Counseling Commons^™

Navigating Mental Wellness: A Peer-Led Journey Into Adult Services, Kristin G. Haberek

DSW Capstone Projects

Students with severe emotional disturbances (SED) occupy one of the most underserved intersections in American education and mental health care. As they age out of children’s services, they face abrupt service discontinuation, disrupted therapeutic relationships, and adult systems ill-equipped to meet their needs. These vulnerabilities, including heightened risks of crisis, hospitalization, homelessness, and justice involvement, constitute a central practice problem. This capstone addresses these transitions across three scholarly products: a systematic literature review, a theoretical concept paper, and a practical application paper, tracing a unified arc from diagnosing structural failures to proposing an evidence-informed, equity-oriented clinical response. Synthesizing key findings …

Personality-Based Clinical Predictors Of Transdiagnostic Suicidality In Emotional Disorders, Harshini Arun

Masters Theses

No abstract provided.

The Impact Of Medicaid Policy Limitations On Access To Eating Disorder Treatment: Uncovering The Consequences Of A System Built To Fail, Meghan Frost

DSW Capstone Projects

Individuals who rely on Medicaid face major barriers when trying to access eating disorder (ED) treatment, reflecting broader patterns of structural disadvantage in publicly funded health care. Research shows delayed diagnosis, limited access to ED specialists, and frequent denials for recommended services. These gaps occur because Medicaid policies do not match the needs of evidence based ED care, resulting in delayed or incomplete care for many individuals with eating disorders.

This issue is highly relevant to social work practice because the policies shaping these barriers are complex and difficult for clients and ED providers to navigate. Social workers across clinics, …

The Influence Of Black African American Fathers’ Parenting Styles On Young Adult Children’S Attachment Styles: The Roles Of Gender And Fathers’ Residence, Robert Baptiste Thompson

Dissertations

Parenting

Black African American (BAA) fathers in the United States are frequently mischaracterized as absent or uninvolved, reinforcing deficit-based narratives rooted in historical and systemic racism. Such portrayals obscure the meaningful and sustained roles many BAA fathers play in their families and fail to account for the cultural, structural, and contextual conditions that shape paternal involvement and parenting practices. Although a growing body of research has documented the importance of father involvement for child development, comparatively limited empirical attention has been given to how BAA fathers’ parenting styles influence their children’s attachment—particularly as a function of fathers’ co-residency histories. This …

Counselors' Lived Experiences Of Moral Injury: A Social Ecological Perspective, Lisa M. Belknap

Antioch University Dissertations & Theses

This study explores the lived experiences of counselors who encountered moral injury when sociopolitical, institutional, and organizational conditions constrained their ability to practice in alignment with their personal morals, professional values, and the counseling profession’s code of ethics. Participants (N = 15) included licensed counselors who self-identified as having experienced moral injury in response to directives from legitimate authorities that conflicted with professional ethics, social justice commitments, or client welfare. Grounded in social ecological systems theory, this phenomenological study employed a confidential, cross-sectional online survey. Reflexive thematic analysis identified seven themes: (a) Profit Over People, (b) Structural Forces Contributing to …

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …

Editorial For Issue 20(3): Special Issue: Developmental Trajectories In Lgbtqiqa+ Lifeways, Jeff Moe, Aaron Albright

Counseling & Human Services Faculty Publications

[Introduction] Hello and welcome to the community of counselors, advocates, and scholars who read the Journal of LGBTQ Issues in Counseling. Over the course of the past 20 years, affirmative counseling with and on behalf of LGBTQIQA+ people has developed into a profession-wide expectation as opposed to a specialty area. The synergy of consistent and prolonged social and professional activism with research and practice led the leaders of organizations like the American School Counselors’ Association (ASCA) and the American Counseling Association (ACA) to adopt LGBTQ+ affirmation as the ethical and professional perspective of the counseling field. The leaders of the …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Social Class Differences Between Client And Therapist: A Grounded Theory Study Of Working-Class Clients' Perspectives, Micah Herman

Electronic Theses & Dissertations (2024 - present)

Although a substantial body of research highlights the importance of broaching differences related to race, ethnicity, gender, and sexual orientation in psychotherapy, considerably less attention has been paid to social class, a dimension of socio-cultural identity that profoundly shapes individuals’ life circumstances, their sense of self, and their relationships with others. In recognition of our limited understanding of how working-class clients perceive and respond to class-based cultural differences between themselves and their therapists, the present grounded theory study addressed (1) how working-class clients experience and make meaning of social class differences in the therapeutic relationship and (2) what clients see …

You Are Your Ancestors’ Wildest Dreams: A Journey Beyond The Lens Blueprinting The Influence And Impact Of Media And Podcast Pedagogy On Black And Brown Creatives In Higher Education And Beyond, Diamond N. Morgan Dr.

West Chester University Graduate Theses, Dissertations, and Final Projects

Explores the influence and impact of media and podcast pedagogy on Black and Brown creatives (BBC) in higher education. Grounded in Critical Race Theory (CRT), the Black Creative Educational Experience (BCEEs) framework, and the conceptual lenses of sociological and public podcasting, this study examines how podcasting functions as a transformative pedagogical and sociocultural tool for storytelling, identity development, creative expression, and community building within collegiate environments. Utilizing a convergent parallel mixed methods design, the study integrates quantitative survey data from 65 participants with qualitative focus group discussions to provide a holistic understanding of participant experiences across personal, professional, academic, social, …

The Caregiving Experience: Comparing Stress And Quality Of Life Among Caregivers Of Children With And Without Autism Spectrum Disorder, Mona Khayal

Antioch University Dissertations & Theses

This comparative cross-sectional study investigated caregiving burden, quality of life, and anxiety among primary caregivers of children with autism spectrum disorder compared to caregivers of typically developing children. Using Bronfenbrenner’s Ecological Systems Theory, 66 caregivers (31 autism, 35 comparison) of children aged 6-18 completed the Zarit Burden Interview-12, WHO Quality of Life-BREF, and GAD-7. According to the results, autism caregivers reported substantially higher burden (M = 31.26 vs. 13.23, d = 2.42) and anxiety (M = 9.13 vs. 4.63, d = 1.04), with 90% exceeding clinical burden thresholds compared to 26% of comparison caregivers. Quality of life was lower across …

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …

Exploring Relational Leadership And Psychological Safety During Ai Integration In The Workplace, Solmaz Kaynama

Antioch University Dissertations & Theses

This study explores employee psychological safety, or its lack, during artificial intelligence (AI) integration in the workplace through a relational leadership lens. The population included employees of for-profit business corporations currently integrating or adopting AI technologies (N = 14). Participants completed in-depth, semi-structured interviews. Results showed eight themes: relational leadership creates a psychologically safe workplace climate; unsupportive and dysfunctional leadership erodes trust and psychological safety; psychological safety determines whether employees speak up openly or hold back; employees’ experience daily work through workplace culture, pace, and remote or hybrid conditions; AI may delivers immediate productivity benefits while introducing new psychological and …

The Effects Of Meditation On Compassion And Cultural Humility In Mental Health Professionals, Jamie Kostek

Antioch University Dissertations & Theses

The purpose of this study was to examine the effects of a brief, secular, Buddhist-inspired meditation program on self-compassion, compassion for others, and cultural humility on mental health professionals. Using a single-group pretest-posttest design, licensed clinicians (N = 13) participated in a five-week Anytime Anywhere Meditation (Tergar International, 2024) program. Results indicated statistically significant increases in mindfulness, self-compassion, and cultural humility. Additionally, strong positive correlations were found between mindfulness and self-compassion, and between self-compassion and compassion for others. Findings suggest that brief, secular meditation programs rooted in traditional Buddhist practices may support both clinician well-being and culturally responsive practice.

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …

A Qualitative Exploration Of Counselor Traits And Wellness Practices, Emily Velidow

Antioch University Dissertations & Theses

This study is a qualitative thematic analysis of counselor wellness practices as well as how selfidentified personal traits are part of how a counselor practices and prioritizes wellness. Theoretical underpinnings of the study integrate trait activation theory (Tett & Burnett, 2003), Martin Seligman’s wellbeing theory (Seligman, 2011), and Urie Bronfenbrenner’s ecological systems theory (Bronfenbrenner, 1977). Participants included nineteen licensed counselors (N=19). Analyzed responses lead to four main themes, each with two to four subthemes. Resulting themes included (1) intentional caseload and workday structure, (2) deliberately emphasizing physical wellness, (3) setting boundaries attending to mental and emotional energy, and (4) the …

Interpersonal Reckoning: The Liminal Space Between Rupture And Repair In Counselor Education, Phoenix E. Rosewood

Antioch University Dissertations & Theses

The purpose of this study is to understand and explore the phenomenon of the rupture, reckoning, and when possible, the repair process with racial, ethnic, and cultural (REC) microaggressions in counselor education. Participants (n = 14) included counselor educators who had either enacted a REC microaggression and attempted repair, or had been the recipient of an REC rupture and a meaningful attempt at repair. This study utilized a thematic analysis as a methodological framework in interpreting the data with the perspective of borderlands theory, critical embodied phenomenology, relational cultural theory and relational neuroscience analytical frameworks to account for and explain …

Navigating Family, Culture, And Well-Being: A Qualitative Study Of First-Generation Adult Children Of Middle Eastern Immigrants In The United States, Ramona Amely

Antioch University Dissertations & Theses

The purpose of this study is to explore the lived experiences of first-generation adult children of Middle Eastern immigrant parents/caregivers living in the United States. This was a phenomenological study with reflexive thematic analysis. Participants (N=10) were interviewed via Zoom, and transcripts were analyzed using Reflexive Thematic Analysis (RTA). The results included four themes: (1) Migration Contact and Cultural Formation, (2) Bicultural Identity Development, (3) Family System Adaptation, and (4) Emotional Socialization and Psychological Impact. This study highlights how first-generation adult children of Middle Eastern immigrants navigate complex, interwoven processes of bicultural identity development, family adaptation, and emotional socialization shaped …

The Lived Experience Of Survivors Of Narcissistic Abuse, Jessica Williams

Antioch University Dissertations & Theses

The purpose of this study is to explore the lived experiences of narcissistic abuse survivors through a grounded theory approach to generate a model that can assist people in recognizing patterns and traits of narcissistically abusive relationships. Guided by relational-cultural theory, this study further seeks to examine the ways narcissistic abuse damages relational connections and to highlight elements of healthy, growth-fostering relationships. The population of focus included self-selected narcissistic abuse survivors who are adults over the age of 18 (N = 8). The results indicated three themes, each with additional subthemes, which include: (a) early behavior – performative displays and …