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Real World Clinical Blog

It is essential to remind ourselves and our clients that we are not working to eliminate painful affect states. We are working to find the tools to survive the inevitability of these states. more

Real World Clinical

Dr. Danna Bodenheimer on micro/macro practice, the economy, trauma, social movements, and the future for social workers and their clients after the election. more

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There is so much that we get wrong about grief, and it isn’t surprising. Like most things in life, we are desperately trying to keep an unwieldy process orderly and comprehensible. The fact about grief, though, is that it is neither. more

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It is important to know that being triggered is about having first been traumatized. The word triggered signifies that a trauma has occurred and that specific stimuli can bring us back to this triggered state. more

Real World Clinical

Without taking too much of a stance on this either way, I want to share some thoughts on how deep work with personality disorders can feel. I also want to address the ways in which one can identify the presence of a personality disorder. more

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One of the best parts of starting a private practice is that you can take it slowly. You can rent an office full time or for just a few hours a week. If you are ambivalent, I think it is worth finding out how it feels by giving it a shot. more

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Let me be clear - not all social workers should quit their jobs. In fact, some of you are at perfectly stimulating and meaningful jobs. And some of you aren’t. more

Real World Clinical

Over time, I have found tremendous comfort in the NASW Code of Ethics. I have also come to some additional conclusions about how to practice ethically, born of work with a highly diverse caseload across multiple practice settings. more

Real World Clinical

Empaths feel with exquisite precision, are quite vulnerable to absorbing the energy of those around them, are easily hurt, are often considered “over-sensitive,” cannot easily compartmentalize psychological experiences, and are innately intuitive. more

Real World Clinical

Individuals with narcissistic tendencies, basically, function in a constant crisis around self-esteem. Rather than being driven by attachment, which many of us are, more narcissistic folks are driven by the wish to experience a stable sense of worth. more

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Don’t get me wrong, I love social work. I even loved social work school. I am offering these reflections and suggestions with the hope that they will be validating and helpful in making your education feel even more worthwhile. more

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Whether you work with couples or you work with individuals, the fact is that you work with couples in some capacity. This is because most of our clients bring in their most intimate relationships, either literally or psychically. more

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Preparing yourself and studying scapegoating dynamics is both empowering and a social work value. more

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I met the therapist of my life in 1995. I was a sophomore in college. The vernacular around having a love of our life is well established. But we don’t talk as much about the therapist of our life. more

Real World Clinical

To successfully treat children who have been sexually abused, several paradigm shifts are required. This means, primarily, that we need to reconceptualize the possible scope of sexual abuse. more

Real World Clinical

Addiction work is truly trauma work. Trauma work requires deep attunement; recognition of developmental capacity and limitations; and steady, vigorous attention to the relationship. more

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Clinically, our work comes down to the provision of an emotional acre of land for each client. For clients of color, this requires a more generous invitation into the room. It requires an intentional invitation honoring the complexity of our world. more

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Whether it is referred to as a feeling of fraudulence, impostor syndrome, or a false sense of self, it is a psychological state that makes our work difficult, uncomfortable, and dissatisfying. more

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One week after the mass shooting in Orlando, we are faced with the difficult work of managing the resulting trauma. Part of this management requires us to delineate between the presentation of trauma and other mental health struggles. more

Real World Clinical

There isn’t much for me to say about Orlando that hasn’t already been said. That said, it seems irresponsible and avoidant to write about anything else this week. more

Real World Clinical

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