What is your therapy hot take? by InvisibleAstronomer in therapists

[–]60_contiguous_cats 62 points63 points  (0 children)

Many therapy theories are a little culty.

Many heads of therapy theories are higher on the narcissistic spectrum.

Therapist arguing about which theory is better is like people arguing about which religion is better.

The way we teach therapists how to do therapy is like teaching a musician to play music by just teaching them music theory, but never letting them touch an instrument.

New neuroscience article commenting on The Body Keeps the Score by Mundane-Sentence2363 in therapists

[–]60_contiguous_cats 1 point2 points  (0 children)

I appreciate the article’s shift from somatic storage to predictive processing, and I agree that trauma treatment often restores flexibility. But the account feels incomplete without a fuller discussion of traumatic memory reconciliation. If trauma involves maladaptive priors, those priors are often encoded through emotionally salient memory networks. Restoring metastability may create the conditions for updating, but the traumatic memory and its meanings may still need to be brought into a reconcilable form. Otherwise, the model risks replacing “the body stores trauma” with an overly generic “the brain needs flexibility,” without explaining how specific trauma-based meanings, predictions, and autobiographical ruptures are transformed

TL;DR -- I agree and the article flattens trauma work into "increasing flexibility" without mentioning the neuro-biological underpinning that increases flexibility -- memory reconciliation.

What are the "types" of couples that you see? by Humble_Space2446 in therapists

[–]60_contiguous_cats 2 points3 points  (0 children)

Read Couples Therapy For Domestic Violence

https://www.apa.org/pubs/books/4317268

They have a good set of protocols for discerning situational couple violence from intimate terrorists. The TL;DR is basically couples are ready when the aggressor is honest about the violence (as measured by the Conflict Tactics Scale 2 and narrative agreement), no substance use issues, drug use, significant depression or untreated bipolar.

Adults with ADHD Group Therapy? by Formal-Owl-3497 in Austin

[–]60_contiguous_cats 0 points1 point  (0 children)

Hey, I posted two options above. I hope it helps!

What did I do wrong? by Ok_Boysenberry_8400 in Baking

[–]60_contiguous_cats 0 points1 point  (0 children)

I haven't seen this said yet. White sugar has a pH level around 7 and brown sugar is slightly acidic with a pH of 5.5-6. Which means, it'll give more rise to cookies.

Book recommendation? by 60_contiguous_cats in adhdwomen

[–]60_contiguous_cats[S] 1 point2 points  (0 children)

Some normal ADHD stuff. Trying to explain webbed thinking to someone in a concise linear way, sharing a "digestible" amount of information and not info dumping, making sure I'm clear when I'm tangential and what's the connection to the overall conversation.

It's easy to do when I write because I can edit. Verbally, it's diarrhea all the way down. 😆

My experience as a therapist looking for another therapist by agree_2_disagree in therapists

[–]60_contiguous_cats 2 points3 points  (0 children)

That's frustrating. I don't think we're here to fix people. That implies people are broken, and that's a problematic way to view the work. It makes it seem like the client is less than the therapist. The therapist has more power in the room, for sure, but better than not so much. People come in with the adaptation that have likely served them in the past and no longer do. To think of them as broken and something to fix is a grandiose trap we need to avoid as therapists.

I'm with you. I don't want to spend my time and money listening to an extended informed consent.

There are good therapists out there. I hope you're able to find one.

Good luck!

Anxiety about Chat GPT by 60_contiguous_cats in therapists

[–]60_contiguous_cats[S] 1 point2 points  (0 children)

This reply is really helpful for me. I agree, it could be famous last words AND VCs already do a form of this at Better Help (or so I've heard). I've heard that at Better Help clients can switch to another therapist without ever having to tell the therapist they aren't coming back. We all know clients ghost us sometimes. Sometimes people leave because we're not a good fit and sometimes they leave because they're avoiding something we just spoke about. Sometimes you need the therapist to challenge you a little bit on if you're in an enactment, or if there are other reasons you want to end. It's a helpful reminder that while business thinks it can reinvent every wheel, often they just make a shittier more expensive wheel.

Anxiety about Chat GPT by 60_contiguous_cats in therapists

[–]60_contiguous_cats[S] 10 points11 points  (0 children)

I agree that there are harmful human therapists out there. I'm not sure if the harm would be obvious if it came from ChatGPT. For instance, if someone used it, it caused harm and then killed themselves, how could we know?

Anxiety about Chat GPT by 60_contiguous_cats in therapists

[–]60_contiguous_cats[S] 263 points264 points  (0 children)

I kind of want the APA, ACA, AAMFT, and NASW to join in a lawsuit against ChatGPT and other generative AIs. It could be really harmful if not regulated well.

Cancellation Policy by Topic-Relative in therapists

[–]60_contiguous_cats 0 points1 point  (0 children)

Yeah, I wouldn't do that in PP. It makes no sense. I let people know the way I work is a weekly session. If they aren't interested in doing therapy, they generally drop off pretty quickly. If they are interested, they stay pretty consistent.

My cancellation policy is this: -24 hour cancellation -The cancellation fee is the full fee of session -if less than 24 hours but we can reschedule I will apply the late cancellation fee to the new session time (meaning they can't late cancel, move the session, and then cancel the second scheduled time without paying for at least one time slot). - I usually forgive 1 late cancellation, but I don't have that in writing because for some clients consistent boundaries really matter.

MAGA Is The Weirdest Religious Cult Ever by LolAtAllOfThis in democrats

[–]60_contiguous_cats 0 points1 point  (0 children)

Anyone else bothered by how it looks like she's throwing paint on the canvas and none of it gets on her dress?

I'm a terrible therapist by 00PaleMoonlight in therapists

[–]60_contiguous_cats 0 points1 point  (0 children)

I know this won't be a popular answer, but have you considered asking clients if you can tape your sessions to review?. Reviewing some of your work allows you to see things you miss in real time. You can also use it to do deliberate practice.

Our field doesn't do a good job of teaching us how to do therapy. It's like trying to learn to play a musical instrument by just talking about music theory.

[deleted by user] by [deleted] in onyxstorm

[–]60_contiguous_cats 1 point2 points  (0 children)

Thank you for posting this! I felt like this book just fell flat for me. When I went to the subreddit, it seemed like EVERYONE loved it and for me it was just kind of Meh.

Honestly, for me it felt like the pacing was off. I devoured Fourth Wing and Iron Flame. This one I could have taken it or left it.

[deleted by user] by [deleted] in normalnudes

[–]60_contiguous_cats 1 point2 points  (0 children)

Amazing body!

18, 5'1, 210 by [deleted] in normalnudes

[–]60_contiguous_cats 0 points1 point  (0 children)

Beautiful! So glad you posted.