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Whenever personal needs take precedence, rationalization can inhibit sound professional judgment that too easily leads to unanticipated consequences for clients and even the precipitous destruction of therapists’ own careers.As for our examples, not everything turned out well in the actual cases upon which they are based.Improving our clinical skill and competence is great way improve elder care.Social media is a good thing, but I am concerned that it may be the easy way to solve some of our clinical dilemmas. Other times you are getting people’s experiences and opinions. In fact, when we look at great therapy we are considering two types of experience – patient and clinician – along with evidence based practice. She wrote a guest post for us to help us understand vocal changes with aging.On the surface, the loosening of restrictions also feels more protective of therapists, allowing for leeway as to how therapists and their clients interact.At the same time, however, additional burdens are placed on therapists because the rules are no longer firm.We need to feel competent and confident in our services. If you are referred a new patient that you aren’t competent to treat, you can do a few things: There are some things that I am not competent in treating. I have always been uncomfortable with my own voice. We will look at why CEUs are so expensive, recommendations for accruing CEUs as a new clinician (this comes up over and over on forums), assessing education opportunities for usefulness, and more.

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What the therapist may deem as an acceptable, even helpful, boundary crossing may be experienced as inappropriate or harmful by the client, as will be discussed further. Social workers should contact their regulatory board to determine course approval.Authors’ Note: Almost all case scenarios presented in this course are adapted from actual incidents.The distraught mother scenario illustrates a double boundary crossing.To offer the client extra time seems a kind gesture but runs counter to the therapeutic agreement.While we are looking at the ethical dilemmas in the prevailing model of healthcare and how it impacts our patients, we should also take some time to look at our clinical skill.We are bound by our code of ethics (and likely your state licensure) to continually improve clinical skill and practice only in areas where we are competent.As part of our disguising process, we also randomly assign various professional designations and earned degrees or licensure status.Also, for ease of presentation, we use the term "therapist" throughout to refer to anyone delivering psychotherapy or counseling services to clients. Net is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Net maintains responsibility for this program and its content. Net, provider #1107, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) org, through the Approved Continuing Education (ACE) program. Programs that do not qualify for NBCC credit are clearly identified. Net is solely responsible for all aspects of the programs. Course format (distance learning - online activity). Net has been approved by the National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP), ACEP #6323.

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