Ep 153: From Telehealth to Moral Injury: How Therapy Is Changing and What Clinicians Need Now with Marie Sloane

Send us Fan MailThe ground under therapy keeps moving, and we’re digging into why. We sit down with returning guest Marie Sloane, LPC, to trace how telehealth became the default, why insurance cuts and clawbacks are reshaping private practice, and what it really costs to keep care accessible without burning clinicians to ash. Marie shares the realities of leaving agency life, navigating panels directly versus using intermediaries, and the surprising leverage you can gain by simply asking for a rate increase. We get candid about the trade-offs of platforms like Alma and Headway, the tension between sustainability and access, and the quiet math behind student loans, healthcare, and the hours a therapist can truly carry.Then we turn to the culture shift powered by TikTok and social media. Openness is rising and stigma is falling, which can jumpstart meaningful therapy. But there’s a catch: self-diagnosis trends and algorithm-friendly “advice” blur traits with disorders and can worsen compulsions. We talk about how licensed voices can step into the feed with clear, compassionate education—translating buzzwords into grounded care and helping people move from scrolls to sessions.The heart of this conversation is moral injury. Beyond burnout, it’s the pain of acting against your values—or watching systems do it—because the rules demand it. Teachers triaging classrooms without aides, clinicians pushed to see nine or ten clients a day, frontline staff who lived the pandemic up close while hearing it denied. We name the guilt, shame, and betrayal that follow, and why “do more self-care” falls flat when the workload itself is inhumane. If you’ve felt that strain and wondered what to call it, you’re not alone—and naming it is a step toward changing it.If this episode resonates, share it with a colleague, subscribe for more real talk on the future of care, and leave a review with the one shift you’d make to improve access and sustainability. Your voice helps shape the system we all rely on.For more about Marie, check out her website: Marie Sloane: counseling and consulting services – Online Therapy for People in Arizona, Texas and MinnesotaThis podcast is meant to be a resource for the general public, as well as fellow therapists/psychologists. It is NOT meant to replace the meaningful work of individual or family therapy. Please seek professional help in your area if you are struggling. #breakthestigma #makewordsmatter #thingsyoulearnintherapy #thingsyoulearnintherapypodcastIf you or someone you know is struggling with mental health concerns, please contact 988 or seek a treatment provider in your area.If you are a therapist or psychologist and want to be a guest on the show, please complete this form to apply: https://forms.gle/ooy8QirpgL2JSLhP6Feel free to share your thoughts at www.makewordsmatterforgood.com or email me at [email protected] the showwww.bethtrammell.com