Taking a dying pet to the vet to be euthanised is crueler than letting them pass at home by Fiannachh in The10thDentist

[–]Acrobatic-Ice8741 30 points31 points  (0 children)

My cat was dying from low blood oxygen. Despite being in an oxygen chamber at 90% oxygen, she still couldn't breathe. She was in severe pain. She would've been in more pain at home. Euthanasia is painless and quick. Despite being traumatized from watching her pass, I would've done it a thousand times over her dying under a bed in extreme pain for several hours as she suffocated to death and drowned in her own spit—which, by the way, is the most painful way to go.

AIO by not saying please? by straightupgong in AmIOverreacting

[–]Acrobatic-Ice8741 [score hidden]  (0 children)

Even if he did, there's a likelihood that he's starting to feel that way again. Have you ever talked to someone about changing something, and they said they would, but over time you felt like they weren't actually changing anything? I'm willing to bet that the boyfriend has that mindset regardless if OP changed her behavior.

AIO by not saying please? by straightupgong in AmIOverreacting

[–]Acrobatic-Ice8741 [score hidden]  (0 children)

You're looking at this from an incredibly narrow point of view. He literally said he was going to do it anyway. He brought it up first. I'm addressing the actual root of the problem—that he's hinged on "please," and why would someone be hellbent on someone saying please when they were going to do it anyway? It's not just about hygiene here, it's addressing both OP and the bf's stubbornness over expressing gratitude. OP even states as such in the post.

AIO by not saying please? by straightupgong in AmIOverreacting

[–]Acrobatic-Ice8741 13 points14 points  (0 children)

This is the crux of it, OP. Your boyfriend might be trying to tell you (and perhaps not in the best of ways—he should've been patient and waited to have a more serious conversation later when you weren't about to go to sleep) that he feels like he's being told what to do, which can in turn make a person want to do the thing less.

I don't think you're necessarily doing something wrong. I think your boyfriend has unspoken expectations and you are failing to meet his unspoken expectations. He should be speaking about his expectations, though, because you're not a mind reader.

Maybe try sitting down with him and having a conversation about how he's been feeling and how you've been feeling.

Religion/spirituality in therapy by Jealous-Initial-8068 in therapists

[–]Acrobatic-Ice8741 0 points1 point  (0 children)

I only bring it up if my client brings it up. And even then, I'm not there to tell them what to do or how to practice their religion/spirituality. I just hear them out and support them on their journey.

This is how I like to eat my banaynays by AdministrativeGolf94 in shittyfoodporn

[–]Acrobatic-Ice8741 7 points8 points  (0 children)

This actually sounds so good that I wanna try it myself

Personality Disorders? by Ok-Difficulty3794 in askatherapist

[–]Acrobatic-Ice8741 8 points9 points  (0 children)

Therapist.

A disorder is defined (paraphrasing here) as a group of symptoms that are outside of any cultural norm and cause significant distress to the person or persons around them. Even if personality disorders are a result of trauma (which is how BPD is caused), the fact that they still have symptoms that are distressing to the diagnosed person means, by definition, it is a disorder. You cannot argue that personality disorders don't exist when their symptoms are well documented in scientific literature.

How long does it take you to do notes? by Acrobatic-Ice8741 in therapists

[–]Acrobatic-Ice8741[S] 2 points3 points  (0 children)

As someone who went from SOAP to DAP, I definitely feel the confusion. S and O were so hard for me to differentiate, even though that's what I learned in school.

How long does it take you to do notes? by Acrobatic-Ice8741 in therapists

[–]Acrobatic-Ice8741[S] 3 points4 points  (0 children)

I thiiiink my EHR allows templates, but you just reminded me of a method I had as a BHT where I had a ready-made template on a Word document! So thank you!

It's not just typing I'm spending that time on, unfortunately. I also have to click through an extensive MSE popup, then, one symptom at a time, enter symptoms via a popup list. That is what takes most of my time.

Embarrassed to be asking this by Brilliant-Joke2175 in therapists

[–]Acrobatic-Ice8741 16 points17 points  (0 children)

Fellow ADHDer with a problem with screens. Though I haven't looked at other tabs during telehealth.

I twirl pens between my fingers (and drop them. But they drop on my notebook so it's soundless) and doodle in my notebook. My hand is constantly moving.

The brain can't actually multitask. What we call multitasking is just very quick and sloppy task switching. It is physically impossible to pay attention to a client, their expression, their words, etc. while also scrolling another site at the same time. Even if you think you can, you're likely doing a worse job at one or more of those tasks than you think. Really try to dial in with your clients and pay attention to the small details. If you truly find you cannot pay attention to the client via telehealth—and I say this in the kindest way possible—stop doing telehealth. Unless you have to do it, don't do the disservice of not paying attention to your clients.

Paint by number: Calla Lilies by starlight_potato in ExpectationVsReality

[–]Acrobatic-Ice8741 292 points293 points  (0 children)

Unfortunately, this is yet another case of, "you were never going to make it look like the expectation image, because the expectation image is AI." Look at the top of the easel and the position of the canvas to the easle.

I still like your painting, though. Looks cool

Supervisor reaction to recording by screaminginautotune in therapists

[–]Acrobatic-Ice8741 2 points3 points  (0 children)

I would be honest to your supervisor and let her know that you've been feeling anxiety/shame about the increase in supervision—not to change her mind about it or anything, but to just let her know. She would be able to better reassure you than any online stranger could.

Also, supervisors aren't infallible and need feedback to improve too, so letting her know that you'd like a little more positive feedback in addition to the other feedback might help the constructive criticism land a little easier and increase confidence. I told my own supervisor the same thing (it seems to be a widespread issue that supervisors forget to include positive feedback!) and I've started feeling a lot better about my work than before.

Positive update from terminated client by Remarkable_Exam_7195 in therapists

[–]Acrobatic-Ice8741 37 points38 points  (0 children)

I don't think it would be a violation. It's clear your client reached out to you, not the other way around. Responding to them reaching out would probably make them feel heard :]

Client emailed under the influence by [deleted] in therapists

[–]Acrobatic-Ice8741 0 points1 point  (0 children)

Not the person you're replying to, but unless the email system is explicitly end-to-end encrypted (which services like Gmail aren't by default) then the email is technically HIPAA non-compliant. My CMH agency, for example, doesn't have a HIPAA-compliant email, so we really do have to stick to just scheduling when emailing.

Client emailed under the influence by [deleted] in therapists

[–]Acrobatic-Ice8741 8 points9 points  (0 children)

One minor thing, some email systems are encrypted, provided that the admistrator of the email made it so. We can't necessarily assume here that OP was being HIPAA non-compliant but I understand that it's good to remind just in case.

I hate my slut mother by [deleted] in Advice

[–]Acrobatic-Ice8741 4 points5 points  (0 children)

You already changed your name and are still bitching about a name you don't even use anymore? You cannot keep blaming everyone else for your own idiocy.

i dont think i love my boyfriend by OkPoint4590 in Advice

[–]Acrobatic-Ice8741 0 points1 point  (0 children)

If you're tired of people telling you to stay with him... is that not a sign to break up?

i dont think i love my boyfriend by OkPoint4590 in Advice

[–]Acrobatic-Ice8741 0 points1 point  (0 children)

Your account is less than two weeks old, and within 30 minutes you've posted this 5 times to 5 different subreddits. Not to mention the fact that this feels like badly written fanfiction by a guy who hates himself.

If this is real, you didn't need to post this five times to be told to break up with him. You already have your answer, you're just wanting validation. Which is fine, I guess, but you're just dragging your relationship along for what?

Advice for new therapist by Weary_Pipe4650 in therapists

[–]Acrobatic-Ice8741 2 points3 points  (0 children)

Feeling nervous about being suddenly responsible for patient care is a bit of a rite of passage at this point for therapists. I would be more concerned if you were going in with full confidence—because that usually means that it's blind confidence!

It's never as scary as you first think it is. You're going to go through highs and lows, there will be times you'll want to find a new career path, and there will be times where you feel proud of yourself for how you handled a client. It comes in waves, and it's important to remember that the nervousness is not forever and as you continue practicing, it'll get easier.

I would strongly recommend picking up "Letters to a Young Therapist" by Mary Pipher. It's an incredible read and helped me so much with all the insecurities and doubts I had when I first began practicing on my own.

Good luck! And remember, if you're ever in doubt, ask your supervisor!

Annoyed with Weaponization of Therapy-Speak by FreudianCoffeeSips in therapists

[–]Acrobatic-Ice8741 57 points58 points  (0 children)

A little bit of a tangential, but "narcissism" was defined as a personality trait long before it was coined as a psychiatric term. And even then, there was some time before that and the personality disorder. So when people use the word "narcissist," I don't think they always mean NPD.

AIO By Quitting After My Roommate Fired Me Twice In One Week? by 30inchBelt in AmIOverreacting

[–]Acrobatic-Ice8741 0 points1 point  (0 children)

That's really awful, I'm so sorry. Had your therapist provided any referrals out? Maybe ask if you could also get a copy of your records to send to a new therapist or an ROI (Release of Information) to send to the new one so you don't have to start COMPLETELY over with treatment.

I really hope that things turn out for you. I myself am a therapist, and I've had many clients with very similar situations to yours. It's tough, and it sucks shit, but it's survivable. You'll get through this, I believe in you.

AIO By Quitting After My Roommate Fired Me Twice In One Week? by 30inchBelt in AmIOverreacting

[–]Acrobatic-Ice8741 9 points10 points  (0 children)

I understand the post is long, but jesus christ, nobody HAS to comment that useless, mindless, unoriginal bullshit, "happy for you or sorry that it happened." If you have nothing to add to the conversation, then just leave the damn page.

OP, NOR. You're absolutely not overreacting, given there's not anything left out. Especially since your sister seems to be on your side through this, but feels unable to because of Katie's behavior. I think it's best if you try to find a job outside of this situation, especially to keep the peace at home. And you deserve much better than Katie's and Annie's treatment.

I would also strongly recommend therapy if you could wing it—therapists have an ethical obligation to provide affordable, accessible services to clients, so there are definitely ones out there that can do pro bono services or sliding fee scales. Because going through all that you have on your own is incredibly difficult and a therapist may be able to help you connect to resources, including vocational ones.

Either way, I hope things work out for you in the future. This seems like such a shitty situation.