Why do so many therapists hesitate to use exposure therapy for PTSD, even when the research strongly supports it?

In this episode of the Psyched to Practice podcast, Ray sits down with Dr. Carmen McLean and Dr. Elizabeth Goetter to unpack the myths, fears, and misunderstandings surrounding Prolonged Exposure Therapy (PE). Together, they explore why avoidance keeps PTSD symptoms alive, why many clinicians feel anxious delivering trauma-focused care, and what the science actually says about retraumatization, dropout rates, and treatment outcomes.

The conversation also dives into some of the newest developments in PTSD treatment, including intensive treatment models, telehealth delivery, virtual tools, culturally responsive adaptations, and how PE is being used with complex comorbidities like substance use, borderline personality disorder, and suicidality.

Along the way, they reflect on the legacy of Dr. Edna Foa, the pioneer behind PE, and discuss why evidence-based trauma treatment still remains out of reach for far too many people.

This episode is packed with practical insight for clinicians, graduate students, and anyone interested in how trauma treatment continues to evolve.

Their New Book: https://link.springer.com/book/10.1007/978-3-031-72720-7

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To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at:

http://www.psychedtopractice.com

“Be well, and stay psyched"

As the school year winds down, many students hit a wall. They’re tired, overwhelmed, and often feel like it doesn’t even matter anymore. Missing assignments pile up, motivation drops, and even high-achieving students start to question whether it’s worth the effort.

In this episode, Paul and Ray break down what’s really happening during this final stretch. They explore why students feel “over it,” how burnout shows up differently across age groups, and what clinicians and parents can actually do to help.

You’ll hear practical strategies for tackling missing work without overwhelm, using “good enough” in a productive way, and helping kids regain momentum when they feel stuck. They also address the stress around standardized testing and how to reframe it so it doesn’t define a child’s sense of self.

This conversation is packed with real-world tools you can use immediately in sessions, at home, or in schools to help kids finish the year with less stress and fewer regrets.

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To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at:

http://www.psychedtopractice.com

“Be well, and stay psyched"

What if the problem isn’t that your clients don’t have the right tools—but that the tools don’t feel usable in real life? In this episode, we sit down with Dr. Jesse Finkelstein to unpack how DBT moves beyond worksheets and into everyday decision-making. We break down what DBT actually is, why it works across diagnoses, and how its core ideas—like holding two truths at once—can shift the way clinicians think about change. You’ll hear how skills like mindfulness, distress tolerance, and emotion regulation show up in ordinary moments, not just crisis. We also explore why clients often avoid using skills, how to make them more engaging, and what it looks like to translate complex concepts into something people will actually use. If you’ve ever had a client say “I know what to do, I just don’t do it,” this conversation gives you a different way to approach that gap.

His book: https://a.co/d/01LfKduu

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To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at:

http://www.psychedtopractice.com

“Be well, and stay psyched"

School refusal isn’t just about kids staying home. It shows up in subtle ways—frequent nurse visits, missed classes, late arrivals, and quiet disengagement that often goes unnoticed until it becomes a major problem.

In this episode, we break down what’s actually driving school refusal behavior and why a one-size-fits-all approach doesn’t work. Drawing from real clinical and school-based experience, we explore the four core functions behind these behaviors and how they often overlap in ways that make intervention more complex than it seems.

You’ll hear how anxiety, avoidance, attention-seeking, and access to more rewarding alternatives all play a role—and how modern factors like virtual learning, technology, and shifting family dynamics are changing the landscape.

We also walk through practical, evidence-based strategies that clinicians, schools, and families can use together. From distress tolerance and exposure work to environmental changes and caregiver collaboration, this episode focuses on what actually helps move kids back toward consistent school engagement.

If you’re working with students who are struggling to attend—or families who feel stuck—this conversation will give you a clearer framework and more confidence in how to respond.

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To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at:

http://www.psychedtopractice.com

“Be well, and stay psyched"

Social media isn’t going anywhere, but the way we’re handling it with kids and teens might be making things worse. In this episode, we sit down with Kelly McCullough, LCSW, to unpack what’s actually happening when kids spend hours on their phones. From sleep loss and anxiety to comparison and constant pressure to respond, we explore why this generation is struggling and why it’s not just a “self-control problem.” You’ll hear how clinicians can guide parents without turning the phone into a constant battle, what actually motivates teens to change their behavior, and how to shift from control to collaboration. We also break down practical strategies that work in real homes, including setting limits without escalating conflict, helping kids rethink what they see online, and building healthier habits that stick. If you work with kids, teens, or families, this conversation will change how you approach screen time, connection, and mental health.

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To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at:

http://www.psychedtopractice.com

“Be well, and stay psyched"

Many clinicians leave graduate school with strong foundational skills but very little guidance on how to shape their professional path. Over time, therapists begin to notice patterns in their work—certain populations, problems, or clinical questions that keep showing up in the therapy room. The question is what to do with those patterns. In this episode, Paul Wagner and Ray Christner explore how clinicians develop areas of focus in their practice. They discuss the difference between chasing trends and building a thoughtful specialty, how real clinical needs often reveal themselves through repeated client concerns, and why personal fit matters just as much as professional opportunity. The conversation also highlights the importance of curiosity, ongoing reading, mentorship, and honest self-reflection when deciding where to grow professionally. Listeners will hear examples from leaders in the field who built unique niches by combining emerging needs with their own interests and strengths. Whether you are early in your career or rethinking the direction of your practice, this episode offers a practical framework for deciding where to invest your time, training, and energy.

Upcoming Live Webinars:

(1 Credit) Same Symptoms, Different Stories: Differentiating Neurodevelopmental and Emotional Disorders- 03/27/2026 08:00 AM EST

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(3 Credits) Using AI Tools for Research and Practice- 04/14/2026 3:00 PM EST

(https://learn.psychedtopractice.com/course/live-using-ai-tools-for-research-and-practice)

(1 Credit) Automate-Then-Audit: Building Sustainable Systems for ADHD Success- 04/17/2026 12:00 PM EST

(https://learn.psychedtopractice.com/course/automate-then-audit-building-sustainable-systems-for-adhd-success)

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To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at:

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“Be well, and stay psyched"

Most clinicians enter this field wanting to help everyone. But over time, we learn a hard truth: being willing isn’t the same as being the right fit. In this episode of the Psyched to Practice Podcast, Paul Wagner and Ray Christner unpack what “fit” really means in clinical work. They explore how scope of practice, availability, client preferences, professional development, and even our own life circumstances shape whether we’re truly the best provider for someone sitting across from us. They share personal stories of cases that stretched them in healthy ways—and others that should have led to earlier referrals. You’ll hear practical ways to assess fit during intake, how to build a thoughtful “stretch protocol” for growth areas, and how to navigate referrals without shame or abandonment. This conversation challenges the myth that strong clinicians can treat anything. Instead, it offers a more sustainable model: intentional growth, honest boundaries, and clinical decisions grounded in competence—not ego. If you’ve ever wrestled with whether to take a case, keep a case, or refer a case, this episode will give you language, clarity, and a framework you can actually use.

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To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at:

http://www.psychedtopractice.com

“Be well, and stay psyched"

Most mental health professionals have felt it at some point but rarely say it out loud: the fear that they don’t really belong, that they’re one mistake away from being exposed as a fraud. In this episode of the Psyched to Practice Podcast, Paul Wagner and Ray Christner unpack imposter syndrome as it shows up in clinicians across all stages of their careers. They explore why imposter syndrome is more common in thoughtful, conscientious professionals, how it often shows up during transitions and high-stakes moments, and why it’s not a diagnosis or a sign of incompetence. The conversation focuses on reframing imposter syndrome as a signal of growth rather than a flaw, the role of shame and silence in making it worse, and practical ways clinicians can respond when self-doubt creeps in. This episode offers normalization, perspective, and grounded strategies for clinicians who care deeply about their work and sometimes wonder if they’re doing it right.

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To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at:

http://www.psychedtopractice.com

“Be well, and stay psyched"