Creating Pathways: Dr. Amy Marschall on Neurodiversity and CE Innovations & Navigating the APA Approval Maze

Natasha Moharter: 00:00:04

Welcome to the continuing education for mental

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health professionals podcast.

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Today, we are hosting another CEU

provider spotlight conversation.

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This is where we learn more

about CEU providers in our

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community and their journeys.

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My name is Natasha Moharter and I'm a

licensed counselor and OCD specialist.

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I run the Facebook group CE for

mental health professionals.

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And if you're a mental health

professional, we'd love to

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have you join us in that space.

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I am so excited because we are joined

today by our very special guest, Dr.

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Amy Marschall.

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Amy earned her doctoral degree in clinical

psychology from the University of Hartford

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in West Hartford, Connecticut in 2015.

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She has been a licensed psychologist

since: 2016

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practice, Resiliency Mental Health

(RMH Therapy), where she provides

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therapy primarily to children and

adolescents as well as psychological

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evaluations and ADHD assessments.

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Her clinical specializations

include trauma informed care,

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neurodiversity affirming care, rural

mental health and telemental health.

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In addition to her practice

in the United States, Dr.

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Marschall is a registered

psychologist in New Zealand.

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Amy also provides continuing

education through PESI and the

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Telehealth Certification Institute.

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And she creates continuing

education courses through Resiliency

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Mental Health's APA sponsorship.

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Additionally, she writes educational

mental health materials for

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Dot Dash Meredith and Spring

Health, and she is the resident

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neurodiversity expert with Grayce.

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Dr.

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Marschall is the author of several

books, including clinical texts,

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children's books, and a guided journal.

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In her spare time, Amy enjoys

reading, making jewelry, and

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spending time with her cats.

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She is licensed to practice

psychology in Florida, Montana, New

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York, North Dakota, South Carolina,

South Dakota, and Wisconsin.

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She is also a PSYPACT provider.

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Welcome, Dr.

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Marschall.

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It is such a pleasure

to have you here today.

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Dr. Amy Marschall: Glad to be here.

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Natasha Moharter: Can you share a

little bit about your background

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and what got you interested in

becoming a creator and CEU provider?

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Dr. Amy Marschall: Yeah.

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So, basically my experience

providing continuing education

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started with PESI, in 2020 when

lockdowns and everything happened.

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I'm in a number of Facebook groups

for providers who work with children.

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I found with the transition to online

because of COVID and everything.

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I was pretty quickly building a

new toolbox for myself of here's

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all the things that I can do

in my sessions with these kids.

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I found that everybody in these Facebook

groups was like freaking out because

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they're saying, how do I do play therapy?

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How do I do a play based intervention?

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How do I do a game online?

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What do I do for all of this?

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I've been in South Dakota since

: 2016

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So I had been doing a little

bit of telehealth with children.

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Just because, you know, there are parts

of my state where it's a three hour

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drive each way to the closest therapist.

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So I was working to develop kid friendly

telehealth options at that time because,

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these kids and their families just

don't have the resources to be driving

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six hours, once a week for therapy.

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So when we went online, I

already had a few things that

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I was doing pretty regularly.

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And I was finding that developing more

things was coming pretty easily and

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everybody else was kind of panicking.

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So that's when I started my blog, which

was initially just a list of stuff that

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I was doing with kids over telehealth.

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And then I thought, well,

you know, it'd be good to get

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continuing education in this.

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And so I reached out to PESI and

I said, you all don't seem to have

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anything for telehealth with kids.

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You know, maybe you should, and I

guess no one else had pitched that

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to them because they gave me the,

they were like, yes, we'll have

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you, we'll have you develop this.

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So I've worked with them on a few

different continuing ed projects.

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I've got another on autistic

burnout in December.

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And, basically, I found that, you

know, I can make a lot of great content

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with them, but it is very, drawn out.

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So the process, you know, you

pitch your course, they assess it,

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they determine like they do their

market research and all of that.

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And it takes a very long time for

them to say, okay, yes, this is

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something that we're going to produce.

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And I am not a patient person.

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So I just, looked up, how do I

just make CEs just like by myself?

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And I found out that APA will

let any organization apply.

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They don't approve every applicant,

but anybody can apply and say,

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I would like to provide CEs.

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As a sponsor for the American

Psychological Association.

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I just applied for my own sponsorship

so that I could make my own stuff and

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not have to wait on anybody, basically.

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Natasha Moharter: And so with the APA

sponsorship, is it for psychologists only?

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Dr. Amy Marschall: So, APA requires

that any continuing education

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that's APA sponsored has to have

psychologists involved in the creation.

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So you would need a psychologist

kind of somewhere on your team.

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But, you know, it's not, you have to

be a psychologist to provide APA CEs.

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I contract with a few people, a

counselor, one social worker, I think,

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who essentially, they have the expertise

in the things that they want to present

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on, they just don't have the Doc.

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Natasha Moharter: That is so helpful.

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And so you do provide co-sponsorship.

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Dr. Amy Marschall: Yeah, so basically

if someone has a course that's

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appropriate for psychologists, I can

provide a review of their course, and

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essentially kind of go through all

their training material, and determine

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if it's appropriate for psychologists.

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And then APA is very particular

and has some very specific

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boxes that they need checked.

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So I go through and I make sure

you're checking all those boxes.

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And if yes, then I can say, your course

is approved for APA continuing education,

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because I'm approved to approve you.

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Natasha Moharter: And what a great

opportunity, especially like you said,

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because APA has a lot of hoops that

you have to jump through and you being

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a psychologist you've gone through the

process, you know, the requirements,

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you know what they're asking.

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Dr. Amy Marschall: Yeah, and it's very,

their process is also very expensive.

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What I found as well is that they don't

have prices listed on the site, but

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they'll say like, this is how much it

costs to apply, but they don't tell

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you that that's not the only cost.

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So I applied and I paid to apply.

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I also, hired someone who has

done the application before

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to review all of my materials.

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I compensated her, which I guess

is not an essential expense.

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I could have just submitted it on

my own and hoped that they took it,

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but they typically for, well, they

did this to me and I'm told that

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they kind of do this for everybody.

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They said, you have some stuff here that

looks like it could be okay, but we need

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more information to make a decision.

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I received that notification

and I had to pay to see their

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feedback on my application.

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And then after I fixed the application,

I had to pay for the resubmission.

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And then they did approve me

of course, because otherwise we

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wouldn't be having this conversation.

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And then I had to pay a fee

to activate my approval.

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Natasha Moharter: Oh my gosh.

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Dr. Amy Marschall: Um, And then they said

the approval is good for two years, but at

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the end of the first year, I had to submit

an annual report of what I've been up to.

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It's not a reapplication.

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It's kind of just the heads up,

but there's also a fee that goes

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with submitting your annual report.

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So it's kind of just, it's

fees all the way down.

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I said this on my initial application

but one of my intentions with applying is

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that continuing ed gets so expensive and I

would love to have to provide low cost CEs

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I'd love to have options that are free.

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And I'm like, okay, but I still have to

make up all these fees, not to mention

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that, you know, I do put money into

creating the courses, like primarily

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the ones I create, I'm the speaker.

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So I don't necessarily like I get

the money when the course sells.

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I don't have to pay someone a speaker fee.

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But, I pay a professional human to

caption everything so that it's not

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AI generated and it's more accurate.

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Zoom has the closed captions, but the

auto generated ones are not always

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the most accurate so I like when I

can hire a real person to go back

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through and get everything right.

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I am not at a point with my revenue

streams to hire a live interpreter,

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but I can hire someone to take

their time afterwards and just

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get to it when they get to it.

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And, there's accessibility things

that cost money that are important, I

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think, if you're going to be offering,

if you're going to be doing this, you

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need to be like making it accessible.

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Accessibility matters,

and that's a priority.

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Honestly, I mean, I want more

people to be able to offer CEs.

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And also my other motivation with the

partnerships was, well, if we cut some

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kind of a deal and that's another revenue

stream, then I can make some stuff

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free because I've made back my fees.

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Natasha Moharter: I think you

bring up such an important point

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because when we have resource

it funds what we can do, right?

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Psychologically when people

are struggling financially it

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really zaps your creativity.

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So why can't we be paid

for the work that we do?

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And creating kind of different additional

income streams to be able to do that.

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Dr. Amy Marschall: I care

about a lot of things.

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One of the things I care about is

living inside, and that costs money.

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Natasha Moharter: Go figure!

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And the lights?

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You know?

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Dr. Amy Marschall: The Wi Fi that we're

using to have this conversation, you know,

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I can call Xcel Energy and be like, do you

know how many people I helped last month?

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And they're going to say, that's nice.

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Natasha Moharter: Yeah.

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Where's our money?

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So another question, what has been

your favorite part of this journey?

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Dr. Amy Marschall: I really like that.

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I'm able to focus on things like topics

that are important to me without having

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to get anybody else's green light on it.

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One of my areas of expertise is

neurodiversity affirming mental

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health care, which is a newer thing

for anybody to be talking about.

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Basically recognizing that, the

traditional medical model, not saying

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that there's no place for the medical

model of things, but this assumption

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that if you're neurodivergent, then

you're a problem that we need to fix.

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And, you know, you're a burden to the

people around you and your brain is

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inherently bad and wrong, and we need

to fix it versus figuring out what

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your needs are and supporting them.

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You know, there's emerging research

that shows that that does more harm

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than good, if you can believe it.

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I've been really wanting to develop more

in that space of, because I've noticed

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that a lot of providers are trying to take

this more seriously, which is fantastic,

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but they don't know where to start.

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I have, encountered a number of

situations where someone's like,

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yes, we're neurodiversity affirming.

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And I'll say, well, what

do you think that means?

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And essentially, it boils down

to they've heard that certain

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communities like that term.

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So they put it on their

marketing materials.

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And I'm like, that's not, you

know, you can't just do that.

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That's like me saying that I'm

certified in EMDR when I'm not like,

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you can't just, you can't just say

stuff as a marketing buzzword, you've

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got to actually be committed to it.

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So I was like, I'm going to create

content that teaches you what this means.

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How to go about doing it and like truly

being committed to it versus just,

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oh, this is what I'm supposed to be

saying is important to me right now.

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Natasha Moharter: Right, the buzz, just

because it's a buzzword doesn't mean that

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we need to be plastering it everywhere if

we're not actually embracing that, right?

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Dr. Amy Marschall: I mean, speaking of

being neuro affirming, like, I mean,

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I'm not saying neuro, you know, I don't

fall into that toxic positivity trap

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of like neurodivergence is secretly

a superpower and it's not like that,

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but you know, I am autistic and ADHD.

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And part of why I, you know, when

you're reading off the stuff I'm

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doing right now, I'm like, Oh,

that's kind of a long list, isn't it?

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That's why like I've got the hyper focus

and there, there are positives to that.

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And there is a strength based

approach to be taken there.

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And, you know, I'm not, I'm not

saying that I'm not disabled.

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Just yesterday, my husband did the

grocery shopping instead of me because

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I had an overstimulation moment and

he was like, what food do we need?

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And I was like, I can't

remember any foods.

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Like that exists.

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Natasha Moharter: So, and you're

providing information for therapists

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to help people like you, right?

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Yeah.

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That is so neat.

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And so it sounds like a lot of

it comes from kind of personal

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experiences and interest as well.

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Dr. Amy Marschall: I think there's

a lot of, I mean, there's a need

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in any area to be like, centering

the lived experience voices.

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And I do say in every single one of my

presentations and every single one of

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my publications, I'm like, if you're

listening to me to learn about autism

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from an autistic person, that's awesome.

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But if I'm the only autistic

person you're listening to,

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then you're not doing it right.

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Because, you know, I'm a voice, but

I'm definitely not the only voice

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people should be listening to, but

also part of why my focus is on that

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is because I can tell you what it's

like to be a business owner with ADHD

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because I am a business owner with ADHD.

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Natasha Moharter: A

successful business owner.

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Dr. Amy Marschall: Yeah,

I'd like to think so.

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And I mean, part of that is though,

because the supports that I need

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are provided in my personal life.

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If we meet the needs and we support people

and not that you have to be a business

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owner for your life to have value but

if that's a goal you have for yourself.

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It certainly can be possible when

the right support is in place.

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Natasha Moharter: So

cool and so encouraging.

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Like you're talking about, there's

so many other aspects to this.

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We don't just have to show up in

the therapy realm and be providers.

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Business owners, we can be

therapists and clinicians.

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And I think the other thing that

I, really appreciated from what you

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just shared was that it's important

to listen to other people as well.

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There's so much room for all of us to be

here and to share wisdom and expertise.

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Dr. Amy Marschall: There's never going

to be one person who's the ultimate

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voice on everything, and I can have my

corner and everybody else can have theirs

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as well I want to create a program for

people who want to be neurodiversity

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affirming, where you can get a

certification if you complete certain

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education and consultation, checkpoints

essentially, show showing that you're

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truly committed to it and showing that

you've truly learned about these concepts.

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I'm hiring a couple of other

autistic speakers to create the

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content so that it's not just me.

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I'm giving the option that I'm like,

not you have to take these specific

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courses, but you have to get education

on this list of topics, and I've created

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courses on each of these topics, but

if you want to take that course on this

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topic, as long as it meets the criteria,

you don't have to buy any courses from

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me in order to seek the certification.

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I am going to have an application fee

for the certification itself, just

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because I've got to go through all the

materials, but I'm trying to keep it,

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you know, as accessible as possible.

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Natasha Moharter: You are

creating a certification process.

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Dr. Amy Marschall: Yeah.

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Tentatively the name is, Certified

Neurodiversity Affirming Mental Health

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Professional, and then specifically

for the autistic community.

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So, want people to learn about

introductory information on what it

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means to be neurodiversity affirming,

what that means, why it matters,

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information specifically clinical

skills from a neurodiversity affirming

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lens with the autistic community.

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And that can be, you know, if you

do therapy, it can be specific to

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kids, specific to adults, specific

to, diagnostic assessment, kind

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of whatever your niche is there.

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Education on the link of autism

and trauma because existing in

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a world that is not designed for

you inherently causes some stress.

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Then, you know, some, education on,

autism and gender because it's not a

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hundred percent, but autistic community

is more likely to be trans or non binary,

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um, as well as continuing education

specifically on autistic experiences.

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Like cultural competence with autistic

experiences and racial competence

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with autistic experiences because a

lot of the neurodiversity affirming

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voices do come from white people.

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I'm paying someone else to speak to

that who is more qualified in that

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domain than me but I feel like it's,

you know, if I'm going to throw out a

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certification program and ignore that

piece, then like, what am I doing?

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The impact of misdiagnosis and

then about um, autistics are

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at higher risk for suicide.

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So like that risk assessment piece,

there's higher risk for suicide and

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there's the inherent systemic trauma

of involuntary hospitalization.

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So there's nuance there that needs

to be addressed at all angles.

299

: 00:17:00

So yeah, that's kind of the rundown

of topics that'll be covered.

300

: 00:17:03

And I'm sure I'm not perfect about, I

mean, I know I'm not perfect about it, but

301

: 00:17:07

you can make efforts, you know, there's

a difference between trying and not

302

: 00:17:10

trying, and we can at least make efforts.

303

: 00:17:13

Natasha Moharter: So important to

remember that we don't have to be perfect.

304

: 00:17:15

Dr. Amy Marschall: Yeah.

305

: 00:17:16

And that's another reason why I'm like,

look, if you don't like anything that

306

: 00:17:19

I have to offer, but you like the idea

of this certification, you don't have

307

: 00:17:24

to take a single course from me or

from someone I've paid to make content.

308

: 00:17:27

You can fully go external.

309

: 00:17:30

As long as it's truly

affirming courses, then fine.

310

: 00:17:35

Natasha Moharter: Do you have any

tips or advice for somebody kind

311

: 00:17:38

of exploring their content ideas?

312

: 00:17:40

Dr. Amy Marschall: Yeah, I started

off creating content because people

313

: 00:17:44

were saying, where can I learn

more about this specific topic?

314

: 00:17:48

And I was having trouble finding

exactly what I was looking for.

315

: 00:17:53

It's kind of like, with authors, they tell

you, write the book that you want to read.

316

: 00:17:57

I was like, I'm going to create the course

that I wanted to take, but couldn't find.

317

: 00:18:01

Everything from there has been,

I want a course on what it means

318

: 00:18:05

to be neurodiversity affirming.

319

: 00:18:07

I want a course on autism and trauma.

320

: 00:18:09

Like I'm just going to create

stuff that is what I wish existed.

321

: 00:18:12

You know, I wish there was a way.

322

: 00:18:14

For people to get certified and show

their true commitment to this approach

323

: 00:18:18

to treatment versus just being able to

slap a word on your marketing material.

324

: 00:18:23

Technically, you can call

anything certification.

325

: 00:18:26

You can just be like, yes, I'm certified.

326

: 00:18:28

But you can also say, okay,

what makes a good certification?

327

: 00:18:32

And I also like the outline that I just

ran by, that I kind of shared, I did hire

328

: 00:18:37

a consult again, someone who's developed

certification programs in the past.

329

: 00:18:41

And I was like, here's what I want to do.

330

: 00:18:43

If I called this a certification,

is that legitimate?

331

: 00:18:47

And if not, what would I need to

change about it to be legitimate in

332

: 00:18:51

calling it a certification to kind

of, again, get that external feedback.

333

: 00:18:55

Okay, like you're not just, you

know, cause there are organizations

334

: 00:18:59

that will just be like, now you're

"certified" after like eight hours.

335

: 00:19:03

And it's like, I mean, technically that

word is not regulated and you can say

336

: 00:19:09

that but like it should be like licensure.

337

: 00:19:11

You can't just say you're licensed.

338

: 00:19:13

We should have something

similar for certification maybe.

339

: 00:19:16

Natasha Moharter: Something else that's

standing out to me is that you're talking

340

: 00:19:18

about not reinventing the wheel, right?

341

: 00:19:20

You're using your creativity.

342

: 00:19:22

You're identifying the problems

that you want to solve.

343

: 00:19:25

And you're also saying, okay,

now who else is in the community?

344

: 00:19:28

What are other resources out

there that I can utilize so

345

: 00:19:32

I can keep my momentum going.

346

: 00:19:34

I'm not reinventing the wheel.

347

: 00:19:35

That's going to save me

a lot of time, right?

348

: 00:19:37

Time is our most valuable resource.

349

: 00:19:39

Dr. Amy Marschall: So like, when

we go into practice and they're

350

: 00:19:41

like, find your niche, find your

scope, continuing ed is similar.

351

: 00:19:44

Like, what do you know about, what are

you qualified to tell other people about.

352

: 00:19:49

Nobody's going to be qualified to

speak on absolutely everything.

353

: 00:19:52

I'll regularly just kind of,

Put out a blast and be like,

354

: 00:19:55

what should I talk about next?

355

: 00:19:57

And someone will mention something.

356

: 00:19:58

And I'm like, I'm not even kind of

qualified to talk about that, I hope

357

: 00:20:02

you find what you're looking for.

358

: 00:20:04

Maybe if you're saying it because you

have expertise on it, you can create it.

359

: 00:20:10

Natasha Moharter: The other thing

that stands out too is that,

360

: 00:20:12

representation again matters and

our voice and the way that we say

361

: 00:20:15

it might resonate with somebody and

might not resonate with somebody else.

362

: 00:20:19

And I know there are various authors

that I read and, somebody else that

363

: 00:20:23

I've read maybe has said the same exact

stuff, but they didn't resonate with me.

364

: 00:20:27

This person over here did.

365

: 00:20:28

And so again, getting our voice out there,

you don't have to be an expert, right?

366

: 00:20:32

You can be a contributor, you

can get your stuff out there.

367

: 00:20:35

And you don't have to know

everything about everything.

368

: 00:20:37

And it's okay to say, I'll get back

to you and I will do some research.

369

: 00:20:41

Dr. Amy Marschall: Yeah, I read somewhere.

370

: 00:20:42

There's this show to tell the truth

where there's three people who are all

371

: 00:20:46

claiming to be one specific person.

372

: 00:20:49

You have to guess who's lying.

373

: 00:20:51

I was reading something that was

like, you can always tell who's

374

: 00:20:54

the real expert because ask them a

technical question and the expert at

375

: 00:21:01

some point will say, I don't know.

376

: 00:21:03

The liars will make something up to

be like, I definitely know everything

377

: 00:21:06

about this, but the real expert is

the one who's willing to be like,

378

: 00:21:11

actually, that's not something

that I have at the top of my brain.

379

: 00:21:14

I can look it up though.

380

: 00:21:15

I know where to find it.

381

: 00:21:17

Natasha Moharter: So question

is there a difference between

382

: 00:21:19

live and asynchronous training?

383

: 00:21:21

Dr. Amy Marschall: So APA has two tracks.

384

: 00:21:23

There was a discount if

you signed up for both.

385

: 00:21:25

So I just got both.

386

: 00:21:27

There's live and then

there's home studies.

387

: 00:21:30

As the names suggest, the live courses

are done live and the home studies are

388

: 00:21:35

done at your own pace, your own time.

389

: 00:21:37

I've primarily done home studies just

because I found that it's again for

390

: 00:21:42

me, I like home studies because I

can pause and I can go back and I can

391

: 00:21:47

break down a one day training into

like an hour a day for a week and get

392

: 00:21:55

through all the content, which is great

because we are all incredibly busy.

393

: 00:22:00

Having ADHD, there are times that

I'll listen to something and suddenly

394

: 00:22:05

be like, Oh, hey, I have been

zoning out for the last 15 minutes.

395

: 00:22:09

And with a home study, I can just

hop back 15 minutes on the video

396

: 00:22:12

and still get that information.

397

: 00:22:14

I do a lot of videos, but, it

doesn't have to just be videos.

398

: 00:22:17

You can do written modules, you

can do other ways of learning.

399

: 00:22:21

And that's the cool

thing about home studies.

400

: 00:22:23

A live webinar kind of has to be me

talking, but a home study can have

401

: 00:22:28

components and actually like my I mean my

home studies all have video because I like

402

: 00:22:32

to relay information I like to hit record

and then just kind of talk for a while.

403

: 00:22:37

Um, I've called it

monetizing my info dumps.

404

: 00:22:40

But a lot of my home studies have

follow up homework assignments.

405

: 00:22:44

So like, um, like I have a home study

on diagnosing autism in adults and it's

406

: 00:22:52

three CEs, but I believe my lecture

is closer to two hours because part

407

: 00:22:57

of the CE is I provide my template

for how I write those reports.

408

: 00:23:03

And I say now that

you've watched the video.

409

: 00:23:05

Review these templates, spend this

amount of time reviewing the templates,

410

: 00:23:09

and then spend this amount of time

creating your own template, and

411

: 00:23:13

then pull it into your own practice.

412

: 00:23:15

So, I don't have to talk for three hours

to have it be three CEs, but it has

413

: 00:23:20

to be three hours on the participant's

end and then they not only have the

414

: 00:23:24

knowledge, but they come out of the

course with here's how I want my

415

: 00:23:27

reports to look and I can make my report

writing time more efficient because

416

: 00:23:31

I have made my templates ready to go.

417

: 00:23:34

Natasha Moharter: You're giving people

the information and then it's like you can

418

: 00:23:38

literally take this and go implement it.

419

: 00:23:41

Dr. Amy Marschall: Which is, by the way,

that's one thing that APA really likes.

420

: 00:23:43

They want you to say what is someone

taking this course, what are they

421

: 00:23:48

going to be able to do the second

that certificate is in their hands?

422

: 00:23:52

What are they going to be able to

do because they took the course

423

: 00:23:56

and sometimes they get I'll be

honest, they get particular in

424

: 00:23:59

ways that are sometimes pedantic.

425

: 00:24:01

But the, you know, one of the things is

like your outcome objective can't be,

426

: 00:24:06

I'm going to understand this concept.

427

: 00:24:08

Your objective has to be, what am I

going to do with that information?

428

: 00:24:12

Like, I'm going to be able to

take this concept and craft a

429

: 00:24:16

treatment plan from that lens.

430

: 00:24:18

I'm going to understand this concept

and have five actionable things that

431

: 00:24:22

I could do in a session because of

my understanding of this concept.

432

: 00:24:27

Cause that's the difference between

continuing ed and just kind of

433

: 00:24:30

learning about a topic because you're

interested in it is being able to

434

: 00:24:34

say like, here's how this information

is like informing my career.

435

: 00:24:39

Natasha Moharter: Absolutely.

436

: 00:24:40

I think it's such a helpful

framework especially when you're

437

: 00:24:42

starting to develop the courses.

438

: 00:24:44

One of my experiences in creating

content was I wanted to throw

439

: 00:24:48

everything in there because I was

like, they need to know everything.

440

: 00:24:51

Am I really doing a good job?

441

: 00:24:53

I did a training.

442

: 00:24:54

It was an hour long training on

OCD and I threw in so much info.

443

: 00:24:58

The responses that I got

were, this was great.

444

: 00:25:01

And it was a little bit like

drinking from a fire hose.

445

: 00:25:04

And I think we need more info on this.

446

: 00:25:05

And I was like, oh, I only needed

to bring like two of those concepts.

447

: 00:25:09

Dr. Amy Marschall: And another thing

too, is that, typically, well, I

448

: 00:25:13

don't know about NBCC and the other

approval processes because I've

449

: 00:25:17

only done APA, but the standard is

everything has to be appropriate

450

: 00:25:21

for someone who's post licensure.

451

: 00:25:23

So I can't come in and be like,

here's what a therapy session,

452

: 00:25:26

like it has to be material that's

relevant to the people I'm marketing

453

: 00:25:30

the course for, but there's levels.

454

: 00:25:33

So you can say this is introductory,

intermediate, or advanced.

455

: 00:25:36

So like I have a course on what it

means to be neurodiversity affirming

456

: 00:25:42

as a mental health professional.

457

: 00:25:44

And that one is marketed as an

introductory level course to this concept.

458

: 00:25:49

And then I have a course on neurodiversity

affirming, autism evaluations.

459

: 00:25:54

If you don't know what it means to be

neurodiversity affirming, you should take

460

: 00:25:57

this course first, or another course like

this first and then come back because I'm

461

: 00:26:03

not going to sit here and review all of

the philosophy behind this because you're

462

: 00:26:07

here to learn how to take that knowledge

and implement it in this setting.

463

: 00:26:12

If you want me to talk for an hour

and you want it to be intro level,

464

: 00:26:15

then I'll get into here's what the DSM

says and here's what that looks like.

465

: 00:26:20

And here's what a level is and here's

how to use that label in a way that's

466

: 00:26:24

going to be helpful rather than harmful.

467

: 00:26:27

But if you're like, okay, we'd like these

to be people who already understand what

468

: 00:26:31

this topic is and they want to elevate

things that they're already doing, then

469

: 00:26:34

I'm like, all right, I'll start up here.

470

: 00:26:38

Natasha Moharter: You don't have to

throw in all the information, you

471

: 00:26:40

can really conceptualize, okay, this

is for intro, this is for moderately

472

: 00:26:45

advanced, and then we have advanced.

473

: 00:26:46

Dr. Amy Marschall: For OCD, if

it's an intro and it's like, okay,

474

: 00:26:48

you're a mental health provider.

475

: 00:26:50

You obviously know what OCD is, but

you maybe don't have any experience

476

: 00:26:54

treating it versus this is for

people who specialize in OCD, who

477

: 00:26:58

want to get more advanced concepts.

478

: 00:27:00

The amount that you explain what OCD

is and how prevalent it is and how to

479

: 00:27:05

diagnose it like there's things you can

skip over if you're like everybody in

480

: 00:27:09

this room already specializes in OCD.

481

: 00:27:13

Natasha Moharter: Absolutely.

482

: 00:27:14

So that brings us to marketing

and kind of niching down.

483

: 00:27:17

And I think when we talk about

who are we advertising this to?

484

: 00:27:22

Is it an intro level?

485

: 00:27:23

Is it more advanced?

486

: 00:27:25

And we know that all the business gurus

say, you have to know your market.

487

: 00:27:29

You have to know your population.

488

: 00:27:30

What are their problems

that they need solved?

489

: 00:27:32

And how do you, create that solution

and that bridge from where they're

490

: 00:27:35

at to where they want to be.

491

: 00:27:36

Dr. Amy Marschall: So there's kind of,

and I think this was me, the way that

492

: 00:27:41

I was interpreting the information,

because they're like, find a problem,

493

: 00:27:45

and offer a solution and I'm like,

Oh, you want me to tell you the

494

: 00:27:49

problems in the mental health field?

495

: 00:27:50

All right, I've got a list.

496

: 00:27:52

But then I started offering solutions

to problems that like maybe other people

497

: 00:27:57

weren't seeing as a priority to solve.

498

: 00:28:01

I'm like, well, it's, it's a problem

that historically the field of

499

: 00:28:05

psychology has offered treatment

options for autism that objectively

500

: 00:28:11

there's research to show that this

treatment increases their risk for PTSD.

501

: 00:28:16

In what world is it acceptable and ethical

for me to recommend that my client do

502

: 00:28:22

something that is likely to increase the

risk that they're going to be traumatized.

503

: 00:28:27

That's not okay.

504

: 00:28:29

So I start speaking about that and a

lot of people are like No, and it's

505

: 00:28:34

like, what do you mean no, and so my,

the problem is that I try to market

506

: 00:28:40

to the problems as I see them, and

then other people don't agree with me.

507

: 00:28:44

One of the books I wrote is on ethical

and legal clinical documentation

508

: 00:28:49

with children and adolescents.

509

: 00:28:51

A few people that I've talked

about it with were like, a lot of

510

: 00:28:54

people just don't bother keeping

good records like they don't really

511

: 00:28:58

care to write good progress notes.

512

: 00:29:00

It's a problem because we're supposed

to write and keep good documentation.

513

: 00:29:04

But when you're marketing a book of,

hey, we're supposed to be doing this

514

: 00:29:09

do you want to do it better to someone

who's like no I'm just not going to

515

: 00:29:12

bother to do it at all they're still

not going to buy your book, they're

516

: 00:29:15

still not going to attend your course.

517

: 00:29:17

Finding the problems that other people

are also willing to work on, and also

518

: 00:29:23

like being able to market things in a

way where you're explaining to people

519

: 00:29:26

why this is an issue, even if they

maybe didn't recognize it as an issue

520

: 00:29:30

before you brought it up to them.

521

: 00:29:33

Natasha Moharter: Absolutely.

522

: 00:29:33

And there's so many things that

are vying for our attention, right?

523

: 00:29:37

Dr. Amy Marschall: Yeah well I

think you have to like I do have

524

: 00:29:39

a feedback form that everyone

has the opportunity to fill out.

525

: 00:29:43

And I have a contact form on my

website specifically for people who

526

: 00:29:47

have taken my courses for questions

or comments that they want to send me.

527

: 00:29:52

Natasha Moharter: Whenever you're

putting stuff out there into the

528

: 00:29:53

world, people can have opinions, right?

529

: 00:29:55

They don't, nobody, not

everybody is going to agree.

530

: 00:29:58

I think that it can be vulnerable to

put our work out there or to teach

531

: 00:30:02

something and in some of my eval

forms, you know, the majority is good.

532

: 00:30:06

And then sometimes people just

have like, oh, you didn't do this.

533

: 00:30:09

And you're like, Oh, I didn't

know that that was important.

534

: 00:30:11

Okay.

535

: 00:30:12

That's, that's good to know.

536

: 00:30:13

Ouch.

537

: 00:30:13

A little bit.

538

: 00:30:14

And okay, moving on.

539

: 00:30:16

Dr. Amy Marschall: Some of what I teach

is here's an intervention that some

540

: 00:30:20

of my clients have found helpful and

another provider is going to be like,

541

: 00:30:23

I would never do that in my sessions.

542

: 00:30:26

That's fine.

543

: 00:30:26

Clients who take to their style better

than mine still need providers to go to.

544

: 00:30:32

I don't have time to see everybody and

I'm not the right fit for all the clients.

545

: 00:30:35

I've gotten feedback that my

courses speak on social justice too

546

: 00:30:39

much, but I'm like, diagnosis is

political, psychology is political.

547

: 00:30:44

If you don't want to hear it in your

CEs, then go to another provider.

548

: 00:30:48

Natasha Moharter: There you go.

549

: 00:30:49

Dr. Amy Marschall: Well, now I'm going

to talk about social justice even harder.

550

: 00:30:52

Like, what does this have

to do with diagnosing ADHD?

551

: 00:30:54

And I'm like, well, the

disparities in access to an

552

: 00:30:57

accurate diagnosis, first of all.

553

: 00:31:00

Ableism, discrimination, stigma,

second of all, like, where

554

: 00:31:04

would you like me to begin?

555

: 00:31:05

Neurodivergent people have higher

rates of poverty and there's a

556

: 00:31:09

genetic link in most neurodivergences.

557

: 00:31:13

So you've got kids who are more

likely to have this diagnosis

558

: 00:31:18

because of systemic oppression that

their parents have grown up with.

559

: 00:31:22

And then you've got the additional

barriers to them getting

560

: 00:31:25

the support that they need.

561

: 00:31:26

And it perpetuates this cycle.

562

: 00:31:28

I'm sorry, you don't see the connection,

but you know, maybe if this isn't

563

: 00:31:32

important to you, you shouldn't be

working with a marginalized population.

564

: 00:31:38

Natasha Moharter: And you're

bringing that in your content,

565

: 00:31:40

you're sharing that knowledge.

566

: 00:31:42

I also really appreciate your honesty with

that marketing is kind of a challenge.

567

: 00:31:47

I didn't take any marketing or

business courses in my graduate career.

568

: 00:31:51

Dr. Amy Marschall: And if anything,

they kind of teach us that marketing's

569

: 00:31:54

icky, like, oh, you're a mental health

professional you're here to help people

570

: 00:31:58

you're not here to like sell something

and I'm like, well, you know, we didn't

571

: 00:32:03

invent capitalism we just live here, and

we have to, first of all, we can't help

572

: 00:32:08

anybody if they don't know that we exist.

573

: 00:32:10

I have my book coming out next April, The

Neurodiversity Affirming Mental Health

574

: 00:32:14

Care What Every Therapist Needs to Know.

575

: 00:32:18

And my editor was like, what if instead

of marketing, we called it visibility.

576

: 00:32:22

And I was like, I love that, because

577

: 00:32:25

Natasha Moharter: That is amazing!

578

: 00:32:26

Dr. Amy Marschall: It's not that I'm some

like, sleazy stereotype of the used car

579

: 00:32:31

salesman, who's like trying to trick you.

580

: 00:32:34

I'm trying to let you know that I

have something that could help you.

581

: 00:32:38

But that makes the marketing

difficult because I don't

582

: 00:32:40

know how to be like flashy.

583

: 00:32:42

And like, you know, I talked with the

marketing department at PESI because

584

: 00:32:46

they're like we're putting together

the materials so that people know your

585

: 00:32:49

course exists so they can take it,

and they're like how do we make it

586

: 00:32:52

flashy and I was like, I don't know.

587

: 00:32:56

Why should people take this course

and I'm like, this is, this is good.

588

: 00:33:00

It's good.

589

: 00:33:00

Natasha Moharter: It's important.

590

: 00:33:01

Dr. Amy Marschall: Important topic

like I don't know and they're like

591

: 00:33:04

okay but, you know, there are a

lot of courses on important topics.

592

: 00:33:08

We need yours to stand out

or no one's going to see it.

593

: 00:33:10

And I'm like, yeah.

594

: 00:33:12

Natasha Moharter: And sometimes when we

have topics that aren't so flashy or fun,

595

: 00:33:16

there's still so much importance to that.

596

: 00:33:18

There's still a market for that as well.

597

: 00:33:20

Dr. Amy Marschall: Trauma informed

care, flashy, like, hey, we're going

598

: 00:33:23

to talk about supporting someone who

survived horrific, grotesque abuse, like.

599

: 00:33:30

See you Friday morning.

600

: 00:33:31

It's going to be awesome.

601

: 00:33:32

Natasha Moharter: Like bring your coffee!

602

: 00:33:34

Dr. Amy Marschall: Let's

make it fun and lighthearted.

603

: 00:33:36

Like, you know, it's important.

604

: 00:33:38

I had my autism and trauma course recently

and I was like, we're going to talk

605

: 00:33:42

about how the mental health system has

let this community down and hurt the

606

: 00:33:45

people that we're supposed to be helping.

607

: 00:33:47

I don't know how to make that

sexy and catchy for a commercial.

608

: 00:33:50

I don't know what to

tell you other than that.

609

: 00:33:52

It matters.

610

: 00:33:52

So that's something that's

been a work in progress for me.

611

: 00:33:56

Cause I do have social media presence,

but a lot of my following is like, it's

612

: 00:34:01

awesome that you're making these courses.

613

: 00:34:03

I'm not a therapist, so I'm

not going to take it, but I'm

614

: 00:34:05

glad you're putting it out.

615

: 00:34:06

And I'm like, that's great.

616

: 00:34:07

And I'm glad that the people I'm here to

help feel that this content is important

617

: 00:34:11

for mental health professionals to have.

618

: 00:34:14

And also like, how do I get it in front

of the actual mental health professionals?

619

: 00:34:19

Natasha Moharter: Like you said, there's

that balance, right, between I don't want

620

: 00:34:21

to be salesy, but I do want to be visible.

621

: 00:34:23

I think that's another really neat part

of becoming a CEU provider is that you're

622

: 00:34:28

not just helping the one therapist, right?

623

: 00:34:30

Dr. Amy Marschall: There's only so many

people you or I could see in a given

624

: 00:34:33

week doing therapy full time, but if you

create a course that a hundred people

625

: 00:34:38

take, you're now by extension helping

every client of those hundred people.

626

: 00:34:44

Natasha Moharter: And the other thing

with the home study is you don't

627

: 00:34:46

have to have butt in seat hours.

628

: 00:34:49

It's like money while you sleep because

they are able to take it whenever

629

: 00:34:53

it is a convenience to them not just

Friday mornings at eight or I do

630

: 00:34:56

mine on Saturday mornings, which is

a day that typically people are off.

631

: 00:35:00

Dr. Amy Marschall: Like, I'm

international, like in New

632

: 00:35:02

Zealand, it is, it's about 7am on

Monday in New Zealand right now.

633

: 00:35:09

Natasha Moharter: How interesting!

634

: 00:35:10

Dr. Amy Marschall: It's hard.

635

: 00:35:10

I'm doing some live webinars in

New Zealand in the coming months.

636

: 00:35:14

And the times are so like, we're

finding times that, that are my business

637

: 00:35:18

hours and their business, but the

overlap is like a three hour window.

638

: 00:35:23

Natasha Moharter: What is it like

to be a provider in New Zealand?

639

: 00:35:26

Dr. Amy Marschall: Yeah, so that

happened because, I got married

640

: 00:35:29

in 2019 and we had our honeymoon.

641

: 00:35:32

We went to Wellington and then we

took this guided tour of the North

642

: 00:35:36

Island up to Auckland and then we

went to Waiheke Island, which is north

643

: 00:35:40

of Auckland there are a couple of,

vineyards there and we did wine tastings.

644

: 00:35:44

It was awesome.

645

: 00:35:45

While I was there, I met

a woman who runs a clinic.

646

: 00:35:48

And so I ended up having an impromptu

job interview, like a normal

647

: 00:35:51

thing to do on your honeymoon.

648

: 00:35:54

So, I ended up with a job offer in

Auckland, that was offered to me, I

649

: 00:35:59

believe it was the 10th of March, 2020.

650

: 00:36:03

You're not going to

believe what happens next.

651

: 00:36:05

Natasha Moharter: A couple days later.

652

: 00:36:08

Dr. Amy Marschall: We're figuring

stuff out and they're like, you

653

: 00:36:10

have to go to your doctor and

get an immigration physical.

654

: 00:36:12

That's the first thing you have to do.

655

: 00:36:14

So they send me the form a week later

and I call my doctor and I'm like,

656

: 00:36:17

Hey, I need an immigration physical.

657

: 00:36:18

And my doctor said, we just had our first,

confirmed community transmission of COVID.

658

: 00:36:23

We're not doing non essential procedures.

659

: 00:36:25

Please call us back in two weeks.

660

: 00:36:28

And so when they said, call us back

in two weeks, I spent those two

661

: 00:36:32

weeks putting together my licensure

application and I sent it in and then

662

: 00:36:38

their licensing board closed and their

borders closed for like 18 months.

663

: 00:36:44

I guess that's a bust.

664

: 00:36:45

And then all of a sudden, one day I

got an email that was like, Hey, you

665

: 00:36:49

know, we've processed your application.

666

: 00:36:51

When are you getting here?

667

: 00:36:52

And I was like, I thought

that wasn't an option anymore.

668

: 00:36:58

So I was initially registered non

practicing, but then with telehealth,

669

: 00:37:02

I've, I activated my license and I've

just been working remotely, which is cool.

670

: 00:37:07

I get to specialize, you know, a

lot of ADHD and autistic people have

671

: 00:37:11

a weird relationship with sleep.

672

: 00:37:13

So like when I'm scheduling people, I'll

get appointment requests and I'll email

673

: 00:37:19

and I'll be like, Do you realize that

you selected an appointment at 3 a.m.?

674

: 00:37:23

Like, was there an issue

with the time conversion?

675

: 00:37:25

They're like, no, I know that's 3 a.

676

: 00:37:27

m.

677

: 00:37:27

I'm going to be up anyway.

678

: 00:37:28

And I was like, all right.

679

: 00:37:30

I've got four time zones in the U

S plus the New Zealand time zone.

680

: 00:37:35

I think this is a good thing, but

the New Zealand licensing board takes

681

: 00:37:38

cultural competence very seriously.

682

: 00:37:41

So they're like, all of your cultural

experiences are remote and I'm like, yes.

683

: 00:37:45

Because I am in South Dakota.

684

: 00:37:47

And they're like, okay, but

you've got to do some in person.

685

: 00:37:50

So we're trying to figure out

when that's going to happen.

686

: 00:37:53

Natasha Moharter: Is there anything

else from your perspective that

687

: 00:37:56

would be helpful for a CEU provider

that's on this journey that wants

688

: 00:38:00

to maybe follow in your footsteps?

689

: 00:38:02

Dr. Amy Marschall: You don't have to do

all the things you can decide what things

690

: 00:38:05

you really, really want to focus on.

691

: 00:38:08

And there's just so many different

options and routes for your business.

692

: 00:38:11

You can say, I want to get my own

CE sponsorship, or you can say, I

693

: 00:38:16

want to partner with someone else to

sponsor these if you don't want to

694

: 00:38:20

be doing the marketing side of things

at all, you can say, I'm going to

695

: 00:38:24

apply with this organization and then

they're going to do that piece of it.

696

: 00:38:27

And I can just focus on making content.

697

: 00:38:30

It's really just kind of what do

you want your energy to go into?

698

: 00:38:33

Cause there's a trade off like with

me getting my own sponsorship, it

699

: 00:38:37

was because I wanted to choose the

topics that were important to me.

700

: 00:38:41

And not have to convince someone else

that those topics were important.

701

: 00:38:46

If I were using someone

else's sponsorship, I would

702

: 00:38:48

need that buy in from them.

703

: 00:38:50

Say what you will about PESI.

704

: 00:38:52

They have the biggest

mailing list of anybody.

705

: 00:38:56

And if you do a course with them,

people are going to know that it exists,

706

: 00:39:01

it's going to get in front of people.

707

: 00:39:03

I've had people I have not spoken

to in over a decade emailing me

708

: 00:39:09

and they were like, this is you.

709

: 00:39:10

Right.

710

: 00:39:11

And I'm like, yes.

711

: 00:39:13

Natasha Moharter: And

it's effective, right?

712

: 00:39:14

If they have the resource, it's like

you said, sometimes that can be the

713

: 00:39:19

choice that you make as a CEU provider.

714

: 00:39:21

If you don't want to do all of the things.

715

: 00:39:23

Before we wrap up,

716

: 00:39:25

can you share with us a little bit

more about the trainings that you

717

: 00:39:28

have, the certification that's coming

up, your book, and any other of

718

: 00:39:31

your amazing resources that would

be helpful for us to know about?

719

: 00:39:35

Dr. Amy Marschall: Yeah, sure.

720

: 00:39:35

So, on my website, there's the

blog, and I think I'm up to, like,

721

: 00:39:39

530 posts or something like that.

722

: 00:39:41

And that's all sources

that are freely accessible.

723

: 00:39:45

Some of it is for, the general public.

724

: 00:39:47

Like I talk about, here's

how health insurance works.

725

: 00:39:50

Here's why your therapist might

not want to be in network.

726

: 00:39:53

Like, here's how you can argue

with your insurance company to

727

: 00:39:56

give you coverage, stuff like that.

728

: 00:39:58

But then there is a link on the

website to my courses that I've

729

: 00:40:01

done with other organizations.

730

: 00:40:02

And then there are 13 courses

that I've created for CEs that are

731

: 00:40:08

available, through the website.

732

: 00:40:11

I've written quite a few books, there's a

link on the website that has all of them.

733

: 00:40:15

But there's, uh, there's a few, you

know, telehealth, Neurodiversity

734

: 00:40:18

Affirming Support for Autistic People,

neurodiversity affirming therapy as that

735

: 00:40:23

umbrella term, Clinical Documentation

with Children and Adolescents.

736

: 00:40:28

I also have three children's books,

one co written with each of my cats.

737

: 00:40:32

Slipper the Penguin, which is

about a penguin who thinks she's

738

: 00:40:36

bad at being a bird because

she can't fly like her friends.

739

: 00:40:39

Then she meets other penguins and

learns that she's good at other things.

740

: 00:40:42

She also has a board game that my

illustrator and I just launched

741

: 00:40:45

it's a cooperative board game where

you work together to help Slipper,

742

: 00:40:49

you know, find her penguin friends.

743

: 00:40:51

But my cats, one has diabetes.

744

: 00:40:54

He's 14 years old, Armani.

745

: 00:40:56

So he has a children's book

about how the vet helped him

746

: 00:40:59

feel better when he got sick.

747

: 00:41:01

And then Vera, our other cat, was a stray.

748

: 00:41:04

And she has a trauma response to a number

of strange things we think it's connected

749

: 00:41:10

to the fact that she used to live outside.

750

: 00:41:12

Her book is about how she gets scared.

751

: 00:41:15

Even though she's safe now, she still

gets scared sometimes because she

752

: 00:41:18

knows what it's like to not be safe.

753

: 00:41:20

And how we help her when she's feeling

scared, even if it doesn't make sense to

754

: 00:41:24

us, why something would be scary for her.

755

: 00:41:26

So, you know, trauma,

illness, neurodivergence.

756

: 00:41:29

It's kind of checking all the boxes.

757

: 00:41:33

Natasha Moharter: And what's so

cool is just the creativity behind

758

: 00:41:36

this, and that you don't just have

to provide a live webinar right you

759

: 00:41:40

can find your creative aspects and

things that are important to you.

760

: 00:41:45

My humble biased opinion, our

pets can be so, so important

761

: 00:41:48

and so helpful in this journey.

762

: 00:41:51

Dr. Amy Marschall: Yeah.

763

: 00:41:51

Oh, my first children's book is Armani

Doesn't Feel Well, and it's because

764

: 00:41:56

when he, when he was, well, first of

all, in: 2020

765

: 00:42:01

and therapy was online, I had a lot of

kids who didn't want to come to therapy

766

: 00:42:05

because I've been in Zoom all day.

767

: 00:42:07

I don't want to be in Zoom anymore.

768

: 00:42:08

So I trained him to join Zoom

meetings and he would get a treat.

769

: 00:42:12

So they would come.

770

: 00:42:13

Vera, I tried to train her

to come get treats on Zoom.

771

: 00:42:16

She had no interest in being on camera.

772

: 00:42:18

And I said, you know what?

773

: 00:42:19

Fine.

774

: 00:42:19

I respect that you're not

obligated, but Armani would.

775

: 00:42:22

And then he was, diagnosed

with diabetes and he has to get

776

: 00:42:26

insulin injections twice a day.

777

: 00:42:29

So when I work with kids who either

have a medical issue or if they're

778

: 00:42:34

taking medication for their mental

health or for ADHD or whatever,

779

: 00:42:38

Armani is the example of, you know,

he doesn't always like it either, but

780

: 00:42:43

when we go to poke him, he growls,

but he holds still and lets it happen.

781

: 00:42:47

Maybe I'm projecting a sentience

onto my cat, but I like to think it's

782

: 00:42:53

because he knows I don't enjoy this,

but after you do it, I feel better.

783

: 00:42:57

So I would like you to do the thing

that makes me feel better basically.

784

: 00:43:00

And I was like, it could

be a children's book.

785

: 00:43:03

Natasha Moharter: You really put a lot of

effort and work into your books, into your

786

: 00:43:07

content creation, the trainings, right?

787

: 00:43:10

Getting your name out there, in

terms of sharing the knowledge

788

: 00:43:12

and the wisdom that you have about

topics that are important to you.

789

: 00:43:16

And my guess is, even when, content

creation isn't fun, when we're kind

790

: 00:43:19

of like, I have to do what, right?

791

: 00:43:21

This isn't the part that I signed up for.

792

: 00:43:24

Because it matters to you so much, you

can keep going, you can keep pushing.

793

: 00:43:27

Dr. Amy Marschall: Yeah.

794

: 00:43:30

Natasha Moharter: If people want to

find you where would they reach you?

795

: 00:43:33

Dr. Amy Marschall: The main way would be

my website, resiliencymentalhealth.com.

796

: 00:43:38

Resiliency with the Y.

797

: 00:43:39

I've got my blog on there.

798

: 00:43:40

So there's a whole bunch of

resources that are free to access.

799

: 00:43:43

And there's a contact form

for continuing education.

800

: 00:43:46

Basically, if it's not regarding

an existing course, you can

801

: 00:43:50

just write collaboration under

what course it's regarding.

802

: 00:43:54

If you're like, I want to get my own

APA sponsorship, but I want a consult

803

: 00:43:58

to help with that, I can be that.

804

: 00:44:00

If you want to collaborate, and I sponsor

the course you've already created, RMH

805

: 00:44:04

education has the courses that I have

created and I'm currently co sponsoring.

806

: 00:44:10

So if you need to check

your CE boxes, I have that.

807

: 00:44:14

The most common question I get

following someone taking one of

808

: 00:44:17

my courses is does such and such

licensing board recognize this?

809

: 00:44:22

You would have to ask them.

810

: 00:44:24

There are 50 United States,

several US territories also

811

: 00:44:30

have their own licensing boards.

812

: 00:44:33

And each of those states also has

a psychology board, a social work

813

: 00:44:38

board, a counseling board, a marriage

and family therapy board, It is

814

: 00:44:42

literally hundreds of licensing boards.

815

: 00:44:44

No, I cannot keep track of

each of the requirements.

816

: 00:44:47

I have a hard enough time

keeping track of the CE boxes I

817

: 00:44:51

have to check for my licenses.

818

: 00:44:54

So I know people want to know

and they want to be sure and I 100

819

: 00:44:58

percent respect that, but you gotta

ask the board what they'll accept.

820

: 00:45:02

If they accept APA then

they'll accept mine.

821

: 00:45:06

If you have an ethics requirement, if

they accept under APA standards, then

822

: 00:45:10

mine that say ethics, would be accepted,

then it just depends on the board.

823

: 00:45:15

Natasha Moharter: Dr.

824

: 00:45:15

Amy Marschall, again, thank you

so much for your time and for

825

: 00:45:18

your willingness to be here today.

826

: 00:45:19

It has just been such an honor to

have this conversation with you.

827

: 00:45:22

I know we briefly interacted on the

Facebook group, but this was just

828

: 00:45:25

such an honor to get to meet you today

virtually, with the Wi Fi that we pay for.

829

: 00:45:30

Dr. Amy Marschall:

Yeah, thank you so much.

830

: 00:45:31

It was great to be here and

it's always good to talk about

831

: 00:45:33

everything that I'm doing.