Implications of a Psychotherapist’s Healing: A Basic Qualitative Approach Survey

1.Name and email address

2.Where are you licensed to practice psychotherapy? (please list all licenses applicable)

3.What kinds of healing practices have you engaged in yourself, either past or present? (please check all that apply)

individual psychotherapy

group psychotherapy and/or support groups

spiritual practice (prayer, meditation, yoga, chanting, etc)

energy work (reiki, bodywork, massage, etc.)

community healing (community circles; familial connections; spiritual, religious, or cultural groups)

healing arts (music, dance, visual arts, writing, somatic movement, etc.)

psychedelic assisted therapy (ketamine, psilocybin, LSD, or MDMA with a psychotherapist guide)

plant medicine (self-guided, shaman-guided, cultural or spiritual group practice)

Other (please specify)

None of the above

4.Number of years in clinical practice

5.Number of years in a therapy-related field

6.Clinical setting (check all that apply, past and present)

private practice direct service provider

group practice direct service provider

community mental health agency (outpatient)

community mental health agency (intensive outpatient, partial hospitalization, wraparound)

residential treatment facility

rehab or detox (substance use treatment)

medical setting--outpatient

hospital

crisis center or emergency shelter

children and youth services

administrative & management (e.g., clinical director, clinical supervisor, team lead)

7.Degree(s) obtained

8.Gender identification and pronouns (optional)

9.Racial and cultural identification (optional)

10.Age

18-24

25-34

35-44

45-54

55-64

65+

Implications of a Psychotherapist’s Healing: A Basic Qualitative Approach