therapy

Twenty Years of Practice: Building & Specializing

My last blog post began a series on twenty years as a professional counselor. In the first four years, I was working in substance abuse facilities, getting my independent license, and realizing that a traditional full-time counseling job was burning me out. I began to exit my full-time job and build a bridge to full-time private practice. By the summer of 2008, I found a part-time counseling job at a DUI center, which could help build my job bridge. I also joined a private practice group to develop my caseload while learning how to do insurance credentialing for the practice. My third part-time job was at the local school district as a coordinator for the district-wide mentoring program. In my free time, I was also a dog sitter. By the fall, I had quit my full-time job. These part-time jobs were my bridge to a better professional future. I was running around from one job to the next, and this feeling of freedom and mobility encouraged and energized me to keep focusing on building my skills for private practice. Despite my varying work schedule, I enjoyed the variety of experiences I had.

After a semester at the school district, I let the job go due to ongoing scheduling conflicts. I picked up weekend work at the local psychiatric hospital as an admissions counselor, another growth edge in learning to use my skills for people in crisis. This season was about building a foundation for more professional freedom. I was connecting with other therapists doing private practice on the side and discovered a colleague who wanted to branch out and start a group practice. My growing skill set in insurance credentialing helped me feel empowered to join my colleague in their group practice, and another colleague joined us from the psychiatric hospital.

Starting a private practice takes lots of work and collaboration. By the summer of 2009, we had secured office space and began seeing clients. We were excited about the new endeavor and pooled our professional connections to market our practice in the old-fashioned way. While social media existed, we weren't using them for marketing purposes. In the previous two years, I had also undergone some personal transitions that had changed my associations with my family and spiritual beliefs. I was already living with my boyfriend and attending Al-Anon meetings for ongoing support and to establish a new community outside Christianity.

By this time, I had been feeling stuck with several clients in private practice. I could see how their struggles with chronic anxiety, depression, or substance abuse affected their lives. While I would be empathetic, validate, and provide coping skills, my efforts felt futile in the face of chronic distress and disease. Even traditional cognitive behavioral therapy didn't make a dent in relieving clients' symptoms.

I attended a seminar in the first group practice held by a colleague specializing in trauma. They were talking about Eye Movement Desensitization and Reprocessing and its effectiveness in relieving trauma, chronic anxiety, depression, and even substance abuse. The talk made me curious about this modality, and I quickly referred one of my clients to this therapist. My colleague was gracious to allow me to observe the EMDR session they did with my client, and from that point on, I knew trauma was to be my area of specialty.

I quickly started researching EMDR training and found one in the fall of 2009 while building my caseload at the new group practice. The two-part EMDR training involves practicing the experiential modality on each other in triads. The training was my first exposure to the power of this modality to clear trauma from the mind and body. I distinctly remember my back being damp with sweat after I processed a trauma during the training. I was physically and emotionally tired, but I also felt unburdened and more hopeful. I was ready to help facilitate this healing feeling with my clients in private practice.

In this season of building more freedom professionally, I was experiencing more freedom personally by discovering trauma therapy for myself. I had already returned to therapy since graduate school, mainly to help understand my chronic depression, and trauma helped to explain much of my symptoms that were cyclical. After building up my client schedule in the group practice for most of 2010 while also receiving more relief from my traumas, I let go of part-time jobs and felt more equipped as a professional and a person to continue in my career. Private practice gave me the freedom to take care of myself more often, and I was ready to keep growing and learning.

Next time, I will share how I reached another growth edge as a therapist, entrepreneur, and person as I specialized and branched out into my private practice while also becoming a stepparent.

Twenty Years of Practice: Insights on the Journey

This May will mark twenty years since I graduated with my degree in Counseling Psychology. To integrate what I have learned in twenty years, I am writing a series of blog posts to share my journey as a counselor, psychotherapist, and healer. While most of what I will share will highlight how I have grown as a professional, I also want to emphasize that my learning coincides with my personal development as a human being. I was four months shy of my 25th birthday at the time of my graduation. I had already started my healing journey by attending therapy while in graduate school. I continued to practice what I preach by exploring many healing modalities, all while getting trained to use them professionally. I am incredibly grateful for the opportunities I have had to learn and grow as a human being and a professional counselor.

The first five years of my career found me in the field of substance abuse treatment. This was not my field of choice, but it was where I secured my graduate internship and first full-time job. I worked in both residential, intensive outpatient, and outpatient facilities in Illinois, serving adolescents, adults, and people who received a DUI. The education I received by being in hospital-based programs and state-funded facilities was invaluable for a person who grew up in conservative Christianity, where using any substance was frowned upon. My client's struggles opened my eyes to the cyclical nature of substance abuse, the systemic causes of chronic relapse, and the powerless feeling of watching people suffer despite being in treatment. I had many supervisors during my first two years in practice, all providing different types of support for a junior counselor. After those two years, I was able to sit for the state exam, which grants you the license to practice independently.

After securing my license, I was able to be a supervisor for a short period of time before falling into chronic burnout. After a period of time off, I considered leaving the counseling profession. After reconsidering, I knew I needed to be in a different setting to keep my passion for counseling alive and avoid burnout in the future. I began looking for other jobs, specifically joining a group private practice.

I am very proud of the leap of faith I took in the fall of 2008 at 29. I knew I would keep burning out if I had the demanding schedule of a traditional job, Monday through Friday, 8-5. I also knew that leaping straight into private practice was unrealistic due to having to build up a caseload. I was highly motivated to bridge some part-time jobs to help me transition from full-time work into full-time private practice.

I was already using my undiagnosed autism and neurodivergent brain to accommodate my needs for more freedom in my work schedule, to decompress, and to use lifestyle medicine to prevent burnout. My intuition and natural healing intelligence knew I needed to take professional risks to keep my passion alive. I am so grateful I listened to my inner voice and took these risks while still relatively young.

I look forward to sharing my professional bridge-building and budding entrepreneurial spirit next time!