• Home
  • Blog
  • Free Library
  • Contact
Menu

Family Therapy Basics

1830 North University Drive
Plantation, FL, 33322
Phone Number
Save Time and LOVE Your Work

Your Custom Text Here

Family Therapy Basics

  • Home
  • Blog
  • Free Library
  • Contact

A To-­Do List For New Trauma Workers, From The Trauma Therapist Podcast

July 17, 2018 Ili Rivera Walter, PhD, LMFT
A To-Do list for New Trauma Workers

When I got to graduate school about ten years ago, I knew I wanted to focus on working with clients who’d been impacted by trauma. However, let’s just say I was a little misdirected, and my eyes were only half­way opened. All I was concentrating on was trying to get my teachers to show me that perfect book I thought would be the answer, or that amazing workshop I needed to attend, or that particular conference that I couldn’t miss.

Each of those things are certainly necessary when one is becoming trauma-­informed.

What I neglected to see, however, and didn’t fully understand the value of in terms of working with individuals who’d been traumatized, were those other, equally significant elements: authenticity, presence, vulnerability, and the importance of valuing oneself.

Three years ago, I created The Trauma Therapist Podcast on which I interview thought­ leaders in the fields of trauma, addiction, mindfulness, and yoga. Kathy Steele, Bruce Perry, Gabor Mate, Pat Ogden, and Bessel van der Kolk, among other lesser ­known, though no less inspiring guests, have all joined me. Over the course of the last few years, during my 280+ interviews, my eyes have flung wide open.

My guests, through their own personal sharings, and insights, have provided myself (and my listeners) with an invaluable education and a veritable list of things to do. And not to do. Yes, it’s a list that I wished I’d had a bit earlier; nevertheless, their words continue to inspire me every day.

These six core principles come from my guests. My only addition is the suggestion that every new trauma worker print this out and carry it in their pocket.

1. I can’t remember the last time I used a technique. For me, it’s all about the relationship. - Kathy Steele.

I’ve interviewed Kathy Steele twice on the podcast. During our most recent conversation I asked her, incredulously, with all of the different modalities out there and for the fact that she’s an internationally renown practitioner and teacher, "What advice would you give to someone just starting out on their trauma­-informed journey?" This is what she said:

Yes, I have been doing this for many, many years. The knowledge is in my bones, the interventions are in there. That being said, I can’t remember the last time I used a technique. For me, it’s all about the relationship.

So what does this mean? It certainly doesn’t mean forgoing all of our knowledge about how trauma impacts the brain and body. What it does mean—and it’s something practically every one of my guests has underscored—is that understanding the value of the therapeutic relationship, and then being able to cultivate and honor that, is the foundation to the healing process.

2. We are no different than our clients. - Peter Bernstein, PhD.

As I mentioned above, when I got to graduate school, I was a bit misdirected. Looking back, I think that in addition to seeking the knowledge of how trauma impacts the brain and body, I was also seeking, through that knowledge, to differentiate myself from those clients I would later see.

Yes, it was backward, and I was misdirected (and that’s a separate post). What I didn’t realize at the time, though, was how much the therapeutic relationship relied on the therapist’s ability to bring themselves—(of course, ethically and with respect and boundaries)—into the room with their clients.

We create relationships through witnessing, providing hope, and trust. And those relationships are built upon the foundation of commonality, not distance.

3. Cultivate your own somatic ­awareness (in addition to self­awareness).

This is crucial for you, as a trauma worker, as you learn to sit with those who’ve been impacted by trauma.

Education about the neurobiology of trauma is mandatory. Many newer trauma workers, however, underestimate the importance of cultivating their own inner­work. I’m talking about developing a practice to hone authenticity, compassion, vulnerability, and presence. These aspects have to be nurtured and doing so demands a conscious, intentional practice (think meditation, supervision, or consultation).

Every one of my guests has talked about an early experience and how, at one time or another, they overlooked this aspect of the work, and how it thus, adversely impacted a relationship with a client.

Cultivating a practice which brings you into familiarity with your body and how it feels, and the multitude of emotions and sensations that arise within the varying contexts of working with trauma clients, is a must. And it requires a weekly, daily practice.

Such a practice will not only serve to increase your own overall equanimity and awareness, it will also go a long way to positively impacting your clients by serving to lay the foundation for the healing relationship.

4. Do. Your. Own. Work.

What does this mean? This phrase (along with others like self-­care, and hope ) is tossed around so frequently in this field I believe many forget how significant it truly is.

For me, this means being willing—actually, realizing that one has the unquestioning responsibility—to take the time to explore the hills and valleys of your experience and life, and to be willing to encounter them, look at them them, and learn where and how they will impact and influence you. (read: trigger.)

This might mean finding your own therapist, or working through certain experiences with a supervisor, or through any number of other methods or supports.

Why is this so important? Because who you are will influence how you interact with your clients. And the degree to which you cultivate your self­-awareness around this topic will allow you to manage things/emotions/issues when and as such triggers arise.

As Annita B. Jones, PsyD stated on the podcast:

Be aware of whose issues you’re working with­­, yours or your client’s. If it’s yours, then you’re in the wrong room!

5. Show up, be present, and shut up . - Peter Levine, PhD.

It doesn’t get more straightforward and seemingly simple than these words from Peter Levine.

Show up implies more than walking into the room on time. It implies bringing your full self, which further implies that you’ve taken the time to get your own house in order. (See #4 above).

In other words:

  • Are you in the process of doing your own work?

  • Have you done the work of exploring your own traumas (be they large or small)?

  • Are you aware of your own triggers and biases, and to what degree are you equipped to dance with them when they come to visit?

  • Have you explored the question: What’s pulled you to do this work, in the first place?

The invitation to Be Present needs no introduction. Again, a seemingly simple task, though we all know it can be quite challenging. Yet, it’s one’s ability to be a witness to another—one who’s experienced trauma—that oftentimes provides the super-structure for healing to begin.

Shut up , means more than talking less and listening more. It paves the way for trauma workers to be present as their client’s stories unfold, at their client’s pace, and in their client’s time. It means to summon the solidity of the mountain as your mind spins with thoughts of the interventions you can’t wait to use. It means to bear silent witness as your client struggles through own their own journey.

6. Be willing to own who you are, and to understand that who you are will impact how you work with individuals who’ve been impacted by trauma.

It is no secret that many individuals enter the mental health field because they (we!) want to help. We want to relieve pain, and help others heal, and yes, sometimes fix. And each of these reasons is laudable, to a certain degree. However, if you’ve been listening to The Trauma Therapist Podcast , then you know that healing is accomplished by the client, themselves, and at most it is the trauma worker’s role to walk alongside of, to support, and to be the hope in the room. As Thema Bryant­ Davis says.

As a new trauma worker, it takes a certain amount of restraint to sit in silence when someone is in pain, and to be present as they experience their own path to healing. It takes a certain amount of patience, reserve and belief in the healing process to bear witness as someone’s healing journey unfolds in their own time, and to do so without answering the rush to fix and make better.

To do this, then, requires that one be willing to shine the light on the varied textures of who they are and their own paths that have led them to their present place. This can sometimes be challenging as it may require opening certain doors that have remained shut for some time. The reason for this, though, is to raise one’s level of self-­awareness about the fact that these nooks and crannies of one’s life and character will inevitably reveal themselves during the course of working with a client. And then to be ready when this happens.


Guy McPherson | Family Therapy Basics

Guy Macpherson has been a guest expert for The Refreshed Therapist Network. In his masterclass, he teaches on essential skills for new and seasoned trauma therapists.

Learn more about Guy and his mission, by visiting The Trauma Therapist Project.


Let's Chat

  • What tip from this post did you most appreciate, or had the most relevance to your current therapist experience?


RELATED POSTS
Family Therapy Basics Research Roundup, Summer 2024: Couple Therapy Topics
Family Therapy Basics Research Roundup, Summer 2024: Couple Therapy Topics

This summer, I reviewed recent research in the field of marriage and family therapy. In this post, I include a brief summary of several articles and one book that I read—all on the topic of romantic relationships and relevant for couple therapy. The articles are from the July 2024 issue of the Journal of Marital and Family Therapy.

Read more →
Questions That Will Keep You Focused And Productive, When Life Has Other Plans: Four Steps for Therapists
Questions That Will Keep You Focused And Productive, When Life Has Other Plans: Four Steps for Therapists

Last year, I went through some personal situations that left me feeling, at times, at the mercy of events that were out of my control. As a result, I often felt frustrated—blocked from the things that I wanted to do, by my circumstances. This led to a sort of snowball effect that generated ongoing tension between my desires and my present responsibilities. (Have you ever gone through a similar season?)

Read more →
How to Use EMDR In Couple Therapy
How to Use EMDR In Couple Therapy

When one or both partners in a relationship have trauma, it can adversely affect the relationship. Relationship satisfaction is lower and marital divorce and separation is higher in those who experienced childhood traumas such as physical or sexual abuse, physical attack, or assault (Whisman, (2006).  Results from a study by Riggs (2014) suggest that trauma experienced in adulthood can also adversely affect relationships, and that this effect is compounded if both partners have experienced trauma. As a couple therapist, these statistics can be daunting, as they point toward a need to help members of a couple resolve their trauma while addressing relationship issues.

Read more →
How To Address Weight Stigma, and Clients' Use of Weight-Loss Drugs, in Therapy
How To Address Weight Stigma, and Clients' Use of Weight-Loss Drugs, in Therapy

For decades, we have heard about the “war on ob*sity.” Alongside that rhetoric, we have witnessed, been complicit in, or helped to fund the creation of what is now a $4.2 trillion worldwide wellness industry (Wellness, 2018).

But a fat body – a term used descriptively and in recognition of the fact that “ob*sity” is an arbitrary designation at best (Singer-Vine, 2009) and a pathologizing slur at worst – does not in and of itself warrant this veritable economy of body transformation. In fact, research has shown both that body weight is a poor indicator of health and that people can achieve good health at many different sizes (Bacon & Aphramor, 2011). 

Read more →
How to Keep Your Therapy Communications Secure, While Working Remotely: An Interview with iplum CEO Pankaj Gupta
How to Keep Your Therapy Communications Secure, While Working Remotely: An Interview with iplum CEO Pankaj Gupta

Pankaj Gupta, CEO of iPlum, joins me for this post. I interview him about iPlum’s mission, the services the company offers, as well as why iPlum is the right fit for therapists in private practice.

If you haven’t already read Part 1 of my partnership with iPlum, see the five benefits of using a HIPAA-compliant phone solution.

Read more →
5 Ways Vicarious Trauma Can Sneak Up on You as a Psychotherapist
5 Ways Vicarious Trauma Can Sneak Up on You as a Psychotherapist

Vicarious trauma is a term that is not unfamiliar to most therapists. Many of us were warned about VT in grad school, have attended self-care workshops that promised to resolve the effects of VT, or have simply resigned ourselves to white-knuckling it through each day. But do you really know how to identify vicarious trauma? Can you pick up on sneaky warning signs that VT is already present in your life? 

Read more →
Five Benefits of Using A Streamlined HIPAA-Compliant Solution for Phone Calls and Texts with Therapy Clients
Five Benefits of Using A Streamlined HIPAA-Compliant Solution for Phone Calls and Texts with Therapy Clients

More and more, therapists in private practice are choosing to have a hybrid or a fully virtual practice. And, as a result, technology, confidentiality, and compliance (and how these three components of business interact), have become more significant factors in our day-to-day work as therapists.

My own path to moving my therapy clients online began in 2014. At that time, I knew no therapists who were practicing online, and I knew even less about methods for streamlining my client communication. I began with a Google Voice number, and over the years developed a fully online practice with what I consider to be the best systems for my group practice.

Read more →
Discernment Counseling for "Mixed Agenda" Couples: An Introduction
Discernment Counseling for "Mixed Agenda" Couples: An Introduction

In my group practice, I sometimes create trainings on relevant topics for my staff, especially when I see an increase in a specific presenting problem for our clients, and/or I recognize an opportunity to expand our services.

Recently, I offered a training on discernment counseling, a pre- couple therapy approach, developed by Bill Doherty and Steven Harris, for helping couples who are presenting with mixed agendas; that is, one partner wants to work on the relationship, or is “leaning in,” and one partner is not sure, or is “leaning out.”

Read more →
When You Don’t Want To Do Therapy Anymore: Ten Tips for Rekindling Career Energy, for Therapists Who Are Burned Out
When You Don’t Want To Do Therapy Anymore: Ten Tips for Rekindling Career Energy, for Therapists Who Are Burned Out

Recently, I published two articles on the topic: Reasons why therapists are leaving the mental health field. In them, I covered ten of the most common reasons therapists are choosing to change their career path. (If you’d like to read those posts, here are the links to part one and part two.)

There are many therapists who are living through challenges in their work and career, and yet have not chosen to, or do not want to, leave the field. If this describes you, then keep reading for ten steps that will help you rekindle some career energy.

Read more →
Five More Reasons Why Therapists Are Leaving The Mental Health Field
Five More Reasons Why Therapists Are Leaving The Mental Health Field

In this post, I continue listing reasons why therapists are considering leaving the mental health field, because there are many. And, if you are one of the therapists considering leaving the field, please know: You are not alone. If you missed the first post on this topic, head here, and read that first.

Read more →
Five Reasons Therapists Are Leaving the Mental Health Field
Five Reasons Therapists Are Leaving the Mental Health Field

Each week, I coach at least one therapist who mentions that they are considering leaving the therapy field. This sentiment seems to have increased among psychotherapists in the past two years with challenges related to COVID (for therapists and clients), including a) sickness, b) working from home, c) relational and family transitions, among others.

Of course, each therapist has their own particular reasons for their desire to leave their profession. Also, from my interaction with thousands of therapists each week, I have noticed several common challenges emerge in conversations about leaving the field.

Read more →
How To Become Known For Your Expertise: Four Steps for Therapists
How To Become Known For Your Expertise: Four Steps for Therapists

During a recent Refreshed Therapist Network Q+A, I was asked by a participant, “How do you do it all? You are so prolific!”

My answer? I do what I feel inspired to do in the moment.

However, I don’t do it all! There are months when I am not able to write a post for this blog, because I must focus on my professor job. And, there are months when I don’t create new resources or events, because I put more focus on my personal roles.

The point is, you can produce enough content to become known for your expertise, without keeping a rigid, or pressuring content schedule.

Read more →
In therapist
← How to Plan the Perfect Therapist StaycationMore Than Facebook: How To Use The Web To Get More Therapy Clients →
Interested in information that clarifies, simplifies, and enhances your therapy work? You're in the right place. Learn more . . .

Interested in information that clarifies, simplifies, and enhances your therapy work?  You're in the right place.  Learn more . . .



S A Y H E L L O


S U P P O R T T H E B L O G

DONATE ANY AMOUNT

B L O G S P O N S O R S

Thera-link | Family Therapy Basics

A F F I L I A T E S

 

P O P U L A R  P O S T S

Blog
10 Therapist (and Child)-Approved Activities to Support Kids with Anxiety
10 Therapist (and Child)-Approved Activities to Support Kids with Anxiety

If you’re a mental health professional working with children, you will probably agree that many of the calls you receive from parents have something to do with anxiety or stress. Child therapists have the amazingly important yet challenging task of educating and supporting kids in a therapeutic setting that is both productive and fun. When working with children as young as preschool age, it can be a very daunting task to keep things fresh and exciting week after week! So, how do we help children develop the coping skills they need while keeping them engaged (and not glancing at their watch)? Here are ten therapist (and child!)-approved, fun activities that address anxiety-based disorders and promote relaxation and stress reduction in children:

Read more →
The Art and Science of Therapy as Craft, Part 2:  Crafting Questions
The Art and Science of Therapy as Craft, Part 2: Crafting Questions

For this week's video chat, Dr. AnnaLynn Schooley returns to discuss therapy questions as an intentional craft, and she covers four basic question types:  single answer, open, closed, relational, and circular.

Read more →
Therapist Self-Disclosure Simplified
Therapist Self-Disclosure Simplified

Self-disclosure is a touchy subject among therapists. Some therapists never self-disclose, while others feel stifled by having a rigid boundary around self-disclosure.  As I consider self-disclosure in therapy, I ask myself, “When is self-disclosure appropriate?”  “How does self-disclosure deepen the therapist-client connection?"

Read more →
Solution Focused Brief Couples Therapy Tips, with Elliott Connie
Solution Focused Brief Couples Therapy Tips, with Elliott Connie

Elliott Connie is a Solution Focused Brief Therapy (SFBT) practitioner, author, and speaker.  He developed an approach to couples work that distills the essence of SFBT into guiding principles for working with couples. 

As a therapist who loves working with couples, I am always interested in ways to enhance my couples therapy skills.  For this reason, I invited Elliott to explain the reasons why SFBT is his choice for working with clients, as well as how it creates a contrasting experience for couples that have a history in therapy.

Read more →
Family of Origin Exploration for the Therapist:  How to Create Your Genogram
Family of Origin Exploration for the Therapist: How to Create Your Genogram

In article three of the Family of Origin for the Therapist series, you learned 3 simple steps for how to begin family of origin (FOO) exploration:  1) read Bowen’s chapter, 2) observe your FOO experience, and 3) reflect on what you learned. Hopefully, your curiosity has led to significant understanding.

Understanding is the foundation of Bowen Family Systems Theory (BFST). Bowen (1985) believed that if clients could understand themselves as members of their FOOs and as created by their histories, they could begin and continue significant change. 

In today’s post, I offer the next step in developing understanding:  Creating your genogram. I explain how to create a basic genogram that you can expand as you continue your exploration.  

Read more →
5 Tips for Keeping Up with Therapy Paperwork
5 Tips for Keeping Up with Therapy Paperwork

In my interaction with therapists as a mentor and supervisor, I’ve learned that one of the main struggles therapists face is having too much work and not enough time. Many therapists find themselves overwhelmed by documentation responsibilities, in particular; this includes completing client notes, referrals, billing, treatment plans, etc.

In today’s post, I offer several strategies for keeping up with paperwork, so that you can stay on track and avoid the stress of falling behind.

Read more →
Solution-Focused Brief Therapy Client Types, and Their Relevance To Every Session
Solution-Focused Brief Therapy Client Types, and Their Relevance To Every Session

In her 1989 article, Of Visitors, Complainants, and Customers, Insoo Kim Berg details three types of “client-therapist relationships” (p. 21). Her wording is significant, because she is not labeling clients; she is describing them in terms of their relationship to the therapist, the process of therapy, and the problem. These three relationships have undergirded Solution-Focused Brief Therapy theory and interventions over the years, although they are not consistently discussed in newer works. The client relationship types are widely applicable to therapy, regardless of theoretical orientation, making them one of the most useful concepts in marriage and family therapy.

In this post, I present a review of these client types, and I explain their relevance to and usefulness for all therapeutic sessions.

Read more →
How to Ethically Offer Coaching as a Licensed Therapist:  A Step-By-Step Guide
How to Ethically Offer Coaching as a Licensed Therapist: A Step-By-Step Guide

One of the most common professional goals for my clients is expanding their private practice to include life coaching services. As professionals with a depth of knowledge in personal development and goal achievement strategies, therapists are ideal candidates for the coaching profession. Despite this near perfect fit, there are some important ethical consideration for therapists when offering coaching services alongside therapy, or when choosing to become professional coaches. In this post, I focus on offering solutions for these complications, in an effort to help you ethically practice coaching.

Read more →
5 Step Plan for De-escalating an In-Session couple Argument
5 Step Plan for De-escalating an In-Session couple Argument

Most of us, therapists, have been there:  A simple disagreement turns into an all-out screaming match in the middle of a therapy session. This is, thankfully, not a common scenario for most therapists, but it’s also not rare--especially for therapists who specialize in couple therapy.

In this post, I cover steps for disrupting an argument occurring in a couple therapy session. Intervention on the part of the therapist is necessary during some conflicts, because the arguments can cause further damage in the couple relationship. And, if therapists allow arguments to continue for too long, they can affect the couple’s sense of safety when in therapy.

The main goals of intervention in this case are to:

Read more →

#5 on Feedspot's Top 40

 Family Therapy Blogs

T O O L S  WE  L O V E

SEE THE LIST

I N S T A G R A M

@driliwalter

I was speaking with a couple this week, and the wife explained that she retaliated toward her husband, because she wanted him to feel the way she feels when he does the same thing to her.

Of course, when we feel unheard, we will result to desperate
Focusing on changing our partner is a waste of energy. We can make requests and express our desires, but when this turns into consistent criticism, it harms everyone involved.

Oftentimes, wanting to change another stems from our own unhappiness. Ins
Sure, it makes sense that when spouses are best friends, the first thing we wonder is if they are isolating from having interests outside their relationship. In reality, many couples who are each other's best friends do enjoy separate activities and
Safe connection is a gift that heals us. ♥️
@realterryreal

COPYRIGHT 2016, FAMILY THERAPY BASICS | ALL RIGHTS RESERVED

ABOUT SUBMISSIONS PARTNERSHIPS

copyright © 2016-2025 | Family Therapy Basics | All Rights Reserved | Legal, Privacy, + Disclaimer | Site Credits, Affiliations, + Stuff