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Digital Seminar

Women's Friendship Health

Clinical Skills for Strengthening, Rupture, and Repair

Speaker:
Katelyn Baxter-Musser, LCSW, C-DBT
Duration:
1 Hour 35 Minutes
Format:
Audio and Video
Copyright:
Feb 05, 2026
Product Code:
POS150840
Media Type:
Digital Seminar

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Description

Friendship is often described as a protective factor. 

Yet many women come to therapy exhausted from holding relationships together. 
In this session, you’ll learn how to work clinically with women’s friendship health—including strengthening, strain, rupture, and repair—without shaming, pathologizing, or rushing to boundaries. 

You’ll gain practical ways to help clients assess which friendships need support, which need repair, and which may need to change. This training treats friendship as real clinical material and offers tools you can use immediately.  

       

Credit

Speaker

Katelyn Baxter-Musser, LCSW, C-DBT's Profile

Katelyn Baxter-Musser, LCSW, C-DBT Related seminars and products


Katelyn Baxter-Musser, LCSW, C-DBT is a licensed clinical social worker in private practice in Maine where her areas of expertise include domestic violence, abuse, trauma, PTSD, depression, anxiety, grief, personality disorders and relationship issues.

Her clinical experience includes working for ten years in various roles as a case manager, child and family therapist, and trauma therapist for several agencies and Native American reservations. Ms. Baxter-Musser served as the Trauma Healing Services Clinical Coordinator for La Frontera Arizona, a non-profit organization dedicated to providing behavioral health counseling, crisis intervention and support to families and individuals facing domestic violence, abuse, hate crimes and other issues.

Ms. Baxter-Musser is certified in Dialectical Behavioral Therapy and EMDR. She is a member of the National Association of Social Workers, the American Academy of Experts in Traumatic Stress, the National Center for Crisis Management and EMDRIA. She sits on the EMDRIA Standards and Training Committee and part of the Southern Maine EMDR Coalition.

PESI and Katelyn Baxter-Musser are not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.

Speaker Disclosures:
Financial: Katelyn Baxter-Musser is the owner, operator, trainer of Inner Awakening Counseling & Consulting and receives royalties a published author. She receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Katelyn Baxter-Musser is a member of EMDRIA, the National Association of Social Workers, the American Academy of Experts in Traumatic Stress, the National Center for Crisis Management, and the International Society for the Study of Trauma and Dissociation.
PESI and Katelyn Baxter-Musser are not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Objectives

  1. Recognize common patterns of strain, rupture, and over-responsibility in women’s friendships, including how attachment history and trauma shape these dynamics. 
  2. Distinguish between friendships that need strengthening, those that may benefit from repair, and those in which distance or change may be clinically appropriate. 
  3. Use trauma-informed interventions to support clients in clarifying friendship needs and navigating repair without shaming or rushing boundary decisions. 
  4. Apply assessment questions and clinician language that help clients evaluate reciprocity, emotional labor, and the personal cost of maintaining friendships. 

Outline

1. Clinical Importance of Friendship
  • Friendship as a protective factor
  • Mental and physical health benefits
  • Emotional labor and relational expectations among women
2. Friendship Distress in Therapy
  • Emotional overextension
  • Fear of rupture or loss
  • Chronic self-doubt and obligation
  • Unequal emotional labor
3. Why These Patterns Occur
  • Attachment learning
  • Trauma and relational loss
  • Cumulative grief
  • Relational survival strategies
4. Clinical Pitfalls to Avoid
  • Risks and Limitations
  • Rushing to “set boundaries”
  • Pathologizing relational investment
  • Ignoring cultural/developmental context
  • Shame-based interventions
5. Assessing Friendship Health
  • Key assessment questions
  • Clinical tools and questionnaires
  • Identifying reciprocity, emotional labor, and cost
6. The Friendship Health Continuum
  • Strengthening
  • Strain
  • Rupture
  • Necessary change or ending
7. Interventions for Rupture & Repair
  • Grief and identity considerations
  • Mutual accountability in repair
  • Stabilizing self-worth during conflict
8. Interventions for Relational Strain
  • Translating resentment into unmet needs
  • Expectation reset
  • Effort-return audit
9. Interventions for Strengthening Friendships
  • Expressing needs for connection
  • Addressing fear of being “too much”
  • Gradual depth-building in relationships
10. When Distance Is Protective
  • Chronic invalidation or boundary violations
  • One-sided emotional labor
  • Supporting grief and identity shifts after friendship loss
11. Clinical Integration
  • Common therapeutic traps
  • Language that supports client agency
  • Cultural, trauma, and neurodivergent considerations
12. Key Takeaways
  • Friendship dynamics shift over time
  • Repair is not always the healthiest option
  • Distance can be protective
  • Helping clients develop relational self-trust

Target Audience

  • Counselors  
  • Social Workers  
  • Psychologists  
  • Psychiatrists  
  • Marriage and Family Therapists  
  • Addiction Counselors  
  • Other Mental Health Professionals  

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