In this episode of the Therapist Thrival Guide, licensed clinical social worker Miranda Barker sits down with Kaleigh Boysen-Quinata, LMFT, and Stephanie McDonald, LPC, to explore the unique challenges and rewards of working with children under five in therapy.
Together, they cover everything from early childhood diagnoses and play-based modalities like Child Parent Psychotherapy (CPP) and Play Therapy, to the essential role of parents in the therapeutic process. The conversation also touches on practical strategies for engaging resistant kids, navigating foster care and separated parents, and handling the unique challenges of telehealth with very young children.
Unfortunately, this will be one of our last episodes. Thank you for all of the support and listening-- we couldn't have made it this far without you!
OUR GUESTS:
Kaleigh Boysen-Quinata (she/her) is a Licensed Marriage and Family Therapist and founder/director of Family Roots Therapy in Portland, OR. Kaleigh’s mission is to provide high quality, specialized mental health care to children and families. Before founding Family Roots Therapy, Kaleigh worked in community based mental health programs, a school-based program, and in crisis response and intensive services for children and teens.
Kaleigh has received specialized training in Child-Parent Psychotherapy. She has also received additional advanced training in perinatal mental health and solution-focused therapy. Her passion is helping parents understand their young children’s challenging behaviors and teaching them new tools and skills to connect with their children. She has spoken at conferences and other events on topics such as leadership, family therapy, engaging parents in treatment, and Positive Discipline.
Stephanie MacDonald (she/her) is a Licensed Professional Counselor (LPC) and the Clinical Director at Family Roots Therapy in Portland, OR. She is a Certified Autism Spectrum Disorder Clinical Specialist, working with Autistic youth, as well as Autistic adults, including late-realized or questioning. She practices Child-Parent Psychotherapy (CPP) with new parents and their young children and Child-Centered Play Therapy (CCPT) with preschool and elementary aged children and provides parent coaching to their grown-ups. In addition, she integrates theories such as Interpersonal Neurobiology, Synergetic Play Therapy, Emotion-Focused Therapy, Humanistic Therapy, and attachment science, and utilizes a feminist and social justice-focused lens. She also specializes in couples/relationship counseling, perinatal counseling, and working with adults who have parents with personality disorders. Her practice is neurodivergent-affirming and queer-affirming, and she is excited about working with folx from those communities.
Listen to their podcast, the Family Roots podcast here: https://podcasts.apple.com/us/podcast/family-roots-podcast/id1830360793
OUR HOST:
Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on LinkedIn: https://www.linkedin.com/in/miranda-barker-msw-licsw/
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021.
Bipolar disorder can be one of the most challenging diagnoses for clinicians to understand and treat—so in this episode of the Therapist Thrival Guide, we are sitting down with Rachel Snipes, LPC, who specializes in trauma and clinical supervision, to break it all down.
We talk through the key differences between Bipolar I and Bipolar II, how to spot symptoms, and why it’s often misunderstood or misdiagnosed. We also cover the most effective treatment approaches—like medication management, therapy, patient education, and building healthy routines.Whether you’re a new clinician or a seasoned therapist, this conversation is packed with practical insights to help you feel more confident when working with clients navigating bipolar disorder.
Unfortunately, this will be one of our last episodes. Thank you for all of the support and listening-- we couldn't have made it this far without you!
OUR HOST:
Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on LinkedIn: https://www.linkedin.com/in/miranda-barker-msw-licsw/
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you!
This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021.
TIMESTAMPS:
00:00 – Introduction
00:37 – What is bipolar disorder?
01:17 – Symptoms and misconceptions
02:54 – Types of bipolar disorder (I vs II)
04:48 – How diagnosis is made
06:59 – Common challenges in diagnosis
09:03 – Understanding mania
18:21 – Why accurate diagnosis matters
22:28 – Treatment approaches that work
24:41 – Managing manic episodes
25:18 – Hospitalization considerations
26:04 – Medication & therapy options
29:10 – Routines and therapeutic strategies
32:04 – Challenges in treatment
35:23 – Compassionate diagnosis conversations
41:30 – Final thoughts & encouragement
In this episode, Miranda Barker, LICSW, sits down with Jessie Colter, LICSW, to explore the essential role of parent coaching in child therapy. Together, they break down therapeutic approaches, highlight why parent involvement matters, and share strategies for navigating real-world family dynamics.From trauma-informed modalities to practical case examples, this conversation is packed with insights for therapists at every stage of their career. Jessie offers her expertise on engaging parents effectively, balancing boundaries, and building stronger therapeutic outcomes for children and teens.Whether you’re just starting out or a seasoned professional, this episode will leave you with practical tools and encouragement for working with parents in therapy.OUR GUEST:Find Jessie here: https://hiddenpinesmentalhealth.com/?fbclid=IwY2xjawMkFlBleHRuA2FlbQIxMABicmlkETFxSHJodTZVMkhMbVlsTmhCAR6YwVbUosPvk0yG2FZv2CLoVjqab359_oom8vIAx8d8s_vu6Km8HNfiY4Fb6g_aem_Squh-jAkEo-LPZ1REAzdYAOUR HOST:Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on LinkedIn: https://www.linkedin.com/in/miranda-barker-msw-licsw/The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021. Timestamps00:00 Introduction & Meet the Hosts00:29 Exploring Therapeutic Modalities03:09 Parent Involvement in Child Therapy05:37 Challenges & Strategies in Parent Engagement11:44 Case Studies & Real-Life Examples19:08 Working with Adolescents & Teens20:54 Managing Overly Involved Parents21:51 Parent Coaching vs. Parent Check-Ins25:27 Billing for Parent Sessions29:26 Involving Both Parents in Therapy31:49 Advice for New Therapists Working with Parents34:09 Handling Rambunctious Kids in Sessions36:59 Final Thoughts & Encouragement
In this episode, Miranda Barker, LICSW, and Dr. Rachel Wood, a licensed counselor with a PhD in cyber psychology, dive into the fascinating intersection of psychology and technology.
They discuss the rise of AI tools like Character AI and AI therapists, and their impact on the mental health field. The conversation covers various aspects including the use of AI as a supplementary tool in therapy, the potential risks, privacy concerns, and how AI is shaping the future of mental health treatment.
They also address the misconception that AI could replace human therapists and emphasize the importance of balance and ethical use of these tools. This episode is a must-watch for mental health professionals and anyone interested in the evolving role of technology in mental health care.
Our Guest:
Dr. Rachel Wood has a PhD in cyberpsychology and is a licensed counselor. Rachel speaks fluently about mental health and the future of synthetic relationships. As the founder of the AI Mental Health Collective, she cultivates a community of therapists focused on AI’s impact both in practice and in society. Dr. Wood enjoys her work as a speaker, workshop facilitator, strategic consultant, and policy advisor.
Website for courses and AI policy work for clinicians:www.dr-rachelwood.com
OUR HOST:
Miranda Barker, MSW, LICSW, has been practicing as a therapist for several years. She previously worked as a child protection investigator, adoption social worker, case manager, and the Director of Brand Content at Ellie Mental Health. Follow her on LinkedIn.
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and has expanded to an explosive number of locations nationwide after franchising our model in 2021.
00:00 Introduction and Guest Introduction
00:28 Understanding Cyber Psychology
01:17 AI in Therapy: Current Trends
01:50 Concerns and Misconceptions About AI Therapy
03:31 The Rise of AI Companions
07:14 The Illusion of Intimacy with AI
09:28 Therapeutic Relationships vs. AI Interactions
19:41 Ethical and Privacy Concerns
26:51 The Future of Therapy and AI
40:19 Conclusion and Resources
In this episode, we are joined by licensed professional counselor DeeAnna Nagel to talk about one of her favorite creative tools—therapeutic writing—and how it can be woven into clinical work.
DeeAnna shares how writing, whether through journaling, email, or chat-based therapy, can help clients process their experiences in a way that feels safe and personal. We explore different approaches, from structured prompts to active imagination exercises, and even how adding elements like essential oils or somatic techniques can deepen the experience.
We also dig into how written communication—especially email and chat—can support therapeutic continuity, offer flexibility, and sometimes open up insights that might not come out in a traditional session. Along the way, we discuss boundaries, the evolving role of AI in therapy and other ways of processing life events.
Whether you’re a therapist curious about adding writing to your toolkit or simply interested in new ways to process emotions and experiences, this episode is full of practical ideas you can start experimenting with right away.
Find out more about our guest, DeeAnna:
https://deeannamerznagel.com/writing-resources/
IG: @deeannanagel
Timestamps:
00:00 Introduction and Guest Introduction
01:57 Exploring Therapeutic Writing
05:52 Journaling Techniques and Prompts
07:57 Incorporating Aromatherapy and Somatic Work
12:43 The Power of Written Communication in Therapy
16:13 Challenges and Training in Online Therapy
19:47 The Early Days of Online Therapy
20:26 Integrating Email and Chat in Therapy
21:48 Billing and Flexibility in Online Therapy
24:35 Therapeutic Writing and Boundaries
29:44 AI and Therapy: A New Frontier
32:53 Synchronicity Journals and Client Prompts
35:42 Final Thoughts and Resources
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. #therapy
In this episode of The Therapist Thrival Guide, we're sitting down with Christy Gunter, LMSW to unpack the complexities of chronic trauma—what it is, how it impacts the brain and body, and what we can do to help clients heal.
Christy explains chronic trauma as repeated exposure to threat or harm. Over time, the brain and nervous system start to adapt in ways that were meant to protect us but can become unhelpful—or even harmful—in the long run. We talk through how chronic trauma differs from acute trauma, explore the wide range of trauma responses (yes, there’s more than just fight or flight—collapse and submit show up, too), and look at how these patterns shape behavior and show up in the therapy room.
We also dive into the nervous system’s role in trauma, the power of EMDR for processing it, and why breaking down maladaptive responses is such an important part of recovery. Christy and I both emphasize a holistic approach—because healing isn’t just about processing the trauma itself. It’s also about supporting clients in navigating daily life challenges, relationships, and triggers along the way.
Timestamps:
00:00 Welcome and Guest Introduction00:58 Understanding Chronic Trauma01:21 Defining Chronic Trauma04:07 Somatic Symptoms and Identifying Triggers09:06 Chronic Trauma's Impact on the Nervous System13:01 Therapeutic Approaches to Chronic Trauma16:20 Case Studies and Practical Applications19:36 Dual Diagnosis and Integrated Treatment21:21 Exploring EMDR and Art Therapy22:41 The Importance of Consent in Therapy23:22 Working with Different Age Groups24:51 Understanding Chronic Trauma27:43 Addressing Abandonment Issues32:06 Coupling Trauma with Sensory Triggers37:39 The Role of EMDR in Trauma Processing42:14 Concluding Thoughts and Listener Engagement
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. #therapy
In this episode of The Therapist Thrival Guide, Miranda is joined by Emily Turcotte, LICSW, a therapist with deep expertise in trauma, anxiety, and depression. We unpack the complexities of insomnia—what it is, why it often becomes chronic, and how it frequently shows up alongside things like PTSD, depression, and generalized anxiety.
Emily walks us through how she supports clients struggling with sleep using a mix of approaches, including DBT and CBT. We talk through practical interventions—from managing racing thoughts and rumination to addressing nightmares and building relaxation into the nighttime routine. Emily also touches on the importance of sleep studies and how factors like substance use can complicate things.
If your clients are struggling with insomnia (or you’re noticing patterns in your caseload), this episode is full of helpful takeaways and clinical strategies.
Timestamps:
00:00 – Welcome & guest intro
00:29 – Emily’s specialties & therapy approaches
01:12 – What is insomnia, really?
02:50 – How insomnia ties in with anxiety, trauma & depression
07:37 – Using DBT skills to support better sleep
19:21 – Nightmares, grounding, and relaxation
27:17 – Final thoughts
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. #therapy
In this episode of Therapist Thrival Guide, Miranda is joined by Roxanne (Roxi), one of our trauma therapists based out of the Woodbury office. Roxi brings experience in EMDR and IFS—and shares both her clinical wisdom and personal story of navigating panic disorder.
We explore how trauma can show up in the body, the therapeutic techniques that help clients feel safe and empowered, and why belief systems (especially the sneaky limiting ones) play such a big role in the healing process. Roxi also reflects on what it means to work through your own stuff as a therapist, how cultural disconnects can show up in the therapy room, and what it looks like to really tune in to the body’s messages.
This conversation is packed with insight—whether you're a fellow therapist or just curious about trauma work, there’s a lot here for you.
Links:
IFS Training Manual: https://amzn.to/4fbt5nm
Mind-Body Connection Episode: Link
IFS Episode: Link
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. #therapy
Need a deeper understanding of intimate partner violence—and how to support those impacted by it?
In this episode of The Therapist Thrival Guide, we are joined by Christy Sim, a therapist at Ellie Mental Health in Grapevine, Texas. Christy brings incredible insight to the conversation, shaped by her doctoral research and years of working directly with survivors of intimate partner violence (IPV).
We explore the many forms IPV can take, how it's different from what people typically think of as domestic violence, and how to recognize the signs—especially when they’re subtle or masked by shame, fear, or trauma. Christy walks us through safety planning, how to support clients who are still in the thick of abusive situations, and what healing can look like (even when it feels out of reach).
We also dig into trauma-informed care, EMDR, narrative therapy, and the power of reframing negative beliefs. Whether you’re a clinician or someone looking to understand this complex issue more deeply, this conversation offers both practical tools and meaningful perspective.
00:00 – Welcome + intro03:24 – Types of IPV05:59 – Spotting the signs08:28 – How to create a safety plan14:18 – Therapeutic approaches that help21:04 – Using EMDR21:44 – Narrative therapy in action28:54 – Generational trauma + breaking cycles36:14 – Co-parenting with an abusive partner37:55 – Final reflections + resources
This is a tough topic, but it’s such an important one. We hope this episode helps you feel more informed, empowered, and equipped—whether you're supporting clients, loved ones, or yourself.
LINKS:
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. #therapy
In this episode of The Therapist Thrival Guide, Miranda is joined by Letisha and Madison for a thoughtful, honest conversation about Set Boundaries, Find Peace by Nedra Glover Tawwab. This book sparked such a rich discussion—one that we know will resonate whether you’re a therapist, a client, or just someone trying to navigate relationships more clearly.
This episode dives into what healthy boundaries actually look like across different parts of life—family, friendships, work, and even social media—and share real-life examples of how boundary setting has shown up in our own lives and in our work. We also break down the different types of boundaries Tawwab describes, what gets in the way of holding them, and why boundaries are such an essential part of self-care and healing.
This episode is full of takeaways you can use right away, whether you're trying to have clearer communication, protect your energy, or show up more fully for yourself and others.
Link to the book: https://amzn.to/469AjWt
Timestamps:
00:00 – Welcome + Meet Letisha and Madison
01:37 – How we talk about boundaries in therapy
02:30 – A look at the different types of boundaries
03:55 – What makes boundaries actually work
05:08 – How we've struggled (and grown) with boundaries personally
08:38 – What makes boundary enforcement so hard
16:56 – Time and material boundaries in real life
19:34 – How trauma complicates boundary work
26:40 – Being clear and direct without guilt
28:41 – Family dynamics + long-standing patterns
36:22 – Setting boundaries with yourself (yes, that counts!)
42:26 – Final reflections and favorite insights
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. #therapy
In this episode Miranda sits down with Jean Hoarder, a therapist and the Clinic Director at in Pittsburgh. Jean works closely with franchise owners Fred and Sharon (who are mentioned, but not a part of this episode).
Jean gets real about what it was like stepping into a clinic environment that wasn’t working—and how she helped turn things around. We talk about the importance of consistent leadership, honest communication, and celebrating wins. Jean shares the intentional ways she worked to rebuild trust, create a supportive team vibe, and make the clinic a place people actually want to work. If you're a clinic director or in any kind of leadership role, this one’s packed with insight and encouragement.
Timestamps00:21 – Meet Jean: Background and Role00:30 – Walking into a toxic culture02:08 – What positive change actually looks like05:25 – Building trust and communication09:54 – Doubts and growing through challenges16:30 – Jean’s advice for clinic directors18:42 – Wrapping it up
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. #therapy
In this episode of The Therapist Thrival Guide, we sit down with Dr. Jennifer Dall—former educator, now ADHD coach and consultant—to talk about something we both care deeply about: what ADHD actually looks like in women. Spoiler alert: it’s often overlooked, misdiagnosed, or misunderstood.
We get into our own stories, the emotional toll of masking, and what it means to get a diagnosis later in life. Plus, we share practical tools like the Pomodoro Technique, body doubling, and ways to build structure that actually work with your brain, not against it.
This episode is full of honesty, insight, and encouragement—especially for those navigating ADHD in themselves or supporting someone who is.
Here’s what we cover:
01:22 – What ADHD can look like in women
03:16 – Personal stories + early signs
08:44 – Diagnosis, misconceptions, and being missed
22:05 – Masking + why it’s so exhausting
26:23 – Burnout in ADHD and autism
27:18 – Identity struggles that come with masking
28:40 – Podcast rec: Climbing the Walls
29:48 – Realizing your own ADHD through your kids
32:21 – Why everyday stuff can feel impossible
38:01 – Pomodoro, body doubling + other tools that help
42:40 – What Dr. Dall is creating next
OUR GUEST:
Dr. Jennifer Dall is a Grief-Informed Neurodivergence Specialist and the founder of ADHD Holistically, where she empowers individuals with ADHD to transform daily struggles into opportunities for growth and self-discovery. With over 25 years of experience as an educator and a background in ADHD coaching, yoga instruction, and grief education, Dr. Jennife offers a holistic, deeply personal approach to helping neurodivergent individuals thrive.
Diagnosed with ADHD in her 50s after years of being told she "couldn’t possibly have it," Dr. Jennifer knows firsthand the challenges of navigating misinformation and masking symptoms—especially for women diagnosed later in life. Now, she specializes in helping women identify what truly works for them, focusing on practical, quick-fix strategies that simplify daily life without relying on medication or a one-size-fits-all approach.
Through her courses, workshops, and speaking engagements, Dr. Jennifer equips women—and those who support them—to reframe their ADHD narratives and unlock their full potential. Her work also extends to therapists, life coaches, and HR professionals, offering comprehensive training to better support neurodivergent clients and employees.
Website: https://adhdholistically.com/
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. #therapy
In this episode of The Therapist Thrival Guide, I’m joined by the insightful Letisha Harris to talk through It Shouldn’t Be This Way by Janina Scarlet: a book rooted in Acceptance and Commitment Therapy that blends practical tools with a compassionate approach to healing.
We unpack themes like rewriting your origin story, navigating the difference between acceptance and enabling, and using metaphor and movement to support growth. Letisha shares what stood out most to her and how she’s using the book’s strategies with clients in real life. Whether you’re a mental health professional or just someone who’s been through some tough chapters, there’s something here for you.
Link to book: https://amzn.to/4ndfEah
Link to our previous episode about geek/superhero therapy: https://open.spotify.com/episode/68TYylJl9JwdbDKvfXIh12?si=hxvJACNBQ8WUqaadzANC8Q
Episode breakdown:01:08 – What drew us to this book01:28 – Core takeaways and key themes02:37 – Origin stories + superhero therapy03:40 – ACT in action06:40 – The time travel exercise & journaling10:24 – Acceptance vs. enabling15:22 – Grief, ambiguous loss, and gentle self-compassion20:06 – Letting go of control21:25 – Mind-body alignment23:30 – The phoenix metaphor26:59 – Changing the narrative30:22 – Book recs + wrap up
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She's new to the therapy game and loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health's in-house creative agency and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. Ellie will be opening over 500 locations in communities nationwide with new clinics opening each week. #therapy
In this episode of The Therapist Thrival Guide, Miranda sits down with Heather Dunlap, a licensed professional counselor and occupational therapist, to break down what occupational therapy (OT) really is—and how it complements the work we do in mental health.
Heather shares her unique perspective as a dual-licensed provider, offering insight into how OT supports clients across the lifespan in developing independence with daily activities, sensory regulation, and fine motor coordination. You’ll hear practical examples of how occupational therapy can benefit children struggling with sensory integration, and how therapists and OTs can collaborate to support clients more holistically.
We also dig into topics like:
The difference between OT and physical therapy
How OT helps with sensory issues, including feeding challenges
Overlaps between mental health counseling and OT
The medical model in OT, and where it sometimes falls short
The power of therapeutic listening and brain-body integration
Whether you're a therapist considering a referral, curious about how OT and mental health intersect, or just looking to expand your clinical toolkit—this episode is packed with valuable takeaways.
Timestamps:00:18 – Meet Heather Dunlap: LPC & Occupational Therapist01:33 – What is Occupational Therapy?03:24 – OT vs. Physical Therapy05:49 – OT Support for Children07:18 – Sensory Integration in Kids12:50 – How OT Sets Goals and Tracks Progress26:05 – OT and Autism Spectrum Support29:39 – Sensory Seeking vs. Sensory Avoidance31:04 – Feeding Therapy & Sensory Needs Around Food35:26 – Medical Model in OT: Strengths and Limitations41:32 – Building Bridges: Collaborating with OTs
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She's new to the therapy game and loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health's in-house creative agency and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. Ellie will be opening over 500 locations in communities nationwide with new clinics opening each week. #therapy
In this episode of the Therapist Thrival Guide, Miranda is joined by Hana, a licensed associate marriage and family therapist and one of the newest content creators at Ellie Mental Health.
Together, we dive into the world of Erotic Blueprints—a framework that explores the different ways people experience and connect with pleasure.
We break down the five blueprint types: energetic, sensual, sexual, kinky, and shapeshifter, and talk about how understanding these “pleasure languages” can support deeper connection, improved communication, and a more fulfilling intimate life—both individually and in relationships.
Whether you're new to the concept or already familiar, Hana shares how this model can be a powerful tool in therapy and self-reflection. We also touch on practical ways to explore your own blueprint (like taking the quiz), what to do when you hit sexual blocks, and how to incorporate this work into self-care and healing.
If you’re curious about expanding your understanding of desire, intimacy, and how to bring more intention to pleasure—this one’s for you.
Episode Breakdown (with Timestamps):00:27 – What Are Erotic Blueprints?01:34 – The Five Blueprint Types Explained04:42 – Using Blueprints in the Therapy Room11:22 – Navigating Blocks and Barriers24:52 – Training & Certification in Erotic Blueprint Work27:06 – Self-Care Through the Lens of Erotic Blueprints
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She's new to the therapy game and loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health's in-house creative agency and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. Ellie will be opening over 500 locations in communities nationwide with new clinics opening each week. #therapy
In this episode, Alexa (our go-to Director of Compliance), and Emily Kohler Hanson (one of our amazing Clinical Operations Directors) team up to unpack everything you need to know about treatment planning.
We’re diving into what makes a solid treatment plan—from understanding the difference between goals and objectives to using the SMART format to write ones that actually work. We’ll walk you through how to keep plans client-centered, compliant, and connected to your clinical work using the “golden thread.”
You’ll also get practical strategies for writing measurable goals, choosing effective interventions, and navigating documentation, signatures, and updates. If you’ve ever felt unsure about what a “good” treatment plan really looks like, this one’s for you.
Here’s what we cover (and timestamps):00:37 – What makes up a strong treatment plan01:06 – Why treatment planning actually matters02:45 – Keeping plans client-centered while meeting compliance needs06:18 – What the heck is the “golden thread”?12:41 – How to write SMART goals that make sense17:19 – Tips for effective, actionable plans20:10 – Setting goals that feel realistic (and helpful!)21:25 – Examples: writing SMART goals for depression22:50 – Using the PHQ-9 to guide goals24:10 – How to document context and progress27:55 – Making objectives measurable30:08 – Interactive complexity + care coordination32:48 – Matching interventions to goals36:47 – Who signs what, and when39:17 – Reviewing and updating treatment plans
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She's new to the therapy game and loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health's in-house creative agency and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. Ellie will be opening over 500 locations in communities nationwide with new clinics opening each week. #therapy
In this episode of The Therapist Thrival Guide, Miranda sits down with Sam Griggs, a licensed professional counselor and clinic director, to unpack the real-world challenges and rewards of providing mental health services in school settings.
Sam shares what it’s really like to support students' mental health within the structure of a school day-- from navigating school expectations to managing crises in real time. Together, they explore how to balance confidentiality, connect with parents, and build trust with students—all while juggling the fast pace and unpredictability of school-based work.
Whether you’re currently working in a school, considering it, or just curious about what school-based therapy actually looks like, this episode offers practical insight, honest reflections, and creative strategies to help you thrive in this unique setting.
Timestamps:00:18 – Meet Sam: Licensed Professional Counselor & Clinic Director01:04 – What Are School-Based Mental Health Services?03:01 – Common Challenges in School-Based Therapy05:03 – Navigating School Expectations as a Clinician06:44 – Confidentiality & Handling Crisis Situations10:14 – A Day in the Life of a School-Based Therapist12:27 – Group Therapy in School Settings17:24 – How to Engage Parents and Caregivers22:16 – Creative Solutions for School-Based Barriers30:20 – Final Thoughts & Encouragement for School-Based Clinicians
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She's new to the therapy game and loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health's in-house creative agency and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. Ellie will be opening over 500 locations in communities nationwide with new clinics opening each week. #therapy
In our 100th episode, Miranda is joined by Steve Drzewoszewski, LCSW, LCADC, CCS, CSC, a therapist and clinic director from New Jersey who’s been exploring the growing role of AI in the mental health world.
We get into all the big questions—Is AI actually useful for therapists? What are the risks? And how do we use it responsibly without losing the heart of the work?
We talk through how tools like Cloud AI and Therapro AI are already helping clinicians with documentation, note-taking, and even generating treatment plans, all while staying HIPAA-compliant. But we don’t shy away from the concerns, either. We unpack the ethical gray areas, the importance of client consent, and the general uneasiness that some folks feel about AI’s presence in such a human-centered field.
Some highlights:
Real-life ways therapists are using AI (and where it helps)
How to talk to clients about AI and get informed consent
Where the line is between helpful tool and overreach
Using AI for non-clinical tasks like marketing, content, and admin work
Environmental impact, privacy risks, and what's on the horizon. Read more at this article.
Link to Good Place scene Miranda references: https://youtu.be/R8m_5HDZF7w?si=lnfrBCbbQoZU4lVm&t=108
Whether you're a full-blown tech nerd or someone who side-eyes every new app, this episode has something for you. It’s not about replacing therapists—it’s about how we can use tools wisely to support the work we already love doing.
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She's new to the therapy game and loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health's in-house creative agency and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. Ellie will be opening over 500 locations in communities nationwide with new clinics opening each week. #therapy
In this episode, Miranda sits down with Kathy Flamino, founder and CEO of Move Mindfully, and Chrissy Mignogna, their lead trainer and director of education. We dive into what it really looks like to integrate trauma-responsive, body-based practices into everyday spaces—therapy sessions, classrooms, hospitals, and even juvenile justice settings.
Kathy and Chrissy are all about making these tools accessible and practical for the people who need them most. Whether you're a therapist, educator, or just someone trying to bring more regulation and grounding into your life (or your kid’s life), this episode is packed with ideas you can actually use.
We talk about:
Meeting people where they’re at, especially in crisis
Why movement matters in mental health care
How to introduce mind-body work to folks who are skeptical or shut down
Tools that work for kids, teens, and even stressed-out college students
Tips for therapists (because let’s be honest—we need regulation tools too)
They also share some really powerful takeaways from their new book, I Am Safe, and walk through examples of portable, classroom-friendly coping strategies.
If you’re curious about how to weave the mind-body connection into the work you already do—or if you're looking for new ways to support regulation and safety—this one’s worth a listen.
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She's new to the therapy game and loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health's in-house creative agency and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. Ellie will be opening over 500 locations in communities nationwide with new clinics opening each week. #therapy
In this episode, Miranda is joined by Erin Stevens, LPC-S from New Orleans, for a conversation about a powerful and creative idea that emerged during the height of the pandemic: a virtual book club for clients. Erin shares how she launched the group, the logistics behind keeping it running, and how reading books like The Body Keeps the Score helped participants process trauma and build meaningful connections.
They dive into the practical considerations—like navigating confidentiality, managing group dynamics, and knowing when and how to bring a group to a close. Erin also reflects on how something as simple as a shared story can become a therapeutic tool. If you're a therapist looking for new ways to foster community and healing, this episode offers thoughtful inspiration.
00:00 Introduction and Guest Introduction
00:27 The Concept of a Therapy Book Club
02:20 First Book and Group Dynamics
05:07 Challenges and Logistics
12:04 Ending the Group and Reflections
14:15 Future Plans and Advice
22:33 Conclusion and Call to Action
The Therapist Thrival Guide is a podcast by Ellie Mental Health. We want to move therapists beyond surviving and into the realm of thriving by covering all the things that graduate school didn't teach you! This mental health podcast is hosted by Miranda Barker, LICSW and a rotating cast of seasoned therapists. Each episode features a therapist speaking to their areas of expertise to help us learn how to thrive as therapists.
Miranda Barker, MSW, LICSW, has been practicing as a therapist for over three years. She previously worked as a child protection investigator, adoption social worker, and case manager. She's new to the therapy game and loves soaking up all of the knowledge from the expert therapists in her life. She's currently the Director of Content and Production at Ellie Mental Health's in-house creative agency and believes that creativity is an important aspect of mental health care.
The Therapist Thrival Guide is one of many creative productions from Ellie Mental Health. Ellie is a national mental health brand organized around community-based outpatient mental health clinics. It all began with a single office in St. Paul, Minnesota back in 2015, and since then has expanded to over 24 clinics in Minnesota and an explosive number of locations nationwide after franchising our model in 2021. Ellie will be opening over 500 locations in communities nationwide with new clinics opening each week. #therapy