105: Should I get a certification as a therapist?
📬 THE LEAVING THE CHAIR NEWSLETTER For therapists done with burnout, overwhelm, and overscheduling — whether or not you're leaving the chair. Published twice monthly, free, and practical. 👉 Sign up here: https://balanced-thunder-281.myflodesk.com/drjenb [https://balanced-thunder-281.myflodesk.com/drjenb]
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In this episode: Jen asks the question therapists are thinking but not saying out loud — are certifications in our field kind of like an MLM? She digs into the research, shares her own EMDR certification journey (including the $6,000 price tag), and gives you a real framework for knowing when a certification makes sense — and when burnout is the actual problem you're trying to solve.
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What you'll hear:
* Why Jen started her private practice — a new baby, heart surgery, postpartum anxiety, and no real options
* The training gap from grad school — lots of CBT, almost no trauma treatment, and EMDR had a "voodoo" reputation
* Her EMDR journey from PESI training to full EMDRIA certification — and where she actually started to feel competent
* The "MLM ladder" in therapy training: training → advanced training → consultation hours → certification → consultant → trainer — and who's making money at each rung
* The proliferation of low-barrier certifications and what it means when the fine print says "certification does not imply endorsement of clinical competency"
* A side-by-side of a low-barrier DBT credential vs. the DBT-Linehan Board Certification (endorsed by Marsha Linehan herself)
* What the 2025 Dodo Bird meta-analysis tells us about therapy modality and outcomes
* Why burnout makes training feel like the answer — and why it usually isn't
* A practical guide: when to get certified, when it's the wrong move, how to evaluate if a cert is legit, and how to know if burnout is your real issue
* Research mentioned:
* Boxell et al. (2025) — Dodo Bird meta-analysis, Journal of Contemporary Psychotherapy. 90 trials, 2014–2024, n=9,637. https://doi.org/10.1007/s10879-025-09712-7 [https://doi.org/10.1007/s10879-025-09712-7]
* Simpson et al. (2025) — EMDR clinical and cost-effectiveness review, British Journal of Psychology. https://doi.org/10.1111/bjop.70005 [https://doi.org/10.1111/bjop.70005]
* Wampold's contextual model — therapeutic alliance, empathy, positive regard, and therapist responsiveness drive outcomes more than modality
* U.S. Dept. of Veterans Affairs — trauma prevalence statistics
Links:
* 📬 Leaving the Chair Newsletter (twice monthly, free): https://balanced-thunder-281.myflodesk.com/drjenb [https://balanced-thunder-281.myflodesk.com/drjenb]
* EMDRIA: https://www.emdria.org [https://www.emdria.org]
* DBT-Linehan Board of Certification: https://dbt-lbc.org [https://dbt-lbc.org]
* Maine Association of School Psychologists: https://www.masp.org [https://www.masp.org]