Portland Psychotherapy 2018 Year in Review

Hello friends and colleagues. As we usher in a new year, we pause to take a look back at 2018, an exciting year of growth and new beginnings for us here at Portland Psychotherapy.

Expansion of clinical staff means more specialized services and an increased ability to serve our community

We just celebrated the one-year anniversary of the three newest members of our full-time clinical team: our Director of Clinical Operations, Kyong Yi, LCSW, and licensed psychologists Angela Izmirian, Ph.D. and Bryce Doehne, PsyD. Although they have only been with us for a year, Kyong, Angela, and Bryce have already made huge contributions to our organization. In addition to seeing clients, they have been meeting with members of our broader community to explore ways Portland Psychotherapy can better support underserved and disenfranchised populations, including immigrant communities and gender minorities. We are excited for how these partnerships will allow us to have a broader positive impact on our community in the years to come.

We are also fortunate to have Debesh Mallik, M.S. join us as an advanced practicum student this year. Debesh earned his master’s degree in psychology from the University of Louisiana at Lafayette, where he studied under Emily Sandoz, Ph.D., one of the foremost experts in ACT and RFT and who also happens to be coming to do a two-day training for us in Portland in April (see below). Debesh is pursuing a Ph.D. at Pacific University with a focus on substance use, mood, and anxiety disorders under the mentorship of Dr. Sarah Bowen. We are excited to have such a skilled and well-trained clinician as Debesh offer low fee therapy services at Portland Psychotherapy.

Books and other creative endeavors coming out of Portland Psychotherapy

With our wonderful and expanded team of clinicians onboard, Portland Psychotherapy founders, Jenna LeJeune and Jason Luoma were able to take a step back from the day-to-day operations of the clinic to spend the first half of 2018 abroad on sabbatical. This sabbatical allowed them more focused time to work on various research and writing projects including a forthcoming book entitled Values in Practice: A Clinician’s Guide to Helping Clients Develop Psychological Flexibility and Live a More Meaningful Life (Jenna and Jason, due out later this year by New Harbinger Press) and an RO DBT skills workbook (Jason with Tom Lynch, Ph.D. and Nicole Little, Ph.D.). Jason also worked on his soon-to-be released podcast, Research Matters in which he interviews established psychology researchers from around the world. Through the podcast, listeners, especially students and aspiring researchers, will be able to learn from the wisdom of these amazing researchers as they deconstruct the strategies that have worked for them for conducting meaningful social science research.

Research at Portland Psychotherapy

Portland Psychotherapy is the only research institution of its kind. Rather than relying on grants that make us dependent on the whims and priorities of external government funding sources, we use a social enterprise model in which profits from the income-generating activities of our organization are used to fund independent social science research. We also collaborate with other researchers around the world to help fulfill our mission of contributing to the wider community through scientific research. Over the past year, the publications that have come out of those research endeavors include: (see tinyurl.com/ppcscience for a complete list, with some available to download):

Guinther, P. (2017). Contextual influence over deriving others’ true beliefs using a relational triangulation perspective-taking protocol. Journal of the Experimental Analysis of Behavior, 108(3), 433-456.

Luoma, J. B., Codd, T. R., & Lynch, T. R. (2018). Radically Open Dialectical Behavior Therapy (RO DBT): Shared Features and Differences with ACT, DBT, and CFT. The Behavior Therapist.

Luoma, J.B., Guinther, P., Lawless DesJardins, N. M., & Vilardaga, R. (2018). Is Shame a Proximal Trigger for Drinking? A Daily Process Study with a Community Sample. Journal of Experimental and Clinical Psychopharmacology, 26(3), 290-301.

Luoma, J.B. & LeJeune, J.T. (in press). Incorporating Affective Science into ACT to Treat Highly Self-Critical and Shame Prone Clients. In M. E. Levin, M. P. Twohig & J. Krafft (Eds.), Innovations in ACT. Oakland, CA: New Harbinger.

Osborne, T., & Luoma, J.B. (2018). Overcoming a Primary Barrier to Practice-Based Research: Access to Independent Ethics Review. Psychotherapy, 55 (3), 255–262.

Appreciating where we have been and looking towards the future

During their sabbatical, Jason and Jenna were also able to pause to reflect on next steps for Portland Psychotherapy. It’s been more than 10 years since they launched this dream of developing a social enterprise in which the profits from providing exceptional, specialized therapy services could be used to increase the social good by funding important social science research and sliding scale services. There have been bumps along the road and at a lot of learning along the way, but we are proud of what our team has been able to accomplish thus far. If you’re interested in learning more about Portland Psychotherapy’s model of using social enterprise to make a positive difference you can read more at: tinyurl.com/ppcsocial.

Looking to the future, Portland Psychotherapy will focus on 1. Having a broader positive impact through partnerships with other like-minded colleagues and organizations, 2. Expanding our research program by hiring more clinician researchers and strengthening our research collaborations with colleagues around the world, and 3. Continuing to expand our clinical services by bringing on new therapists who are experts in their area of specialty and are interested in our mission. To help meet these goals, Portland Psychotherapy hopes to hire at least one new full-time therapist, a full-time postdoctoral fellow, and a full-time research psychologist (see: http://portlandpsychotherapytraining.com/employment-opportunities-at-portland-psychotherapy/).

Groups and classes

We continue to offer a variety of groups and classes for members of the public. Our current offerings are (see portlandpsychotherapyclinic.com/classes_and_groups/ for a complete list):

  • ACT for Depression Group
  • ACT on Life for Women
  • Radically Open Dialectical Behavior Therapy Skills Classes

Upcoming training events

To support our training mission, we will continue to host workshops based on a variety of topics within Contextual Behavioral Science and related fields. Upcoming trainings include (see portlandpsychotherapytraining.com for a complete list):

  • Evoke, Reinforce, Repeat: Enhancing the Creativity and Sensitivity of your ACT work with a Plain Language Behavioral Perspective to Clinical Work – April 12-13, 2018 with Emily Sandoz, Ph.D.
  • Helping Patients Forgive: REACH Forgiveness as Evidence-Based Practice in Psychology – September 28, 2019 with Everett Worthington, Ph.D.

In looking back on this year, and the more than 10 years Portland Psychotherapy has been serving our Portland community, we are humbled by all the support we have received from friends and colleagues around the work. Your support, in all of its forms, is essential in the work that we do and our ability to fulfill our mission. Thank you and we look forward to what lies ahead.

Portland Psychotherapy’s Clinical-Research Social Business Model Published in APA Journal – Psychology Research and Practice

Portland Psychotherapy’s Clinical-Research Social Business Model Published in APA Journal – Psychology Research and Practice

Many of those reading this blog probably already know that that in addition to providing science-based mental health services, Portland Psychotherapy is also a productive independent research center.

How we fund our research

What many of you may not know is how we go about funding that research. To our knowledge, we are the only organization of its kind to have set up a private mental health clinic and research center based on social business concepts in which the profits from the money-generating activities of the organization go back to serving the greater good (in this case, scientific research) rather than be used as profits for shareholders.

What we discuss in the article

We are very excited that the APA journal Psychology Research and Practice just published our article that outlines our model, which we call the clinical-research social business model. Among some of the things addressed in the article include:

  • An outline of our clinical-research social business model that is based on social enterprise concepts
  • How we overcame the barriers to conducting research outside of academia, including how we created an independent IRB and how to address infrastructure limitations such as assistants and access to journal articles
  • Benefits of conducting research outside of traditional academic settings
  • How we have shifted the contingencies around money in our model and structure our model such that intrinsic rewards such as mastery, autonomy, and purpose can serve as powerful motivators that advance more communal and creative goals.
  • Ideas about how our model might be applicable to other settings.

One thing we are very aware of at our center is that all our work depends upon a supportive community. If you are reading this, it is likely that YOU are a part of that community and we thank you for that. If you are interested in reading more about our model, how it came to be, and what your support of us has helped make happen, you can read the a pre-print of the article here.

Jenna LeJeune, Ph.D

Author: Jenna LeJeune, Ph.D

Jenna is a clinical psychologist who specializes in working with people who struggle with relationship and intimacy difficulties and with those who have a trauma history. Her research focuses on developing compassion-based interventions targeting stigma, shame, and chronic self-criticism.

Marketing For the Evidence-Based Therapist

Marketing For the Evidence-Based Therapist

As a large body of therapies have been identified that are demonstrably effective, the field has shifted toward dissemination and implementation. For those who are out in practice, a main way we get evidence-based therapies to clients is through effective marketing. As the director of a growing clinic who has worn pretty much every hat (e.g., entrepreneur, biller, therapist, manager, bookkeeper, receptionist, accountant, janitor), I’ve had to learn a lot about marketing over the last several years. In particular, I’ve found that online marketing has been especially fruitful for our business.

In the process of doing some of our online marketing, a colleague asked me to make some recommendations for key books relating to marketing a private practice. I realized that I had no one book that covered most of the material that I had learned, but instead had learned through a variety of resources over the years, many of them online. Below lies a smattering of links and resources on online marketing that I’ve found useful over the years as well as some general comments about the important elements of a building a business as a therapist.

Search engine optimization (SEO)

Once you build a website, you need to hire someone to help you optimize your site and drive traffic to it. Just building a website is near useless if you don’t figure out how to get people to visit it. You should be able to get someone who can help you drive traffic to your website for $400 a month or less. You need to spend money on marketing in order to grow your business (or even to have a business usually). Marketing works, that’s why we have so much of it around us. It changes behavior and will bring people to your doorstep. SEO professionals know how to bring more clients to your door. This is money well spent, once you have a website already up.

Some links to get you started on what SEO is and how to do it:

http://www.seomoz.org/blog/the-beginners-checklist-for-small-business-seo

Private practice marketing

If you need some help with business strategies overall, most areas of the country have a small business development center. Look up your local center. They often provide very affordable and expert training that is perfect for mental health professionals trying to expand their business knowledge. I’ve learned a lot from my local SBDC. http://www.sba.gov/content/small-business-development-centers-sbdc

Some good articles can be found here: http://www.uncommonpractices.com/articles.html

This is my favorite book about running a private practice in terms of recommendations on how to do marketing: Getting Started in Private Practice: The Complete Guide to Building Your Mental Health Practice

Website design

Three tips:

1) Put a contact form on the front page of your website and the contact page, rather than relying on people to call you. You’ll get a lot more contacts that way.

2) Learn how to use WordPress to set up your site. It’s simple and easy to use once you’ve learned how to set it up.

3) Get your site noticed and convert visitors to clients:

Business blogging and writing good content

Here’s a basic primer on writing good blog posts by a leading blog developer: http://www.davidrisley.com/blog-writing/

One of the oldest and most prolific blogs about blogging: http://www.copyblogger.com/blog/

General online marketing

Here’s a graphic to help you see all the possibilities for online marketing and organize your thinking: http://assets.unbounce.com/s/images/noob-guide-to-marketing-infographic-1800.png

Some basics on online marketing: http://counsellingresource.com/lib/practice/internet-marketing/

Some webinars if you like to watch those: http://www.hallme.com/archived-webinars.php

Social Media Marketing

Some tips on how to embrace social media and the latest changes in Google to your advantage: http://www.psychotherapynetworker.org/magazine/recentissues/2012-mayjune/item/1708-in-consultation

A psychotherapist’s guide to Facebook and Twitter: Why clinicians should give a tweet – http://www.psychotherapy.net/article/psychotherapists-guide-social-media

Dr. Keely Kolmes’ private practice social media policy – http://www.drkkolmes.com/docs/socmed.pdf

Online business models

You might want to write a business plan. Here’s a template:

http://www.copyblogger.com/smart-people-business-plan/

I don’t know of anyone better at it and who produces better content on running a business online than Pat at Smart Passive Income. His podcast is super-popular, interesting, and very relevant: http://www.smartpassiveincome.com/

Pay-per-click advertising (PPC)

 

Really the only place you need to advertise is with google adwords. It’s not too hard to set up a basic account, set a budget and try it out. Here are some ideas on how to do that: http://adwords.google.com/select/Login

Adwords for therapists: http://www.uncommonpractices.com/adwords.html

Optimizing quality score: http://www.redflymarketing.com/blog/how-to-improve-quality-score-the-ultimate-guide/

Newsletters

Before putting your efforts into blogging, first create a following with an email list to directly connect with local, potential clients in a more direct way

http://uncommonpractices.wordpress.com/2009/04/22/why-blogging-is-a-waste-of-time-for-private-practitioners/

http://www.smartpassiveincome.com/email-list-strategies/

I like Mailchimp because the interface is very simplified and you are able to get a feel for creating and using newsletters for marketing your business without having to invest right from the start.  Your account is free as long as you have less than 2,000 subscribers and you send less than 12,000 emails per month.

http://mailchimp.com/

Other popular services include:

http://www.aweber.com/

http://www.constantcontact.com/

Face-to-face networking

My favorite book on this topic is: Never Eat Alone

And if you are looking to improve your social skills, speaking abilities, and ability to just interact with others and make conversation, I don’t know a better place than Toastmasters, which I have been a member of for years. To find a meeting near you: http://reports.toastmasters.org/findaclub/

See if there is a meetup group in your area either of therapists or other professionals in your area of interest.

Finding your passion

And Don’t do any of these things if it doesn’t align with your passion: http://zenhabits.net/the-short-but-powerful-guide-to-finding-your-passion/

Team Up

Check with your state’s psychological association to see if they have any events scheduled to learn more about marketing.

See if you can find a “practice buddy” — another local mental health practitioner who has similar goals and who can meet with you to brainstorm ideas regarding seminars, networking groups to attend, accessing each other’s networks, and setting goals for putting these tips to work.

Do you have favorites? Send me a message about those and I’ll check them out. Who knows, maybe they’ll make it onto the list.

UPCOMING TRAINING EVENTS

How to be Experiential in Acceptance and Commitment Therapy

Jason Luoma, Ph.D.
April 23, 2021 from 12-1pm

Acceptance and commitment therapy (ACT) is, at its core, an experiential treatment, but is frequently delivered in a non-experiential way. Experiential learning involves going beyond verbal discussion, insight, and explanations of experience. But how do we do this in ACT and how do we know when we are spending too much time engaged in non-experiential modes of learning? This workshop will outline a simple model you can use to identify when you are in less or more experiential modes during therapy and easy methods to switch to more experiential modes. You will then have a chance to practice it in breakout groups and get feedback. Read More.


Ethical & Legal Considerations in Psychedelic Integration Therapy

Jason Luoma, Ph.D. and Brian Pilecki, Ph.D.
May 7, 2021 from 12-2pm

This workshop is based on extensive research and writing we have conducted into the legal and ethical issues of working with psychedelics in the current regulatory climate, as well as clinical practice doing harm reduction and integration therapy with psychedelics. It is informed by consultation with multiple experts on harm reduction, as well as attorneys knowledgeable about criminal and civil matters relating to drug use and professional practice. We will share with you all we know so that you can be more informed in the decisions you are making in your practice and be better able to decide whether to jump into this kind of work if you are considering it. Read More.


Case Conceptualization in Acceptance and Commitment Therapy

Jason Luoma, Ph.D. and Brian Pilecki, Ph.D.
May 21, 2021 from 12-2pm

This workshop provides a chance to learn concrete methods for conceptualizing cases from the perspective of Acceptance and Commitment Therapy. Formulating a useful case conceptualization is a foundational clinical skill that is essential in delivering effective treatment, and one that can be often overlooked in the process of working with clients. Participants will learn several formats for doing formal case conceptualization outside of session as a means to further develop knowledge and skill with ACT theory, as well as to learn a means to enhance treatment planning. The importance of ongoing case conceptualization throughout a course of treatment will be emphasized, as well as common pitfalls in conceptualizing client problems. Participants will also have a chance to practice newly learned skills with a case in breakout groups. Read More.


ACT Precision Training: In-Session Case Conceptualization in Acceptance and Commitment Therapy to Help You be Focused and Strategic in Your Interventions

Jason Luoma, Ph.D. and Jenna LeJeune, Ph.D
June 18, 2021 from 12-2pm

This workshop provides a chance to learn and practice in-session, in-the-moment case conceptualization of cases from the perspective of Acceptance and Commitment Therapy. This workshop focuses on helping you use ACT theory & in-session clinical markers to make more precise and strategic interventions. The main goal of this workshop is to help you become more adept at identifying in-session client behaviors that are indicators for particular ACT processes that are likely to be most relevant. The workshop uses a process we call ACT Circuit Training, which involves intensive analysis of a video of an ACT session and intentional practice in conceptualizing client behavior and generating possible ACT responses, followed by discussion and feedback. Read More.


ACT Agility Training: In-Session Case Conceptualization in Acceptance and Commitment Therapy to Increase Flexible Responding

Jason Luoma, Ph.D. and Jenna LeJeune, Ph.D
July 16, 2021 from 12-2pm

This workshop provides a chance to learn and practice in-session, in-the-moment case conceptualization of cases from the perspective of Acceptance and Commitment Therapy. This workshop is intended to help therapists be more flexible and nimble in their use of ACT processes, strengthening their ability to fluidly shift as needed between processes within sessions. Therapist learning ACT often develop tunnel vision, focusing too much on particular processes or responding rigidly when more flexibility is needed. Read More.


Therapy and Research in Psychedelic Science (TRIPS) Seminar Series

Second Friday of each month from 12:00 PM – 1:00 PM (PT)

TRIPS is an online seminar series that hosts speakers discussing science-informed presentations and discussions about psychedelics to educate healthcare professionals. This series was created to guide healthcare providers and students preparing to be professionals towards the most relevant, pragmatic, and essential information about psychedelic-assisted therapy, changing legal statuses, and harm reduction approaches in order to better serve clients and communities. This seminar series is a fundraiser for our clinical trial of MDMA-assisted psychotherapy for social anxiety disorder that Portland Psychotherapy investigators are preparing for and starting in the Fall of 2021. All proceeds after presenter remuneration will go to fund this clinical trial. Read more.

April 9th, 2021 – Ketamine 101: An Introduction to Ketamine-Assisted Psychotherapy with Gregory Wells, Ph.D.
May 14th, 2021  Research on MDMA and Psychedelic-Assisted Therapy: An Overview of the Evidence for Clinicians with Jason Luoma, Ph.D.
June 11th, 2021 Becoming a Psychedelic-Informed Therapist: Toward Developing Your Own Practice with Nathan Gates, M.A., LCPC