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How Therapists Can Help Clients With IBS, Chronic Nausea, and Gut-Brain Disorders: An Interview with Dr. Ali Navidi, PsyD Curt and Katie talk with Dr. Ali Navidi, PsyD about disorders of gut-brain interaction, including IBS, chronic nausea, and other GI conditions that therapists may see more often than they realize. They explore how the gut-brain axis works, which clients may be more likely to struggle with these concerns, how therapists can stay within scope, and why specialized behavioral health treatment can directly improve symptoms rather than only helping clients cope with them. About Our GuestDr. Ali Navidi, PsyD is a licensed clinical psychologist and co-founder of GI Psychology, a national telehealth practice specializing in the treatment of gastrointestinal (GI) disorders and chronic pain. In addition to providing patient care, Dr. Navidi oversees clinical training and outreach initiatives at the practice. He has presented on GI disorders and chronic pain to organizations across the country, including the American College of Gastroenterology, UNC School of Medicine, George Mason University, Georgetown University (Grand Rounds), INOVA, as well as through podcasts, television appearances, and multiple State Academies of Nutrition and Dietetics. Key Takeaways Therapists are in a strong position to notice GI issues, especially in clients with anxiety, trauma histories, autism, or eating disorders. Disorders of gut-brain interaction are not just “in someone’s head.” The pain and symptoms are real, even when there is no visible structural problem. Therapists should encourage appropriate medical evaluation and collaborate with gastroenterologists rather than trying to diagnose IBS or other GI disorders on their own. Specialized CBT and clinical hypnosis can directly treat gut-brain disorders, not just the anxiety that surrounds them. Dr. Navidi, PsyD describes a treatment model focused on hypervigilance, catastrophizing, and visceral hypersensitivity. When diet questions come up, therapists should be cautious and refer to GI-focused dietitians when appropriate. Therapists should also be careful about overconfident claims related to the microbiome, SIBO, and other popular gut-health conversations. For full show notes and the transcript for this episode, visit mtsgpodcast.com. Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Homepage: mtsgpodcast.com Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

What Therapists Need to Know About Neurodivergent Clients and Families: An Interview with David Smith, LCSW Curt and Katie talk with David Smith about neurodiversity-affirming therapy, autism, ADHD, PDA, family systems, and burnout for neurodivergent therapists. David shares both clinical expertise and lived experience as an autistic therapist, offering practical guidance for working more effectively with neurodivergent clients and the families around them. About Our Guest: K. David Smith, LCSW K. David Smith, LCSW, is an autistic therapist who provides neurodiversity-affirming, trauma-informed therapy online in 5 states (Oregon, California, Idaho, Vermont, and Florida). He also provides clinical supervision for therapists working toward LCSW or LPC licensure in Oregon, particularly those who are neurodivergent themselves or who are passionate about supporting neurodivergent clients. In addition, he provides consultation, training, and workshops for medical practices and professionals, other therapists, employers, and school districts about ways to become more neurodiversity-affirming and supportive of neurodivergent people. Key Takeaways - Therapists often miss neurodivergence entirely and may treat anxiety, depression, or “thought errors” without considering whether a client is struggling in environments that were not built for their nervous system. - Neurotypical therapists can work well with neurodivergent clients when they lead with curiosity, attunement, flexibility, and a willingness to adapt how therapy is structured. - PDA can look like defiance, but David reframes it as an anxiety- and threat-based response to demands. Traditional rewards and consequences may backfire. - Neurodivergence in families is often intergenerational, with different neurotypes shaping attachment, communication, expectations, and family roles. - Neurodivergent therapists need more than generic self-care. Sustainable practice may require reducing demands, grounding, rest, and nervous-system-informed regulation. Full show notes and transcript will be available at mtsgpodcast.com. Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

How Clients Experience Therapy: From First Inquiry to the Waiting Room: An Interview with Michael Ashford Curt and Katie talk with Michael Ashford about how clients experience therapy before the clinical work even begins. They explore what therapists can learn from customer service, communication, and marketing to create a smoother, more supportive experience from first inquiry through intake, onboarding, waiting room logistics, and practice policies. This conversation looks at how clarity, thoughtful systems, and strong boundaries can improve client experience while also supporting therapists. About the Guest Michael Ashford is the Senior Director of Marketing at Sign In Solutions and has spent the past decade building and leading marketing teams at companies large and small. Michael is a former award-winning journalist, a two-time TEDx speaker, and holds a Master’s degree in Communication from Kansas State University. Michael’s approach to marketing focuses on scaling companies through the power of effective communication, storytelling, and humanizing brands. Key Takeaways Client experience starts before the first session Clear expectations reduce client stress and confusion Website messaging, intake, and onboarding should feel seamless Waiting room and check-in systems matter more than many therapists realize Good customer service includes strong boundaries around time, fees, and cancellations Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community: Podcast Homepage: https://mtsgpodcast.com/ Linktree: https://linktr.ee/therapyreimagined Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Adapting EMDR for Neurodivergent Clients: Parts Work, Attunement, and Affirming Trauma Therapy, An Interview with Cathy Hanville and Christine MacInnis Curt and Katie talk with Cathy Hanville and Christine MacInnis about how to adapt EMDR for autistic and ADHD clients with more flexibility, safety, and affirming care. They explore why standard protocols can miss important client needs, how parts work can support trauma treatment, and what therapists should consider when working with neurodivergent clients whose trauma is tied to masking, chronic correction, social rejection, and being misunderstood. In this episode, we talk about: Why EMDR often needs adaptation across all eight phases How parts work can support neurodivergent clients in trauma treatment The impact of masking, correction, and misunderstanding as trauma Sensory, communication, and processing differences therapists need to consider Moving away from compliance-based care toward attunement and collaboration About the guests Christine MacInnis, MSed, MS, LMFT owns Transcends Family Therapy in Torrance, California, specializing in neurodiversity and LGBTQIA+ affirming, trauma-informed care. She is additionally licensed in Arizona and Ohio, is an EMDRIA-approved consultant, and provides advanced training on neurodiversity-affirming EMDR, ADHD, and autism. Learn more at www.transcendstherapy.com. Cathy Hanville, LCSW (They/She) is a licensed clinical social worker in Pennsylvania and California, an EMDRIA-approved consultant, and a continuing education provider. They help therapists identify blind spots so they can provide gender- and neurodiversity-affirming care. Learn more at www.cathyhanville.com. Cathy and Christine are under contract with Norton Publishing to write Neurodivergent Paths to Healing: Affirming EMDR and Parts Work for Autistic and ADHD Clients, expected in early 2027. Key takeaways Therapists often need to adapt EMDR for every client, not just neurodivergent clients Neurodivergent-affirming EMDR requires flexibility, collaboration, and sensory awareness Parts work can help therapists better understand protection, shame, and responses often mislabeled as resistance Many neurodivergent clients carry trauma tied to masking, chronic correction, and social rejection Full show notes and transcript: https://mtsgpodcast.com Join our community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Podcast Homepage: https://mtsgpodcast.com Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

When Clients Reject Your Diagnosis: How to Handle Pushback Without Losing the Therapeutic Alliance What do you do when your client doesn’t agree with your diagnosis? Whether it’s a parent resisting an autism or ADHD diagnosis, a client attached to a different label, or someone overwhelmed by what a diagnosis means for their identity, these conversations can feel high-stakes. In this episode, Curt and Katie explore why clients push back on diagnoses and how to navigate these conversations without damaging the therapeutic relationship. They break down the role of stigma, identity, and real-world consequences, and offer practical strategies for staying collaborative while still doing effective clinical work. Key Takeaways: Why clients resist diagnoses (stigma, identity, and real-world impact) How to respond without arguing or damaging the alliance When disagreement means your assessment isn’t finished How to focus on function and treatment instead of labels Navigating documentation, insurance, and cultural considerations Get the full show notes and resources at mtsgpodcast.com. Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

The Lasting Harm of Conversion Therapy: An Interview with Samuel Nieves This interview was recorded in November 2025 in anticipation of the Supreme Court ruling in Chiles v. Salazar and released afterward. Rather than focusing on the legal details of the decision, Curt and Katie talk with Samuel Nieves about the harms of conversion therapy, how change efforts can be disguised as therapy, and what clinicians need to understand when working with survivors. Sam shares from his lived experience as a survivor and explains why the deepest harms often involve identity damage, loss of self-trust, and disconnection from one’s own lived experience. About our guest:Sam Nieves has a Bachelor’s in Psychology. In 2019, he entered grad school to become a Licensed Marriage and Family Therapist, but left the field after 6 months of clinical experience. Since 2020, Sam has used his personal, clinical, and educational background to support survivors of conversion therapy. He is now a board member of the non-profit organization Conversion Therapy Survivor Network. Sam uses the online name “CantPrayMeAway” to share his own experiences as a client of conversion therapy and advocates for the end of all conversion practices worldwide. Key takeaways: Conversion therapy is broader than many therapists realize and can show up in subtle, disguised forms SOGIECE (sexual orientation and gender identity or expression change efforts) offers a clearer framework for recognizing sexual orientation and gender identity or expression change efforts The core harm of conversion therapy is often identity damage and loss of self-trust Even well-intentioned therapeutic tools can become retraumatizing when they are used in the service of changing identity Survivors may need therapists to move slowly, stay client-centered, and understand that therapy itself may have been part of the harm Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

The Private Practice Pivot: How Therapists Are Adapting to Platforms, Agency Work, and the Changing Therapy Economy Are therapists leaving private practice - or simply adapting to a changing mental health economy? Curt Widhalm, LMFT, and Katie Vernoy, LMFT discuss a growing shift across the profession as therapists pivot between private practice, agency jobs, group practices, and therapy platforms. As referral patterns change, venture-backed platforms grow, and the economics of therapy evolve, many clinicians are reconsidering how they structure their careers. Curt and Katie explore why therapists are pivoting their practices, how platforms like Headway, Alma, and Rula are shaping the field, and what therapists can do to build sustainable careers in a rapidly changing environment. Key Takeaways • Why many therapists are pivoting their private practices • How therapy platforms and venture capital are reshaping the profession • The role of agency work, group practices, and hybrid careers • Why isolation can undermine sustainability in solo practice • How therapists can design careers that prioritize stability Full show notes and resources: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Is Independent Private Practice Sustainable? Data on Caseloads, Insurance & Income Is independent private practice still financially sustainable? Curt and Katie sit down with Lindsay Oberleitner, PhD, Director of Clinical Strategy at SimplePractice, to examine national data on caseload trends, insurance participation, income realities, and therapist burnout. Drawing from Lindsay's research at SimplePractice, they explore whether independent private practice is truly viable long term - and what clinicians need to understand to remain financially and professionally sustainable. In this episode, we discuss: • Why some clinicians are seeing declining caseloads despite high demand for mental health care • Typical full-time caseload ranges in independent private practice • How insurance participation is shifting year over year • The financial impact of reimbursement rates and overhead costs • Why burnout is both a personal and systemic issue • The significant role independent private practice plays in delivering outpatient behavioral health care across the United States Independent private practice represents an estimated 15–20% of outpatient behavioral health services. This episode helps therapists think strategically about income, sustainability, visibility, and long-term viability in today’s healthcare landscape. For full show notes and resources, visit mtsgpodcast.com. Join the Modern Therapist Community: • Patreon: https://www.patreon.com/c/mtsgpodcast • Facebook Group: https://www.facebook.com/groups/therapyreimagined • Podcast Homepage: https://therapyreimagined.com/modern-therapists-survival-guide-podcast-episodes/ Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Why You’re Exhausted in Private Practice: The Hidden Work Behind the Client Hour Exhausted in private practice - even with a “manageable” caseload? Seeing 20-25 clients a week does not mean you’re working 20-25 hours. Every client hour includes hidden administrative work, financial decisions, emotional labor, and CEO-level responsibility. In this host-led episode, Curt and Katie break down why private practice feels heavier than expected - and how to think strategically about the real math behind your workload. Key Takeaways: • 20 client hours often equals 30+ hours of actual work • Emotional task-switching drains capacity • Burnout often comes from business demands, not just clients • Sustainable practice requires protected CEO time and clear boundaries Full show notes and resources: https://mtsgpodcast.com Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Creative Credits: Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Burnout Recovery in a Failing System – An Interview with Shaina Siber, LCSW Therapists are navigating hiring freezes, wage stagnation, insurance instability, identity-level threats, and mounting systemic uncertainty — all while supporting clients experiencing the same instability. What happens when burnout isn’t just about workload, but about working inside a system that feels like it’s failing? Curt and Katie talk with Shaina Siber, LCSW, about moral injury, burnout as a fawning trauma response, and how therapists can move from control strategies to agency using Acceptance and Commitment Therapy (ACT) and Compassion-Focused Therapy (CFT). Shaina shares how psychological flexibility, compassionate prioritization, and values-based action can help therapists recover from burnout without abandoning their humanity. In this episode, we discuss: • Burnout as a trauma response • Moral injury in modern mental health care • The “K-shaped” labor market and therapist stagnation • Moving from overcontrol to agency • Sustainable contribution without collapsing Guest Bio: Shaina Siber, LCSW is the founder of Affirm Mental Health, host of The Affirming Minds Podcast, and author of the forthcoming Routledge book Using ACT and CFT for Burnout Recovery: The Beyond Burnout Blueprint (available for pre-order February 25, 2026). She brings over 15 years of clinical and leadership experience and specializes in trauma-informed, LGBTQ+, and culturally responsive care. Full show notes and resources: mtsgpodcast.com Join our community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann – https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano – https://groomsymusic.com/

Should Texas Therapists Stop Treating Kids? Texas SB14, Gender-Affirming Care, and the Risks for Therapists In this episode of the Modern Therapist’s Survival Guide, Curt Widhalm and Katie Vernoy discuss a new interpretation of Texas SB14 that may place therapists at risk for providing gender-affirming care to trans youth. They explore how a recent opinion from the Texas Attorney General could broaden the law’s reach beyond medical providers to include mental health professionals. Curt and Katie break down what this interpretation could mean for therapists working with minors, including possible risks related to licensure, malpractice coverage, mandated reporting, and criminal liability. They also discuss the ethical tension between evidence-based care and compliance with state law, and the difficult decisions clinicians may face when considering whether to continue working with kids. Key Takeaways: A new interpretation of Texas SB14 may include mental health professionals as part of the “healthcare pipeline” facilitating gender transition for minors. The legal term “facilitating” could potentially include referrals, letters, or even supportive therapy conversations. Therapists may face risks related to licensure complaints, malpractice coverage exclusions, or legal consequences if their care is interpreted as supporting gender transition. Mandated child abuse reporting requirements could create additional legal and ethical concerns. Clinicians may need to assess their personal risk tolerance when deciding whether to continue working with minors. Full show notes and additional resources will be available at:mtsgpodcast.com Join our community: Modern Therapists Group (Facebook): https://www.facebook.com/groups/therapyreimaginedLink Tree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

The Licensing Racket: Therapist Licensing, Discipline, and Access to Care – An Interview with Rebecca Haw Allensworth Who does licensing protect - the public or the profession? Curt and Katie talk with Rebecca Haw Allensworth, law professor and author of The Licensing Racket, about how professional licensing boards actually function, and what that means for therapists, discipline, and access to care. After attending licensing board meetings across professions and states, Rebecca identified a troubling pattern: entry requirements that continually “ratchet up,” while discipline decisions can lean toward giving professionals the benefit of the doubt. The result? Higher barriers to entry, workforce shortages, and inconsistent public protection. This episode explores therapist licensing reform, self-regulation, professional turf wars, board funding structures, and the tension between prestige, professional identity, and public safety. About Our Guest:Rebecca Haw Allensworth is the David Daniels Allen Professor of Law at Vanderbilt Law School and author of The Licensing Racket: How We Decide Who Is Allowed to Work and Why It Goes Wrong. Her research focuses on antitrust and professional licensing and has been cited by the U.S. Supreme Court. Key Takeaways: • Why licensing requirements tend to increase over time • How self-regulation can create blind spots in discipline • The impact of licensing barriers on workforce shortages and access to care • Why complaints about unlicensed practice may be prioritized over client complaints • How professional identity and funding structures shape board decisions Full show notes and resources: mtsgpodcast.com Join our community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Training Therapists in the Age of AI: Preventing Deskilling and Teaching Clinical Judgment As artificial intelligence becomes increasingly embedded in mental health care, therapists, supervisors, and educators face a critical responsibility: integrating AI tools without eroding clinical judgment, reasoning, and skill development. In this continuing education episode of the Modern Therapist’s Survival Guide, Curt Widhalm and Katie Vernoy examine how AI can create the illusion of competence while quietly undermining the processes therapists rely on to learn how to think clinically. They explore therapist deskilling as a systemic issue shaped by training models, supervision practices, and productivity pressures rather than individual failure. This episode focuses on how supervisors, educators, and clinicians can preserve clinical mastery while using AI responsibly, emphasizing learning science, supervision ethics, and the importance of maintaining human judgment in an automated world. In this episode, we discuss: How AI can mask gaps in clinical reasoning The competence paradox and automation bias in therapy Why struggle and ambiguity are essential for learning The role of supervisors and educators in preventing deskilling How to use AI without outsourcing clinical judgment Continuing Education: This episode is eligible for 1 unit of continuing education (CE). To earn CE credit, go to moderntherapistcommunity.com, register for a free profile, purchase the course, complete the post-test and evaluation, and download your certificate. Full show notes, transcript, and course details are available at mtsgpodcast.com. Join the Modern Therapist Community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Home: https://mtsgpodcast.com Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Why Food Anxiety Is Not Always About Dieting: Understanding ARFID and Intuitive Eating - An interview with Robyn L. Goldberg, RDN, CEDS-C Diet culture often dominates conversations about eating disorders, but not all struggles with food are driven by weight, body image, or dieting. In this episode, Curt Widhalm and Katie Vernoy talk with registered dietitian nutritionist and certified eating disorder specialist Robyn L. Goldberg about Avoidant Restrictive Food Intake Disorder (ARFID), intuitive eating, and how therapists can recognize when food anxiety requires a different clinical approach. Robyn explains how ARFID differs from more familiar eating disorders, why it is often mislabeled as “picky eating,” and when intuitive eating principles need to be adapted or set aside. This conversation offers therapists practical guidance for assessment, referral, and collaboration with eating-disorder-informed dietitians. Key Takeaways ARFID is not driven by weight or body image concerns and is often rooted in sensory sensitivities, trauma, or fear of aversive consequences Intuitive eating is not a one-size-fits-all model and may require significant structure for some clients Rigid food rules and avoidance can be protective for clients but may also limit functioning and quality of life Exposure-based approaches are often central to ARFID treatment and require specialized training Therapists should refer to eating-disorder-informed dietitians when food restriction significantly impacts health or daily life Guest Bio Robyn L. Goldberg, RDN, CEDS-C, is a registered dietitian nutritionist and certified eating disorder dietitian and consultant with over twenty-eight years of experience. She is the author of The Eating Disorder Trap, host of The Eating Disorder Trap Podcast, and a nationally recognized expert featured in major media outlets. Full Show NotesRead the full show notes and resources at: https://www.mtsgpodcast.com Community and SupportJoin our Facebook group: https://www.facebook.com/groups/therapyreimaginedSupport the podcast on Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist’s Survival Guide Creative Credits Voiceover by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

The Epstein Files Fallout: Navigating Client Trauma, Justice Fatigue, and Clinical Responsibility In this episode of the Modern Therapist’s Survival Guide, Curt Widhalm and Katie Vernoy explore the emotional and clinical fallout following the release of the Epstein files. Rather than reacting to breaking news, they focus on what happens after the headlines fade—when trauma resurfaces, justice feels out of reach, and both clients and therapists are left carrying the weight. This conversation examines how trauma responses show up in the therapy room, how therapists can avoid minimization or burnout, and what clinical responsibility looks like when systems fail and outrage turns into numbness. Key takeaways for therapists: How public disclosures can retraumatize survivors and trigger moral injury Why clients may experience numbness, irritability, or hopelessness instead of anger How to ethically hold space without rushing clients toward resolution Ways therapists can manage their own exposure and remain grounded The importance of containment, validation, and agency during collective trauma Full show notes and resources available at:https://mtsgpodcast.com Join the Modern Therapist Community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/