They are asking both psychotherapists and LGBTQ couples who have gone to therapy to submit brief information about that experience that would help other therapists. The goal of this project is to collect and share information will help other therapists to provide better care for LGBTQ clients.

Please note that the deadline to submit this information is February 1st. You can send your responses to: gro.atselyagnull@tcejorpselpuoc

You can find out more about the project here.

Some of the information Gaylesta would like to know from clients includes:

• How important is it that your therapist be willing to disclose their sexual identity?  Does it matter to you whether they identify as LGBTQ? Why or why not?
• How have differences related to class/race/ethnicity/religion/etc. impacted your relationship?
• What was particularly helpful or not helpful in the way your therapist supported exploration regarding sexual difficulties?
• How has your therapist been able to be supportive or not during the transitioning of one member of the couple?
• If applicable, what has helped you feel that your therapist has understood and supported your alternative relationship constellation (i.e. polyamorous or nonmonogamous)?
• What do you wish your therapist knew about your identity and/or life that would (have) help(ed) in the therapy?
• What technique or insight initiated by your therapist in relation to you being LGBTQ helped the therapy?

Please note that this is not research and it’s not anonymous. Gaylesta intends to compile the responses, however your name will be removed from them.

Looking back, it seems ironic that I haven’t written much since then about mental health or mental illness in tech culture especially when I consider that a large proportion of the people who seek my help have careers in tech. It’s as if I’ve forgotten that it’s worth mentioning.

And it’s really not.

Prodded by the recent suicide of Ilya Zhitomirskiy, one of the co-founders of Diaspora (a site, I had eagerly awaited due to multiple privacy failings on the part of Facebook), Violet Blue wrote a great post about called Tech’s Relationship With Depression, Suicide and Asperger’s. I share many of Violet’s concerns and she interviewed me for this article which includes a number of my comments.

Our friends and family in tech culture may suffer and struggle in ways that we may not see or just may not know how to identify. It’s hard to get someone the help they need when you don’t know they are suffering or if their coping or personality style involves masking their pain.

It’s not that people in tech are so special or different from anyone else, but working in the digital realm does involve the pressures of internet attention, visibility, or “celebrity,” which can sometimes be unexpected and overwhelming. Others may not realize that their normal ways of coping keep them isolated and deprived of support. I hope people will check out Violet Blue’s post which provides links to APA and NIMH’s resources for depression and suicide.

And if you or someone you know needs help, find a professional who you can talk to about your stress. There are low-fee options in every city. College counseling centers and counseling, psychology, or social work training sites may be good places to look for low-fee options. Larger sites such as APA’s Psychologist Locator and Psychology Today provide listings for private practice clinicians.

But whatever you do, talk to someone and let them know that you need some support. There is no need to suffer in silence. People are there to help you, and if you are thinking of taking your life, know that you will leave behind people who will miss you and who will wish they could have reached out to help.

We’ve just completed a Youtube video on the benefits of talking to a psychologist, and I’m pleased to share it here. Please do pass it along if you think it may help someone.

Before doing so, I wanted to share some of the fun professional things I got to participate in recently.

Open Science – Friends of the Future

On Sunday, June 26th, I got to attend an invitation-only gathering of “interesting people with good ideas,” hosted by the Institute for the Future, a 43-year-old non-profit think-tank that helps companies, governments, and other organizations think about long-term future trends to make better decisions in the present. The focus of the day was to discuss and spark ideas around the bleeding edge futures of scientific exploration across multiple disciplines over the next decade. We were asked to think about what challenges, dreams, hopes, or solutions we need to address in the next ten years.

A week before the event, I started to get a touch of “imposter syndrome” when I realized I was the only psychologist in attendance with a group of anthropologists, neuroscientists, astrobiologists, astronomers, neurophysiologists…and, well, you get the picture. I began to worry that maybe I’m not so sciency, afterall!

But, the day was so rich with fascinating exchanges. I attended four sessions: Privacy, The Future of Attention, Social Media Culture….and Colonization in Space. At one point during the latter session, a couple of astronomers stopped their great conversation to look at me with genuine interest and say, “Hey, what do you, as a psychologist think about this? Do you have ideas we are missing?”

The whole experience reminded me once again about how important I feel it is for us to go to professional conferences that are multidisciplinary and not just go to events for psychologists. I got to learn so much, and they left me feeling that it was enriching for them to have me there.

If you want to get a taste of the event, you can see all of the compiled tweets.

2011 APA Annual Convention in Washington, D.C.

Last weekend, I was in D.C. for the 2011 APA Convention. I felt like I had to hit the ground running for this one, as it was my first time attending as Digital Director of APA Division 42.

I had a jam-packed two days in D.C. which included participating in Division 42′s Mentorshoppe lunch with some great students and Early Career professionals and some great experienced psychologists.

I also got to take part in some video interviews for APA Help Center to help answer questions that the general public may have about psychological care.

Then I was off to our Symposium on 21st Century Media: What Every Practicing Psychologist Needs to Know which also featured Angel Brownawell, APA Practice Directorate Integrated Media Manager on Branding Yourself as an Expert to the Media, Nancy Shute, NPR, reporter and blogger on Tips and strategies for working with the print and broadcast media, and Deb Kotz, Health reporter, blogger, Boston Globe on How to Use Your Blog to reach the Public and the Media. I spoke on Using Social Media to Brand Yourself as a Psychologist. I learned so much from my co-presenters. Thank you! Our Symposium was chaired by Nancy Molitor, Ph.D., President of APA Division 42.

The following day was spent in the Division 42 Board Meeting. Later that evening, I got to enjoy our Awards Ceremony and Social where I was honored to receive the “Best of the IP” Award** which is a yearly award that goes to the article voted best in Division 42′s Independent Practitioner Quarterly. It was extra-special to receive this award alongside such heroes of mine as Stephen Behnke, J.D., Ph.D. and Lillian Comas-Diaz, Ph.D. who both also received awards at the ceremony. My friend and colleague, Michael Schwartz, Psy.D. also received the Mentoring Award.

Later in the evening, I took videos of a handful of the Division 42 members in attendance which I’ve added to the Youtube channel of Division 42. It makes me happy to see these folks on video whom I mostly communicate with the rest of the year via email.

And with that, I’m off to unplug until September. Enjoy the rest of August, everyone!

**My article citation is:
Kolmes, K. (2010). Developing my private practice social media policy. Independent Practitioner, Summer 2010, 30 (3), pp. 140-143.

• What are the obstacles currently preventing you from being able to receive or afford therapy?
• Why do you want to go to therapy and what issues are you facing or problems are you experiencing?
• How would you like to benefit from therapy and what are you hoping to achieve?

Top entries were going to be chosen and then the winners would be selected by having readers vote on the one most deserving of the prize of free therapy. While I appreciate that many people find it empowering to use Internet forums to write about the issues they struggle with, having such comments used as a way vie for the prize of “most worthy” of psychological care, as voted by readers, was objectionable in a number of ways.

A number of mental health professionals, including DeeAnna Merz Nagel and others who focus on clinical ethics,  posted comments expressing concern that this contest was exploitative of vulnerable populations and would violate many clinical ethics codes. The initial response from the website was to say that as a referral service, they were exempt from having to adhere to ethics codes. They also noted that names and emails were anonymous in the blog comments, offering participants a layer of protection.

Nevertheless, a couple more comments were posted by concerned practitioners, including myself, stating that we thought the contest was not offering appropriate protection to vulnerable people and that having readers vote on who was worthy of the grand prize was, at the very least, in poor taste.

After just a few days of commentary, Goodtherapy.org responded by removing the public comments (entries) from the blog and deciding not to allow users to vote on stories to pick the winner. Winners will now be selected by GoodTherapy.org.

I am grateful to those who spoke up and left comments expressing opposition to the format of the contest. But I especially wish to commend GoodTherapy.org for their thoughtfulness and care in reflecting upon the objections raised. They demonstrated sensitivity and flexibility in revising the competition so that it does not expose people who are in great need.

We will soon be writing up our findings to submit for publication, but I’m pleased to be able to share this data with all of the folks who participated in our research and those who helped us reach out to potential participants. We could not have done this without the magic of social media and all of your help!

I’m very appreciative and I hope that our findings help bring greater awareness and understanding to how the Internet and social media are impacting the psychotherapy relationship.

Without My Consent is intended to provide resources and information to victims of online harassment to help them find safety, seek justice, and stand up for their rights. We also hope to provide psychological resources for people who have been harmed.

It is also our hope that our site serves as a deterrent to those who may be thinking of doing harm to another individual. These individuals may wish to seek help to process the intense or disturbing feelings that might lead them to want to lash out against another person in such a way.

This project was recently mentioned on June 2, 2011 in The New York Times story How to Unmask the Internet’s Vilest Characters. This article discussed one of Without My Consent’s strategies: encouraging victims to file suit pseudonymously.

Keep your eye on us. There will be some interesting news and updates coming soon.

Many people have huge barriers to seeking help when they are struggling. Sometimes these barriers are financial. Some folks may not be in a location in which it is easy to find good care from a variety of providers. Some are unable to find the strength to reach out for help. Some folks want help but they may have difficulty finding a therapist who is sensitive to their cultural needs or who has expertise working with their particular issues.

This is one way that blogging and the Internet can increase access. It is becoming easier to find help, whether that comes through seeking online support or searching for a clinician. Some people are utilizing telehealth services to reach out to practitioners outside of their communities. Others are able to find information and resources shared by others and not feel so isolated.

One of my own practice specialties is working with sexual minority clients who have traditionally been pathologized by mental health professionals. It can be intimidating to seek care for anxiety, compulsive thoughts or behaviors, depression, or relationship concerns if you worry that your therapist will assume that your identity or lifestyle is a cause for concern. If you need help finding a therapist who is knowledgeable and accepting of your kink, poly, or LGBT identity, please see my favorite resources below:

• Kink-aware professionals is a directory to help you find a referrals to psychotherapeutic, medical, legal and other professionals who are knowledgeable about and sensitive to diverse expressions of sexuality.
• Poly-friendly professionals is a list of professionals who have been referred or who have identified themselves as being, open-minded about polyamory and polyamorous issues.
• Gaylesta is a Bay Area, CA resource providing therapist referrals, education, and consultation to LGBTQ clients, but there is likely a similar resource in your community.

For more general information and articles, I recommend people look at what is available at these sites:

• American Psychological Association: browse the psychology topics to learn more
• PsychCentral has become one of the largest and most resourced hubs of mental health information, support, and community on the web.

Lastly, here are two of my favorite mental health news items of this week:

• Self-compassion may matter more than self-esteem explains how developing the skills of mindfulness, common humanity and kindness can improve your mental health.

• If you think it’s hard to take the steps to seek mental health care, it may reassure you to know that the majority of mental health professionals believe in therapy for themselves. At this link, Suzanne Phillips, Psy.D., ABPP shares  some research reporting that 84% of psychologists and 85% of cross-discipline mental health professionals have also sought mental health treatment.

Those who only read the title The Wrong Kind of Talk Therapy or tag line (both written by the Times and not seen by me until the piece ran), may have gotten the false impression that I am against online reviews. I am not. But these sites do need a significant upgrade when it comes to reviewing health care services.

What struck me from the comments is the pain and frustration experienced by consumers of mental health care. Many expressed powerlessness and confusion when it comes both to finding good care and to understanding the process of psychotherapy. Such comments made it clear how important it is for mental health professionals to provide better information to demystify what it is that we do, how we work, and how we can help. It is also incumbent on mental health practitioners and organizations to let consumers know what they can do when they feel that something harmful has occurred in their treatment.

Most often, people simply struggle with a “poor match” when looking for a psychotherapist. It’s certainly hard to find someone who feels like the right fit. But when a clinician is impaired or is doing harm, licensing boards are a useful resource. Consumers can ask questions and make complaints to licensing boards. This is also the place to turn to when you want to verify that a clinician is licensed or if you want to see whether there are any disciplinary actions against a practicing professional. If you are seeking care anywhere, it is wise to choose a licensed professional partly because this means there is a governing body to turn to if something goes wrong.

In my office forms, I let my clients know that my presence on sites like Yelp is not a request for a testimonial, but I do remind them that they have the right to tell anyone about my services and how they feel about them whenever and wherever they wish. This right belongs to them.

For more on this topic, check out John Grohol’s Yelp and Therapist Reviews in which he makes some great points about the lack of reliability of the current rating sites and the problem of there being too many sites out there at this time for consumers to find meaningful data.

This year, I had the pleasure of meeting Dr. Susan Giurleo, Ph.D., who led a Core Conversation on Improving Mental Health Through Engaged Communities, and Pamela Rutledge, Ph.D., a media psychologist, who was on the panel Can the Internet Make Us Happy? (as an added perk, you can listen to the audio of this session on the link).

I had two complaints about the formatting of the programming (which I will frame in the form of wishes). First, I hope that future health track panels will not be segregated to a separate campus. This made it more difficult to cross-pollinate with attendees and dip into sessions from other disciplines without committing to a dash to a different venue. Second, I hope that we have larger rooms next year for the health track. I assume that there are many SXSW attendees who might be interested in checking out the health panels but running to different campuses made it somewhat prohibitive for some. It also seemed to assume we only wanted to meet amongst ourselves which may not be accurate.

My session was called Patients/Caregivers on Facebook: Establishing Boundaries Without Barriers. It was organized and moderated by Ed Bennett, Director of Web Strategy at University of Maryland Medical System. We had several fantastic panelists: Jen Dyer, MD, MPH from Ohio State University, Dana Lewis, Interactive Marketing Specialist, and Dan Goldman, who provides legal counsel at Mayo Clinic. I want to thank everyone who came out to see our session (at 9:30am on Daylight Savings Sunday, no less!) and who helped make it dynamic and engaging both in the room, and on twitter. I hope to see you all next year!

Susan Spaight posted a lovely summary of our presentation.

Dana also posted a great recap of the lively twitterfeed of our panel which I’ve embedded below. Please give it a moment to load.

Related posts about this year’s Health track at SXSW:

• Ed Bennett’s blog post about our session
• John Grohol’s summary of psychologists at SXSW this year
• Reed Smith’s post 3 Reasons SXSW Can Change Social Health
• #SXSWH, the SXSWi Health Tweet feed
• Pamela Rutledge’s wrap-up on Psychology Today
• Tracy DiMarino’s summary of our session on PR 20/20