Categories
Interview

Therapists Off the Clock

Written by: Anika Warrier

People-Person, Empathetic, Good Listener… 

If that is you and if you are interested in pursuing psychology as a profession, here are some of my key learnings that I’ve picked up firsthand from actually speaking with various mental health professionals, plus a few resources!  down with therapists myself. 

What These Conversations Taught Me About This Field 

Earlier this year I started interviewing mental health professionals for a series called Therapists Off the Clock, part of our Mindful, Beautiful, and Thriving podcast. I went in thinking I had a rough idea of what “being a therapist” meant. Five episodes later, I don’t think that anymore — and here’s why. 

The biggest surprise was realizing “therapist” isn’t one job, it’s an umbrella over several very different ones.  

  • A licensed clinical social worker (LCSW) often blends actual therapy with hands-on advocacy: untangling insurance denials, navigating hospital systems, sometimes even courts, on a client’s behalf.  
  • An LMFT/LPCC tends to zoom out from the individual to the whole family system; one guest walked me through something called the “designated patient,” where the person everyone assumes has the problem often isn’t where the problem actually started.  
  • A clinical psychologist (PhD) might do therapy, testing, or both, in settings ranging from a private practice office to a hospital NICU.  
  • And a neuropsychologist specializes in figuring out why a brain works the way it does, mostly through structured testing rather than ongoing talk therapy. Same broad field, but four very different day-to-days. 

What struck me just as much was how little any of it followed a straight line. One guest changed majors four times before landing on psychology. Another told me she became a therapist as her “second career,” after years spent reading and just living first. Even the guest who says he knew in high school, because he watched his own brother go through addiction treatment still seriously weighed becoming a psychiatrist before choosing psychology instead. So if you don’t have your path figured out yet, that’s apparently the norm here, not a warning sign. 

And yet, for all the different routes in, the advice itself barely varied from guest to guest: stay curious, don’t judge people’s stories before you’ve actually heard them out, and get real experience being around people: camp counseling, tutoring, coaching, volunteering, before you worry about which theory or specialty to choose. Nobody, not once, told me to start with a textbook. 

The part that surprised me most, though, wasn’t academic at all. More than one guest spoke candidly about the emotional weight of the work: It was sitting with someone’s trauma, or a parent barely holding it together mid-divorce, and how they’ve had to build real practices around carrying that, rather than just pushing through it. One guest described a specific mindfulness ritual she runs between sessions just to stay present without burning out. It made me realize the “soft skills” side of this field is much less optional than I’d assumed. 

On AI, Specifically 

AI came up naturally in conversation with a few of the guests, and their takes were more specific than a simple “it won’t replace us.” One already uses an AI tool to help write faster, more thorough reports, while insisting the actual testing and connection can’t be automated, as she put it, there are things AI is good at, and things only humans are, like real-time empathy. Another sees AI eventually becoming a genuinely useful tool for quick answers and self-education, but was candid that it’s only as good as the data it’s trained on, and that how it might respond to someone in an actual crisis is still an open, risky question worth working through carefully. A third put it more simply: we’re wired for connection, and the kind of healing that happens in therapy comes from being with another person — something no model can replicate. Faster paperwork, more informed clients, maybe useful data down the line, but not a stand-in for the relationship itself. 

Reading List, Courtesy of Our Guests 

If any of this has you curious to go deeper, here’s where I’d start — beginning with the books our guests recommended directly. 

For general psychology: The Man Who Mistook His Wife for a Hat by Oliver Sacks, Thinking, Fast and Slow by Daniel Kahneman, Determined by Robert Sapolsky, and Patient H.M. by Luke Dittrich. 

For specific conditions and neurodiversity: Overcoming Dyslexia by Sally Shaywitz, MD; Unmasking Autism by Devon Price; the How to ADHD YouTube channel (now also a book); Reel 2e, a great resource on giftedness and neurodiversity; Liz Angoff’s Explaining Brains; An Unquiet Mind by Kay Redfield Jamison, on bipolar disorder and psychosis; and The Body Keeps the Score by Bessel van der Kolk, on trauma. 

And two I’d add from my own shelf: Thinking in Pictures by Temple Grandin, which captures neurodivergent brains at their finest — how a brain can carry real strengths tucked inside what looks like a weakness — and Psych 101 by Paul Kleinman, which is basically psychology in a nutshell: the basics, the statistics, the core concepts, all in one place. 

B.A. or B.S.? 

Last thing, since it comes up constantly: both degrees are solid, and it really comes down to fit. A B.A. tends to be the more humanities-geared path, a good fit if you’re drawn to counseling or people-facing work generally. A B.S. keeps the door open toward more STEM-adjacent specialties. When I asked one guest directly which she’d recommend, she told me she genuinely doesn’t have a preference either way; what matters more, she said, is the opportunities and experiences you build around whichever degree you pick, not the letters themselves. 

Getting Exposure Before You’ve Picked a Specialty 

You don’t need to have any of this figured out to start building toward it. The single most consistent thing our guests pointed to — more than any class or credential — was just working with people. It doesn’t have to be complicated: find a cause you actually care about and show up. Volunteering, camp counseling, tutoring, any job that puts you around kids — this is the real foundation, long before grad school enters the picture. 

Beyond that, try building a passion project of your own — not for college applications, not for anyone’s approval, just to learn something about the field. (A simple one: test whether people remember words at the end of a list better than ones in the middle. That’s the recency vs. primacy effect, and you can run it with nothing more than a list of ten words and some willing friends.) 

Read widely, and not only psychology books — one guest specifically credited reading literature broadly with teaching her more about people than her coursework ever did. Network shamelessly; ask around, reach out, and don’t be shy about it. And if you’re choosing classes, AP Psychology or Psych 101, AP Seminar/Research, Sociology, Anthropology, AP Biology, and Statistics all came up as genuinely useful foundations — several guests specifically mentioned biology, statistics, or anthropology as classes they still draw on today, years into their careers. 

Categories
Self-Compassion Teen and Parent Wellbeing

Minority Mental Health Month

By: Meghaa Ravichandran

Photo by Christian Bowen on Unsplash.com

With COVID-19 forcing many into an initial quarantine, the ripple effects of our physical and social isolation can be felt across all aspects of people’s lives. Although the return of a semblance of normality has begun to surface, advocacy for mental health also remains important as we find our footing in this new normal. July is Minority Mental Health Awareness Month and with the continuity of the pandemic, it is crucial to address both the effects of COVID-19 along with generational trauma, racism, exclusion, and more. 

A nationally celebrated holiday, there are many resources to access regarding  uplifting minority populations and their mental health advocacy efforts. To start with the history of the month, it was formally recognized in June 2008 with the full title being Bebe Moore Campbell National Minority Mental Health Awareness Month. Bebe Moore Campbell was an American “author, journalist, teacher, and mental health advocate who worked tirelessly to shed light on the mental health needs of the black community and other underrepresented communities” (MHA). Witnessing the struggles caused by mental illness and a lack of supportive resources, she founded NAMI-Inglewood and went on to write three New York Times bestsellers. 

Photo of Bebe Moore Campbell: Source

To begin our advocacy journey this month, the most important step is to stay informed and educated regarding the populations we are uplifting. Around 42% of the U.S. population are people of color, with multiracial communities being most likely to experience alcohol/substance use disorders, anxiety, and depression according to a 2020 Mental Health America (MHA) screening. Indigenous people were most likely to screen positive for bipolar disorder and PTSD. 

In a report summarizing their screening results,  many key conclusions were drawn, factoring in events such as the COVID-19 pandemic: “Since the end of May 2020, nearly every racial/ethnic group has been experiencing consistently higher rates of suicidal ideation than the 2019 average” (MHA 2020). Additionally, healthcare disparities are a barrier to access mental health resources, so it’s important now more than ever to do our part as an upstander. 

The 2022 theme for July is “Beyond the Numbers”, aiming to highlight the importance of each individual’s story in their fight against mental illness. Rather than grouping a person’s experience into statistics, Mental Health America desires to uplift the people behind the numbers to remind us that everyone’s resilience should be celebrated and acknowledged. In the face of trauma, abuse, and oppression, minority communities continue to thrive and break apart from generational curses. 

Categories
Self-Compassion

Mental Health Awareness Month

By: Meghaa

It’s that time of year again – the school year is winding down, a summer breeze is in the air, and everyone is ready for vacation! While May is appropriately popular for its blooming scenery, it also marks the beginning of Mental Health Awareness Month, an annual event which many people can participate in through a variety of ways. So wherever you are, whatever you’re doing, here are some different methods you can practice to raise awareness for mental health!

Mental Health Awareness Month started in the U.S. in 1949 by an organization called Mental Health America (MHA), right after World War II. Since then, MHA has continued the tradition of the month by providing updated online toolkits during March and selecting an annual theme. This year’s “Back to Basics” connects COVID-19 pandemic’s effects on mental health, with MHA recognizing that “stress, isolation, and uncertainty have taken a toll on [our] well-being”. 

As with the theme, let’s start by going over some foundational terms associated with mental health care and their significance. According to MHA, mental health refers to our emotional and social well-being, so it impacts our behaviors, thoughts, and relationships with others. As a result, prioritizing mental health is important to make well-informed decisions regarding daily aspects of our lives. A diagnosis is not needed for a person to be dealing with poor mental health, which can stem from a multitude of factors such as trauma, stress, or genetics. 

Since mental health is a journey, there will be many highs and lows which each bring their own set of unique circumstances. If you are in a good mental place currently, remember to practice coping mechanisms – skills that help you deal with difficult situations – such as taking up a new hobby or extracurricular interest. This way, your skills will be refined and polished to use when needed. These fluctuations in one’s health also lead to struggles such as not feeling “sick enough” to seek treatment for mild symptoms. 

By Christina @ wocintechchat.com on Unsplash.com

We’ve seen the background behind mental health, so now how can we make a difference? To begin with, educating ourselves is the most important step in the process of advocacy, so we do not spread misinformation and become well acquainted with taboo topics. 

For example, did you know…

  • 50 million or 19% of U.S. adults struggle with mental illness, making it more commonplace than people expect
  • There are 3 clusters of personality disorders characterized by different symptoms
  • The Affordable Care Act passed in 2010 not only contends with physical health benefits, but also expands insurance plans to cover mental health treatment

To learn more about similar topics you can do one of these four things suggested or even more!

  • Local: Talk to your school counselor for information regarding mental health basics
  • Casual: Check out MHA’s website for quick facts/statistics
  • Informative: Go to your local library and read books like “This is Depression”
  • Professional: Take an online, college accredited course such as through Stanford

Online advocacy is another good place to start, especially for those with social anxiety or social media access. Toolkits made by organizations like Mental Health America, National Alliance on Mental Illness (NAMI), New Directions, and more can help assist with curating infographics and videos to post on online platforms. Many are downloadable and accessible for free, providing reliable content. Bulleted below are just a few toolkits found online, but feel free to explore more!

By Clem Onojeghuo on Unsplash.com

Last but not least, in-person advocacy is a more direct action that would take more planning and energy to execute, but would leave a greater impact. This can be done on a variety of levels, but starting small helps when beginning your advocacy journey, and then you can build your way up to a greater platform. Through this, you will have the chance to nurture valuable leadership skills to better tackle mental health awareness in new and creative ways! For now remember to think outside the box for a more personal, unique method to communicate your message.

We hope these suggestions empower you to take action and raise awareness for mental health as we go “Back to Basics” for this month! 

By Duy Pham on Unsplash.com

Works Cited:

“Starting to Think about Mental Health.” Mental Health America, https://mhanational.org/starting-think-about-mental-health.

Categories
Body Dysmorphia

National Eating Disorders Awareness Week

By Meghaa Ravichandran

February’s most celebrated holiday, Valentine’s Day, is (now) a heartfelt honoring of love as couples exchange gifts mainly centered around chocolates and flowers. Just one week after Valentine’s Day, however, is a week dedicated to National Eating Disorders Awareness (NEDA), taking place from February 21 – February 27, 2022. The official campaign sloga, See the Change, Be the Change, signifies the era of activism and awareness that is changing the public’s perception on eating disorders as well as accessibility to helpful resources for those with eating disorders. 

Basic Information:

Eating disorders are a serious mental illness that affect a person’s internal relationship with food and body image, often leading to serious effects such as unhealthy weight loss/gain and intrusive thoughts. These disorders can affect people of all ages and backgrounds, but researchers have found that eating disorders more commonly impact teenagers and young adults. On average, almost 3 years pass before those experiencing eating disorder symptoms seek help. 

Types of Disorders:

There are a multitude of eating disorder classifications, but here are three common types: 

Anorexia Nervosa (AN): Characterized by unhealthy weight loss and distorted body image, people with anorexia restrict their intake of food, often not noticeable at first glance as one does not need to be underweight to be struggling. Both thinner and plus-sized individuals can be diagnosed with Anorexia Nervosa, which is classified with two subtypes: restrictive and binge-purge. AN can be fatal as suicide is the second leading cause of death for people diagnosed with AN. 

  • Diagnostic Criteria:
    • Restriction of energy intake
    • Intense fear of gaining weight even though underweight
    • Disturbance in the way one’s body weight/shape is perceived 
  • Symptoms: Dramatic weight loss, developing food rituals, denying feeling hungry, limited social spontaneity, concerned about eating in public, sleep problems, dry skin, muscle weakness, etc…

Bulimia Nervosa (BN): Bulimia Nervosa is characterized by a cycle of binging followed by compensatory behaviors such as forced vomiting and fasting. Individuals diagnosed with this disorder can be any weight. Recurrent binge-and-purge cycles affect the entire digestive system, leading to chemical imbalances in the body that affect other organ functions, which can cause fatal consequences such as cardiac arrest. 

  • Diagnostic Criteria: 
    • Recurrent episodes of binge-eating
    • Recurrent inappropriate compensatory behavior to prevent weight gain
    • Episodes and behavior occur at least once a week for three months
    • Self-evaluation influenced by body shape/weight
  • Symptoms: skips meals or takes small portions of food at regular meals, disappears after eating often, drinks excessive amounts of water, teeth are discolored, self-injury, calluses on back of hands from self-induced vomiting, unusual swelling in cheeks, etc…

Binge Eating Disorder (BED): One of the most common eating disorders in the U.S. and one of the newest eating disorders formally recognized in the DSM-5, BED is characterized by recurrent episodes of eating large quantities of food, a feeling of loss of control, and not regular use of unhealthy compensatory measures. Unlike BN, BED is not followed by compensatory measures so individuals with this disorder are often overweight. 

  • Diagnostic Criteria:
    • Recurrent episodes of binge eating
    • Marked distress regarding binge eating is present
    • Occurs at least once a week for 3 months
    • Not associated with recurrent use of compensatory behaviors
  • Symptoms: frequent diets, having secret recurring episodes of binge eating, disruption in normal eating behaviors, feelings of disgust/depression/guilt after overeating, eating alone out of embarrassment, stomach cramps, difficulties concentrating, etc… 

Avoidant Restrictive Food Intake Disorder (ARFID): Another new diagnosis recognized by the DSM-5, AFRID is similar to anorexia as individuals who experience both limit their intake of food. However, those diagnosed with AFRID do not feel distress regarding their body’s appearance (body dysmorphia). AFRID can stall the growth and weight development of children and results in psychological problems as well. Children with a co-occurring anxiety disorder, habits of picky eating, and diagnosis of autism/ADHD are more likely to develop AFRID. 

  • Diagnostic Criteria:
    • Eating/feed disturbance result in one of four effects
    • Does not occur exclusively during course of anorexia/bulimia
    • Not attributable to concurrent medical condition
    • Not better explained by lack of available food/ cultural practice
  • Symptoms: dramatic weight loss, only eat certain textures of food, fears of choking/vomiting, consistent/vague gastrointestinal issues around mealtime, limited range of preferred food becoming narrower, menstrual irregularities, muscle weakness, impaired immune functioning etc… 

Other eating disorders include Pica, Rumination Disorder, Laxative Abuse, Orthorexia, and more. 

Resources: 

If you or anyone you know is suffering from an eating disorder, contact the Eating Disorders Helpline at 1(888)-375-7767 for treatment referrals and support/encouragement. Eating Disorder Hope has also compiled a list of websites available for those struggling with certain eating disorders both based in and out of the U.S. 

If you would like to raise awareness and join the fight against eating disorders, you can take action on the official NEDA website where you can share your story, register for a spring 2022 NEDA walk, represent NEDA on your college campus, volunteer as a landmark photograph, and plan a NEDAwareness Week Event.  


Works Cited: 

“Eating Disorders.” National Institute of Mental Health, U.S. Department of Health and Human Services, https://www.nimh.nih.gov/health/topics/eating-disorders. 

“Information by Eating Disorder.” National Eating Disorders Association, 21 Feb. 2018, https://www.nationaleatingdisorders.org/information-eating-disorder. 

“Nedawareness Week.” National Eating Disorders Association, 19 Feb. 2022, https://www.nationaleatingdisorders.org/get-involved/nedawareness.