When It's Not Working: Letting a Clinician Go Without Betraying Your Values
Letting a clinician go can fit your values if three things are true: they knew the expectations and had a real chance to meet them, their clients are protected through the transition, and they leave with their dignity intact. Most of what makes a separation ethical happens months before the conversation. What usually goes wrong isn't the decision. It's the delay.
Practicing Across the Oregon–Washington Line: What Portland Metro Practices Need to Know
Every Portland-metro practice hits this eventually — a client moves across the river, a strong candidate is Washington-licensed only, a college student comes home for the summer. What follows is what I have confirmed with the boards' own materials as of September 2026, including one answer that surprised me.