Counseling Psychology Commons^™

Exploring The Experiences Of Women In Mental Health Therapy After The Occurrence Of Perinatal Loss, Courtney Allison Nishnick

Counseling & Human Services Theses & Dissertations

Perinatal loss encompasses losses of pregnancies at any gestational age, as well as deaths occurring within one year post-birth. In the United States, around 40 thousand stillbirths and infant deaths occur every year (Ely & Driscoll, 2025; Gregory et al., 2025), with about 23 million miscarriages also occurring annually worldwide (Quenby et al., 2021). Perinatal loss experiences lead to distressing mental health symptoms not limited to anxiety, depression, posttraumatic stress, and grief (Crockett et al., 2019; Wamser & Ferro, 2025). While there is extensive research on perinatal loss as it pertains to medical context, there is minimal research relating to …

Counselors’ Training Needs In Effectively Engaging With Psychedelic-Assisted Therapy, Elif Bor

Counseling & Human Services Theses & Dissertations

As public and scientific interest in psychedelic-assisted therapy (PAT) continues to grow, counselors are increasingly encountering clients who are exploring or engaging in psychedelic use for therapeutic purposes. Such encounters introduce new ethical, clinical, and professional considerations. Counselors must develop an informed understanding of psychedelics and their effects, recognize the emotional and cognitive processes that may emerge during psychedelic experiences, and be prepared to respond to potential risks or adverse reactions (Aicher et al., 2025). They also need to competently answer client questions, assess risk and suitability, facilitate the integration of psychedelic experiences, and collaborate with medical and other professionals …

When Nonbinary Becomes Binary: Exploring Transnormativity Experiences Of Gender Diverse Individuals, Yusuf Barburoğlu

Counseling & Human Services Theses & Dissertations

Transnormativity is a within-group framework that positions trans and nonbinary (TNB) individuals in a hierarchy of legitimacy based on adherence to binary gender norms (Johnson, 2016). Nonbinary individuals, who comprise 38% of U.S. transgender adults, face unique challenges, including systemic invalidation, misgendering, and erasure both within and outside LGBTQIA+ communities (James et al., 2024; Matsuno et al., 2024). These experiences intersect with internalized stigma and rejection expectations, contributing to mental health disparities (Budge et al., 2014; Lefevor et al., 2019). This study explores how nonbinary individuals navigate, resist, and embody transnormative pressures, using Sarah Ahmed’s Queer Phenomenology and Interpretative Phenomenological …

Bridging The Gap Between Counselor Education And Trauma Treatment In Practice: A Phenomenology Of Trauma-Specialized Counselors, Ariel Hutcheon

Counseling & Human Services Theses & Dissertations

Trauma impacts the life experiences of a sizable portion of the population. Given that so many clients bring trauma into counseling, even when not the presenting issue, knowledge of trauma’s impact and proficiency with trauma treatment are essential topics in counselor education. This study gave voice to counselors in the field to share what they have found effective from working with clients with trauma. The researcher used a phenomenological approach and interviewed six self-identified trauma-specialized counselors who have practiced for five years or longer. The data was explicated, and four major themes were identified. The first theme was Inadequate Training: …

A Focused Ethnography: Mental Health Therapists In Pediatric Integrated Care, Melanie Agustin

Counseling & Human Services Theses & Dissertations

The scope of practice for Licensed Professional Counselors (LPCs) and counseling residents (LPC-R) in integrated behavioral health (IBH) settings is grounded in accredited, theory-informed education and training. The benefits of IBH models are well-documented, however there is limited research that addresses how counselors develop professionally and clinically function, while navigating within pediatric inpatient environments. This qualitative dissertation used a focused ethnographic design to explore the lived experiences of ten purposively sampled counselors (n = 10) through demographic surveys, field observation, and semi-structured interviews. Reflexive journaling bracketed researcher bias, and thematic analysis, supported by NVivo and new member checking, guided interpretation. …

Understanding Anti-Racism In Counselor Education: A Narratology Of Anti-Racist Pedagogy In Sociocultural Courses, Danielle G. Rodgers

Counseling & Human Services Theses & Dissertations

Counselors have the privilege to join children, adolescents, and adults from all walks of life in a journey of working towards mental and emotional wellness. Our code of ethics outlines “honoring diversity and embracing a multicultural approach in support of the worth, dignity, potential, and uniqueness of people within their social and cultural contexts” (p.3) and promoting social justice as two of our core professional values (American Counseling Association [ACA], 2014). The ACA also stated in their Antiracist Statement in 2020 that “we have a moral and professional obligation to deconstruct institutions which have historically been designed to benefit White …

Fostering Cognitive Complexity In Behavioral Health Providers: Perspectives From Supervisors In Integrated Primary Care, Katherina Nako

Counseling & Human Services Theses & Dissertations

The integration of behavioral health into primary care settings, known as Integrated Primary Care (IPC), offers a holistic approach to addressing both physical and mental health needs (Ramanuj et al., 2019). Efforts to expand access to mental healthcare have contributed to the growing presence of IPC settings (Martin 2017), with mental health providers, such as mental health counselors, joining these teams as Behavioral Health Providers (BHPs; Blount, 2017). However, the unique complexities of IPC often leave BHPs feeling underprepared, largely due to the traditional training frameworks emphasized in many graduate counseling programs. The need for BHPs to adapt to the …

Acculturation Experiences Of International Students In The U.S. Cacrep-Accredited Counselor Education Programs: Challenges, Support Systems, And Systemic Barriers, Nargiza Amirova

Counseling & Human Services Theses & Dissertations

International students significantly enrich U.S. counselor education and supervision programs by contributing diverse cultural perspectives that inspire teaching, research, and professional growth. Yet, these students often face complex challenges including cultural adjustment, language barriers, social isolation, and the academic demands of counseling academic programs that impact their educational outcome s and psychological well-being. Systemic barriers, such as visa restrictions and institutional unawareness, further complicate their experiences. This study explored acculturation experiences of international students enrolled in CACREP-accredited counselor education programs in the United States.

Using Interpretative Phenomenological Analysis (IPA), in-depth interviews were conducted with seven international students on J1/F1 visas, …

Inked Insight: A Consensual Qualitative Research Study Exploring The Perspectives Of Visibly Tattooed Counselors, Megan Ashley Lalonde-Pittman

Counseling & Human Services Theses & Dissertations

This study explored the experiences of visibly tattooed mental health counselors (VTMHC) through consensual qualitative research (CQR), examining how visible tattoos were perceived to have impacted the participants (N=14) professional experiences, development, and relationships within the counseling field. Seven domains arose from the data: Prejudices experienced by VTMHC, VTMHC Interactions with others, Culture experienced by VTMHC, Appearances of the VTMHC, Professional therapeutic work of the VTMHC, Workplace environment of the VTMHC, Processing the experience of being a VTMHC The implications for multicultural education and future research are explored.

Supervisees’ Responsiveness In Supervision With Doctoral Student Supervisors, Zübeyde Akpakır

Counseling & Human Services Theses & Dissertations

This study explores the factors that influence the responsiveness of master’s-level counselors-in-training (CITs) to university-based supervision with doctoral student supervisors. Supervision is an important element and the requirement of CITs' professional development (Bernard & Goodyear, 2019; CACREP, 2024), and many counselor education programs educate their doctoral student to supervise master’s-level CITs (Luke, 2019). Despite its significance, there is no empirical data on how CITs engage with feedback and guidance, particularly in supervision led by novice doctoral supervisors. The study employed an exploratory sequential mixed methods design, Q methodology (McKeown & Thomas, 2013), to analyze CITs' subjective perspectives and identify factors …

Self-Identifying Minoritized Doctoral Students’ Experiences Of Epistemic Injustice In Counselor Education And Supervision, Francisca Rivas

Counseling & Human Services Theses & Dissertations

The purpose of this qualitative study was to examine and understand how epistemic injustice (EI) is experienced by minoritized doctoral students in Counselor Education and Supervision programs. The primary researcher performed a phenomenological study examining the experiences of EI for minoritized CES students (n = 8). There were three female participants with an average age of 31, two male participants with an average age of 31, and three nonbinary/trans participants with the average age of 33. Five participants were BIPOC, one being an international student, and six participants were LGBTQPA+. Five participants held Ph.Ds. at time of their interview, having …

A Hermeneutic Analysis Of Relational Dynamics In Counseling And Psychotherapy Supervision, Onur Özmen

Counseling & Human Services Theses & Dissertations

Counseling and psychotherapy supervision is a process that includes crucial relational dynamics (Calvert et al., 2016). Power dynamics and multicultural considerations (Green & Dekkers, 2010), as well as parallel processes (Tracey et al., 2012) are among those concepts playing nuanced roles in the relationship and underlining an intersubjective nature of a mutual process.

In this study, I explore these relational dynamics in a single individual supervisory relationship. Following a qualitative, interpretive methodology of Gadamer’s (2013) philosophical hermeneutics, I focused on interpreting eight supervision video recordings of a counselor education and supervision doctoral student (supervisor), with a master’s practicum student of …

Climbing The Academic Ladder While Black: Exploring The Experiences Of Institutional Belongingness For Black Counselor Education And Supervision Doctoral Students At Predominantly White Institutions, Jasmine Alicia Hawa Griffith

Counseling & Human Services Theses & Dissertations

Although ample research investigates students’ belongingness experiences in counselor education (CE) programs, existing literature only marginally explores the realities of Black master students, and there is a notable lack of empirical attention to Black doctoral students’ belongingness experiences in counselor education and supervision (CES) programs. Investigating Black CES doctoral students' belongingness experiences at Predominantly White Institutions (PWIs) is critical to understanding how the Council for Accreditation of Counseling and Related Education Programs (CACREP) accredited CES programs can address the troubling statistic that Black doctoral students are least likely to become full-time CE faculty. Consequently, this study utilizes critical phenomenology from …

The Experiences Of Multilingual Learning-Focused School Counselors: A Phenomenological Investigation, Chelsea Jo Hilliard

Counseling & Human Services Theses & Dissertations

Equity in education has become increasingly prioritized, due to the growing mainstream recognition of the inequitable practices that historically have and presently continue to exist in K-12 education. With the K-12 student population diversity continuously increasing in areas such as abilities, race/ethnicities, socioeconomic status, languages, immigration status, and more, ensuring equitable access to education is vital. One such unique student group needing equitable access to education are multilingual learners or MLL. Located within schools, school counselors are uniquely positioned to equitably serve MLL students. Overall, while the research on school counselors serving MLL students (at the pre-service and practice level) …

Supervision Needs Of Novice Behavioral Health Providers In Integrated Primary Care Settings: A Delphi Study, Nicholas D. Schmoyer

Counseling & Human Services Theses & Dissertations

The integration of behavioral health providers (BHPs, i.e., clinical mental health counselors, clinical psychologists, clinical social workers, marriage and family therapists) into primary care settings has developed as a healthcare practice associated with enhanced patient clinical outcomes, enhanced patient satisfaction, reduced healthcare expenditures, and enhanced provider wellness and satisfaction, known together as the Quadruple Aim. For BHPs practicing in integrated primary care (IPC) settings, researchers have highlighted a variety of challenges they experience when integrating in these settings, with a consistent challenge being a lack of satisfactory training and supervision. Clinical supervision has been hailed as the “signature pedagogy” for …

The Lived Experiences Of Counselors-In-Training Completing Practicum And Internship During Covid-19, Shelby Lauren Dillingham

Counseling & Human Services Theses & Dissertations

COVID-19’s classification as a pandemic in March 2020 changed numerous professions as they adjusted to social distancing expectations. Mental health providers particularly encountered transitions that included higher acuity caseloads, working different hours, and increased exposure to COVID-19. Counselors-in-training (CIT) faced the dilemma of earning their clinical hours in a safe manner, especially CITs working within integrated healthcare settings, such as hospitals or clinics. Despite some research with licensed professional counselors, limited research exists examining CITs' experiences working during the COVID-19 pandemic. This study sought to understand the lived experiences of CITs who completed their clinical hours in an integrated behavioral …

Partners In Crisis: A Phenomenological Exploration Of Collaboration Between Crisis Intervention Team Officers And Mental Health Professionals, Jessica L. Huffman

Counseling & Human Services Theses & Dissertations

Law enforcement officers (LEOs) are often the first responders to crisis situations, which increasingly include mental health crises. Collaborating with mental health professionals and organizations increases the likelihood that individuals will receive a response that is contextually and culturally informed by an understanding of mental health needs and considerations. For this reason, Crisis Intervention Teams (CIT) have been established to train LEOs and to unite efforts with mental health professionals, advocates, and community constituents. While there is existing and ongoing literature exploring the responses provided by CIT, there is limited research on the experiences of CITs related to their unique …

Exploring The Lived Experiences Of Self-Identified Politically Conservative Students In Graduate Counseling Programs In Public Universities, Elizabeth A. Orrison

Counseling & Human Services Theses & Dissertations

Professionals within the fields of social science predominantly identify as liberal (Woessner & Kelly-Woessner, 2015) and many issues related to politics, such as power and oppression, are inherent and central to the social science fields (Lerner, 2020). Past research has shown the potential for political bias in academia, which has been linked to the lack of representation of various political identities. Most research on political academic bias is not current, making it difficult to find relevant research on this topic published within the last ten years. Currently, there has been no identified research or scholarly production that specifically explores self-identified …

The Lived Experiences Of 911 Dispatchers With Compassion Fatigue: An Interpretive Phenomenology, Angela Johnson

Counseling & Human Services Theses & Dissertations

911 dispatchers are the “first” first responders in an emergency and play an intrinsic role in the public safety continuum. 911 dispatchers are exposed to daily and cumulative stress from the repeated empathic engagement of those they serve, and from shift work, staffing shortages, and inability to make mistakes. However, there is a dearth of peer reviewed literature on 911 dispatchers and compassion fatigue (CF). CF is described as the emotional and physical exhaustion experienced due to the constant exposure to the trauma of others. CF symptomology in 911 dispatchers has far reaching implications for not only the citizens …

Providing Family Centered Care Within Pediatric Integrated Care Settings, Emily D. Bebber

Counseling & Human Services Theses & Dissertations

Parent engagement remains critical to pediatric care. Both pediatric medical and mental health care remains dependent upon parent/guardian engagement to support successful outcomes for children and adolescents. Efforts to enhance Family Centered Care (FCC) has been spotlighted within pediatric care since the 1950s and the inclusion of counselors within integrated behavior health (IBH) teams ushers a need for an evolved understanding of the implementation of FCC, including parent/guardian engagement across professional roles. Using an explanatory mixed-method design, I examined team implementation of Family Centered Care (FCC) among different provider types (e.g., physicians, nurses, licensed mental health providers, social workers, technicians) …

Trauma And Crisis Counselor Preparation: The Relationship Of An Online Trauma And Crisis Course And Counseling Self-Efficacy, Julia Leigh Lancaster

Counseling & Human Services Theses & Dissertations

The field of trauma and crisis is growing and ubiquitous to all counseling specialties. Updates in 2009 and 2016 to the Council for Accreditation of Counseling and Related Educational Programs (CACREP) counselor preparation standards added mandated teachings on crisis, trauma, and disaster counseling in counselor preparation programs’ (CPPs) curricula. Since then, some CPPs have created stand-alone crisis courses, while the majority have infused various related content and trainings into already established counseling courses. Research does, in fact, support an increased crisis, trauma, and disaster readiness with more hours dedicated to the study and practice of domain specific content, and confirms …

An Investigation Of Healthcare Professionals’ Perspectives On The Tasks Of Mental Health Counselors In Hospital Settings, Suelle Micallef Marmara

Counseling & Human Services Theses & Dissertations

With the global mental health implications reported by the spread of COVID 19 (Javed et al., 2020) and the amplified mental health illnesses reported by the State of Mental Health in America (Reinert et al., 2021), there is an increased need to address psychological and emotional health along with physical health. Mental Health Counselors (MHCs) can be the next professional body to support the multidisciplinary teams within hospital settings to complement holistic care focusing on physical and emotional well-being. Researchers have demonstrated addressing the psychological needs of patients from their first admissions to the hospital has significant positive implications on …

A Comparison Of Sorority Women And Non-Sorority Women’S Alcohol Use: Perception, Rate Of Use, And Consequences, Betsy Zimmerman

Counseling & Human Services Theses & Dissertations

While alcohol use and Greek Life on college campuses have often become synonymous, little is known about the rate of use or the consequences of use for sorority women specifically. Gender has been identified as a risk factor relating to substance use on college campuses; however, there is a gap in the literature concerning compounding factors that influence substance abuse, such as membership in a Greek-lettered organization. With approximately 300,000 college women involved in Greek-lettered organizations annually (NPC, 2019), little is known about the impact of alcohol use for sorority women on college adjustment. An exploration of the perception of …

Broaching Race And Race-Related Issues: Phenomenological Inquiry Of Doctoral Student Supervisors Of Counselor Trainees, Judith Wambui Preston

Counseling & Human Services Theses & Dissertations

Clinical supervision is a central building block in counseling that ensures client welfare, fosters supervisees’ professional development, and facilities the gatekeeping process of those entering the profession (Bernard & Goodyear, 2019). In addition to gatekeeping, the American Counseling Association (ACA; 2014) Code of Ethics mandates clinical supervisors to be aware of and address multiculturalism’s role in the supervisory relationship. Because of this mandate, doctoral student supervisors of counselor trainees in CACREP-accredited programs are responsible for integrating multicultural considerations through broaching to ensure racially and culturally responsive counseling to clients from diverse backgrounds (Bayne & Branco, 2018; Jones et al., 2019). …

Complex Thought For Complex Work: Preparing Cognitively Complex Counselors For Work In Diverse Settings, Alexandra C. Gantt

Counseling & Human Services Theses & Dissertations

Counselor education researchers have explored the need for high levels of cognitive complexity (CC) in mental health counselors due to its relationship with high quality counseling skills and counselor ways of being (e.g., Castillo, 2018; McAuliffe & Lovell, 2006; Ridley et al., 2011; Welfare & Borders, 2010b). In these studies, researchers have called for continued study of means of enhancing CC in counselors in training (CITs) through andragogical efforts (e.g., Castillo, 2018; Duys & Hedstrom, 2000; Welfare & Borders, 2010a). However, we do not have an understanding of minimally acceptable CC for graduating CITs. In this study, I explored counselor …

A Meta-Analysis Of Three Years Of Data On Outcomes Of Therapy Groups For Inmates In The Virginia Department Of Corrections, Abie Carroll Tremblay

Counseling & Human Services Theses & Dissertations

The Virginia Department of Corrections (VADOC) is responsible for about 28,000 inmates and 66,000 probationers and parolees annually. Mental health services are often conducted through therapeutic groups, many of which are manualized and based in cognitive behavioral therapy theory. In the three years, 2017 through 2019, VADOC conducted 172 therapeutic group therapy studies, and the resulting data, in the form of t-test scores, were made available for academic research. This meta-analysis investigated whether cognitive behavioral group therapy produced superior outcomes when compared to other theoretical orientations in group therapy in VADOC, if manualized group therapy treatments produced superior outcomes when …

What Are We Missing?: A Comparison Of Experiences Of Race-Based Trauma By Black Americans And Black Jamaicans, Bianca R. Augustine

Counseling & Human Services Theses & Dissertations

Current literature explains that events resulting from instances of white supremacy and racism are traumatizing for Black individuals (Phillips, 2020). Prior literature illuminates the impact of racism and resulting race-based trauma on Black individuals but is lacking regarding the lived experiences of race-based trauma in Black individuals in the U.S. and Black individuals from Jamaica. The goal of this study was to fill a gap in current literature by providing counselors and counselor educators with information regarding the experiences of Black clients to better inform multicultural, trauma-informed counseling practices and counselor education pedagogy. This study explored the experiences of race-based …

Effectiveness Of College Counseling Interventions In International Student Adjustment To United States Higher Education Systems: A Meta-Analysis, Joshua Ebby Abraham

Counseling & Human Services Theses & Dissertations

International students in U.S. higher education institutions face many emotional, social, and institutional challenges as they navigate their academic and acculturative journeys. College counseling centers serve as valuable support resources, but low utilization rates and high early termination rates among the international student population presents a major concern for the college counseling field. To begin the development of an empirically supported, responsive approach to structuring counseling work with international students, this study utilized a metaanalysis to review the literature on counseling intervention effectiveness. The following questions guided this research: What adjustment outcomes are produced by college counseling interventions across modes …

A Case Study On The Application And Implementation Of Positive Behavioral Interventions And Supports For Students With Emotional Disabilities In Alternative Education, Kira Candelieri Marcari

Counseling & Human Services Theses & Dissertations

Alternative educational settings are serving students with emotional disabilities (ED) at an increasing rate; however, there a paucity of research examining the effectiveness of these programs. A review of the existing literature targeting students with problematic behaviors, supports the use of a positive, preventative, proactive, and systematic approaches such as the three-tiered, Positive Behavioral Interventions and Support (PBIS) framework. Although findings suggest that the PBIS framework is associated with favorable outcomes for students with ED in both traditional and nontraditional settings, few studies have explicitly examined whether PBIS can be effectively modified to fit the needs of students with ED …

A Meta-Analysis Of Group Treatment Outcomes For Veterans With Substance Use Disorders, Robert “Tony” Dice

Counseling & Human Services Theses & Dissertations

Group therapy is commonly used in the treatment of substance use disorders (SUD). Many studies exist related to the efficacy of group interventions for veterans with SUDs. A meta-analysis and systematic review of the literature addressing the use of group therapy, specifically psychoeducational groups, cognitive behavioral therapy (CBT) groups and support groups, in the treatment of SUDs with veterans was conducted. The following questions guided the research: What are viable treatment outcomes for psychoeducational, CBT, and support groups of veterans with SUDs? and What are the measures that capture outcomes related to psychoeducational, CBT, and support groups of veterans with …