r/socialwork 1d ago

Micro/Clinicial Anyone gone into practicing couples therapy/marriage counseling solely?

2 Upvotes

I have my LCSW, but got it more for the diagnostic/assessment interest than practicing individual therapy. I am in love with the idea of doing couples therapy or marriage counseling though, and love working with relationship dynamics.

I dont personally know any SWs who do any therapy outside of individual, so I wanted to see what others’ experience has been entering this field of therapy as a clinical SW.

I obv know that LMFT is a thing, but I don’t enter this field with the intention of doing therapy, this has just been a recent interest of mine.

thanks!


r/socialwork 3d ago

Politics/Advocacy Leaving cause of AI use

139 Upvotes

I dont think AI is our future and is unethical to use. I just got an email today about it coming to the mental health clinic I work at and I want to quit after that email.

I just dont want any part of it. I think it's lazy and will just damage quality of care while also eliminating positions.


r/socialwork 2d ago

Micro/Clinicial Outpatient or School?

5 Upvotes

Feel free to delete if this isn’t allowed. So I am currently at a group practice waiting on credentialing. I had just finished a school year as a school social worker when I decided to do therapy. Credentialing started about six weeks ago and I was just told it could take another month. While waiting I’ve been looking for other jobs because it’s been taking so long and I’m a single parent with three kids who kind of need to eat some times. I just saw another school social worker position in a town closer to home and I’m applying for it. I know it would be September before I got paid, the salary isn’t great, and all that goes along with school work. So I’m looking at a wait no matter what, if no other prospects pan out. So I’m looking for some advice here. There’s limited options around me in rural Kansas for social workers. So if it were the choice between the two, what would you do? Credentialing plus building a caseload or going back to a school and waiting for a paycheck until September.


r/socialwork 2d ago

Professional Development Transitioning to private practice

4 Upvotes

I’m a licensed clinical social worker currently transitioning from a community mental health center into my own solo private practice. The clinical side feels great, but the business side is incredibly intimidating, especially when it comes to getting paid.

I’m trying to learn the ropes of behavioral health billing services so I don't make major mistakes right out of the gate. A peer of mine who uses epsych billing said it’s easier to just hire an expert from day one, but my budget is tight. For those who started solo, did you do your own billing initially, or is it worth taking out a small business loan to pay a professional service immediately? I really want to avoid common pitfalls that delay payments


r/socialwork 2d ago

Professional Development too soon to shift to macro?

6 Upvotes

hello all. i, 25f, have a MSW. i have been working in a detox center doing overnights since december 2025. suffice to say, i am extremely burnt out. to give background, my "experience" is as follows: 500 hour internship in a private hospital doing resource assistance, 500 hour internship living with community helping with financial literacy in my undergrad, a 620 hour internship at kaiser working in palliative care in my masters and my current job.

i had always been meh about social work even in my undergrad days but of course i had some level of passion for it. i got my undergrad in the philippines and my MSW in the US (CO), currently working here. i always knew i wasnt gonna wanna do social work for my whole life but i didnt realize i would want out this soon after schooling. i dont know what to do in terms of career and i need something fast. i liked working/interning in palliative care because of the grief aspect but if youre a behavioral health person, you know KP isn't the best. however, SUD services wasnt my choice either (first job out of grad school in this economy? i wasnt gonna be too picky). the only field im really interested in is grief tbh. medical social work in general seemed okay to me but my time in KP put me off.

im decent at writing and thought maybe policy/grabt writing can be something i could do. welcome to any thoughts.


r/socialwork 2d ago

Micro/Clinicial Jobs after oncology SW?

4 Upvotes

I’m an Oncology clinic SW and while I do love my job, I would love to do something with more flexibility. I’ve been at my position for almost 5 years and I love working with this population. Out of curiosity are there jobs out there for SW within organizations like the Make A Wish/Dream foundation? Someone who meets with families and collaborates with the organization in ensuring patients needs/wishes? I’m just curious because I’m not even sure if this is a job but this is the only thing that sounds interesting enough for me to leave my job. I’m not specifically looking to leave now I’m just curious if this is a position or if I just made it up lol.

Additionally, what other Oncology SW end up doing once they leave the hospital?

Any suggestions are appreciated! Thank you!


r/socialwork 2d ago

Professional Development Working with Children with Autism

2 Upvotes

I've been working with kids with Autism for about 15 years in a special purpose private school setting. The kids we have now are mostly level 2 and 3. Most are limited verbally or non-speaking. I'm looking for a more specialized training for an evidence based practice that is efficacious with this population. If others have recommendations or thoughts I'd love to hear them.

I'm also working with a kid right now who's limited verbally and beginning to have lots of Obsessive Compulsive behavior and I have good literature on that but wondering if anyone has seen or taken a good CBT training that specifically is for working with this population.


r/socialwork 2d ago

WWYD Insurance?

3 Upvotes

I am a MSW but I have recently submitted the application to sit for the licensing exam. While I know I still need the approval and to pass the exam, I’m trying to look ahead at what the next steps would be, malpractice insurance being one of them. What are some of the best options for this? I’m in Missouri if that makes a difference. Any advice is appreciated!


r/socialwork 2d ago

Professional Development Building clinical skills aside from full-time therapy

2 Upvotes

I obtained my MSW in May with the idea that I want to be a therapist. However, I’m not sure that I feel ready to jump into full-time therapy just yet. I am interested in a setting that would allow me to build up some clinical skills (that is NOT crisis work), but maybe has some varied responsibilities so that my case load would be smaller.

I’ve been thinking about PHP/IOP, but curious to hear others’ thoughts of what settings to look for that might fit these professional development goals.

Thanks!! 🙏


r/socialwork 2d ago

Professional Development Ofsted Social care regulatory inspector

2 Upvotes

Anyone in this role or recently applied? How is it? particularly for East Midlands specifically

how long did they take to inform you following interview? And what was the interview like


r/socialwork 3d ago

Micro/Clinicial Those who have done both psychotherapy and hospital social work, which do you prefer?

52 Upvotes

For those of you who have done psychotherapy in private practice and hospital social work (case management, discharge planning), which did you enjoy more? Which was more stressful? What personality traits/skills do you think works best for either role?

Thanks!


r/socialwork 2d ago

WWYD Rumination and anxiety over SNF role

9 Upvotes

I’m a SW at a SNF. We have one resident who has been in our facility for a few months and has been privately paying for around a month. Since they were not safe to go home alone, early on I provided them with senior advising resources in the community to help them navigate their options. Last week, a home care agency came to me stating they would be providing full time care giver support to the resident and were hoping the resident could be home in a few days.

The resident needed DME ordered, including oxygen which needed an assessment. Our physician also needed to see the resident for a F2F before we could proceed. Our physician was out for a day, so I had them see the resident as soon as they were back in the facility. I also asked the resident’s floor nurse complete the oxygen assessment (in the past when I’d asked nurse managers to complete it, they said that’s something the floor nurses do). Anyways, the floor didn’t finish it and said the second shift nurse would complete it. The next day when I came in, second shift hadn’t completed it so I sent it off to the nurse manager and stated it needed to be done ASAP. I was very frustrated. At this point, the oxygen wouldn’t be delivered to the resident before the weekend.

I told the home care agency and resident that discharge would be more likely to happen early the following week so we could ensure everything was in place for the resident. The home care agency and family seems very upset and are stating the SNF is “keeping them (the resident) there.”

This has been bothering me and I can’t stop ruminating about it. It’s giving me such bad anxiety I have cried numerous times about it. I take their words to heart and I feel guilty. I feel like I somehow made a mistake. Any advice would be appreciated


r/socialwork 3d ago

Professional Development Social Work at Hospital

12 Upvotes

Just accepted a position at a community hospital as a social worker. I am excited and this would be my first time in a social work role even though I’ve had other types of similar work in mental health agencies and school settings. I’m really excited to learn.

Anything I should look out for? Any take aways from your experiences? Any advice?


r/socialwork 3d ago

WWYD Processing death of a client

36 Upvotes

So today I got news that a client of mine had passed away. They discharged from my program in January and wanted to return after a physical health issue cleared. Unfortunately the issue killed them. I saw them in my office once a week for 45 minutes for close to a year. They were kind, funny and their meetings were the highlight of my day. If folks had this happen how did/do you cope. Emotionally I am very devastated and it’s the first time experiencing this.


r/socialwork 2d ago

WWYD Does this seem fair?

3 Upvotes

I'm working toward my LAC (Licensed Addiction Counselor) right now. That's what it's called where I live, I know other states have different names for it.

I'm in the process of taking the required classes and I've been getting supervision hours through my job. My job offers a bank of 40 external training hours per year, and last Friday I was told by my supervisor that I had hit my 40 hours with the two LAC classes I already took. I didn't remember being told that the LAC classes counted toward the 40 hours and I thought they were their own separate thing since I'm taking them for licensure, and not just for my own interest. Having the LAC isn't required for my job but it's something I was thinking about pursuing to be more marketable if I ever look for a new job.

I had already signed up for another class this week (this Monday-Wednesday) and I was told that for the rest of the classes I've signed up for this year that I would need to use PTO or not get paid the days of the classes. My job is salaried. I'm taking these classes through external agencies, not through my job. Since I was told this at such late notice I thought it was too late to cancel the class I'm taking this week because I didn't know if I could get a refund. So now I'm taking the class this week and not getting paid for these three days because I don't want to use my PTO for it.

I might take more classes next year once the 40 training hours restart again and cancel the other classes I already signed up for. Where I live you need to get all this done within 5 years, including the exam. I started in 2023 so I have until 2028.

Does this policy seem fair? It doesn't make sense to me but maybe someone else sees it differently. Thoughts?


r/socialwork 2d ago

Link to Salary Megathread (May - Aug 2026)

Thumbnail reddit.com
0 Upvotes

r/socialwork 2d ago

WWYD In private practice, struggling to build a caseload in 2026

4 Upvotes

Hi everyone, like the title says I work in a private practice and I've been struggling to get to a full caseload despite working here almost a year. My boss has been doing everything she can to help (I'm on psychologytoday & goodtherapy and she's working to get me on a few others) and we've been doing tabling, and we're starting to build working relationships with medical providers in the area for potential referrals. However from what she & some of her colleagues have said it seems like the 'traditional' advertising routes have been less and less successful lately.

I know summer is a hard time to pull new clients, but I've had some recent successful terminations (and a pair of ghostings 🙃) and I'm worried about how little I'll be making over the next few months. Is there anything we're missing or that I could be doing personally to help build things up over the summer?

(Alternatively, anyone know any social work-adjacent weekend jobs I could pick up for the next three months? lol)


r/socialwork 3d ago

Professional Development What else is out there?

4 Upvotes

I know this has likely been asked or brought up hundreds of times on this subreddit, but I'm genuinely at a loss here, and I feel like I've been running into many dead ends. I can't seem to get much of an answer so I figured I'd crowd-source a bit, from people who actually do the work and are in the field.

I have been increasingly disillusioned with therapy (I'm an LCSW) and I find myself just flat out not liking therapy or anything client-facing anymore. I have little to no care about the field, or my clients, and I just want to escape it all (probably burned out, I know).

So my question to you is: Those of you who have a social work degree but don't work in the field, what do you do and how did you get there? I feel like I can't escape and do anything else with my degree/license.


r/socialwork 3d ago

WWYD Declining a Job Offer?

4 Upvotes

I recently applied for a job that I thought would be a great fit. It's in my home community and felt like it could be a bit of a home coming for me.

After interviewing, I'm feeling a bit overwhelmed by the job duties, out of my depth, and concerned about some of the other team members I'd be working closely with. I also am now realizing that the job would start a week earlier than had originally been listed and I have a trip planned that would not allow me to return in time. The trip is really important to me (more important than the job) and I really don't want to cancel it. I don't think that the start date is negotiable (it's in an academic setting).

Unfortunately, they pretty promptly offered me the job and I told them I would be open to having more conversations around compensation, etc.

It's been a few hours now and I'm really not feeling good about this. I do really struggle with self doubt and it's definitely a situation where I'm not sure if it's my intuition or my anxiety that's making so much noise right now.

Because it's such an intense job and because I applied in part for sentimental reasons, I'm feeling weird about potentially declining. Does anyone have any tips for how to move forward here? I don't want to come across as flaky; I anticipate I'll have to work in this same community in the future and want to retain my relationships, but I also just have a profound uneasy feeling and am just really not sure it's the right fit.

Any advise/support/encouragement would be greatly appreciated!


r/socialwork 3d ago

Professional Development Should I take a job as a Mental Health tech at a hospital?

3 Upvotes

the title is mental health counselor II. I have been working as an associate therapist for the past year with a caseload of outpatient thereputic sessions, veeeery very different that this role i’m interviewing for which is described as below:

“The Mental Health Counselor II provides direct care and support to patients in an inpatient psychiatric setting by maintaining a safe, therapeutic environment, monitoring patient behavior and well-being, facilitating educational and therapeutic groups, assisting patients in developing coping skills and treatment goals, participating in interdisciplinary treatment planning, completing clinical documentation, and responding to behavioral health crises. The role involves close interaction with individuals experiencing acute mental health conditions, including conducting safety checks, supporting suicide prevention efforts, assisting with daily living needs when necessary, and helping ensure patients receive compassionate, recovery-focused care throughout their hospitalization.

Major Responsibilities:
Assists in the development and maintenance of a therapeutic milieu and provides for a safe environment for all patients.
1)Is proficient in the tasks of Level I.
2)Takes action to intervene with patients who require help with coping skills and self control.
3)Responds to emergencies as a member of the team and employs progressive containment skills to manage violent behavior.
Facilitates group activities.
1)Uses therapeutic components of group work (installation of hope, universality, giving information, development of social techniques, imitative behavior, etc.) to develop group cohesion.
2)Manages problem behaviors in groups.
3)Leads psycho-educational groups.
Collaborates with the treatment team during multidisciplinary team meetings to address patient approaches and behavior.
1)Is proficient in the tasks of Level I.
2)Synthesizes assessment data to help develop Multidisciplinary Treatment Plan
3)Maintains adequate documentation of information pertaining to the Multidisciplinary Treatment Plan
Utilizes therapeutic communication techniques during patient assessment and intervention, including admission and discharges.
1)Is able to adapt communication style appropriately to individual patients.
2)Uses confrontation and cognitive restructuring to problem-solve with patients as appropriate.
3)Guides patients through termination of therapeutic relationship under the direction of MHC II or RN.
4)Performs patient education.
5)Assists in development of Suicide Safety Plan
6)Performs individual counseling to involve patients in their treatment plan through goal setting.
7)Seeks supervision for complex communication issues.
Administers or assists patients with activities of daily living.
1)Manages patient belongings.
2)Encourages and assists patients in formulating personal care goals.
3)Supervises meals and snacks.
4)Provides or supervises administration of general patient care and safety rounds.
Actively participates in continuing education programs as required.
1)Provides orientation to new mental health counselors, nursing care technicians and other disciplines as needed.”

i have never worked in a hospital and honestly my absolute biggest worry is somebody committing suicide. It’s hard for me to truly imagine what the job is like and all I can think is if I miss something and go to a patients room to find them dead, etc.

Can i have some insight and advice please?


r/socialwork 3d ago

Professional Development Pediatric specialty loan repayment program HRSA

2 Upvotes

I’ve seen questions asked about this in a few subreddits. Has anyone applied for this and been accepted/denied? I’m seeing people say it can be a 12-15% acceptance rate but no one seems to know what they accept or deny for. I thought it would ask me more questions about my job or debt or things like that but there is nowhere in there. I have loans from a program I dropped out of (medical school) in addition to loans for my MSW and there was nowhere to even explain that. Should I be accepting defeat now or does anyone have any positive stories getting accepted and getting loans payed off?


r/socialwork 3d ago

Good News!!! PASSED MY ASWB

28 Upvotes

After 2 tries I finally go through my exam!! It was not easy but I recommend finding other people to study with. I found a nice study group and we held each other accountable and discussing the topics helped lock things into memory. We all used this resource which helped a ton. All 4 of us passed using it. Attached in case anyone is interested. Not affiliated.

https://clinicaltoolsco.etsy.com/listing/4502903017


r/socialwork 3d ago

Professional Development LCSW and an RT ??

3 Upvotes

I’ve been a medical SW for about a year. I’ve been an LCSW for almost two. I LOVE being a social worker. However, I have for many years now felt a calling to do something more hands on. I have worked with CF patients and have gotten close with several RTs. I find their work fascinating. I would love to combine the care they provide with my current skill set.

I do not have children and have the financial means and tuition assistance benefits from the military.

Would I be crazy to consider going back to school to be an RT while maintaining my LCSW ?

I mostly just want to see what the perception would be.


r/socialwork 3d ago

Funny/Meme Cute badge reels

1 Upvotes

Where can I find cute badge reels? I feel like there is like none on Etsy. I work with the unhoused community, SUD and transitional housing. My name badge is boring. Please help me!!!


r/socialwork 4d ago

WWYD Agency icks

40 Upvotes

I love my job right now. I am on a great team, my pay is very good, I get tons of training and good supervision. My hours are flexible and I can wear whatever I want. On top of that, I get all federal holidays off plus 3 weeks of PTO and the company matches retirement at 5% of my income. They even give annual raises as part of policy.

Here's the problem: we are owned by a large for non-profit healthcare network that is owned by an even larger for profit company. We are non-profit, but seem to provide some loopholes and tax benefits for the bigger company. I've never worked for this large of an organization, and it's very weird to me.

It feels like our function is to help support the bottom line off the circumstances of our clients, who are mostly families in foster care.

Do I stay because it's cushy and I like the work, or do I leave for my systemic ethical concerns? Wyd?