Staff Profile Step 1 of 6 16% This form could potentially take 30 minutes - 1 hour to complete. Ultimately, the form should only take 5-10 minutes to complete; however, there is a section called "Personal Statement" that will require some thinking and writing to speak to your potential client that will take most of your time. This is your "marketing" of yourself to your client. It is also possible that you will finish this form in less than 30-minutes, but that will depend upon how much you know yourself and how you market/communicate with potential clients. Just remember, people, buy into people, not programs. Especially as an mental health professional. Are you relatable? They want to know what you have to offer them, but also whether they can connect to you. We are stewards of the most vulnerable places of a human being; their heart, actions, emotions, and memories.Title*Choose OneMr.Mrs.MissDr.Dr. & Mrs.Dr. & MissFirst Name* First Last Name* Last Credentials*Choose OneClinical Social Work/TherapistLicensed Professional CounselorLPC InternPsychiatric Nurse PractitionerPsychiatristPsychologistLimited Licensed PsychologistOther Credentials (if any) School Graduated* Degree/Diploma* Year Graduated* License Issuer*MichiganOtherWhich state?* License Number* Year* Staff Bio*Staff PhotoPlease upload a professional picture. We need a large picture to use for our website. Photos that have been cropped or zoomed in may not work. You may also email the photo to support@renewalcenter.org if you have issues with uploading a photo. Max. file size: 256 MB. PRO TIP: Write to a person; not for a professor. This is not a research paper. No clinical jargon, please.Imagine your ideal client. What are their issues, their needs, their goals? What do they want and why?*Attention-grabber. First off, it’s gotta resonate with your dream client. (Not likely to happen when you’re leading with something like, “As a licensed clinical counselor, I…”.) A good personal statement should make your dream client sit up and take notice. And, ideally, take the next step to get in touch with you.How can you help? Talk about your specialty and what you offer.*The Struggle. Focus on just 1 or 2 primary struggles. There’s simply not space to describe several challenges your dream client is facing. And listing them out isn’t compelling. So, pick a couple (at most) and paint a picture of what they’re experiencing.Build empathy and invite the potential client to reach out to you. Do not include contact details here.*The Solution. Finally, your personal statement should pivot to a way out of their current challenge. One highly effective way to achieve this is to describe how life will feel different for them when they’re no longer struggling in the same way. Note that this is NOT the same thing as listing the specific therapeutic interventions you’ll use. Doing so rarely translates to meaningful connection. I recommend choosing the top specialties for which you most wish to be known while exercising restraint here. Your goal is to represent the breadth of your best, dreamiest work… not to provide an exhaustive list of every issue you have or could conceivably handle.Top Specialty 1*Choose OneAddictionADHDAdoptionAlcohol UseAlzheimer'sAnger ManagementAntisocial PersonalityAnxietyAsperger's SyndromeAutismBehavioral IssuesBipolar DisorderBorderline PersonalityChild or AdolescentChronic IllnessChronic ImpulsivityChronic PainChronic RelapseCodependencyCoping SkillsDepressionDevelopmental DisordersDissociative DisordersDivorceDomestic ViolenceDual DiagnosisEating DisorderEmotional DisturbanceFamily ConflictGamblingGriefHoardingImpulse Control DisordersInfertilityInfidelityInner HealingIntellectual DisabilityInternet AddictionLearning DisabilitiesLife TransitionsMarital and PremaritalMen's IssuesMood DisordersNarcissistic PersonalityObesityObsessive-Compulsive (OCD)Oppositional DefianceParentingPastoral CounselingPeer RelationshipsPersonality DisordersPregnancy, Prenatal, PostpartumPsychosisRacial IdentityRelationship IssuesSchool IssuesSelf-HarmingSelf EsteemSex TherapySexual AbuseSexual AddictionSleep or InsomniaSpiritualitySpiritual AbuseStressSubstance AbuseSuicidal IdeationTeen ViolenceThinking DisordersTrauma & PTSDTraumatic Brain InjuryVideo Game AddictionWomen's IssuesOtherTop Specialty 2*Choose OneAddictionADHDAdoptionAlcohol UseAlzheimer'sAnger ManagementAntisocial PersonalityAnxietyAsperger's SyndromeAutismBehavioral IssuesBipolar DisorderBorderline PersonalityChild or AdolescentChronic IllnessChronic ImpulsivityChronic PainChronic RelapseCodependencyCoping SkillsDepressionDevelopmental DisordersDissociative DisordersDivorceDomestic ViolenceDual DiagnosisEating DisorderEmotional DisturbanceFamily ConflictGamblingGriefHoardingImpulse Control DisordersInfertilityInfidelityInner HealingIntellectual DisabilityInternet AddictionLearning DisabilitiesLife TransitionsMarital and PremaritalMen's IssuesMood DisordersNarcissistic PersonalityObesityObsessive-Compulsive (OCD)Oppositional DefianceParentingPastoral CounselingPeer RelationshipsPersonality DisordersPregnancy, Prenatal, PostpartumPsychosisRacial IdentityRelationship IssuesSchool IssuesSelf-HarmingSelf EsteemSex TherapySexual AbuseSexual AddictionSleep or InsomniaSpiritualitySpiritual AbuseStressSubstance AbuseSuicidal IdeationTeen ViolenceThinking DisordersTrauma & PTSDTraumatic Brain InjuryVideo Game AddictionWomen's IssuesOtherTop Specialty 3*Choose OneAddictionADHDAdoptionAlcohol UseAlzheimer'sAnger ManagementAntisocial PersonalityAnxietyAsperger's SyndromeAutismBehavioral IssuesBipolar DisorderBorderline PersonalityChild or AdolescentChronic IllnessChronic ImpulsivityChronic PainChronic RelapseCodependencyCoping SkillsDepressionDevelopmental DisordersDissociative DisordersDivorceDomestic ViolenceDual DiagnosisEating DisorderEmotional DisturbanceFamily ConflictGamblingGriefHoardingImpulse Control DisordersInfertilityInfidelityInner HealingIntellectual DisabilityInternet AddictionLearning DisabilitiesLife TransitionsMarital and PremaritalMen's IssuesMood DisordersNarcissistic PersonalityObesityObsessive-Compulsive (OCD)Oppositional DefianceParentingPastoral CounselingPeer RelationshipsPersonality DisordersPregnancy, Prenatal, PostpartumPsychosisRacial IdentityRelationship IssuesSchool IssuesSelf-HarmingSelf EsteemSex TherapySexual AbuseSexual AddictionSleep or InsomniaSpiritualitySpiritual AbuseStressSubstance AbuseSuicidal IdeationTeen ViolenceThinking DisordersTrauma & PTSDTraumatic Brain InjuryVideo Game AddictionWomen's IssuesOtherWhat did we miss?* Issues* Addiction ADHD Adoption Alcohol Use Alzheimer's Anger Management Antisocial Personality Anxiety Asperger's Syndrome Autism Behavioral Issues Bipolar Disorder Borderline Personality Child or Adolescent Chronic Illness Chronic Impulsivity Chronic Pain Chronic Relapse Codependency Coping Skills Depression Developmental Disorders Divorce Domestic Violence Dual Diagnosis Eating Disorder Emotional Disturbance Family Conflict Gambling Grief Hoarding Infertility Infidelity Intellectual Disability Internet Addiction Learning Disabilities Life Transitions Marital and Premarital Men's Issues Narcissistic Personality Obesity Obsessive-Compulsive (OCD) Oppositional Defiance Parenting Pastoral Counseling Peer Relationships Pregnancy, Prenatal, Postpartum Racial Identity Relationship Issues School Issues Self-Harming Self Esteem Sex Therapy Sexual Abuse Sexual Addiction Sleep or Insomnia Spirituality Spiritual Abuse Stress Substance Abuse Suicidal Ideation Teen Violence Trauma & PTSD Traumatic Brain Injury Video Game Addiction Women's Issues Other Mental Health* Dissociative Disorders Elderly Persons Disorders Impulse Control Disorders Mood Disorders Personality Disorders Psychosis Thinking Disorders Treatment Preferences (Types of Therapy) Applied Behavioral Analysis Art Therapy Attachment-Based Biofeedback Christian Counseling Clinical Supervision & Licensed Supervisors Coaching Cognitive Behavioral Therapy (CBT) Cognitive Processing (CPT) Compassion Focused Culturally Sensitive Dialectical (DBT) Eclectic EDMR Emotionally Focused Exposure Response Prevention Family / Marital Family Systems Integrative Internal Family Systems (IFS) Interpersonal Intervention Mindfulness-Based (MBCT) Motivational Interviewing Multicultural Music Therapy Narrative Neurofeedback Parent-Child Interaction (PCIT) Person-Centered Play Therapy Positive Psychology Prolonged Exposure Therapy Psychoanalytic Psychobiological Approach Couple Therapy Psychodynamic Psychological Testing and Evaluation Rational Emotive Behavior (REBT) Reality Therapy Relational Sandplay Solution Focused Brief (SFBT) Strength-Based Structural Family Therapy Trauma Focused Modality Individuals Couples Family Group Age Specialty (Check as many as you like)* Elders (65+) Adults Adolescents / Teenagers (14 to 19) Preteens / Tweens (11 to 13) Children (6 to 10) Toddlers / Preschoolers (0 to 6) Ethnicity of Your Clients (Check a maximum of 2)Do you offer any special insights for clients of the following ethnicity? African-American Asian Hispanic and Latino Native American Other Racial or Ethnic Background Pacific Islander Languages Spoken (besides English)* English Only Albanian Arabic ASL Bosnian Cantonese Creole Croatian Dutch Farsi Filipino French German Greek Gujarati Hebrew Hindi Hungarian Italian Japanese Korean Mandarin Polish Portuguese Punjabi Romanian Russian Serbian Sinhalese Spanish Swedish Turkish Ukrainian Urdu Vietnamese Yiddish Other Which Language(s)?* Copyright 2020 © Renewal Christian Counseling Center