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When you are looking for your third, fourth or more therapist….

Gary Direnfeld

Sometimes I am the third or fourth therapist. I ask who between them didn’t like the previous therapists. The other is continuing to therapist shop, hoping to find one that can finabreak through to their partner not taking responsibility. I am Gary Direnfeld and I am a social worker. Both are actually stuck.

Therapist 130
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Three Questions to Improve Your Counseling Practice

Gary Direnfeld

To my social work and therapist colleagues: Typically after my first meeting with people I serve, I would ask three questions: 1) What are your takeaways from our meeting? I am Gary Direnfeld and I am a social worker. 2) What was your experience of me? Those questions form a quick debrief.

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Three-Hour Sessions? Sure!

Gary Direnfeld

I asked how many therapists they saw before me. I am obtaining a transgenerational history that explores issues of abuse, violence, drug and alcohol use, mental health, physical health, separations and divorces, cut-offs, sexual abuse and more. I am Gary Direnfeld and I am a social worker. Each only once.”

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Child Protective Services in the District of Columbia: An alarming increase in incomplete investigations in FY2024

Child Welfare Monitor

Contributing factors might be the end of COVID-19 assistance programs and the growing mental health, substance abuse, and housing crises in the District. This included 19 social workers carrying 20 or more cases and five social workers carrying more than 30 cases.

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When Little Ones Play Dress-Up

Gary Direnfeld

Hopefully they (the parents) can meet with a therapist to come to understand child development and that gender is expressed on a continuum, that their child will be best served by allowing the child to be their authentic self. I am Gary Direnfeld and I am a social worker. Gary Direnfeld is a social worker.

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Social workers could join neighbourhood teams for people with complex needs

Community Care

Social workers could form part of neighbourhood-based multidisciplinary teams (MDTs) providing support for people with complex health and social care needs. Note: There is a poll embedded within this post, please visit the site to participate in this post's poll.

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Couple Counseling? Maybe in time….

Gary Direnfeld

This is where the therapist must make a decision. It doesn’t mean the therapist is comfortable with the possible degree of risk. If the one who has been violent and/or controlling refuses to attend or afterwards refuses to allow communication between their partner and therapist to review progress, those are red flags.