The mental and emotional toll of not being seen in training.

A member writes…

I’m a quarter of the way through my supervision training, and I’m having a strong sense of déjà vu. The coursework is intense, with much material to cover between classes. I’m strategising to make time within a busy work week to cover all the pre-class learning, much as I did when I studied my level 4 counselling diploma. I’m back in triads, practicing skills with classmates as we work through the theory we are all studying together. There’s a lot of discussion in the group chat about things that are coming up in the reading and reflections on what we’re learning. 

These aren’t the main things causing the sense of similarity, though. The feeling of history repeating comes from the fact that, in spite of having my pronouns clearly marked next to my name in the online learning platform and the group chat, so far no-one has referred to me using the correct ones.

Plus ça change, plus c’est la meme chose

In some ways, things are different. This course is different. We are all qualified and experienced therapists with at least a few years of therapy under our belts, in some cases many more years than that. 

We are also doing the course online and, although I completed the last two modules of my Level 4 online at the start of the pandemic, I did most of my counselling training in-person where I could share physical space with classmates and talk between teaching. The supervision course is quite rightfully enforcing screen breaks between teaching sessions on the classroom days. However, this means that you don’t get to talk to classmates informally.

The supervision course is communicating very clearly that it is aware of diversity. On the pre-recorded lecturers, the tutor is careful to point out the sexist nature of a lot of the idioms that are used in common parlance and is clearly taking care to refer to men, women, and people outside that binary. They invite people to approach them with any accommodations they could make for disability or neurodivergence. They are, in short, doing more than my Level 4 ever attempted. 

I made it clear that I was non-binary and used they/them pronouns with my diploma tutors and classmates on multiple occasions and, after the only other queer participant left after level 3, not a single person ever used my pronouns. My first interaction with people on the supervision course was at our first session where we were split into breakout groups to discuss hopes and fears for the course and one of the people in my group recognised my name from the group chat (where I also have my pronouns next to my name) and cried “oh! You’re the lady with the lovely dog in your profile picture!” Having spent most of my professional life working with queer and trans colleagues and clients for the past six years, I was so taken aback that I didn’t say anything.

Since then, not a single person has used the correct pronouns for me. I’ve had 12 hours of contact time so far. I have 24 hours to go. By the end of the second virtual classroom day, I was so exhausted, I immediately lay down and fell into a dreamless sleep.

Death by a thousand cuts

In my day-to-day life, I don’t really care what pronouns people who don’t really know me use to refer to me. I know that to a lot of people, I look like a middle-aged woman. I find it sort-of surprising when people refer to me with she/her pronouns, in the sense that I have a tendency to look over my shoulder for who they’re talking about, then realise it’s me. Even so, I don’t find it upsetting. I don’t expect people to know what I haven’t told them, and I don’t want to spend the whole of my life having conversations with shop assistants about gender.

It feels significantly different when it’s in a context where I’m surrounded by professionals who have been trained in entering someone else’s frame of reference and showing them respect and positive regard. The participant who called me “the lady with the dog” is the only person so far I’ve responded to and asserted my gender and pronouns. The response was to say “oh, I think someone told me about non-binary” without apologising or changing anything.

Since then, no-one has used the correct pronouns in any of the feedback from triads, which is the main place where I’m finding myself referred to in the third person. We are usually rushing through the practice and feedback so we can get as much out of the time as possible. 

The microaggressions and microinvalidations really do feel like death by a thousand cuts. No-one is being overtly horrible to me. Everyone I have directly interacted with so far is otherwise caring and considerate. I don’t feel like anyone is deliberately trying to upset me. There’s no sense that I’m surrounded by gender-critical people trying to make a point. I just don’t feel seen or acknowledged. It’s making me feel like I’m losing my mind. 

It takes so much more energy to do training that is already very intense when I’m also taking emotional damage. It is hard to describe the weight I feel going into the sessions knowing that I’m not going to be seen. Even though I have had specialist training in working with queer and trans people and have read studies on the impact of microaggressions and microinvalidations, I simultaneously feel angry and like I’m making a fuss about nothing. 

I am carrying an emotional weight into the sessions that impacts my ability to participate in the work. It’s infuriating. As I put in my feedback from the most recent teaching day, it is adding to my cognitive and emotional load to be in an environment where my obviously displayed pronouns aren’t being used by anyone I’m interacting with. We have so little time in the breakout sessions that I don’t want to mention it. I don’t want to use the limited time we have to discuss skills practice on educating people about gender or managing other people’s emotions about being pulled up on getting it wrong. It’s making me dread going to the sessions instead of enjoying them and letting myself be myself freely, making mistakes and learning from them. 

I feel sad. For myself, for the trainee counsellors all over the country who may also be carrying this additional emotional weight, and for the countless clients of so many counsellors who may experience similar invalidation. I wish I had answers, but I don’t want to add to the burden of other people going through this by offering suggestions on how to call your colleagues out, and I am in no position to influence training organisations to do things differently. I am now in a position where I feel like this might be the last such qualification-focused course I do in my career, because I simply don’t have the energy to manage the ongoing emotional impact.

SCoPed and trans (and other marginalised) people

This is a post that got started some time ago but was neglected until now. The arguments still stand and so we are posting it with ‘better late, than never’ in mind. 

The 2023 BACP announcement that ‘all partners’ had decided to adopt SCoPEd is going to reframe what training means for qualified counsellors, along with who gets what, when, and how. What it will eventually mean is that according to your training you will enter at one of three points A, B or C (originally these columns were called ‘counsellor’ ‘psychotherapeutic counsellor’ and ‘psychotherapist’, but this was changed after an outcry- as if labelling the column differently is going to make a significant difference to the stratification of our profession). Jobs will likely be stratified according to at least the competences listed in the columns, if not clearly by the columns themselves.

We’d like to concentrate here on both the EDI assessment, and the impact that SCoPed will have on LGBTQIA+ practitioners and trainees as we move forward.

We will use the term ‘therapist’ here to cover anything that we would consider either ‘counselling’ or ‘psychotherapy’ in that whatever you call it, we are all aiming to be of some kind of therapeutic benefit when working with our clients.

Your TL;DR is: Without Membership Body (MB) data, we do not know if those in ‘protected characteristics’ will be discriminated against, and there is no MB data (and currently no suggestion that this will change). Whilst there will be the ability to move between (up through) columns post-training, it is likely to more significantly impact those with less privilege. A ‘column A’ therapist is expected to have less competences (and will be seen as less competent) than a column B therapist. It follows then that a column B therapist will likely be a higher paid role. 

So, those with less financial privilege (uniformly those who are more marginalised in society) will be most likely to participate in a ‘column A’ ranked training, ending them in a lower-paid job, which will render undertaking further training to get into column B (and C) more difficult (and it is likely that people will be unable to find out definitively from BACP BEFORE they pay for an additional training, whether that would qualify them to apply for the ‘next column’), and once that has happened, the individual will then have to pay to move into that next column.

For this EDI assessment, six therapists, a miniscule fraction of the 50,000+ therapists currently registered with BACP, were consulted, and the qualifications of the consultees is not disclosed. Despite there being very little actual EDI work in this EDI impact assessment, and the results suggesting that there will be at least some impact on those more marginalised, the EDI assessment suggests we make a start on SCoPEd as it is and trust that the rest is worked out along the way.

The EDI impact assessment

We believe that as a process, this EDI impact was flawed. There are six member organisations that have signed up to SCoPEd. Whilst there will be a percentage of people who are in multiple organisations, the membership for NCPS sits at over 9000, the membership for BACP sits at over 50,000, UKCP sits at over 11,000. That’s half the memberships listed, and although we expect BACP to be the largest, if we assume even 5000 for the others, that’s about 85,000 therapists (the SCoPEd announcement says 75,000), and more joining every year.

An ‘EDI impact assessment’ was commissioned to (one presumes) look at the impact of SCoPEd across all demographics.

This impact assessment was conducted by a company called Eastside Primetimers, who state: “The strategic objectives that the Partners set for SCoPEd draw our attention to the dependency of its success on equality, diversity and inclusion (EDI) considerations”. Before they started on this project, Eastside Primers were calling SCoPEd a ‘groundbreaking project’ and a ‘pioneering project’. We wonder how easy that would be to turn back on if you were to find significant issues with the project.

The report states that it has struggled to get any information about those who might be in protected characteristics from the membership bodies (MBs) and they state at the start of the document that they cannot say (yet) what the impact on those people who might experience less privilege will be. None of the data collected is cited as being race/ethnicity, cis/trans status or sexuality, or disability (pg 13). In those where gender was collected, the average number of men in the profession is 16%. The report suggests (pg 11) that should SCoPEd NOT go ahead, that this will disadvantage people who have less privilege. It does not seem clear on why this is so.

The EDI report acknowledges that the framework is not a public-facing document so it asks ‘a small number’ of the public (12 people who’d had experience of counselling) to consult with it about SCoPEd. They approached six counsellors, 3 of whom were men (meaning that men proportionally have more of a voice as a reflection of the profession here), five were white, five didn’t identity as disabled, and none stated any LGBTQIA+ identity. There is no suggestion of their socio-economic status either. Four people interviewed were in private practice. Again an interesting choice, as those in private practice are potentially least likely to be impacted by SCoPEd. 

They gathered six people for interview. There is no suggestion that, in this ‘equality and diversity impact’ consultation, they interviewed six people who might be qualified to speak about these topics. In fact, their report states “Some communities (such as those identifying beyond the gender binary) are not represented due to factors, such as not responding to the invitation to interview or not meeting the survey criteria in some way, such as not being a member of a registered professional body” (pg15).  Dominic Davies from Pink Therapy, “the UK’s largest independent therapy organisation working with gender, sex and relationship diverse clients” has stated that he was not contacted for any help, and that had he been so, he would have facilitated the reaching out. There are over 200 people listed on the Pink Therapy directory who have a specialism in LGBTQIA+ topics, and at the time of the consultation, 45 of these have ticked the ‘trans’ box as part of their own identity, suggesting that at a minimum there were 45 people listed with an MB who might have been open to being contacted. Several of those people are TACTT members and were not asked

We do not know for certain that The Black, African and Asian Therapy Network (BAATN) or Black therapy matters had a similar experience, but we’re willing to take a guess. This EDI ‘consultation’ didn’t try very hard to find a trans person (or any LGBTQIA+ person), interviews ONE disabled person, and ONE person from a minority racialised background, and gives no real impact on what SCoPEd might mean for therapists with marginalised identities.

We do not really see any EDI impact in this 27 page document until pg 19 when we find  “There is a risk that Partners’ membership data systems do not facilitate EDI-relevant analysis of progress in widening access to and progression within the profession, and so in turn ensuring that the framework does not exacerbate barriers to access and progression”. This says to us that there is no way that we can know if SCoPEd will have an impact on the most marginalised counsellors because MBs don’t collect that data.

Page 20 of the EDI assessment suggests that without the ability to move between columns with further training (rather than only ‘core training’, which would require a qualified counsellor to start again as if untrained), that this will compound the difficulties those therapists with ‘protected characteristics’ hold, and make higher columns inaccessible.

Despite the information given above, this consultation sees no reason why SCoPEd can’t go ahead as it stands and we can iron out the details later. A profession based on expertise especially in one’s own process should never be mediated by privilege. It is an impoverishment of the profession as well as injustice to practitioners with marginalised identities.

There is an interesting point in the data, which is that single women are less likely to support SCoPEd than partnered women, and we cannot help but wonder if this is part of the reason that SCoPEd votes are going through – that if you think it doesn’t affect YOU, PERSONALLY, you don’t necessarily consider the impact on other people. Those who are in a relationship will generally (we know, not always) have a second income coming into the family. Those who only have one income coming in have to be much more aware of SCoPEd and how this might impact. This ‘awareness of how all counsellors might be impacted is, in our opinion, what an EDI assessment would do.

This EDI assessment says: as SCoPEd stands, you can’t move across columns without investing in more training; those who are more marginalised can’t afford more training; some organisations have already said they will start to stratify therapists according to columns, thus ensuring that column A therapists can only do ‘lesser’ qualified roles (which presumably one then gets paid less for, or the thing that we CURRENTLY see, which is that someone is ‘good enough’ to volunteer, but not good enough to be paid), thus meaning that they earn less money and therefore have less income to be able to afford more training that might push them across columns. But please, feel free to get started and iron out these ‘small’ details later.

Trans folk, queer folk, disabled folk, folk with racialised identities, folk who are working class, will all find it difficult to move into the top two categories and are at risk of being pushed into lower paid jobs as a result, and kept there. For those people who are multiply marginalised this will be even more more likely and this ‘EDI impact assessment’ does not recognise intersecting axes of oppression in its report whatsoever.

Inspiration for inclusive practice and creating safe(r) spaces

This book review comes from another of our members.

Supporting Trans People of Colour: How to Make Your Practice Inclusive. By Sabah Choudrey

London: Jessica Kingsley Publishers, 2022

Paperback, 208 pages, £16.99. ISBN: 978-1787750593

I begin by acknowledging the lens through which I read this book and am writing now: I am a trans/non-binary psychotherapist; I am white, in my 50s, middle-class and neurodivergent.

On beginning to read Supporting Trans People of Colour: How to Make Your Practice Inclusive, I was struck by the author’s approach: Choudrey combines their own lived experience with voices from the community (via an anonymous survey) and with the voices, frameworks and tools of elders, researchers, leaders and organisations (for example, BARC Collective, adrienne maree brown, Brené Brown, Justice Founders and many more). This was a very powerful thread throughout the book and I experienced the writing as though it was flowing from a broad collection of lived experience and wisdom.

My second impression was of the holding and educating that is done by Choudrey. While the first section (Identity and Intersectionality) provides an extremely helpful resource on terminology, language, white privilege, cis privilege and the experience of trans people of colour in the UK in various areas (criminal justice, healthcare, faith, etc.), I wish that such education did not fall on the shoulders of those within the community and I acknowledge the effort it must have taken to put this book together.

The chapter Creating a Safe(r) Space was illuminating to me. Safety is such an important theme for the trans community and the encouragement to think about not being able to guarantee safe spaces but to “be accountable to harmdoing and transparent to risk taking” (p.67) in order to create safe(r) spaces, was very helpful for my own thinking about safety and the spaces I offer as a therapist, raising my awareness of my own responsibility. Equally, asking the question: “safer for whom?” (p.67) has already proven helpful to me in group and institutional settings to think more deeply about privilege and how I inhabit spaces. 

Similarly, the chapter Holding a Safe(r) Space outlines the need for us to be active in this endeavour, especially given the fact that trans people are often not allowed by society to take up space. Choudrey continually encourages us to think about intersectionality and overlapping areas of oppression, and this chapter offers helpful sections to understand not just race and gender, but also sexuality, dis/ability, language, access, and class. I admit that class is not an area that I have given a lot of thought to, and this section highlighted my hesitation to think about class privilege, providing me with a great starting point for doing some personal work in this area. The recommendations and discussion in this section have helped me to begin my reflections on how class and classism might impact my work.

Any topic around oppression can feel overwhelming to tackle, but this book offers many practical and manageable starting points for professionals and organisations (therapists, healthcare professionals, charities, educators, and others). The range of subjects covered is broad but always comes back to lived experience and meaningful actions. For example, there were some small actions I could immediately take in my therapy practice, even as I was reading the section on Agreements, contracts and policies. I reviewed my contract and added more detail to provide greater transparency. I also added a task to my calendar to review it regularly because, as Choudrey reminds us, inclusion is an ongoing process. In the chapter Celebrate and Commemorate, I found the calendar of cultural, historical, and social events useful – I know how isolating it can feel if a significant day is not acknowledged by those around us, and educating myself about events important to other communities feels like an easy, supportive step to take.

The book contains moments to pause: breaks in the text in the form of boxes with points to reflect on. I found these challenging, inspiring, interesting… There were parts that raised questions requiring deeper self-examination and ongoing work, such as: Where do I hold influence in my life? How can I take responsibility for widening my circle and experience? Where is my collusion? What do I not see in my much-valued trans spaces?

The other chapters in the book include one entitled Practice (especially helpful for organisations, covering tokenism, visibility, and accessibility – whether your spaces are online or in-person – advertising and recruitment, and partnerships and funding) and one called Exclusion and Inclusion, which includes a 10-point summary for making your practice inclusive.

The care I have experienced in the trans community is something that is very precious and supportive to me, it helps me thrive in life. This book brought into sharp focus the whiteness of my trans spaces, and I realised with sadness that I do not think enough about how these spaces could be safer for trans people of colour. I want our community to be accessible and welcoming to all. Supporting Trans People of Colour provided me with practical ways to think about transforming my community spaces, as well as a wealth of information and points for further reflection. I ended the book feeling empowered.

How to take action to oppose conversion therapy

The current UK Council for Psychotherapy (UKCP) leadership has today (Friday 5th April)  announced its withdrawal as a signatory of the Memorandum of Understanding on Conversion Therapy (MOU), and from membership of the Coalition Against Conversion Therapy. (To read more here about their rationale, and our refutation of it, please see our open letter)

This is devastating news for everyone who wants to see an end to conversion therapy and create safe and better therapeutic options for all LGBTQIA+ clients. We call upon UKCP’s board to reverse this decision. UKCP did not consult with its membership or stakeholders before making this announcement, so we are encouraging everybody impacted by this decision to  join us in making your thoughts and opinions known. There are many ways to do so, and every little bit counts!

We have put together this post as a response to questions from people asking what action they can take to oppose UKCP’s move, and to support the push to end conversion therapy for all – whether or not they are a therapist or a member of UKCP.

Below, we outline options for opposing this move by UKCP and supporting the MOU – for all therapists and trainees as well as for clients and other interested stakeholders. 

We will update this with more information and ideas for action as we are able to – please do contact us if you would like to suggest any. And please share these ideas widely and encourage your colleagues, friends and peers to get involved!

Scroll down to read our suggestions for:

  • UKCP members (individual)
  • UKCP members (organisational)
  • All therapists and trainees
  • Members and employees of other MoU signatories
  • Other interested parties (including: clients, potential clients, parents, charities, stakeholders, employees of other MOU signatories)

UKCP members (individual)

  • Call for a vote of no confidence in the board and demand the resignation of board members by signing our petition/letter to the UKCP and share it with your network.
  • Contact UKCP to raise a complaint.
  • Raise your concerns with the UKCP EDI committee, UKCP Ethics Lead, Membership team or communications team. (Contact details and writing tips)
  • You may wish to cancel your membership or you may prefer to remain a member of UKCP and oppose this action. At this stage TACTT are not advising either way – but we do recommend that if you decide to cancel your membership you contact the memberships team and tell them why.
  • Post or tweet on social media your concerns and/or your support for the MoU and the Coalition Against Conversion Therapy.

UKCP members (organisational)

  • Please approach the UKCP with your concerns as an organisational member. 
  • Consider writing a public statement raising your concerns and/or opposing the UKCP’s decision and your support for MoU and the Coalition Against Conversion Therapy.
  • Raise concerns to the Charity Commission.

All therapists and trainees

  • If you are training or working at a UKCP-accredited organisation, you can raise this with the training organisation via your student reps / DEI reps or ask your training institution directly to clarify whether they support this move by UKCP and if not, to publicly oppose it and/or actively approach the UKCP.
  • Raise this / ask your tutors for advice / support if you are a student on placement and this decision by UKCP would impact your work with LGBTQIA+ clients.
  • Speak to your supervisor about this and your concerns about the impact of this decision on your work.
  • Speak to colleagues and peers who may not know this is happening (not everyone reads UKCP mail)
  • Post or tweet on social media your concerns and/or your support for the MoU and the Coalition Against Conversion Therapy.

Members and employees of other MoU signatories

The MoU has been signed by 25 health, counselling and psychotherapy organisations, and supported by another four (see the list). If you are a member or employee of one of these organisations we urge you to write to them and express your support for the MoU and your desire to see a continued coalition of support to oppose conversion therapy.

Other interested parties (including: clients, potential clients, stakeholders, employees of other MOU signatories)

  • Raise a complaint with the UKCP, as someone who is impacted by the service they deliver (this includes as someone who could potentially use their directory to look for a therapist). 
  • Contact UKCP’s communications team (could include your concern about you or relatives finding safe therapists on their online directory)
  • You could raise concerns to the Charity Commission.
  • Post or tweet on social media your concerns and/or your support for the MoU and the Coalition Against Conversion Therapy. 
  • If you are a member of PCU (Psychotherapy and Counselling Union) / PCSR (Psychotherapists and Counsellors for Social Responsibility) or other therapy organisations ask them to pass a motion to write to the UKCP to raise this as a matter of concern.
  • If you are a member of any charity / client organisation that works with clients potentially impacted by this decision, you could ask them to send a letter of concern to UKCP / the Charity Commission. 
  • Let the Coalition Against Conversion Therapy know you are concerned and let them know your organisation supports their work.

Please all take action where you can and open dialogue with allies, colleagues, family and friends!