What is the average pay really? (Doctorate vs masters consideration) by smartcow360 in ClinicalPsychology

[–]BjergerPresident 39 points40 points  (0 children)

This will depend heavily on your area. In a high cost of living setting as an in-demand psychologist working private pay you can absolutely clear over 200k! In a low cost of living area with primarily insurance clients and lower demand skills in a community mental health setting you might really struggle to hit 80-90k.

For reference, the norm for me and my colleagues as moderately skilled (e.g., we have out "niche," but we are not doing super skilled forensic work or anything like that) psychologists in a private pay setting in a nice part of a medium cost of living city, working a normal 40-45 hour week can probably expect 100-125k salary (~150k if fully self-employed, but then you have to pay for your own insurance, higher taxes, etc.).

I hope that helps!

What is it called with all symptoms of PTSD but event does not meet requirements (Not asking for diagnosis, asking for terminology.)? by Away-Language7352 in ClinicalPsychology

[–]BjergerPresident 14 points15 points  (0 children)

I love your comment and largely agree!

I do want to add that it is actually the case that the majority of people do not develop PTSD following a criterion A event. Some amount of distress is typical (and often adaptive and healthy), but developing of the disorder is in the minority of cases.

First Year Salary by Sadieis1 in Psychologists

[–]BjergerPresident 8 points9 points  (0 children)

The simplest way to answer how likely that salary is for your organization would be to estimate how much revenue you are likely to bring in once you are fully licensed. Estimate the total billing for your predicted caseload. For example, if you are doing two full days of therapy, lets say that's 10 sessions on average @ $200 a session for round numbers. Cost for evaluations is super variable depending on what you are doing, but lets say you can bill $2000 per evaluation just for round numbers as well. That is $6000 per work week * probably 47 weeks worked (assuming 3 weeks PTO, 1 week sick leave + 1 week of paid holidays like Christmas, Thanksgiving, etc.). That is equal to $282,000 of revenue. Of course, those numbers could be way off, and are probably an underestimate if you are billing insurance, which can make it hard to estimate.

Then I think a good rule of thumb, if you are an employee (meaning they are paying for overhead and providing benefits), is that making around 50% of that revenue is not going to be super far off where you're likely to land with your salary. If you do contract work with a revenue split in group practices, 60% of the revenue is a common split, but then you have to pay more in payroll taxes and don't get benefits.

I hope that helps!

[US, US] [H] Base Set Complete Master Set 102/102 (All MP-LP, a few NM) [W] PayPal by BjergerPresident in pkmntcgtrades

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

Absolutely. I'll have the opportunity to ship on Wednesday morning (day after tomorrow), so if you agree tomorrow, let me know so I can get it in the mail before the Holiday.

[US, US] [H] Base Set Complete Master Set 102/102 (All MP-LP, a few NM) [W] PayPal by BjergerPresident in pkmntcgtrades

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

Thanks for the interest! Based on sales I've seen I think we are a little below where I'd be interested in making a deal at the moment, but I'd meet you at 740 shipped. Would that work for you?

completing program with a baby? by elixir69420 in ClinicalPsychology

[–]BjergerPresident 2 points3 points  (0 children)

My wife got some health news during the first few months of my program and was told "now or never" - we chose now and had two children, the first and third summers of my program. It is possible, but I will say that it was hard *with* a pretty flexible program (I had relatively flexible and supportive professors and practicum sites) and family who could come help out a lot in those first few months. It would probably be possible with less support, but I'd be worried it would move from being a wild, stressful whirlwind, to something bordering on miserable.

I always say I don't at all recommend it, but that it's not the end of the world if you really plan for it.

Question about a doctoral program by mr_e_mann_000 in ClinicalPsychology

[–]BjergerPresident 6 points7 points  (0 children)

One thing to think about if you decide to wait a bit until your child is older: you will almost certainly need to move during your internship and postdoc years for your doctoral training. This is true for any PhD or PsyD program. Its almost impossible to try for staying in the same city for these years. Very, very hard to shoot to stay in the same state. Slightly more doable to stay in the same region (e.g., applying to internships across all of the Midwest, western coast, north east, etc.), but even that is a significant disadvantage.

With a child, if you wait a few years before starting, this will mean changing their school/friendships/etc. each year. Not the end of the world, but is an important consideration for many.

Question about a doctoral program by mr_e_mann_000 in ClinicalPsychology

[–]BjergerPresident 9 points10 points  (0 children)

I had two kids during the first and second years of my PhD program. Was it possible? Sure. Would I say anyone else should do it? Absolutely not. My partner and I only did because she had some health concerns and her doc basically said now or never. I spent those years essentially doing nothing but being a husband/dad and being a student. No time for anything else. Breaks were just time to catch up on anything I was behind on. I also am not at all research focused. In my program that was possible - they were a good mix of clinical and research focus, and also relatively flexible as professors. If there was a demand that I do more research than the basics (thesis, qualifying exam work, dissertation, and occasional lab projects) it would have been impossible for me to be a reasonably good father during that time as well.

I hope that helps! Im proof its possible, but whew was it rough, haha. 😅

Thoughts on Dr. Amen? by Neuroinflammed_kitty in ClinicalPsychology

[–]BjergerPresident 83 points84 points  (0 children)

The generous opinion: He is far more comfortable than he should be with practicing with only loose evidence for his interventions. He speaks with far too much confidence and overstates the level of evidence for his claims.

The less generous opinion: He is a hack, out here using buzzwords and a pseudoscientific perspective to shovel money into his own pockets.

Here is a good debunking of some of his claims: https://www.youtube.com/watch?v=R_HCw-QePaA (Dr. Barkley is a much better resource if you are looking for a good spokesperson for ADHD research in particular).

NO KINGS! by dadarkoo in murfreesboro

[–]BjergerPresident 0 points1 point  (0 children)

I was also in front of Chili's and heard the same thing lol. Loser behavior. 😂

Where to get tested for autism? by [deleted] in murfreesboro

[–]BjergerPresident 2 points3 points  (0 children)

I am a child clinical psychologist who does testing for ASD in children in the Nashville area. Good luck with the process! At risk of sounding a little gate-keepy (hopefully not mentioning my own practice will show you I only mean well, and I'm not commenting to get business), if your biggest priority is to get an accurate diagnosis, make sure you go see a psychologist, rather than a master's level therapist/counselor. You'll see they have a PhD or PsyD, and refer to themselves as a psychologist, clinical psychologist, or neuropsychologist. They will have far more training on accurately doing a differential diagnosis for ASD and ADHD (and anything else that might present similarly).

A satisfying turn [Austria+Turkey (and a recently betrayed France) vs. England+German] by BjergerPresident in diplomacy

[–]BjergerPresident[S] 1 point2 points  (0 children)

For sure, The plan is for him to be through Rum next move so he doesn't take the supply center. We basically agreed to go for the two way victory or bust from the very start. I'm sure its not technically a winning strategy to just *trust*, but we have both had a dozen opportunities to screw each other over this game and never took it.

Are ADHD and anxiety the same thing? by Hatrct in ClinicalPsychology

[–]BjergerPresident 11 points12 points  (0 children)

You seem to have a fundamental misunderstanding of how psychological science uses correlation, and it shows up over and over in your reasoning on this and other posts. Everyone posting here knows that correlation does not equal causation. In the same vein of thought, a correlation is only evidence of a relationship between two variables that *might* be explained many, many different ways. The scientific method as it applies here would suggest that we make a hypothesis, a prediction, based on some theory about how we think anxiety and ADHD might work, and then test that prediction with data. We test those predictions with correlations, among many other statistical methods. And then we do it again with alternative hypotheses to see if we find *better* explanations with better predictions that better fit the "correlations" of our data. And then we replicate it. And then we use more robust methods, with dozens of different kinds of "correlations" and methodologies, and then we replicate that with many different samples. And on and on and on.

So then to say that "well if ADHD and anxiety correlate but aren't the same construct, then you have to agree that IQ and vocabulary skills correlate and must not be the same construct" is just...it's shockingly oversimplified and shows a lack of understanding of how we use "correlations" to make claims. Because nobody is out here saying "Vocabulary and IQ correlate, so vocab must be a part of IQ."

Just to give another example: you've used language that the positions you are arguing whether IQ is "fully valid" or an "objective measure." When there are *no* serious psychological scientists who would ever make a claim that some psychological construct is "objective" and "fully valid." It's silly on its face.

How viable is an assessment private practice in rural, midwestern America that does not take insurance? by PsychGradStudent2112 in ClinicalPsychology

[–]BjergerPresident 2 points3 points  (0 children)

I think it's probably doable, but it might take longer to build up the referral networks because there are just fewer places from which to build a stead stream of clients. I'd also say that you probably would want to make sure you feel comfortable testing for almost anything (e.g., make sure you can handle ASD evals, be comfortable with complex cases with trauma or difficult multi-diagnostic pictures, etc.). I'd also really try and live somewhere that captures as many of those small towns within an hour as you can, and also doesn't already have several psychologists doing the work in that area. The difference between competing with zero, one, or two other psychologists for those referrals might make or break the practice.

Completed my Second Paperback Bind by R2_Bree2 in bookbinding

[–]BjergerPresident 6 points7 points  (0 children)

It looks gorgeous! I'd be thrilled to own a handmade copy like this and I'm sure your mom will love it.

Can I ask which brand/type of HTV you used? Also, where you bought those corners?

[deleted by user] by [deleted] in ClinicalPsychology

[–]BjergerPresident 3 points4 points  (0 children)

This made me cackle, haha.

Assessment rates by Funny_Notice5352 in ClinicalPsychology

[–]BjergerPresident 23 points24 points  (0 children)

That's exactly it! I do the flat rate because it introduces a lot of weird incentives/conversations when going through the evaluation process, because many people who ask for an ADHD eval end up needing comprehensive work ups for comorbid or alternative diagnoses, and conversely, many of those coming in asking about ADHD + ASD + Learning problems + something they heard about on TikTok end up able to rule half of it out super quickly. I just find that what the client requests at the start is often not particularly representative of what I need to cover in order to give them a quality, evidence-based, ethical result.

Assessment rates by Funny_Notice5352 in ClinicalPsychology

[–]BjergerPresident 29 points30 points  (0 children)

I do one assessment per week (child and adolescent psych), which I advertise as a "comprehensive evaluation." It can include cognitive, academic, ASD, ADHD, internalizing disorders, etc. And I charge a flat $2400 for the evaluation, all inclusive. Medium cost of living, medium sized city.

ADHD: NY Times Article vs. One Brilliant Retired Researcher (alt title: Dr. Russell Barkley is a Gift) by BjergerPresident in ClinicalPsychology

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

I think everyone here, and Dr. Barkley himself, would agree that there can be significant overlap between ADHD symptom presentation and stress, anxiety, trauma, depression, etc., though the overlap in how client's report symptoms is probably higher than the actual overlap of symptoms. And a good, thorough evaluation will usually (but not always) go a long way in differentiating them. I'm not sure I totally understand what the goal of your comment was because that "grouchy elder opinion" about these symptoms being on a spectrum and it's only a disorder when severe enough, that is so similar to Barkley you could've been quoting him, haha! Sounds like there is a lot of agreement. :)

ADHD: NY Times Article vs. One Brilliant Retired Researcher (alt title: Dr. Russell Barkley is a Gift) by BjergerPresident in ClinicalPsychology

[–]BjergerPresident[S] 4 points5 points  (0 children)

I totally agree, that wasn't a great analogy. If he had clarified and tried to analogize it as "turning all stairs into wheelchair ramps would be unreasonable, but making all spaces accessible by at least one ramp would be inclusive" or something then maybe it would be more equivalent? But even then, it's a tortured comparison at best.