 I'd like to welcome everybody to today's presentation. You don't know what you don't know. This is a special episode of Counselor Toolbox with Cecilia Bresenio, LCSW from Arlington, Texas. Cecilia is a bilingual licensed clinical social worker at Brightside Family Therapy in Arlington, Texas. Following the completion of her master's program, she went on to study marriage and family therapy in a doctoral program at Texas Women's University, which helped her to broaden her knowledge of solution-focused therapy and family systems. Cecilia's found her niche in working with families navigating through the immigration process. She provides evaluations explaining the hardships they face when separated from their loved ones and is now also providing trainings for clinicians interested in working with immigrants. So welcome, Cecilia. Thank you, thanks for having me. It's wonderful to have you here. So, you know, let's start out with, you do two different seminars, one on hardship evaluation and another one on path to your LCSW. And, you know, I'm an LPC, so it's a little bit different. But I know when I got out of college and even going into college, I wished there were things that I would have asked, but I didn't know to ask them. So with people that are getting ready to graduate and they're getting ready to start on their adventure towards getting their LCSW, I'm sure there are a lot of things that people just don't even know they don't know. So how can this webinar that you do, or not webinar, I'm sorry, seminar that you do, help someone who's recently graduated or maybe getting ready to graduate? So yeah, I actually, I started providing LCSW supervision and in starting that process and having people reach out to me, I realized that people just didn't really know what the process was like. They didn't know what they needed to do. They didn't know the different steps. They didn't know how many hours they needed to do. They just were kind of prouless as to the process. And so I decided that this is something that I thought would be helpful. So I started, the first one that I did, it was, I ended up having, I thought I was gonna have it in my office and would just be a few people. And then realized a few days before that I had, like, I don't even remember, like 60-something people say that they were interested in. So I ended up having like 35 show up. I ended up last minute having to like rush and find a restaurant that would let us have us, that would have us there. And so I realized, okay, this is a need. And even still to this day, I get messages and emails and calls asking, are you still gonna be doing this? Because I heard about it and I really need to do it. So it is good for people that are gonna be graduating and also people that have recently graduated because it lets them know what the process is like and lets them know, okay, this is a type of job I need to be looking for. I need to have a clinical position where I'm able to do these three things. I need to be assessing, I need to diagnose and I need to treat. Okay, so that's exactly what I need to do. And I say, yes, so if you have questions or if you see a job description, you have a question, call me and I'm happy to help you through that. But just being there to kind of explain the process and then to help navigate that process whenever they need it. I get people that I've been in contact with for months that will contact me and say, hey, I'm interested in this type of job. Do you think it would be clinical or whatever? And because one of the things is several of my supervisors were in clinical positions for years, some of them for five or six or seven years, not knowing that they could have been using that time in that job and that position towards their hours. And so they're kind of kicking themselves now because they could be done. And so, but they just didn't know. And the schools don't necessarily focus on that. And so by offering this, this is something that I feel like is kind of giving back and helping them to know what to expect so that they are going into this whole process, fully understanding what is going to be expected of them. Right. And one of the things that I found as a supervisor when I was working in Florida, and I'm sure it's the same in many places, is there certain questions that people need to know to ask of their potential internship sites, even if it's postmasters, if they're going to be getting clinical hours, there are questions that they need to ask if the agency is providing supervision towards licensure or if they're allowed to use an outside supervisor. So there's a lot of questions that people don't even realize and they can get stuck in a situation where they may be required, for example, to continue to work at the place, wherever it was they did their internship for another two to three years after they get their license or have to face like significant paybacks and or they may not be able to use any hours that they do at that clinic with an outside supervisor. So they're only allowed to be supervised by someone who works at that facility. So there's a lot of questions that like I said, people just don't even know to ask. And what I'm hearing you say too, which is really awesome is when people come to your seminar on the path to your LCSW, yes, it's a short seminar, you know, I'm assuming like an hour, two hours, but you are available for mentoring and it's not just a one-off, you're available to them for questions as they come up, you know, henceforth and forever more as they're trying to navigate this process. Absolutely, and that's one of the things that I wanted to be able to offer because I kind of struggled with that myself but I didn't know, I didn't really know what I was getting into and I didn't understand the difference between, you know, I didn't understand what I needed to be doing as an LMSW, as an LCSW, what the differences were, how to do that. And so even questions, I still, I have even like BSW students that are in there that, you know, just come because they want to know. And so then I talked to them about, okay, the different types of programs like a social work program versus counseling versus marriage and family therapy versus, you know, if they're wanting to do psychology, what are the, what they can expect with that. So I, and of course I don't know at all but I didn't, I felt like I didn't really have that guidance and I wish I would have because I probably would have done things a little bit differently had I known, but you know, now being in the position that I am, I kind of see things a little bit clearer and have a better understanding. And so I want to be able to offer that to new and upcoming social workers because this is, you know, these are my colleagues, my future colleagues. And so I want to be able to build those relationships. I want to be able to help them to understand through the process. You know, if no one else you can always call me and I'll, and I'll help you. It doesn't even have to relate to this. Just call me and I'm happy to help you if I can. So. Right and you know, with portability of licenses, one of the things that I've found, I've lived in a couple of different states since I got licensed. And one of the things that I never knew about or, you know, didn't really take into consideration when I was going through my master's program. And you know, thankfully I ended up going to a K-CREP accredited program. But for counselors, you really need to graduate from a program that's either core or K-CREP accredited. Just any old master's program is not going to do in order to get licensed. So that was one of those questions that I had no idea I needed to ask when I was going through it. So, you know, it sounds like BSW students would, or people would be very well-served to attend this. So they get started on the right step or on the right path from the very beginning. Go ahead. Yeah, I was just gonna say that that's one of the things that I do is I go through, you know, our rules and rugs and I just, I simplify for them. So, you know, information that they can get themselves, but it's a lot more convoluted when you don't really understand what it is, what it means, or it just feels like a wealth of information that you don't know what you need to pick out of it. And so, you know, I just, I make it very simple for them and give them a handout. And I show them, you know, what a supervision plan looks like. And so, build out this is what it would look like. And these are the different things that you need to turn in and, you know, how to turn it in. You always wanna make sure that you send it certified with a read receipt, you know? So those types of steps that no one told me and I wish that they would have. So, because I've heard horror stories and, you know, all kinds of things. So, now I can just kind of condense everything and give it to them in a pretty little package. So it's easy for them to understand and then they can go and then they can be successful. Awesome. While we're on this, I mean, we've covered several of the things that you go over in this webinar. Are there, or seminar, sorry. Are there other topics that you generally cover? We talked about, you know, choosing your program and then choosing a place to get your clinical hours. But are there other topics that you often talk about? Yeah, definitely. I think we also talk about, one of the things that we typically talk about is what to look for in a supervisor. If they're gonna, you know, if they're not gonna use a supervisor at their place of employment. So, different things to look for in a supervisor as far as, you know, making sure that it's a fee that they can afford because this is a long-term commitment. The location, picking someone that's in line with your beliefs as far as the way you work with clients. You know, just a number of different things as far as what to look for in a supervisor. And then also just what to expect of the process and how to be thinking about the process because I think, you know, you just kind of, I know that I did, I was like, okay, I've gotta do this. Like, I'm just gonna, luckily I found a supervisor that was a solution-focused supervisor and so that was awesome for me and I, you know, I could have gotten it for free but I paid because I wanted to have someone that was doing what I planned to do. And, but also, what was I gonna say? That, I just lost it. Oh, just how to be thinking about the process and to go in there knowing that this is gonna be, this is a time for you to be learning and a time for you to be gaining as much knowledge as you can from your supervisor. So if you're in a position that's maybe not as challenging or, you know, in a work position that you're maybe not being challenged, then I encourage you to go and find something that will challenge you because if this is something that you're gonna wanna do in the future is work with a certain population and you're not doing that right now, you're probably not gonna have as much guidance. You can obviously find guidance but this is a time where it's built in where you want to take full advantage of having a supervisor that you can call or you can email or you can, you know, message at any time and say, hey, I had this client come up or I'm stuck and I don't really know how to help this person, then this is, that's what this is for. This is designed to be able to give you that guidance that you need because following this, you're on your own and you're expected to figure it out or to refer out or whatever you need to do but while you have this guidance, use it and utilize it as much as you can. Sure, and I think you guys have a really good point that sometimes getting your supervision at your facility, even if it's free, is not necessarily the best way to get your supervision because if there's a particular philosophy that you use that your on-site supervisor does not espouse, you're not gonna develop those skills as much as if you found a supervisor that you too were more copacetic in terms of your approaches and your thinking. Exactly. The other, the last question I kept referring to this is a webinar anyway, do you ever offer this as a webinar for people who are a little bit too far to drive to Arlington? I have not yet. I have one scheduled for February, I believe it's February 17th and but after that, my plan is to offer it through a webinar, probably through a platform kind of like this with Zoom. So that is my hopes to do that in the future and it will probably just be for clinicians or for social workers in Texas, although if other people want to join in, they're welcome to, it's just gonna be a little bit different of a process probably in their state, but same ideas and everything. Sure, but I mean there are, I'm sure a ton of social workers in Texas that could benefit from this information who may be in different parts of the state. Okay, so let's move on to hardship evaluations and this was something that sort of piqued my interest. Can you tell me a little bit about what a hardship evaluation is and who needs them? Sure, so these evaluations are usually used for, there's different types of immigration cases and the one that this is typically used for is called the I-601, extreme hardship waiver. And so that's in a situation where for example, if I were married to someone who was undocumented and came over illegally and they are trying to have the process waived to where he has to go where he's deported out of the country for an extended period of time. It depends on how long, typically around 10 years, but that changes with every case, but I'm trying to help with the process to get that waived and so they have to submit obviously a packet of information with the application and so attorneys refer to me as a therapist to meet with them and to evaluate the hardship that they're already facing and that they, but specifically what they would face if their spouse were to have to leave the country for an extended period of time. So it's not one of those things that it's just, it's gonna be hard on this financially or the separation is gonna be difficult. They're looking for something extreme. So they're looking for situations in where there's medical issues, maybe a child and their child has medical problems to where they need that extra help to care for the child or a situation where maybe it is financial, but it would financially destroy them to the point that they wouldn't even be able to pay any of their bills or maybe the spouse that remains here is unable to work for some reason. So they would have no income. So it's looking at those extremely difficult situations and presenting that in an evaluation to where it will support their evidence that they're providing. Okay, so I mean, I'm thinking of a couple situations where maybe a couple has three or four children and the mother is a stay-at-home mom and the husband for whatever reason is facing deportation. I remember when my kids were little, daycare is expensive and if she's been a stay-at-home mom and doesn't necessarily have a high-wage, high-demand skill set, and even if she does, just paying for daycare for those children while she works could potentially be devastating financially. And so the primary breadwinner being deported would be devastating. So. Absolutely, that's one of the things that we typically discuss is if the, let's say for example, if the wife does stay at home with the children and typically if they've worked, because if they stay home, a lot of times they've stayed home for a good number of years. So if they've had past employment, it's usually like fast food or a dry cleaners or working at a grocery store, something like that where you make pretty much just like minimum wage. While making minimum wage, and this is something that I present in the evaluation, they would typically make about this, however much money, I would say probably around $1,200 a month working full-time and then they would have to pay for childcare. Childcare is extremely expensive. So I happen to get quotes and then I present in the evaluation, this is a situation that they would be in. And so this is what they're facing. So yeah, that's a perfect example. So how did you do hardship evaluations? When I actually, when I was in LMSW, I started working for a colleague in her private practice. So I was kind of doing private practice, but doing it the legal way where I was working under her practice. And I just, I got a phone call from someone one day asking if this is something that I could do. And I said, okay, let me give you a call back. And when I did some research and ended up saying, I believe I can do this. Let me see, let me, let's meet. I got some information from them. I got a release to talk to the attorney and I called the attorney and kind of was like, okay, I know something I can do. I'm happy to do it, but I've never done this before. So can you kind of tell me what you're looking for? And just went from there. So that was back in 2009. And when I provided the evaluation to that client who then provided it to the attorney, the attorney kept referring to me. And so now we have a really strong, close working relationship. And since then I've just had calls. You know, now I've started to advertise it. And so I get calls from people from all over, all over the state. And even I have people that have come from different states from Oklahoma, from Alabama, from different places that have come to get these evaluations done. So it's just kind of something that was put in my lap and I did it and has just grown over the years. Okay. I mean, the average therapist obviously isn't gonna know what questions to ask in this evaluation. And that's one of the things that you cover in your seminar on how to do these things. And it sounds like from what you're saying, if I wanted to get into doing hardship evaluations, one of the things I would do after I had the training and everything would be to reach out to some of the immigration attorneys and maybe family attorneys in my area, would that be? Yes, absolutely. So that's really the best way to do it. And that's kind of, I've done that to some extent. I've just been blessed that I've had a number of people contact me and then word of mouth. Because a lot of times, if one person has gone through this process, they typically know other people that are going through it as well. So if they feel like you're easy to talk to that you're able to get them in quick, that you do a good evaluation, that your prices are reasonable, then they're gonna refer other people to you as well. So that's another way that I've gotten clients. But yes, absolutely, just reach out to immigration attorneys in your area. And a lot of times they're looking for someone to refer to. So they'll say, let me refer one person to you and then see how it goes. And then if it goes well, then they'll continue to refer. Fabulous. So do you have to be bilingual in order to do these evaluations or can you use an interpreter? I'm thinking some of the people that you may be doing evaluations with may speak English as a second language pretty naturally. So is bilingual necessary? I'm sorry, didn't mean to catch you off. Yes, it is definitely beneficial if you're bilingual. A lot of, obviously I'm in Texas. Which is very close to Mexico or to the South America. And so a lot of my clients do speak Spanish. And so that I do, I'm a bilingual and that is something I probably, I would say probably 50 to 75% of my immigration clients speak Spanish primarily. Every once in a while they will, usually they'll know a little bit of English also, but typically the sessions are done in Spanish. I would think that although I'm sure you could use an interpreter, I don't know that the clients would probably feel very comfortable with that. So there are different situations that where they, both of them speak English. For example, if the undocumented spouse came as a young child and kind of grew up here, then they might know English pretty well. And in those situations obviously anyone could do that. I have also had some clients that are from like Africa or from a couple of different European countries and in those cases that would be English. So it's not completely unreasonable to think that someone who isn't bilingual could do these. I think it would just probably limit it a little bit more. Sure, okay. And you already kind of spoke to this, the demand for these evaluations. You said you've had people contact you from multiple different states to have these done. So it sounds like, especially in the current political climate, there are huge demands for these sorts of evaluations to be done. There are, and for that reason, I actually ended up opening up another office in Waco, Texas, which I don't know if you know where that is compared to the DFW area, but it's about an hour and a half south. And so I ended up opening up an office over there, which we have family there and are some goes to school there and everything. So there's other reasons, other things that drew me to that area. But I thought, if we're gonna be going there and visiting family and stuff, I could probably just go ahead and see clients there because I was having clients call me from that area and from beyond that area. And so that's something that I have done just because there was a need. And so there is quite a demand for these evaluations and really you could probably do them as much as you want to do them. So absolutely. I mean, I'm sure that there's a lot of areas of the country where these are very needed, especially people to perform these evaluations. Okay, and I know there's probably a range, but one of the things that you mentioned was not only being receptive and all the stuff you would hope from an interviewer or a clinician, but also having reasonable rates. Can you give me an idea? I mean, general all-park, what are we looking at? So it just kind of depends different clinicians charge different rates. I've seen anywhere from like, probably the highest I've seen is probably closer to like 1500 to 2000 for the interview and or for the sessions and the evaluation. I try and keep it reasonable. It's something that I feel like, okay, it's worth leading my family to do this work, but it's also worth it to them that, they're getting a good service at a reasonable rate. So I charge $100 for the sessions and I have a minimum of three sessions that they have to come to. And then I charge $200 for the evaluation. So in total, it comes to about $500. But like I said, I think I'm pretty much at the lower end of what other clinicians are charging. So kind of like we do with a lot of the rest of our fee setting is figuring out, how much time is it gonna take me and what is it gonna be worth in terms of my time? Recognizing that there are gonna be people that are more expensive, but also recognizing the population that you're working with is likely not independently wealthy or they wouldn't be coming for a hardship evaluation. So you wanna make sure you find that sweet spot that you feel like you're getting enough compensation, but you're also affordable so people can get this done and that finances don't serve as another barrier to putting your family together. Exactly. Is the process the same? And I think you kinda answered this since people come from other states to you. Is the process the same for doing hardship evaluations in other states? Typically, excuse me, I would think so typically. I know that as far, because I approached one of the attorneys that have a really good relationship with a while back and said, you know, I feel like maybe it would be helpful if I were to go and get some training about the immigration process and kind of the different steps that my clients are going through just so that I can have an understanding. And he was like, you know, you don't really need to do that. As long as you can do your evaluations and do a good evaluation, that's really all we need from you. So don't even worry about the process. So they're just, they're looking for a good evaluation and really, I think it pretty much would be the same with every, you know, in different states. As long as it meets the criteria because different attorneys want them to say something specific or, you know, don't talk about this or, you know, those types of things. But so different attorneys may have different criteria. But overall, I think the process is pretty much the same. It's really just evaluating what their situation is in the hardship that they're facing. Okay. What other things, if you want to go over, just kind of briefly what the outline for your webinar for teaching people to do hardship evaluations, what does that look like? Sure. So currently it is four hours. I'm trying to figure out how to kind of condense it to make it more cost effective for everyone. So right now it's four hours and we go, the first half is really just talking about how to prepare yourself for doing these evaluations as far as what you need to have prepared as far as paperwork and then also how to take the intake calls, the type of all the information that you need to gather, what you need to go over with your clients in the first session, the information that you need to gather from them as far as like, are there any documents or having them sign a release of information so you can talk to the attorney, different things like that. And then the second half of it is specifically going over the different questions to ask and the different areas of the evaluation and then how to structure the evaluation when you're typing it up. And then situations that may come up where you need to have follow up sessions with those clients, for example, it's not unusual that an attorney will, for whatever reason kind of sit on it and they'll get the evaluation, say, okay, great, we're ready to send everything off. And then six months later, I'll get a call and say, okay, well, we never sent it off. So now we're, we need a more recent, we need it to be updated. So kind of what that would look like. And then also how to build relationships with the attorneys, when you need to contact them, when you need to, when you don't need to, how to contact them, all those types of things. So it's really not just the evaluation that we talk about, it's kind of everything that you need to know that's gonna help you to feel prepared and to know that you're ready to see these clients from beginning to end, exactly everything that you need to know. Excellent, okay. And if you know somebody, you know, if any of our listeners know someone who may need a hardship evaluation, maybe they've got a client, a lot of our listeners, our clinicians, and they've got a client they're working with who is getting ready to deal with some sort of a hardship situation. How do you get them in touch with the right people? How do you figure out what attorney to send them to or what therapist or what do you do? So, you know, that's kind of a little bit of a tricky question. I would say that if I were in a situation where I was trying to find someone, I would probably go online and do a search for my area and see if there's, you know, immigration evaluation or hardship evaluation in my zip code or in this, you know, city. If I didn't come up with anyone from that way, I might call some immigration attorneys in the area and say, you know, I'm needing to find someone that can provide these hardship evaluations. Do you have anyone that you've used? So that's probably honestly the best way that I would know how just to, you know, in general say how you can find someone that's probably the route that I would take. Okay, and I'm also hearing you say that in this process, they're going to have to have an attorney at some point and probably better at the front end than at the back end. So helping people figure out how to search for immigration attorneys online. You know, I'm thinking in my head if I were working with a client who is potentially facing deportation of an undocumented spouse, I might not even know that hardship evaluations existed so they can educate their clients about what needs to be done and, you know, how to contact an attorney, how to do some research in their area, and then also potentially how to find hardship evaluators. Does that sound? Yes, that does sound, that sounds good. I think that also one of the things to consider is that there are, you know, different agencies that help with this process. So it's not an attorney, although I think like you said with the political climate the way it is, a lot of my clients that weren't working with attorneys before that were working with someone who would just prepare the paperwork and file it for them, they've kind of chosen to go a different route and actually use an attorney so that they can have the backing in case they need it. So that's kind of the route. I've seen a change in that in that they're starting to a lot of times really try and go and work with attorneys. So because I think it's a lot more needed these days. And so yes, finding an attorney, but there are some like Catholic charities and different organizations that do sometimes help these clients through the process. And so, you know, if cost is an issue, there are usually some other organizations that you can search for that, that might be able to help as well. Okay, and so if you're working with a client who maybe can't afford an attorney or if you're a clinician who's wanting to get into doing hardship evaluations, we talked about reaching out to immigration attorneys and family attorneys before, but who else, you know, you mentioned Catholic charities, what other organizations might people think about calling in order to either let that organization know that, hey, I can do hardship evaluations or likewise to refer a client to who may not be able to afford an attorney for this. Yeah, so, you know, there's some that are local to this area that I don't think would necessarily be in other areas, but just nonprofit organizations that have services for refugees or for different, you know, for immigrants. A lot of times if they don't provide the service, then they can give you some, an idea as to where to go and look. And then trying to think of what else you asked, I'm so sorry. That's okay, you kind of answered the question. If we're, regardless of whether you're a evaluator or you're someone wanting to refer a client, how would you start to find non-attorney resources for people who might not be able to afford an attorney? And I think you pretty much hit on that. So, Googling your local area or calling United Way Information Referral and finding out about resources in your local area that help refugees and immigrants would be the place to start and working out from there. Yes, and a lot of times as you continue to do these evaluations, you'll get referrals from different organizations in different places and, or they'll just Google you and find you and then you'll say, okay, who are you working with? And then they'll tell you and you'll say, oh, I didn't even know that they did that. Okay, or I didn't even know that they existed. And so then you just kind of know, okay, this is someone that I might be able to look into to refer to in the future. I will say that a lot of times when I get these referrals, they're already working with someone. So it's not typical that I would get someone calling me and saying, hey, I wanna do this evaluation, but I need to find someone to work my case. It's usually the other way around. They're already working with someone and whoever they're working with has either told them, you need to find someone that can do these evaluations or call this person because I already have a relationship built with them. And I know that they're, you know, they're trustworthy, they're gonna do a good evaluation for you. So it's typically the that way that they're already working with someone because typically they don't really know that this is something that they even need to do until they're being told, okay, go and find someone to do these evaluations. All right, anything else you wanna add on the topic of hardship evaluations? The only other thing is that it doesn't necessarily have to be that you're, that a spouse is requesting for their undocumented, you know, a resident or citizen spouse is doing this process for their undocumented spouse. Sometimes it's the children doing it for the parents. And so that is, you know, it's similar, but it's a little bit different. And so I just wanted to mention that that sometimes it is the children requesting for the parents and obviously that would create a whole world of hardship in that situation if the parent were to leave. And so, and then the other thing is sometimes there are different types of cases. So I have provided evaluations for, for example, U-Visa, which is for a undocumented person that has experienced a crime here in the United States. And so they're allowed to stay, if approved, they're allowed to stay here to help through the investigation of that crime. And so that's one of the other things. Also for situations with like domestic violence, there's a whole other process for that. So they, that would be like the violence against, it's called VAWA, Violence Against, oh gosh, I just drew a blank on what it stands for, but different types of cases. So it's not necessarily just this case, these extreme hardship waivers. There are other types of cases that I provide evaluations for. And so I also explain those and kind of prepare the clinicians to do those types of cases whenever I do the training. Okay, and what's clinicians to take your training? Like you said with the other training that you do, are you available after that four hour training to answer any questions, you know, if they start getting into it and all of a sudden they get a referral for like you said for a domestic violence evaluation? Yes, yes I do. I tell them, you're welcome to contact me at any time. And if I can help you, I'm happy to do that. Because I understand that sometimes you get a situation that you're just like, hmm, wasn't quite expecting that or this isn't the norm. And so yes, they're definitely, they're welcome to contact me and I'm more than willing to help them because the whole idea is that I went for them to be successful and to feel very comfortable and knowledgeable and completely prepared or as much as possible to provide these evaluations. So if there's something that I didn't go over or I forgot or they just didn't kind of capture in the training, then I'm more than happy to help them after. Fabulous, okay. So you are with Brightside Family Therapy and for those of us, for those of our listeners who are watching the video right now, you can go to our YouTube channel, youtube.com slash all CEU's education to see the video of this. In order to register for the path through your LCSW, you can go to allceus.com slash Brightside and that'll take you right to her registration link to register for the hardship evaluation seminars you can go to allceus.com slash hardship. You can also find her on Facebook and get to her directly that way. So I appreciate everybody for tuning in today and I will see you or talk to you on the next podcast. If you enjoy this podcast, please like and subscribe either in your podcast player or on YouTube. You can attend and participate in our live webinars with Dr. Snipes by subscribing at allceus.com slash counselor toolbox. This episode has been brought to you in part by allceus.com providing 24-7 multimedia continuing education and pre-certification training to counselors, therapists and nurses since 2006. Use coupon code, counselor toolbox to get a 20% discount off your order this month.