Telepsychology has become an essential part of practice, but navigating its ethical and risk management challenges requires going beyond checklists and simple compliance. This workshop invites psychologists to view telepractice through an ecosystem lens—a dynamic, interconnected system where laws, technology, client needs, cultural contexts, and emerging regulations all interact. Rather than treating these domains in isolation, we will explore how shifts in one area ripple outward, creating both risks and opportunities for ethical practice. Participants will gain a systems-level perspective on the current telepsychology landscape, while also engaging with applied tools to support ethical and risk-managed judgment.

The National Register and the Council of Executives of State and Provincial Psychological Associations (CESPPA) are partnering to offer a new series of high-quality clinical webinars designed to financially support State, Provincial, and Territorial Psychological Associations (SPTAs). SPTAs do incredible work, and we’re excited to support them through this new collaboration. The first webinar, Responsible Integration of AI in Psychological Practice, will be held on October 31, and be presented by Adam Lockwood, PhD, NCSP, and Dan Florell, PhD, NCSP. When you register, designate a primary SPTA, and 100% of the proceeds will go directly to that association. Registration for this workshop is available here: https://my.nationalregister.org/NC__Event?id=a0lUY000006j9q5YAA

Dr. Abramowitz and Dr. Jacoby will provide a clear and practical overview of the conceptualization, assessment, and treatment of adult OCD using evidence-based approaches, particularly exposure and response prevention (ERP). They will cover strategies for treatment planning, optimizing exposure therapy using an inhibitory learning approach, and how to address common challenges that arise in therapy. Drs. Abramowitz and Jacoby will also explore how to tailor treatment by integrating acceptance-based strategies and involving family members.

Circadian rhythms are increasingly implicated in numerous mental health disorders including depression, bipolar disorder, ADHD, and OCD. Effective treatments exist for regularizing and optimizing circadian rhythmicity, which can have positive effects on mental health outcomes and quality of life. Dr. Elaine Boland will review the current evidence on the relationship of circadian rhythms and mental health, identify the various ways that circadian dysregulation can manifest in individuals with mental health conditions, and discuss treatment pathways including collaboration with behavioral sleep medicine specialists as well as techniques for integrating circadian knowledge into clinical practice.

Dr. Tyrel Starks will discuss essential aspects of the theory and practice of motivational interviewing (MI) with couples. In many ways, MI with couples draws upon elements of established MI practice, such as MI spirit, processes, and skills like OARS, that will be familiar to any experienced practitioner. At the same time, working with a couple means forming an alliance with both of the partners individually as well as with the couple as a whole. It also involves allowing partners to speak to one another and helping them to communicate more effectively than they might on their own. Dr. Starks will discuss how established MI practices are adjusted in response to these considerations.

Rural trans and nonbinary (TNB) youth face a paradoxical mental health challenge. They increasingly must rely on social media for support and community, but online forums pose a significant risk to young people's mental health and social well-being. The broad accessibility, user anonymity, and group dynamics on social media tend to amplify bullying and violent speech. The authors examine the clinical and ethical challenges rural mental health providers (MHPs) face, such as navigating complex, ever-increasing state and federal laws and policies affecting TNB youth; operating as specialists in service deserts; and balancing ethical obligations with client safety. We propose a therapy intervention model called Digital Literacy for Resistance (DLR) that integrates Cognitive Behavioral Therapy (CBT) tools with digital literacy strategies to empower rural TNB youth and their families.

Over the last 10–20 years, there has been a significant increase in the amount of research on nonsuicidal self-injury (NSSI). Yet it remains misunderstood, highly stigmatized, and one of the more puzzling behaviors that present in the context of health service. In this article, we aim to help clinicians to better understand and address NSSI in their clinical practice. In reference to a clinical vignette, we provide an overview of the current knowledge regarding NSSI, outline a new person-centered framework of NSSI recovery, touch on key ethical and clinical considerations regarding NSSI, and provide concrete tips for working with clients who self-injure within the person-centered framework. We also offer suggested language that can be used to support clients who self-injure, in a non-judgmental and supportive way.