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Psychology In Seattle Podcast

Case Management vs Therapy (2017 Rerun)

Psychology In Seattle Podcast

Kirk Honda

Mental Health, Health & Fitness

4.61.2K Ratings

🗓️ 18 September 2025

⏱️ 63 minutes

🧾️ Download transcript

Summary

[Rerun] Dr. Kirk Honda talks with Dr. Michelle Finley about the difference and debate between case management and psychotherapy.

This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month.


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March, 6, 2017

The Psychology In Seattle Podcast ®

Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.

Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com

Transcript

Click on a timestamp to play from that location

0:00.0

When I first started as a therapist 20 years ago, I would frequently find myself confused regarding the boundary of what my job was.

0:08.1

As a novice therapist 20 years ago, I often worked with client populations who were suffering from multiple issues,

0:15.9

like mental illness, health problems, financial problems, racism problems, school problems, neighborhood

0:23.4

problems, legal problems, and so on. And as a therapist, I, you know, naturally felt tremendous

0:31.5

compassion for these people, and I really wanted to help them. So I would try to give advice, or I would ask around to see if anyone knew a solution,

0:42.3

or I would try to find resources for my clients, but I never really felt at ease with that sort of work.

0:50.8

However, I was 100% comfortable with providing therapy, you know, therapy therapy stuff,

0:57.3

like listening or helping people feel empowered or helping people recover from trauma or

1:03.4

helping couples and families get along better, that sort of thing. But I was not comfortable

1:08.5

with helping people get set up with Medicaid or helping people

1:13.3

find the right school for their kids or helping people figure out how to pay their bills or

1:18.5

other things like that. But often, those are the issues that people were most desperate about.

1:25.0

You know, it's hard to work on improving your self-esteem when you can't

1:29.9

find food for your children. Well, this sort of work is often referred to as case management

1:36.3

in our field. You have therapy or counseling, and then you also have what we call case

1:42.2

management. Case management often refers to the sort of work

1:45.5

that I've been talking about, you know, helping people with Medicaid or helping people get set up

1:50.0

with doctor appointments. So as my career progressed, I began to have a lot of opinions about

1:57.5

this sort of work and in terms of my own life, my own career.

2:03.5

And as a supervisor, supervisees would frequently ask me about it.

2:08.8

You know, they'd ask me, how do I get someone set up with Medicaid?

2:13.0

Or how do I get someone toys for their kids?

...

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