my beloved fmhca family, i want to express my deepest ... 2017... · jim messina, phd, ccmhc, ncc,...

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JUNE Volume 17, Issue 6 We hear about posttraumatic stress disorder (PTSD) quite a bit in the news and on social media these days, and, thankfully, more and more of the civilian popula- tion is slowly beginning to understand it for the first time. It’s important that they do so because such a large percentage of the veteran population suffers from it on some level – almost 31 percent of Vietnam veterans, 10 percent of Gulf War (Desert Storm) veterans, and 11 percent of veterans of the war in Afghanistan. With these numbers, it’s likely that most people know someone who struggles with PTSD, most in silence. In order to bring greater awareness to the issue of PTSD, the United States Senate designated June as PTSD Awareness Month by the National Center for PTSD (NCPTSD), also naming June 27th as National PTSD Awareness Day. Through this designation, it is hoped that more people will be aware of the disorder and how it may affect the veterans they know, as well as encourage veterans to reach out for help if they need it. The Department of Veteran Affairs (VA) created a resource-filled website called About Face to assist veterans and loved ones struggling with the results of PTSD. The site includes a series of videos interviewing PTSD- sufferers who finally sought help and saw great improvement in their lives. These relatable profiles are aimed at removing the stigma and anxiety of telling one’s doctor about the symptoms and asking for assistance. Sadly, many veterans consider or succumb to suicide after struggling for so long with the disorder. Showing that a veteran is not alone in what he or she has experienced, both during war and back at home, can be the lifeline they need. PTSD is a mental health problem that can occur after someone has been exposed to a single traumatic event or multiple traumatic events, including war-related combat stress. Symptoms of PTSD include ongoing (longer than a month without improvement): Persistent intrusive thoughts and distressing dreams about the traumatic event Triggered emotional responses to reminders of the trauma Efforts to avoid thinking or talking about the trauma Persistent hypervigilance for cues that indicate additional danger or trauma re-occurring Numbness or detachment from others, activities, or surroundings The VA site also details the types of therapies that seem to help combat PTSD, including cognitive processing therapy (a process that helps a veteran get “unstuck” from obsessive thoughts about the trauma) and prolonged exposure therapy (confronting the memories head-on and learning effective coping mechanisms to work through them). Some veterans have also found relief through equine therapy and learning hobbies like veteran-focused fishing groups, both of which help the veteran escape to a quiet place and focus on a new activity that engages mind and body.

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JUNE

Volume 17, Issue 6

We hear about posttraumatic stress disorder (PTSD) quite a bit in the news and

on social media these days, and, thankfully, more and more of the civilian popula-

tion is slowly beginning to understand it for the first time. It’s important that they

do so because such a large percentage of the veteran population suffers from it

on some level – almost 31 percent of Vietnam veterans, 10 percent of Gulf War

(Desert Storm) veterans, and 11 percent of veterans of the war in Afghanistan.

With these numbers, it’s likely that most people know someone who struggles

with PTSD, most in silence.

In order to bring greater awareness to the issue of PTSD, the United States

Senate designated June as PTSD Awareness Month by the National Center for

PTSD (NCPTSD), also naming June 27th as National PTSD Awareness Day.

Through this designation, it is hoped that more people will be aware of the

disorder and how it may affect the veterans they know, as well as encourage veterans to reach out for help if they

need it.

The Department of Veteran Affairs (VA) created a resource-filled website called About Face to assist veterans and

loved ones struggling with the results of PTSD. The site includes a series of videos interviewing PTSD-

sufferers who finally sought help and saw great improvement in their lives. These relatable profiles are aimed at

removing the stigma and anxiety of telling one’s doctor about the symptoms and asking for assistance. Sadly, many

veterans consider or succumb to suicide after struggling for so long with the disorder. Showing that a veteran is

not alone in what he or she has experienced, both during war and back at home, can be the lifeline they need.

PTSD is a mental health problem that can occur after someone has been exposed to a single traumatic event or

multiple traumatic events, including war-related combat stress. Symptoms of PTSD include ongoing (longer than a

month without improvement):

Persistent intrusive thoughts and distressing dreams about the traumatic event

Triggered emotional responses to reminders of the trauma

Efforts to avoid thinking or talking about the trauma

Persistent hypervigilance for cues that indicate additional danger or trauma re-occurring

Numbness or detachment from others, activities, or surroundings

The VA site also details the types of therapies that seem to help combat PTSD, including cognitive processing

therapy (a process that helps a veteran get “unstuck” from obsessive thoughts about the trauma) and prolonged

exposure therapy (confronting the memories head-on and learning effective coping mechanisms to work through

them). Some veterans have also found relief through equine therapy and learning hobbies like veteran-focused

fishing groups, both of which help the veteran escape to a quiet place and focus on a new activity that engages

mind and body.

Page 2 JUNE Volume 17, Issue 6

President

Leonel Mesa, PsyD, LMHC

[email protected]

President-Elect

Louise Sutherland-Hoyt,

LMHC

[email protected]

Treasurer

Jim Messina, PhD, CCMHC,

NCC, DCMHS

[email protected]

Past President

Michael Holler

[email protected]

Secretary

Kathie Erwin, Ed.D, LMHC,

NCC, NCGC

[email protected]

Parliamentarian

Frank Hannah, MS, LMHC

[email protected]

Member-at-Large

Joe Skelly, MS, LMHC

[email protected]

Member-at-Large

Erica Whitfield

[email protected]

Member-at-Large

Hassiem Kambui, PhD,

LMHC

[email protected]

Member-at-Large

Judith Roberts, Ph.D., LMHC

[email protected]

Executive Director

Darlene Silvernail, PhD,

Board of Directors

2016 - 2017

“Do not follow where the path may lead. Go instead where there is no path and leave a trail.”

Ralph Waldo Emerson

My beloved FMHCA family, I want to express my deepest gratitude and appreciation to all

for the great privilege and honor you bestowed upon me as President of our organization

during this past year. It has truly been an extraordinary year! With specific strategic changes,

our proactive effort of nurturing enthusiasm, promoting active member participation along

with the pursuit of innovative initiatives has strengthened and positioned ourselves as the

leading voice of Licensed Mental Health Counselors within our state and a premier

organization throughout our nation. The following are several of our most notable

accomplishments throughout this past year:

We have restructured our organization into Regional Districts that fosters greater

opportunities of access, mobility and engagement while promoting FMHCA as our leading

state representative.

Through our Government Relations Committee in collaboration with our lobbyist, Corinne

Mixon, we have proactively followed and addressed numerous state and national legislative

issues. We hosted our “Inaugural Legislative Day Event” in Tallahassee where FMHCA

members had an opportunity to engage legislators and share our support of bills directed

towards promoting the prevention and treatment of mental illness. We have actively pursued

conversations with our state legislators regarding Medicare Inclusion of Licensed Mental

Health Counselors.

Additionally, we have engaged with our state licensing board to reaffirm the preservation of

our licensing title. We continue are steadfast commitment and collaboration with universities

in developing on-site FMHCA Student Associations. And, as our membership has expanded

throughout this year, we continue to make the growth of our organization one of our top

priorities.

All of these accomplishments could not have been achieved if not for the effort of our

distinguished leadership of our FMHCA Board, Executive officer and our efficient and

effective office support team and the support of our FMHCA family. I thank you all for

your tremendous efforts and continued dedication to our FMHCA family.

As my term as your President is closing, I have the great honor of passing the mantle to our

incoming President, Louise Sutherland-Hoyt. I have the upmost confidence that she will

continue to build on our accomplishments and the leadership legacy of our great

organization.

In appreciation for the opportunity to serve,

Leonel “Dr. Leo” Mesa, Jr., Psy.D, LMHC, CAP, CEAP

FMHCA President

Page 3 JUNE Volume 17, Issue 6

Thank you to our loyal and wonderful members! If you are

not yet a member, I encourage you to join our organization

and let your voice be heard! Our organization offers so

many great resources for our members, including education

(such as FREE WEBINARS), legislative oversight, net-

working, and FMHCA member discounts with partner organizations. There is so

much we are doing, and so much more we can do! We will to continue advocate for

mental health counselors in Florida by supporting legislation that promotes our pro-

fession. We need YOU to make that happen. If you are already a member of

FMHCA, we thank you. If you are not, please consider joining. Your support makes it

possible for FMHCA to continue to grow and promote our profession, to maintain a

strong voice and to promote change. Have you ever wondered who promotes the leg-

islation that recognizes and advances mental health counseling in Florida? YOU do,

by supporting FMCHA! FMHCA wants to empower you to help make your profes-

sional dreams come true. You can read about what FMHCA is doing for mental

health counselors in our bylaws. Do you want to take a more active role in FMHCA?

Consider volunteering to serve on one of our committees!

https://fmhca.wildapricot.org/Committees

We are already looking forward to our 2018 Annual Conference. It will be held in

Lake Mary, Florida at the Orlando Marriott - Lake Mary (the same hotel this year's

conference was held at). Please visit our new website,

https://fmhca.wildapricot.org/ to register for the 2018 Annual Conference.

Sincerely,

Darlene Silvernail PhD, LMHC, CAP

Executive Director

Watch out for other local events coming to you soon!!

ED Corner

Become a FMHCA Member :

Thank You to our Amazing Sponsors!

Page 4 JUNE Volume 17, Issue 6

FMHCA invites all mental health professionals to become a part of our organization so

your voice can be heard and you can enjoy a strong network of professionals in our state.

Join by Clicking Here! by downloading a membership form and mailing it with your

payment, or you may make a payment directly through our website. Keep in mind we

have a few membership options:

$65.00 Clinical - All LMHC's or CCMHC's

$55.00 Regular - All registered interns or non-licensed professionals

$25.00 Retired Clinicians - License Retired

$Free Student (Free for the first year and there after $20.00) - Full time graduate, post-

graduate, or undergraduate student

Membership Renewal

If your FMHCA membership has expired, we encourage you to and hope you will you to

renew today by visiting our FLMHCA.ORG

Advertise On Our Website & In Our Newsletter!

Increase your professional exposure by becoming a FMHCA sponsor!

FMHCA's website gets hundreds of hits a day from members, nonmembers, and prospec-

tive members. Becoming a sponsor with FMHCA lets other professionals know that

you're out there - it's a terrific way to network and grow as a professional.

There are two ways to becoming a sponsor - you can purchase a flashing banner across

the top of our pages or one of the sponsor blocks at the bottom of our website pages.

Best of all, you get a full year of sponsorship for one low price!

Artwork must be submitted in one of the following formats: png, jpg, tif, tiff, or psd.

After you have completed payment, submit your artwork to us at

[email protected]

FRANK HANNAH STUDENT SCHOLARSHIP

Any graduate student enrolled in an accredited counseling program is eligible to apply for this scholarship.

*Please submit your application by the end of the day on October 15

Click Here or Visit FMHCA.org for additional Information

FMHCA Annual Conference

February 1st-3rd, 2018 in Lake Mary, Orlando

PRESENTER PROPOSALS DUE BY

JULY 14 2017!

FMHCA’s goal is to provide education, legislative

oversight, and networking opportunities, our Annual

Conference provides an opportunity for advanced

professional training.

Take advantage of this opportunity and present at the

FMHCA 2018 Annual Conference!

Possible Dynamic Approaches May Cover:

Integrative System Care

Expressive and Creative Therapies

Multicultural Counseling

Innovative Treatments and Skill Building

Practice

EMDR and Trauma Work

Addiction Models

Military and Veteran Mental Health

Ethics

Mediation

DBT

F.A.S

Evidence Based Interventions

Best Practice for Individuals with Autism

Spectrum Disorder

Adolescent and Family

Evidence Base Documentation Skills

And Many More!

Benefits of Presenting:

Presenters will receive a $50 discount on confer-

ence registration.

Promotion of your name and credentials on our

website and in all electronic and print marketing

materials, where appropriate.

Recognition of your expertise by FMHCA and by

other industry professionals

Networking opportunities.

Presenter Eligibility:

To be considered, presenters must have professional

qualifications in good standing with their professional

regulatory board, if applicable, possess the technical

expertise necessary to present on a subject effectively,

and meet one or more of the following:

Have received specialized graduate or post-

graduate level training in subject of presentation;

and/or

Have extensive experience including at least five

years of practical application or research involv-

ing subject of presentation

Submit a Proposal to be a Presenter:

Submit on-line at www.FLMHCA.org

Please Submit Questions at [email protected] or

Call 561-228-6129

Page 6 JUNE Volume 17, Issue 6

Page 7 JUNE Volume 17, Issue 6

NBFE is pleased to announce our 2017-2018 testing workshop, a 40-hour workshop that

trains licensed mental health professionals to administer and interpret psychological tests

used in forensic evaluations. Graduates are awarded a letter from Psychological Assessment

Resources (PAR) certifying Level C qualification for testing.

Testing for Forensic Populations: A Comprehensive Overview and Certification Program

When: 18 Aug 2017 10:00 AM, EDT

Where: Online (Gotowebinar)

EVENT DETAILS:

Testing and assessment instruments have become the rule rather than the exception these days. Research and best practices have shown that objective testing is more accurate, accessible, and accepted in the courtroom as well as other forensic settings. Unfortunately, many practitioners are woefully under educated and trained on these valuable tools. For this reason, we have decided to develop and offer a comprehensive certification program to aid CFMHE’s become more adept, confident, and practiced at utilizing these instruments. The goal is ensure these tools are used appropriately, consistently, and in a manner that affords the practitioner as well as the decider the best possible information in any forensic mental health setting.

Fundamental to this course are explanations of theoretical concepts underlying testing and assessment.

Content will include use of the scientific method as a basis for engaging in critical thinking and the evaluation of sources of information, a review of empirical studies in psychology to evaluate research findings and evaluate claims of reliability and validity, articulate controversial and ethical issues in psychological testing, use computer technology and appropriate software to complete assignments, and work effectively in small groups. In addition to discussion of theoretical concepts, Attendees will learn the history of

psychological testing, learn how theories, principles and concepts are used in psychometric assessment and are applied in educational, clinical and employment settings, compute and interpret basic psychometric statistics, and create, pilot, analyze, and provide both a written report (in APA-style) and an oral presentation of the test development project.

The Florida

Practices of

Substance Abuse

Service

Providers Act

House Bill 807

(HB-807)

Page 8 JUNE Volume 17, Issue 6

The Florida legislature recently

passed major legislation (2017

HB-807) with sweeping effects on

the substance abuse industry. The

new bill is expected to be signed

into law by Governor Rick Scott

and go into effect on July 1, 2017.

The law focuses on cracking down

on perceived abuses in marketing

and patient-brokering among

treatment facilities to establish

stricter marketing rules, stiffer

penalties for patient-brokering and

more state funding for

prosecutions. The law also

expands the licensing rules of the

Department of Children and

Families (DCF) and places more

of the costs directly on facilities

themselves, changes the require-

ments of recovery residences and

much more.

Page 9 JUNE Volume 17, Issue 6

1. Expanding and empowering DCF.

HB-807 creates a more powerful and better-funded Department of Children and Families in the following ways:

Increases license application fees. Fees used to be designed to cover half the cost of regulating treatment providers, but they

will now have to fund the full costs. Details of the exact amount of the new fees will be released in forthcoming regulations.

Licensure process becomes much stricter. DCF will no longer issue more than one probationary license and will not allow

any more extensions. DCF is also empowered to suspend a license in certain situations that pose danger to the safety of pa-

tients or the public. Operating without a license will now be subject to felony punishment.

2. Increasing oversight of clinical care and practitioners.

The new law requires DCF to develop new rules regarding clinical best practices. By January 1, 2018, DCF will publish rules

laying out a number of new regulations regarding clinical best practices, including:

Procedures for record keeping, referrals, and financial management.

Number of and qualifications for all personnel involved in treatment, including education, credentials, license, training, su-

pervision and clinical hours.

Maximum number of group therapy participants and staff-to-client ratios.

Maximum number of facilities and patients per medical director.

Safety and facility standards including space, sanitation and meals.

3. Increased regulation of marketing practices.

HB-807 develops new rules and oversight for marketing while increasing the penalties for deceptive marketing practices in

the following ways:

Prohibits deceptive marketing practices by a service provider, an operator of a recovery residence, or a third party who pro-

vides any form of advertising or marketing services. Violation is now a felony punishable by prison.

Requires licensure of entities providing substance abuse marketing services and regulates them under the State's Division of

Consumer Services as telemarketers are currently regulated.

4. Tightening recovery residence referral rules.

Recovery residences and service providers will be much more limited in the referrals they are permitted to make back and

forth.

Service providers are prohibited from accepting referred patients (including prospective and discharged patients) from a re-

covery residence unless that residence and its administrator both have a certificate of compliance. The law already prohibits

them from making referrals to uncertified recovery residences.

Effective January 1, 2018, the law will remove the exception that allows service providers to refer patients to mutually owned

and operated uncertified recovery residences, unless the recovery residence does not benefit from the referral or the provider

is under contract with a behavioral health managing entity.

5. Crackdown on patient brokering.

The House Bill severely comes down on patient brokering, by both expanding its definition and increasing the penalties for

violations:

Provides funding through the Office of Statewide Prosecution to prosecute patient brokering crimes and makes it up to a

first-degree felony to engage in patient brokering, depending on the number of patients affected punishable by lengthy pris-

on sentences.

Adds the word "benefit" to the list of prohibited inducements for patient referral, widely expanding the scope of what is

prohibited to induce patient referrals.

Page 10 JUNE Volume 17, Issue 6

Dr. Bob Decker is the very first name that came to mind when I received a

request to select a member of our local FMHCA chapter, MHCCF, for com-

mendation. I have known Dr. Decker for fourteen years. I have observed his

tireless dedication to his clients, colleagues, and the Mental Health Counsel-

ing profession.

Dr. Decker has actively volunteered on behalf of our profession for over 20

years. He started off with the Mental Health Association of Central Florida. I

remember seeing him as the “face” of the Mental Health Association for

many years before I had the opportunity to get to know him. One example

was when I worked for the University of Central Florida, Dr. Decker ar-

ranged to have Kurt Cobain’s Aunt Mari Earl speak to the student body about

suicide during National Depression Awareness Month. He did a great job of

coordinating a renowned speaker that students could relate to with the pur-

pose of educating about depression and pointing towards help.

He began volunteering with MHCCF in 2002. He served two terms as Presi-

dent. He has worn multiple hats over the years, including Education Chair;

and most recently, he took on the role of our chapter's Legislative Chair for

our revived Legislative Committee. He has put together continuing education

courses such as “Medical Errors,” “Ethics,” and most recently, the new

“Laws and Rules Update” which he graciously provides to our community so

our colleagues can obtain these required courses at a discount. It would be

difficult to add up all of the time he’s spent donating to his colleagues.

In summary, Dr. Decker cares deeply for those affected by mental illness; he

cares for his colleagues; and he cares for our profession. I am honored to

serve alongside him, and it is a privilege to acknowledge Dr. Decker for his

steadfast and unwavering work for the Mental Health Counseling profession.

“Kudo” Article Bob Decker, Ph.D., LMHC

By

Laura Peddie-Bravo, LMHC, NCC, President of MHCCF

Page 11 JUNE Volume 17, Issue 6

Page 12 JUNE Volume 17, Issue 6

TALLAHASSEE — Gov. Rick Scott ordered the state Surgeon General and Health Secretary Celeste Philip to

declare the ongoing opioid epidemic a public health emergency, so that he can tap into more than $27 million in

federal funding for the prevention, treatment and recovery support services, his office announced Wednesday.

Scott also directed Philip to issue a standing order for Naloxone to ensure that responders have immediate access

to this lifesaving drug to respond to opioid overdoses.

Meanwhile, the Legislature has been at odds over funding for Vivitrol, also known as naltrexone, a drug used to

treat opioid addiction. While the latest Senate budget offer includes $2.5 million for naltrexone, the House cuts

funding for Naltrexone treatment by $5.5 million.

There were more than 3,900 opioid deaths in Florida in 2015.

According to Scott’s executive order, Florida will be able to access $27.1 million in federal dollars for two years,

but that the state must tap into the money before July 1.

His press office claims that, without the order, “it would have taken months for

the state to distribute these funds to local communities. “

Scott directed the state department of Children and Families, state department of

Health and the Florida Department of Law Enforcement to visit Palm Beach,

Manatee, Duval and Orange Counties to identify additional strategies to fight the

rising opioid usage cases in the state.

The opioid crisis has drawn national attention. Florida Attorney General Pam

Bondi is part of a national commission created last month by President Donald

Trump and led by New Jersey Gov. Chris Christie to combat the country's opi-

oid problem.

According to the Centers for Disease Control, opioids — prescription and illicit — are the main driver of drug

overdose deaths. Opioids were involved in 33,091 deaths in 2015, and opioid overdoses have quadrupled since

1999.

To view online:

http://www.politico.com/states/florida/whiteboard/2017/05/03/scott-declares-state-of-emergency-to-combat-

opioid-epidemic-8611972

By Christine Sexton

Gov. Scott declares state of emergency to combat opioid epidemic!

Page 13 JUNE Volume 17, Issue 6

Page 14 JUNE Volume 17, Issue 6

Dear FMHCA Members,

Jackson’s ALL WELLness Services, LLC hosts a meeting every other month with professionals

in the area. These professional meetings are coordinated and facilitated by Dr. Daniella Jackson,

and they are composed by other professionals, which may include Florida Mental Health Coun-

selor Interns, independent researchers, licensed mental health counselors, licensed social work-

ers, physicians, psychiatrists, psychologists, university professors, , and/or other healthcare pro-

fessionals.

The main objectives of these professional meetings include building peer support, professional

development, and the strengthening of a list for professional resources that may be useful to our

clients. When professionals have the opportunity to connect with each other on a regular basis,

they are able to gain a better understanding of other professionals’ philosophies, areas of exper-

tise, and the services they offer within our community.

Our next Professional Meeting will be held on Saturday 06/10/17 from 10:00 am to 12:00 pm at

our location. Please bring business cards to share. You will also be given an opportunity to in-

form others about your expertise and niche.

For these professional meetings, snacks and light refreshments are provided. There is no cost to

attend any of our professional meetings.

If you are interested in being a part of our network,

please feel free to contact us at any time. Addition-

ally, we hope you LIKE our Facebook page, and

please check out our website for detailed infor-

mation about all our services and upcoming events.

Page 15 JUNE Volume 17, Issue 6

Page 16 JUNE Volume 17, Issue 6

When you’re in recovery for substance abuse, going to any social event can be extremely difficult. In fact, many experts beli

best for those who are new to recovery to stay away from social events altogether, at least for the first several months, bec

hard to be in that situation and refrain from using drugs or alcohol.

Possible relapse isn’t the only reason a person in recovery should be careful about attending social events, however; it can

difficult to be around particular family members or old friends, especially if they weren’t supportive or don’t understand al

that come with recovery.

If you have battled substance abuse but feel you’re ready to attend parties and other events, it’s important to come armed wi

and have assistance from a friend or sponsor who can help you get out should you want to leave early. Here are some of the be

ways to get through a social event.

Consider getting a service animal

Service animals are wonderful companions and can really help relieve anxiety and depression. Many studies have shown that sim

petting a dog can help a person who is battling mood disorders or a disability, and the bonus is that you can take the animal

anytime you feel you need extra help at an event or just in public.

If possible, bring a friend along to the party who can help you make a quick exit if need be. Try to make it someone who simp

doesn’t drink or partake in the festivities, because having a friend with you who is in recovery might impede their own progr

out a signal so that you can let the friend know you’re ready to leave without announcing it to the entire party.

Try to have fun

The point of these social occasions

visit with friends and family. It may help to keep an incentive in mind; for instance, tell yourself that if you stay at the

certain length of time, you can treat yourself to a massage or a simple milkshake later.

Practice self

Self

tion. Taking care of your mental, emotional, and physical health is a big job, but there are several ways you can go about it

daily, eating well

have a profound effect on your mood and general wellbeing.

It can also be helpful to use art therapy during recovery. Writing in a journal, making art, or finding another way to expres

creatively can really help you get out some of those negative emotions and work toward a more positive goal.

Remember that recovery is your own path, and there is nothing to be ashamed of. Staying in recovery is hard work, but if you

plan and some friends who can support you, getting through social events will get easier and easier.

Page 17 JUNE Volume 17, Issue 6

When you’re in recovery for substance abuse, going to any social event can be extremely difficult. In fact, many experts believe it’s

best for those who are new to recovery to stay away from social events altogether, at least for the first several months, because it’s so

hard to be in that situation and refrain from using drugs or alcohol.

Possible relapse isn’t the only reason a person in recovery should be careful about attending social events, however; it can also be

difficult to be around particular family members or old friends, especially if they weren’t supportive or don’t understand all the things

that come with recovery.

If you have battled substance abuse but feel you’re ready to attend parties and other events, it’s important to come armed with a plan

and have assistance from a friend or sponsor who can help you get out should you want to leave early. Here are some of the best

ways to get through a social event.

Consider getting a service animal

Service animals are wonderful companions and can really help relieve anxiety and depression. Many studies have shown that simply

petting a dog can help a person who is battling mood disorders or a disability, and the bonus is that you can take the animal with you

anytime you feel you need extra help at an event or just in public.

Come prepared

If you know there will be substances at the event, it’s a good idea to

come prepared with a “script” of sorts in order to avoid awkward or

difficult questions. Think about what you’ll say if someone offers you a

drink, but don’t feel the need to explain your situation, especially if you

don’t know the person well. Be firm but polite and refuse their offer.

It’s also a good idea to bring your own bottled water or soda to the

event. Not only will this prevent you from having to go near the bar or

beverage area, but having a drink in your hand will keep well-intentioned

party goers from asking if you need a drink.

Bring a friend

If possible, bring a friend along to the party who can help you make a quick exit if need be. Try to make it someone who simply

doesn’t drink or partake in the festivities, because having a friend with you who is in recovery might impede their own progress. Work

out a signal so that you can let the friend know you’re ready to leave without announcing it to the entire party.

Try to have fun

The point of these social occasions--birthday parties, barbecues, and wedding receptions--is to have fun, so try your best to relax and

visit with friends and family. It may help to keep an incentive in mind; for instance, tell yourself that if you stay at the party for a

certain length of time, you can treat yourself to a massage or a simple milkshake later.

Practice self-care

Self-care is extremely important for anyone who is in recovery, and it can help give you the right tools to deal with a difficult situa-

tion. Taking care of your mental, emotional, and physical health is a big job, but there are several ways you can go about it. Exercising

daily, eating well-balanced meals, attending counseling or therapy, or simply doing things that make you relaxed and happy can all

have a profound effect on your mood and general wellbeing.

It can also be helpful to use art therapy during recovery. Writing in a journal, making art, or finding another way to express yourself

creatively can really help you get out some of those negative emotions and work toward a more positive goal.

Remember that recovery is your own path, and there is nothing to be ashamed of. Staying in recovery is hard work, but if you have a

plan and some friends who can support you, getting through social events will get easier and easier.

How To Get Through Social Events When You’re In Recovery

Page 18 JUNE Volume 17, Issue 6

Green Cross of Traumatology, Partnering with FMHCA this February

We have found that relationships are the most important aspect of working with trauma-

tized populations. This is also true, however, when working with organizations. Recently, the

Green Cross Academy of Traumatology (GCAT) has had the pleasure of partnering with

the Florida Mental Health Counselors Association (FMHCA) in offering an annual

conference to its membership. FMHCA has agreed to develop a Green Cross track, starting

February of 2018 to provide membership of Green Cross with a location for an annual

conference, and networking with other mental health and outreach professionals. FMHCA

has a long history of offering workshops in compassion fatigue, field trauma, and

counseling interventions, in a wide variety of training situations, as well as disaster or mental

health related discussions. The partnering of Green Cross with FMHCA allows their

organization to offer trauma related programming every year at their annual conference.

Green Cross Members will also be invited along with members of FMHCA to attend any

programming in any conference track, and a track designed especially by Green Cross to

address the work of traumatology and disaster relief. We’ve included call for papers and

information to our members who would like to present research from their area of study, or

work related to compassion fatigue, field trauma, or counseling in areas of trauma.

We are thrilled to join you for this fabulous opportunity February 1st-3rd, 2018 in Lake

Mary, Florida.

Dr. Charles Figley, founder of Green Cross, has agreed to be a keynote speaker for the

entire conference, and will discuss the work of Green Cross and traumatology. We are

thrilled about this opportunity to meet with Dr. Figley, renew old friendships, and develop

new ones,within and throughout the organizations of Green Cross and FMHCA. We look

forward to this opportunity for Green Cross to be enriched as an organization, and for

membership to congregate and grow together, in partnering with the membership of

FMHCA.

Dr. Figley’s wife Kathy will also be a presenter, who is responsible alongside Dr. Figley for

the development of Green Cross Academy trainings. Our organization owes much to the

Figley’s, and we’re so very excited that they have agreed to participate; bringing our Green

Cross family together as we aid first responders and victims of trauma.

We are urging our members, “Don’t stay home because you “can’t afford” this wonderful

opportunity! Work with us, because we want you there too.” We’re looking forward to

meeting many of you in February in bright and sunny Orlando, Florida.

-Dr. Benjamin Keyes, Executive Director of Green Cross

Page 19 JUNE Volume 17, Issue 6

Louise Sutherland-Hoyt, LMHC, CCMHC, NCC, MAC

President-Elect FMHCA

Chairman, Government Relations Committee

There is a very ancient saying: You cannot step into the same river twice. For it is

not the same river, and you are not the same person. This is a truth that implies

both good news and other news as FMHCA moves toward the new year beginning

July 1. We have undergone enormous changes in our structure that has led to grow-

ing pains and yet at the same time has opened doors to exciting ventures as we for-

mulate our vision for the future of FMHCA.

The Government Relations Committee embarked upon a path that led us through a swirl of ac-

tivity and growth as we engaged the legislature, took a stand on key bills affecting mental health in

Florida, and initiated efforts to forge relationships with like-minded organizations to strengthen

our voice in support of better access to Mental Health services in this state. Looking ahead, our

newly developed regions have the potential to play a vital role in advocating for the profession, vis

a vis, lobbying those legislators within each region, and a visible presence in regional communities.

The GRC has set forth a comprehensive, yet achievable, list of objectives that will be implement-

ed as of July 1. Currently, the committee is in recess and taking a much-needed breather in order

to hit the ground running come July.

As I look toward stepping into the role of President, I envision taking strides in the direction of

unity among regions, and strengthening bonds between “the Mother Ship”, that is the state organ-

ization, and the elected leaders through quarterly get-togethers called Coffee Klatches. This

where we will exchange ideas and feedback that will contribute vastly to the direction of FMHCA,

a key element in building cohesiveness. We will seek and find creative solutions to expand our

membership and we will be a presence at public forums involving matters of our profession and

the status of Mental Health in Florida.

To all FMHCA members, wishing you a summer of wellness and wholesome adventures.

Page 20 JUNE Volume 17, Issue 6

Member Mental Health Professionals Apps:

Page 21 JUNE Volume 17, Issue 6

DSM-5 Criteria

This is the mobile app for clinicians to utilize in diag-

nosing their clients. It is an easy to use system which

lists the criteria for all of the DSM-5 diagnostic catago-

ries with the criteria listed for each diagnosis (this is not

a free app).Read more about this app

at: http://www.appi.org/Pages/DSM5Mobile.aspx

ICD-9-CM Codes

ICD 9 Consult puts the complete, current ICD9-CM on

your iPhone or iPod Touch, instantly smart-searchable

and browsable. Read more about it at:

https://itunes.apple.com/us/app/icd9-consult-2014-

free/id358845668?mt=8

ICD-10-CM Codes

ICD 10 Helps you to Quickly look up diagnosis codes

using the new ICD-10 coding system. All codes are

downloaded to your device - no downloading is neces-

sary as you are looking up your code. Read more about

it at:

https://itunes.apple.com/us/app/stat-icd-10-

coder/id467916561?mt=8

Provider Resilience

Provider Resilience gives health care providers tools to

guard against burnout and compassion fatigue as they

help their clients be they civilians or service members,

veterans, and their families. Providers can take a self as-

sessment to determine if they are at risk and steps they

can take to ward off such burnout and fatigue. Read

more about it

at: https://www.t2health.org/apps/provider-resilience

Courtesy from Coping.US. com and James Messina

Page 22 JUNE Volume 17, Issue 6

Page 23 JUNE Volume 17, Issue 6

Narcissists can be very charming and positive, but they’re just looking for people to feed into their narcissistic supply and help build

their ego, said Patricia Watson, M.D., interim head of the Department of Humanities in Medicine at the Texas A&M College of Med-

icine.

“Narcissists have the ability to cultivate relationships,” Watson said.

“People have narcissism as a trait, some more than others, but a smaller group of people have Narcissistic Personality Disorder, or

NPD.”

Like the story of Narcissus, narcissism is characterized by a general grandiose belief about oneself. Those with more of a tendency

toward narcissism will have an exaggerated sense of self-importance, a sense of entitlement, a lack of empathy, and often a tendency

to be manipulative.

“Narcissism exists on a spectrum,” Watson said. “You have people who have low to moderate amounts of narcissism, where it’s still

apparent, but not really a disorder; then you have the high end where it’s a full personality disorder.”

Narcissism can be seen as the evil twin of high self-esteem. Both are born of a person’s accomplishments and how they truly see

themselves.

“Everyone has self-esteem and self-worth,” Watson said. “It’s when those become exaggerated and there is an unhealthy drive to

keep their beliefs intact that it becomes a problem.”

The causes for NPD are not completely clear; while home life and upbringing can certainly play a role, there may be some genetic

factors that can determine where someone stands on the narcissism spectrum, she said. If developing narcissism is a learned trait,

then normal social activity at school or daycare can help break the mindset that may be normal early on.

“We are all born with a type of learned narcissism,” Watson said. “From birth, the world revolves around us. We cry, and food ap-

pears or we are held, but then we grow out of that mindset and start learning that it won’t always be the case.”

Studies have often shown that narcissists are more likely to step into positions of power. In the short-term, they can be perceived as

confident and very skillful, which makes them a favorable candidate for a new promotion at work or a leader in the classroom.

However, they may use some dirty tactics to achieve this goal. Their line between confidence and arrogance is a lot thinner than oth-

ers, and they may belittle someone if they perceive their own views are threatened. In contrast, a leader with very low levels of narcis-

sism can be poor leaders too, just like someone with high levels, but in a different way.

Click Here To Continue Reading

Explaining Narcissism as Personality Trait and Disorder

Page 24 JUNE Volume 17, Issue 6

Ahh!!! Graduation with your masters and ready to enter the therapy field by storm with your education, excitement, and vigor. But with

that comes the daunting task of getting hours needed for licensure, take the state test, and find a supervisor to guide you through both. For

those of you who are just beginning this process or can reflect on this time, I wanted to share my experience and give some tips for future

interns and supervisors.

My supervision experience for licensure was a struggle. I had heard of people paying for supervision but thought I may find a supervisor

that would do it for no cost but still get the guidance I wanted. Here I remember the old saying, “You get what you pay for”. My boss at

the time knew a qualified supervisor who was beginning to build an assessment team for a detox center and was willing to supervise me if I

was to offer assessments to incoming clients who were coming off detox. I made my own hours and could go after working a full day as a

counselor at a clinic. In the beginning the supervisor was engaged but as time went on he became less due to the challenges of opening his

business. I was calling him for weekly meetings but could only get together every few weeks and it became an hour of bantering about his

future hope for the facility he was starting and less about guiding me through clinical skills and therapeutic training. One benefit is that it led

me to desire something more which was part of the reason I moved to Florida, to seek out better supervision. As a beginning intern, I

remember wanting:

--Clinical guidance on difficult cases and clients

--Education of therapeutic skills and innovative skills to help clients with issues they were struggling through at that moment

--Support and training for the license exam that I was terrified of, knowing that this exam was the deal breaker for my future.

Unfortunately, I didn’t get any of these and grew frustrated with the process and concerned that I would not get the training needed to be a

successful therapist.

In my present practice as a supervisor, I now make a point to offer these in my supervision sessions with my interns. But now being a

supervisor for some time I have recognized even more that an intern needs to be successful at:

--Not only clinical guidance on difficult cases and clients but the ability to process cases at length to see the different perspectives on how

they are serving the client and their needs and offering insight into managing the issues with the client.

--Not only education of therapeutic skills and innovative skills to help clients with issues but use the plethora of professionals in the field

and their perspective. I offer each intern a year’s subscription to Psychotherapy Networker, to address current trends in the field. I use this

journal along with other journals that I belong to give professional guidance from the innovators in the field of therapy.

--Not only support for the license exam but confidence and guidance through case presentation that mirrors the exam questions and clinical

guidance with the exam in mind to give a sense of clarity for the exam.

Now being on the FMHCA Intern committee board I get to have direct influence on the supervisor and supervisee relationship. The hope

is that the future supervisors of our field will have the best training, guidance, and preparation, in turn, creating our future interns.

For you the intern it’s a financial investment that you’re giving to yourself and your future clients to pay for quality supervision as opposed

to what I learned, “You get what you pay for”. Some helpful sites to seek out a qualified supervisor are:

--Meetmysupervisor.com

--FMHCA website

--Supervisordirectory.com

I am on all three of these websites, and available for face to face supervision in the Orlando area and on the in-

ternet through a confidential website at Breakthrough.com

Scott Jones

Psychotherapist

LMHC

CAP (Certified Addictions Specialist)

New Directions Counseling

Orlando FL

[email protected]

A Qualified Supervisors Lesson Learned

Be Active in FMHCA - Join A Committee

Interested in becoming more active with FMHCA but not sure how to get started? Consider joining a committee!

Participating in a FMHCA committee allows you to Interact with professionals who share your passions while providing

a valuable service to FMHCA. Let's face it - change doesn't happen by itself. We need YOU to help us make a differ-

ence! There are several opportunities for you to get involved - consider any of the following committees:

Ethics Committee

Membership Committee

Graduate Students & Registered Interns Committee

Chapter Relations Committee

Finance Committee

Nominations & Elections Committee

Governmental Relations Committee

Conference Planning Committee

Education, Training, Standards, & Continuing Education Training Committee

Military Service Committee

Research Committee

Feeling especially interested in any of those topics? Consider being a committee chair - you'll be surprised how rewarding

it can be to help make things happen!

Email [email protected] to express your interest. Thank you!

FMHCA is seeking Graduate Students and Registered Interns to contribute monthly articles for our

newsletter. This is a wonderful opportunity to share your point of view and your journey to licensure

with others while getting professional exposure. We're looking specifically for articles that will you're

your peers navigate the journey to graduation and licensure - study tips, resources, how-tos... there are so

many relevant topics worthy of investigation and discussion.

These articles will also help you train yourself on best practices - it's a win-win!

Please email [email protected] if you're interested in this opportunity.

Page 27 JUNE Volume 17, Issue 6

Session 7: Maternal Mental Health: What Therapists Need to Know Date:Friday, 6/23/17, 2:00-4:00 pm

Session 8: Working with Kinky Clients Date:Friday, 7/28/17, 2:00-4:00 pm

Session 9: Multicultural Counseling: A Mosaic, Not a Melting Pot Date:Friday, 8/25/17, 2:00-4:00 pm

Session 10: Navigating Professional Practice Boundaries: From Telehealth to Portability Date:Friday, 9/22/17, 2:00-4:00 pm

Session 11: Integrative Psychotherapies- New Paradigms in Psychotherapy Date: Friday, 10/27/17, 2:00-4:00 pm

Session 12: How to Have the Difficult Conversation You’ve Been Avoiding with Family, Coworkers, Parents, Partners or

Children Date:Friday, 11/10/17, 2:00-4:00 pm

Session 13: Addressing Tobacco Use in Behavioral Health Date: Friday, 12/8/17, 2:00-4:00 pm

Member Perk

Page 29 JUNE Volume 17, Issue 6

Learn about perinatal mood disorders, resources for families, treatment options, and community advocacy.

Learning Objectives:

By the close of the webinar, participants should be able to demonstrate an understanding of the types of mater-nal mental illnesses, and will be able to discuss treatment options and resources available for women and fami-lies.

(1) Participants will be able to identify and describe the symptoms commonly experienced in clients diag-nosed with a mental illness in the perinatal period.16

Participants will be encouraged to explore additional material related to maternal mental illness and assume an advocacy role and will be given the resources to do so

CE Broker Tracking #: 20-548601

About the Presenter:

Latoya Carbonell, LCSW, is a south Florida therapist specializing in women's issues. Latoya has educated countless caregivers on parenting skills and child development needs. Her main areas of interest include perinatal mood disorders, fertility counseling, and attachment parenting. She participates in the Safe Kids Coalition of Broward County, and is a member of NASW, RE-SOLVE, and ASRM.

Maternal Mental Health: What Therapists Need to Know 13 June 2017 2:00 PM - 4:00 PM

Page 31 JUNE Volume 17, Issue 6