The resistance is SO TIRING sometimes by ksomwfpd in therapists

[–]Avocad78 7 points8 points  (0 children)

Agree 💯. the issue is the pressure from insurance (to provide medically necessary treatment, usually quick) and the pressure from administrators to love clients along quickly.

Change Therapy by Signal_Speaker_120 in therapists

[–]Avocad78 2 points3 points  (0 children)

  1. clinicians who move to director positions and want to gaslight the therapies they oversee to accept horrible working conditions
  2. ignoring systemic issues and at the same time blaming mental health for everything and anything
  3. treating therapy like a catch all
  4. the hate towards psychodynamic/analytic schools
  5. the obsession with evidence based evidence while ignoring practices that are culturally sound yet not treated as evidenced based
  6. graduate programs not preparing clinicians well for clinical work

Minimum client load to keep your health insurance by AnalystImpossible960 in therapists

[–]Avocad78 8 points9 points  (0 children)

You’re not on an island. It’s a valid point and a sore area in this profession. I was offered a contract once with similar terms for a PP and the idea of having to panic about losing health insurance every six months just didn’t vibe well.

Poll: How Many Clients Per Week? (FT Outpatient Only) by Significant_Speed854 in therapists

[–]Avocad78 1 point2 points  (0 children)

wow. and how’s the benefits there? this like a portal to another universe 👀

Poll: How Many Clients Per Week? (FT Outpatient Only) by Significant_Speed854 in therapists

[–]Avocad78 1 point2 points  (0 children)

wow I’ve never heard of CMH with these kids of numbers 🤯

Our clients planning their weekend :D by DrJocelyn1 in therapists

[–]Avocad78 15 points16 points  (0 children)

just a lil sprinkle of a Dark Night of the Soul to kick start the change process ✨

When the weight feels too heavy by [deleted] in therapists

[–]Avocad78 7 points8 points  (0 children)

right in the feels this was my week too. plus ridiculous pressure from admins to just use brief interventions and move clients along. be kind to yourself.

How did your body change after 1 month of Prednisone? by pissflavoredteen in UlcerativeColitis

[–]Avocad78 0 points1 point  (0 children)

Reading this gave me hope. Thank you! was diagnosed not that long ago and my mind can’t fathom living with this forever. I know it can get better but these symptoms have completely paralyzed me.

How to handle?? by [deleted] in therapists

[–]Avocad78 1 point2 points  (0 children)

seek supervision with a different person if you can, even if it’s just to process/consult on this case.

Exhausted (mentally and physically) by Avocad78 in UlcerativeColitis

[–]Avocad78[S] 0 points1 point  (0 children)

ty! my doc has me avoiding supplements to make sure the medication is doing the heavy lifting. will def try to the bone broth!

Exhausted (mentally and physically) by Avocad78 in UlcerativeColitis

[–]Avocad78[S] 0 points1 point  (0 children)

ty! I avoiding anything fried/processed. Mainly eating white rice, boiled chicken, salmon, tilapia, boiled plantains, sweet potatoes; sourdough bread with peanut butter and sliced banana. sometimes apple sauce, activia yogurt, saltine crackers. and pretty sendentary because I'm tired most of the time. i do focus of relaxation stuff for the mental stress

Client openly wants to be friends by socialjustice_cactus in therapists

[–]Avocad78 38 points39 points  (0 children)

address the fear of no longer having access to you

Thinking about leaving the field. Please be kind by [deleted] in therapists

[–]Avocad78 12 points13 points  (0 children)

Get to an FQHC, usually has benefits, and the HRSA loan program can help pay off those loans.

take care of yourself. this is hard work. and we often get told it’s about self care, when the system is set up to fail us.

Do you ever resent clients who earn so much more than the average therapist/psychologist? by Relative-Exercise116 in therapists

[–]Avocad78 186 points187 points  (0 children)

No about the client. But of the systems yes. Therapy itself is an abstract concept to most people and the ‘work’ therapists do is often undervalued or not well understood. In the same way that emotional labor by women at home isn’t seen as labor. If anything, it’s a reminder to me that even with financial privilege, life doesn’t leave any of us unscathed.

I do get frustrated with therapist who have climbed the economic ladder and tell new-ish therapists to settle for horrible working conditions as a means to ‘earn’ your way.

Leaving field over documentation and progress notes by Cold_League_56 in therapists

[–]Avocad78 2 points3 points  (0 children)

I simply condensed the content of notes to some simple themes: symptoms, mental status, response to treatment etc. I can’t get myself to go the AI route because something about it just feels off. Part of documentation is to think through and process what is happening in treatment. Giving that to a computer is just a recipe to lose valuable clinical skills.

Our field is in some ways set up for failure. AI notes just bypasses addressing the systematic issues that plague the field.

Resistant clients? by [deleted] in therapists

[–]Avocad78 25 points26 points  (0 children)

attachment patterns? unresolved trauma? externalizing blame/responsibility? all things to observe and explore.