What is it about?

We asked mental health graduate students about their experiences providing advice and support in their personal lives. In medicine and other helping professions, it is common for providers and trainees to be asked to provide medical advice to family members, friends, and other members of their community in their "off duty" time. It's called "informal medical consultation" and the vast majority of medical trainees experience it. We wanted to know if mental health trainees experienced something similar; we called this "informal psychological consultation." We wanted to know what trainees get consulted about when they are "off duty" and how they handle it.

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Why is it important?

The "off duty" provision of advice or support can be tricky for trainees. On the one hand, they may be very knowledgable about certain topics and can help their loved ones in ways that feel empowering, like helping connect someone to a mental health professional or an evidence-based resource. On the other hand, they are still in training, and may not know what to do, or feel that their own boundaries are pressured when others ask them for help. We found that 80% of our sample reported being sought after to provide psychological advice or support, and sometimes, this posed ethical challenges for trainees. We also found that trainees usually didn't talk to their program mentors or supervisors about informal psychological consultation. We think program should consider addressing this topic during clinical training onboarding or as part of ethics/professional development classes or seminars.

Perspectives

I think about this topic a lot! When I meet new people and they learn I'm a psychologist, it's not uncommon for them to ask for my opinion about a mental health topic or to disclose a personal situation (right after they ask "can you read my mind?"). And, when I was a graduate student, I had friends and family reach out to me with questions about navigating mental health. I enjoyed exploring this topic more deeply and hopefully bringing light to a very common experience among mental health trainees.

Cynthia Brown
Pacific University

Read the Original

This page is a summary of: Experiences of informal psychological consultation by mental health graduate students: A descriptive study., Training and Education in Professional Psychology, October 2025, American Psychological Association (APA),
DOI: 10.1037/tep0000526.
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