The Advocate Fall 2021
 VOL . 44 , NO . 4 www . amhca . org
 FEATURE ARTICLES
 CRAVINGS MANAGEMENT : IT ’ S MORE THAN HELPING CLIENTS DENY OR REDIRECT A ‘ STRONG URGE TO USE ’ / page 14 Enhance your knowledge about treating substance use disorders . Learn about the four types of cravings — reinforced use craving , overt interoceptive craving , covert craving , and conditioned cue craving — and watch short videos that depicts each of the craving types in action .
 By Doug Paul , LPC , CPCS , LMHC , QS
 RECOMMENDATIONS FOR COUPLES THERAPY WITH ARAB AMERICAN CLIENTS / page 19 Expect that Arab American couples may hold different view of common couples issues — such as infidelity , sex , intimacy problems , commitment issues , and intimate partner violence . By Eman Tadros , PhD , LMFT ; Abrea Ramadan ; and Marram Salman , NCC
 INSIDE AMHCA : pages 6 – 8
 • AMHCA issues a new practice standard on Affectional Identity
 • Watch a free video on online therapy with suicidal clients , featuring John Sommers-Flanagan , PhD
 • AMHCA ’ s Fall Summit is a success
 • Call for Nominations for 2022 election of three positions on AMHCA ’ s board of directors
 • AMHCA announces annual awardees , and those who earned certification credentials this year
 • Thank you to the 126 people who made donations to AMHCA in 2021 to support the profession
 COLUMN
 From the President & Interim CEO / ED — page 4 By Beverly Smith , PhD , LPC , NCC , CCMHC , ACS , NCSC , CFT , HS-BCP , BCC , MAC , CPCS , BC-TMH , CCTP , BCPCC : 45 th AMHCA President , 2021 – 2022 , and Interim CEO / ED
 DEPARTMENTS
 MEMBER REFLECTIONS / page 2
 Why using nutrition as a mental health intervention makes sense By Dr . Sophia Sills-Tailor and Dr . Ularisi Green-Baker
 NEWSBRIEFS / page 9
 • An update on the development of the new 911 alternative — 988 — for people who are suicidal or in emotional distress
 • The U . S . Surgeon General issues an Advisory calling for action to address the youth mental health crisis , which has been exacerbated by the pandemic
 COUNSELING TIPS / page 10 How to use Progressive Muscle Relaxation ( PMR ) with clients to reduce anxiety , stress , and chronic pain . Plus :
 • A step-by-step guide to relaxation training , and
 • A sample , filled-in PMR practice log . ( Download a blank one at https :// www . amhca . org / viewdocument / progressive-muscle-relaxationblank .)
 By Joseph Kertesz , LCMHC , NCC
 ETHICS FAQ / page 24 Your questions , and the Ethics Committee ’ s answers
 CLINICAL MENTAL HEALTH COUNSELORS
 Clinical mental health counseling is a distinct profession with national standards for education , training and clinical practice . Clinical mental health counselors are highly skilled professionals who provide flexible , consumer-oriented therapy . They combine traditional psychotherapy with a practical , problem-solving approach that creates a dynamic and efficient path for change and problem resolution . The mission of AMHCA is to enhance the profession of clinical mental health counseling through advocacy , education and collaboration .
 ADVERTISING : Email Whitney Meyerhoeffer at wmeyerhoeffer @ amhca . org for ad rates and availability .
 The Advocate Magazine is for AMHCA members and subscribers only . To read The Advocate Magazine online , go to www . amhca . org / advocatemag
 The Advocate Magazine Fall 2021 American Mental Health Counselors Association ( AMHCA ) www . amhca . org 33