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Can we agree to use only clean needles?

Accept part of recovery includes the 'Chronic Relapsing Condition'

Normalizing addictions / Everyone is addicted to something

Explore craving as an attachment? However, to what?

Consider a 'Relay Race Approach'

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How would you approach a client attending group therapy while high?

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Continue as normal - it's a package deal

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Pull person aside to speak with them privately

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A client recently has started to notably attend group therapy while being high. It is easy to miss however, once it was pointed out to me I could pick up on her somber presence and frequent head nodding.

Issues concerning this range from her safety to and from group therapy. And are we enabling the behavior but allowing her to attend group therapy when we perceive her to be high. And secondly, is she able to fully participate in group therapy while being high?

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A) I would have started my reference binder much sooner with quick and easy pieces of information to strengthen my counseling sessions with evidence based practices.

B) I have learned that who I am during therapy is who I am during all parts of my life. Meaning, how I show up in relationships very much bleeds over and is not compartmentalized.

C) I've learned that I do not have to make everyone feel better. It is not my responsibility or duty.

D) I'm discovering I need to spend a lot more time learning about substance abuse from a medical perspective. I still have some shame and guilt for leaning towards the moral perspective however, I believe there is room for both things to exist in my clinical judgement.

E) Continue to be more creative and continue looking for information, perspective, and resources to broadened my knowledge based. For example, marrying clinical work with personal interests such as cooking.

I drafted a positive affirmation and DBT skill sheet titled, If you were a recipe what ingredients would you be?

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Goal: The initial desired goal is to obtain the identified goal by the client. And then systematically work backwards to increase the client’s well-being, her resiliency, and sense of security.

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Another incredibly vulnerable experience for me recently has been showing up as a Hispanic-American counselor for a Salvadorean-American family.

1) I'm not sure if they are getting more benefit from therapy or if I am?

2) I'm not showing up as a supermarket employee/custodial worker/construction worker/painter/landscaper.

3) What a privilege (that should ultimately be a right) and opportunity for more Hispanic clients and families to speak with other Hispanic counselors.

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Counseling, listening, and holding space for single mothers with daughters who have been sexual violated or raped has been an incredibly raw experience. Finding creative ways to connect with them has required me to pull from resources I don't implement in my own life, such as parenting and being a parent.

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One client has challenged and broadened my exposure to being around someone that identifies as He/They. Gaining his trust and being vetted by him required a "buy in" that was a bit different.

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Because just when I think I've learned I know what is coming next... boy am I wrong. What I've learned the most during this experience so far is that I am solely a passenger in someone else's ride. And that the client is the driver of the vehicle. I am more or less only an ambassador of injustice, a collaborator, and an advocate for an alternative perspective if given license.

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Therapy can be and is many things. However, it does not have to be intense. It does not have to perfect. It does not have to even feel therapeutic. It does not have to be serious. It doesn't have to be an example of how I can be everything for everyone else and nothing for myself.

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keep it real on a poster with muted and bright colors

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What a fresh grad student commits to memory and repeats verbatim on what "counseling and therapy" is ...