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Primary Therapist Application
Primary Therapist Application
1.
Name:
2.
Home Address, Phone Number and Email Address:
3.
Minimum requirement: LMFT, LPCC, LCSW, or Psychology license – or license eligible (Masters level only). Provide State of License, License Number and License Expiration Date:
4.
Are you available to work evenings and weekends, and provide telephone coaching 24/7?
5.
Are you available to attend Team Consultation on Wednesdays from 12-2:30?
6.
Our team invests in each other and our clients, which is best served by our therapists making a commitment of time to the Center. Are you available to provide services and join our team for the next 2 years?
7.
What is your interest in working exclusively with DBT?
8.
Describe what your experience and/or knowledge is of an Individual DBT Therapy Session, including the components and structure of the session.
9.
Describe what you would do in the following scenario: A client in DBT Skills group indicates during group that they are having suicidal thoughts. How would you manage this client as a Leader of the group? How would you manage this client as a co-leader of the group?
10.
Any additional information that you would like us to know: