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  • 152 Transcript

    [00:00:00] Dr. Sharp: Hello, everyone. Welcome to The Testing Psychologist podcast, the podcast where we talk all about the business and practice of psychological and neuropsychological assessment. I’m your host, Dr. Jeremy Sharp, licensed psychologist, group practice owner, and private practice coach.

    This episode is brought to you by PAR. PAR offers the RIAS-2 and RIST-2 remote, to remotely assess or screen clients for intelligence, and in-person e-Stimulus books for these two tests for in-person administration. Learn more at parinc.com.

    Okay, y’all, welcome back to another Testing Psychologist podcast episode. This episode is going to continue our beginner practice series. In the episode today, I am talking all about starting a testing practice on the side.

    We’ll dive into why you might want to do that. What you have to have for a [00:01:00] part-time testing practice. I’ll talk about how to rent office space in a financially responsible manner. I’ll also tackle whether or not you really need an EHR if you’re just part-time among many other things. Those are just a few highlights, though. So, stay tuned. This one is for all of you who might be considering that side testing practice. If you can’t quite jump in full-time quite yet, I think there is hope. Let’s go.

    Okay, everyone. Here we are talking once again about a beginner practice topic. Now, this is interesting. It’s a beginner topic in the [00:02:00] sense that it may be new for those of you who are just leaping into private practice. It is not necessarily aimed at beginners in the clinical sense. You can start a practice on the side at any point in your career: early-career, later career, or anywhere in between.

    The reason I wanted to tackle this topic is because I think private practice can be intimidating for many folks. I know it certainly was intimidating for me when I started out. I’ve told the story on the podcast before about how I started my practice basically out of necessity and fear of completely running out of money. And so, even though it was intimidating, I think the fear of not making a living overrode the fear of jumping into private practice and the instability that that could cause.[00:03:00] For a lot of us, that process can be quite fraught.

    So, if you’re thinking about jumping into private practice, but you may not have the ability to just quit your job or to just start from zero and wait for the time it takes to build up a practice, this is an episode just for. Let me talk first about why you might want to start a practice on the side. There are a few reasons that you might want to do that.

    One, and this seems to be the most common, is you maybe want to eventually leave a full-time job but you can’t take the leap right away. So, these are folks who have been or who are employed full time and want to keep that job either for benefits or financial reasons or [00:04:00] prestige or being vested in a retirement plan, any number of reasons really, or you’re just needed at that job, or you love that job. There are many reasons why you might not want to leave the full-time job. So that is totally fine. You can absolutely start a testing practice on the side. It’s just a matter of finding the time to do that. So that is one reason. You want to maybe eventually leave a full-time job, but for the moment, you don’t want to take the leap.

    Another reason that you might think about a part-time testing practice is financial. For many folks, again, it’s quite a leap to just jump into private practice. Now, if you’re starting from zero, that’s a different story. Any income is going to be positive income. You aren’t likely to take a huge loss with [00:05:00] your practice if you’re starting from zero. So, it should be profitable certainly within the first several months. But if you’re not starting from zero, it can be a big financial leap to just jump into private practice. If you’re giving up a steady paycheck, if you’re giving up retirement, and if you’re giving up benefits, that can be a lot to just throw out the door for the sake of doing private practice. So, financial reasons are other reasons that folks might want to jump into part-time practice.

    So, if you’re finding yourself listening and identifying with either of these, then that’s good news. You’re in the right place.

    Now, another reason that people might want to do a part-time practice is just to build up slowly, right? Any number of life circumstances can lead us to want to build up slowly. I would even argue looking back that I [00:06:00] wish I’d been a little bit more deliberate in my practice growth than trying to just get as busy as possible, as quickly as possible.

    So starting a practice on the side allows you to learn as you go along and it keeps you in some ways from getting underwater or getting overwhelmed and developing maladaptive systems or processes that then scale to being extra busy and a larger practice, and which is not a good thing. So, building up slowly can be helpful in the sense that it gives you time to be deliberate, being the […], develop your systems, and test your systems on a small scale before folks really start rolling through the door.

    Another reason that people might want to do a testing practice on the side is, you [00:07:00] just simply don’t have time to do full-time. So even if you are starting from zero or you’re trying to transition out of a full-time job or something like that, there are many of us who simply just do not have the time to put in for a full-time practice.

    Especially in the beginning, you have to account for the time that you’re going to spend on the business, as well as the time you’re going to spend in the business. So you might say, yeah, I want to start a private practice and see 20 to 30 billable hours a week, but the time that you spend outside of that when you’re getting started can easily go up to 5 or 10 more hours a week. So when you scale that down to just part-time, it makes it a little bit easier to bite off just in terms of a time commitment.

    I work with a lot of stay-at-home [00:08:00] parents or parents who want to be home with their kids for a certain portion of the week, it might simply be for self-care. It might be to dedicate time to other pursuits or hobbies or traveling, any number of things. And it could just be other family obligations as well, taking care of a parent or something like that. So, the time issue is quite a relevant one for moving into a part-time testing practice.

    If you find yourself identifying with any of those reasons, this is right up your alley then. And I guess I just want to give you permission to go part-time first. It can be really tough to take on a full-time practice. And for many of us, this is the right choice is to build up slowly.

    And in fact, when I built up my practice, it was relatively [00:09:00] slow. I was at that point literally starting from zero. I had come out of my post-doc. I’ve told this story before like I referenced earlier, waking up the morning after my wedding which is right at the end of my post-doc and realizing that I literally had no job and no income and promptly broke down in tears and needed to be consoled by my new wife who thankfully stuck around. We are still married over 10 years later.

    So, I was starting from zero and I built up really slowly. It probably took me 6 to 8 months to get to the point where I would call myself full. And that was the point where I transitioned into… well, I made a lot of changes at that point. I rented an office full-time rather than just by the day. And that’s also right around the time I started buying all of my [00:10:00] own testing materials. So, it’s okay to build up slowly. And I think it actually makes a lot of sense.

    Before I transition to the must-haves for a part-time practice, let’s take a little break and hear from our featured partner.

    PAR has developed new tools to assist clinicians during the current pandemic. The RIAS-2 and the RIST-2 are trusted gold standard tests of intelligence and its major components. For clinicians using tele-assessment, which is a lot of us right now, PAR now offers the RIAS-2 Remote, allowing you to remotely assess clients for intelligence, and the RIST-2 remote, which lets you screen clients remotely for general intelligence.

    For those assessing clients and office settings, PAR has developed in-person e-Stimulus books for both the RIAS-2 and the RIST-2. These are electronic versions of the original paper-stim books. They’re an equivalent convenient and more hygienic alternative when administering these tests in person. [00:11:00] Learn more at parinc.com\rias2_remote.

    All right. So let’s say that a part-time private practice sounds good to you. There are many reasons, many benefits to going into part-time private practice. As I referenced though in the last business episode, you do have to be deliberate and you do have to put some energy into it and dedicate some intention to starting your practice, even if it’s part-time. So keep that in mind. Just because you go part-time, that doesn’t mean that you can put less energy into it or have it be less important in your life.

    There are many benefits to doing so. I talked about that right before the break. Those include financial, so investing less money at one time, giving you the time to build up slowly and deliberately, giving you the opportunity to try out private practice before [00:12:00] you totally make the leap just test the market and see how you like it, and it also allows you to do private practice without totally dedicating your life to it, which can happen in the beginning as you spend a lot of time.

    But there are some tools and things that you need to need to have before you can jump into even part-time practice. Let’s talk through those for the next few minutes.

    One of the things that you are going to need, I would argue even during the COVID-19 pandemic, is you are going to need office space. In this regard, I strongly advise people to go slow. Start low, go slow. So in office space when I started out, and there are many circumstances like this around the country in different areas, but when I started out, I was able to find a [00:13:00] friend and colleague who was willing to rent me office space for one day a week. That’s it.

    So I started with one day a week. And that was super affordable. You can work out the finances, but you can just ballpark. It would be about 20%, maybe a little bit more of a full-time rent. In many areas, you can get away with $100 to $200 for an office for one day a week. And that’s per month. If you just think about it, the overhead is very, very low. So you could start with one day a week and build from there.

    So if you have colleagues who are able to rent you part of their office for one day a week, you may have that conversation from the beginning and just say, what’s going to happen when I’m ready to expand. Is there room to rent here or to gain space here? And if not, that’s okay. [00:14:00] I definitely moved offices two times over those first 6 to 8 months simply because I needed more days, but if you can save yourself that trouble, that is fantastic. So with office space, start low, go slow, start with one day a week and then see if you can expand from there.

    Now, there are a number of coworking spaces out there that can sometimes be well-suited to an arrangement like this. So you might check out two of the big ones I have run across are Regus and We-work, of course, but there are a number of co-working spaces around the country that go by different names. You can check those out. So, the issues that we tend to run into are things like confidentiality. Are the offices truly confidential? Can you set and sort of make a home in an office or are you going to be bouncing around?

    Coworking spaces [00:15:00] can work for some folks, especially if they provide something like a shared admin team or a receptionist and a waiting area, coffee bar, stuff like that. You would likely pay a premium for those things, but for some people, that is a really good arrangement. So check out co-working spaces as well, but the moral of the story is to go slow. You don’t have to jump in and rent an office full-time just to do a part-time practice. And in fact, I tend to err on the side of having less office space than you think you need if that makes sense.

    So, start with one day. And then the vast majority of the time, offices are going to be available on the weekend even if you’re renting from someone. So rather than going out and renting your own office, really consider if you could stay in the same place and just maybe rent an extra [00:16:00] day on a weekend to get a little more time, or if you’re willing to rent the space in the evening when it tends to be yes, less utilized. Don’t jump too fast into office space.

    There was a thread in the Facebook group the other day, The Testing Psychologist Community, where people were talking about office space and rent and how much of your income it should comprise. And the ballpark for me is 10 to 15%. So your rent each month should equal about 10 to 15% of your gross monthly income. So just to give a ballpark, let’s see if I can do some math off the top of my head. I didn’t really plan on this segment. If your office rent was $100 a month, then you should be bringing in somewhere around $850 to $1000. That would [00:17:00] be pretty solid.

    Okay. So what else do you have to have? You have to have testing materials. Now, part-time private practice is a really ideal situation for something like Q-interactive. We’ve talked about Q interactive a lot on the podcast, but the story with Q-interactive is that you pay by the subtests as you go. You do pay a yearly licensing fee, but after that, you just pay by the sub-test.

    So it’s great for folks who don’t want to jump in and buy paper and pencil test kits, which can get quite expensive. The Q-interactive yearly license ranges from about $250 to $350 a year. And then you pay by the subtests. It’s basically $1 per sub-test give or take. So you can pay as you go rather than leaping right in.

    Let me back up. Q-interactive is going to [00:18:00] cover most of the cognitive assessments that a lot of us would give, not everything of course, but you can get a pretty solid battery from Q-interactive. If you are only doing a personality assessment or behavioral emotional assessment, for example, then that’s even better. There are a number of resources out there to administer checklists and personality measures online. Our featured partner right now, PAR, of course, offers tons of online personality, mood, and behavior assessments, but then there are other options as well. Q-global is an option. WPS has an option. There are many options for online administration of questionnaires and personality measures. And that is also pay as you go. There’s not even a yearly licensing fee in the majority of those cases.

    Okay. What else do you need? [00:19:00] Now, I am going to tackle a controversial topic, business cards. Do you really need business cards?

    I am going to take a stand and say that I don’t think we need business cards anymore. Maybe there are some folks out there. You can write in, send me a message, jeremy@thetestingpsychologist.com, if you can make a compelling argument for why we need business cards, I would love to hear it. 

    I’m not saying that you have to do away with your business cards entirely, but when you’re starting out, business cards are an expense, right? So what you can do instead is design a business card on Canva, which is a free tool. If you want to upgrade to Pro, it’s actually quite inexpensive, quite affordable. There’ll be a link in the show notes, but you can design a business card on Canva, download it, save it to your phone, and then you can [00:20:00] simply text or email your business card to anyone who might be interested. That way, we cut down on the cards that are floating around.

    Maybe some people still keep Rolodexes. I definitely do not. I’m trying to get rid of paper in as many ways as possible. So, if someone is willing to text me a picture of their business card, I will take that over paper any day. So think about that. You can design on Canva, download it in a high-quality format and simply save that and send it whenever you need to.

    A similar option that’s a little fancier is to create a QR code. You could design your business card, upload it to your website and host the image there. And then you can create a QR code that people can simply scan. And that even saves you the time and effort of emailing it to them. [00:21:00] So if you haven’t checked out QR codes, you can google how do I create a QR code? And it’s actually quite simple. You can walk through that process and QR codes can be pretty helpful as well. So again, that’s just something you would keep on your phone in an accessible place. And when someone wants your business card, you can show them the QR code, they scan it, and then it, in some cases, we’ll even, auto-populate a contact card in their phone. So that’s another option or alternative to paying for business cards.

    Let’s see, what else do you need? You’re going to need furniture, of course. Now, if you can rent an office that’s furnished, that’s fantastic. If not, you can finance your furniture with a solid business credit card that has a 0% interest rate. You should not have to spend more than $1000 on office furniture by any means. So, considering that. [00:22:00] And then you can also buy used, of course.

    So let’s talk about the EHR. I get a lot of pushback about this as well. Like, do I really need an EHR if I’m only part-time It’s so expensive. Again, I’m going to take a stand and say the time that an EHR will save you will greatly outweigh the cost that it costs you financially.

    Most of the EHRs are going to be 40 to $50 a month. So let’s say you’re working, even on the low end, you’re working one day a week. You can squeeze in 6 hours a day. Let’s multiply that by four days a month. So you’ve got 24 hours that you’re billing. Even on the low end, you’re going to bill, let’s just say $100  to keep it nice and easy math-wise. So, you’ve got 24 hours. You’re billing $100. [00:23:00]You’re making $2400 a month maybe. Your rent is only going to be $100 maybe $200. So, $40 or $50 more for an EHR is nothing.

    The EHR is going to serve so many purposes for you. It’s going to be record storage in some cases. It can be an online portal. It can allow clients to fill out paperwork, maybe make payments. It will do some accounting for you. So it keeps track of your payments and outstanding balances and can take credit cards for you. It does calendaring. It does notes. So your EHR is going to cover so much that it just doesn’t make sense to me to spend all that time doing that manually or with piecing together like a Microsoft word and a Google calendar and this and that. Having it all in one place, it’s going to be super helpful.

    Now, I’ve been very outspoken about [00:24:00] TherapyNotes. We love TherapyNotes in our practice. There is a link in the show notes that if you use that link, you can get an extra month for free from TherapyNotes. So, there are a lot of options for EHRs, but like I said, I love TherapyNotes. just because of the out-of-the-box utility for testing practices.

    The last thing that I would say you must have to go into part-time private practice might be fairly intuitive, but you need referrals. How are you going to get referrals? You can either in part-time practice, we’re full-time practice for that matter, but it’s a little more relevant for part-time because your time is limited.

    So, for a part-time practice, you might consider something like Google ads a little more strongly. Why do I say that? I say that because Google ads are a way to get quick visitors to your [00:25:00] website as long as you have a good landing page and your conversion method is in place. If you need to know more about conversion or landing pages or Google or SEO or anything like that, I linked two episodes in the show notes where I have done more of a deep dive into those topics. So you can go back and listen to those.

    But Google ads paired with a solid landing page and a good means of conversion is a fairly low labor way to get referrals. The trade-off is, it’s going to cost more money than just buying people coffee and going to networking dates and things like that. But if you’re in part-time private practice, you just need a couple of referrals here and there to get going. And if you don’t want to go out and build relationships and do coffee and networking and so forth, it can be a good option.

    [00:26:00] The flip side of that, of course, is doing coffee and networking. So until you start building word of mouth in your private practice, which you might if you’re coming from a full-time job, for example, some of my coaching clients are transitioning from a school or a hospital or another agency setting. They can easily tell their colleagues that they’re going into private practice and immediately have some word-of-mouth referrals. That’s great.

    If you don’t have that, then networking is going to be super helpful. So a lower cost in terms of finances, but probably higher costs in terms of time because you’re going to have to commute there. You’re going to have to find the time. You’re going to have to spend the time. And that can be a little more expensive. But those are basically your options for referrals when you are getting started in the private practice.

    I know that folks certainly get out there in the community. They [00:27:00] might do talks. They might do workshops. Those to me are less bang for the buck in terms of time spent. I think solid relationships, trump superficial broad relationships, but your mileage may vary.

    So, that’s a simple rundown of why you might want to jump into part-time private practice, how to do it particularly with office space and time, and the things that you absolutely have to have to get started in private practice. I will give another shout-out to intention and the role of intention in doing something that you care about. So, even if you’re going part-time, make sure that you put your heart and soul into it. And that will, I think, pay off greatly over time. And that was the case for me as well. Like [00:28:00] I mentioned, I went from part-time all the way to full-time and about 6 to 8 months and have not looked back since.

    With that in mind, I will talk a little bit about what happens on the flip side. I knew that I was full and ready to rent an office full-time and really invest in the practice when I was consistently billing about 20 hours a week. By that point, I was seeing people three days a week, at least. And I was consistently over 2 to 3 months. I was having a consistent caseload of like I said, 20+ hours a week. So, once you get to that point, I think that is probably a safe time to think about going a little more full-time

    All right. I hope you enjoyed this second episode in our beginner series, which will [00:29:00] stretch through most of Q4 of 2020. I will continue on related topics with beginner practice issues over the next few weeks here on the business episodes.

    Some things that are going to come up are: How to find a supervisor or someone to consult with for clinical matters as you jump into practice. I’m going to talk through the checklist that you need to start your practice- a more in-depth, deep-dive around what to do and what you have to do to launch your practice. I’m going to have an episode on devising a report template and writing efficient reports. And then we’ll also be talking about healthy boundaries and setting a schedule that works for you rather than the other way around.

    Anyway, lots of [00:30:00] things coming up around this realm. And it’s not just applicable to beginner practice. I think even some of the advanced practice folks will get something out of these episodes.

    In the meantime, if you have not subscribed or rated the podcast, I would love for you to do that. Always honored to get a solid rating and another subscription. Our membership or rather listenership just continues to grow, which is amazing. And the reach of the podcast just goes further and further, which helps everyone in the long run.

    Okay, y’all. Have a great week. I will be back with you on Monday with another interview. Take care.

    [00:31:00] The information contained in this podcast and on The Testing Psychologist website are intended for informational and educational purposes only. Nothing in this podcast or on the website is intended to be a substitute for professional, psychological, psychiatric, or medical advice, diagnosis, or treatment. Please note that no doctor-patient relationship is formed here, and similarly, no supervisory or consultative relationship is formed between the host or guests of this podcast and listeners of this podcast. If you need the qualified advice of any mental health practitioner or medical provider, please seek one in your area. Similarly, if you need supervision on clinical matters, please find a supervisor with expertise that fits your needs.

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  • 151: Stereotype Threat w/ Dr. Josh Aronson

    151: Stereotype Threat w/ Dr. Josh Aronson

    Would you rather read the transcript? Click here.

    “What we call ‘intelligence’ is a performance. The measure of it is a fragile business.” 

    Dr. Josh Aronson, a pioneer in the field of stereotype threat, is here today for a fascinating and meaningful conversation. We talk through the origins of stereotype threat, why Josh prefers to call it “identity threat” instead, and ways to combat identity threat in test-taking. We also spend a good bit of time on Josh’s current work, which revolves around teaching and implementing mindfulness and meditation in schools in order to improve academic performance. This episode is a wonderful mix of research and practice that will definitely have you thinking differently about the way we approach testing!

    Cool Things Mentioned in this Episode

    Featured Resource

    I am honored to partner with PAR for the next few months to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com.  

    The Testing Psychologist podcast is approved for CEU’s!

    I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!

    About Dr. Joshua Aronson

    Joshua Aronson is a professor of developmental, social, and educational psychology at New York University, where he directs the Mindful Education Lab, a group of psychologists and neuroscientists dedicated to using research to improve the psychological functioning and learning of children confronted with stress.

    Internationally known for his pioneering research on “stereotype threat” and “Growth Mindset,” Joshua’s work has been featured in popular books like Blink, Nurtureshock, Mindset, Drive, Nerve, Choke, Grit — and books with long titles like Lean in, How Children Succeed, Intelligence and How to Get It, and Whistling Vivaldi, and has been referenced in 4 Supreme Court cases. Listed by Education Week as one of the most influential education scholars in America, Joshua is the editor of Improving Academic Achievement (Academic Press) and Readings about the Social Animal, and is Co-author of best selling text, The Social Animal (Worth) with his father Elliot. 

    His current work helps schools become environments that promote excellence in cognitive, socio-emotional, and moral development, by incorporating social psychological interventions including mindfulness and meditation into classrooms, and by developing “4-dimensional curriculum” to improve learning, curiosity, critical thinking self-control, and purpose. Joshua is executive advisor to the Casa Laxmi Foundation, which is building a school designed to develop leadership and academic success in the world’s most impoverished children and is the founder of New York University’s School to Prosperity Pipeline, which serves children aged 4 to 22, with scientifically based interventions to educate and elevate NYC children at risk for incarceration. 

    About Dr. Jeremy Sharp

    Jeremy Sharp, PhD is a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that he founded in 2009 and has grown to include five other clinicians. He earned his undergraduate degree in Experimental Psychology from the University of South Carolina before getting his Master’s and PhD in Counseling Psychology from Colorado State University. These days, Jeremy specializes in psychological and neuropsychological evaluation with kids and adolescents.

    As the host of the Testing Psychologist Podcast, Dr. Sharp provides private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. Jeremy lives in Fort Collins, Colorado with his wife (also a therapist) and two young kids.

    Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call!

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  • 151 Transcript

    Dr. Sharp: [00:00:00] Hello, everyone. Welcome to The Testing Psychologist podcast, the podcast where we talk all about the business and practice of psychological and neuropsychological assessment. I’m your host, Dr. Jeremy Sharp, licensed psychologist, group practice owner, and private practice coach.

    This episode is brought to you by PAR. The TSCC and TSCYC screening forms allow you to quickly screen children for symptoms of trauma. Both forms are now available through PARiConnect- PAR’s online assessment platform. You can learn more at parinc.com

    All right, everyone. Welcome back. I am truly honored to be talking with Dr. Josh Aronson who is a true pioneer in the area of stereotype threat and growth mindset. Let me tell you a little bit about Josh and give a little context for the conversation we have before we totally dive into it.

    Josh is a professor of developmental, social, and educational psychology at New York University, where he directs the Mindful Education Lab, a group of psychologists and neuroscientists dedicated to using research to improve the psychological functioning and learning of children confronted with stress.

    He is known internationally for his pioneering research on “stereotype threat” and like I mentioned, “Growth Mindset.” His work has been featured in popular books like Blink, Nurtureshock, Mindset, Drive, Nerve, Choke, Grit — and books with long titles like Lean in, How Children Succeed, Intelligence, and How to Get It, and Whistling Vivaldi. His work has been referenced in 4 Supreme Court cases. He is listed by Education Week as one of the most influential education scholars in America. He is the editor of Improving Academic Achievement (Academic Press) and Readings about the Social Animal and is Co-author of the best-selling text, The Social Animal with his father Elliot.

    Josh’s current work helps schools become environments that promote excellence in cognitive, socio-emotional, and moral development by incorporating social-psychological interventions including mindfulness and meditation into classrooms, and by developing a “4-dimensional curriculum” to improve learning, curiosity, critical thinking self-control, and purpose.

    Dr. Aronson is the executive advisor to the Casa Laxmi Foundation, which is building a school designed to develop leadership and academic success in the world’s most impoverished children. He is the founder of New York University’s School to Prosperity Pipeline, which serves children aged 4 to 22, with scientifically-based interventions to educate and elevate NYC children at risk for incarceration.

    As you can tell from that lengthy bio, Josh has been just a true expert in this field for quite a long time. His work really started back in the mid-90s when he published or rather co-authored and published along with Claude Steele, the article Stereotype Threat and The Intellectual Test-Performance of African-Americans. 

    This was the original article that got the ball rolling so to speak with Joshua’s career and his now widespread fame of sorts in the field. I think talking about that just briefly is important. It will provide some context for our conversation here today. You will hear Josh talk about the [00:04:00] changes and really the tidal wave of attention that came after publishing that article which was relatively early in his career. We do talk briefly about how young he was when that happened and how that really changed things almost overnight for him.

    So, I think there are a lot of contexts to be had by reading that original article. I do link to it in the show notes. So certainly check that out and use that just to understand our conversation and know what Josh is referring to when he talks about that original article and the work that he pursued early on that resulted in so much attention from the media and elsewhere.

    So this was a wide-ranging conversation. We dive into stereotype threat- what it is, Josh’s reconception of identity threat, and then we transition and talk about how those concepts are related to his current workaround mindfulness and meditation in the classroom, and how he is working to really help kids do their best using these interventions.

    He’s done a ton of work in this area. Like I said, I’m honored to be speaking with him. So, I will conclude this rightfully lengthy intro and go ahead and transition to my conversation with Dr. Josh Aronson.

    Josh, welcome to the podcast.

    Dr. Josh: It’s wonderful to be here.

    Dr. Sharp: Thanks for taking some time. I am excited [00:06:00] to talk with you about this topic. It is something I think that’s always relevant but possibly gotten more relevant over the last several months as people’s consciousness is pointed in this direction, generally speaking. So, I think there’s a lot for us to dive into, but I want to really just start as usual by asking you, how did you get into this and why is this important to you?

    Dr. Josh: Well, when you ask the question, why is it important to me? Do you mean as a human being, a professional, an academic who wants to explain things? It hits all of those taste buds for me.

    I got into this research through the back door in a way. I wanted to study something called self-affirmation with the author of that theory. A wonderful professor named Claude Steele fell in love with his writing on self-affirmation. He invited me to Stanford to do a postdoc with him after I did my dissertation on self-affirmation and then almost immediately, he said, let’s not work on self-affirmation. He told me he was very excited, he had just come from the University of Michigan and transferred to Stanford, very excited about using social psychology and subjective experience to understand and perhaps even help students navigate what is a huge achievement gap between black students and white students.

    And so, my original response to it was that I was deflated because I didn’t feel like I had any intuitions about that. I came to study self-esteem and self-affirmation something which I lacked, [00:08:00] whereas now they were asking me, he wanted me to help understand the African-American experience. And my first response was, I’ve got no insight.

    As we started doing the research though, I was a much better experimenter back then. I think Claude was very excited about taking the talents that he had seen on display in my dissertation and applying them to these new areas. So I designed a bunch of experiments that tested the hypothesis that if you are a member of a certain group, in this case, African-American, at a place like Stanford, and somebody asks you a question that somehow relates to your ability, that this would be a frightening experience.

    As I started designing those experiments, I realized that this was not just research. It was me-search where I was discovering my experience, which was puzzling because I’m not black and we were talking about the black-white achievement gap.

    And so from the very beginning, what excited me about this research was the common humanity in it. All of us have experiences where we walk into a room and maybe it’s the way we look or the group we belong to or some reputation that we’ve established earlier in our relationship with these people that may mark us in some way where people have expectations about us. And I think this is highly relevant now, more than ever, for everyone.

    I was excited when at all different levels because the most exciting thing was to see what a big difference in the laboratory was made by a few details that you could say to somebody, hey, this is a test [00:10:00] that’s going to help me figure out where you’ve got problems. It’s an IQ test. Something that your listeners probably do often. And that detail combined with the detail that most students know about the stereotypes, about their group, the

    African-Americans don’t have a stereotype of doing really well on IQ tests or standardized tests. We’re always talking about the gap in SATs and things. That knowledge would combine with the details of the situation, A white guy handing you a test and calling it a test of your ability, that that would do something that most people don’t think will happen is that your actual intelligence level for that moment will be compromised, in some cases dramatically.

    Now, this was not a brand new idea. All of us had heard of test anxiety at that time. And in fact, when I went back to do research, I was embarrassed because there was some sense that this was a new theory, but I found lots of old stuff. And in fact, stuff that is even the most relevant for your listeners was stuff done with actual IQ tests in children- finding the little details of the situation would make a 10 to 15 points difference in how well a child performed on an IQ test. This was done in the 60s. We came along in the 90s and applied the same logic to the black-white achievement gap at the university level.

    It was personally relevant because also at the same time, we published this research and we were in the middle of a storm [00:12:00] immediately. We’re being attacked. We’re being lauded as the great answer to the problem of the black-white achievement gap. I gave a talk once and this man said, “Your paper was like a shot heard round the world.”

    Dr. Sharp: My Gosh.

    Dr. Josh: Yeah. So it had a tremendous effect on me, both positive and negative. I don’t think I was ready for that kind of attention. And I certainly wasn’t ready to start receiving six articles a month on this topic to review, but that’s what happens when you pioneer an exciting field. Everyone jumps in, and all of a sudden you’re the expert on the topic.

    So, I think of this time in my life as just a time of incredible excitement and energy and optimism, but also exhaustion and being attacked by people I’ve never met. And that continues. Some of the fervor has died down, but the attacks continue. And now, as I told you before, I’ve given myself the treat of backing away from being on the cutting edge of this. I’m standing back and looking at what other people are doing. It’s a much better place to be, to tell you the truth.

    Dr. Sharp: I bet. That sounds like a complete whirlwind. And if I’m doing the math right, this was happening fairly early in your career. That’s a lot to take on us as a…

    Dr. Josh: It was my second publication.

    Dr. Sharp: Oh my goodness.

    Dr. Josh: All of a sudden, I was in Supreme court cases and being talked about, and I was being villainized by people who hated my mentor like his brother. I don’t [00:14:00] know if you know that Shelby Steele is Claude Steele’s identical twin brother.

    So here were two guys raised in the same home with identical genes, if I heard one of them talking, I couldn’t tell them apart until I heard their political attitudes, which were opposite. And it broke around affirmative action. So my advisor, Claude and I were both pro-affirmative action. I’m less so now. I don’t know where Claude stands on it. I think, in fact, our work showed the problems with affirmative action. So, I have a very different theory now. This work helped me evolve in terms of my policy thinking on things.

    His identical twin brother was a vocal opponent of this stuff. So among the people attacking us were family members, not my family members, but his family members. And it was all in the press. And so there were just layers of drama and hype and overwork from my part on this. That wasn’t my favorite part of the importance of it, but now that I look back, it does. It looks like there was a section of the Beatle’s life during Beatlemania when it was just like crazy. And that was right out of the gate for me.

    Dr. Sharp: What an incredible experience in positive and negative.

    Dr. Josh: I love thinking about it. I just could come up with studies all the time. Part of the heartache about it is that I think this research needs to be done slowly and carefully so that we don’t make mistakes that take a lot of time to correct, but what I experienced, do you know what I mean?

    [00:16:00] Dr. Sharp: Well, I’m curious.

    Dr. Josh: That we get it right so that we don’t have to unlearn some false findings. I remember putting in grant proposals where I would propose 8 studies and it got funded and then I would open my mail and there would be four experiments for me to review from a journal of the studies I had just gotten funded for. There was like a gold rush into this field. Hundreds and hundreds of publications. I couldn’t keep up with it. I’m not smart enough. I couldn’t assimilate all of that information and it was literally slowing me down from doing my own work.

    And I think even though that’s the work that really launched my career, I loved the smaller studies that I did off of it that also made a statement which was I think my favorite study is when I was thinking about my own experiences of feeling sort of out of place in school and my parents would tell me that I was really bright, but when I was in social situations, I felt so shy and constrained that bright was the last thing that I would feel. And I thought, well, again, I’m not an African-American student, I’m not a woman in math, there must be a more general process going on here.

    And so my proudest moment I think was showing that we could take the brightest, I mean, we looked around Stanford for the very brightest people we could find, the brightest than the elitist non-minority students, people that came into Stanford with perfect scores on their SATs and who were [00:18:00] just…

    I remember being around these people. You could feel their intelligence. It had a presence in the room. I remember that all it took to make them choke on a really difficult math test was to invoke the stereotype of the group that they are afraid of, which are Asian males in that same major in engineering.

    So when these people describe their experience, if you took race out of it, if you didn’t identify their race, it would sound a lot like W. E. B. Du Bois. I’m talking about being black in the early 20th century where he says, “When I walk into a room, I count the number of black faces that I see.” And for a guy like Du Bois, it was often none or a few. And this is exactly what high pressured Stanford students would tell me. When they would walk into a science or physics class or a mathematics class, they would count the number of Asian heads in the room. And if there were too many, they would decide maybe to take the course in a different trimester so they could have a shot at a better grade.

    I’ll talk about using a race as a proxy for ability. Everyone is doing it in ways that really affect their behavior. I found that really interesting. And so, we did an experiment showing that people that could dazzle you with their intelligence and confidence one minute would score a full standard deviation lower on a math test that they were happy to take just because you told them that the study was going to compare them to Asian students.

    Dr. Sharp: That’s so powerful.

    Dr. Josh: So if you [00:20:00] walk people through the predicament that others experience, they often experience cognitive deficits, and we’ve shown this in many circumstances, for me, that’s the fundamental unifying message of stereotype threat or identity threat is that what we call intelligence is a performance and that performance takes place under certain circumstances. Maybe you’re hungry. Maybe there are the circumstances of thinking about a different group is a powerful one. And what it means is that human intelligence or the measure of it is a fragile business.

    We’ve all experienced this in school. You have that really warm teacher that brings out the best in you. You feel yourself getting smarter. I feel that all the time. It’s called acceptance. Trust enables us to be smarter. And so, for me, that is the message that reverberates through all this research, all of us are capable of stupidity. And I have seen Nobel prize-winning economists act as stupid as you can imagine.

    Dr. Sharp: That’s just so fascinating. There’s so much to unpack here.

    Dr. Josh: Yeah. I tend to unload for long periods of time until my students tell me, “Dr. Aronson, somebody has their hand up.”

    Dr. Sharp: Okay. Fair enough. There are some episodes where I feel like I asked more dumb questions than others. This might be one of those episodes. Let’s go for it and see where we go.

    Dr. Josh: We like dumb questions.

    Dr. Sharp: The first one, let me just back up a little bit, and for anyone who isn’t completely clear on what we mean when we say stereotype threat, can you just give a solid definition of that? And then I think we’re off to the races [00:22:00] in terms of this.

    Dr. Josh: Yes. Stereotype threat, I should say is the more popular term for it. It’s the one we started with. We tried on two different names. But the one I really like better is identity threat. And the reason for that is because it generalizes to individual experience.

    A stereotype threat is when I’m a white guy and I walk into a classroom full of young students and they go, oh, white guy, but he has a certain set of attitudes. These days, especially I’m monitoring my behavior for anything I might say that might get me in trouble. Professors are being fired for silly slips of tongue and things like that. That’s a stereotype threat because what’s invoked is a stereotype of white males.

    However, identity threat can be tied to my individual identity. And so there are people like… I like the example of George W. Bush, who, yes, he’s a white male and the stereotypes of white males are a certain stereotype, but this guy had an individual identity that everyone knew. And one of those identities was the guy is not very curious or bright. And he’s one of my favorite examples of an individual who, when the cameras are on and the stakes are high, makes lots of verbal disfluencies and says dumb things, however, when the cameras are off, he manifests more apparent IQ when the stakes are low.

    David Brooks interviewed him and he said, “I’ve seen a 60-point IQ difference in president Bush in private versus public things.” I don’t think David Brooks fully understands what that represents in terms of IQ [00:24:00] point. He’s exaggerating greatly to make his point. It’s like a different guy. And again, I find that fascinating. Human intelligence is fragile.

    So the definition I would give is the apprehension that human beings feel when confronted by a stereotype or individual identity that is unflattering or adds pressure to their performance. And the reason I say unflattering or adds pressure is that some groups can fail and choke when there are high expectations on them under certain conditions.

    So like if somebody comes up to you and says, Hey, I hear you’re The Testing Psychologist’s expert. Please explain to me and this group of people that are listening to you the difference between some archaic points about psychometrics. Now we’re all saying, we think you’re brilliant, but that’s adding pressure. And so, it can be trying not to look dumb. And that invokes what psychologists call a prevention focus. It’s sort of like the, oh, I better not look stupid here rather than I feel comfortable enough to reach beyond my normal level of ability.

    One thing I want to say about this is that it’s for this reason that I don’t think identity threat is necessarily a negative in people’s lives. I think it’s often a motivator that once you get used to and knowledgeable about how it operates, it can be like that extra little bit of pressure that Michael Jordan feels when he does something amazing on the court, [00:26:00] right? He always got better under pressure. It’s the same kind of pressure that people feel when they are taking an IQ test. But some people have learned how to turn that pressure into higher performance. And I think that’s the good side of stereotype threat.

    Dr. Sharp: Right. Kind of like the difference between eustress and distress, I suppose.

    Dr. Josh: The key is what you do with it. So you can have a bad test performance. And the problem with stereotypes is that they suggest an explanation for your low performance. You can choke. And one of the tragedies that I saw in my original research was in the interviews with these students. Okay. So you have a really bright student come in, you give them a really difficult test, you’ll manipulate something in the environment that makes the student choke. They look at their performance, some might say that they choked or were extra nervous, but it wouldn’t be because of what you actually did. They would come up with some other reasons.

    For example, we ask them how many hours of sleep did you get last night? Miraculously, people in this who were randomly assigned to the stereotype threat condition said they got a lot less sleep the night before. That’s impossible. They’re making an excuse for their low performance. They’re saying, I did badly?

    The thing that’s useful about stereotype threat it’s that it’s a vertical explanation, but it’s temporary. So you can say, I felt a lot of stress. The white guy gave me [00:28:00] a really difficult test and he told me it was going to tell me what my IQ was.

    When people understand that that can make them underperform, that actually helps them feel less stressed when they take the test because what is the alternative hypothesis? I’m stupid. I’m not smart. And so it gives them a way of explaining their behavior that can actually improve their performance. Oh, I get it. I get extra stressed when I do this because there are some racial stereotypes about my race. And once you know it and you have a strategy, which we give students, which begins with knowing you’re not special, this happens to a lot of people, but continues with breathing and reminding yourself that this doesn’t mean you’re not bright. It means you’re taking a hard test and a lot of people do. That little flick of the mind can raise scores.

    Dr. Sharp: Interesting. I know that you’ve been doing quite a bit of work over the last few years with how to combat some of these things, I suppose. I would love to get into that and your work with mindfulness in the schools and so forth

    Dr. Josh: Growth mindset too came directly out of the stereotype threat work. It’s funny. This is one place where I almost feel like I’ve created a monster because I just see it in everything. I see the growth mindset in everything now. And I worry that it’s becoming so… It’s one of those things where people say it and it’s lost its meaning.

    Dr. Sharp: Well, I’m glad [00:30:00] that I have you on that. We can actually drill down into the original, right?

    Dr. Josh: Yes. The original came from the question. We had done studies showing that if I can convince you that the test is not a test of your ability but really just a problem-solving task, which lowers the psychological stakes of low performance, oh, this is not a measure of my permanent ability, it’s just a thing that I’m doing, we found that framing improved performance dramatically among students who belong to groups who were stigmatized: African-Americans, women in math and science, computer science, Latino students.

    The problem with that is that in everyday life, no one ever tells you that the test you’re take are meaningless. In fact, they tell you there’s probably a job or college admission riding on it. So, this is like a laboratory in which you take away some elements. We often do experiments in a vacuum. Here we took away the real-world stakes of low performance and what we found with that is for a lot of students, it doesn’t matter. They will feel stereotype threat or identity threat even when it’s low stakes because they care so much about every performance. They’re always evaluating themselves. You know people like that. They always try hard. And so, it was indeed those people who experienced the most deficits.

    So you can’t take away the high-stakes nature of testing. In many cases, even when you [00:32:00] say you are, a lot of students feel a sense of high stakes. You often hear that The Nation’s Report Card in America can be taken as the best measure of the black-white achievement gap because its low stakes. I don’t know if I’ve believed that. If it’s so low stakes, it could also mean that students aren’t really trying either. So, there can be a lot of slippage in test scores.

    Why we got to teaching students the growth mindset was because we knew we couldn’t change their situations. We couldn’t read their situations of high stakes testing, nor could we read their situations of the other thing that seems to turn on stereotype threat, which is indicating making salient your identity. So for example, when we give them a low-stakes test but say, write your race down on the cover sheet, black students would perform worse. They were reminded of their stereotype status, put it on their minds, and it turned into a high-stakes endeavor.

    Dr. Sharp: Sorry, Josh, can I ask you a question real quick?

    Dr. Josh: Yes.

    Dr. Sharp: We’ve talked a lot about the role of race, ethnicity, culture, and this whole process is. Are there other characteristics that are salient for identity threat that is worth mentioning? Gender, I would imagine.

    Dr. Josh: Yeah. Gender is the one that’s been studied the most simply because it’s the easiest. [00:34:00] Women are more than half the population of most universities whereas African-Americans are about 5%. So to do the research and to use the numbers that we need, most of the research has been conducted using the stereotype of women in math. I’ve done some of that work, but the racial stuff has been the stuff that I’ve cared about most.

    There are other individual differences that seem to matter a lot. And one of the most interesting ones is just how much the student cares. How much they are staking their salvation of being good at this thing you’re testing them on. For example, the more you care about math, the more a stereotype that says people like you weren’t good at math is going to undo you. It is going to bother you. You’re going to need to do something or it’s going to undo you. And most students overcome this stuff just by working through it and getting used to it.

    What I worry about are the students that interpret the threat as an indication that they don’t belong, that they’re not bright enough when really there’s just a learning curve for everyone early in the game. We see a lot of black students dropping out, even ones with very high scores and perfect grades dropping out in their first year of college because they haven’t been prepared for certain aspects of college. And I think one of the things is stereotype threat. What it’s like to not understand in a situation where people might look at you and go, oh, you’re only here for affirmative action. That is an uncomfortable place to be.

    But what I’ve learned is that most students [00:36:00] come to college wondering if they belong and in certain environments. This is feeling like identity threat doesn’t make you special at all. But we cannot in any integrated college, get rid of the two things that reliably invoke stereotype threat, one being the salient of one’s race. As soon as you have diversity, you have racial salience or gender salience. And the other thing is the relevance and importance and stakes attached to testing. You can’t get rid of that in college. It’s everything. Students drive themselves crazy with it. But what you can do is teach people techniques, attitudes, and ideas that help them reframe the threat in ways.

    And so, I just went directly at the stereotype that people held about intelligence. Most of us who were brought up when I grew up, heard a story about intelligence that you’re born with a certain amount of intelligence and that you can lose it. Don’t drink beer, don’t sniff glue because you get a finite number of brain cells and it’s just like sands and an hourglass. You’re just running out of them. There’s a real terror created by that. And I think that most people in my era believed that.

    When I first saw that psychologists were starting to talk about neuro-plasticity, that was in the early 90s, it immediately struck me that this was the solution to stereotype threat. If you can’t get rid of racial judgment, if you cannot get rid of high-stakes testing, maybe you can teach people that the thing being tested is just always growing with [00:38:00] effort. That’s one insight.

    Another one that changed my life was designing an experiment that was a field experiment where we simply changed people’s attitudes about the nature of intelligence and did a really good job of changing their attitudes. Social psychology gives us a lot of tools for getting people to adopt mindsets and attitudes. And so we did that. We worked hard. And what we found was that relative to control groups, people that learned their intelligence could be built with effort and really came to believe that those students narrowed the gap considerably between themselves and white students on the Stanford campus. That was the first study like that. We did several, and then it started a wave of research. And now, every kid gets bombarded with the notion of a growth mindset ad nauseum.

    Dr. Sharp: Yeah. So in your mind, where did things start to degrade with that, if that question makes sense, or get diluted maybe is a better way to think of it? And is it still valuable? I suppose there’s…

    Dr. Josh: I think it’s still valuable, but it’s still valuable in the same way that a hamburger is still nutritious despite the fact that McDonald’s scaled it up into something that you can serve billions and billions of.

    Dr. Sharp: That’s a great analogy.

    Dr. Josh: Thank you. I love food analogies because I like to cook. I’m probably old enough to remember when a McDonald’s hamburger was a really good thing, $0.15 a delicious and you didn’t feel like it was going to make you sick.And I’m sorry McDonald’s but that’s how it’s been for me the last eight times I’ve tried eating the actual food there.

    [00:40:00] The growth mindset started out as a beautiful four-course meal cooked by a chef. Somebody who got every single student believing magnificently that their minds were like muscles. And we had them involved in a real intervention where they were helping a child to understand this. They were convincing a younger child who was struggling in school.

    I’m proud of that paradigm because everybody wins from it. You mentor somebody about an attitude that you yourself need to learn and they learn it, and then it becomes something that elevates the performance and learning of both parties. I love that.

    I totally understand wanting to get this stuff to as many people as possible, but in the process, you got a lot of people cooking a complicated meal that they aren’t cooking with love and are making minimum wage and are being told to give this to people on mass. I don’t believe in that kind of intervention because I think it becomes just another thing that gets shoved at kids by an overworked teacher who’s sometimes resentful.

    Now, this is not to say I’ve talked to teachers, they do love having the vocabulary growth mindset. I just worry that it’s going to go the same way as “have a nice day.” He shows all the signs of great engagement, growth mindset, and blah, blah. It’s going to be a checklist. So, we went on we tried to go big and when people [00:42:00] started selling this stuff to schools.

    There are a lot of people making money on it. That breaks my heart because teachers don’t need more stuff sold to them. I really think most teachers know this stuff intuitively. They’re happy to have the terminology for it. But most teachers will do well when left alone to their own devices if they’re given the resources they need. That’s my sandbox on stereotype threat and growth mindset.

    Dr. Sharp: Well, I think that’s valuable. You’ve seen it from the inside for many years. I want to put things in context a little bit as we transition to the work that you’re doing now. You have a long career in this research around stereotype threat, identity threat- what leads to it, and what can help combat it. And my understanding, feel free to correct me if I’m wrong, of course, is that now you have transitioned into more real-world application of this stuff and how strategies and things that you could do in the classroom to really help students who might run into some of this. Is that right?

    Dr. Josh: Yeah. But my focus has broadened. Instead of saying, 20 years ago, 15 years ago, I just wanted to get test scores to go up because that was the dominant way of evaluating whether a school was working. But then I got smarter. I started visiting schools and seeing that a lot of kids weren’t wrestling with stereotype threat, they were wrestling with something else or you.

    So I think when psychologists [00:44:00] get into the business of promoting a theory and testing a theory, it’s sort of like Abraham Maslow said, “If all you have is a hammer, every problem looks like a nail.” And I was going into a school with my hammer and not everything looked like a nail to me. I realized that what I was doing might make me famous and wealthier and respected, but I would be lying on some level to sort of say that this stuff was the be-all and end-all of what kids needed. That was one thing.

    The other thing is that in my quest to find something that didn’t just help students do better on tests, but help them develop into people that wanted to go to school in the first place, then enjoyed the learning process and didn’t feel stress, I stumbled upon kids meditating in school- sitting there meditating twice a day.

    I saw the data. This is a broad array of things that everyone cares about like the number of suspensions in the school, the test scores, and interestingly, the number of teachers who quit or call in sick each week in high-stress schools. And I saw the numbers about what meditation was doing, and I frankly didn’t believe it. I just didn’t believe it. It was something like two standard deviations better than any intervention I had ever done or seen in the literature.

    My parents meditated. I knew about the Beatles. I had tried it once in college and [00:46:00] it had had some nice effects on me, but this was… So I went out to the school. I took a plane and I went out to visit. I love this because after the data presentation at the David Lynch Foundation, the moviemaker, David Lynch, I went up to the director of the foundation and I said, I don’t really believe this. I believe in meditation, but I don’t really believe it.

    His response was so beautifully non-defensive. It just sort of was like, okay, I like that. He invited me to just go visit any of the schools where they were doing this. And so I went out to California and I went to a school of the sort that I’d been into hundreds of times. The school that you want to go into and then you quickly turn around and want to leave because there’s sort of a bleak threatening vibe to the whole thing.

    But I walked in and immediately could feel the absence of that vibe. It was a different feeling. And then we meditated with these children or at least watched them. We talked to the children and thing after the thing happened on that trip that just said what, like hearing an 11-year-old girl who had witnessed somebody being killed-a lot of gang activity in this part of San Francisco, middle school, these are middle schoolers who have witnessed a murder.  I walked up to her after the meditation and I said, could you just tell me what this is like for you? What has this done for you?

    And there was something about the way this 11-year-old girl [00:48:00] treated my question. That moment to sticks with me because most teenagers you meet don’t look like they’re being really thoughtful in their answers. And she sort of looked up into the right and she goes, what is this stuff? And then she looked at me and she said, I’d have to say that this opened me. This is an 11-year-old girl who is in like the terribly fraught section of town. And here she was just with such thoughtfulness and clarity, talking to a total stranger with absolute trust. I’d never experienced anything like that. And now I experienced that over and over again.

    I was doing interventions that had a certain amount of impact on students. And if you did the statistics, you could see that it was affecting their grades some of the time when the intervention was done well. Now I do interventions where you don’t need statistics. You talk to a kid that started meditating three months ago. And you remember what it was like the first time you met them.

    I had this experience directly where I met a teenager from one of these tough schools and my first impression was I don’t like this kid- a gut impression. Now, that is an important feature in a child’s life. If this teacher feels that way about a child, that child’s chances of getting quality education are less than a child who has the opposite effect on you when you meet them. So I come back three months later and I see the same kid and my gut [00:50:00] is a totally opposite feeling is like, what a nice kid.

    You don’t need statistics to tell you that something powerful has happened. And I see this over and over again. And so for me, it’s just like, I had a certain part of my career where I was obsessed with how do we make kids smarter and then happier and kinder to each other. And as you know from being a testing psychologists, we could do lots of interventions. We can have kids practice all kinds of things. We can have them sign up for Lumosity or something like Tetris, and it will make a very small part of them better at one task.

    I’m watching kids become smarter, happier, calmer, and kinder to the people around them, which has environmental effects that spread to everyone. And it’s just the coolest job because I get to watch transformations. Now we do science on this, of course, but for me, it’s bottling what is it like to be with this personal experience? How bright do they feel? How much do I want them in my class, in a room with me, in my life, taking care of my kid? In my experience, all of that stuff improves, and in a general way, when people do this very simple exercise of just sort of slacking off with their eyes closed twice times a day. So I’m fascinated with everything about that. I know that it reduces what I call identity threat from my own experience. 

    Dr. Sharp: Yeah, I was going to ask about the connection there. Can you articulate that a bit? How is this helping with what we’re talking about with identity threat and so forth?

    Dr. Josh: Well, a lot [00:52:00] depends on the context we’re talking about. In a testing situation, 15 minutes of meditation before taking a test will boost your score on a GRE. There are published lab studies on this. So will writing about your fears. Anything that gets rid of anxiety and leaves you with a little pressure, but not too much will help your test performance.

    The really exciting contexts for me are the learning contexts where people are interacting with each other and you can just see that children who meditate just listen way better. They will know better. They’re more considerate. There’re studies done where they’ll do an experiment where there are people sitting in a waiting room and there are no more seats, and some of the people will have been taught to meditate and others not. A person walks in on crutches and needs to sit. Meditators are way more likely to get up and offer their seat to this person.

    So on every level, they’ve looked, if you do the intervention well, you really implemented, well, you see just sometimes spectacular effects. And I should say, sometimes you can do the intervention poorly and you will see nothing. And yeah, we have arguments with people about what that means.

    Dr. Sharp: How so?

    Dr. Josh: Well, they’ll look at studies that didn’t work and go meditation doesn’t work and I’ll go, well, I could show you a restaurant where they make terrible food, but I wouldn’t conclude from that, that restaurants don’t work. I would conclude that that restaurant did a really bad job of implementing [00:54:00] food delivery and preparation. I wouldn’t say restaurants don’t work. But our arguments when it comes to things like meditation or interventions often go in that direction of well, I see one study where it didn’t work.

    Dr. Sharp: Wow. That is truly amazing. I know someone who has a history of mindfulness practice in different forms. I love to hear this.

    So Josh, the audience for this podcast is largely practitioners. We are testing kids. We’re testing adults. I wonder if you could talk just a little more explicitly about what the takeaways are here for us and how this stuff might be relevant for the work that we do?

    Dr. Josh: Yes. Great question. I said earlier that human performance is fragile. It’s fragile because human relationships are fragile in a way. We often judge each other by little details. We frightened each other in ways that are often quite subtle. I mentioned earlier what a great psychologist who was one of the reasons we have head start had a career of finding out about what worked for little poor kids. And he found that if you had their IQ test given by somebody who they played a little game with before, like solve the puzzle for, that was enough to warm up the relationship, to create enough trust and comfort where the kid could do 10 to 15 IQ points better on the test that they took.

    To me, that is that’s the take home message is that intelligence is not just a thing in somebody’s head. [00:56:00] It’s the product of an interaction between at least two human beings. Somebody asks you a question who that person is. Their relationship with matters a lot. And we all know situations how bandwidth can be destroyed by fear or nervousness or wanting to impress that person?

    That’s the message is that you want to take steps to make the environment comfortable for somebody whose test results are going to help you understand them. You want to get the best test results. You want to create an environment that is not unwittingly scaring them a little bit stupider or less creative or whatever you were measuring.

    So the take-home is, my wife, for example, once she started reading my research. She’s a tester. She’s a neuropsychologist. She started making sure that the kid who was taking the test knew that this was not a permanent mark about them. That most of these areas could be developed. So that experience, knowing that your score is not going to be carved on your tombstone because it’s measuring something permanent, but is just your score where you’re at right now, I think releases kids from a lot of anxiety that would cloud their results. That’s a lot of neuropsychologists that they do exactly that, which is to promote the growth mindset in an interpersonal context. 

    Dr. Sharp: sure. Thank you. I love those actionable tips. So I appreciate you delving into that. Are there any other things that you might recommend to help people do their best?

    Dr. Josh: Yeah. Well, the research points pretty strongly to several things: [00:58:00] 1, prepare, 2, get a good night’s sleep. It’s so important. In fact, many of the things we talk about that we’ve developed in the lab are just so inferior to having people eat well and sleep well and that sort of thing.

    Dr. Sharp: That’s so true.

    Dr. Josh: We should amend everything we say with after eating well, sleeping well, getting exercise, and stuff you can do. Regular meditation to me is not just a way to do better on tests, but it’s a way to do better in all of the tests that life presents you with. So when I started meditating maybe five years ago, seriously, I started noticing something different in my course evaluations from students, which is, the word intelligent started appearing a lot more. He’s so intelligent. That’s a new experience for me.

    Dr. Sharp: Fascinating. That feels good.

    Dr. Josh: It does. Although we can have a philosophical argument about whether I’ve gotten more intelligent or just less stupid in public circumstances, the end result is that I’m fooling more and more students into thinking that I’m actually intelligent.

    Dr. Sharp: Can I put you on the spot a little bit and ask, if you had to really nail it down, what do you think is changing there? Uh, you know, like what’s happening internally that then students are seeing as “more intelligent”?

    Dr. Josh: I think it’s poise, confidence, the rapidity with which I speak, my absence of fear. I think if I had to say one thing that stands in the way of being [01:00:00] smart, curious, and helpful to other people, it’s often fear. My wife who’s a neuropsychologist, I heard her recommending it to someone and she said, it just takes the fear out of every.

    He says to me if somebody could turn down your fear, turn up your compassion, turn up your curiosity, increase your energy, I sound like an advertisement for it, but it’s all been true in my case and the people that I’ve worked with who stick with it. Now, people just give this up really easily because fewer methods of torture are more effective than having a person just sit there and amuse themselves with their own thoughts. In fact, there’s good research on this showing that most people will refuse to just sit there. They need a distraction of some sort. In fact, they’d rather have pain.

    Dr. Sharp: I’ve read that stuff. Yeah.

    Dr. Josh: They’d rather have pain than just sit there and be a victim of their own thoughts. Meditation teaches you how to welcome those situations. It’s just like lifting weights. You just get used to it. So I think that what’s happening in the brain is a great deal of reduction of pain. What we experience as mental pain is also called boredom.

    Boredom is really painful. People would rather have an electric shock in many cases than boredom. People would rather cut themselves with a knife than feel that mental pain of anguish that many of us are experiencing now. So [01:02:00] if people stick with it, and that’s the tough part because it’s difficult, what starts to happen, I think is that your prefrontal cortex is starting to connect more to the full operation. It’s brought online a lot more.

    The way I heard it described to me is, in lay terms, it’s like when you’re impulsive, there’s sort of like a direct line from your amygdala to your action centers. What meditation does is say, wait for a second, let’s bring the prefrontal cortex into this decision. And I’ve seen brain scans where meditators seem to have more of a linkage with their prefrontal cortex.

    What it feels like as an individual is that I’ve gotten great sleep and that somebody gave me 15 more IQ points. And I can think on my feet. Things don’t bug me as much. I can do podcasts and not stutter. One of the reasons I want so badly for kids to get this before they hit middle school is because I spent a lot of time watching kids just become awful in middle school: unconfident, mean, frustrated, not knowing how to relate to other people. And I think this can have a huge effect on that kind of dynamic.

    Dr. Sharp: Are you seeing any differential effects just to get in the weeds a little bit with the research between say like different ethnic groups or boys versus girls versus non-binary? Are there any effects like that that are popping up that you know of?

    Before we dig into that question, let’s take a short break to hear from our featured partner.

    With children currently exposed to [01:04:00] conditions including a global pandemic, social injustice, natural disasters, and isolation, you need a trusted tool that can screen for symptoms of trauma quickly. The TSCC screening form allows you to quickly screen children ages 8 to 17 years for symptoms of trauma and determines if follow-up evaluation and treatment is warranted.

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    Dr. Josh: We actually haven’t seen big group differences based on anything. The major difference between somebody that has it have a good effect or not much is just the amount of time. It really is a dose-response perfect effect. So you’ll often meet people who go, I tried meditation and it did nothing for me. And you go, well, how much did you do? Well, I tried two minutes that one time and it didn’t take. So it really needs to be thought of in the same way as you would think about lifting weights because that’s essentially what you’re doing with your brain is that you’re teaching it to be nonjudgmental.

    That’s what it feels like. It’s sort of like you have all these thoughts coming at you and you just keep reminding yourself to not let those thoughts carry you away and to take them too seriously. And it is very hard for human beings to do that. [01:06:00] And that’s why I hate sitting still. You work that muscle.

    I don’t know if you’ve ever gotten to the point where you just don’t need anything. You’re just happy to be an embodied brain just sitting there taking in everything around you. Most people can’t stand that. And yet when I’ve gotten to that feeling and I’m one of those people, I need to be doing something distracting, but when I’ve gone on like a retreat and meditated a lot and really worked out, it’s sort of like running a marathon, you just go, oh my God, this is a runner’s high. Meditators high is like, I don’t need anything to be totally happy and feel amazing. I don’t need music. I don’t need to smoke anything. I don’t need to drink anything. It just is so good to be just right here.

    Pascall once wrote, do you remember Pascall? He said, most of humankind’s problems stem from the back that people are unable to sit in a room by themselves. So even what was that 500 years ago, recognize that people are terribly distracted. They love distraction. Their minds are a mess just as the Buddhists talked about 3000 years ago.

    So, if I leave your listeners with anything, the big individual difference in this is how much of a chance you give it.

    It doesn’t affect men and women differently. It doesn’t affect adults and children differently. The one caveat I would say is that if you’ve had traumatic experience or you have mental health issues, you may need a different method than most people engage in. You need to be mindful of the fact [01:08:00] that closing your eyes may bring out different experiences for you then. And so, there are meditations for people that have trauma.

    The other difference is that when we work with kids in the inner city, two things frighten them that make sense once they tell you about it- closing their eyes and quiet. Quiet is unsettling if you live a mid noise all day long. And so, after a small period of fear where we tell them that they have to trust us that we’re not going to let anything bad happen to them, after a slightly longer period of getting over that, you see inner-city kids shedding some of the things that make their life so hard, and able to recognize the beauty that people that live in peaceful environments take for granted.

    So it’s been quite eye-opening in that sense. So for example, one of the transformations that I’ve seen was from a guy who totally didn’t want to be involved in this. Somebody pushed him into it and he was resistant and he finally told him, he said, well, I got to sit here anyway. I might as well just try it.

    And he told me that 10 days into the program we offered, he said, I walked down the street and I saw there’s always a swarm of frightening thoughts in my head. Maybe the police are going to shoot me because I’m a black male today. Maybe my friend’s going to get shot. Maybe I’m going to fail a class, maybe some bad stuff. And he goes, but this day I was walking down the street and I noticed a tree [01:10:00] that I must’ve walked by a million times before. And I noticed that the light was hitting leaves and just a certain way. And I have this thought how beautiful. And he said, Dr. “Aronson, I’ve never thought those words, how beautiful in my life before.” And that’s when I knew I was studying the right thing. For once in my life, I was like, you are studying the right thing, Aronson, and I’ve stuck with it ever since.

    Dr. Sharp: I love that story. I think that may be a nice note to end on too. Full circle. You’ve found your place and the work is so meaningful in these kids’ lives.

    Dr. Josh: Yeah. That was kind of nice how that happened.

    Dr. Sharp: I like it. Yeah. Sometimes things work out, right?

    Dr. Josh: Well, thank you for having me. I really enjoyed it. 

    Dr. Sharp: Of course. Thank you.

    All right, everybody. Thank you so much for tuning in to this episode with Dr. Josh Aronson. He is truly a legend in this field and it was an amazing opportunity to really get to talk through the progression of his career and the story there. I love mindfulness. So, the work that he is doing now is just completely fascinating and inspiring, and I hope you feel the same.

    There are plenty of resources in the show notes for you to check out. So definitely take a look at those. And if you have not subscribed to the podcast, I would love for you to do that. You can also tap a quick rating in iTunes pretty easily or in the podcast app, and that will help keep the podcast on the map for other folks who are trying to find it. So thank you as always, I will be back with you on Thursday. Take care.[01:12:00]

    The information contained in this podcast and on The Testing Psychologist website is intended for informational and educational purposes only. Nothing in this podcast or on the website is intended to be a substitute for professional, psychological, psychiatric, or medical advice, diagnosis, or treatment.

    Please note that no doctor-patient relationship is formed here, and similarly, no supervisory or consultative relationship is formed between the host or guests of this podcast and listeners of this podcast. If you need the qualified advice of any mental health practitioner or medical provider, please seek one in your area. Similarly, if you need supervision on clinical matters, please find a supervisor with expertise that fits your needs.

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  • 150. Are You Ready to Start Your Own Testing Practice?

    150. Are You Ready to Start Your Own Testing Practice?

    Would you rather read the transcript? Click here.

    Welcome to the first episode in the latest beginner practice series! Over the next several weeks, business episodes will largely focus on the beginning stages of practice. Today, I’m talking through the steps and mindset needed to actually start your practice. If you’ve never considered a private testing practice, my hope is that this episode will get you thinking about the possibility. Private practice has afforded me incredible flexibility and growth opportunities over the past 12 years, and I would love to support you in your own journey!

    Cool Things Mentioned

    Featured Resource

    I am honored to partner with PAR for the next few months to bring you featured items from their catalogue! This episode’s featured items are the TSCC-SF and the TSCYC-SF – two measures that can quickly assess symptoms of trauma in children of all ages. Learn more at www.parinc.com

    The Testing Psychologist podcast is approved for CEU’s!

    I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!

    About Dr. Jeremy Sharp

    I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and grew to include 12 licensed clinicians, three clinicians in training, and a full administrative staff. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents.

    As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids.

    Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call!

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  • 150 Transcript

    [00:00:00] Hello, everyone. Welcome to The Testing Psychologist podcast, the podcast where we talk all about the business and practice of psychological and neuropsychological assessment. I’m your host, Dr. Jeremy Sharp, licensed psychologist, group practice owner, and private practice.

    All right, everybody. Welcome back. Today’s episode marks the first in a series of episodes geared toward the beginner practice owner. Today, I’m going to be talking really just about whether you are ready to start your own testing practice. I’ll talk through some mindset components and some logistical components that will help you figure out if a private practice could be right for you.

    Now, I am biased. And I think private practice could be right for just about everybody for many reasons, but you can’t just leap into it without preparation and planning and some deliberate action. So that’s what we’re going to be talking all about today.

    Before I jump into the [00:01:00] episode, I would like to talk through something that has been quite important to me over the last several weeks.

    Now, for the life of this podcast, I have not pursued and have in fact turned down many sponsorship opportunities because:

    1) I did not want to dilute the content of the episodes.

    2) It’s really hard for me to endorse any product or company that I don’t believe in 100%.

    As the audience has grown, it has become clear to me that this is a platform that now reaches thousands of individuals each week and there are many valuable products and services out there that testing psychologists could benefit from knowing about. I would like to start bringing some of those products and services to the forefront.

    And now, in the interest of transparency, because I’ll always try to keep it real with y’all, compensation for the time spent producing the podcast has grown more important as [00:02:00] I’ve doubled down on content. So to that end, I have decided to consider sponsorship agreements with trusted resources here in the field. From this point forward, you will hear short ads at the beginning and middle of the show. My promise to you is that this information will always be valuable and that I will heavily vet any sponsorship opportunity to make sure that the product, service, or company advertised is directly relevant to you as a testing clinician.

    With that, I am beyond excited to announce my partnership with PAR. PAR, like many of you know, is a test publishing company. They’re a company that I’ve been vetting informally for years in my role as a clinician. Their products and tests authors are amazing and their customer service is top-notch. Their online system PARiConnect is incredibly easy to navigate. [00:03:00] I’m thrilled to highlight a few of their measures here over the next several weeks. And if you’d like to support the podcast, I would be so grateful if you use the links that I provide in the show notes or any promo codes mentioned when you purchase products from PAR in the future.

    Okay, on to the episode.

    Okay, y’all, here we are talking all about the mindset and logistics necessary to consider as you think about starting your own testing practice. Now, I said in the intro that starting your own testing practice is something that I think nearly anyone [00:04:00] can do. And a private practice has afforded me many benefits over the years. Certainly some flexibility and opportunities for growth. There are all kinds of things that you get from private practice. The ability to practice the way you want, practice independently, see exactly the clients you want.

    And at the same time, some folks prefer not to take on the risk and the responsibility necessary to run a private practice. And that is totally fine. But if you are on the fence and you’re thinking about, Hey, could this be the right choice for me? Could I start a private practice with testing as a component? Then I think this is the episode for you.

    There are a couple of ways that I approach making this decision. Two areas that I think are important to consider. [00:05:00] The first is the mindset. I think mindset is the most important of the two. The next one that I’ll talk about is logistics. But I start with mindset because to me, this is where 95% of the hurdles are going to occur. And this is where probably 95% of your troubles down the road after you start your practice are really going to come into play.

    So when I talk about mindset, I mean, where’s your head at when you think about starting a practice? Because if your head is not in the game, then it’s just not going to work.

    So, let me talk through a few components of mindset when you are thinking about starting a private practice. And each of these I think is important. So if you find yourself listening to this discussion, and you’re saying, “This just does not fit for me. I don’t [00:06:00] think I can go to the depths necessary or wrap my mind around some of these things.” That is totally fine. It is work, but if you’re not in the place right now, maybe you will be in the place down the road.

    So, here are just a few mindset components to think about. The first is that maybe something that does not bear repeating, but I’m going to anyway because I think it’s so important, is just to recognize that you really do have to have the mindset to make a private practice successful. If you really want it to go, if you really want it to be a successful thing that brings you, hopefully, some joy and financial success and many other things, you really have to have a good mindset and approach it that way as a serious venture. [00:07:00] Not that you have to take yourself seriously, but it does take some effort. So, just knowing that this is something that you got to kind of throw your weight behind to really maximize the experience.

    So, that’s the first thing right off the bat is just knowing like, hey, if you’re going to do private practice, set the intention to do private practice and commit to that. I don’t think it’s going to go as well if you keep it as a wishy-washy sort of idea that you might put some time into here and there, but it’s not going to be your main thing. I think you just need to be prepared that even if you’re going into part-time private practice, it’s got to be your main thing in terms of mindset and emotional and cognitive energy while you’re starting up.

    So that’s one piece. It’s just making sure that you have the capacity to set the intention for private practice and commit to that for [00:08:00] as long as it takes to get up and running.

    Another piece to consider is just the emotional and mental roller coaster that private practice will take you through. Now, there are some really unique situations and quite pleasant situations, to be honest, that happen sometimes where you might somehow step into a relatively busy, easily functioning practice. Maybe you bought a practice, maybe you have had great mentorship, who knows. Those situations do occur. But generally speaking, private practice is a bit of an emotional roller coaster in the beginning.

    So, asking yourself if you are ready to take a financial hit for a little bit, or at least bear with some ups and downs in finances while your caseload evens out and builds up. But also, just the emotional roller coaster [00:09:00] of becoming a business owner, confronting things that may be really hard for you.

    For me, when I started my practice, honestly that was the first time that I engaged in an activity that I hadn’t really been trained for either through school or life experience. I had no business knowledge. There was a lot to figure out. And that was really tough for someone who over the years, you know, I felt like I could do pretty well at being taught and learning and then putting those concepts into play.

    So the major shift was just finding out that I had a new identity as a business owner, and I was going to have to literally do everything myself, or at least make the decisions myself as to how to start and run this practice. So, that’s a bit of an emotional roller coaster.

    Now, another component is [00:10:00] just the, “Am I doing this the right way? Am I any good at this? Will people call?” There’s so much uncertainty with private practice, especially in the beginning that I think it does take some emotional fortitude to ride that roller coaster. Now, it’s totally going to work out, right? It will work out, but I’m guessing you’re going to go through some ups and downs.

    Another piece that I think is huge that comes up quite a bit but operates a little bit behind the scenes is our self-worth and our boundaries. So, if you have not done some major work on self-worth and boundaries, and the relationship to yourself, and knowing what you’re worth, and knowing what you want from your practice, [00:11:00] this will come and kick you in the ass a little bit time, and again, as you’re starting your practice.

    There are just some examples of how this might come up. You might be tempted to see clients outside of the hours that you would like to, or you might take on clients that are a little outside your area of expertise just because you want to have more clients. You might not charge a no-show fee. There’s a ton of self-worth wrapped up in money. I’ll talk about money in just a second. Those are just a few ways that self-worth and boundaries can come up in private practice. And these things will be tested by your clients and by your business.

    So, just keep that in mind as well. I think it’s totally worth it to do a little bit of personal work around what is my worth and what is important to me and how do I hold boundaries when I set them?

    [00:12:00] So I mentioned money a second ago. Money is huge. So, this is another area. If you have not done some work around money, I think you should do some work around money. And this is all totally coming from a place of, hey, I did not do this. So, do as I say, not as I do. So I stumbled into this and it was not until two years into private practice that I realized that some kind of deeply held money beliefs and money attitudes were really interfering.

    I’ve talked about some of these things on the podcast before, but one big one is just the simple fact that I grew up in a family that did not talk about money at all. So I really had no idea how we were doing financially and if we are secure and so forth, I mean, I assumed we were, but I never really knew. And I only found [00:13:00] out when I was really an adult that there were times when I was growing up that we were quite close to poverty that my parents were trying to figure out how to buy gas and food during certain times of our lives, but I really had no idea.

    And that followed me into my business where I basically ignored the ins and outs of finances of the practice for a number of years until it really punched me in the face and I was not able to ignore that anymore.

    So, attitudes around money, there are a lot of resources for that. I’ve mentioned Tiffany McClain on the podcast many times. She has an episode here. She has many episodes on her own podcast which is called The Money Sessions. So there was a lot to work with there in terms of money mindset, and attitude. So, I would dive into that as well as you get started in your [00:14:00] practice.

    Now, another piece to consider is that again, private practice is some work. I talked with Dr. Kim Dwyer about purpose-driven practice. We talked about the concept of not letting private practice just be an escape from something else. You should enter private practice very deliberately and hopefully, and ideally with some joy, and some excitement. The idea is that it’s not just an escape from a job that you don’t like or a situation that you don’t like because eventually, whatever was going on in that job will probably follow you to private practice and then you just got to work through it there too.

    So the final piece that I will say just about mindset is, I think it’s worth it to do some really in-depth visualization around your ideal practice, which to me flows [00:15:00] into your ideal life and work backward from there. I think we get wrapped up in preconceptions and misconceptions even about what private practice should look like. Like you have to work in the evenings or you’re going to have to work weekends, or you have to take insurance or you have to go to an office in X part of town or whatever it might be. I mean, just do some visualization around what your ideal practice would look like and work backward from there rather than the other way around, which is like starting from zero and sort of conforming to whatever might be out there.

    I did an episode way back in the beginning with Kelly Higdon around your ideal day, a perfect practice, that sort of thing. I’ll put that episode in the show notes. Kelly remains a dear [00:16:00] friend to this day. She was so big on lifestyle practices and making your practice work for you instead of the other way around. That’s the last component I just want to mention as you are thinking about starting a practice. So these are all mindset issues.

    Before I transition to logistics, let’s take a quick break.

    With children currently exposed to conditions including a global pandemic, social injustice, natural disasters, and isolation, you need a trusted tool that can screen for symptoms of trauma quickly. The TSCC screening form allows you to quickly screen children ages 8 to 17 years for symptoms of trauma and determines if a follow-up evaluation and treatment is warranted. The TSCYC screening form does the same for children ages 3 to 12 years. Both forms are available in Spanish and support the trauma-informed care approach to treatment. These screening forms are now available through PARiConnect, [00:17:00] PAR’s online assessment platform, which provides you with the results even faster. Learn more at parinc.com\tscc_sf or parinc.com\tscyc_sf

    Now, on the logistical side, we got to get down to some brass tacks as well. Let’s just start with finances. Do you have the financial resources to start a practice? And you might say, “Well, what does that even mean? How much do I need?” So what I say is, do a little market research and figure out where are you at. What’s your area look like in terms of typical office rent. And if you can ballpark your overhead, which for us is relatively low, so that’s going to be maybe an EHR, it’s going to be some testing materials, and if you have to pay for internet, [00:18:00] that sort of thing. So you should be able to get a decent ballpark of what your overhead is going to be.

    And then you want to add in any expenses that are truly unique to start up. So the big one that I think about is perhaps buying testing materials if you’re not doing a pay-as-you-go kind of model like Q-interactive and also buying furniture for your office. So we don’t have a lot of overhead to get started, which is a good thing. But I always say, if you want to be absolutely safe, shoot to have six months of those expenses saved up so that if you had literally zero business for six months after you signed your lease, you’d be okay. I think three months is relatively safe, but if you want to be totally safe, go for six months. So that’s the financial component.

    How do you do that? Well, if you get an idea of what you will need, you can set that target, and ideally, [00:19:00] take maybe six months or a year to save that money up. And you’ll be ready to go.

    Another logistical component is simply thinking about again, what is it practice going to look like, but more in a practical way. So, what is your area of expertise? What are you going to specialize in? Are you comfortable naming an expertise or identifying an expertise? Because I think that it will be helpful. Seems counter-intuitive, but it will be helpful to name an area of expertise right from the get-go so that you can tell people when they ask what you’re doing and where you’re spending all your time these days. You can tell people, well, I have a private practice and I specialize in an X kind of evaluation.

    I don’t think it’s enough to just say evaluation or assessment or testing. You need to have an area of expertise, even if that’s, I work with kids. [00:20:00] I do testing with kids to help parents figure out their strengths and challenges. So, finding an area of expertise and being able to articulate that clearly.

    Another logistical piece, the last one that I’m going to talk about is simply, do you have the time to dedicate to starting this practice? So, if you’re going to go into private practice full time, or if it’s just going to be kind of a side practice which I will talk about in an upcoming episode, you still need to have the time to dedicate to this.

    I love that quote that I’m going to paraphrase and possibly butcher, but it’s something along the lines of, vision without execution is hallucination. So the idea is, yeah, it’s fantastic if we have any number of ideas but executing on those ideas is really what’s important. [00:21:00] So, for you, the important component is figuring out where you’re going to spend the time to execute this vision. Is that going to come in the evening? Is it going to come on the weekends? Is it going to come during the day when your kids are at school? So, just thinking through before you really leap into it, do you have the time to dedicate to this pursuit? It will take some time, but totally doable.

    And if you want to get super practical, you can even map out a schedule. So mapping out blocks. We’ve talked about time blocking and deep working. So, a 2 to 3-hour block each week to work on your private practice until you are ready to launch. And there are many things that you’re going to do during that time. I’m not going to go into all those things during this episode. We’ll talk about them later. But there are many things you can work on, so that time will [00:22:00] easily be well-spent.

    All right. So that’s just a brief discussion. Just to put it on your radar, if you’re thinking about starting your practice, here are some things that you really want to look into and think about before you start to make that commitment. Because the last thing that I would want to happen is that you get excited about private practice. You leap into the planning without being deliberate. And then over time it gets old, it gets tiring, it gets overwhelming and you don’t have time. And then you abandon it. That is the worst experience. Or you kind of give it a half-hearted go, don’t get many referrals, or don’t know how to bill or whatever, and these other hurdles come up.

    So, what I was trying to do today is just get you in the mindset and really encourage you to think about what you [00:23:00] should be thinking about if you are going down the road of private practice.

    Okay, y’all. Thank you so much for listening to the podcast as always. If you have not subscribed or followed the podcast, I would be honored if you would do so. I’m going to be doing like I said, a little bit of a beginner practice series over the next few weeks. So, if you are someone who is in that stage, you’re in the right place.

    All right, everyone, I hope you are doing well. Take care, stay healthy and stay sane. Until next time

    The information in this podcast and on The Testing Psychologist Website is intended for [00:24:00] informational and educational purposes only. Nothing in this podcast or on the website is intended to be a substitute for professional, psychological, psychiatric, or medical advice, diagnosis, or treatment. Please note that no doctor-patient relationship is formed here. And similarly, no supervisory or consultative relationship is formed between the host or guests of this podcast and listeners of this podcast. If you need the qualified advice of any mental health practitioner or medical provider, please seek one in your area. Similarly, if you need supervision on clinical matters, please find a supervisor with an expertise that fits your needs.

    Click here to listen instead!

  • 149: (Replay) Culturally and Linguistically Responsive Assessment w/Dr. Bryn Harris

    149: (Replay) Culturally and Linguistically Responsive Assessment w/Dr. Bryn Harris

    Would you rather read the transcript? Click here.

    Warning: I ask a lot of dumb questions during this interview. Thankfully, Dr. Bryn Harris is not only incredibly knowledgeable about culturally and linguistically responsive assessment, she’s also really kind. Dr. Harris has specialized in bilingual assessment, clinically and academically, for many years. She shares her knowledge today on topics like:

    • What is culturally and linguistically responsive assessment?
    • What are some common cultural or linguistic ethical dilemmas that psychologists might stumble into when conducting assessment?
    • Why using a nonverbal intelligence measure isn’t always the answer
    • When to use an interpreter vs. conducting a bilingual assessment?
    • Considerations of writing culturally responsive reports
    • Resources for early career and more advanced clinicians

    The Testing Psychologist podcast is approved for CEU’s!

    I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!

    About Dr. Bryn Harris

    Bryn Harris, PhD, is an Associate Professor in the School Psychology doctoral program in the School of Education and Human Development at the University of Colorado Denver. Her primary research interests include the psychological assessment of bilingual learners, health disparities among bilingual children, particularly those with autism spectrum disorder, culturally and linguistically diverse gifted populations, and improving mental health access and opportunity within traditionally underserved school populations. She regularly conducts international research, primarily in Mexico. Dr. Harris is the director and founder of the bilingual school psychology program at the University of Colorado Denver. She is also a bilingual (Spanish) licensed psychologist and nationally certified school psychologist. You can reach her at bryn.harris@ucdenver.edu.

    About Dr. Jeremy Sharp

    Jeremy Sharp, PhD is a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that he founded in 2009 and has grown to include five other clinicians. He earned his undergraduate degree in Experimental Psychology from the University of South Carolina before getting his Master’s and PhD in Counseling Psychology from Colorado State University. These days, Jeremy specializes in psychological and neuropsychological evaluation with kids and adolescents.

    As the host of the Testing Psychologist Podcast, Dr. Sharp provides private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. Jeremy lives in Fort Collins, Colorado with his wife (also a therapist) and two young kids.

    Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call!

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  • 149 Transcript

    [00:00:00] Dr. Sharp: Hello, everyone. Welcome to The Testing Psychologist podcast, the podcast where we talk all about the business and practice of psychological and neuropsychological assessment. I’m your host, Dr. Jeremy Sharp, licensed psychologist, group practice owner, and private practice coach.

    All right, everyone. Welcome back to The Testing Psychologist podcast. Today’s episode is another replay of a popular episode from the past while I take a break, regroup, get my interview straightened out and get some content ready. I hope you enjoy this conversation with Dr. Bryn Harris from episode number 23, all about Culturally and Linguistically Responsive Assessment.

    If this is the first time that you’re listening, I can guarantee that you will take away some valuable pieces of information that will change your practice immediately. And if it’s the second or third or even fourth time that you might be listening, my hope is that you continue to take in some details that you may not have heard before.

    [00:01:00] I will say it is truly painful to listen to myself from years past. And hopefully, the interviewing skills have evolved since then. And I will also apologize for the audio, which is not fantastic during this interview, but it is certainly quality enough that you can hear it and comprehended it quite well, I think, but it is not up to present-day standards. So a little bit of a caveat here.

    Without further ado, let me transition to my conversation from episode number 23 with Dr. Bryn Harris.

    Hey, everybody. Welcome to The Testing Psychologist podcast, episode number 23.

    Hey everybody. [00:02:00] Welcome to another episode of The Testing Psychologist podcast. I’m Dr. Jeremy Sharp, and I am here today with someone I am really excited to talk with. Dr. Bryn Harris is a professor at the University of Colorado Denver. We’re going to be talking all about culturally and linguistically responsive assessment. This is a huge, super important topic, and Bryn has a lot to say on this. This is where her research is and she’s focused on this for a long time. So, we’re going to have a great conversation.

    Bryn, let me just say, welcome to the podcast and then I’ll do a formal introduction for you, okay?

    Dr. Harris: Thank you. Glad to be here.

    Dr. Sharp: Yeah. Glad to have you.

    Bryn Harris, Ph.D. is an Associate Professor in the School Psychology doctoral program in the School of Education and Human Development at the University of Colorado Denver. Her primary research interests include the psychological assessment of bilingual learners, health disparities among bilingual children, particularly those with autism spectrum disorder, culturally and linguistically diverse gifted populations, and improving mental health access and opportunity within traditionally underserved school populations.

    She regularly conducts international research, primarily in Mexico. Dr. Harris is the director and founder of the bilingual school psychology program at the University of Colorado Denver. She is also a bilingual (Spanish) licensed psychologist and nationally certified school psychologist.

    So again, welcome.

    Dr. Harris: Thank you.

    Dr. Sharp: Absolutely. Like I said, I’m really excited to have our conversation today. I have to comment. It’s just such a small world here in the psychology world. We initially connected because one of my graduate student interns had you as a professor and she spoke so highly of you and the course, and [00:04:00] then we got to talking and emailing about maybe doing a podcast and it turns out that you did an internship with someone who was in my graduate school cohort and you know another woman who was in my cohort. I’m just always struck by how small this world is.

    Dr. Harris: It really is.

    Dr. Sharp: Yeah. So there’s some familiarity there already, even though we haven’t actually spoken before, which is always nice.

    Dr. Harris: Yes, definitely. Well hopefully, we can meet in person at some point.

    Dr. Sharp: Oh, I would love that. Yeah, absolutely.

    Well, so for today, I think we have a lot to get to. You obviously have a wealth of experience with what you call culturally and linguistically responsive assessment. And I would love to just jump in and start chatting with you about that.

    Dr. Harris: Sure.

    Dr. Sharp: So just, generally speaking, I’m really curious how you got into this particular area. Can you speak to that?

    Dr. Harris: Sure. So I think a lot of it started because I [00:05:00] have lived abroad. I’ve lived in different countries growing up: Argentina, Costa Rica, Mexico, a little bit of time in Guatemala. And those experiences really, first of all, I was able to achieve competency in Spanish from those experiences. But secondly, it just gave me a lot of different perspectives in terms of different ways that educational and mental health contexts operate in different countries. And so it’s always been fascinating for me to learn about that.

    In college, I double-majored in psychology and Spanish. And I was really struck. In college, I was doing some research around eating disorders, and we started interviewing teachers around some of the issues that they were seeing in the classroom, even at the kindergarten level around some of the red flags around body image that started so early on. And at that point, it really struck me that I wanted to take [00:06:00] a preventative look at how we can implement intervention and best practice assessment, et cetera, if we can at first at the school level.

    And so that’s been my entree into psychology. And then I did my master’s degree and Ph.D. in school psychology at Indiana University. I did a lot of clinical type work as well. And then I did a clinical internship at the health science center in Memphis where I did a lot of autism assessment and intellectual disability assessment, as well as some other rotations. So I’ve really focused a lot on children, mostly around underserved populations, and how we can really improve their access and care. 

    [00:07:00] Dr. Sharp: It sounds like you had a nice mix of research and clinical work going through grad school and internship. Where are you at these days in terms of the clinical versus research balance?

    Dr. Harris: That’s a great question. I am on a tenure track professor position. So, I’m an associate professor. My job is, technically, it’s supposed to be 40% research, 40% teaching, and 20% service. I do a day a week of clinical work, and I have a grant right now, so I’m not teaching quite as much. I’m doing a little bit more research than usual. So I would say right now I’m at about 60% research.

    Dr. Sharp: Okay, that’s heavy, right? I’m just thinking about all those deadlines and all that writing. So, what does your one day a week of clinical work look like?

    [00:08:00] Dr. Harris: I am doing one day a week at the Denver Language School, which is part of the Denver Public Schools. It’s an immersion school that’s a complete immersion in Spanish or Mandarin. And so, I’m doing an assessment for special education placement or not, of course. So a lot of the kids that are coming my way are possible rollout autism. And since the curriculum is done entirely in Spanish or Mandarin, I have really been able to utilize my expertise there in providing culturally responsive assessment. I really, really enjoy that work. That absolutely guides my research and my teaching. So I can’t imagine not doing the clinical work as well. I think it all goes together quite [00:09:00] nicely.

    Dr. Sharp: Absolutely. Yeah, I think it’s nice to have both sides, certainly. I know that in our program and I’m not sure if this is just a national push or what, but with a lot of the Ph.D. programs, it seems like many of our professors are not licensed as psychologists and that maybe leaves something to be desired when it comes to supervision and the actual clinical training. So, that’s really valuable to have both of those sides as you continue to develop the professorship, of course.

    Dr. Harris: I completely agree. I know that APA really wants faculty members to be licensed as a psychologist. And I think we need to create a better way to incentivize licensure in academia because right now it’s not considered part of teaching research or service in most settings. So we need to figure out how we can integrate that and [00:10:00] basically prove to our leadership why it’s so important.

    Dr. Sharp: Well, that could be a whole other conversation, I think. We’ll shut the lid on that can of worms for now. But it sounds like you’re doing a lot of good work. I wanted to check in just as we’re getting going, you politely corrected me as we were emailing back and forth. I was using the term culturally competent assessment, and you said, no, I like to say culturally and linguistically responsive. So, I’m just curious. What does that mean to you, and is there a difference between those terms that is semantically important?

    Dr. Harris: Yes, that’s a great question. And it’s a hot topic in our field because cultural competence is still written in the literature and it’s not considered incorrect. It’s [00:11:00] more of where you are just personally in terms of what appeals to you. So, the reason that I don’t align with cultural competence is because the definition of competent entails that somebody would achieve a particular level of competence and then they would be competent to do that practice forever. So you obtain that information and you’re done basically.

    So the people that are trying to use the word responsiveness, it’s really because this is an ever evolving professional development endeavor and just like any area of psychology, you’re always going to be learning. So, you’re never going to be fully competent. And so being responsive is being individualized, personable to that particular family, child, whoever it is that you’re working with [00:12:00] and what their needs are.

    Dr. Sharp: Yeah, that totally makes sense. I haven’t thought of it like that, but the way you frame it, of course, you’re never going to be 100% there. Things are always changing and you have to adapt. Well, I appreciate that.

    So, very basic question, it may be a dumb question, but I’m just going to ask it because that’s what I do sometimes. Why would you say culturally responsive assessment is important?

    Dr. Harris: I think there are some legal and ethical issues around it. I mean, of course, first, we have, depending on your area, but we have APA ethics or different professional association ethical obligations that we need to provide culturally responsive assessment, and also the type of assessment that we’re doing needs to [00:13:00] provide accurate and valid results. So we need to make sure that we’re providing that for every type of person that we’re working with.

    And then, there are also legal issues. We’ve had situations where, for example, children that are English language learners were given cognitive assessments in English, and English was not their native language. They weren’t fluent in English. And these assessments, of course, you and I know, if you’re going to give a child an assessment, they don’t understand, they’re probably going to score low. So, they qualified for ID and that was inaccurate. And so there have been multiple situations like that from a legal standpoint that have shown us that it is not ethical and we can also lose our license if we don’t comply with some of those ethical [00:14:00] recommendations. So that’s really important.

    And then the other reason is that we want to make sure that we’re accurately assessing every person that we work with. If we aren’t providing culturally and linguistically responsive assessments, we can be misidentifying people, we could be missing identification in general. We could be missing out on early intervention services if we do that and really change the trajectory for this child or this person. So, I think those are the main reasons in my mind why we need to make sure we’re doing this.

    Dr. Sharp: Sure. So it sounds like you’ve actually been involved or had contact with cases where someone administered assessment in the wrong language and that turned out poorly. Is that right?

    Dr. Harris: Yes, absolutely. There’ve been multiple cases like this, and it’s absolutely unfortunate because a lot [00:15:00] of the times, especially when you’re thinking about, for example, immigrant populations or really underserved populations, they’re not as likely to know the ethical legal obligations and they’re not as likely to advocate for themselves. And so, that just puts another layer on this that we need to be filling that role as well, and be their advocates to make sure they’re getting the right assessment services. 

    Dr. Sharp: I wonder if that kind of flows into, I’m really curious about ways that clinicians might stumble into these mistakes. I would imagine none of these clinicians set out with the intent to get involved in a lawsuit and do the wrong thing. So, I’m curious., do you have ideas on just blind spots or ways that we might make these mistakes unintentionally and not be providing appropriate assessment?

    [00:16:00] Dr. Harris: Absolutely. So first, I wanted to mention that I teach an entire class on this. So it’s hard to whittle it down into a few minutes, but I will definitely try to give an overview of the main areas that I think are problematic.

    So first of all, there are two main areas in an assessment. I’m going to really focus on children but I think that this is also absolutely applicable to adult populations. The two main areas are acculturation and language proficiency. So, if we’re looking at culture and language and their impact, we need to make sure that we are putting that into our body of evidence, into our assessment practice when we are evaluating these children.

    So regarding acculturation, there are formal ways, there are standardized measures of acculturation, but [00:17:00] generally, I think that is really a hard thing to measure. The research behind it doesn’t show that there’s a lot of validity or reliability with these acculturation measures in general. And so I think the important thing is to evaluate acculturation in some way. I like to do that through interviews. So interviewing the child, interviewing the parent, really finding out about what their day looks like. For example, what kind of music do they like to listen to? What kind of TV shows are they listening to? Who are they hanging out with outside of school for, for example? What level of engagement does this family have with certain community groups?

    I think that’s really important because we need to understand the cultural influences that these families have, and also the cultural expectations that these families may have too. [00:18:00] Just to give you an example, when we’re measuring adaptive behavior, we need to make sure that when we’re asking if a family has given the child the opportunity to do something or the expectation to do something on adaptive behavior, whether that has some cultural relevance as well.

    We have very, very little research on this in terms of how particular cultural groups might fair differently than others on measures of adaptive behavior. But we have lots of research saying that there should be differences. And so, we need to make sure that we’re really looking into whether that score could be a factor of cultural beliefs around some behavioral expectations, for example. So I think that a thorough interview with a family, a lot of background [00:19:00] information about that child is going to be your most important factor in that interview.

    Another thing that happens in the acculturation process when a child or an adult moves to the US or moves from one area of the country to another area, or even just another community within the same city, there’s an acculturation process that occurs. And for some people, it’s much harder to acculturate than others. And those symptoms can look a lot like mental health distress when it’s in fact part of a typical acculturation process.

    So you need to make sure you need to be asking questions about that child or that family or whoever it is, what their perspective was around moving to another location or learning English for the first time. Those are [00:20:00] really big changes for people. So you want to make sure that you’re evaluating the impact of those.

    And then, of course, the language proficiency piece. So we need to make sure that we’re understanding what level of English language proficiency, as well as native language proficiency that person has before determining what assessment measures we’re going to give.

    The most common example given, and the one where there’s been the most legal impact has been around cognitive assessment. A lot of people will tell me, “Well, I can just give them a non-verbal assessment and then it won’t be an issue. And I do advocate for non-verbal and in some ways, but I want to make sure people know that all assessments including non-verbal assessments are not void of culture. We’re still creating the non-verbal assessment within our US mainstream culture if you will. And so we [00:21:00] still have a lot of cultural components, not to mention the way in which we use nonverbal assessment.

    We give pantomime instructions in a non-verbal fashion. And some of those pantomime instructions are problematic for certain cultural groups. Thumbs up, for example, is different. And in some cultures, it’s rude to give a thumbs up. So we need to also be careful of knowing certain nonverbal gestures and whether those are culturally appropriate. But language proficiency will give you really good information about what type of cognitive assessment to give. So, if you’re trying to figure out whether a child can get a very language-loaded assessment or more of a nonverbal if you’re looking at it as a continuum, you need to know the language proficiency of that child.

    You also have an obligation [00:22:00] to know what the level of linguistic demand is of the assessments that you’re giving. So for example, a WISC or a WAIS, those are going to be some of the most heavily language-loaded assessments. They require more language demands, so probably not the right choice to give to somebody that’s learning English. But we have other options that have less language and cultural loading. For kids, we often talk about the DAS and the KABC as being some of those choices.

    I think it’s important to look at the manuals of these assessments, understand the theoretical underpinning. The people that created the DAS and the KABC created it in a way to try to minimize language and culture and the impact of prior schooling on the effects of cognitive assessment. So I think those are the big things.

    And then [00:23:00] the last thing I wanted to mention is that a disability will only occur if a child is an English language learner, and will only occur in both languages. You can’t have a disability in English but not have it in a native language. So, that’s why it’s really important to get information about native language development.

    I do a lot of work with autism. So for example, a child not speaking until the age of 3 is definitely a red flag, but I’ve had situations, I’ve looked into prior records, and so the child hasn’t spoken English by age 3 but they were only exposed to English for the first time at age 2, they were speaking a native language before that. So we should really be asking about native language as well in that regard because that really changes how that parent might respond to that.

    Dr. Sharp: Of course, these are great points. So I have a [00:24:00] couple of maybe dumb questions, but I just resigned myself to asking dumb questions during the podcast.

    One thing you talked about, you have to have some sense of language proficiency. Is that something that you would formally evaluate somehow before you decide how to measure cognitive, before going forward with the full assessment or is that just through an interview or how would you?

    Dr. Harris: That’s a really great question. So if the child is younger, it’s pretty hard to evaluate any kind of language proficiency except for what the parent is telling you. So, I’d be asking questions about what percentage of the time is English spoken at home and the native language? Who’s the person or who are the people speaking that native language?

    I’d really be trying to get a context for how much language input that child is getting in their native language. [00:25:00] And if it’s more than 50% of the time, then that’s when I would start to think, I need to either bring in a bilingual psychologist or an interpreter depending on what you’re trying to do. And so, that’s where I would start at an early age. Once the child is 5 years of age, in Colorado and nationwide, we have a federal law that every year if the child reports that another language besides English is spoken at home, then the school is required to give them a language proficiency assessment in English.

    In Colorado, we use the WIDA ACCESS, and it’s used in over 30 states. And so you can always request the results from that assessment if you want to learn more about the child’s English language proficiency. But I think in general, it’s a hard thing to research in terms of how quickly someone acquires English. [00:26:00] But the research shows us that usually, it’s about 5 to 7 years, but that really is if they’re in an English immersion environment. So when we think about kids that are in school and they’re learning English but then they’re coming home and the input is the native language, it might take longer for them to learn English.

    And there’s a big myth out there that learning two languages is confusing or it might stunt language development, and that’s a huge myth. So we really want to encourage families to keep speaking their native language. It’s such an incredible asset for children.

    Dr. Sharp: Oh, that’s good to hear. Yeah. I’ve heard anecdotally from families whose native language was not English that there was some concern about that. So, that’s nice to pass that along.

    So I did want to check-in. You mentioned the options of getting a bilingual psychologist [00:27:00] or an interpreter. What situations would each of those be appropriate?

    Dr. Harris: Yep. Okay. So, there’s another legal situation that you want to be careful with an interpreter. And that is that an interpreter cannot interpret assessments. I’m sorry if I’m preaching to the choir here, but we have had situations where, for example, the family speaks Russian and there’s no WISC that’s been standardized in Russian. So the interpreter interprets every single question while a psychologist is administering it as well, but of the English WISC into Russian. So that’s problematic for a lot of reasons. It voids standardization. It also changes the level of complexity of the question when you translate a question into another language.

    Let me give you a really easy example [00:28:00] from an academic assessment perspective. So, if you’re asking the child the Spanish word, I’m going to put you on the spot here. So do you know the Spanish word for dog?

    Dr. Sharp: Perro.

    Dr. Harris: Yes. Okay. So the word dog in English is one of the first words that a child learns. It’s pretty easy to learn, and usually, by 18 months, most children are saying something around, dog, but Perro in Spanish is much harder to say. It has the rolling Rs. It’s a word that children don’t usually learn very early on at all. And so if you’re trying to translate that word into Spanish and measure whether that child is able to say that word or know that word, it’s a completely different question, right? So we don’t recommend interpreting assessments. We need to use assessments that have been standardized.

    That being said, we have a long way [00:29:00] to go in terms of test publishers really need to be more inclusive in the standardization practices, even if they want to standardize with subgroups of populations, that would be helpful. We don’t have very much information about how many groups do fair on certain assessments. So that’s something that we need to advocate in terms of for the test publishers. But that’s a big area.

    When you’re using an interpreter, an interpreter really should be used for interviews with the family interviews, interviews with the children or whoever it is. This more of the informal measures and interpreters are really great for that. And then, a bilingual psychologist would be brought in when you believe based on the history that you’ve obtained that the person is more dominant in their native language and that you would be getting [00:30:00] more information from them through a native language assessment, that’s when a bilingual psychologist would be best. I would definitely recommend having a resource bank of some of the people in your area that are bilingual psychologists and using them also as consultants at times. When you’re not sure whether a bilingual assessment is warranted, hopefully, you can reach out to one of them and get some more information.

    Dr. Sharp: Yeah. Well, I know at least in our area here that bilingual Spanish psychologists are in high demand for doing testing. I get a lot of those requests and really don’t have anyone to send them to at least in Fort Collins. Denver is relatively close.

    Dr. Harris: We have a very similar situation. I can’t even believe how few bilingual psychologists we have. I think, as we train [00:31:00] future psychologists, we really need to tell them about this area and their need, but we also need to, as psychologists that are monolingual, we can’t just say, oh, well, this person should just go to a bilingual psychologist because I don’t speak Spanish or whatever it is.

    We have an obligation to those children or families to really figure out whether they do need a bilingual assessment or not, and whether you could work in collaboration with a bilingual psychologist, maybe the bilingual psychologist just needs to do the cognitive testing, but you could do everything else, but we really need to make sure that the onus is on my monolingual psychologist to be culturally and linguistically responsive as well.

    Dr. Sharp: Sure. So I know we’ve talked a lot about language, which is super important obviously, but I think a lot of us maybe get stuck in more gray [00:32:00] areas where the language piece seems intact, maybe as best we can tell, English, they’re very proficient and that’s okay. What are some other culturally responsive ways to do an assessment or maybe things to be aware of that fall outside the language realm that are maybe less obvious. Does that make sense?

    Dr. Harris: Sure. I think that it’s important to learn about the cultural experiences of the groups that you’re working with. It’s hard to generalize any kind tips because, so for example, there are some textbooks you’ve probably read many of them that we’ll spend a chapter on African-American populations, a chapter on Latino populations and that’s always been a big issue for me because there’s just like, for you and I, we might be very similarly. [00:33:00] Our background might be very similar, but we might have very different cultural expectations. And so, we need to make sure that we’re not generalizing any of the families we work with.

    I think if you’re specializing in an area, for example, since I specialize in ASD, I think you need to really understand how different countries and different cultures have beliefs around social reciprocity, for example. So for example, in the research, when would a parent first come to you with initial concerns?

    Well, in the US, initial concerns around ASD are almost always language-based. So the child hasn’t spoken by 2 years and parents are concerned. Well in other countries that actually is very different. In India, parents are [00:34:00] often reporting first initial concern around social reciprocity. So, I think it’s important to know what the values and expectations are of that family before moving into your assessment and your intervention recommendations, all of that.

    Dr. Sharp: Okay. I know you do a lot of work with ASD and I was doing an ADOS the other day, and this has happened before, but there’s the birthday party activity. This particular assessment was with an Arabic family, and it just happened, as I was setting up the birthday party, I just thought and I turned to the mom. I was like, do you celebrate birthdays? Has this kid ever seen a birthday party? And she was like, no. All of a sudden it’s like, well, that’s what we need to consider that then. And that’s happened in different [00:35:00] scenarios with different activities there in the ADOS, particularly.

    Dr. Harris: Yes, absolutely. I’ve had lots of conversations with people about the ADOS in that very same way. And I think that the fact that you’re thinking about it and even asking parents about this, puts you miles beyond a lot of people because the way, and I’m not trying to make other people feel bad by any stretch of the imagination, but the way that the ADOS is portrayed in the literature as being the gold standard, really, I think makes people question it less. And so I think the fact that you have that awareness and are asking those questions is awesome. So keep that up.

    Dr. Sharp: Very well, thank you. I’ll take that. Sometimes, I have my moments.

    Dr. Harris: Sure.

    Dr. Sharp: I know that, gosh, our time has gone by really fast, which just means we’re talking about some important, pretty good stuff. But I wanted to just check-in. [00:36:00] Do you have any thoughts on writing culturally responsive reports? Is there anything to consider there? And then, we can maybe move to just ideas for training or resources and that kind of thing.

    Dr. Harris: That’s a really good question. So, the culturally responsive reports, I think the most important thing is, who is your audience and for most of us practicing, that would be the client or the parent. So making sure that your reports include really parent-friendly language. I’ve had lots of families come to me with reports that they’re like, can you please let me know what is in this report? I don’t understand it. And that usually there’s a lot of acronyms included, a lot of high-level professional language. So we want to make sure that we’re writing the reports [00:37:00] for future intervention. So it needs to be understandable.

    The other thing that I would really want you to do in being culturally responsive is to understand your own biases and stereotypes that might impact you in that report writing. Unfortunately, there’s lots of research showing that people have lower expectations for certain cultural groups to be able to perform certain tasks. We have research showing that, for example, the same child, a white child and an African-American child, the same vignette, the African-American child is more likely to be seen as having ADHD versus the white child that seemed to have behavioral issues, but not to the extent of ADHD.

    And so, why are we thinking this way? We’re thinking in a deficit based lens. [00:38:00] And so, how can we write our reports that are really strength-based and really talk more about the symptoms or the behaviors or whatever it may be and not necessarily focus on all of the problems, right? So, I think that would be kind of my overarching recommendation.

    Dr. Sharp: Okay. So if individuals are interested in learning more about culturally responsive or linguistically responsive assessment, what would you recommend? Maybe we could take it in two parts: a beginner level resource list and then, someone who’s been in the field and has some experience but would like to take it to the next level, so to speak.

    Dr. Harris: Sure. So if you’re a beginner, then I think one of the best things you can do is look into a university in your area or a lot of people are doing online programs as [00:39:00] well, but taking a class on multicultural considerations. There are lots of different titles, but the focus of the class would really be on understanding your own experiences and how they can impact the work that you do with families because we all have biases, we all have limitations, racism, lots of different things. So I think the first thing is to make sure that you have a foundation in that area.

    Definitely, the next thing really depends on your area of psychology. There are lots of different professional organizations that I would recommend. So for example, The National Latino Psychological Association is affiliated with APA. If you’re a neuropsychologist, maybe the Hispanic Neuropsychological Society. There are tons of different interest groups within your particular [00:40:00] field in terms of your professional organization.

    So, I would recommend getting involved with those, going to conferences and then going to the special sessions that are hosted by these interest groups or Division. So Division 45 of APA, for example. Division 45 of APA also has a journal: The Cultural Diversity and Ethnic Minority Psychology journal. That would be a great place to go and see some of the recent findings related to this, and a lot of other associations also have journals. The National Latino Psychological Association does too.

    And then, if you really want more advanced knowledge, I think the key is doing some peer mentoring and consultation. So if you could arrange some ways to, you know, maybe monthly [00:41:00] have even a call with people in other areas that have similar interests that are doing similar work and really talk about cases, talk about how people have have looked at culture in this regard, that kind of thing, I think that when you get to be more advanced than you have that foundational knowledge, you really need that practical application.

    People at universities like myself, I’m always happy to get emails from folks. I have this case, this is what’s going on, what would you suggest I do? Please, don’t hesitate to contact people. And if you read an article and you think, oh, this is so interesting, contact the author, ask them if you could talk to them for 15 minutes. Or if you’re going to a conference and you see, this person is presenting on this particular topic that fascinates you, contact them and see if they can have coffee with you for a little bit during the conference.

    I think the important thing is reaching out because we don’t really have tons of [00:42:00] research in this area yet. And so really finding ways to improve professionally within your own skillset is what’s going to be most important.

    Dr. Sharp: Sure. Thanks. I feel like that’s super helpful. Those were like very concrete ideas on how to pursue some more training. I think that’s a nice segue actually with reaching out. If people want to get in touch with you or learn more about what you’re doing, what’s the best way to get in touch with you?

    Dr. Harris: I would love to get emails from anyone, any questions, I love hearing from people. So, the best way to reach me is my email, which is, bryn.harris@ucdenver.edu.

    Dr. Sharp: Okay. Awesome. And I’ll definitely have that in the show notes, along with a lot [00:43:00] of the other resources that you mentioned here during our talk today.

    I said it before, but I’ll say it again. I feel like this time went by super fast. There’s a ton of information that could have followed up and asked more about, and I’m sure you had a similar experience in trying to convey a lot of this info.

    Dr. Harris: Yes. Well, I really enjoy talking with you and I just want to commend you for broaching this topic in your podcast, because I know it’s not easy. A lot of us go into psychology, we really like assessment because we know it’s black and white, they either get a two, a one or zero and we can score it. And in this regard, there’s a lot of gray area. I think some people shy away from this topic. So thank you for broaching it.

    Dr. Sharp: Yeah, of course, I think it is important. And honestly, a lot of this, the desire to talk more about it comes from my own recognizing that I’m not, [00:44:00] incredibly well versed with it. And I think, if it’s happening for me, it’s probably happening for others and we got to be talking about this. So I really, really appreciate your time. This has been a great conversation. And I appreciate all the resources you’ve shared with us.

    Dr. Harris: Any time, please email me. And thanks for continuing on your own journey as well.

    Dr. Sharp: Oh yeah, of course. Well, take care of Bryn. Thanks again.

    Dr: Harris: You too. Take care. Bye.

    Dr. Sharp: Bye-bye.

    All right, y’all thanks so much for tuning into this replay of my interview with Dr. Bryn Harris from a few years ago. I got to say I’ve kept up with Bryn and stayed in touch with her over the years, and have reached out a few times regarding case consultation and she is just as kind and compassionate and knowledgeable as she presents here in the podcast.

    So Bryn, if you are listening, thanks so much again for the support over the years. And if any of you get the [00:45:00] chance to interact with her, I would certainly recommend it. She’s a fantastic individual and clinician and researcher.

    I haven’t said much about the CE credits for the podcast here lately. So I will give a shout-out to athealth, athealth.com is where you can find all of The Testing Psychologist clinical episodes, and those are available for CE credits. You take a short quiz and get credit for podcasts that you are already listening to. You can use the code TTP 10 to get a discount off any CE credits that you purchase, not just The Testing Psychologist episodes. So check that out athealth.com, just search for The Testing Psychologist.

    All right. Y’all, take care. I will be back in short fashion with brand new clinical and business episodes, and I will catch you then. 

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  • 148: How to Request a Fee Increase from Insurance Panels

    148: How to Request a Fee Increase from Insurance Panels

    Would you rather read the transcript? Click here.

    Did you know that you can negotiate raises with insurance panels? It’s completely doable and something that you should be doing at least once a year. Today’s episode is all about how to negotiate and ideas that will help you score that fee increase that you’ve always wanted. Here are just a few things I cover:

    • When to ask for raises
    • How I request raises
    • The information you need to make a compelling case for a raise
    • What to do if you don’t get the raise

    Cool Things Mentioned

    The Testing Psychologist podcast is approved for CEU’s!

    I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!

    About Dr. Jeremy Sharp

    I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and grew to include 12 licensed clinicians, three clinicians in training, and a full administrative staff. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents.

    As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids.

    Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call!

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  • 148 Transcript

    [00:00:00] Hello, everyone. Welcome to The Testing Psychologist podcast, the podcast where we talk all about the business and practice of psychological and neuropsychological assessment. I’m your host, Dr. Jeremy Sharp, licensed psychologist, group practice owner, and private practice coach.

    All right, everyone. We are back here to talk all about requesting rate increases from insurance panels. Do you know you can do that? You can do it. That’s a thing. I’m going to talk all about it today. So, stay tuned if you are interested at all in raising those insurance rates.

    Before I get to the discussion, I just want to ask/request/remind anybody, if you are not subscribed to the podcast, I would love for you to do that.

    It really helps to spread the reach of the podcast in the publisher’s algorithms, so iTunes and Spotify and so forth. So, you can do that by hitting subscribe in iTunes or follow in Spotify [00:01:00] and make sure you don’t miss any episodes coming up.

    Okay. On to our discussion about requesting rate increases with insurance panels.

    Okay, everyone. I am back here. We’re talking all about requesting rate increases from the insurance panels. This is going to be a relatively short and sweet episode. I’m just going to jump right to it, tell you how to do it, and then let you go do it.

    The first thing just to put out there right off the bat is that, yes, you can request rate increases from insurance panels. I’ve run into so many folks in my coaching practice and around the testing world [00:02:00] who were not aware of this. So, first of all, you can do it. You’re not locked into those rates and just at the mercy of the insurance companies deciding whenever they might want to raise your rates, which may not be that frequently. We are paneled with one insurance company that has not raised rates in about 8 years. So, that’s not something you can sit around and wait for. You got to take it into your own hands and try to make those increases happen yourself.

    Okay. So, when do you want to ask for raises from the insurance panel? You basically want to do this regularly throughout your practice starting from the very beginning when you sign that contract with the insurance panel.

    Now, two episodes ago, in episode 144, I just talked about credentialing with insurance panels and how you sign a contract. It’s a legally binding document. As part of that contract, they’re going to send you a fee schedule. That is something you do not want to [00:03:00] overlook.

    So, the fee schedule is going to tell you exactly what they will reimburse for each CPT code. If those rates don’t look competitive enough for you, don’t sign that contract until you go back and try to negotiate. I’ve had this process work, the negotiating right off the bat process, I would say at least 30% of the time where the insurance panel will come back and say, “Okay, yes, we can raise those rates.” And they’ll amend the fee schedule and send you a new contract to make sure that those are set in stone.

    Something else you can do that is a happy medium if they come back and say, “No, we won’t increase your rates for all of those CPT codes”, you can just ask for an increase on your 90791 CPT code, which is your intake and the testing codes. And you can make the case that testing is a specialty and [00:04:00] there aren’t many people that take insurance. That suggests that you have an area of specialty that is worth compensating a little higher. So, you definitely want to request the rate increase right off the bat, first thing. And if they don’t do it, that’s fine too, but you have to ask.

    Now, subsequent rate increase requests should happen at least once a year. So, this is something in our practice that I just set aside a 2 to 3-hour block about once a year. You can put a reminder on your calendar and you can just make sure that you have your letter template, which I will talk about and you send those templates in to request your rate increases. You may not get an increase every year. That’s fine. You’d likely won’t, but you have to ask, I would say at least once a year.

    [00:05:00] Okay. So, how do you do this? I mentioned a letter template. That’s what I use. I got my letter template from Maureen Werrbach at The Group Practice Exchange. There are I think a number of templates out there, but I will link to her template in the show notes so you can check that out. But basically, you’re going to create a document that… or actually, let me back up. Sometimes we don’t have to overthink this. If you have a good relationship with your provider rep and they’re easy to reach, you can give them a phone call and request a rate increase over the phone. And that will sometimes work. So, definitely go that route first. And then if it doesn’t work, then you can go for the letter template which is much more formal.

    So on this letter template, you’re going to have a number of items. Here is what’s going to be [00:06:00] on that letter template. So the main thing is that you want to open and basically say, “We’ve been paneled for X number of years. We have not received a rate increase in X amount of time, and here’s why we feel like we deserve one.” And then that you can talk about your practice specialties. For testing practices, this is relatively easy because testing is a pretty clear specialty. And there usually aren’t a lot of folks who take insurance and do testing. So, you can make a pretty compelling case that testing is a specialty that deserves an increase.

    Other things you might highlight are evening hours, weekend hours, bilingual clinicians, anything like that. And you can put that information in there and list them as specialties.

    In some cases, I’ve had to go the extra mile and I’ve done some calculating [00:07:00] of numbers based on the population in our town and the number of psychologists I could find who take that insurance and do testing, and then do a little bit of math and break it down and put that in the letter to say, “Hey, look, there’s basically one psychologist for every 15,000 children here to provide the service. We are in very high demand. To stay on the panel, we’re going to need an increase to be able to continue to serve the community.” So, you can create some of those numbers to present a little bit more compelling case as to why you should be compensated at a higher rate.

    Once you present that information, your specialties, and why you “deserve an increase,” then what I’d like to do is say, “Here’s our private pay rate for each [00:08:00] of these CPT codes.” And then I’ll list each of the private pay rates. Why do you do this? You do this because you are creating a little bit of dissonance between the private pay rate and what most insurance panels are reimbursing, of course, with the intent of decreasing the gap between those two.

    So next, you want to list your rates with that insurance panel according to each CPT code. So again, just mapping out the dissonance between the full fee rate and their CPT code. Then I list the same CPT code and the range that I’m receiving from other insurance panels. So, I always list the panels that are paying higher than the panel that I’m requesting the raise from. That again just helps create this picture that whatever panel you’re requesting a [00:09:00] raise from is underpaying you.

    Okay, so you’ve got those three components. You list your out-of-pocket rate per CPT code, the rate that the insurance panel that you’re requesting a raise from pays, and then the rates that you’re getting paid from other insurance panels for the same CPT codes. After that, you say, kind of a summary statement, like, “As you can see, the rates from your panel are not up to par with market rate and other insurance panels. Here’s what I’m requesting.” Then you list the CPT codes and list the amount that you are requesting.

    I try to keep this reasonable. You don’t want to request an increase of like 50% every year. That’s not realistic. I would say at least request a 10% increase each year. You may not get it, but they [00:10:00] may give you a 5% increase, which is fine.

    The last thing then is to list again, what rates you’re requesting that they jump up to. And again, this is another place where you might request a higher rate of reimbursement for testing services. And if you don’t do much therapy, you can leave therapy where it is, or maybe just request a smaller increase.

    And then finally, you want to say, “We currently see X number of patients with this insurance panel or X insurance panel makes up a certain percentage of our client base” just to present a compelling case that you’re seeing a lot of these clients and you’re providing a service to the panel that is very valuable.

    And then, the last component is that you just want to give them basically a deadline to respond by so you’re not just hanging out and waiting.

    So [00:11:00] that’s my method. You take that letter and then you either, hopefully, you can just email that to your provider rep, but sometimes you may need to fax it in or even mail it in at some point points. And that’s just completely cumbersome, but that’s how it goes.

    All right. So that’s the information that you need. That’s how you do it.

    Now, what happens if you don’t get the rate increase? Well, that’s up to you. So you may say to yourself, and there are a lot of variables here, so it depends on your current rate of reimbursement with that panel and whether you can sustain that, and if you want to stay with the panel. It may depend on the last time that they gave you a raise. So, if you got a raise from them last year, maybe don’t expect it this year and just hang out for a bit. But the short story is, if you don’t get the raise this time, try again.

    And for me, the formula is, if they haven’t given us a raise in a year or two, then [00:12:00] I will circle back around and ask again in six months. But if they have given us a raise within the last year, then I’ll generally just wait another year. You can also come back and try to negotiate a little bit and say, “I totally understand. I know finances are a priority at your insurance panel. What if we raise it just a bit?” And then you backtrack a bit and lower your request.

    And if that doesn’t work, then you get to do kind of a cost-benefit analysis and figure out if it is worth it to continue taking that panel. So, you consider how many of those clients you are seeing and how much of a hit that might be to your practice to drop the panel. And if they haven’t given you a raise in a number of years and you don’t see a path forward with that, then I would not be afraid to write [00:13:00] and say, “We haven’t received a raise in X amount of time. I feel like I have made reasonable requests for increases. And if we cannot get an increase by X date, we will leave this panel.” And up the ante a little bit with those insurance panels to see if they’ll respond.

    So, it is doable, like I said. And just over the course of our practice, I’ve gotten several raises over the years. And it varies. I mean, I’ve gotten 50% raises and I’ve gotten 15% raises, but they do happen and they happen more frequently than you might think. So if this is not on your radar, it definitely needs to be on your radar. I can’t think of any other job or situation where you would just work indefinitely without asking for a raise. So, you can think of it that way that [00:14:00] this is just part of your job to try to get raises from insurance panels.

    I certainly am no expert on the economics of insurance panels and the financial workings of those panels, but it certainly seems like profits are increasing. So, you have maybe some ground to stand on when you ask for reimbursement and parody for the rates that you’re being paid.

    All right. Like I said, quick and dirty episode on requesting raises from insurance panels. This concludes our insurance mini-series. If you enjoyed it, I’d love to hear some feedback. If you want more on the insurance, I would love to hear that feedback as well. Happy to put together another mini-series. You can reach me at jeremy@thetestingpsychologists.com.

    And again, if you have not subscribed to the podcast, I would love for you to do that. I’d be honored if you did that. You can do that in iTunes by hitting [00:15:00] subscribe or hitting follow in Spotify. And other podcast mediums I’m sure have an easy way to do it as well.

    All right, y’all. So at the time of this recording or rather at the time of this release, whenever this airs, I will be in California for one of my bi-annual practice retreats. If you are not aware of how to do a practice retreat, I did an episode just a few episodes ago on doing a practice retreat to supercharge your practice. So, you may go check that out. I hopefully am getting a lot done and doing some big visioning and solving some of those problems that have been existing in our practice for a while, and coming up with some new ideas for the podcast.

    So, yeah, I hope that you are all doing well, hanging in there, and I look forward to talking to you next week.

    [00:16:00] The information contained in this podcast and on The Testing Psychologists website are intended for informational and educational purposes only. Nothing in this podcast or on the website is intended to be a substitute for professional, psychological, psychiatric, or medical advice, diagnosis, or treatment. Please note that no doctor-patient relationship is formed here. And similarly, no supervisory or consultative relationship is formed between the host or guests of this podcast and listeners of this podcast. If you need the qualified advice of any mental health practitioner or medical provider, please [00:17:00] seek one in your area. Similarly, if you need supervision on clinical matters, please find a supervisor with an expertise that fits your needs. 

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  • 147: (Replay) How to Conduct a Knockout Feedback Session w/Dr. Karen Postal

    147: (Replay) How to Conduct a Knockout Feedback Session w/Dr. Karen Postal

    Would you rather read the transcript? Click here.

    Dr. Karen Postal is a veritable rock star in the neuropsych world. In addition to an appointment at Harvard Medical School and serving as president of the AACN, she has developed a research program that directly informs her clinical practice from day to day. Today she talks with me all about her book, Feedback that Sticks…, the culmination of over 80 interviews with practicing neuropsychologists about the ins and outs of effective feedback sessions. Here are just a few things that I took away from this interview:

    • Two “rookie mistakes” that we often make in a feedback session
    • Four “common denominators” for a successful feedback session
    • Clear suggestions for managing difficult feedback
    • Why improv classes will help you during a feedback session

    Cool Things Mentioned in this Episode

    The Testing Psychologist podcast is approved for CEU’s!

    I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!

    About Dr. Karen Postal

    Dr. Karen Postal is board certified in neuropsychology and pediatric neuropsychology. She is a clinical instructor at Harvard Medical school where she teaches postdoctoral fellows in neuropsychology. She is the president of the American Academy of Clinical Neuropsychology.

    Dr. Postal has a lifespan private practice dedicated to helping people think better in school, at work, and throughout later life. She frequently works with students from elementary school through college to overcome barriers to academic success.  She also has an expertise in working with traumatic brain injury. Dr. Postal is the author of the Oxford University Press book, Feedback that Sticks: The Art of Effectively Communicating Neuropsychological Assessment Results.

    About Dr. Jeremy Sharp

    Jeremy Sharp, PhD is a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that he founded in 2009 and has grown to include five other clinicians. He earned his undergraduate degree in Experimental Psychology from the University of South Carolina before getting his Master’s and PhD in Counseling Psychology from Colorado State University. These days, Jeremy specializes in psychological and neuropsychological evaluation with kids and adolescents.

    As the host of the Testing Psychologist Podcast, Dr. Sharp provides private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. Jeremy lives in Fort Collins, Colorado with his wife (also a therapist) and two young kids.

    Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call!

    [x_button shape=”square” size=”large” float=”none” href=”https://app.acuityscheduling.com/schedule.php?owner=13476033&appointmentType=2843005″ target=”blank” info=”none” info_place=”top” info_trigger=”hover”]Schedule Your Call[/x_button]