Official Publication of the Licensed Professional

Official Publication of the Licensed Professional Counselors Association of Georgia

LPC Connection is published four times a year.Send submissions to LPC Connection, 3091 Governors Lake Drive, NW, Suite 570, Norcross, GA 30071.

Phone: (770) 449-4547 Fax: (404) 370-0006 Email: [email protected] Website: http://www.LPCAGA.org

Learn • Promote • Counsel

JANUARY 2018

WHAT’S INSIDE . . .

LPCA 30th Annual

Convention Early Bird

Registration Form page 3

VA Releases Veteran

Suicide Statistics page 4

The War at Home:

Assessing and

Treating PTSD page 7

Mental Health

in Rural U.S.

(with map) page 12

A Teletherapy

Case Study page 5

Changes to the

DSM-5 page 7

Directed Experience:

It’s Not Just About

Getting Hours page 6

LPCA President-Elect

Report page 4

LPCA Executive

Director Report page 2–3

CE Workshops pages 8–11

Supervisors page 15

Office Space page 14

LPCA Dinner Addresses Futureof Mental Healthcare in Georgia

LPCA Lobbyist Julianna McConnell, Senator Mike Dungan, Fred Richards, LPCA President-Elect Lisa King,Senator Renee Unterman, and Jeff Davis.

LPCA ended 2017 by sponsoring a dinner at Sutton’s

Restaurant in Carrollton, Georgia. In attendance were

LPCA President-elect Lisa King, Senator Renee Unterman,

LPCA Lobbyist Juliana McConnell, Senator Mike Dugan,

Dr. Fred Richards, Dr. Larry Schor, Jeff Davis as well as

members of Tanner Medical Center's administration. Prior

to the dinner, Senator Unterman spoke informally about her

background in healthcare, the state of mental healthcare in

Georgia, the opioid crisis, issues involving providing care in

rural Georgia, and telemental health. Later in the evening,

Senator Unterman spoke about current and future policies

and legislation affecting our healthcare in Georgia. She

outlined the innovative ideas that the Health and Human

Services Committee she leads is exploring. These ideas

address the healthcare needs of underserved rural Georgians

as well as our Veterans and the elderly. This dinner provided

a wonderful opportunity for LPCs to ask questions regarding

the status of mental healthcare in our state.

Senator Renee Unterman andLPCA President-Elect Lisa King

EXECUTIVE DIRECTOR REPORT

2 LPC CONNECTION JANUARY 2018

EXECUTIVE DIRECTORGale Macke [email protected]

Clinical Supervision�The Supervision Chair has sent out

the first monthly bulletin alertingSupervisors to ethics concerns andproblematic issues that superviseesare engaging in. This is an effort tohave supervisors ask questionsbefore they proceed on “assuming.”

� Supervisors who have received reprimands from theLicensing Board are writing about their experiences andallowing LPCA to publish these so that other ClinicalSupervisors will not make the same mistakes.

� LPCA has been working with seven new CPCS trainerswho can be added to the list of those who provide theirCE trainings to LPCs. The goal is to make sure there aretraining sites/providers throughout the state before thedeadline to become credentialed. They are not connectedin any way to LPCA. This is an effort to encourage thosein the field to provide their expertise to expand optionsfor trainings. Prefer in-person training vs. online.

� Items pending: Committee work will resume in early 2018.

� Supervisor Complaint Process

� Supervisor Remediation Program

� Jurisprudence Exam #3

� Peer Support List

� Trainers of the Trainers

Website Resource LibraryThe newest draft to our Library is about how to meet theLicensing Board’s “approved site” requirement.

� Client Wants to Record Session—Non RecordingAgreement by Howard Gold, Esq.

� Cultural and Linguistic Mental Health StudentCommittee Report 2017

� What is Involved in Becoming Credentialed for InsurancePanels

� NHSC Load Repayment Program Rural Georgia

� Private Practice for LPCs

� TMH and the Cloud

� Client Records: How to Write Your Will and Testament,CPH & Associates

Goverment and Legislative ConcernsLegislators: Special Study Committees—Final reports due in late December/early January 2018

Barriers to Georgians’ Access to Adequate Healthcare:Senator Renee Unterman, 45th District, Chaired the SenateHealth and Human Services Committee study on Barriers toGeorgians’ Access to Adequate Healthcare. The hearings werecompleted on November 27, 2017.

Senate Rural Georgia Study Committee (Senate Res. 392)

Opioid Abuse Study Committee

Surprise Billing Practices Study Committee (aka “Claw-Back”) This is when you receive a notice that the insurancecompany is taking back payments they have made to you.

Study Committee on Higher Education Affordability

Division of Family and Children ServicesChange in Policy that Might Affect You

Last month the Division of Family and Children Services(DFCS) changed their contract policy to notify providers thatonly licensed psychologists are allowed to completepsychosexual evaluations.

DFCS leadership was instructed by their “advisors” that theterm “psycho” is privileged. The “advisors” stated the term“psycho” has always been protected and psychologists are theonly ones allowed to do psychological (correct according toO.C.G.A.–Official Code Georgia–the Law) neuro-psychological(also correct according to O.C.G.A.), and psychosexual (notstated in the law) evaluations.

However, our past legal research has shown that only theterms protected, by statute, are limited to licensees.Psychologist and psychological are protected terms and onlyallowed to be used legally by licensed psychologists. However,nowhere in O.C.G.A. is the term psychosexual* referenced.Therefore, LPCs educated and trained in psychosexual, underthe Law should be allowed to continue using this assessmenttool. If not corrected, there is concern that misinformation,such as this example, might spread to other areas andcontracts. This may significantly impact individuals in ruralareas who need the services that LPCs provide.

*Note: O.C.G.A. Chapter 43, specifics: (9) Nothing in this chapter shall beconstrued as prohibiting any person licensed under Chapter 10A to perform,...administering and interpreting educational and vocational tests; functionalassessments; interest inventories; tests that evaluate marital and familyfunctioning; mental health symptom screening and assessment instrumentsthat evaluate emotional, mental, behavioral, and interpersonal problems orconditions including substance use, health, and disability; or any otherassessments or tests which the person is qualified to employ by virtueof his or her “education, training, or experience” within the scope ofpractice of professional counselors.

Top Ten Ethics Issues Reported1. HIPAA violation: Not releasing records when requested is

complained about more often than releasing info withoutpermission. (CPH & Associates: www.cphins.com/patient-access-to-treatment-records)

2. Boundary violations:

• Buying and/or selling things to your clients.

• Letting your client(s) stay at your home.

• Befriending your client.

• Forcing personal beliefs onto client—although prevalentwith religion, recently LPCs and LAPCs have beenvoicing their political opinions to their clients.

3. Working beyond the scope of your practice—most of thisis related to forensic work, but not all.

• Diagnosing people you don’t see, putting it in writing,even though you have never met or talked to that person.

Stay in the Know...LPCA members have access to free license consultations withLPCA experts.

DSM-5 Training ProgramLPCA and its four partners, plus several other providers,trained approximately 500 counselors in “diagnose” per thenew law requirement. There have been so many requests forone or more of the training modules that they will be offeredagain in 2018.

JANUARY 2018 3 LPC CONNECTION

EXECUTIVE DIRECTOR REPORT

or supervisor. (LPCA provides free Clinical Supervisioncontract samples.)

• Supervisor fails to complete paperwork, sign forms, orproperly document supervision hours with supervisees.

• Supervisor suddenly goes missing as a way to keep fromsigning off on supervision.

7. Impaired practice: Practicing while intoxicated, medicated,or mentally disabled.

8. Dual relationships: Example—seeing both mother andchild individually and when mother and father divorce,you continue to see both and advocate for the mother incourt. If you are ever served with a subpoena, contact yourLiability Insurance carrier. (CPH & Associates offers twofree hours a year with their attorney. www.CPHins.com)

9. Continuity of care: Discontinuing services withoutdiscussion or referral, or trying to take clients when youleave a site (and then going into private practice when notfully licensed) are Code of Ethics violations.

10. Sex with clients:

• Inappropriate sexual discussion with client.

• Sex (or sexting) with your client, client’s family member,spouse, or friend.

• Getting involved in court cases while not understandingthe legal process.

• Violating confidentiality or making recommendationsabout something you have little to no information about.For example, if you have no education/training/experience working with substance abuse, don’t workwith someone with substance abuse issues.

• Writing your personal opinions in your client notes.

4. Insurance fraud: Felony that could result in jail time.

• Billing for services not provided.

• LLC issues.

• Signing off on insurance when it is not your client.If it’s not your client, DON’T SIGN OFF.

5. Documentation fraud: Expect a reprimand letter from theLicensing Board.

• Completing docs/signing docs for lower level therapistsand almost always with EMR/EHR.

• Signing a supervisee’s application form for ClinicalSupervisor before they have completed their hours.

6. Inappropriate supervisor/supervisee relationships:Protect yourself by having a contract with your supervisee

EARLY BIRD REGISTRATION FORMRates good until 5:00 PM, March 30, 2018

Register online: www.LPCAGA.org, click on Convention • Fax: 404-370-0006 • Mail: LPCA, 3091 Governors Lake Dr. NE, Ste. 570, Norcross, GA 30071

LPCA Membership Level: Clinical /Affiliate (LPC) Associate (LAPC) Retired Student (no CEs)Convention Package (25 CEs) $399 $299 $299 $99Includes: Wed., Thurs. including early bird savings early bird savings early bird savings early bird savingsPresidential Forum/Luncheon, and Fri.) $115 $120 $75 $100

Total $__________ Checks should be made out to LPCA. Check # ______________

Card # _________________________ Exp. Date _______ Sec. Code ___________

Cardholder Name (PRINT) ______________________________________________

Cardholder Signature ___________________________________________________

Special Needs __________________________________________________________________________________________________________________________________

Name (PRINT) ________________________________________________________

Address _____________________________________________________________

City ____________________________________ State _____ Zip ______________

Phone _______________________________________________________________

Email ________________________________________________________________Requested for confirmation

Payment must be included with Early Bird Registration.

REFUND POLICY: No refunds will be given for cancellations received after May 1, 2018. LPCA will consider cancellation requests received in writing, emailaccepted, on or before May 1, 2018 and a refund less a $35 administrative fee may be processed at LPCA’s sole discretion. LPCA Office: (770) 449-4547.

LPCA 30th Annual Convention& Regional Conference

Synergy:Connect, Communicate, Collaborate

May 9–12, 2018, Atlanta Marriott Century Center


MEMBERSHIP REPORTS

2017 is a wrap, and now we look

forward to what 2018 has to bring us.

Hopefully our members are on their

way to a happy, healthy, satisfying and

prosperous New Year! I ended 2017 on

a good note, by hosting a dinner just

before the holidays with Senator Renee

Unterman, some local LPCs and other healthcare

professionals. Senator Mike Dugan also joined us briefly.

Senator Unterman was available for casual discussion around

mental healthcare prior to the dinner. Later in the evening,

Ms. Unterman began a more formal discussion about current

and future legislation and policies affecting healthcare in

Georgia. Based on the discussion, it looks like the Health and

Human Services committee that she leads is looking at several

cutting edge and creative ways to address the needs of

Georgia’s citizens in terms of healthcare, including mental

healthcare. This is particularly needed in rural Georgia, which

is sorely underserved. It was a wonderful opportunity to hear

what her committee is working on and to ask some questions

regarding mental healthcare in our state.

We are in full gear for the Convention in May and I am very

excited to be heading it up this year! This is our 30th Annual

Convention and Regional Conference, so marking this special

occasion is a great honor. LPCA has been the only

professional organization dedicated to LPC’s in Georgia for

over 30 years and members like you are what make us great.

We have some openings on the Board, so please contact us if

you would like to volunteer and helpto steer the direction of

LPCA and the profession in Georgia. I hope we can all

remember the call we have to connect, communicate and

collaborate at this convention. Whether we are in private

practice, at an agency or a hospital, we do not practice this

work alone. We do all 3 of these and more with our clients,

our community, other related professionals, our colleagues,

our profession and ourselves daily. Join LPCA as we take time

to remind ourselves how important these aspects are to what

we do and why we do what we do. Coming together as

PRESIDENT-ELECTLisa King Smith, EdS, LPC

professionals and supporting one another, we can remind each

other how important and rewarding connecting,

communicating and collaborating with our colleagues are to

what we do. The call for programs is open, so if you have

gotten further training in an area of mental health or have

something insightful, useful or needed to share with us, please

consider submitting your application to present. As always, we

are emphasizing student involvement as well, so I hope to

encourage graduate students to submit a poster presentation

proposal or to simply volunteer. This is a great opportunity to

gain some insight into the profession, meet other practicing

professionals in Georgia and to learn along with the rest of us.

I hope to visit some universities in the coming year to speak

to students and faculty about LPCA and the profession. Our

SAOs are active and have some very innovative ideas floating

around. Fortunately, my solo private practice is quite busy, but

outside of my own District, I can generally make a Friday visit

work. Currently, I have some tentative plans to visit LaGrange

College and the University of West Georgia early in the 2018.

If your University would like for a visit from the President-

elect, the President, or any Board member please contact us.

Hope to see all of you at the upcoming Convention!

Dinner at Sutton’s Restaurant discussing mental healthcare in Georgia

VA Releases VeteranSuicide Statisticshttps://www.va.gov/opa/pressrel/pressrelease.cfm?id=2951

This release is part of VA’s comprehensive examination ofmore than 55 million records, from 1979 to 2014 that will beused to develop and evaluate suicide prevention programsacross every state. The new data includes Veteran suiciderates and overall suicide rates by state, age group, and genderand list the most common suicide methods. Analysis of thisinformation will help VA’s Office of Mental Health andSuicide Prevention gain insight into high-risk populations andshare that information with community-based health careproviders and partners, continuing to expand the network ofsupport for Veterans.

Among VA Findings:

Findings show there is variability across the nation in therates and numbers of deaths by suicide among Veterans.Overall, the Veteran rates mirror those of the generalpopulation in the geographic region, with the highest rates inWestern states. While we see higher rates of suicide in somestates with smaller populations, most Veteran suicides are stillin the heaviest populated areas.

The suicide rate among middle-aged and older adult Veteransremains high. In 2014, approximately 65% of all Veterans whodied by suicide were age 50 or older.

After adjusting for differences in age and sex, risk for suicidewas 22% higher among Veterans when compared to U.S. non-Veteran adults. After adjusting for differences in age, risk forsuicide was 19% higher among male Veterans when comparedto U.S. non-Veteran adult men. After adjusting for differencesin age, risk for suicide was 2.5 times higher among femaleVeterans when compared to U.S. non-Veteran adult women.

“These findings are deeply concerning, which is why I madesuicide prevention my top clinical priority,” said VA SecretaryDr. David J. Shulkin. “I am committed to reducing Veteran

MEMBERSHIP REPORTS


A Teletherapy Case StudyShannon Barnes, PhD, LPC, CPCSLPCA Continuing Education Chair

Teletherapy was viewed as a practice that depleted the therapeutic

process from its effectiveness not long ago. However, teletherapy

is a growing trend in the way that professionals offer services.

Teletherapy was most often completed by telephone session or

email session in the beginning. These avenues continue to be

utilized. However, video conferencing may currently be the

most preferred method used by therapists and clients. It has

been predicted that within five years, more than half of clients

will seek therapy through technology. I have implemented

teletherapy into my private practice, and I have found that

most people do not prefer technology based therapy. For those

who do choose teletherapy, various concerns may arise.

I agreed to treat a middle-aged person via teletherapy at the

client’s request. The client stated that due to work scheduling,

a traditional visit to my office could not be made. Therefore,

this option was, as the client stated, “better than nothing.”

The client presented with symptoms of depression. Daily

living skills were average, and the client did not describe

current negative life events.

The client’s concerns regarding excessive consumption of

alcohol was disclosed after a few sessions. As I assessed the

alcohol consumption concerns, the client disclosed a

perception that alcohol may be the core of the depression

symptoms that had risen. I agreed. I implemented a CBT

approach that I have found to be successful. The client was

receptive and willing to do the work necessary to abstain

from alcohol consumption and decrease depression symptoms.

The client made progress over the course of the treatment.

However, on many occasions the client had difficulty with

internet connection. The client was easily distracted when

the computer would alert the client that an email or other

message had been received. The client also had difficulty

preventing distractions in the environment. For example,

a cat that wanted attention would disrupt the session.

I discussed these issues and attempted to lay the ground work

for teletherapy sessions during the first session. The client

agreed, however, did not abide by the ground rules. I reminded

the client as needed, but the client continued to struggle

with distractions.

At approximately session number six, the client reported

that abstinence was not possible. The client proceeded to

participate in binge drinking episodes. The client had

announced that no further sessions would be scheduled.

The client acknowledged some progress but did not see the

benefit of continuing. I talked with the client regarding other

resources that could be utilized so that progress could be

maintained. The client reported feelings of disbelief that any

resources would be helpful. As we finalized our discharge

session I asked the client to give an opinion regarding

teletherapy. The client stated, “I guess it is better than

nothing. But it was more trouble than it was worth.”

This case study, along with a few others in my experience,

represents barriers that can limit the therapeutic process

and ultimately limit progress for our clients. I must wonder,

if in this case teletherapy may have been more harmful than

beneficial. In my experience, clients who are very disciplined

and familiar with using technology to reach a specific goal are

not easily distracted and therefore can remain focused on

their therapeutic work utilizing teletherapy. However, for

many clients the reflex to attend to distractions as they occur

in the environment causes difficulty that is beyond the

clinician’s control.

Teletherapy is a benefit to some populations and to other

populations it may not be effective. These populations are

not only categorized by their treatment goals or presenting

issues. These populations can also be categorized into the

ability to focus category or the easily distracted category.

In my experience, two out of ten clients fully benefit from the

therapeutic process while utilizing teletherapy. The remaining

eight have difficulty engaging and remaining focused. They

typically become frustrated and quit therapy. This is not

usually an issue during traditional face to face office sessions.

For this case study, it is important to consider the possibility

that in office sessions may have been more beneficial to this

client for many reasons.

suicides through support and education. We know that of the20 suicides a day that we reported last year, 14 were not underVA care. This is a national public health issue that requires aconcerted, national approach.”

This report is unprecedented in its comprehensive analysisof suicide rates among all U.S. Veterans. Unlike previous VAreports, this report provides information on all recordedsuicides among all known Veterans living in the UnitedStates. Additional enhancements include direct comparisonsof Veterans’ suicide rates with those of analogous civilianpopulations, calculation of suicide rates among populationswith known elevations in suicide risk (e.g., with mental healthdiagnoses) and groups with emerging risk (e.g., patients whoare prescribed opioids), and comparisons between Veteranswho do and do not use VHA services. In contrast to previousVA reports, rates of suicide have been calculated by calendaryear to facilitate comparison with national statistics andreports from other agencies.

Percentage of VHA Users with Diagnosis of MH Condition/Substance Use Disorder (SUD) by Calendar Year.

Main finding: Percentage of VHA users diagnosed with a MH conditionor an SUD has increased substantially since 2001.

MEMBERSHIP REPORTS


DirectedExperience:It’s Not Just About

Getting Hours

Don Durkee EdS, LPC, CPCS, NCC

Certified Supervisors, take notice!

We’ve been getting a lot of questions

lately about directed experience. LAPCs and other licensure

candidates have been asking, “How many hours do I have to

spend with clients?” or “How many hours of supervision do I

have to have?” or “What can I count toward my total hours?”

Interestingly, no one asks, “How can I get the most out of my

directed experience?” or “How can I learn the things not

covered in graduate school?” or “How can I learn to be a true

professional?”

Recently, we have also learned of some disturbing incidents

involving LAPCs. In one case, a young man working in a

treatment center became romantically involved with a client

and continued to see her even after being directed not to by

his supervisor. He subsequently described his actions

involving the client as “being supportive.” A young woman, in

another situation, worked in a group practice. She went out

with friends on a weekend and was arrested for DUI and

possession of an open bottle of Alcohol. In a subsequent

meeting with her supervisor, the woman stated her belief that

what she did on her own time was her business and was not

related to her work. Finally, in a third case, an LAPC close to

licensure gave her roommate her client’s cell phone number

and directed the roommate to inform the client that his

session was cancelled. The LAPC subsequently explained,

“His therapy was going nowhere, and it needed to end.”

The possible consequences of these events in terms of harm to

the public, negative reflection on the counseling profession,

and severe sanctions for the Associate Counselors involved are

obvious. Yet as disturbing as these incidents are, the attitude

they appear to reflect is equally disturbing. Each Associate

seemed to be assuming that his or her professional obligations

exist only at certain times and in certain places and that

somehow life as a “professional” can be partitioned off from

the rest of life. The idea seems to be that being a professional

only involves something that you do and not something that

you become.

It is noteworthy that we always speak of “being a

professional.” We don’t talk about “doing” our profession.

The author, John Gardner, years ago, described his profession

as “a way of being in the world.” It is no different for

counselors. An accomplished therapist and teacher once told

me, “You don’t select your profession; it selects you. You don’t

study it and learn it; you grow into it.” This is certainly true

for counseling. Once you truly become a professional

counselor, you are not that on duty at certain days and at

certain times; you are a professional counselor always and in

all circumstances, even when you are not actually practicing.

Counselors also recognize that their professional status is

given to them in trust and that they are privileged to serve

just as with other professionals. In keeping with this trust

counselors have an obligation to maintain the highest possible

standards, not just the minimum standards specified by law.

As a result, counselors are never complacent. They constantly

seek to learn and to improve, to raise their own standards of

practice as well as those of their profession. Finally,

counselors recognize that at as professionals, they must also

monitor the activities of other professionals as a safeguard

against anything that could harm the public.

While the subject of professionalism does get some attention

in graduate classes, it cannot be adequately covered there.

Being a professional is not something that can be fully

understood from class discussion. Perhaps even more than an

intellectual grasp, true understanding requires emotional and

even spiritual involvement, the kind that only comes from

experience. And experience cannot be taught!

It is almost axiomatic that the single most influential factor

determining the quality and preparation of counselors

entering the profession is the supervision that they receive.

To obtain quality supervision, LAPCs starting their directed

experience can consult the LPCA Registry of Counselor

Supervisors. This important resource lists qualified

supervisors, with their location and contact information.

Registered Supervisors in turn can play an increasingly vital

role by helping beginning counselors transition from the

classroom to the profession.

LPCA also encourages mentoring relationships as an effective

part of the preparation of license-eligible and beginning

counselors. This spring, at the LPCA Annual Convention at

Callaway Gardens, a mentoring event is planned where

experienced counselors will be available to connect with

anyone wanting to learn about what being an LPC really

means. Moreover, in at least one pre-convention workshop,

Registered Supervisors will be discussing all aspects of

directed experience. Recent graduates and LAPCs are

encouraged to attend, and Counselor Educators are

encouraged to send their students. Everyone is invited to

learn all about directed experience and its purpose, to ask

questions, and to find out what it is really like to be a

professional counselor.

Finally, in all this there is a message for Certified Supervisors.

It falls to us to be more active in mentoring or encouraging

those who are beginning their careers as counselors. We

have both an opportunity and an obligation to help shape

the future of our profession. After all, we will ultimately be

measured not just by what we do but by what we leave behind.

Will our legacy be a generation of counselors who are

clinically competent yet professionally inept? Or will we help

those coming after us understand that being a professional

does not mean being a technician, that it cannot be just an

intellectual exercise or something that you put on, like an

article of clothing. Will those who look to us for guidance and

a positive example see how being a professional counselor is

really a way of life? That way of life may depend on our

answers.


MEMBERSHIP REPORTS

The War at Home:Assessing and TreatingPosttraumatic Stress DisorderRenee Sylvester, LPC

While not all Veteran suicides are attributed to PosttraumaticStress Disorder (PTSD), this condition is one of the mostprevalent mental health concerns among men and womenwho have served in the Armed Forces. Although manysymptoms of PTSD (e.g. hypervigilance, nightmares, re-experiencing, avoidance) are obvious to the trained clinician,other symptoms are more subtle and difficult to identify.One Veteran who receives treatment for PTSD described arecent experience. He stated, “I had a dream that someonewas trying to steal my dogs. I got out of bed, locked the dogsup, and then I started packing supplies and loading my guns.My wife was crying and telling me to wake up, but I wasarguing with her, saying, ‘Does it look like I’m asleep?’ I justcouldn’t snap out of it.” Another said, “It’s been five yearssince I’ve been to a combat zone, and I’m still constantlyscanning the road for IEDs. I can’t stand to be stuck in trafficor to be in a crowd.”

Over the past several years, the mental health communityhas made significant progress in diagnosing and treatingPTSD. Accurate and thorough assessment includes not justa structured clinical interview, but also a review of collateralinformation and previous treatment records, combined withempirical data gathered through administration of standardizedinstruments. The Trauma Screening Questionnaire (TSQ) isa 10-item self-report measure which assesses five symptomsof re-experiencing and five of arousal. The Short Posttraumatic

Stress Disorder Rating Interview (SPRINT) is an eight-iteminstrument which asks respondents to rate symptoms ofintrusion, avoidance, numbing, and arousal using a Likertscale of zero to four (National Center for PTSD, 2016). Severalother instruments are available at little or no cost to assistwith accurate diagnosis.

Comprehensive treatment planning, which incorporatesmultiple aspects of functioning, as well as the individual’sfamily members, is the key to healing. A combination ofpsychopharmacological intervention and evidence-basedtherapy techniques which address the individual’s social,emotional, behavioral, and vocational functioning can helpVeterans improve their quality of life, resume healthyrelationships, and avoid persistent mental health crises.Although there is much work to be done, advances intreatment techniques, increased awareness, the expansionof telehealth services, and the development of a collaborativetreatment network will bring us closer to helping Veteransregain the freedom they fought for.

References:

National Center for PTSD. (2016). Sprint. Retrieved from http://www.ptsd.va.gov/professional/assessment/screens/sprint.asp

Slack, D. (2017, January 25). Trump hiring freeze includes the short-staffedVA. USA Today. Retrieved from http://www.usatoday.com/story/news/politics/2017/01/24/trump-hiring-freeze-includes-veterans-affairs/96999464/

United States Department of Veteran Affairs. (2016, July 17). VA conductsnation’s largest analysis of veteran suicide. Retrieved from https://www.va.gov/opa/pressrel/pressrelease.cfm?id=2801

Changes tothe DSM-5Timothy Robinson, LPC, CPCS, CAS-F

The purpose in writing this article is

to introduce the changes that havetaken place to the DSM-5 when it

replaced the DSM IV-TR. Thesechanges are quite significant and

broad ranging; this article will onlycover the highlights. The time that

elapsed to change to a new manual has been longer than inprevious editions. It was also adopted in order to bring the

DSM in line with the ICD-10 codes (Rodriguez-Testal, Senin-Calderon, & Perona-Garcelan, 2014). Controversy surrounded

the release of the DSM-5. These included: the pathologizing ofnormal behavior, the fact that the work groups operated in

secrecy and that 69% of members had direct ties to thepharmaceutical industry (Rodriguez-Testal, Senin-Calderon,

& Perona-Garcelan, 2014).

The layout of the DSM-5 is done to present the disorders to

match the progression through the human lifespan (AmericanPsychiatric Association, 2017). There are fewer diagnoses in

the DSM-5 but more chapters than in the DSM IV-TR (22versus 17). The loss of diagnoses resulted partly from

organizing disorders into spectrums, such as Autism SpectrumDisorder and Substance Use Disorder. Personality disorders

remain essentially unchanged with the same 10 personalitydisorders, but they have been organized into subsections (A,

B, C still).

Descriptions of emotional and psychosocial traits are listed inchapter III for proposed level of functioning and trait criteria

guides are found in the back of the DSM-5 on personalitydisorders which are very helpful. One can expect major

changes in the next edition; there will probably be fewerpersonality disorders due to symptom overlap (American

Psychiatric Association, 2017). Disorders were not onlyeliminated, but also renamed and combined. The criteria has

also changed for many disorders. Examples of some changes indisorders are listed below.

Some new disorders are: Premenstrual Dysphoric Disorder,Disruptive Mood Dysregulation Disorder (added to diagnose

children), Hoarding Disorder, Excoriation Disorder (skinpicking), and Binge-Eating Disorder. Name changes follow:

Illness Anxiety Disorder replaces Hypochondriasis.Intellectual Disability replaces Mental Retardation. Fluency

Disorder replaces Stuttering, and Dysthymia was renamedChronic Depressive Disorder. This is just a sample; there are

more disorders and name changes.

The removal of the Multiaxial System has causedconsternation to many clinicians. The DSM-5 moved to a

nonaxial documentation of diagnosis, with separate notationsfor psychosocial and contextual factors. What were V codes

have been expanded and renamed Z codes. Some counselorsdo not like the removal of the GAF score. It was taken out

because it did not seem evidence-based and it did not captureareas of life functioning (Moulding, R., 2014). The WHODAS,

found in “Section III Emerging Measures and Models”, can beused in its stead. This seems to be progress because it is a

psychometric tool. Continued on page 13

CONTINUING EDUCATION



CE cycle is Oct. 1, 2016 to Sept. 30, 2018. All LAPCs and LPCs need35 clock hours to renew. It is never too early to start getting CEs!

[email protected]

Title: Become a Certified Anger Management SpecialistDates: January 11–12, 2018Location: High Impact Training,44 Broad St. NW, Ste. 707,

Atlanta GA 30303Core: 12Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagemewntofga.com

Title: Core Elements of Crisis InterventionDate: January 18, 2018Location: 111 Petrol Point, Peachtree City, GA 30269Core: 6Contact: Sharon Grant Phone: 470-377-6839Email: [email protected]: www.oasisofserenitycounseling.net

Title: From What’s Wrong to What’s Strong:Enhancing Client’s Thriveability

Date: January 18, 2018Location: Positive Solutions Family Enrichment Services,

1227 Augusta West Pkwy., Ste. 201, Augusta, GACore: 6Contact: Gary Byrd or Lynda SmithPhone: 404-523-6074 Email: [email protected]: www.angermanagementofga.com

Title: Ethics and Mental Health and Healthcare—An All-Day Ethics Symposium!

Date: January 19, 2018Location: Peachford Hospital, Peachford Conf. Cntr.,

2151 Peachford Rd., Atlanta, GA 30338Ethics: 5Contact: Sarah Gaunt Phone: 770-880-9873Email: [email protected]: http://www.ceucreationsinc.com/events

Title: Ethical Counseling with LGBTGEQ+ IndividualsDate: January 19, 2018Location: Unitarian Universalist Congregation of Gwinnett

12 Bethesda Church Rd., Lawrenceville, GACore: 1 Ethics: 5Contact: Nickie Fuentes Phone: 678-802-9355Email: [email protected]: www.moderntribecounseling.com

Title: Virtue Ethics Part 2:Deep Dialogue on Ethics and Character

Date: January 19, 2018Location: 125 East Trinity Place, Ste. 303 Decatur, GAEthics: 5Contact: Ronee Griffith, PhD Phone: 770-845-0913Email: [email protected]

Title: Supporting Families as They Carefor an Elder with Dementia

Date: January 19, 2018Location: 3995 South Cobb Dr., Smyrna, GA 30080Core: 5Contact: Erin Evans Phone: 770-434-4568 ext. 3001Email: [email protected]: www.ridgeviewinstitute.com

Title: Ethical Review for the Mental Health ProfessionalDate: January 19, 2018Location: 1905 Woodstock Rd., Ste. 7150, Roswell, GAEthics: 5Contact: Jacqueline Oduselu Phone: 404-644-5523Email: [email protected]: http://www.peacemaker-solutions.com

Title: How to Execute an Order for 1013 and 2013 in GADate: January 20, 2018Location: 1905 Woodstock Road, Ste. 7150, Roswell, GACore: 2.5 Ethics: 0.5Contact: Jacqueline Oduselu Phone: 404-644-5523Email: [email protected]: http://www.peacemaker-solutions.com

Title: Intro to Play Therapy—Why Play Therapy?Date: January 20, 2018Location: 110 Samaritan Dr., Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com

Title: Demystifying 1013 and 2013 ExecutionDate: January 20, 2018Location: 1900 The Exchange, Bldg. 100, Atlanta, GACore: 2.5 Ethics: 0.5Contact: Sonja Sutherland Phone: 404-835-6119Email: [email protected]: www.CounselorEducationLC.com

Title: Social & Cultural Diversity Ethics: Justice for All?Date: January 20, 2018Location: 1900 The Exchange, Bldg. G 100, Atlanta GACore: 6 Ethics: 6Contact: Sonja Sutherland Phone: 404-835-6117Email: [email protected]: www.counseloreducationLC.com

Title: The Dark Journey from Pain Medicationto Heroin Use Disorder

Date: January 24, 2018Location: Positive Solutions Family Enrichment Services,

1227 Augusta West Pkwy., Ste. 201, Augusta, GACore: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagementofga.com

Title: Foundations of Clinical SupervisionDates: January 25, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Models and Methods of Clinical SupervisionDate: January 26, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Foundations of Supervision:Preparing for Effective Supervision

Date: January 26, 2018Location: Life Church International, 4830 River Green Pkwy.

Ste. 150, Duluth, GA 30096Core: 6 Supervision: 6Contact: Kristen Ryan Phone: 770-331-9988Email: [email protected]: www.growdeepcounseling.com

Title: Flirting with Uncertainty:Feelings, Boundaries and Contexts

Date: January 26, 2018Location: Link Counseling Center

348 Mt. Vernon Hwy. NE, Atlanta, GA 30328Core: 3Contact: Anni Tuikka Phone: 404-549-5151Email: [email protected] Website: www.annakaye.com

Title: An Introduction to Trauma Informed CareDate: January 26, 2018Location: 48 Henderson St SW, Marietta, GA 30060Core: 3Contact: Anne Cumings Phone: 770-423-3595Email: [email protected]: www.livesaferesources.org

Title: Play Therapy Theories and Modalities—How is it used?

Date: January 26, 2018Location: 110 Samaritan Dr., Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com

Title: Keeping Your Ethics ProfessionalDate: January 26, 2018Location: High Impact Training & Counseling, Inc.

44 Broad St., NW, Ste. 707, Atlanta, GA 30303Ethics: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagementofga.com

Title: The Ethical Vortex: Navigating the Gray SpaceDate: January 26, 2018Location: Hilton Garden Inn, 1065 Stevens Creek Rd.,

Augusta, GA 30907Ethics: 6Contact: Carolyn Ramp Phone: 706-825-4691Email: [email protected]: www.visitrcp.com

Title: Managing Differences and DifficultPopulations in Clinical Supervision

Date: January 27, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Anger Management:Confronting Our Anger for Good

Date: January 27, 2018Location: Fayette Executive Suites, 110 Habersham Dr.,

Fayetteville, GA 30214Core: 6Contact: Darnell Blocker Phone: 770-946-2312Email: [email protected]: http://www.theheavenlytherapy.com

Title: Legal and Ethical Issues in Clinical SupervisionDate: January 28, 2018Ethics: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: From What’s Wrong to What’s Strong:Enhancing Client’s Thriveability

Date: January 29, 2018Location: HITC, 44 Broad St. NW, Ste. 707, Atlanta, GACore: 6Contact: Gary Byrd or Lynda SmithPhone: 404-523-6074 Email: [email protected]: www.angermanagementofga.com

Title: Counseling Men: Improving Treatment OutcomesDate: January 30, 2018Location: Macon, GACore: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagemewntofga.com



Updated Members Only forms for CE approval are now available at www.LPCAGA.org; clickon Career & Training or email [email protected].

Title: Play Therapy: Therapy Stages/Themes/PatternsDate: February 2, 2018Location: 110 Samaritan Dr., Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com

Title: De-Conditioning, Educating, and TreatingClients Regarding Marijuana

Date: February 2, 2018Location: 3995 South Cobb Dr., Smyrna, GA 30080Core: 3Contact: Erin Evans Phone: 770-434-4568 ext. 3001Email: [email protected]: www.ridgeviewinstitute.com

Title: Understanding How Unresolved Issues fromOur Past Compromises our Ability to CreateHealthy and Stable Relationships

Date: February 3, 2018Location: 2801 Buford Hwy. NE, Ste. T-100, Atlanta, GACore: 1.5Contact: Natasha LaMarr Phone: 404-969-9722Email: [email protected]: www.thewivesinc.com

Title: Learning How to Heal Your Inner Wounds(Grief and Loss Activities)


Title: Forgiveness of Emotional DebtDate: February 3, 2018Location: 2801 Buford Hwy. NE, Ste. T-100, Atlanta, GACore: 1.5Contact: Natasha LaMarr Phone: 404-969-9722Email: [email protected]: www.thewivesinc.com

Title: Embrace Self-Awareness from Mind, Body,and Soul (Truama-focused)


Title: Ethical Review for the MH ProfessionalDate: February 3, 2018Location: 1905 Woodstock Rd., Ste. 7150, Roswell, GAEthics: 5Contact: Jacqueline Oduselu Phone: 404-644-5523Email: [email protected]: http://www.peacemaker-solutions.com

Title: Foundations of Clinical SupervisionDate: February 8, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Models and Methods of Clinical SupervisionDate: February 9, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Play Therapy: Beginner Sand TrayDate: February 9, 2018Location: 110 Samaritan Dr., Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com

Title: Supervision Ethics and DocumentationDate: February 9, 2018Location: Hilton Garden Inn, 1065 Stevens Creek Rd., AugustaEthics: 6 Supervision: 6Contact: Carolyn Ramp Phone: 706-825-4691Email: [email protected] Website: www.visitrcp.com

Title: Become a Certified Anger Management SpecialistDates: February 1–2, 2018Location: High Impact Training

44 Broad St. NW, Ste. 707, Atlanta GA 30303Core: 12Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagemewntofga.com

Title: Strategic Trauma and Abuse Recovery(S.T.A.R.): A Detailed Map for Healing

Dates: February 1–3, 2018Location: 1944 Brannan Rd. Extension, McDonough, GACore: 18Contact: Denice Colson Phone: 678-289-6981Email: [email protected]: www.TraumaEducation.com

Title: Professional Ethics: Values, Responsibilities,and Practices Within the Counseling Field

Date: February 10, 2018Location: Fayette Executive Suites, 110 Habersham Dr.,

Fayetteville, GA 30214Ethics: 6Contact: Darnell Blocker Phone: 770-946-2312Email: [email protected]: http://www.theheavenlytherapy.com

Title: A Polyvagal Theory Perspective:What Makes Relationships So Damn Hard?

Date: February 10, 2018Location: Trinity Presbyterian, 3003 Howell Mill Rd. NW, AtlantaCore: 5Contact: Murray Dabby Phone: 404-633-3282Email: [email protected]: www.sispatlanta.org

Title: Am I Being Ethical?Why Counselors Struggle with Ethical Issues

Date: February 10, 2018Location: 1801 Gloucester St. Brunswick, GA 31520Ethics: 6Contact: Elaine Latimer-Tandy Phone: 912-268-4747Email: [email protected]: www.LT-Counseling.com

Title: Legal and Ethical Issues in Clinical SupervisionDate: February 11, 2018Ethics: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Become a Certified Anger Management SpecialistDates: February 13–14, 2018Location: Positive Solutions Family Enrichment Services

1227 Augusta West Pkwy., Ste. 201, Augusta, GACore: 12Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagemewntofga.com

Title: Foundations of Clinical SupervisionDate: February 15, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Angry Couples: Stopping the Rage andIncreasing the Love

Date: February 15, 2018Location: Positive Solutions Family Enrichment Services,

1227 Augusta West Pkwy., Ste. 201, Augusta, GACore: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagementofga.com

Title: Models and Methods of Clinical SupervisionDate: February 16, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Telemental Health for Behavioral HealthProfessionals

Date: February 16, 2018Location: Unitarian Universalist Congregation of Gwinnett

12 Bethesda Church Rd., Lawrenceville, GACore: 6 Supervision: 6Contact: Nicole Fuentes Phone: 678-802-9355Email: [email protected]: www.moderntribecounseling.com

Title: Play Therapy Strategies and TechniquesDate: February 16, 2018Location: 110 Samaritan Dr., Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com

Title: Eating Disorders:The Case for an Integrated Addiction Model

Date: February 16, 2018Location: 3995 South Cobb Dr., Smyrna, GA 30080Core: 5Contact: Erin Evans Phone: 770-434-4568 ext. 3001Email: [email protected]: www.ridgeviewinstitute.com

Title: Keeping Your Ethics ProfessionalDate: February 16, 2018Location: Positive Solutions Family Enrichment Services

1227 Augusta West Pkwy., Ste. 201, Augusta, GAEthics: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagementofga.com


Date: February 17, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Legal & Ethical Issues in Clinical SupervisionDate: February 18, 2018Ethics: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training



Title: Introduction to Working with Childrenwith Sexual Behavioral Problems

Dates: February 19–22, 2018Core: 20Contact: Gloria Cisse Phone: 478-741-1268Email: [email protected]

Title: Counseling Men: Improving Treatment OutcomesDate: February 20, 2018Location: 44 Broad St. NW, Ste. 707, Atlanta GA 30303Core: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagemewntofga.com

Title: Tidbits and Tokens: Ideas on MakingCounseling Sessions Active and Engaging

Date: February 22, 2018Location: 5598 Bells Ferry Rd., Acworth, GA 30102Core: 5Contact: Alica Davis Phone: 770-337-3122Email: [email protected]

Title: Play Therapy Questions Asked? Dealing withParents, Sibling, Assessments and More

Date: February 23, 2018Location: 110 Samaritan Dr., Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com


Date: February 24, 2018Location: Fayette Executive Suites, 110 Habersham Dr.,


Title: The Dark Journey from Pain Medication toHeroin Use Disorder

Date: February 27, 2018Location: HITC, 44 Broad St. NW, Ste. 707, Atlanta, GACore: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagementofga.com

Title: Foundations of Clinical SupervisionDate: March 1, 2018Location: Macon, GACore: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Models and Methods of Clinical SupervisionDate: March 2, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Creative Expressive Therapy for Pre-teensand Teens

Date: March 2, 2018Location: 110 Samaritan Dr., Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com


Date: March 3, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Mindfulness in Clinical SupervisionDate: March 3, 2018Location: Columbus, GACore: 6 Supervision: 6Contact: Sandra Phillips Phone: 706-750-4275Email: [email protected]: www.transformation3cs.com

Title: Legal & Ethical Issues in Clinical SupervisionDate: March 4, 2018Ethics: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Become a Certified Anger Management SpecialistDates: March 8–9, 2018Location: High Impact Training,44 Broad St. NW, Ste. 707,


Title: Professional Ethics and Clinical Practice:Common Case Scenarios

Date: March 9, 2018Location: 3995 South Cobb Dr., Smyrna, GA 30080Ethics: 5Contact: Erin Evans Phone: 770-434-4568 ext. 3001Email: [email protected]: www.ridgeviewinstitute.com


Date: March 10, 2018Location: Fayette Executive Suites, 110 Habersham Dr.,



Date: March 10, 2018Location: Trinity Presbyterian, 3003 Howell Mill Rd. NW, AtlantaCore: 5Contact: Murray Dabby Phone: 404-633-3282Email: [email protected]: www.sispatlanta.org

Title: Am I Being Ethical? Why Counselors Strugglewith Ethical Issues

Date: March 10, 2018Location: 1801 Gloucester St., Brunswick, GA 31520Ethics: 6Contact: Elaine Latimer-Tandy Phone: 912-268-4747Email: [email protected]: www.LT-Counseling.com

Title: Certified Grief Specialist TrainingDates: March 12–14, 2018Location: High Impact Training,44 Broad St. NW, Ste. 707,

Atlanta GA 30303Core: 18Contact: Gary ByrdPhone: 404-523-6074 Email: [email protected]: www.angermanagemewntofga.com

Title: Intermediate Sand Tray (Must have completed Beginner Training)


Title: Counseling Men: Improving Treatment OutcomesDate: March 16, 2018Core: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagemewntofga.com

Title: Mindfulness in Clinical SupervisionDate: March 16, 2018Location: Quality Inn Suites, 505 Pharr Rd. NE, Atlanta, GACore: 6 Supervision: 6Contact: Sandra Phillips Phone: 706-750-4275Email: [email protected]: www.transformation3cs.com

Title: Become a Certified Anger Management SpecialistDates: March 19–20, 2018Location: River Edge Behavioral Health, 175 Emery Hwy.,

Macon, GA 31217Core: 12Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagemewntofga.com

Title: Foundations of Clinical SupervisionDate: March 22, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Models and Methods of Clinical SupervisionDate: March 23, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Ethical Counseling with LGBTGEQ+ IndividualsDate: March 23, 2018Location: Columbus Dept. of Health and Human Services,

2100 Comer Ave., Columbus, GA 31904Core: 1 Ethics: 5Contact: Nickie Fuentes Phone: 678-802-9355Email: [email protected]: www.moderntribecounseling.com

Title: Play Therapy: Dealing with Diagnosis—Anxiety, ADHD, etc.



Date: March 24, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training



Title: Anger Management: Confronting Our Angerfor Good



Title: Legal & Ethical Issues in Clinical SupervisionDate: March 25, 2018Ethics: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Mindfulness in Clinical SupervisionDate: March 30, 2018Core: 6 Supervision: 6Contact: Sandra Phillips Phone: 706-750-4275Email: [email protected]: www.transformation3cs.com

Title: Canine Assisted Play TherapyDate: March 30, 2018Location: 110 Samaritan Dr., Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com




Title: Ethics and the 12 Shades of Gray AreasInteractive Workshop

Date: March 31, 2018Location: Quality Buckhead Village, Atlanta, GA 30305Ethics: 5Contact: Sandra Phillips Phone: 706-750-4275Email: [email protected]: www.transformation3cs.com

Title: Certified Grief Specialist TrainingDates: April 4–6, 2018Location: High Impact Training,44 Broad St. NW, Ste. 707,


Title: Become a Certified Anger Management SpecialistDates: April 9–10, 2018Location: High Impact Training,44 Broad St. NW, Ste. 707,


Title: Foundations of Clinical SupervisionDate: April 12, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Fundamentals of Clinical Supervision:Frameworks and Models of Supervision

Date: April 13, 2018Location: Positive Impact Health Centers, 523 Church St.,

Decatur, GA 30030Core: 6 Supervision: 6Contact: Thomas Murphy Phone: 404-226-7721Email: tmurphy@actrainingandsupervision. comWebsite: www.actrainingandsupervision.com

Title: Models and Methods of Clinical SupervisionDate: April 13, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Play Therapy: Filial Therapy Child Parent TrainingDate: April 13, 2018Location: 110 Samaritan Dr., Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com

Title: Putting the Brain Back in the Body:Integrating Physical and Mental Health

Date: April 13, 2018Location: 3995 South Cobb Dr., Smyrna, GA 30080Core: 3Contact: Erin Evans Phone: 770-434-4568 ext. 3001Email: [email protected]: www.ridgeviewinstitute.com

Title: The Supervisory Relationship:Alliance and Multicultural Issues

Date: April 14, 2018Location: Positive Impact Health Centers, 523 Church St.,

Decatur, GA 30030Core: 6 Supervision: 6Contact: Thomas Murphy Phone: 404-226-7721Email: tmurphy@actrainingandsupervision. comWebsite: www.actrainingandsupervision.com


Date: April 14, 2018Core: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training


Date: April 14, 2018Location: Fayette Executive Suites, 110 Habersham Dr.,



Date: April 14, 2018Location: Trinity Presbyterian, 3003 Howell Mill Rd. NW, AtlantaCore: 5Contact: Murray Dabby Phone: 404-633-3282Email: [email protected]: www.sispatlanta.org

Title: Am I Being Ethical? Why Counselors Strugglewith Ethical Issues

Date: April 14, 2018Location: 1801 Gloucester St. Brunswick, GA 31520Ethics: 6Contact: Elaine Latimer-Tandy Phone: 912-268-4747Email: [email protected]: www.LT-Counseling.com

Title: Legal & Ethical Issues in Clinical SupervisionDate: April 15, 2018Ethics: 6 Supervision: 6Contact: Sandra Paul Phone: 678-705-3828Email: [email protected]: www.ccs-lsu.com/training

Title: Become a Certified Anger Management SpecialistDates: April 16–17, 2018Core: 12Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagemewntofga.com

Title: Keeping Your Ethics ProfessionalDate: April 19, 2018Location: Armstrong Cntr.,13040 Abercorn St., Savannah, GAEthics: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagementofga.com

Title: All Parts Welcome: A Workshop on Internal FamilySystems Therapy for the Christian Counselor

Date: April 20, 2018Location: 2200 Buford Hwy., Buford, GA 30518Core: 6Contact: Michael Sytsma, PhD Phone: 770-822-4505Email: [email protected]: http://IntimateMarriage.org/ceu

Title: Advanced Sand Tray (Must have completed Intermediate Training)

Date: April 20, 2018Location: 110 Samaritan Dr. Ste. 208, Cumming, GA 30040Core: 5Contact: Amanda Slaughter Phone: 888-850-4891 ext.11Email: [email protected]: https://www.familycounseling4ng.com

Title: Children Exposed to Domestic Violence:Best Practices for Clinical Therapists

Date: April 20, 2018Location: Mansour Conference Center, 995 Roswell St.,

Ste. 100, Marietta, GA 30060Core: 5Contact: Michelle White Phone: 404-209-0280 ext. 27Email: [email protected]: https://training.gcadv.org/Events

Title: Keeping Your Ethics ProfessionalDate: April 20, 2018Location: Riveredge Behavioral Cntr., 175 Emery Rd., MaconEthics: 6Contact: Gary Byrd Phone: 404-523-6074Email: [email protected]: www.angermanagementofga.com

Title: Trauma-Informed Supervision: FundamentalInformation and Strategies

Date: April 21, 2018Location: Positive Impact Health Centers, Decatur, 523

Church St., Decatur, GA 30030Core: 3 Supervision: 3Contact: Thomas Murphy Phone: 404-226-7721Email: [email protected]: www.actrainingandsupervision.com

Title: Supervision and Ethics in Telemental HealthCounseling

Date: April 21, 2018Location: Positive Impact Health Centers, Decatur, 523

Church Street, Decatur, GA 30030Core: 3 Ethics: 3 TeleMental: 3 Supervision: 3Contact: Thomas Murphy Phone: 404-226-7721Email: [email protected]: www.actrainingandsupervision.com


MEMBER INTERESTS

Mental Health in Rural U.S.There is a significant need for mental health services in rural

United States. According to Results from the 2016 National

Survey on Drug Use and Health: Detailed Tables, 18.7% of

residents of nonmetropolitan counties, over 6.5 million people,

had some sort of mental illness in 2016, while 3.9%, about

1.3 million, experienced serious thoughts of suicide. The most

disadvantaged and under-resourced communities are often

those with the most severe need for MH providers. In January

2017, HRSA’s Data Warehouse identified 2,451 mental health

professional shortage areas designated in nonmetropolitan

counties. It is estimated that it would take more than 948

practitioners to remove the designations.

The reimbursement offered by payers such as Medicaid,

Medicare and private insurers has a significant impact on

rural providers. Health clinics may be reluctant to provide

MH services when reimbursement rates are low. In addition,

it found that high no-show rates among MH patients and high

numbers of uninsured patients further exacerbates the issue.

Providing MH services via telemental health has shown

promise. However, reimbursement is also a challenge for that

as well.

In recent years, health policy experts and healthcare providers

have begun to encourage closer integration of mental

healthcare and primary care services. This maximizes the use

of scarce rural healthcare resources while improving the

quality of care for both behavioral health and primary care

patients. Numerous studies have shown that typically MH

patients in rural areas see their primary care provider first. It

can also help to reduce the effects of the social stigma on those

seeking care. Rural patients may be reluctant to be seen in

settings where their privacy might be compromised but more

willing to seek care from a commonplace primary care clinic.

In addition, education and awareness efforts targeted toward

rural residents have been used to increase familiarity and

comfort with mental health issues. An example of this is

the Mental Health First Aid public education program. This

program helps individuals identify, understand (and thereby

reduce the stigma), and respond to signs of mental illnesses

and substance use disorders. The close-knit nature of rural

communities can also mean that residents are more likely to

rally around each other and provide community support in

times of need. This strong external support group can help

facilitate a person’s success in treatment.

For more go to: https://www.ruralhealthinfo.org


MEMBER INTERESTS

The new notation for documenting a diagnosis is presented

here. The primary diagnosis comes first. Other disorders are

ranked in order of their influence on the presenting problem.

Use the code and then the name. One next notates the

appropriate specifiers. Some of these are mandatory, while

others are not. An example of the new method of diagnosing is:

(F10.20) Alcohol Use Disorder, Severe.

(F34.1) Persistent Depressive Disorder, with melancholic

features, late onset, mild severity.

(Z63.5) Disruption of Family by Separation.

WHODAS 60

It was noted earlier that criteria for disorders has changed in

the DSM-5. A few examples will be reviewed. Conduct

Disorder: the exclusion criterion for ODD disorder has been

removed. Individuals can be diagnosed without ODD.

Intermittent Explosive Disorder now does not require assault;

verbal and destructive aggression qualify. Post Traumatic

Stress Disorderno longer requires that the stressor is defined

and a sense of horror is no longer a criteria. Separation

Anxiety Disorder now includes adults. The bereavement

clause for Major Depressive Disorder has been removed. The

age range for Attention-Deficit/Hyperactivity Disorder has

been raised as “before age seven” to age twelve (which

expands the number of potential diagnoses). There are many

more changes. Bulimia Nervosa lowered the behavioral

threshold from twice per week to once per week of purging

behavior.

In summary, this seems to be the most useful DSM of all,

despite controversies and criticisms. It is evidence-based

(American Psychiatric Association, 2017), more multi-

culturally sensitive (in both assessment and the diagnosis

title), is smaller than the DSM IV-TR and it has psychometric

notations and clearer guidelines for use. It also allows for

greater flexibility in diagnosis. The major problem is that the

ICD-11 codes will be in use next year. That would require a

new DSM with the new codes, probably DSM 5.1.

References

American Psychiatric Association (2017). The Organization of DSM-5.Retrieved from https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/dsm-5-fact-sheets

Moulding, R. (2014). Research Gate. Retrieved from: https://www.researchgate.net/post/Is the GAF Axis V of DSM IV a_reliablemeasurement for dimensional diagnoses especially for personality disorders

Rodriguez-Testal, J. F., Senin-Calderon, C., & Perona-Garcelan, S., 2014).From DSM-IV-TR to DSM-5: Analysis of some changes. International Journalof Clinical and Health Psychology, 14, 221-231.

Changes to the DSM-5Continued from page 7


National provider of internet based continuing education courses withseveral years of experience in developing content specifically for thenascent field of e-learning, utilizing advanced e-learning programmingcapabilities. For social workers in twenty-nine states and the District ofColumbia under the National Provider program of NASW, and now forLicensed Professional Counselors and an approved provider for NBCC.

http://www.YourCEUs.com

Live In-Person TrainingsAccepted by the Licensing Board

EMOTIONALLYFOCUSED THERAPYTraining and Information

Michael Barnett, Ed.S., LPC, and the Atlanta Centerfor EFT offer ICEEFT approved training programs,

including the introductory level Externship andadvanced Core Skills trainings, in several cities.

For the most updated listing of trainings go to:www.EFTAtlanta.com

Or contact me for more information onEMOTIONALLY FOCUSED THERAPY

Michael Barnett, EdS, LPCDirector of the Atlanta Center for EFTCertified EFT Supervisor and Trainer

404-325-8512 ext. 734

OFFICE SPACE FOR RENTEAST ROSWELL: Cozy private optometry practice seeking healthprofessional to sublease office space in East Roswell. Rent is full serviceand includes utilities, and internet. Sublease includes access to the frontreception area, front office, two restrooms, break-room, and two exam suites.One exam suite is empty and can be customized to fit your needs. 1-yearcommitment. If interested, please contact Kenisha Robnett with [email protected] (404) 981-3837.

PONCEY-HIGHLAND AREA: Office available for rent 2 days a week on thefirst floor of the Highland Building. This lovely, historic building is located at675 Seminole Ave. and is close to Midtown, Decatur, Emory and Little 5Points. There is a security access to the building and parking is available onthe street. We have a comfortable waiting room with a good music system,and coffee and tea service, filtered water, reading materials and some toysfor children. The office is well lit, has one window and is large enough forindividual or couples sessions. The office is available for rent on Mondaysand/or Fridays. Partial days or longer days can be negotiated as well. Photoson request. If you are interested, please contact Colleen Stewart at (404)642-8344, [email protected].


CLINICAL SUPERVISION FOR INDIVIDUALS WORKING TOWARD LPCLICENSURE or consultation for experienced counselors. I am a counselorand counselor educator with over 20 years of experience in various mentalhealth settings and with various populations (children, teens, adults, couples,groups). I work from a developmental model to meet each individual wherehe/she is and to identify specific needs. I am also pretty good at sorting throughthe laborious paperwork and challenges associated with the licensure process!Convenient Roswell location. Contact Mary Kate Reese, PhD, LPC, NCC,CPCS at (404) 641-0548 or [email protected].

CLINICAL SUPERVISION FOR LPC offered in Marietta through small groupand individual sessions. Consultation is available for fully licensedprofessionals. Contact Bryan Stephens at (404) 969-5247, or email fromwebsite www.bstephens.com.

SUPERVISION WITH THE ULTIMATE SUPERVISOR. Are you looking for asupervisor who has clinical experience and can relate to you? Give Dr. TheresaHolt a try. My office space is inviting and relaxing. Come grow and grasp creativecounseling techniques and styles. Individual and group supervision available.Dr. Theresa Holt, EdD, LPC, CPCS, Stone Mountain, GA, (678) 974-8325,[email protected].

INDIVIDUAL AND GROUP SUPERVISION for those seeking MFT or PCLicensure, and/or Play Therapy Registration or Certification. Trudy PostSprunk, LMFT&S, LPC&CPCS, RPT&S, CPT&S, and AAMFT approvedsupervisor. (770) 491-7423. Tucker.

SUPERVISION TOWARD LPC LICENSURE—experience with diversepopulations including teens, adults, family and couples counseling;gay/lesbian and multicultural issues. Supervision style is Interpersonal ProcessRecall. Ruby Blow, MA, LPC, NCC, www.DevelopmentCounts.com,[email protected], (404) 642-3738.

SUPERVISION FOR LICENSURE OFFERED IN CARROLLTON (WestGeorgia area) as well as Marietta. Individual and group, using a developmentalmodel. Experience with diverse populations and affordable rates. CurtMorrison, (770) 262-6376, [email protected].

SUPERVISION/CONSULTATION FOR LPC AND/OR RPT offered by DeeDesnoyers, PhD, LPC, RPT-S, CPCS, in small group/ individual formats inDecatur. Expertise: Psychodynamic Play Therapy and LGBTQ-affirmativepsychotherapy. www.atlantacounseling.org (404) 348-3250,[email protected].

CLINICAL SUPERVISION FOR LPC LICENSURE and professionaldevelopment. Individual and group supervision and consultation located inCobb County convenient to Marietta, Roswell, Woodstock, Kennesaw, andEast Cobb. Broad-based clinical and supervisory experience in general mentalhealth and addiction counseling in both private practice and agency settings.I provide guidance and support through the licensure process and by workingin a developmental model. I provide supervision to clinicians in all levels ofclinical experience. Member of the LPCA Registry of Counselor Supervisors.Faith Arkel, MS, LPC, NCC, MAC, CPCS, [email protected],(770) 316-6556.

CLINICAL SUPERVISION for qualified licensure candidates or experiencedtherapists seeking support and professional development. Orientation isExistential-Interpersonal, with a focus on growth and sense of self within thetherapeutic relationship. Don Durkee, EdS, LPC, CPCS, NCC, has experiencewith in-patient, partial-hospitalization, and private practice settings. He hasspoken at state and national conferences on counseling and supervision, andhe has taught at two local universities. Individual and group sessions areavailable at convenient Sandy Springs location. For information, call(404) 735-4945.

CLINICAL SUPERVISION ON MARIETTA SQUARE. Amy S. Robbins, LPC,RPT-S, offers supervision groups two times a month, morning and eveninghours. If you are interested in individual or group supervision or consultationtowards your LPC and/or RPT credential, feel free to contact Amy at (706)406-3404, [email protected], www.amyrobbinscounseling.com.

CERTIFIED PC SUPERVISORSSUPERVISION OFFERED IN THE SAVANNAH/HILTON HEAD AREA froma nationally Approved Clinical Supervisor, ACS, Licensed ProfessionalCounselor Supervisor, LPC/S, and a Certified Professional CounselorSupervisor, CPCS. Groups: evenings and weekends; individual supervision,by appointment. Contact: Catherine Scott at (864) 630-9185, [email protected].

INDIVIDUAL / GROUP SUPERVISION FOR LPC LICENSURE andexperienced therapists. 15 years experience (adolescents, family, couple, group/ residential, private practice, in-home, outpatient). Contact Sonja Sutherland,PhD, LPC, CPCS, Assistant Professor of Counseling, at (404) 835-6119, oremail from website www.LegacyChangersLLC.com.

CLINICAL SUPERVISION FOR LPC OFFERED IN COLUMBUS, GA AREA.Supervisor is experienced in clinical mental health services. Individual andgroup, using a developmental model. Member of the LPCA Registry ofProfessional Counselor Supervisors. Contact Vivian Jones, LPC, NCC,CCMHC, CPCS, (706) 718-7076, [email protected].

OFFERING INTEGRATED SUPERVISION. “It is my pleasure to assisttherapists wishing to know their deeper selves and in so doing, become bettertherapists.” Specialization in countertransference issues. Pam Chubbuck, PhD,LPC, (770) 388-0086, [email protected].

LPC CLINICAL SUPERVISION—group and individual supervision. Therapistwith nearly thirty years experience specializing in childhood trauma, physicaland sexual abuse. Supervision by the author of ten books, renown publicspeaker and career college professor with more than twenty years ofsupervision experience as well as cross-cultural experience in more than twentycountries. Three locations: Lindbergh, Peachtree City, and West Point, GA.Contact Gregory K. Moffatt, LPC, PhD, CPCS (706) 385-1089 ,[email protected]. More information at gregmoffatt.com.

CLINICAL SUPERVISION FOR LAPC / LPC LICENSURE in the Marietta area.I work from a Developmental model, tailoring supervision to the individual’sspecific needs. I also provide consultation to LPC and CPCS professionals. Ihave extensive experience providing supervision and counseling over the past19 years. I also provide CE workshops on a variety of topics, includingsupervision and am the current CPCS Chairperson for LPCA of GA. ContactJeff Hughes, EdS, LPC, CPCS at (678) 626-7210, email:[email protected] or visit my website, http://www.peaksolutions.expert.

LICENSURE SUPERVISION AND ETHICS CONSULTATION WITHADVANCED THERAPISTS. Former Composite Board President whoprocessed over 7,000 LPC applications and 200 Complaints. Learn in asupportive environment that allows you to take risk, make mistakes and fullydevelop as a therapist. Eric Groh, LPC CPCS, (404) 985-6785,www.concentrateonyou.net.

INDIVIDUAL / GROUP SUPERVISION for LPC Licensure, Play TherapyCertification, and Addictions Certification. Workshops for LPCA, Play Therapy,and Addictions (GACA and ADACB-GA). Shannon M. Eller, LPC, CPCS LMFT,AAMFT approved, RPT-S, (770) 468-7424, [email protected],http://www.brighter-tomorrows.com.

INDIVIDUAL / GROUP SUPERVISION. I am currently accepting those seekingindividual and group supervision in the South Fulton County area Atlanta. Ihave been a CPCS since 2014 and in the dissertation phase of the doctoralprogram in Counselor Education and Supervision at Argosy University Atlanta.Areas of focus to include but not limited to: developing an integrative theoreticalorientation, diagnosis and treatment planning, wellness and preparation forintegrated healthcare, and counselor self-care, practice building and businessdevelopment. Tashika Holloway, www.tlccounselingatl.com.

LPC SUPERVISION. I offer small group supervision in the East Cobb area andspecialize in working with school counselors seeking licensure. We meetapproximately twice per month. Interested counselors may contact me at:[email protected].

Your Supervision Ad HereContact LPCA at [email protected]

3091 Governors Lake Dr., NW • Suite 570 • Norcross, GA 30071http://www.LPCAGA.org

Address Service Requested

Tell us you’re a member of LPCAwww.geico.com/disc/lpca

800-368-2734

PRSRT-STDU.S. POSTAGE

PAIDPERMIT NO. 3259

ATLANTA, GA

Synergy:Connect, Communicate, Collaborate

LPCA 30th Annual Convention& Regional Conference

May 9–12, 2018Atlanta Marriott Century Center

Documents

Official Publication of the Licensed Professional