Therapy Tidbits – New Edition Available

Therapy Tidbits - November/December 2017Therapy Tidbits – November/December 2017 is a new 1-hour online continuing education (CE) course comprised of select articles from the November/December 2017 issue of The National Psychologist, a private, independent bi-monthly newspaper intended to keep mental health professionals informed about practice issues. The articles included in this course are:

  • MMPI-3: Revision of MMPI-2 or Marketing Hype? – This author considers the differences between the MMPI-2 and MMPI-2-RF, and the controversy surrounding the release of the MMPI-3.
  • 136mph Winds and Psychology: Mix Well, Stirred but Not Shaken – An overview of how Hurricane Irma impacted psychologists and patients in the Florida Keys.
  • Two APA Council Actions Need Members’ Attention – The author questions the APA’s commitment to transparency as they consider changes to current bylaws regarding membership dues and the publication of meeting minutes.
  • More Changes Coming to National Health Plan – What happens to the Affordable Care Plan in light of Trump’s proposed changes?
  • Laws Rules Vary for Telepsychology Practice – The author discusses the need for researching the ethical and legal guidelines before offerring telepsychology services.
  • Working Ethically with LGBTQ Clients – Explores complications that can arise when treating sexual and gender minority clients and offers suggestions to help the clinician.
  • Practicing from a Wheelchair – An author’s reflection on the positive and negative aspects of practising psychology when confined to a wheelchair.
  • Deaf or Hard-of-Hearing Clients Require Special Ethical Consideration – This article provides a look at why it is important to offer interpreters to HOH or deaf clients and the ethical concerns associated with it.

Course #11-13 | 2017 | 16 pages | 10 posttest questions

Click here to learn more.

This course is sponsored by Professional Development Resources, a nonprofit educational corporation 501(c)(3) organized in 1992. We are approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners; and are CE Broker compliant (all courses are reported within a few days of completion).

Earn CE Wherever YOU Love to Be!

Prescription Drug Abuse – New CE Course

New Online CE Course @pdresources.org

Prescription Drug Abuse is a new 3-hour online continuing education (CE) course that examines the misuse of prescription drugs (including opioids) in the United States.

Prescription Drug Abuse

Misuse of prescription drugs means “taking a medication in a manner or dose other than prescribed; taking someone else’s prescription, even if for a legitimate medical complaint such as pain; or taking a medication to feel euphoria” and is a serious public health problem in the United States.

Click here to learn more.

When taken as prescribed, medication can be of great benefit to a patient, helping reduce pain, save lives, and improve one’s overall quality of life. However, when individuals misuse their prescribed medications or take medications not prescribed to them, the consequences can be disastrous. Illicit drug use, including the misuse of prescription medications, affects the health and well-being of millions of Americans. Among other deleterious effects, cardiovascular disease, stroke, cancer, infection with the human immunodeficiency virus (HIV), hepatitis, and lung disease can all be affected by drug use. The important thing to remember is that the medications are not inherently bad in and of themselves – it is how people use (and abuse) them that creates a problem.

Prescription Drug Abuse CE CoursePrescription Drug Abuse will discuss what drives people to abuse prescription drugs and how they obtain them; diagnostic criteria for substance use disorder; history and progression of prescription drug abuse, including types and classes of drugs used; and the cost of prescription drug abuse on addicts and non-addicts alike. The course will then review the sequence of treating individuals who have a prescription drug use disorder, including screening, assessment, diagnosis, treatment, and maintenance. Screening tools, assessment instruments, treatment programs, and evidence-based recommendations are included. Comorbidity between substance use disorder and mental disorders is also discussed. Course 31-00 | 50 pages | 20 posttest questions

Click here to learn more.

This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion.

Professional Development Resources is a nonprofit educational corporation 501(c)(3) organized in 1992. We are approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners; and are CE Broker compliant (all courses are reported within a few days of completion).

Target Audience: PsychologistsCounselorsSocial WorkersMarriage & Family Therapist (MFTs)Speech-Language Pathologists (SLPs)Occupational Therapists (OTs)Registered Dietitian Nutritionists (RDNs)School Psychologists, and Teachers

Earn CE Wherever YOU Love to Be!

New Jersey Psychologists CE Req’s

CE Information @pdresources.org

New Jersey psychologists have new continuing education (CE) requirements: Effective June 1, 2017, New Jersey psychologists are required to complete 40 hours of CE credits as a condition of their biennial license renewal.

New Jersey Board of Psychological Examiners 
CE Required: 40 credits (hours) every 2 years
Online CE Allowed: 30 hours (10 hours must be live)
License Expiration: June of odd years
National Accreditation Accepted: APA (Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists.)
Notes: 4 hours Domestic Violence required each renewal
Date of Info: 10/5/2017

New Jersey psychologists can earn up to 30 hours per renewal through online courses offered @pdresources.orgClick here to view APA-sponsored online CE courses.

APA-Approved SponsorProfessional Development Resources is a nonprofit educational corporation 501(c)(3) organized in 1992. We are approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners; and are CE Broker compliant (all courses are reported within a few days of completion).

Earn CE Wherever YOU Love to Be!

Pennsylvania Psychologists Renewal Info

Online Continuing Education (CE) @pdresources.org

Pennsylvania psychologists can save 20% on CE for their upcoming license renewal deadline of November 30, 2017. Up to 15 of the 30 required hours per biennium are allowed from APA-sponsored online CE courses.

CE Required: 30 hours every 2 years
Online CE Allowed: 15 hours (home study)
License Expiration: 11/30, odd years
National Accreditation Accepted: APA
Notes: 3 hours in ethics required each renewal

Pennsylvania psychologists can earn up to 15 hours required for renewal through online courses offered by Professional Development Resources, and save 20% on courses. Click here to view APA-approved online CE courses.

PA Psychologists Save 20% on CE

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for all programs and content. Over 100 courses are available!

Suicide Prevention Continuing Education (CE): On July 8, 2016, the governor of Pennsylvania signed into law the Matt Adler Suicide Prevention Continuing Education Act. This legislation requires that licensed psychologists, social workers, marriage and family therapists, and professional counselors seeking to have their licenses renewed complete at least one hour of continuing education in the assessment, treatment, and management of suicide risk. To fulfill the growing requirement for suicide prevention training, Professional Development Resources created a 3-hour online continuing education (CE) course that reviews evidence-based research and offers strategies for screening, assessment, treatment, and prevention of suicide in both adolescents and adults:

Suicide PreventionSuicide Prevention: Evidence-Based Strategies is a 3-hour online continuing education (CE) course that reviews evidence-based research and offers strategies for screening, assessment, treatment, and prevention of suicide in both adolescents and adults. Suicide is one of the leading causes of death in the United States. In 2015, 44,193 people killed themselves. The Centers for Disease Control and Prevention (CDC) notes, “Suicide is a serious but preventable public health problem that can have lasting harmful effects on individuals, families, and communities.” People who attempt suicide but do not die face potentially serious injury or disability, depending on the method used in the attempt. Depression and other mental health issues follow the suicide attempt. Family, friends, and coworkers are negatively affected by suicide. Shock, anger, guilt, and depression arise in the wake of this violent event. Even the community as a whole is affected by the loss of a productive member of society, lost wages not spent at local businesses, and medical costs. The CDC estimates that suicides result in over 44 billion dollars in work loss and medical costs. Prevention is key: reducing risk factors and promoting resilience. This course will provide a review of evidence-based studies so that healthcare professionals are informed on this complex subject. Information from the suicide prevention technical package from the Centers for Disease Control and Prevention will be provided. Included also are strategies for screening and assessment, prevention considerations, methods of treatment, and resources for choosing evidence-based suicide prevention programs. Course #30-97 | 2017 | 60 pages | 20 posttest questions

Online CE Courses for Psychologists:

E-Therapy: Ethics & Best Practices is a 3-hour online continuing education (CE) course that examines the advantages, risks, technical issues, legalities and ethics of providing therapy online. E-therapy can be used to address age-old problems, such as how to reach out to those who might not otherwise avail themselves of psychotherapy services even though they are in acute need. At the same time, it is clear that many providers have embraced the new technologies without a firm grasp on the new and serious vulnerabilities that are introduced when their patients’ personal health information goes online. Included in this course are sections on video therapy, email, text messaging, smart phone use, social media, cloud storage, Skype, and other telecommunications services. This course is focused upon the ethical principles that are called into play with the use of e-therapy. Among them the most obvious concern is for privacy and confidentiality. Yet these are not the only ethical principles that will be challenged by the increasing use of e-therapy. The others include interjurisdictional issues (crossing state lines), informed consent, competence and scope of practice, boundaries and multiple relationships, and record keeping. In addition to outlining potential ethical problems and HIPAA challenges, this course includes recommended resources and sets of specific guidelines and best practices that have been established and published by various professional organizations. Course #30-87 | 2016 | 52 pages | 20 posttest questions

Effects of Digital Media on Children’s Development and Learning is a 3-hour online continuing education (CE/CEU) course that reviews the research on media use and offers guidance for educators and parents to regulate their children’s use of digital devices. Today’s world is filled with smartphones used by people ignoring their surroundings and even texting while driving, which is criminally dangerous. Are there other dangers that may not be as apparent? Media technology (e.g., smart phones, tablets, or laptop computers) have changed the world. Babies and children are affected and research reveals that 46% of children under age one, and up to 59% of eight-year-old children are exposed to cell phones. In England, nearly 80% of senior primary-school staff reportedly are worried about poor social skills or speech problems of children entering school, which they attribute to the use of media devices. Media technology affects family life, children’s readiness for entering school or preschool, and classroom learning. Recent research delineates a developmental progression of understanding information on devices for children between ages 2- 5 years. Younger children may believe false information if it is on a computer. This research is important for understanding technology uses in education. There are also known health risks and possible adverse effects to social-emotional development. Statistics describing the increase of media technology and developing trends in media use are presented along with guidelines and position statements developed to protect children from risks and adverse effects. Course #30-96 | 2017 | 50 pages | 20 posttest questions

Obsessive-Compulsive Disorder (OCD) is a 3-hour online continuing education (CE/CEU) course that reviews the diagnosis, assessment and treatment strategies for OCD. Obsessive-Compulsive Disorder (OCD) is characterized by intrusive, unwanted, and anxiety-provoking thoughts, images, impulses and rituals that are performed to alleviate the accompanying distress. Because OCD is a heterogeneous disorder with several subtypes, assessing, diagnosing, and treating it can be challenging. Further, the presentation of varying symptoms may be considered to be OC Related Disorders. Being able to make differential diagnoses and treatment recommendations are essential in clinical work with the many patients that present with the spectrum of OC problems. Specific behavioral strategies have been developed and validated in the literature that target the various manifestations of OCD and related disorders. The first part of the course offers information on the neurobiology, diagnosis and assessment tools, including the various subtypes, and highlights important topics to be taken into consideration during the process. Emotional and cognitive factors are outlined that seem to play important roles in the diagnosis and the course of episodes. The next section is dedicated to describing the clinical factors of and differential aspects of the OC Related Disorders and their prevalence. A case study follows that outlines the precipitating events, assessment, and behavioral treatment of a college student who is struggling to maintain and overcome her OCD. The final section describes effective treatment and coping strategies and augmentations that help to maintain treatment gains. Course #30-95 | 2017 | 60 pages | 20 posttest questions

Over 100 Courses Available! Click here to learn more.

 

Why Therapists Need Ethics

By Claire Dorotik-Nana, LMFT @pdresources.org

EthicsThere is a good reason that ethics is a required component of our continuing education for license renewal. Ethics alone can be grounds for losing your license. It can also be grounds for a lawsuit. And more often than not, it is the source of client harm – even when it is not meant to be.

A therapist who means well but doesn’t fully understand client privilege or confidentiality can harm a client just as much as therapist who simply ignores ethical protocol. Today, with the explosion of social media, it has become even more difficult to decipher the difference. For example, let’s say a therapist runs groups for a treatment facility and happens to post on Facebook about a particularly challenging group session, tagging her workplace in her post. While one could argue that she meant no harm, she has exposed the identity of the clients in the group because she identified the facility in which she works.

This becomes even more important because today many therapists work in a variety of capacities – even virtually. Let’s say, for example, that a therapist becomes well known in a particular subject area and is now asked to give radio interviews about his subject matter. What is the ethical protocol here? Or, perhaps the same therapist is asked to create webinars on his area of expertise. Can he reference places that he has worked in the past? Can he mention clients he has worked with if he alters their names? What if he is asked to write a book on the subject? What ethical measures should he take then?

Ethics, as you can see, is no less important to the seasoned therapist than the new one, and in many ways, it is actually more important. With more experience comes more opportunity and with more opportunity comes more risk.

This is risk that can easily be avoided with a thorough understanding of ethics that are relevant to today’s therapist. Through learning about topics such as managing negative online reviews, taking on supervisees, being asked to write letters for clients who seek to have Emotional Service Animals, conducting group treatment, managing a social media profile, creating cloud storage for notes, purchasing liability insurance, correcting records, closing a practice, giving professional commentary on public figures, and doing media presentations, therapists can enjoy a wide variety of working capacities in a safe and ethical way.

So where do therapists go to find this information? Professional Development Resources, an accredited provider of online continuing education courses, offers ethics courses for psychologists, counselors, social workers, marriage and family therapists (MFTs), occupational therapists (OTs), speech-language pathologists (SLPs), and registered dietitians (RDs). Click here to learn more.

Online Ethics Continuing Education Courses:

Ethics & Boundaries in Psychotherapy is a 3-hour online continuing education (CE) course intended to give psychotherapists the tools they need to resolve the common and not-so-common ethical and boundary issues and dilemmas that they may expect to encounter in their everyday professional practice in the 21st century. Among the topics discussed are definitions of boundaries; resolving conflicts between ethics and the law; boundary crossings vs. boundary violations; multiple relationships; sexual misconduct; privacy and confidentiality in the age of HIPAA and the Patriot Act; ethics issues with dangerous clients; boundary issues in clinical supervision; ethics and cultural competency; ethical boundaries in use of social media; ethical practice in teletherapy; fees and financial relationships; and a 17-step model for ethical decision making. *This course satisfies the ethics & boundaries requirement for license renewal of Florida counselors, social workers & MFTs. It also include teachings from the 2014 ACA Code of Ethics to meet the ethics requirement of West Virginia counselors. Course #30-77 | 2017 | 42 pages | 21 posttest questions

Ethics and Social Media is a 2-hour online continuing education (CE) course that examines the use of Social Networking Services (SNS) on both our personal and professional lives. Is it useful or appropriate (or ethical or therapeutic) for a therapist and a client to share the kinds of information that are routinely posted on SNS like Facebook, Twitter, and others? How are psychotherapists to handle “Friending” requests from clients? What are the threats to confidentiality and therapeutic boundaries that are posed by the use of social media sites, texts, or tweets in therapist-client communication? The purpose of this course is to offer psychotherapists the opportunity to examine their practices in regard to the use of social networking services in their professional relationships and communications. Included are ethics topics such as privacy and confidentiality, boundaries and multiple relationships, competence, the phenomenon of friending, informed consent, and record keeping. A final section offers recommendations and resources for the ethical use of social networking and the development of a practice social media policy. Course #20-75 | 2016 | 32 pages | 15 posttest questions

Ethics for Speech-Language Pathology and Audiology is a 2-hour online continuing education (CE/CEU) course that presents an overview of ethical issues that arise in speech-language pathology and audiology practice. Speech-language pathologists (SLPs) and audiologists encounter ethical issues across the spectrum of practice settings, from pediatric treatment to care of elders in skilled nursing facilities. This course will discuss barriers to ethical thinking, evidence-based ethics, economics, discrimination, abuse, bullying in the workplace, boundaries, confidentiality, social media, and infection control. Course #21-04 | 2015 | 30 pages | 15 posttest questions

Ethics for Occupational Therapists is a 3-hour online continuing education (CE/CEU) course that teaches OTs how to handle ethical and moral dilemmas in practice. Ethical and moral issues pervade our lives, especially in the healthcare arena. Occupational therapists are frequently confronted with a variety of ethical and moral dilemmas, and their decisions can have long-range effects both professionally and personally. Why does one decision win out over another? What does the decision process involve? How do these decisions impact those involved? Occupational therapists, by the nature of choosing this particular profession, are engaged in an “ethic of care,” where activities of daily living are not just a function, but also an expression of values. Helping people maintain their maximum possible functioning is seen in relation to society and the common good of all persons. This is an abstract ideal that must be put into practice in an imperfect world. How does the occupational therapist make decisions about what is best for the person when there are difficult choices to make? This course will address these questions from the framework of ethical decision models and the American Occupational Therapy Association’s Code of Ethics. Course #30-89 | 2016 | 43 pages | 20 posttest questions

Ethics for Registered Dietitian Nutritionists is a 1-hour online continuing education (CE/CEU/CPEU) course that addresses the ethics of practice in nutrition and dietetics and satisfies the requirement of the Commission on Dietetic Registration that RDs and DTRs complete a minimum of 1 CPEU of Continuing Professional Education in Ethics (Learning Need Code 1050) during each 5-year recertification cycle. The practice and business of nutrition and dietetics grow and change but ethical practices remain paramount regardless. Potential situations arise that require a review of what the ethical solution(s) should be. This course includes real-life scenarios so you can utilize the profession’s Code of Ethics to identify these ethical issues and come up with solutions and ways to avoid unethical behaviors. Course #10-60 | 2014 | 10 pages | 7 posttest questions

Professional Development Resources is a nonprofit educational corporation 501(c)(3) organized in 1992. We are approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners; and are CE Broker compliant (all courses are reported within a few days of completion).

Zero Order Skills

Course excerpt from Improving Social Skills in Children & Adolescents

Zero Order SkillsThis subset of skills is best defined as skills that are only significant when they fail to exist. “The ability to follow another person’s gazing gesture (head turn paired with eye gaze shift) or pointing gesture is an important milestone in early communicative development as it serves as a governing factor in both social interactions and referential communication between a young child and an adult” (John & Mervis, 2010).

Many children who have learning disabilities also show soft neurological symptoms. They generally involve coordination and motor skills. Pediatricians will assess soft signs in simple activities, such as “touch your nose with your finger” or “walk on your heels” (Lavoie, 2005, p.13).

These neurological symptoms manifest themselves in the child’s zero order skills. For example, a common soft sign is a child’s inability to track with his eyes without moving his head. When you are having a conversation with others at the dinner table, you make eye contact with each person as he or she speaks. You establish eye contact by moving your head slightly and moving your eyes to meet the gaze of your conversation partner. Children with this soft sign may, instead, keep their eyes fixed and move their head in order to establish and maintain eye contact. As you can imagine, this behavior will be viewed as odd. Although the behavior is normal for an infant, it is uncommon for a school-age child.

The ability to track a conversation as a zero order skill is noticeable only when it does not exist. It is highly unlikely that you would say, “I really like Frank, He’s so social! He always makes eye contact during conversations without moving his head very much.”

Lavoie (2005) lists the neurological soft signs that are commonly found in children with learning disorders and their corresponding zero order skills:

  • Hyper reaction
  • Hypo reaction
  • Attentional dysfocus
  • Perseveration
  • Motor speed problems
  • Bimanual coordination problems
  • Balance problems
  • Mirror movements
  • Copying deficits
  • Echolalia (repetition of speech sounds)
  • Left/right disorientation
  • Immature distance notion


A significant zero order skill that may be missing in children with social skills deficits is the “standing face.” Most people have a standing face that is relaxed and opened. Those with standing face have a slack open mouth look about them; serious or aloof. This type of face alludes to boredom or superiority. It is not attractive to others and is off-putting.

According to Terra (2010), “the goal may not be to adopt an artificial wardrobe of empty smiles, but to master the facial posture of someone who comes across as engaged and relaxed. This can involve ‘cocking’ the head to the side to convey interest, making 8-second interval eye contact, changing physical position (such as leaning slightly forward), gestures of approval such as sporadic smiles, nods, and ‘aha’ looks, and nonverbal cues (‘hmmmm’, ‘uh-huh’ and ‘ah’).”

Basic hygiene is also a zero order skill, only noticeable if it is not there. Effort needs to be made to teach children basic hygiene because of its impact on social relationships.

Click here to learn more.

Improving Social Skills in Children & AdolescentsImproving Social Skills in Children & Adolescents is a 4-hour online continuing education (CE/CEU) course that discusses the social skills children and adolescents will need to develop to be successful in school and beyond. It will demonstrate the challenges and difficulties that arise from a deficit of these crucial skills, as well as the benefits and advantages that can come about with well-developed social skills. This course will also provide practical tools that teachers and therapists can employ to guide children to overcome their difficulties in the social realm and gain social competence. While there are hundreds of important social skills for students to learn, we can organize them into skill areas to make it easier to identify and determine appropriate interventions. This course is divided into 10 chapters, each detailing various aspects of social skills that children, teens, and adults must master to have normative, healthy relationships with the people they encounter every day. This course provides tools and suggestions that, with practice and support, can assist them in managing their social skills deficits to function in society and nurture relationships with the peers and adults in their lives. Course #40-40 | 2016 | 62 pages | 35 posttest questions


This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion.

Professional Development Resources is approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Speech-Language Hearing Association (ASHA); 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 Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).

Suicide Prevention – New Online CE Course

New Online CE Course @pdresources.org

Suicide Prevention: Evidence-Based StrategiesSuicide Prevention: Evidence-Based Strategies is a new 3-hour online continuing education (CE) course that reviews evidence-based research and offers strategies for screening, assessment, treatment, and prevention of suicide in both adolescents and adults.

Suicide is one of the leading causes of death in the United States. In 2015, 44,193 people killed themselves. The Centers for Disease Control and Prevention (CDC) notes, “Suicide is a serious but preventable public health problem that can have lasting harmful effects on individuals, families, and communities.” People who attempt suicide but do not die face potentially serious injury or disability, depending on the method used in the attempt. Depression and other mental health issues follow the suicide attempt.

Family, friends, and coworkers are negatively affected by suicide. Shock, anger, guilt, and depression arise in the wake of this violent event. Even the community as a whole is affected by the loss of a productive member of society, lost wages not spent at local businesses, and medical costs. The CDC estimates that suicides result in over 44 billion dollars in work loss and medical costs.

Prevention is key: reducing risk factors and promoting resilience. This course will provide a review of evidence-based studies on this complex subject for psychologists, marriage & family therapists, professional counselors, and social workers. Information from the suicide prevention technical package from the Centers for Disease Control and Prevention will be provided. Included also are strategies for screening and assessment, prevention considerations, methods of treatment, and resources for choosing evidence-based suicide prevention programs. 30-97 | 2017 | 60 pages | 20 posttest questions

Click here to learn more
– 
This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. Click here to learn more.
– 
Professional Development Resources is approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).
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Strengthening Self-Control for Weight-Loss

Course excerpt from Behavioral Strategies for Weight Loss

Strengthening self-control for weight lossNow recognized as the most pressing health concern, weight gain in the United States impacts every part of our health – from increased rates of disease to greater incidence of mental health problems such as depression and addiction. In accordance, the weight loss industry has grown monumentally, branching into all areas of our lives. We now have weight pills, diets, low calorie foods, small quantity packaging, stimulant drinks and metabolic diet programs – just to name a few.

Yet the problem of not getting ourselves to do things, as behavioral economists know, is what underlies how we make decisions. Not just about weight loss, but about many things we should be doing – from saving money, to spending more time with our family, to contributing to charity. And understanding how we think about weight loss is at the core of how we actually go about making the daily decision to leave the donuts in the box.

When we want to change a behavior, what matters is not our intention to change, but the amount of self-control we have to actually execute the change. Our self-control – like any other muscle – can be strengthened. Let’s look at some ways we can do this:

  1. Use strategies that increase attention to the benefit of an activity throughout the duration of the activity. Running always looks better to us before we do it than when we are actually doing it. In order to be successful then, we are going to need to find ways to remind ourselves of the benefit of running while we are running. For example, we can use text reminders about the specific health benefits designed to be delivered during our run. We can also do this with statistics, reminding ourselves of other desirable outcomes – such as increased intelligence, emotional regulation, creativity, or optimism – linked to running. Or we can use in-run reminders delivered to us by our supporters. Like being cheered for along the course of a marathon, having a close friend or family member send us some virtual cheering might just make us want to run a few more miles.
  2. Reduce exposure to tempting options. It’s in our very nature to exaggerate the temptation costs of avoiding alluring options. If for no other reason than this, we should make every effort to avoid exposure to them. Having someone else order off the menu for us while we avoid looking at it, avoiding the grocery store and instead using a preset online shopping order can go a long way toward making sure the tasty muffins don’t end up in our shopping cart, or on our plate.
  3. Ensure that the long term goals are as certain as possible. As we know, the more uncertain our long term goals are, the more likely we will be to discount the risk in giving in to our impulses. And this effect is exaggerated when we depend highly on that long term goal. For this reason, whatever long term goals we choose, we should be certain we can get there.
  4. Incorporate mastery. We know that in order to continue doing something, we have to have an interest in it. And interest is highly linked to mastery. To incorporate mastery then, we should focus on learning goals, such as being able to shoot a free throw shot in proper form, learning the correct biomechanics of running, or learning how to ride a horse.
  5. Avoid performance goals. Performance goals, as we know, are linked to higher performance, but not continued involvement. If we want to change behavior, and cultivate continued involvement, we should make every effort to avoid performance goals.
  6. Minimize hot states. We know that when in hot states we are prone to errors in judgement and impulsive decisions. Minimizing hot states, and, at the very least, separating them from the self-control decisions we need to make, might not just help us steer clear of some nasty fights with our spouse, but also ensure that our waistlines don’t pay the price for them.
  7. Develop strategies to combat procrastination. Because chronic procrastination weakens executive function and lowers mood, we should make every effort to minimize it. We can do this through preset commitments. Giving $1000 to our neighbor to keep unless we follow through on our required tasks (thereby avoiding procrastination), quite likely will spur our motivation – and keep that $1000 in our pocket. On the other hand, we can also limit our exposure to more pleasurable (and deceptively distracting) options. Disconnecting, moving, or giving away the television, not surprisingly, might just help us get our work done – instead of watching the latest sitcoms.
  8. Find ways to replenish self-control. Self-control is a limited resource, and the more we use it without replenishing it, the less of it we have. In order to replenish self-control we have to allow ourselves areas of our lives we can have free choice. For example, if we have spent all day restricting our impulse to go on Facebook, yet we’d like to be able to convince ourselves to go to the gym after work, by first giving ourselves one half hour to do whatever – such as calling a friend, going on a walk, or taking a nap – we’d like, we are much more likely to make it to the gym.
  9. Minimize contact with self-control drains. Self-control is influenced by several factors, but one of the most insidious ways self-control can be derailed is through hanging out with the wrong people. When we see those around us giving in to impulses, suddenly we find a host of reasons why we should also. Not only do we not want to miss out on what we see someone else getting (it’s never fun to watch someone enjoy a delicious brownie right in front of us), but those justifications become that much easier (it’s always much easier to find reasons to do something someone else is already doing). So one of the best things we can do for our self-control is to protect it from the things (and people) that drain it. When we notice who around us doesn’t exhibit the level of self-control we desire and minimize our contact with them, suddenly the power to control impulses becomes that much easier.

Behavioral Strategies for Weight LossBehavioral Strategies for Weight Loss is a 2-hour online continuing education (CE) course that exposes the many thought errors that confound the problem of weight loss and demonstrates how when we use behavioral strategies – known as commitment devices – we change the game of weight loss.

While obesity is arguable the largest health problem our nation faces today, it is not a problem that is exclusive to those who suffer weight gain. For therapists and counselors who work with those who wish to lose weight, there is ample information about diet and exercise; however, one very large problem remains. How do therapists get their clients to use this information? Packed with exercises therapists can use with their clients to increase self-control, resist impulses, improve decision making and harness accountability, this course will not just provide therapists with the tools they need to help their clients change the way they think about weight loss, but ultimately, the outcome they arrive at. Course #21-13 | 2016 | 31 pages | 15 posttest questions

CE Credit: 2 Hours

Target Audience: Psychologists | Counselors | Social Workers | Occupational Therapists | Marriage & Family Therapists | Nutritionists & Dietitians

Learning Level: Intermediate

Course Type: Online
Professional Development ResourcesProfessional Development Resources is a nonprofit educational corporation 501(c)(3) organized in 1992. Our purpose is to provide high quality online continuing education (CE) courses on topics relevant to members of the healthcare professions we serve. We strive to keep our carbon footprint small by being completely paperless, allowing telecommuting, recycling, using energy-efficient lights and powering off electronics when not in use. We provide online CE courses to allow our colleagues to earn credits from the comfort of their own home or office so we can all be as green as possible (no paper, no shipping or handling, no travel expenses, etc.). Sustainability isn’t part of our work – it’s a guiding influence for all of our work.
We are approved to offer continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners; and are CE Broker compliant (all courses are reported within one week of completion).

 

Technology in Supervision

Course excerpt from Clinical Supervision for Healthcare Professionals

Technology in SupervisionTechnology can be a valuable asset in clinical supervision. It can also, however, detract from both treatment and supervision if the technology itself becomes the focus due to novelty – or worse to poorly functioning technology. As technology use becomes more common and the technical aspects are resolved, it may become a standard part of supervision.

The American Psychological Association recommends, “Supervisors should use live observation or audio or video review techniques whenever possible, as these are associated with enhanced supervisee and client/patient outcomes.” Memory and cognitive processing, as well as the supervisee’s biases and self-protective distortions, affect the supervisee’s self-report, making live or recorded supervision more objective and thus more effective than the supervisee’s recall of treatment (APA, 2014). Self-report is easy; there is no equipment to manage, no explanations to give the patient, and no concerns about HIPAA issues. But it is not the most effective means of supervision.

The practice setting may not have two-way mirrors or other ways to provide synchronous supervision during a therapy session. However, improved technology can provide new methods for supervision that benefit both therapists and supervisors. For example, remote access is available through teleconferencing technology. Therapists who previously had to travel to visit a supervisor can link electronically for virtual supervision. Therapy sessions can be livecast, with the supervisor providing input to the therapist via an earpiece or text. Videotaping also allows for review of a therapy session after the fact, when the therapist and supervisor have had time to mentally review the session.

Telesupervision

Telesupervision works for many disciplines. Chipcase (2014) found it effective when used in conjunction with face-to-face clinical supervision for occupational therapists, physical therapists, and speech-language pathologists. Most therapists reported satisfaction with telesupervision as long as it was not the sole means of supervision. As expected, there are barriers to this type of supervision. Low bandwidth and erratic connectivity can make sessions difficult. Ambient noise can be an issue; multiple cameras and microphones can often compensate for audio problems. Chipcase noted that “cyclical problem solving” by supervisors and supervisees improved the learning experience.

Research has found that live video consultation increases positive client outcomes when a therapist is learning a new evidence-based treatment strategy. While phone consultation is helpful, live video consultation had a small but significant advantage over telephone-only consultation (Funderburk, 2014). Rousmaniere (2016) reports the efficacy of remote live supervision using internet videoconferencing. The supervisee could be in another part of the same building as the supervisor, or in another city. Equipment needed includes a computer, webcam, and external microphone (wired or wireless). It is important that sound quality be maximized so all conversation is clearly understood. Rousmaniere noted that this equipment would cost less than $250 total from an electronic retail store.

Most national professional organizations now approve the use of technology for supervision: telephone or video conferencing and recording, Skyping, text messaging, and other forms of technology to make the process more convenient and efficient. The American Association of Marriage and Family Therapists approves the use of technology for supervision and mentoring as long as it is secure and meets AAMFT ethical standards in their Code of Ethics. The organization says that it added technology provisions for the following reasons: “requested by members, fits contemporary standards, assists with access for distance difficulties, and enhances philosophical fit between MFT trainees and supervisors” (AAMFT, 2014).

The American Psychological Association recommends that psychotherapists be aware of and follow any relevant laws and regulations in regard to practice and technology as well as supervision and technology (APA, 2014). It is important for any technology system to meet HIPAA standards. The rewards are worth the investment of time and money. A study of pediatric mental health services found HIPAA-compliant video teleconferencing allowed direct patient care in a familiar setting for children and families in rural areas. The number of children served increased as early identification spotted children in need of services through remote screenings (Schroepfer, 2014).

  • Research carefully any technology used for client information or communication. HIPAA compliance rules may change over time, and not all companies providing technology services keep up with healthcare regulations. Videoconferencing has the highest risk. Ask for guarantees of safety for protected health information under HIPAA. If the vendor is not fluent in the latest HIPAA requirements, find another vendor (Gurung, 2015).


Telesupervision does not work for every client. Chipcase (2014) reported that therapists working with children found that many children liked the idea of being “on television.” But some patients do not understand or like technology involved in treatment sessions. Some patients will not be able to give informed consent. It is important to communicate clearly the reason telesupervision is being used. For example, “My supervisor is an expert in helping people with your diagnosis. Her feedback could be very helpful for us both.” Written consent forms should be used. The patient should have the right to decline further telesupervision activity at any time (Rousmaniere, 2016).

Likewise, not all supervisees are appropriate for remote live telesupervision. During telesupervision, the supervisee must split attention between the patient and the feedback given (via earpiece or on a screen) by the supervisor. A supervisee who is very anxious or has attention issues may have problems focusing on the session. Rousmaniere discusses the supervisee who becomes confused or lost, and then follows the supervisor’s suggestions without processing the implications for future practice. Not all supervisors are effective in telesupervision, either. Telesupervision is recommended for experienced supervisors who are comfortable using technology and can manage the divided attention required for effective supervision and client treatment.

Clinical Supervision for Healthcare ProfessionalsClinical Supervision for Healthcare Professionals is a 3-hour online continuing education (CE) course that will outline best practices in psychotherapy supervision and review the structure of the supervisory relationship. Topics presented include developmental models of supervision, goals of the supervisory experience, ethics and risk management in the supervision process, using technology in supervision, and diversity awareness training for the supervisee. The vital and, at times, challenging relationship between supervisor and supervisee will be discussed and compared to the therapy relationship. The important topic of self-care of both the supervisee and the supervisor will be presented. A review of the type and structure of performance evaluations will be included, along with information about successful termination. Although this course is primarily written for psychotherapists, many of the essential facets of supervision apply to other disciplines such as occupational therapy and social work. Use this information to further your own competency as a clinical supervisor. Course #30-92 | 2017 | 48 pages | 20 posttest questions

CE Credit: 3 Hours

Target Audience: Psychologists | Counselors | Social Workers | Occupational Therapists | Marriage & Family Therapists

Learning Level: Intermediate

Course Type: Online
Professional Development Resources is a nonprofit educational corporation 501(c)(3) organized in 1992. Our purpose is to provide high quality online continuing education (CE) courses on topics relevant to members of the healthcare professions we serve. We strive to keep our carbon footprint small by being completely paperless, allowing telecommuting, recycling, using energy-efficient lights and powering off electronics when not in use. We provide online CE courses to allow our colleagues to earn credits from the comfort of their own home or office so we can all be as green as possible (no paper, no shipping or handling, no travel expenses, etc.). Sustainability isn’t part of our work – it’s a guiding influence for all of our work.
We are approved to offer continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners; and are CE Broker compliant (all courses are reported within one week of completion).

 

Five Simple Things Psychologists Wish Their Patients Would Do

From The Huffington Post

5 Things Psychologists Wish Their Patients Would DoTherapists want the best possible outcomes for their patients, and surprisingly there are about 5 simple common things they would like to see happen.

Everyday Health asked five psychologists to share their lists of things they would like to see their patients do.

They were all pretty consistent, making frequent references to mindfulness, self-compassion, self-awareness, healthy lifestyle adjustments, and work on positive relationships. Here’s their advice:

 

1. Practice mindfulness

Mindfulness is not an exotic technique: It’s simply about being present in the moment without judgment, says Dr. Rego, director of psychology training at Montefiore Medical Center and associate professor of clinical psychiatry and behavioral sciences at Albert Einstein College of Medicine in New York City.

“Our minds are built to jump around, back and forth, especially in today’s multitasking world,” he says, but “there’s a great deal of research supporting the mental and physical benefits of learning to be more mindful.”

Dr. Greenberg, a clinical psychologist in Mill Valley, California, who blogs forPsychology Today and is the author of the upcoming book The Stress-Resistant Brain, says that mindful self-awareness is “building an observer perspective on yourself and your life,” and that it’s one of the most important early steps a person can make toward change.

One way to practice mindfulness is by focusing on awareness of your breathing, says Dr. Symington, a clinical psychologist in private practice in Pasadena, California. “You close your eyes and follow your breath for a specified period of time,” he says, which helps lower stress levels and improves your skill at detecting internal sensations, like feelings of tension.

 

2. Be kind to yourself

Greenberg calls this sidelining your inner critic. “Seeing yourself with loving eyes doesn’t always come naturally,” she says, and talking back to your inner critic takes practice. “Change happens when you drop perfectionism and give yourself permission to be a human being who makes mistakes,” she explains.

Dr. Malkin, a psychologist and psychology instructor at Harvard Medical School, and author of Rethinking Narcissism, echoes Greenberg’s recommendation. “Many of my clients berate themselves for each and every mistake,” he says. But research shows that this kind of self-punishment is the worst way to change behavior. “We’d all do much better celebrating our moments of success than laying into ourselves for our ‘failures,’” he says.

“Question [your] thoughts,” advises Rego. “All too often, we buy into our thoughts without challenging them.” You need to be willing to consider that your initial reactions to things may be wrong, especially when those reactions are extremely negative, says Rego.

 

3. Practice Self-Observation and Evaluation

While you need to counter self-punishment, you also need to be willing to examine yourself realistically. “Be willing to be uncomfortable,” advises Greenberg. “Therapy works by helping clients access their thoughts and feelings about difficult or painful experiences.” The more you avoid going to these painful places, she says, the slower things will go.

And try not to be too impatient with yourself as you navigate that process. “No matter how hard we work to change, old habits occasionally creep back in,” says Malkin.

You shouldn’t see the return of something you thought you’d resolved as a failure, but as an opportunity to ask questions of yourself, says Malkin. For example, you might ask yourself, “What made it harder this time for me to skip the drink, or use a gentler tone with my partner, or exercise when I felt panic coming on?” he says. “There’s always an answer — and finding it often leads to tremendous growth.”

Understanding what triggers a return of behaviors is important, says Symington, adding that self-knowledge can help you plan for these vulnerable moments in your life. “Identify the pattern and then make a plan for the challenging space you know is coming.” Your plan might include having healthy distractions available for when you may need them, or preparing ahead of time to encourage a friend or hug a loved one.

When it comes to children in therapy, Dr. Kauffman, a child psychologist in Menlo Park, California, says that parents may need to be observers for their child. “It’s incredibly beneficial to have an update and a heads-up from parents before a session,” she says, because children often forget to share “fairly significant events.”

 

4. Do What You Can to Stay Physically Healthy

Sleep well — period. “This is the lowest-hanging fruit in mental health,” Malkin says.

And keep a food diary, suggests Symington: “Just the act of recording meals often improves our diet.” Most people are surprised, he adds, about how much their diet affects their mood and behavior.

Exercise has many proven benefits: It boosts mood, reduces anxious energy, and promotes good health overall, says Symington. “Put it on the schedule and make it non-negotiable,” he advises.

“Increasing activity levels … has been shown to directly improve [symptoms of]anxiety and depression,” agrees Rego.

 

5. Make and Strengthen Healthy Relationships

“We live in a network of relationships that either hold us back or push us forward,” notes Malkin, “and people don’t always like our efforts to change.”

Greenberg agrees that as you find self-improvement in therapy and learn to be assertive and set boundaries, “People in your life may push back or be angry at you.” She says that you need to be ready for these changes, and you may have to move away from unhealthy relationships to allow room for healthier ones.

“Change is hard,” agrees Symington, who advises sharing the struggle with a friend or spouse, and advising others you’re close to of your goals.

Building and strengthening social networks is also critical, notes Rego. “Strong, healthy social networks serve as an excellent buffer for life’s stresses and can help decrease the impact of psychological disorders,” he says.

For parents whose child is in therapy, however, the advice is a little different. Children must choose their own comfort level with sharing, which is something most parents understand, says Kauffman.

“Some parents can’t help but probe and question about the content of therapy sessions,” she adds. “It’s important for parents to understand the value and power of the safe and confidential therapeutic space for a child.” If something comes up that parents do need to know about, she works with the child to explore ways of communicating the information to the parents. Read More…

5 Things Psychologists Wish Their Patients Would Do was originally published on Everyday Health.