Ohio Counseling Conversations
The official Ohio Counseling Association podcast. Our mission is to host experts from our membership, leadership, and throughout the counseling field to bring listeners relevant conversations around what it means to be a counselor in Ohio. In addition, this podcast will provide a platform for Ohio Counseling Association divisions, chapters, and committees to share information and updates. Made for counselors by counselors, we hope to highlight important conversations in the profession that will inform our work as we continue to grow as professionals and as people. Thank you for tuning in! Views, beliefs, or references mentioned in episodes do not constitute an endorsement or recommendation by the Ohio Counseling Association. The views expressed by guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent. Views and opinions expressed by guests do not necessarily reflect the view of the Ohio Counseling Association or any of its officials.
Episodes
What if your first lesson about therapy came from a horror villain or a five‑minute breakthrough montage? We dive into the stories that taught us what counselors are supposed to be—stoic saviors, boundary‑blurrers, or secret masterminds—and compare them with what ethical care actually looks like. From Ted Lasso’s Dr. Sharon holding firm lines to the seductive manipulation of Hannibal, we explore why writers lean on spect...
When the headlines won’t quit and the room feels charged, how do we stay grounded, ethical, and genuinely helpful? We sit down with counselor educator and MI trainer Kim Barrella to explore motivational interviewing as more than a technique—it’s a way of being that centers autonomy, partnership, and compassion, even when politics enter the session. Together, we unpack how MI helps clients and clinicians navigate anger, f...
Policy moved fast this month, and we break it down so you can protect clients and plan your next steps with confidence. From real wins on Medicare telehealth to high‑stakes proposals that could reshape LGBTQ care and counselor ethics, we connect the dots between statutes, board guidance, and day‑to‑day practice in Ohio.
We start with clarity on the Consolidated Appropriations Act that extends Medicare telehealth...
Your feed offers endless tips, bold diagnoses, and confident scripts—but what happens when all that noise walks into the therapy room? We dig into the real-world impact of mental health content on client expectations, counselor boundaries, and the ethics of showing up online. With guest counselor Lauren Collins-Knight, we examine the tension between short-form advice and the slow, relational work that actually changes be...
Certainty can feel like safety, especially when life hurts. Our conversation with Laura Dunson Caputo, an assistant professor and trauma counselor, and Alexis Gilan, a newly licensed clinician whose research centers on cultic dynamics, digs into how high-control groups trade belonging for obedience and why that bargain is so hard to recognize from the inside. Rather than chasing sensational headlines, we map the real mec...
We share major wins and warnings for Ohio counselors: streamlined licensure, a new path to cross-state practice, civil rights amendments with clinical stakes, a brief but chilling federal funding scare, and a push to document insurer barriers that block care. We close with a reminder to seek support, protect your capacity, and stay engaged.
• new single-exam pathway from LPC to LPCC and required supervision docu...
We share the metaphors that help clients grasp complex ideas fast, from skill trees and storm shelters to gumballs and garden care. We focus on choosing images that fit culture, age, and context so insights translate into action.
• coping as skill trees and gym habits
• grief as a ball in a box with changing hits
• safety and boundaries with weather and field conditions
• attachment styles with gumba...
Laws and budgets rewired the counseling landscape this year, and the ripple effects reached every waiting room in Ohio. We unpack what changed, what stalled, and where small advocacy moves can still flip outcomes—especially around parity, youth privacy, LGBTQ protections, and the counseling workforce pipeline.
We start with the three forces that kept shaping care: access as infrastructure, higher education as th...
We play Unpack or Put It Back to test “therapy rules” against context, ethics and real human needs. From snacks and coffee tables to hugs, swearing and self disclosure, we explain how intention and relationship guide what helps and what harms.
• modeling self care with snacks and breaks
• room design signals safety and collaboration
• measured praise that scaffolds internal validation
• nuanced bo...
Feeling the squeeze of staffing shortages, rising acuity, and endless admin while trying to hold real space for clients? We sat down with Dr. Alicia Hall—counselor, supervisor, and advocate—to talk about a path forward that doesn’t rely on grit alone. The conversation centers on vitality, a grounded sense of aliveness that fuels resilience, powers meaning making, and opens the door to vicarious transformation. Rather tha...
Policy isn’t background noise—it’s showing up in our sessions as missed appointments, longer waitlists, and clients afraid to speak. We take you inside the real-world consequences of Ohio’s latest bills and federal shifts, translating headlines into the clinical realities counselors and clients face every day.
We start with the federal shutdown’s lingering impact on Medicaid processing, VA mental health services...
Why is it so hard for counselors to take their own advice? Despite preaching self-care and healing to clients, many mental health professionals struggle to prioritize their own therapy. Victoria Frazier and Marisa Cargill dive deep into this paradox with refreshing honesty and vulnerability.
The hosts challenge the harmful misconception that seeking counseling somehow diminishes a counselor's credibility or...
What if cultural responsiveness wasn’t a training you attend, but a posture you carry into every session? We welcome Carmella Hill, current president of the Ohio Counseling Association, to unpack how engagement, competence, and identity come together to strengthen counselors and the communities we serve.
Carmella traces her path through OCA leadership and shows why unity across divisions, regions, and specialties is essen...
We unpack how the federal shutdown, expired telehealth waivers, and looming SNAP delays intersect with daily counseling practice in Ohio, then analyze state bills that could reshape access and privacy. We close with clear actions to protect clients, support communities, and engage policymakers.
• impact of the federal shutdown on counseling care
• expiration of Medicaid and Medicare telehealth waivers and ex...
The biggest behavioral health workforce in Ohio is paid the least—and it’s not because counselors lack skill. We pull back the curtain on the legal and structural gears that keep reimbursement low: antitrust limits that fracture our voice, opaque contracts with nonnegotiable rates, paneling delays that outlast statute, clawbacks that drain small practices, and documentation games that reward downcoding over good care. Wi...
A Supreme Court showdown is poised to answer a question that could reshape our field: is counseling regulated health care or “just speech”? We sit down with Dr. Chase Morgan-Swaney—assistant professor, clinician, and OCA president-elect—to break down Chiles v. Salazar, the research on SOGICE, and what a ruling could mean for minors, licensure boards, and everyday clinical practice.
We trace the legal core—speech...
We track how Ohio’s SB1 reshapes higher education, how HB 347 collides with reproductive rights rulings, why school mental health screenings matter, and how misinformation about Tylenol and autism spreads fear. We close with a direct push to protect telemental health flexibilities before they expire.
• SB1’s impact on DEI offices, syllabi transparency, and training climate
• Program cut thresholds and ripple...
Ever wondered how Elsa might benefit from therapy? Or what psychological diagnosis would fit Simba after witnessing his father's death? Our latest episode dives into "The Disney Diagnostic Manual," where we playfully explore beloved animated characters through a therapeutic lens.
Animation provides the perfect canvas for examining complex emotions. Characters display exaggerated expressions that m...
When mental health and criminal justice systems intersect, what happens to those caught in the middle? Dr. Em Ribnik, Director of the Criminal Justice Coordinating Center of Excellence at Neomed, takes us deep into this complex terrain where vulnerable individuals often find themselves navigating confusing and sometimes contradictory systems.
Drawing from over 15 years of experience in mental health and crisis services, D...
The policy landscape shaping mental health services is shifting dramatically, with counselors and clients caught at the intersection of progress and concerning rollbacks. The Counseling Compact's expansion to 39 states signals a breakthrough for interstate practice, promising new professional mobility by fall 2025. This advancement stands in stark contrast to troubling federal decisions that threaten vulnerable popu...
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