Cognitive Behavior Therapy (CBT) New Online Course

Cognitive Behavior Therapy (CBT) is a new 2-hour online continuing education (CE) course that provides clinicians with practical guidance in understanding and using cognitive behavior therapy.

Cognitive Behavior Therapy (CBT) is a new 2-hour online CE course that provides practical guidance in understanding and using cognitive behavior therapy.

The present-day popular psychological therapeutic orientation known as cognitive behavior therapy (CBT) is a hybrid of three historical streams of influence: behavior therapy, cognitive therapy, and rational-emotive therapy. Problematic behaviors addressed during treatment are assumed to have been acquired by learned processes of conditioning or modeling. Those behaviors may be overt (readily observable) and/or covert (such as thinking, feeling, emotional arousal, sexual arousal, expectations, and so on).

Advances in CBT have been made based on both research and clinical practice. Importantly, CBT is an approach for which there is ample scientific evidence that the methods that have been developed actually produce change. In this manner, CBT differs from many other forms of psychological treatment.

This course describes the developmental trajectory of CBT and outlines its major tenets and techniques, including the sailboat metaphor, the lighthouse metaphor, and goal visualization.

This course ends by reviewing a case history, which is published by the American Psychological Association with permission and recommended by the APA Clinical Practice Guideline for the treatment of PTSD. Course #21-54 | 2021 | 34 pages | 15 posttest questions

Click here to learn more.

This online course provides instant access to the course materials (PDF download) and CE test. The course is text-based (reading) and the CE test is open-book (you can print the test to mark your answers on it while reading the course document).

Successful completion of this course involves passing an online test (80% required, 3 chances to take) and we ask that you also complete a brief course evaluation.


Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Arizona Board of Occupational Therapy Examiners; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

Online CEUs for Florida SLP License Renewal

Enjoy 20% off online CEUs for Florida SLP license renewal: 12/31/2021

CE Required: 30 hours every 2 years (50 if dual licensed), of which:
2 hours Preventing Medical Errors required each renewal
Online CE Allowed: No limit if ASHA-approved
License Expiration: 12/31, odd years 
Note: 10 hour limit on non-clinical courses

Still need CE? SLPs in Florida can earn all 30 hours per renewal through online courses @ PDR. Order now and Save 20% on all online CEUs for Florida SLP license renewal and earn credit in the comfort of your own home. We report to CE Broker for you!

20% off online CEUs for Florida SLP license renewal @pdresources.org. Over 25 ASHA-approved online courses to choose from.

Enjoy 20% off ALL online CEUs for Florida SLP license renewal. Use coupon code PDR479 at checkout to redeem. Valid on future orders only. Coupon expires 12/31/2021.

Professional Development Resources is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM) to provide continuing education activities in speech-language pathology and audiology. Professional Development Resources is also approved by the Florida Board of Speech-Language Pathology and Audiology (Provider #50-1635) and is CE Broker compliant.

Click here to view online CEUs for Florida SLP license renewal.


Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135) and marriage and family therapists (#MFT-0100) and the New York State Education Department’s State Board for Social Workers an approved provider of continuing education for licensed social workers (#SW-0664); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

School Psychologists in Florida Save 25% on CE

School psychologists in Florida have an upcoming license renewal deadline of November 30, 2021 and can save 25% on required continuing education (CE).

CE Required: 30 hours every 2 years, including:
2 hours Preventing Medical Errors (required each renewal)
2 hours Domestic Violence (required every third renewal)
Online CE Allowed: No limit
License Expiration: 11/30, odd years

Still need CE? School psychologists in Florida can earn all 30 hours per renewal through online courses @ PDR. Order now and Save 25% on all online courses and earn credit in the comfort (and safety) of your own home. We report to CE Broker for you!

Florida school psychologists save 25% on CE for license renewal

Enjoy 25% off ALL online CE courses for your Florida school psychology license renewal. Use coupon code PDR478 at checkout to redeem. Valid on future orders only. Coupon expires 12/31/2021.

Professional Development Resources is approved to sponsor continuing education (CE) by the American Psychological Association (APA), the Florida Office of School Psychology (Provider #50-1635) and is CE Broker compliant (all courses are reported within a few days of completion).

Click here to view over 100 online CE courses for school psychologists in Florida.


Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135) and marriage and family therapists (#MFT-0100) and the New York State Education Department’s State Board for Social Workers an approved provider of continuing education for licensed social workers (#SW-0664); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

Back in School Online Continuing Education (CE) Sale

Hopefully by now all the kiddos in your life are safely back in school and you’re ready to focus on your own education…continuing education that is ;).

We’re here to help with a Back IN School – Buy 2 Get 1 FREE Online CE Sale:

Back IN School Online CE Sale - Buy ANY 2 online courses and get 1 FREE @pdresources.org

Add any 3 CE courses to your shopping cart and the lowest priced 3rd course will automatically deduct at checkout (courses must be purchased together, one free course per order). Have a coupon? Apply it at checkout for additional savings! Offer valid on future orders only. Sale ends August 31, 2021. 

Accredited online CE courses are available for:

Click here to shop online CE and buy 2 get 1 free!


Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135) and marriage and family therapists (#MFT-0100) and the New York State Education Department’s State Board for Social Workers an approved provider of continuing education for licensed social workers (#SW-0664); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

Overcoming Compassion Fatigue – New CE Course

Overcoming Compassion Fatigue: Creative Self-Care Strategies is a new 3-hour online continuing education (CE) course that examines how to identify and treat compassion fatigue.

Overcoming Compassion Fatigue: Creative Self-Care Strategies is a new 3-hour online continuing education (CE) course that examines how to identify and treat compassion fatigue.

Loss is a recurring theme in our lives, often disguised as change, rejection, or tragedy. A caregiver is often affected directly by loss when overly engaged and immersed in the consistent demands of tending to those in distress. Some of the losses might include sleep, free time, independence, and social connections. These losses may be considered a secondary loss or distress because of a primary loss. The term and concept of compassion fatigue grew from this secondary loss experience (or more aptly, secondary trauma) that we as caregivers or caring professionals can experience as part of our profession or personal lives.

In this course, we will begin with an overview of what compassion fatigue is along with historical context. We will then learn who is the most vulnerable to the effects of compassion fatigue. Common physical and emotional symptoms are presented along with best practice for treatment based on the latest research.

Next, we will review ten evidence-based creative self-care strategies, proven effective in treating compassion fatigue and stress as well as building emotional resilience when faced with change and loss. These strategies will be presented to you through description, application, research, and real-life stories illustrating how each technique may be applied to your own life or to those you work with and support. Course #31-33 | 2021 | 47 pages | 20 posttest questions

Click here to learn more.

This online course provides instant access to the course materials (PDF download) and CE test. The course is text-based (reading) and the CE test is open-book (you can print the test to mark your answers on it while reading the course document).

Successful completion of this course involves passing an online test (80% required, 3 chances to take) and we ask that you also complete a brief course evaluation.


Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Arizona Board of Occupational Therapy Examiners; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

Ethics CE Course for SLPs Now in Audio Format

PDR now offers an audio-based online ethics CE course for Speech-Language Pathologists (SLPs):

Ethical Considerations in Speech-Language Pathology is a new 1-hour audio continuing education (CE) course that examines ethical issues that SLPs may encounter in clinical practice.

Ethical Considerations in Speech-Language Pathology is a new 1-hour ethics CE course for SLPs - now available in audio format!

Participants will review the types of mistakes made and the importance of honesty and rule-following in practice. The course highlights the differentiation between ‘Principles of Ethics’ and the ‘Rule of Ethics’ and discusses the four general principles of the American Speech-Language-Hearing Association (ASHA) Code of Ethics.

Participants will look at the ethical responsibilities they have to themselves, colleagues, students, and clients as they consider their role in clinical practice (including tele-practice), research, and supervision. The course further discusses the link between research and ethical clinical practice, highlighting criteria that may help the clinician distinguish between scientific and pseudoscientific treatment claims.

This ethics CE course gives an overview of the factors that may drive dishonest or unethical behavior and describes how to use the Consensus Model for decision making. Finally, the participant is given the opportunity to apply their learning as they review case studies, ponder possible solutions to the ethical dilemmas presented, and review answers to common questions regarding the case. Course #11-41 | 2021 | 53m audio + 40p handout | 10 posttest questions

Click here to learn more.

This audio ethics CE course provides instant access to the mp3 audio file, the course handout, and the CE test. The CE test is open-book (you can print the test to mark your answers on it while listening to the course presentation).

Successful completion of this course involves passing an online test (80% required, 3 chances to take) and we ask that you also complete a brief course evaluation.


PDR also offers ethics CE courses for psychologists, counselors, social workers, MFTs, OTs, and RDNs.


Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Arizona Board of Occupational Therapy Examiners; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

Food Addiction: Is it Real?

Are some people more susceptible to food addiction than others? Are some foods more addictive than others? After all, increased availability of high-fat and high-sugar foods only partly explains the high incidence of obesity around the world. Why are some people obese, while others remain at healthy weights? The answer appears to have something to do with at what age we consume the “addictive” food. Food addiction, it seems, appears to be tied to critical periods in youth.

Are some people more susceptible to food addiction than others? Are some foods addictive? Does gender play a role in food addiction? Learn the answers here.

One study examined babies at 1 month old and again at 6 months old. The infants were fed breast milk, consumed less than 8 ounces of formula a week, and had no solid foods, according to their mothers. At each examination, researchers took breast milk samples from each mother and scanned them for sugars such as lactose, glucose, and fructose. They also measured each baby’s fat, muscle, and bone mass.

The researchers found that just 10 milligrams (about the weight of a grain of rice) of fructose from breast milk caused adverse changes in the baby’s body composition during growth. Babies exposed to fructose had a 5 to 10 percent increase in body weight and body fat at six months of age. Ingestion of fructose predisposes a child for obesity, triggering pre-fat storage cells to become fat cells, raising the baby’s risk of one day becoming overweight or obese (Goran, Martin, Alderete, Fujiwara & Fields, 2017).

Interestingly, bioscience studies show this effect is amplified when mothers eat junk food later in their pregnancy. Eating high-fat, high sugar, processed foods early in the pregnancy does not have the same detrimental effect (Gugusheff, Ong & Muhlhausler, 2015). This means that women have time to adjust their diet when they discover their pregnancy.

Fructose is not a natural component of breast milk. Exposing infants and children to high amounts of sugar during development can produce problems with cognitive development and learning. It can also create a lifelong risk for obesity, diabetes, fatty liver disease, and heart disease. Unfortunately, fructose is found in many processed foods and drinks – including cappuccinos, energy drinks, and juice cocktails (Goran et al., 2017).

Another study found a critical developmental challenge in adolescence.

Adolescence is a time when the brain and its reward centers grow the fastest. If the child’s reward system has become desensitized due to an overexposure to high-fat and high-sugar foods in utero, when the child hits adolescence they need more sugar and more fat to feel as good as they did when younger.

Bioscience research shows that the central reward pathways, particularly the opioid and dopamine systems, set up an increased preference for junk foods (food addiction?). The developmental window in adolescence is gender related. Their study shows that males can reverse the unhealthy effects of junk food in adolescence by eating a healthy diet. Females, however, do not show this effect (Gugusheff, Ong & Muhlhausler, 2015).


This article is an excerpt from the online continuing education (CE) course:

Childhood Obesity: The Clinician’s Toolbox is a 3-hour online continuing education (CE/CEU) course that explores the epidemic of childhood obesity and how clinicians can help combat it.

This course will start by examining the ways in which certain foods alter a child’s metabolism, setting them on a course of weight gain, metabolic inefficiency, and obesity. We will also review how obesity affects children’s self-perception and sense of identity in ways that predispose them for a lifelong battle with weight.

We will then see what can be done to shift the balance in children’s favor. We will first explore how changing a child’s physical weight begins with changing their image of that weight – more specifically, their self-image. We will consider ways to combat food marketers and interrupt the cycle that hooks children on unhealthy foods. We will also examine metabolic strategies and exercise that will not only effectively “prime the metabolic pump,” but also strengthen children’s sense of self, self-control, and confidence – factors associated with healthy weight.

The Clinician’s Toolbox will provide strategies to address and prevent childhood obesity, including evidence-based recommendations from the American Academy of Pediatrics and the World Health Organization. Specific step-by-step activities for children and parents, as well as an overview of motivational interviewing, will give clinicians specific strategies to use in their practice. Book and website resources are provided at the end of the course for further study and use. Course 31-29 | 2021 | 58 pages | 20 posttest questions

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Arizona Board of Occupational Therapy Examiners; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

Spend More Time Outside to Combat COVID Isolation

Quarantine restrictions due to COVID-19 and the resultant isolation have caused a myriad of negative effects, especially on the elderly who are dependent on others for both mental and physical support.

The year 2020 brought about not only a staggering death toll across the world due to COVID-19, but also “a year of accelerated unraveling” for fragile older adults living with dementia, according to a Feb. 21 report in the New York Times Sunday Review.

Quarantine restrictions limiting family visits except through windows, social distancing prohibiting congregate meals and physical contact, a lack of re-orienting routines such as physical and mental exercises and exposure to the arts, in addition to keeping people locked in their rooms, likely caused an uptick of emotional and physical problems, including agitation, depression, de-conditioning, and overall failure to thrive.

Tanya Carey, education and Eden coordinator at the Windsor Elms Village in Falmouth, Nova Scotia, observed an increase in challenging behaviors in residents when the home was in strict lockdown at the beginning of the pandemic. “Residents were not able to walk throughout the home and burn off energy,” she said. “There was little spontaneity.”

The residents missed their families and pet therapy. Previous group activities became one-on-one visits with little to no interaction among residents. The garden was no longer used for fun or a place of solace.” Stacey Flint, Montessori community relations coordinator of WindSong Memory Care Communities in Oregon, Washington, and Colorado, noted “significant challenges to adhering to strict lockdown, including more dehydration and weight loss in residents.”

Mental and physical problems also can occur in socially isolated adults living in their homes. The U.S. Centers for Disease Control and Prevention website cites evidence that isolation is associated with a 50 percent increased risk of dementia and other serious medical conditions in community-dwelling older adults.

Antidotes to loneliness and isolation and strategies to increase resilience during the current pandemic have been challenging for adults of all ages, regardless of where they live. Researchers from Spain, Saudi Arabia, the United Kingdom, Norway, and Austria recently revealed evidence for a powerful mental health intervention that is free and readily available to most: contact with nature.

The study found that increasing contact with blue-green spaces in nature was associated with mitigating the negative impacts of COVID isolation, increasing individuals’ resilience, and maintaining positive mental health. Access to private outdoor spaces such as a garden or patio were perceived as most beneficial. The results, published in the November Science of the Total Environment journal, were based on more than 5,000 responses from adults age 26 to over 65 in nine countries during lockdown from the pandemic.

increasing contact with blue-green spaces in nature was associated with mitigating the negative impacts of social isolation

Scientific evidence that spending time outdoors can improve wellbeing is not new. In an email interview, Richard Louv, author of books such as The Nature Principle, Vitamin N, and Our Wild Calling, said there was a paucity of solid studies 15 years ago about the benefits of nature. But the Children & Nature Network that he co-founded in 2006 has compiled a library with summaries of more than 1,000 studies and reports on nature’s impact on children and adults.

Architect Margaret Calkins, PhD, EDAC, FGSA, a nationally recognized trainer and researcher in the field of environments for elders, recently wrote a white paper, Designing Gardens to Attract Activity, to convince administrators, healthcare providers, family members and older adults living in residential homes of the benefits of spaces that help residents get outside regularly.

She cited evidence that individuals in residential settings who go outdoors regularly exhibit less depression. Time spent outdoors reduces stress in nursing home staff as well. Calkins reviewed a horticulture study of older adults in a three-month program of passive and active gardening activities. Depression was reduced and remained lower three months after the program ended. Additional improvements included quality of sleep and ability to concentrate.

Marsha Stamm Gayl, a registered horticultural therapist with a private practice north of Philadelphia, said she conducted nature-based activities for the past nine years in 20 long-term care facilities, working with approximately 200 individuals per month. Beginning in March 2020, she was not allowed into the facilities. “Most long-term care facilities are not allowing their residents to even leave their rooms at this time, let alone be outside in a secure location,” Gayl said. “A lot of it has to do with staffing and the idea that lockdown is interpreted as isolation from the outside, including the outdoors even on their own campus.”

According to Calkins, “There is clear evidence that people are at lower risk of infection when spending time outdoors, practicing social distancing and wearing masks than when following the same precautions indoors. The movement of fresh air dramatically dissipates the density of the number of particles, reducing the risk of infection.”

Susan Rebillet, PhD, who provides psychotherapy for long-term care patients in Dallas, said nature exposure is not encouraged in the facility where she works. “All of the rooms have a view of some sort but because the home is in an urban area, few trees are visible. There is a courtyard with plantings which residents can view but not spend time there due to COVID.”

Pivoting During the Pandemic

Some residential homes have found creative ways to encourage contact with nature during the pandemic, including the Montessori-based communities where Flint works. Residents received individual bucket gardens to tend. For those unable to go outdoors, the buckets are brought to their rooms so they can smell, touch, and feel the plants. The facilities also have enclosed courtyards with planter beds, with two people assigned per planter, and held balance classes in the courtyards in good weather.

Last spring, residents planted flowers in ceramic pots they painted to sell in a drive-through event as a fundraiser. Daily outdoor walking groups are allowed, with social distancing enforced, as well as occasional food truck meals outdoors. The facilities also had outdoor seating for art activities and residents could build snowmen in the winter. Visits to parks and pet therapy still are not allowed, but staff brought their own dogs into the facility for visits.

The Windsor Elms Village in Nova Scotia brought nature indoors prior to the pandemic, with live plants placed throughout the home and a cat and budgie bird (aka parakeet) taking up residence in different homes. Therapy pets still are not allowed, but the home allows family pets during visits.

Resources for Increasing Access to Nature

Susan Rodiek, PhD, professor emerita in the Department of Architecture at Texas A&M University and an expert in therapeutic design for senior living facilities, said three factors make it more likely older adults will access nature:

  1. An outdoor area with easy-to-open doors and thresholds that are easy to cross.
  2. Comfortable seating.
  3. Heaters in winter and devices to reduce humidity in hot weather.

Rodiek created a three-DVD set, Access to Nature, Planning Outdoor Space for Aging, to help providers, policymakers, designers, and advocates create healthy, inviting outdoor environments for seniors in residential settings. She recommends the Seniors’ Outdoor Survey tool as an easy way to evaluate outdoor areas. Based on residents’ preferences and usage, it can help residential care home staff decide what to install or improve. It is free to download through the website: http://accesstonature.org/resources.html

Nature’s Healing Impact

Widow Virginia Davis, who moved from her Ohio home to a retirement community in New Mexico nine months before the pandemic, participated in a virtual expressive writing workshop last fall. On Zoom, she described severe loneliness because she could not visit with new friends due to lockdowns. But, she said, nature got her through. “I coped with the COVID isolation by going out on my balcony every evening to watch the Albuquerque sunset followed by the starry night sky. Without the beauty and constancy of nature, I could not have managed,” she said.


This article is an excerpt from the online continuing education (CE) course:

Therapy Tidbits – Spring 2021 is a 1-hour online continuing education (CE) course comprised of select articles from the Spring 2021 issue of The National Psychologist, a private, independent, quarterly newspaper intended to keep psychologists informed about practice issues.

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Arizona Board of Occupational Therapy Examiners; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

Medical Errors Online CE for Florida RDNs

New medical errors online CE course for Florida-licensed Registered Dietitian Nutritionists (RDNs) is now available @PDR. Florida RDNs are required to complete 2-hours of continuing education on preventing medical errors every 2 years for state license renewal.

Preventing Medical Errors in Nutrition & Dietetics is a 2-hour online continuing education (CE/CEU) course that addresses the impact of medical errors on today’s healthcare with a focus on root cause analysis, error reduction and prevention, and patient safety in the practice of nutrition and dietetics.

Preventing Medical Errors in Nutrition & Dietetics is a 2-hour online continuing education (CE/CEU) course that meets the renewal requirement of Florida RDNs.

This medical errors online CE course highlights the importance of critical thinking in assessment and planning and discusses health literacy, cultural competence, links between ethics and medical errors, centrality of evidence-based practice, distinguishing science from pseudoscience and improving communication skills..

This course satisfies the requirements of the Florida State Legislature mandating a 2-hour course relating to the prevention of medical errors as part of the licensure and renewal process for health professionals. Course #20-51 | 2021 | 35 pages | 15 posttest questions

Click here to learn more.

This Preventing Medical Errors online CE course provides instant access to the course materials (PDF download) and CE test. The course is text-based (reading) and the CE test is open-book (you can print the test to mark your answers on it while reading the course document).

Successful completion of this course involves passing an online test (80% required, 3 chances to take) and we ask that you also complete a brief course evaluation.


Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Arizona Board of Occupational Therapy Examiners; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

Preventing Medical Errors in Dietetics Practice

Preventing Medical Errors in Dietetics Practice is a new 2-hour video continuing education (CE/CEU) course recorded at the Annual Symposium of the Florida Academy of Nutrition and Dietetics.

Preventing Medical Errors in Dietetics Practice is a 2-hour video continuing education (CE/CEU) course recorded at the Annual Symposium of the Florida Academy of Nutrition and Dietetics.

Preventing Medical Errors in Dietetics Practice addresses the impact of medical errors on today’s healthcare with a focus on root cause analysis, error reduction and prevention, and patient safety in the practice of nutrition and dietetics. The impact of COVID-19, real life stories, national healthcare safety trends, reporting of sentinel events, telehealth practices, and caring communication techniques are addressed. This course satisfies the requirements of the Florida State Legislature mandating a 2-hour medical errors course for licensed dietitians and nutritionists. Course #21-52 | 2021 | 112-minute video | 15 posttest questions

Click here to learn more.

Preventing Medical Errors in Dietetics Practice provides instant access to the course materials (PDF download) and CE test. The course is text-based (reading) and the CE test is open-book (you can print the test to mark your answers on it while reading the course document).

Successful completion of this course involves passing an online test (80% required, 3 chances to take) and we ask that you also complete a brief course evaluation.


Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Arizona Board of Occupational Therapy Examiners; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!