Major depression is one of the most common mental disorders, according to the National Institute of Mental Health. The most recent figures from 2017 show that an estimated 17.3 million adults in the United States have had at least one major depressive episode. That’s about 7% of all adults.

People struggling with depression often complain of sleeping too much and feeling fatigued. They will put off getting help until the depression starts having major impacts on their home and work life - until they feel overwhelmed and like they can no longer keep up. When they do finally get counseling, they may show up for therapy exhausted and stuck in negative thought patterns, ruminating over the same dark scenarios.

 

The counseling profession has struggled with barriers to delivering mental health services to clients across state lines since the conception of licensure law. Most states require counselors to be licensed in the state where the client resides. This means clients have to find a new counselor if they move out of state. It also limits telehealth options for many clients.

To address this dilemma the American Counseling Association (ACA) – in collaboration with the National Center for Interstate Compacts (NCIC) – has been working on an interstate licensure compact. This compact would create licensure portability for professional counselors – creating a way for counselors to practice in multiple states.

To explore what the interstate compact would mean for counselors, Raymond Barrett, CEO of the Telehealth Certification Institute (TCI), interviewed Dr. Lynn Linde, chief knowledge and learning officer at ACA.

 

Many clinicians are quite adept at using technology, yet the competencies that are required when providing telehealth services are not so evident. Raymond Barrett created this recorded course as an overview of all topics regarding telemental health.  It is not meant to address all of the areas of telehealth, but instead is offered so that you can assess your own level of competency and provide clinicians with the "broad strokes" of the competencies of telehealth. Topics addressed include: why telemental health is an important option for clients, the benefits (and drawbacks) of telemental health, how US licensure law impacts telemental health, telemental health-specific ethical standards, and preparing clients for a session.

We are pleased to offer this one-hour training for FREE to anyone by clicking the "Play" option on the video above.

In addition to the video, if you would like to earn 1 CE credit, you can do that by enrolling in the one-hour self-study course for $20:

woman looking at video meeting on laptop

Video Conferencing Has Negatively Impacted Some Individuals’ Self-Image

Many of us shifted big chunks of our lives online because of the COVID-19 pandemic. We have virtual visits with our clients, our doctors, our friends – even our families. Video conferencing has literally been a lifesaver, but a bad side effect has cropped up – a new disorder dubbed  “Zoom Dysmorphia.”

The problem is that most video conferencing platforms automatically display all participants – including ourselves. And many of us don’t like what we see. A recent study of more than 100 board-certified dermatologists published in the January 2021 issue of the International Journal of Women's Dermatology found an increase in patients seeking out cosmetic procedures to improve their appearance on video conference calls. According to the study, after hours of fixating on their small, often distorted image, during video conference calls, some people are developing a negative self-image.

The National Conference of State Legislators report estimated that telehealth users would increase from 250,000 in 2013 to 3.2 million in 2018—but no one could have expected the surge that erupted out of the COVID-19 pandemic, a public health fiasco that rapidly shut the door on in-school learning for K-12 students.

Teachers and students aren’t the only ones adopting new classroom procedures. Telehealth platforms have also enabled nursing departments to reach students who are isolated, undergoing COVID-19 quarantine, or who cannot physically meet in-person for an appointment with the school nurse. As CNBC’s Bertha Coombs emphasized, telehealth interactions—including those with children, families, and adults—neared 1 billion visits toward the end of 2020. Both the National Association of Student Nurses (NASN) and the Center for Disease Control (CDC) have endorsed a holistic, whole-student model that could include a telehealth option.

If you just started offering telemental health sessions, or you’d like to refresh your virtual professionalism, this telehealth etiquette guide includes practical, actionable ideas. As a therapy delivery method, telehealth expands your clinical practice options and your client base. But since most counseling programs train therapists to deliver in-person services to individuals, families, and couples, pivoting to telehealth can be challenging. 

Below are some telehealth etiquette tips to keep in mind:

Professionally dressed woman looking at laptop

The COVID-19 pandemic has triggered a forceful period of transformation for the healthcare field, as economic pressures and safety concerns have intersected with medical and mental health needs. In response, healthcare organizations are pivoting to offer multi-layered treatment plans with a focus on telehealth.

Across the country, organizations have tasked telehealth directors, managers, or telemedicine program coordinators with implementing an ethical and practical telehealth transition plan. But directing a telehealth program is a complicated endeavor; few practices are prepared to effectively launch compliant, large-scale telehealth operations. Professionals in these roles need to understand the full scope of managing telehealth services (from strategy to implementation and evaluation). Learning about these competencies can help directors avoid pitfalls, maximize efficiency, invest in a long-term utilization plan, and increase satisfaction for customers and clinicians.

woman in yellow coat crossing a hanging bridge with hands on the rope siding

The jurisdictional structure of the counseling profession has hampered counselors and their clients for decades. Differing state licensure requirements associated with educational coursework, supervision hours, and professional examinations have fragmented the profession since the founding of the American Counseling Association (ACA) in 1952 and continue to impact counselors. An easy, straightforward answer to this dilemma has eluded industry decision-makers for years, but a professional reformation is underway—set in motion by a three-year investigative study, true portability for counselors is possible.

Compassion Fatigue webinar banner with presenters images and names

Four mental health experts recommend ways to manage compassion fatigue and burnout for behavioral health professionals.

Watch the recording today!

For our December installment of the Behavioral Health Toolbox Series, we covered a topic that is near-and-dear to many of us as we transition into 2021: compassion fatigue and burnout among healthcare professionals. The Telehealth Certification Institute Toolbox Series delivers live virtual webinars on telehealth topics facilitated by experts in the behavioral health field. Our webinars are practical, immersible, and driven by your interests.

Four panelists contributed to the December discussion. Sarah Dooling, a registered play therapist and instructor in San Diego State University’s MSW program, took an inventive approach to coping with pre-COVID triggers and current stressors. Sara advised practitioners to create a Resilience Kit with tools that will keep you well. Sara’s suggestion highlighted one of the webinar’s primary goals—optimizing creativity while creating new self-care routines. As Sara described for viewers, using transitional objects, such as a piece of paper with the names of your personal support squad, can act as a visual indicator.

Couples counseling is stressful during normal times – two people struggling to keep their relationship alive, and pinning a lot of hope on their therapist. Even “good sessions” – with both partners working hard on the relationship – are often filled with a double-dose of painful emotions. 

When COVID-19 hit, couples therapy became even more complicated. Many therapists switched to telehealth to reduce the risk of spreading the disease. Now, partners are in their own home (together), and the therapist is miles away peering at them through a tiny camera.

Sue Johnson, the developer of Emotionally Focused Couple Therapy (EFT), wrote that her first response to the idea of online couples therapy was “total disbelief.” In an article published in the November/December 2020 issue of Psychotherapy Networker Magazine, Johnson said that until about 18 months ago, she “simply refused to consider it.”

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Course was very informative!
David Hopkins
MS, LPC / Thriveworks Woodstock
Informative and brief
Tracy Gilbert
Well designed. informative, comprehensive program broken down into manageable segments.
Dawn M. Miskus
Licensed Clinical Professional Counselor (LCPC) / Conscious Counseling & Coaching, Ltd.
This course offered a great overview of TeleMental Health and the important considerations that should be addressed when establishing an online practice.
Helen Geris
Registered Psychotherapist
Wonderful and approachable presenter, great information!
Sabrina Eads
I have completed the course requirements. Thank you a great program of videos and information.
Linda Lovisi-Dwyer
LCSW-R / Linda Lovisi-Dwyer, LCSW-R
Good introduction
Sylvia D. Jessup, MBA, MA
Owner / Sylvia Jessup Counseling Services PLLC
Very clear emergency planning laid out in this course, Helpful for many situation and settings.
Jane Schindler
The course was detailed.
Kelly Villarreal
MFT / Alan Behrman & Associates
EXCELLENT PRESENTATION
DAVID F. CIAMPI, Ph.D., LMHC.
Really chuck full of information and very helpful
Carolyn Spencer
social work
Great course!
Lashonda Jones
Ray's program is engaging and informative. I'm excited to extend my professional reach online.
Pamela Madsen
LAPC / Empower Counseling Center, LLC

Very informative session.

Valrey Richards-Lucas

Video was good, a little slow

Jessica Walraven

This is great material!

Erika T Johnson

Very Informative!!!!

DALAYNA MILLER

Really good training so far!

Erika T Johnson
LAC

Excellent information, extremely generous resources and so well paced. I am really grateful.

Carolyn Spencer
LCSW / Carolyn Spencer

Very thorough and informative

DALAYNA MILLER

This program is very informative and easy to use.

Gania Bruno Harrold
LCSW / IN THERAPY WE TRUST

Love the convenience and easy-to-understand information in this course.

Natalia Gourlay-Fernandez
LAMFT / Rock Springs Positive Coaching, Caring, and Counseling

Very informative. Help give an overview of tele therapy and starting an online practice.

Meg Maginn
L.C.S.W Private Practice / Eating Disorder Associates

The course was easy to follow and provided a lot of valuable insight into the benefits and limitations to teletherapy.

Katie-Ann Magnuson
Mental Heath Therapist / Kwenyan Professional Health Services

Wonderfully compact and rich in information, many areas i had not even considered!

VIRGINIA PROVENCHER
therapist / private practice
Very informative and guiding in educating all that you need to grasp to be properly compliant and aware.
Dena Damaskinos
A great overview for telehealth, including state to state
Susan Cortilet Jones
Integrative Lifeskills Coach

Great presentation!

Cristina Lazaro-Garcia
Mental Health Clinician, APC / CETPA, View Point Health
Oustanding presentation!!!
Michelle Collins

Helpful and inviting information to get started. Feel empowered to get this going and eager to start!

Dena Damaskinos

Well presented, easy to access and understand.

Sedonia Perrier
CEO / Steelhead LLC

This was very informative.

Wendy Pazdur
Substance Abuse Counselor / Transformation therapy
This course was full of detailed information, that I will utilize in my practice. I highly recommend this training to all interested in adding to their existing practice or transitioning to Telehealth Services.
Utopia Session
Class was informative.
Kimberly Horrell
This course was short yet informative.
Annette Cornish
Therapist / Dust 2 Destiny Counseling & Wellness
Great training!
Jacqueline Hayes, M.Ed., LPC, LMHP
Professional Counselor 4 / State of LA
Ray was a wonderful, interactive instructor who really captured the heart of counseling in the world of Telehealth. The course was thorough and beneficial. Two thumbs up!
Rachel Morales
Licensed Professional Counselor
Ray does a spectacular job presenting the ethics in technology! Thank you!
Elaine Marie Barclay
Licensed Professional Counselor/ Assistant Professor / Shorter University/ Capella University
Very beneficial and useful to the direction i am moving of providing therapy
Linda Marie Margosian, MS, NCC, LMHC
I thought the video was very informative and gave me a good back ground on Telehealth , hippa laws and things I needed to know to run an ethical and hippa complent practice .
Meg Maginn
Director /private practitioner / Eating Disorder Associates

I believe this is a good course to take because this is the new wave of society. As a therapist I would like to be able to offer clients the best tools available.

Wihletta Michelle Davis MA, LPC
Therapist / Find the Miracle Within...

Thank you for the introduction to telemental health.

Michele Frances Purvin
Psychotherapist / Michele Frances Purvin, LCSW, LCDC

Very good.

Franklin Castillo

Really excellent training full of valuable information and resources - surpassed my expectations!

Dori Ryherd
Therapist / The Cognitive Refinery

Great information with step by step instructions

Donna Tucker
Addiction Counselor / Spectrum Health

What a superb introduction to telemental health, well organized and packed with useful tips. I so appreciate this. Thank you.

Ann P Cahouet
Owner - Clinician / Equine Assisted Solutions LLC

Awesome job! This is a very insightful presentation.

ZUNILDA CHAUDRY
Licensed Therapist, LPC / Seasons of Change Behavioral Health Services, Inc
Ray is down-to-earth, warm, pragmatic and exceptionally well-informed.
G. Reid Doster, LPC, LMFT
Director of Behavioral Health, EXCELth Inc.Primary Health Network & Private Practice Psychotherapist / www.excelth.com

An excellent course, but needs more legal information regarding where the patient needs to reside.

Barry Barmann
Clinical Psychologist / Behavior Therapy & Family Counseling Clinic
This legal course was phenomenal saturated with much detail and clarity!
Elaine Marie Barclay
Licensed Professional Counselor, Assistant Professor / Capella University and Shorter University
Great and very informative! Will help me take my skills to a new level. Gave me a great idea of how the session should go.
Jessica Latin
LPC / JL Counseling

Course provided several case scenarios regarding Interstate counseling and resource websites for further research.

Cowenda Jefferson
Clinical Director / Wise Life Choices LLC
Course provided additional information regarding the legal aspects of TeleMental Health.
Cowenda Jefferson
Clinical Director / Wise LIfe Choices LLC
I have completed prior training by Raymond and greatly appreciate his detailed and thorough trainings.
Dr Lynn Duffy, PsyD, LCPC, NCC, CCMHC, BCPCC, BC-TMH, Diplomate/CMH in Trauma
Director/Counselor/Mediator / Lighthouse Counseling & Consulting Services
This course was most helpful in helping me make my practice more compliant for me and my clients.
Marlene Small
Private Psychotherapist
This is the 4th TMH course I have taken with Ray and it is BY FAR the best TMH training out there. I've learned so much that I can use every day in my practice.
Dawn Ferrara
LPC-S, LMFT

Very Informative

Naomie Pierre
community clinician / nps
I loved this course. It was very informative and provide a great deal of information about ethics.
Tracey Marshall
Easy to learn and easy to follow. User friendly on-line course.
Kelly Johnson
Licensed Mental Health Therapist

Awesome

Melissa J Davis
LAPC- counselor
This was a phenomenal training and necessary for the continued growth of all helping professionals. This will certainly improve the manner in which I conduct counseling.
Elaine Marie Barclay
This training was extremely informative and supportive for professionals looking to gain further knowledge in Telemental health.
Marcy Abramsky
LCSW / Marcy Abramsky LCSW, InspireAmind TM Counseling and Consulting
I found this video to be very informative and helpful.
Michelle Parker
Contract Therapist

Great course, very informative!

Ashley Simmons
BCBA / Northstar Psychological Services

Love the course, worth every penny!!! Definitely helped jump start my Tele-mental health services!

Nakia Clark
Owner/ Therapist / Insightfullly You, LLC

This gave me and my staff some important insights and information regarding telehealth..

Larry Cowan
Executive Director / Samaritan Counseling and Growth

This course was easy and user friendly

Vanessa Reiser
Social Worker / JBFCS

I learned a great deal from this program and look forward to implementing telemental health in my therapy practice.

Michelle Hitchcock
Therapist

It was fantastic! Just the forms he provides are worth the cost of the course!

Mark Wagemaker, LPC, NCC, DCC, CPCS
Counselor, Clinical Supervisor / Transitions Counseling

This was an excellent class and worth my time.  Ray provided great information and is clearly an expert in TMH!

Jennifer Stuckert
Director / Restoration Counselor of Atlanta, LLC

I found these courses informative and helpful. They make establishing best practices policies and procedures for telemental health services and supervising those who provide them. so much easier. I highly recommend his courses.

Nena Rybarczyk, MA, EMBA, LPC, NCC, CPCS
Counselor / Strategies for Life Counseling, LLC

Ray's workshop was one of the most informative I have taken in years. He brought clarity to took a topic which has been intimidating and I left feeling empowered!

TRUDY POST SPRUNK, LMFT-S LPC CPCS RPT-S CPT-S EMD
Clinical Supervisor and Play Therapist / Georgia Association for Play Therapy