Social Media Ethics (part 1): Digital Dual Relationship Dilemmas

photo credit: Eric Schwartzman

I’ve spent months writing about how to effectively use technology, and social media in particular, to build your private mental health practice. While the Internet has opened up exciting new ways for mental health therapists in private practice to market their practice, reach potential clients, and educate the public, it has also allowed for new ethical dilemmas.

When I first started practicing nearly two decades ago, I was concerned about my child being on the same soccer team as a client's child, or about running into clients at parties of mutual friends. The increasing Internet usage by therapists and clients alike has created new opportunities for dual relationships online. Over the coming weeks I'll be discussing ways to use social media ethically in the digital age.

Here are a just few examples of digital dual relationship dilemmas that therapists now face:

• “A former clients sent a ‘friend’ request on my personal Facebook page? Should I accept it?”
• “One of my clients is a friend of one of my family members on Facebook. I don’t want him to have access to my personal information, photos, etc. Is there anything I can do to protect my personal information?”
• “A client just posted a comment on my private practice Facebook page that reveals some clinical information about his symptoms. How should I handle this?”
• “A potential client sent me a direct message on Twitter inquiring about my therapy services. Is Twitter confidential? How should I respond?”
• “During an initial intake with a new client the client shared some grandiose facts about her successful work history and public accolades. Should I Google her name to see if what she’s reporting is true?”
• “I just saw that a client is following me on Pinterest. I’m not sure how I feel about her seeing boards about how I want to decorate my dream house.”
• “Should I enable or disable comments on my private practice website blog? I'm concerned that it may look like I'm encouraging clients to comment on my blog."

I want to hear from you...

Have you faced any of these situations in your clinical practice?

What are some ethical dilemmas you've come across since venturing into social media?

Do you have any specific questions or ethical concerns about the impact of your online activity and it's potential impact on the client-therapist relationship?

Private Practice Marketing Made Easy

Last week I spoke to group of local therapists on "Marketing Your Private Practice" and a record number of people attended the presentation. Why? Because therapists in private practice feel ill-equipped and uncomfortable with the business aspects of private practice. It's rare that a marketing course is included in a mental health graduate school curriculum, and few internships and practicums offer marketing mentorship. In my graduate program in social work, just the words "private practice" were treated as "bad words," as if making money while helping people was somehow morally wrong.

For some therapists  the word marketing brings up feelings of anxiety, even dread. "I am not comfortable with self-promoting," I've heard many therapists say.  "I'm not in this for the money so I hate to think that I have to market my services."

Over nearly 10 years in private practice I've learned that marketing isn't as difficult or scary as it sounds. Most therapists already have the relationship skills that make marketing effective. You're already good at building relationships and communicating. You just need to apply your skills differently.

 Build relationships of trust

You already know how to market, because marketing is simply building relationships of trust in a different way. Marketing requires reaching outside of your therapy office, and often beyond your comfort zone. Whatever strategy you use: talking to strangers, talking to friends and colleagues, meeting with physicians or schools, or finally getting a website, it's all about building relationships of trust.

Let 2 simple questions guide all of your marketing

• Who is your ideal client? Identifying your ideal client is  not just getting clear on the demographic and diagnoses that you like to work with, but also the characteristics, values, and traits that you look for in a client.
• What is your basic practice message? This is a simple message that focuses on one aspect of your work and emphasizes the benefits of your services in layman's terms.

Talk to everyone and anyone about what you do

In graduate school you learned how to communicate, build rapport, and put people at ease. Building relationships of trust isn't just limited to talking with your clients. Effective marketing is simply applying all of the skills you know to a broader group of people. Talk about who you want to work with what you do with strangers in the grocery store, neighbors, extended family members, or online communities, media contacts, or other professionals.

Remember you're promoting your passions, not yourself

Effective marketing isn't about pushing yourself on others, but about letting the things that you're passionate about shine through in every conversation, every blog post, every interview, an every page of your website.

It only takes three

According to private practice guru Lynn Grodski, it only takes a few "practice angels" to have a full practice-three people who will consistently refer your ideal clients to you. You probably already have three referral sources ready to refer to you. All you need to do is warm the connections you already have.

How do you feel about marketing your practice? What works and what doesn't? Share your comments below

photo credit: Hen3k Hen3k