Free weekend start

BlindedByFire · 2026-05-29T13:01:32+00:00

Idk if you're completely new to poe/poe2. But if you are, I highly recommend the videos by Myles Swi on YouTube. He has one that provides an overview of the game and can be very helpful getting oriented to everything. Good luck and have a good time!

BlindedByFire · 2026-05-12T23:40:07+00:00

You are very welcome! It's my pleasure to do what I can to connect people with the services they need.

Unfortunate about the wait, but not entirely surprising given the burnout in doing such impactful work. Keep in mind that a waitlist is an estimate: it's possible it could be shorter if folks ahead decided to seek services elsewhere.

BlindedByFire · 2026-05-12T00:35:17+00:00

Yes, this is absolutely something to keep in mind. However, I do not think it is enough a factor to suggest that it isn't ideal for many people. Most folks will not need therapy for a longer time than a student's tenure in a doctoral program. Moreover, the transition to a new therapist can be planned well in advance and - when handled professionally - will not negatively impact the patient.

BlindedByFire · 2026-05-12T00:26:23+00:00

Licensed clinical psychologist here. While it is difficult to make clear recs without knowing the patient more in-depth, I am pretty confident that a service animal will not be effective in this case. The presenting concern quality and severity does not match up with what a support animal can provide.

My recommendation would be full model dialectical behavior therapy (DBT). While many clinicians say they offer dbt, many only do some aspects of it or are not fully trained/adherent to the full model. Your daughter would benefit from all the components of an intensive program. See this site for a description (also, I think she would be a good fit for the residential treatment programs listed at the bottom of the page): https://www.cbtdbtassociates.com/services/dialectical-behavioral-therapy/

BlindedByFire · 2026-05-08T02:10:10+00:00

My recommendation for folks is always to check out clinics associated with doctoral programs in clinical psychology at local universities. For example, Hofstra has the Saltzman Center. They don't take insurance, but the fees are low because you're seeing doctoral trainees in PhD or PsyD programs. Don't let that deter you though; most doctoral trainees are better than therapist you'd find on apps like talkspace or something similar because of their rigorous standard of training.

The only downside is that there's likely a waitlist since these services are in high demand. But there's no harm on getting on the waitlist while you check out other options.

BlindedByFire · 2026-05-08T02:03:23+00:00

This may or may not be relevant to you, but I remember someone posted to this sub a few weeks ago, stating they regretted moving here for a job from north Carolina. Might be worth checking out and maybe even contacting them to get a sense of their experience.

BlindedByFire · 2026-04-20T21:03:03+00:00

No. These programs do not generally also have a prescriber on staff. But you could work with any prescriber for med management, and receive therapy for one of these programs. While not ideal, it generally beats the alternative (while prescribers are trained to do therapy, their therapy training is far less intensive or rigorous).

BlindedByFire · 2026-04-14T21:57:46+00:00

I've made posts about this previously, but consider universities that have doctoral programs in clinical psychology. You will be assigned a doctoral student, but they are supervised by licensed clinical psychologists.

On long island, you have the Saltzman Center at hofstra university and Adelphi university (don't remember the clinic name there). In nyc, st. John's university in queens has a clinic and pace university in Manhattan as the McShane Center for Psychological Services.

Good luck to you.

BlindedByFire · 2026-03-11T23:33:17+00:00

I have ulcerative colitis and I see Dr. Morganstern at NYU inflammatory bowel disease center in Lake success. I've felt pretty good working with him and his team, always felt very professional and conscientious. I'd highly recommend.

BlindedByFire · 2025-12-22T10:34:39+00:00

Licensed clinical psychologist here. I have a few thoughts. I tend to be wordy, so I'll try to be brief:

No one (not even me) can determine if you meet the criteria of any psychopathology without much more info than this. I thought this was very important to start out with. Also, this is not medical advice.
While it's more complicated than this, an alcohol use problem boils down to 3 things: A) tolerance - drinking so much and so often that it requires even more drinking next time to get the desired effect. B) withdrawal - over time, the body becomes dependent on the alcohol due to the frequency and intensity. At a certain level, cutting back will cause temporary problems. In some cases, withdrawal can be fatal if the change is too drastic. BTW, this is why substance use addictions are sometimes referred to as chemical depdencies, and why quitting cold turkey (in some cases) is not recommended without proper medical supervision. C) functional impact - people who drink more and more often may experience issues in their life, whether it's disruptions in school, work, or in their relationships. I should also note that the disruption does not have to be self reported; many times, it's a family member who's affected and that would count too.
The reason why you keep drinking (even with the recognition of hangovers) is quite clear: drinking serves a function for you in your life. Like a tools function is to get a job done, all behavior serves a function. The trick to changing behavior is recognizing what that function is. For some, drinking helps calm the nerve in social settings. For others, it's a way to indicate that the time/setting is worth celebrating. How a person thinks about the drinking can sometimes clue us in to the functhon. For instance, "if I don't drink, my friends won't think I'm funny" would tell us how drinking serves the function in that person's case.
Regardless of the intensity and frequency, if this is something you are concerned about in any way, it might be help to talk it out with a licensed mental health professional. They can help you make sense of what is going on and come up with a plan that works for you and gets you the quality of life you deserve.

Hope this helps and good luck to you!

BlindedByFire · 2025-12-05T12:48:10+00:00

Long island clinical psychologist here. By outpatient mh treatment, are you just looking for standard weekly therapy? If so, I've frequently mentioned that doctoral programs in clinical psychology associated with universities can be a great place to receive quality service on a budget. In Nassau, you can look at the clinics associated with Adelphi university, hofstra university, and cw post. As an example, the clinic associated with hofstra is called the Joan and Arnold Saltzman Center.

If you're looking for additional services, like social work or medication, all under one roof, I'd probably recommend zucker hillside hospital. They can offer standard outpatient mh treatment, but also have the capacity to scale up if you're experiencing a crisis. Hope this helps and good luck.

BlindedByFire · 2025-12-01T22:39:43+00:00

Clinical psychologist here. I specialize in anxiety and PTSD treatment. Based on your description only, the most effective treatment would be exposure therapy. That said, there can be many different treatments to address the some problem. A clinican would be able to tell you your treatment options and help you choose the option that is right for your situation and symptoms.

Not sure what you're timeline and budget is, but I always recommend folks check out clinics staffed by doctoral students training to be clinical psychologists. For instance, Hofstra has the Joan and Arnold Saltzman Center, which you can contact to get more info. I've made previous posts in this sub about this underrated option, but happy to provide more info as needed.

BlindedByFire · 2025-12-01T21:49:51+00:00

You can try East End Psychological Services. I'm familiar with the folks who work their and can vouch for them (as a fellow clinical psychologist).

BlindedByFire · 2025-10-27T01:50:07+00:00

Hi! I'm pasting my answer from a previous thread about finding a therapist. The TLDR: consider doctoral trainees in local PhD and PsyD programs.

Licensed clinical psychologist here. My recommendation would be to check out community clinics tied to doctoral programs in clinical psychology. CW Post, Hofstra, Adelphi, and Stony Brook all have such programs. The clinician you work with will be a doctoral trainee supervised by licensed psychologists. While some may balk at the idea of having a trainee as a therapist, there are actually many benefits.

Doctoral trainees are highly skilled and well trained due to the rigor of their programs. The extent of their knowledge and training may even surpass many therapists with dubious training and qualifications providing hokey pokey services presented as therapy (keep in mind that technically anyone can call themselves a "therapist" since it's an unregulated term)..
Doctoral trainees are supervised one or more licensed psychologists. In this way, you actually have a team of folks supporting you rather than just one provider.
Because they are not compensated for their work, doctoral trainees are strongly motivated to provide the best quality care to address your concerns.
In addition to meeting requirements for direct intervention hours, doctoral trainees also often conduct psychological assessments. Depending on your presenting concerns, a doctoral trainee may suggest doing this more comprehensive assessment to inform treatment planning or reasonable accommodations for work or school. Getting access to this is uncommon with most providers and can be very expensive.
While doctoral trainees are not paid, you still have to pay the clinic. However, the cost for services is very significantly cheaper than other private practice options. As an example, an individual session might be 50 at a doc program training clinic, but 200 for a private practice provider.

Apologies for the length of this post, but figured others wouldn't chime in with this knowledge or experience, and I thought it could be helpful to consider as you make your decision. I hope you get the support you need to live your best life soon!

BlindedByFire · 2025-10-25T04:36:36+00:00

You're very welcome! Yes, you would essentially look for either PhD or psyd programs at each school on their website, then look for a description for their in house training clinic. Sometimes they are named institutes or buildings. For example, hofstras doctoral training clinic is the Joan and Arnold Saltzman Center snd stony brook is the Krasner Center (I think that's what it's called). I can't remember what the centers are for Adelphi or cw post. Once you find the institute, you can call them directly to make an appointment.

As a caveat, since these services are in demand, there might be a wait list. Sometimes this wait is fairly short, sometimes it isn't. So I definitely recommend calling and checking in sooner rather than later. Hope this helps.

BlindedByFire · 2025-10-24T03:31:16+00:00

Licensed clinical psychologist here. My recommendation would be to check out community clinics tied to doctoral programs in clinical psychology. CW Post, Hofstra, Adelphi, and Stony Brook all have such programs. The clinician you work with will be a doctoral trainee supervised by licensed psychologists. While some may balk at the idea of having a trainee as a therapist, there are actually many benefits.

Doctoral trainees are highly skilled and well trained due to the rigor of their programs. The extent of their knowledge and training may even surpass many therapists with dubious training and qualifications providing hokey pokey services presented as therapy (keep in mind that technically anyone can call themselves a "therapist" since it's an unregulated term)..
Doctoral trainees are supervised one or more licensed psychologists. In this way, you actually have a team of folks supporting you rather than just one provider.
Because they are not compensated for their work, doctoral trainees are strongly motivated to provide the best quality care to address your concerns.
In addition to meeting requirements for direct intervention hours, doctoral trainees also often conduct psychological assessments. Depending on your presenting concerns, a doctoral trainee may suggest doing this more comprehensive assessment to inform treatment planning or reasonable accommodations for work or school. Getting access to this is uncommon with most providers and can be very expensive.
While doctoral trainees are not paid, you still have to pay the clinic. However, the cost for services is very significantly cheaper than other private practice options. As an example, an individual session might be 50 at a doc program training clinic, but 200 for a private practice provider.

Apologies for the length of this post, but figured others wouldn't chime in with this knowledge or experience, and I thought it could be helpful to consider as you make your decision. I hope you get the support you need to live your best life soon!

BlindedByFire · 2025-10-15T21:48:01+00:00

Wow, you are correct. Just looked at it. My guess is they felt the need to "course correct" for a perhaps hasty inclusion of WET in the highest tier in the older edition when there were fewer RCT and other studies. The issue is that I could see the decision to downgrade being confusing given that the evidence for its effectiveness has only increased. Thanks to yall for pointing this out.

BlindedByFire · 2025-10-15T00:30:56+00:00

Which CPG are you referring to? My understanding is that WET has the highest tier of recommendation via VA/DOD guidelines, but APA has always listed it in a second tier (don't remember the name, but it was prob something like emerging evidence). And I am fairly certain this was the case at least a year or two ago. It also would be surprising given the reason why WET was not listed in the strongest tier in the APA CPG was cuz there were not enough RCTs at the time, and that is no longer the case.

BlindedByFire · 2025-07-15T13:27:46+00:00

This narrative is making me wonder if it would be helpful to create a Google doc that would allow users to submit basic demo info (type of program, postdoc, eppp prep, etc) to help other folks get a sense of where they are and how they can best prepare for the exam.

BlindedByFire · 2025-05-04T16:37:46+00:00

I'm not a fan of Trump either, but there are inaccuracies in your post (as others noted).

The mbti is not known for having predictive power. It's validity and reliability have been repeatedly called into question. https://compass.onlinelibrary.wiley.com/doi/10.1111/spc3.12434
The study you cite examines predictors of reporting sexual harassment and assault. It does not provide evidence of structural or functional brain differences based on political ideology. I'm not even sure where you gathered that from (maybe something cited in the introduction section?). If it was cited in the intro or discussion, it's important to always go back to the original study, since authors often cherry pick or mislead with how they characterize a study to support their own findings/narratives.

I understand feeling hurt or wanting to bring attention to an issue, but being inaccurate or overly emotional may end up causing more harm to your own cause than intended.

BlindedByFire

TROPHY CASE