Role Description
Full Heart Family Therapy is seeking an experienced, independently licensed therapist to provide remote therapy for clients navigating sex addiction, problematic sexual behavior, and betrayal trauma.
Your caseload may emphasize:
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Individuals struggling with problematic sexual behavior
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Partners experiencing betrayal trauma
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Couples and group work (available for clinicians with appropriate experience)
We are particularly interested in clinicians with:
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Established specialty experience
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Strong clinical judgment
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Professional referral relationships
Our administrative team assists with:
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Scheduling
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Billing
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Credentialing
Part-time and full-time arrangements are available for discussion. This position offers remote, in-person, or hybrid options.
Responsibilities include:
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Assessing concerns related to problematic sexual behavior, betrayal trauma, and associated mental health difficulties
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Providing individual therapy within your areas of competence
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Helping clients address harmful behavior patterns, strengthen accountability, and develop practical recovery goals
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Supporting betrayed partners in understanding their experiences, strengthening boundaries, and identifying their needs and choices
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Assessing relationship safety and determining whether couples work is appropriate
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Developing treatment plans that reflect clientsβ goals and clinical needs
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Providing couples or group therapy when consistent with your training and agreed role
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Coordinating with other treating professionals when appropriate and authorized
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Completing clinical documentation accurately and on time
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Participating in clinical consultation and continued specialty development
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Identifying needs for additional assessment, medical care, or a different level of treatment and assisting with referrals
Qualifications
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Masterβs degree in counseling, marriage and family therapy, social work, or a related clinical field
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Current independent Iowa clinical license as an LMHC, LMFT, or LISW, or eligibility and willingness to obtain the appropriate Iowa license before beginning client care
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Ability to meet professional practice requirements in both Iowa and the state where you will physically work
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Experience providing telehealth, or demonstrated ability to deliver effective care through a secure video platform
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A private workspace, reliable internet connection, and ability to maintain client confidentiality while working remotely
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Availability to participate in monthly clinical consultation by video
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Relevant experience treating problematic sexual behavior, betrayal trauma, addiction, relational trauma, or closely related concerns
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CSAT or CPTT certification, candidacy, or comparable specialty training preferred
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Ability to approach sexual concerns without shame while maintaining clear accountability for harmful behavior
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Understanding of the effects of deception and betrayal on partners and families
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Ability to distinguish consensual sexual diversity from behavior involving loss of control, harm, or violations of agreements
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Strong assessment skills, professional boundaries, and clinical judgment
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Ability to provide affirming care across diverse identities and backgrounds
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Experience with couples therapy or group facilitation is welcome but not required for an individual therapy role
Requirements
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Clinicians must hold the appropriate Iowa license before beginning client care
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Remote work locations are subject to practice approval