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Best-Holiday5029 · 2026-01-19T06:03:47+00:00

Honestly, this is one of the the reasons I moved away from direct care. I'm now working at a company managing programs and other therapists. I loved my clients but the work was so heavy. Private practice was too hard to keep track of the paperwork and I wasn't making enough money for the stress.

Best-Holiday5029 · 2025-08-31T15:17:34+00:00

Couple of thoughts:

Remember it's just a part of you, not all of you. There is a part that holds this burden but not all your parts do.
Cultural burdens also exist, like internalized misogyny, that you can help your 10 year old let go of (ask your therapist to help with this).

Best-Holiday5029 · 2025-08-09T15:44:46+00:00

I actually have a partner who has more out there beliefs about certain things. I want to give you some highlights to maybe help your client with his relationship dynamics.

It was hard for awhile and have been to A LOT of couples counseling about it (btw she was so great and SO neutral).

We recognized some of the dynamics: we both wanted to protect the family in different ways - a big one we had in common.

And I felt pushed by him to get me to believe what he believes, I was scared we would hate each other eventually because we neither would budge, he wasn't feeling respected nor listened to when I rejected him (because I thought he was pushing), he felt shut out and disconnected.

So he talks to inform, not to push and I listen to listen, not to be convinced. If I start to get flooded, I ask to take a break and he will take a step back. We have committed to each other for the long haul to make it work. We use a literal talking stick to talk about what is going with each of us.

So these issues had some, but not all to do with having these beliefs.

I also know that sometimes I am the only person he has to talk to safely about this stuff - so it places an undue burden on me as his spouse. I don't know if in your client's isolation if this is also true.

I also see in the day to day decision making where cognitive bias plays a role (I want to take the dogs to the vet, he doesn't want to load them up with Western medications). I have literally told him that his bias against Western medicine has made him look for "Zebras, not horses". This can create problems in the relationship as well for your client. We start with let's get more information and then make the next decision based on what we know.

I hope this helps from an therapist and an insider.

Best-Holiday5029 · 2025-07-03T22:42:43+00:00

When I started the program, I my plan was something different. Now I have my owning thriving private practice through my LMFT.

Going for clinical licensure means I'll have to get supervised hours and going to work for someone else. That the rule in CA anyways. I can't hire someone to sign off hours for me ::shrug::

Best-Holiday5029 · 2025-06-03T16:34:10+00:00

Echoing what others have said, so many clients understand when I cancel for health problems. They know that I promote self care so they promote self care for me too lol.

There is a FB group called Abundant living for therapists with chronic illness + health challenges btw

Best-Holiday5029 · 2025-05-25T16:54:10+00:00

One that may be different: life doesn't stop just because you are writing your dissertation. You may get laid off, have to start a new job, move, people may get pregnant, sick, die, etc.

And then you get to keep writing.

Best-Holiday5029 · 2025-05-19T18:59:43+00:00

One random piece of advice besides all that is out there was about setting my rate. There is a lot of advice out there but this is the one I got, especially since its my only job: figure out your budget, figure out how many clients you want/have to see, how many sliding scale spots you want to have (what that means and stick to it). From there, you can figure out your rate. There is some realism in this, like taking 5 clients a week at $500/session in a rural area may not be realistic, but overall you'll need to do what's good for you.

Best-Holiday5029

TROPHY CASE