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Mental Health Home

San Mateo, California, United States
May 31, 2018

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*. This position REQUIRES current California registration Licensed Marriage and Family Therapist (MFT)

Marianna Krapivner, LMFT

2. Provide your California Board of Behavioral Sciences issued registration OR license number AND expiration date for verification.

Licensed Marriage and Family Therapist

License No. LMFT 106507

Valid Until: 12/31/2019

3. Describe your clinical experience working with seriously mentally ill adult or older adult clients providing clinical treatment, assessment, diagnostic, evaluation, therapy, case management, and crisis management.

Include your title, the services you provided, and length of experience in months.

Be specific.

In my last 36 months of my clinical experience as a bereavement and clinical therapist I have been providing long-term therapeutic services to the broad range of cross-cultural domains of adult population. He majority of male and female adults represented the age group of 25 – 85 within different socioeconomic classes, multi-cultural backgrounds and sexual orientations. I have conducted clinical interviews, assessments and assigned diagnosis. Within my clinical experience I have encountered clients with various personality disorders, including BPD, NPD, DPD and multiple personality disorder, bipolar disorder, complex PTSD (trauma related – multigenerational and men-made), schizoaffective and paranoid disorders, complicated grief, chronic pain, anxiety and depression. In certain cases, dual diagnosis of depression, anxiety and polysubstance abuse were presented as well. In addition, aside from prevalent mental condition, most of my clients presented multiple familial and relational issues, such as high-conflict marriages, parenting, domestic violence, and child abuse, as well as existential issues, such as identity reevaluation, one’s mortality and meaning in life.

I rely upon evidence-based treatment and current literature while providing services to my clients. My approach is collaborative and caters to unique bio-psycho-social needs of the clients. In building rapport with clients, I employ indirect, non-intrusive interview style that provides safe and holding environment within the frame of clear therapeutic boundaries. I welcome client’s feedback and adjust the goals and interventions to meet the most salient issues that are being presented in session. Aside from minimizing the symptoms and facilitating emotions, I create the environment for corrective experiential moments, externalization of symptomatology (issues), awareness of meaning, and activation of self-resilience.

4. Describe your clinical experience working with seriously mentally ill adult or older adult clients with co-occurring mental illness and substance use disorders . Include your title, the services you provided, and length of experience in months.

Be specific.

In addition to aforementioned, when addressing dual diagnosis issues, I prefer to work simultaneously on substance use as well as comorbid conditions. I tend to apply interventions from CBT, MI and ACT as well as Dr. Gabor Mate model that underscores direct correlation between unprocessed emotional or physical pain and addiction.

5. Describe your professional experience working with adult or older adult clients from culturally diverse backgrounds.

Specify any experience working with the Chinese community.

Include your title, the services you provided, and length of experience in months.

Be specific.

One of the pivotal components of successful alliance is authentic attunement to cultural sensitivity of the clients. This pertains to my knowledge, continuous self-education and exposure to various cultural experiences, as well as ongoing collaboration and feedback from clients. As an immigrant from Eastern-European country, when I encounter a client of a different culture and/or race, I acknowledge such difference as soon as possible. In addition, I tend to ask for the client’s feedback at the end of the first session, e.g. ‘How was this experience for you Mr/Mrs X to sit with me, White female immigrant therapist?’ The answer to such question often leads to authenticity, openness and strengthening of therapeutic alliance.

Throughout my experience I worked with clients from the following cultures: African American, Arab-American, Jewish-American, Asian, Indian, Lanito, Iranian, White, and LGBT community. While working with these cultures, I demonstrate particular respect to hierarchical, communal, familial and spiritual roles, historical and sociological events, deeply-rooted traditions, collectivistic or individualistic preferences, machismo, familismo, formalosmo and personalismo, as well as the need to reserve or express emotions.

While treating members of Chinese community, I am aware of high somatization of symptoms, preference of ‘saving face’ and shame and stigma about disclosing personal issues outside the family. In addition, certain clients demonstrate restricted emotional affect and preference to brief solution-focused approach.

6. Describe your clinical experience working as part of a multidisciplinary team providing clinical services for seriously mentally ill adult or older adult clients . Include your title, how you participated in making treatment decisions, and the team members involved.

While working for Pathways Home Health Hospice as a Bereavement Therapist, I have been a member of the Interdisciplinary group consisting of physicians, nurses, social workers, therapists and spiritual counselors. As a team member, I have collaborated with my peers to develop and provide the best care and treatment for the patients.

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