you have utilized, and take the test in the same time frame you are given with the same kind of distractions. The best options to practice are to have a quiet space at home without everyone disrupting you. Turn off your cell-phone and putting it away so you are not tempted to check messages, voicemails, social media. While taking your practice exam, DO NOT LISTEN TO MUSIC, you will not be able to do this during the real exam and this will interfere with your brains thinking process, telling you during the exam that because you do not have your music, you will fail.

2. Focus your attention on breathing. Concentrate on the air going in and out of your lungs – long, deep breaths will calm you and send oxygen to your brain. Do this for two minutes.

3. Hear your negative thoughts and mentally yell: “Stop!” Then, mentally repeat an affirmation such as, “The answers will come” or “I am smart – I can do this”, several times.

4. Discover where the tension is in your body. Tense and release the muscles in this area and become aware when relaxation occurs during the release. Focus on the relaxation and recreate the sensation whenever you choose during the exam.

5. Use guided imagery. This works best if you practice before the test. Close your eyes and see yourself in your favorite, most relaxing place – a beach or forest are good examples. Feel everything about this place, including sights, sounds, and smells. Once you are proficient, you can take this quick fantasy trip right during the test. When you are there, mentally tell yourself “Go to the place where the answers are.” Take a deep breath, open your eyes and begin writing. 

ADDITIONAL TIPS

While studying for the exam, do not study every single day. Take time to relax and take time to exercise.

Find the best snacks that will help you in your studying and practice exams. These will help you find what is best to take the day of the exam.

Take a high sugar and protein snack, such as a granola bar and orange juice, with you to snack approximately midway through your exam.

If you have difficulty doing your own guided imagery, utilize You-Tube. There are many different ones out there. Find the one that is closest to your heart and memorize the key components of it in order to have it ready the day of the test. Utilize this in your practice exams as well.

_______________________________________________________________________________________________________________________

Michael Crile, MA, MA, is a registered associate marriage & family therapist and organizational leader. He currently works as a Student Assistance Program Counselor with Comprehensive Youth Services, under the supervision of Lisa Brott. He takes the challenges and experiences from life to assist the clients he works with, to provide the best therapy for each client. He enjoys a variety of therapeutic techniques, being extremely eclectic in the therapy room. He has worked in forensic environments working with individuals who had been in the state mental hospitals and with sex offenders on parole and probation.

Michael is scheduled to take his Clinical MFT Exam in February.

Michael serves as secretary for CAMFT-CSJV Chapter and Visalia Toastmasters.

Michael enjoys trips with his husband of 17 years, a plethora of music, card, dice, and board games, meditative coloring, and guided imagery. His favorite places are the mountains, the beach, and Disneyland. 

Halloween has been a wonderful time for many over the years. Many of us as adults even enjoy getting into the festivities of dressing up one day out of the year to get out of our own persona.

The first year of my Associateship, I worked in a forensic setting and the staff were encouraged to dress up for the holiday as well. I decided to go as a Los Angels Kings Hockey Player. Not a bad costume. I had my Kings Jersey and my hockey stick. Then to make it look real, I did some face painting that made it look like I had gotten into a fight or was hit by the puck in the eye. Simply put, a very large bruise.

At my current place of employment, we are told not to dress up for Halloween due to possible past traumas that children, and even parents, may have experienced. This got me thinking. 

Bruises and cuts can remind someone of a traumatic accident or maybe even some domestic Violence.

Dressing up as a horror character could be quite scary, especially if the client has history of fears.

Then there are the innocent costumes. Dressing as a prince or princess, a Disney character, things that may be "fun". After working in the various aspects of mental health, including rural health clinics, forensic placements and schools, it crossed my mind that some of the individuals we work with may have had someone who hurt them, and in doing so, would provide them with the bribes of cartoons, trips, or even forcing them to dress up.

Although we all have our enjoyable things, including dressing up for Halloween, just remember, doing so at your clinic may be a very bad idea.

Happy cavity day. Have a Spooktacular week.

By the way, CNBC reported in 2015, "For kids and parents, it's been getting worse. For dentists, it's been a growth industry. Last year, there was nearly an 80 percent jump in emergency dentist visits on Halloween relative to an average October day. That number is higher than it's been in any of the most recent years." (https://www.cnbc.com/2015/10/30/the-biggest-winner-on-halloween-weekend-your-dentist.html)

Michael Crile, MA, MA, is a registered associate marriage & family therapist and organizational leader. He currently works as a Student Counselor with Comprehensive Youth Services, under the supervision of Lisa Brott. He takes the challenges and experiences from life to assist the clients he has worked with, to provide the best therapy for each client. He has worked in forensic environments working with individuals who had been in the state mental hospitals and with sex offenders on parole and probation. He enjoys a variety of therapeutic techniques, being extremely eclectic in the therapy room. He is scheduled to take his Clinical MFT Exam in February. In his off-time, he serves on the CAMFT-CSJV Chapter board as Secretary and on the Visalia Toastmasters board as Sergeant-at-Arms. He enjoys a plethora of music, cooking, writing speeches, creating power points, is a Disneymaniac, and loves nature, walking and jogging. 

Tracking your hours can be a tedious task. In today’s modern world, tracking has become simplified with Hour Tracking companies. The question is, which one should I use. Here is a simple run down of the programs, pricing and any known benefits that are found that surpass the other trackers.

TrackYourHours.com

          $90 for one year to $200 for three years.

MFTHours.com

          FREE

          The program sorts your hours under each supervisor.

          Has both old and new experience format.

Time2Track.com

          Two options for pricing: $10 per month pay as you go (great if you just need it for a few months

          Option two: $60 for one year ($4.95 per month paid at one time.)

          Two years    $107

          Three years  $160

          Four years    $214   This is the only program I found that had more than three year plan.

         

PsyKey.com

          $30 for one year to $68 for three years.

          This site has a few interesting options to help in tracking that I wish I would have found before now.

          It is fully customizable.

          You can track hours and tasks.

          You can schedule recurring tasks.

          You will have summaries and graphs available for your hours.

          You can track supervision hours.

          YOU CAN EVEN TRACK ASSESSMENTS that you conduct.

          iPad integration.

          You are also able to save client information to see the tasks you have completed with them and demographic information.

          THEY EVEN HAVE A DOCTORAL HOURS TRACKER!

There are always organizations, such as specific universities that will even give you a file to help you track hours, such as an Xcel Spreadsheet. This may be a bit more time consuming, however.

I attempted to find additional resources; however, these were the only ones that presented as relevant to our needs.

Best of luck on your hours, and never hesitate to seek guidance from your supervisor or a colleague you trust.

Michael Crile, MA, MA, is a registered associate marriage & family therapist and organizational leader. He currently is works as a Student Counselor with Comprehensive Youth Services, under the supervision of Lisa Brott. He takes the challenges and experiences from life to assist the clients he has worked with, to provide the best therapy for each client. He has worked in forensic environments working with individuals who had been in the state mental hospitals and with sex offenders on parole and probation. He enjoys a variety of therapeutic techniques, being extremely eclectic in the therapy room. He is scheduled to take his Clinical MFT Exam in September. In his off-time, he serves on the CAMFT-CSJV Chapter board as Secretary and on the Visalia Toastmasters board as Sergeant-at-Arms. He enjoys a plethora of music, cooking, writing speeches, creating power points, is a Disneymaniac, and loves nature, walking and jogging. 

Wednesday afternoon, 1:12 pm. Your phone rings.

Good afternoon, ABC Counseling.

[Counselor] I need to see you right away.

What's going on Miss Jones?

I received this letter today and my anxiety is extremely high now. They are talking about discontinuing my insurance due to some new bill in the state. I am so stressed out that I do not know what to do.

I am sorry to hear about this experience Miss Jones. I do not have an availability today, however, I could see you tomorrow morning at 8:00 am. Can you come in then and we can talk through your situation?

Yes. I will see you then.

Thursday morning 7:45. Frantic knock on your front door.

[Counselor] this is the letter I was telling you about on the phone!

Dear Mr. Patient,

The [company] is proud to provide you with financial assistance for your health insurance through our Health Insurance Premium Program (HIPP). We are writing today to give you an important update that may effect our ability to provide you assistance in the near future.

The California Assembly recently passed a bill, AB [xxx], that would force [company] to discontinue its HIPP program in the state. This bill will be voted on in the Senate within the next several weeks. If the bill passes and is then signed into law by Governor Newsom, [company] will no longer be able to pay your health insurance premiums.

I don't know what to do! My husband's health insurance could be cancelled cause we cannot afford his insurance premiums. His premium is over $500 a month, and he barely receives $700 from his Social Security. We can't afford this. My anxiety is so high I am about to lose my mind!

This scenario is a real scenario. What would you do to set your client's mind at ease? 

In today's society where insurance premiums can be high for some people, especially if they are living with a life threatening illness, as therapist's we need to consider how we can comfort our client's and their families. 

We all know we cannot help them write their letters if they choose to send a letter to their state Senator, however, would you have them write that letter as a homework assignment? As a therapist, I would probably encourage the client to participate in the writing to their Senator to express how this can affect them. I also would encourage them to talk with their family to help them understand how this increases their anxiety. Each of us could use a variety of techniques to assist Miss Jones in this situation. The difficult part for many of us is, we are in a caring profession and those therapists that I have met in the community and through CAMFT, would find it hard not to be empathetic and want to help. This is one of those fine lines we need to walk. This begs the question, what else could we do?

In this scenario, Miss Jones brought in her letter. You were willing to help her understand all that needed to be done to write her letter as her homework assignment. This included showing her where to go on the internet to write this letter. Since you now know where this website is, you could also write a letter to your state Senator through the link that you found in Miss Jones letter; however, this now begs the question, how do you identify yourself? If you put in there that you know someone, even if you do not include your patient's identity, you have now opened yourself up to that being a potential issue of breaking confidentiality, all be it, it is highly unlikely. How could this break confidentiality you might ask?

Miss Jones husband has a terminal illness. His insurance premium is being paid for by a specific company that only cares for people with that specific illness. Let us look at the numbers and how it COULD open up that breach of confidentiality.

People with this illness in California: 140,000

California Counties: 58

Number of patients per county average: 2400

How many of those patient in that county have the same name: 5

You identified yourself as knowing someone with this illness. Process of elimination, someone could potentially find out that Miss Jones is your client.

Should we risk this by stating that we know someone with this illness then? Unless we actually have a friend or family member with this illness, we should sign these online letters as a concerned citizen. 

I know that the chances of us getting a scenario like this is slim. Yet, it is possible. Just remember, sometimes, that process of elimination can come into play and it could become a potential Law & Ethics issue. 

~~~~~~~~~

Michael Crile, MA, MA, is a registered associate marriage & family therapist and organizational leader. He currently is on a break from working as a Student Counselor with Comprehensive Youth Services, under the supervision of Lisa Brott. He takes the challenges and experiences from life to assist the clients he has worked with, to provide the best therapy for each client. He has worked in forensic environments working with individuals who had been in the state mental hospitals and with sex offenders on parole and probation. He enjoys a variety of therapeutic techniques, being extremely eclectic in the therapy room. He is scheduled to take his Clinical MFT Exam in August to become fully licensed. In his off-time, he serves on the CAMFT-CSJV Chapter board as Secretary and on the Visalia Toastmasters board as Sergeant-at-Arms. He enjoys a plethora of music, cooking, writing speeches, is a Disneymaniac, and loves nature, walking and jogging.

DID YOU KNOW? In the original Roman Calendar, August, originally called Sextilis (Latin), was the sixth month of the year. For more about the history of the calendar, keep reading on.

CAMFT Central San Joaquin Valley Chapter AUGUST NEWSLETTER 2019

Law & Ethics: Tough Calls, Moral Dilemmas, Technology, and More with Ben Caldwell Workshop description: Our morals and values inevitably influence our work. When we have clear legal and ethical standards to guide us, we defer to those standards. But often, when faced with difficult decisions, our standards offer conflicting guidance, or none at all. This can confuse clients, who wonder whether their therapist will truly understand or support their choices.  Through the use of case examples, this workshop will show how our individual morals and values influence therapy work even when we seek to appear neutral; how to identify your own morals and values relevant to your practice; and why owning those values matters. Workshop goals: Goals for this workshop include (1) Assisting therapists in understanding the role that their own morals and values play in clinical and ethical decision-making; (2) Encouraging therapists to think critically about that role and its implications for therapy; (3) Informing therapists about recent developments in court cases and ethical standards related to the personal values of the therapist; and (4) Encouraging therapists toward transparency with clients about the therapist’s values, in accordance with ethical standards and the therapist’s theoretical orientation. Workshop objectives: At the conclusion of the workshop, participants will be able to: Identify at least two personal morals and values most relevant to their psychotherapy practice Differentiate between a personal opinion, a clinical opinion, advice-giving, and imposing personal values Construct a framework for clinical and ethical decision-making that integrates personal morals and values in a manner that is within professional ethical boundaries and appropriate to their clientele Identify three common frameworks for making value-based decisions Identify at least two implications from court cases involving mental health students’ moral decision making. For more information, click on the title of this event here in the newsletter.

THIS MONTHS EVENTS Licensed Peer Consultation Group Are you feeling isolated in private practice? Are you scratching your head, wondering what another therapist might do with your client? Would you like to join with other clinicians to share your knowledge, glean wisdom and honest feedback, and reflect on your practice in a safe, confidential space? Are you looking to relax? Do you need more balance in your life? Then, we are excited to have you join us! We meet the first Friday of each month...register once and you'll get a reminder before each session.  August 2, 2019 10:00 am to Noon 6276 N. First St. Suite 105 Fresno, CA 93710 3000 Club Clinical Dynamic Group Have you ever have felt alone as an Associate? Maybe you are feeling overwhelmed on this sometimes arduous journey towards MFT licensure. YOU ARE NOT ALONE. Now you can join with your peers and share any and every aspect of collecting your 3000 hours of experience and preparation. On the last Sunday of each month, pre-licensed members of CAMFT - Central San Joaquin Valley Chapter, Inc. are welcome to network with your peers. You can find out more about: Internships, Supervision and Supervisors, Case Consultations, Theoretical Orientations, and Diagnostics.  Please feel welcome to attend this month’s group. Come with questions, concerns, ideas, and needs, so that collectively we may explore the treasure of knowledge through Clinical and Life experience within each of us.  August 25, 2019 2:00 pm - 4:00 pm 1495 W. Shaw Ave Fresno, CA 93705 Scott Polenz, LMFT, guides the 3000 club on a monthly basis. ________________________________ Have you thought of making a difference in our field? Do you feel that you have something to give to help your peers that provide mental health services to our communities?  This is a time that you can step up and make some change. Our annual Board of Director elections are coming up soon and in order to be elected, we need you to visit the website and complete the 2020 Board of Directors application. For more information, please visit the link below, and drop down below our current Board of Directors: Board of Directors ________________________________ Are there topics that you want the Chapter to present for 2020 CEUs? A Survey was sent out on July 21 requesting your input. Our Board of Directors and CE Committee definitely want to hear from you. If you forgot to participate, or you accidentally delete the email, click the picture below to be taken to the survey: ________________________________ Last year's Open Couch was such a huge success that the Board of Directors has chosen to do it again. We are currently speaking with a couple venues for the location and date.  If you have potential "vendors", please contact, or have them contact, President Vanessa Miller soon. We want this to be a success and to fill up the spaces that we can so we can help our colleagues, new colleagues in the field, students and liaisons that we work with in the community to come and obtain information they need to build their careers and help those in our communities. Please email Vanessa Miller, or pass along the her address to those that would benefit from having a table at our event. VanessaMillerLMFT@gmail.com

Monthly Technique This month's technique was recommended by our chapter member, Annita Regehr, LMFT. Annita recommended the use of glitter jars in therapy. This is a wonderful mindfulness exercise for all ages. The best thing about these jars is, they can be made by you and the client in their therapy session (the younger the client, the more you will want to do the mixing). This gives them the ability to choose the color of their glitter glue, the colors of the added glitter and depending on the age, can help mix it together. There are numerous recipes online for the glitter jars. I have found that if you want a variety for display in your office, you find the bottles that suit your room. If working with kids and adults, you a variety of bottle sizes. For this recipe, find a plastic bottle that will hold approximately 32 ounces. (I prefer the Core brand. The label is easy to cut off with scissors, the shape is similar to an hour glass, the plastic is clear, the lid is not tapered and the surface is smooth.) One recipe recommends using distilled water, which is a better sounding idea than tap water as bacteria could build up in your bottle over time. Use 1/2 cup room temperature distilled water in your bottle, add 1/2 cup of glitter glue, 1-2 teaspoons extra glitter, (my personal recommendation is using 1 teaspoon of fine glitter that is similar in color to your glitter glue, and 1 teaspoon of glitter that is more course.) Fill the remainder of the bottle up with distilled water. If you choose to heat the water on the stove before hand, to help the glue mix better, DO NOT POUR IT IN THE BOTTLE WHILE HOT! You can mix the heated water and glitter glue in a glass mixing bowl with a tapered pour spout. Also, at room temperature, you can close your lid with the bottle filled to the brim and the bottle will not shrink in from the heat or the change in temperature after it has been sealed. To seal the lid, you can use hot glue (which I personally have found will come off because it does not adhere to plastic very well); gorilla glue (again this one can come off is using a bottle like Dasani, or one where there is not protective top over the plastic bottle cap; or go with the standard, Super Glue. For added protection, use a colorful duct tape to seal the outside of the lid. (I always tell my students, the lids are not allowed to come off. Yes, they do ask all the time.) Annita shared this to enhance the technique: [The glitter jar] becomes our Mindfulness exercise that can be sent home with the client at some point.  For younger children, it’s nice to have the jar there available in session when they come in.  “Their jar” is waiting for them.  When they terminate, the jar goes home with them to remind them of the tools they’ve learned and can still use on their own. There are some plastic jars available online that makes it less likely a broken glass jar may cause harm.   In the glitter jar I make with younger clients, I  begin with purple glitter glue.  Together we talk about basic emotions… the times we might feel them, or notice them in others.   Then I ask the child to decide what color he or she might use for each of those emotions/feelings…and what other things remind the child of that color.   I provide separate color glitter for each emotion and allow the child to add that to the Mindfulness jar… “there goes some anger, this is some happiness, this is some sadness, this might be loneliness, hope..”….whatever feelings stand out of the child. The young person can pick out those colors clearly in the jar.   Now we shake the jar, and  have all those emotions stirring up in our minds.  We practice just ‘sitting with’ the emotions that have been stirred up by some event… just breathing with them…acknowledge their presence as normal for all of us…and let the emotions all settle down to the bottom of the jar.   I also use a “Loving Kindness” meditation that can be practiced as the glitter takes its time to settle to the bottom of the shaken jar.    I have recently had an adult client (with whom we practiced the Loving Kindness at end of session) tell me the guided relaxation exercise we have also done in session  was used with younger grandchildren prior to bedtime.  The client reported the children were focused, calm and went right to sleep. Another time, the grandparent used the Loving Kindness meditation with the children (ages 5 and 6), after which both children (previously arguing and in physical pushing problem) were calm, and relieved of anxiety. The grandparent also felt at peace.    It’s so encouraging when clients actually take a tool from session and use it—even more so when it is used to form helpful connections with young children in their care.   Thank you Annita for your contribution. Things to know! OUR CALENDAR'S HISTORY The original Roman calendar is believed to have been a lunar calendar, which may have been based on one of the Greek lunar calendars. As the time between new moons averages 29.5 days, its months were constructed to be either hollow (29 days) or full (30 days). KING ROMULUS - The original Roman calendar was said to have been invented by Romulus, the first king of Rome, around 753 BCE. The calendar started the year in March (Martius) and consisted of 10 months, with 6 months of 30 days and 4 months of 31 days. The winter season was not assigned to any month, so the calendar year only lasted 304 days with 61 days unaccounted for in the winter. Calendar of King Romulus: Martius - 31 Days Aprilis - 30 Days Maius - 31 Days Iunius - 30 Days Quintilis - 31 Days Sextilis - 30 Days September - 30 Days October - 31 Days November - 30 Days December - 30 Days The 304-day Roman calendar didn’t work for long because it didn’t align with the seasons. King Numa Pompilius reformed the calendar around 700 BCE by adding the months of January (Ianuarius) and February (Februarius) to the original 10 months, which increased the year's length to 354 or 355 days. The addition of January and February meant that some of the months' names no longer agreed with their position in the calendar (September - December). The month Quintilis was renamed July in honor of Julius Caesar in 44 BCE and Sextilis was renamed August in honor of Augustus in 8 BCE. Calendar of king Numa Ianuarius - 29 days Februarius - 28 days Martius - 31 days Aprilis - 29 days Maius - 31 days Iunius - 29 days Quintilis - 31 days Sextilis - 29 days September - 29 days October - 31 days November - 29 days December - 29 days The Roman calendar was still flawed after adding January and February, as well as the days and months needed to keep the calendar in line with the seasons. Many attempts were made to align the calendar with the seasons but all failed. An extra month was added to the calendar in some years to make up for the lack of days in a year. The insertion of the intercalary month was made by the pontifex maximus, the high priest of the College of Pontiffs in ancient Rome. However, this system was flawed because the Roman calendar year defined the term of office of elected officials, thus a pontifex maximus could control the length of the year depending on their political agenda. When Julius Caesar became pontifex maximus, he reformed the calendar by getting rid of the intercalary months. The Julian calendar was created, then completed during his successor Augustus' reign. Common Year - Ianuarius - 29 days Februarius - 28 days Martius - 31 days Aprilis - 29 days Maius - 31 days Iunius - 29 days Quintilis - 31 days Sextilis - 29 days September - 29 days October - 31 days November - 29 days December - 29 days Leap Year - Ianuarius - 29 days Februarius - 23/24 days Intercalaris - 27/28 days Martius - 31 days Aprilis - 29 days Maius - 31 days Iunius - 29 days Quintilis - 31 days Sextilis - 29 days September - 29 days October - 31 days November - 29 days December - 29 days This history moment was found at: https://history.stackexchange.com/questions/35735/which-months-were-added-during-the-roman-empire SELF-CARE Here is a crossword puzzle to complete for a new self-care technique.  If you would like, you can send your responses to michael.crile.amft@gmail.com, with the subject "Crossword results". We will acknowledge the first three Licensed and first three Associates who sent in their answers. You can either print off the puzzle, fill it out, copy and send, or just write down your answers and email the list back with the number. ACROSS 4        These are factors that are inherent to an individual base on their DNA 8        Family Systems Theory, treatment of Human Problems, Theory about relationships 12      Therapy that helps clients build a bridge between their realizations in “reel” life and their experiences in real life utilizing film 13      San Salvador, opened pediatrics practice, served in Israeli Army, codirected programs for refugee children, Structural Family Therapy, helped develop treatment protocols for anorexia nervosa 14      These maintain a distinction between one individual and another 15      This is used to outline the family relationships 16      Integrative form of psychotherapy that adapts to the unique needs of each specific client, depending on the problem, the treatment goals, and the person’s expectations and motivation 17      Client-centered approach to psychotherapy that helps clients focus on the present and understand what is really happening in their lives right now, rather than what they may perceive to be happening based on past experience 18      John & Julie, this married couple were both marital therapists, couples-based therapy and education that draws on the pioneering studies of relationships 19      Regarded as the mother of Family therapy 20      Where more than one person is participating in therapy DOWN 1        A more holistic approach, addressing mental, physical, social, emotional, creative, and intellectual needs, with an emphasis on the role of a healthy spirit in healing 2        A subject that is losing its worth in family life due to the constant bombardment of electronic devices 3        Therapy where toys are placed in a blue container 5        Well known therapeutic modality that is evidence based with seven core principles 6        This type of therapy is usually focused on one specific focus with people that typically do not initially know each other 7        The way in which two or more concepts, objects, or people are connected, or the state of being connected 9        Trauma-Focused therapy 10      Six elements on which families are evaluated to be either functional or dysfunctional 11      The action or process of separating feelings and thoughts _______________________________________________________________________ Do you know what the pictures in this months newsletter represent? If so, email Michael Crile at michael.crile.amft@gmail.com

It is 8:00 am on Monday morning. You have had a wonderful three-day weekend with your family. You are scouring around your office pulling together your pen, notepad, and the things that make your office your office. Your 8:15 client is already at your office waiting, which makes you feel a bit more hurried. You over booked today so that you could see three of your clients that you would have seen on Friday. You invite your client in. You take your place and get yourself into your therapist mode.

Today, however, is a little different. You get into your client’s session about 15 minutes, when something catches your eye. You see a bug. Not a little tiny bug, but a big bug. This bug is so big that you want to run out of the room as you absolutely hate bugs. You continue listening to your client, processing what they are sharing, all the while, there is that bug. You think to yourself, “I sure hope that bug is not seen by my client.”

Five minutes go by, you are still focused on your client, yet every few moments, “that Bug!”

Finally, your session is complete. You notify your next client that you will be a few moments, returning to your office. You now can freak out in your own way over that ugly, scary, monster bug. You take a few minutes to muster up your courage to go find that hideous beast to get it out of your office. After all, that bug is not paying you for therapy time, nor is it paying you rent for the space it is taking up.

All of a sudden “EEEK!”  You run out to your waiting room and Miss Jones is hysterical! “Bu-bu-bu-bu,” she just cannot get the word out of her mouth. She points across the room where you look and there is the bug. It is much bigger than you initially thought. It’s two feet long and 12 inches tall! (I exaggerate when I see a bug too. Don’t worry.) Now you have to really pull it together in front of your client go over and pick up the cockroach, and discard of it the best way you know how. (One may squish it, while another may set it free due to their beliefs.)

You return to the waiting room to find Miss Jones hyperventilating. You remember that Miss Jones has a phobia about bugs from her childhood. This has not come up in several sessions. You calm Miss Jones down, offer her a water, tea, or coffee. Politely apologize for this embarrassment. Recall suddenly that you forgot to take out your trash on Thursday. (The temperature has been over 100 for the past four days. You have been away from your office and there has been no air conditioning for the past 72 hours.) You excuse yourself for a moment and run to your office. You go to grab your trash can and realize that it very well may have been what attracted the monster bug.

Many times, we as therapists have our own behaviors that we constantly are working through, just like our clients. There is not one of us who is perfect. (If you are, please, tell me the trick on how it is done so I can master it too.) Some people are raised in strict environments in which their parents required daily cleaning. Others did not have that strict of a home life growing up.

We have all heard of Spring cleaning. That ONE time of year we freshen up our environment. As a therapist, I believe we need to do this much more often. I am not suggesting every month, just once per season. This is a time to freshen up your office. Unless you have a cleaning service that is thoroughly cleaning everything, then there are going to be things you may not think of doing every week or two when you do your regular cleaning. Did you dust everything, or just the tables around your seating for the client? Did you dust off your lamp shades? Did you vacuum under the throw rug? How about vacuuming inside the furniture to make sure that the clients have not spilled anything in there that more bugs could find? These are all regular cleanings we all should be doing if we must clean our own offices.

The wonderful thing about season cleanings is, you can find the things that are not aesthetically pleasing and remove them. You can change out that painting of the winter farm and replace it with a springtime scene in Holland. You can add or reduce colors to your room. These are some of the simple things to change. Have you ever thought of the following inside your therapy room though?

          Your lighting – When you are thinking about a variety of changes, lighting should be on the top of the list. If you are using incandescent bulbs, some of the lighting can be harsh. If you are using halogen, it can increase the heat in the room. Then there are CFL bulbs. Some people have adverse reactions to CFLs. Think about your client when placing lighting. Is it too bright? Too dim? Try to also utilize daylight bulbs. This helps those who suffer from seasonal affect disorder.

          Colors – When choosing colors, we all have our different tastes. I personally love the color orange. It is vibrant, adds a great splash of color and is fun. Yet, I know that if I were to decorate a room in orange, many people would not be able to handle that much brightness. A simple picture or trinket with your favorite color, that is not in your therapy room color scheme will brighten up the room not only for you, but your client as well.

          Throw rugs – When utilizing throw rugs, recognize that people actually look at them for a reason. There is a mental attraction to patterns and colors. If your therapy room is not full of geometric patterns, yet your rug is covered in blocks of different shapes and sizes, this is going to negatively grab everyone’s eye, even your own. You may love the pattern, just remember, if it does not fit with your room scheme, it probably will detract from the therapy session.

          Throw blankets – Just like our offices and homes, our personal thermostats are all different. I may enjoy my office at 75 during the summer and 72 in the winter, but Miss Jones gets cold in the summer if the air is below 80, and hot in the winter if the room is above 68. Should you consider and provide throw blankets in your office, recognize that some people may not ever realize that they are bringing other visitors in with them. If one works with a lower income population, there could be a higher chance of a bed bug or even lice being brought into your office. Make sure to regularly wash your throw blankets, and even any stuffed animals you have, on a hot setting, or better yet, sanitizing setting if your washing machine has one.

          Finally, staying bug free – This is a challenge for all businesses. When Gottschalks was still open, Visalia’s store was on Mooney Blvd. Mooney is for some reason a mecca for water bugs. It was not uncommon for employees at Gottschalks to find dozens of water bugs closer to Mooney than the mall entrance. Consider either hiring a professional bug service or treat your office yourself if your owner does not provide a bug service. If you are more environmentally friendly, find out the things you can do to keep bugs away without doing harm to the environment. Then treat your office space to it’s weekly or monthly spray always on a Friday afternoon after your last client, or after your last client of the week.

Now that we have looked at a variety of ways to enhance your therapeutic space, let’s return to Miss Jones. She is slightly calm, but still a bit shaken. We obviously want to process this with her since it triggered some trauma. We can apologize, yet we know that will not get rid of that memory. Just remind Miss Jones that bugs are something that everyone deals with. We can do our best to keep our offices clean, however, once in a while a stranger may come for a visit. “Miss Jones, I can promise you this. I recently read a blog post that encouraged me of ways to help keep the critters away. I will be implementing those in my office to have a healthier and bug free office.”

ABOUT THE AUTHOR: Michael Crile, MA, MA, Associate Marriage & Family Therapist, OL 

Michael Crile, MA, AMFT, is a registered associate marriage & family therapist and organizational leader. He currently is on a break from working as a Student Counselor with Comprehensive Youth Services, under the supervision of Lisa Brott. He takes the challenges and experiences from life to assist the clients he has worked with, to provide the best therapy for each client. He has worked in forensic environments working with individuals who had been in the state mental hospitals and with sex offenders on parole and probation. He enjoys a variety of therapeutic techniques, being extremely eclectic in the therapy room. He is scheduled to take his Clinical MFT Exam in August to become fully licensed. In his off-time, he serves on the CAMFT-CSJV Chapter board as Secretary and on the Visalia Toastmasters board as Sergeant-at-Arms. He enjoys a plethora of music, cooking, writing speeches, is a Disneymaniac, and loves nature, walking and jogging.

5 Facebook Groups for the Proactive Therapist

WRITTEN BY: Kelly Winter, MFTI, CLC

Whether you work in private practice or in an agency or hospital setting, it helps to diversify your toolkit. There are several helpful groups on Facebook that you should look into joining.

Below are only five of the many Facebook groups to go when you are feeling stuck, need a network of your peers, or want to stay abreast of the latest in our field. And the great thing about Facebook - its available 24 hours a day, 365 days of the year!

1. Selling the Couch Community- Started by Melvin Varghese for his podcast followers, this group has grown to just under 2ooo members. This is a go-to group for those working in ANY setting within the mental health community. You can ask questions, share resources, brainstorm, build relationships, celebrate wins, and encourage each other.  Here is the Facebook link:  https://www.facebook.com/groups/1529269850672775/
2. The Blogging Therapists – Created by Jessica Fricker in early 2015, this group helps you flex those writing muscles. Here you can share your latest blog post and read what others in our profession are writing. There are some talented people who are always willing to help someone new to blogging.   Here is the Facebook link: https://www.facebook.com/groups/802050576527542/
3. Building a Private Psychotherapy Practice –   This is a robust group of almost 2ooo private practitioners across the globe – though most are US-based. Created by Candace Langdon in 2014, this is a great place to find peers brainstorming, sharing ideas, offering feedback, and providing accountability through the process of building a private therapy practice.  Check out their “Files” section for some great ideas, paperwork templates, and helpful resources. Here is the Facebook link: https://www.facebook.com/groups/620084744767664/
4. MFT Guide – Created by Miranda Palmer in 2013, this is the go-to site for all things PRE-licensed. From help studying for licensing exams to help with your supervisor. Here is the Facebook link: https://www.facebook.com/groups/mftguide/
5. Authentic Marketing for Therapists – Started by Gina Senarighi in 2015, this group provides resources for traditional and out-of-the-box approaches to marketing without feeling salesy. There are several resources in the “Files” section and you can even link to your podcast if you have one. Here is the Facebook link: https://www.facebook.com/groups/authenticprivatepractice/

Most of these groups are closed so you need to request to join. Here are some helpful tips to staying in good standing within the group:

• Read the group rules and make sure you follow them.
• Be mindful of when you can self-promote, and take advantage of them.
• Give as much as you get. For example, if you want someone to like your professional page or read your blog, do the same for at least one other person in the group.
• NEVER give out any client information that could be perceived as PHI. Most of these groups will let you vent a bit as long as you don’t reveal too much about your client. Keep it focused on yourself and what you are going through.   
• ALWAYS introduce yourself when first joining. This isn’t self-promotion, it’s being cordial.

Attending local professional gatherings (like CAMFT events) is the best way for you to stay in touch with your peers and continue your education. For some, though, it might be easier to do virtually. Social Media can have its drawbacks, for sure, but it can also be very helpful if used properly. Enjoy!

ABOUT THE AUTHOR: Kelly Winter, MFTI, CLC

Kelly Winter MS, MFTI is a Marriage and Family Therapist Registered Intern and Certified Life Coach. She works in private practice, employed and supervised by Scott Polenz, LMFT. She uses her life experiences and education to help people optimize transitional phases of life, specifically divorce and remarriage, thereby improving their future.  In her off-time, she serves on the CAMFT-CSJV Chapter Board of Directors as Secretary. She is a pop culture geek, fempreneur, epic TV-fandom junkie, and a raving 12 - Go Seahawks! You can read more HERE. 

WRITTEN BY: KELLY WINTER MFTI, CLC

Once the weather starts to warm up it’s time to open our windows again and breathe fresh air into our homes, offices, and lives. Packed away are the heavy, dark fabrics and colors of Autumn and Winter. We clean our homes from top to bottom and plant bulbs in the garden to bloom and bask in the summer sun.  This is a perfect time for us to channel the renewed energy of Spring and apply it to our professional lives; namely, our online presence.

In a previous career, I owned a retail clothing shop and one of the cardinal rules in retail is: change it up! Ever notice that when it’s been a few months since you’ve visited a store, everything has changed? Maybe the layout of the aisles is the same but the merchandise is different and so is the set dressing.

We can morph the retail cardinal rule and apply it to our professional presence online. We change things seasonally in our offices (or as much as we can control if working in an agency setting) so why not our online “offices?” When was the last time you updated your website or various online profiles? The idea is to keep your site (or page, profile, etc.) fresh and involved. The more engaged you are, the more active your page appears.

In the spirit of Spring revival, here are some tips to update your online presence and keep things fresh.

1)    Change Visuals

• a.    Update headshots: Very few of us like to take professional photos, but take a look at yours. Are you wearing a sweater? A jacket? Dark colors? Inside a closed up room? Take some new photos to freshen your look and match the season we’re in.  Try to wear lighter colors and take a nature shot. You can make an indoor picture seem outdoorsy by posing in front of a backdrop with an outdoor scene or pastel colors.
  
• b.    Brighten your page colors: Switch any background colors that you can control to lighter shades of your current color. You don’t have to go drastic here, just a bit lighter or brighter will breathe new life to your site. UxMovement has a great article about using color psychology on websites. You can read it here. 

2)    Update Profiles

• a.    Keep it relevant: When we first create our website or any profiles, it is not uncommon to be in a different place professionally than we are presently. How long ago was that? Have you developed a bit of a niche since then? Have you lessened your focus on something your old content is highlighting?
• b.    Add any new certifications: We are constantly updating our skills, so make sure your audience knows it. You can list these on your About page too.
• c.     Add/Delete any insurances: This one is easy to overlook because contracting with an insurance company gets us listed on their site and our phone starts ringing. Don’t forget to let your own pool of potential clients know.  
• d.    Check ALL of your profiles: Copy/paste the same updated info to all the sites you are listed on. Including:
• 
  
•                                           i.    Psychology Today
•                                         ii.    Counseling California
•                                        iii.    Good Therapy
•                                        iv.    CAMFT
•                                         v.    CAMFT-CSJV Chapter
•                                        vi.    LinkedIn
•                                       vii.    Any others

3)    Streamline Social Media

• a.    Check for consistency:  Make sure your message is the same no matter where someone finds you. Copy/paste the same verbiage in your About sections.
• b.    Create a uniformed look: Use the same profile picture and banner for each account. This should complement the look of your website.

4)    Use a Social Media Manager

• a.    How many of us have gone to post something on our Facebook business page and checked our personal notifications while there, ‘just real quick’?  Thirty minutes and two quizzes later, we realize that we forgot to post in the first place?
• b.    Check out apps like Hootsuite, TweetDeck, or Buffer. These apps post the same post to all of your Social Media sites at once.
• c.     Lessen time spent posting, keeping you from falling into the time suck that is the Internet. Since it’s a separate app, you don’t even see your pages when posting.
• d.    Hit ALL our followers: The same post will show up on all of the tied Social Media accounts. That way our Instagrammers are seeing the same thing as our Facebook followers (often a different demographics).
• e.    Scheduling future posts. In just a few hours you can schedule your posts for the entire month. Major productivity increase!

It is best to allow yourself a definite start and end time for all of this – say, one weekend. You can take some new headshots during the week and figure out the changes to your online accounts. Take the weekend to divide and conquer your online presence. Use the energy of this Springtime to really spruce up your online persona – attracting more clients and great colleagues.    

 ABOUT THE AUHOR: Kelly Winter, MFTI, CLC

Kelly Winter MS, MFTI is a Marriage and Family Therapist Registered Intern and Certified Life Coach. She works in private practice, employed and supervised by Scott Polenz, LMFT. She uses her life experiences and education to help people optimize transitional phases of life, specifically divorce and remarriage, thereby improving their future.  In her off-time, she serves on the CAMFT-CSJV Chapter Board of Directors as Secretary. She is a pop culture geek, fempreneur, epic TV-fandom junkie, and a raving 12 - Go Seahawks! You can read more HERE.