Partners in transition

Clients with gender identity issues often face immense challenges that include chronic marginalization, but attuned counselors can offer a safe space for self-exploration and transformation.


Hidden in plain sight

Counselors may not intentionally set out to work with issues surrounding substance use and addiction, but with a little digging, they may discover that these issues are often connected to even their most ‘typical’ clients.


It’s all about the relationship: Q+A with Richard Balkin and Jeffrey Kottler

How can counselors make relationship-building a priority with clients? We ask Richard Balkin and Jeffrey Kottler, who will give a keynote speech “The Power of Relationships in Counseling — and the Counselor’s Life” at the upcoming ACA Conference & Expo.


The connection between ADHD, speech delays, motor skill delays, sensory processing disorders and sleep issues

Counselor Donna Mac shares some key things to remember when working with young clients with attention-deficit/hyperactivity disorder (ADHD).


All I really need to know I learned in practicum

“During practicum, I learned my professional and personal truths and the ideas upon which I intend to base my career.”


Cover Stories

Hidden in plain sight

Drunk. Junkie. Loser. These are just some of the ugly labels that get thrown around when people talk about addiction. Labels that reinforce the belief that addiction happens to “other” people — or other counselors’ clients. Counselors know that addiction is a disease, of course. But it’s a disease with a particularly bad reputation, and…continue reading



Partners in transition

Robyn Chauvin was happily married in the early 1990s. Having spent time in counseling, she had given up drugs and alcohol, was studying to be a music therapist and was working with patients in a psychiatric hospital. But she knew there was one more change she needed to make. “I got very clear that I…continue reading


Going wild

In a matter of months, 16-year-old “David” had gone from being a successful student to spending 12 or more hours per day playing video games. He lost his scholarship to a private school, then dropped out of school altogether, refusing to leave the couch, even to bathe. He also stopped communicating with his family. His…continue reading


Technology tutor: What can counselors learn from Edward Snowden?

Prologue: Your feedback needed! The Technology Tutor column has returned and will be published more often (bimonthly instead of quarterly). With more opportunities to bring you information about technology use in counseling, I want to know what you want to read about. In the past we’ve covered practice management systems, websites, HIPAA/HITECH, telehealth, the 2014…continue reading

Online Exclusives

The connection between ADHD, speech delays, motor skill delays, sensory processing disorders and sleep issues

To ensure the overall well-being of child clients with attention-deficit/hyperactivity disorder (ADHD), counselors frequently work in combination with other service providers such as speech therapists, physical therapists, occupational therapists and sleep specialists. According to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), many children with ADHD have also experienced speech…continue reading

Knowledge Share

The powerful perspective of body satisfaction

Every January, right as the new year begins, we are saturated by commercials for diets, advertisements for exercise machines and stories of people whose lives were transformed upon attaining the elusive goals of slimness and fitness. This message is an undercurrent throughout the entire year, of course; it just becomes especially blatant and constant in…continue reading

To whom shall I refer?

After three sessions with “Alicia,” a 45-year-old African American woman who was the victim of acquaintance rape, the treatment goals centered on addressing her symptoms of post-traumatic stress disorder (PTSD). The perpetrator of the rape had been a member of Alicia’s church. Although Alicia had subsequently stopped attending worship, the counselor viewed this strictly as…continue reading

Reader Viewpoint

Drawing a circle around denial

Group counseling was known to be a beneficial method of treatment for substance abuse even prior to the 1935 founding of Alcoholics Anonymous, but it wasn’t until after World War II that group therapy became a widely accepted form of treatment. It was used in psychiatric hospitals, outpatient treatments, correctional centers, substance abuse treatment and…continue reading

Entering the danger zone

For the most part, the United States lacks a coherent and systematic approach to sexual education. Instead, as lampooned in an online issue of The Onion, sex education is typically informal, unorganized and inaccurate. The Onion article describes a scene in which a 10-year-old boy takes his 8-year-old cousin behind his parents’ garage with a…continue reading