Rural practice is not urban practice with worse logistics. It is a different job, and most clinical
training does not acknowledge that.

I am licensed in twenty-seven states, and I chose them deliberately — states with large rural
populations, few Black therapists, and few clinicians trained in neurodivergence, trauma or serious
mental illness. Rural mental health is not a side interest. It is the reason my practice is built
the way it is.

What the training covers

What actually happens to a caseload when the nearest psychiatrist is three hours away, the nearest
inpatient bed is out of state, and the crisis team is one person who is also at their child’s
football game.

Dual relationships that cannot be avoided, only managed — and how to manage them without pretending
they are not happening.

Confidentiality in a community where everyone recognises the cars in your parking lot.

Serious mental illness in low-resource settings, and what stabilization looks like when the usual
referral options do not exist.

Telehealth that works for clients with poor broadband, shared housing, no private room, and a phone
that is also the household’s phone.

Trauma that is generational and community-wide rather than individual — and the difference between
treating it and pathologising it.

Recruitment, retention and burnout, and why rural clinicians leave.

Who it is for

Rural agencies and clinics. Community mental health centres. Federally qualified health centres.
School districts covering large areas. Mental health providers, Medical Providers, community mental health, teachers, parents, caregivers, and family members. Telehealth organizations serving rural populations. State and regional associations. Groups of rural clinicians organising their own training.

Format and fees

Half-day and full-day formats, live online, tailored to your region and setting. Multi-session
series available. Email for a quote.

To book

Email krishana@mappingrt.com and tell me where you work and what your team is up against.

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