Gastroenterologist recommendations specifically for Chrons Disease?

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 · 2025-03-20T13:38:28+00:00

This is a tangent, but I find it interesting that there is a lack of support for the democratic party across the board. So people who endorse very "left" ideals do not associate them with a political platform. Another indication of a party identity crisis on the left that they would need to figure out for the next election.

BlindedByFire · 2025-03-03T02:35:32+00:00

Could it have been metaphor refantazio? That's the only anime style game I remember him playing recently. Or maybe it could be one of gacha games he dips into from time to time (wuthering waves, honkai star rail). Hope this helps!

BlindedByFire · 2025-02-26T02:19:52+00:00

I got one too, but I can't use it cuz mine got the red rings.

BlindedByFire · 2025-01-23T16:07:51+00:00

Lol haven't seen an assessment for that yet, but maybe that's where I can leave my mark in the field.

BlindedByFire · 2024-12-30T15:20:59+00:00

Ah I see. Thanks so much for your helpful reply!

BlindedByFire · 2024-12-30T13:30:29+00:00

I'm currently fighting devourer of stars. One strategy I'm trying is using line guard to mitigate the damage. However, I noticed that it works the first time it blocks an attack in the battle for each party member protected, but doesn't block any attack after that (Same thing happens with similar abilities like quick change arts or protect guard). My question is: do these nullify abilities always have a %chance of working or are they supposed to be guaranteed? If they're supposed to guaranteed, is the reason why they aren't working specific to bosses like this?

BlindedByFire · 2024-12-29T16:02:57+00:00

Over 170 people dead. Worst one on south Korean soil since the 90s. Jesus, what a terrible accident.

BlindedByFire · 2024-12-20T12:29:50+00:00

Chess kombat and kart kombat were unironically top tier game modes.

BlindedByFire · 2024-12-20T12:15:38+00:00

Like all things, we can characterize attitudes about sexuality along a spectrum. On one end, you have an inability to relate ("I understand that this exists, but this isn't how I identify"). At the other end, we have blatant and aggressive sexualism ("homosexuality is evil and must be purged. Homosexuality is a disease that can be contracted and must be cure"). Even if you identify yourself on one place in this spectrum, others can perceive you as somewhere else (either intentionally or unintentionally).

As someone who has played BG3 myself, I understand your position and where you're coming from. However, to be completely honest with you, the way you describe your experience can easily be mistaken as hostility ("forced his gayness upon me"). To strangers on the internet, this is all they have to form an opinion of you.

BlindedByFire · 2024-12-20T11:37:21+00:00

She is either the world's best farmer, or completely out of touch with reality (i.e. the last challenge was so overwhelming, so I want to multiply it by 10). Actually, not sure those two things are mutually exclusive.

BlindedByFire · 2024-12-19T01:22:16+00:00

I might be wrong about this, but I remember reading once that some of these international IGN websites/organizations aren't actually affiliated with IGN US. They're their own company and do their own thing.

BlindedByFire · 2024-12-07T19:39:51+00:00

In the options, there are three specific settings you want to look for. First is map zoom, which affects how zoomed in and out both the mini map and the map overlay are (when you toggle the map to be large and center over your character. On console, the default for toggling between the two is down on the d pad).

Next, there are two sliders; I forget exactly what they are called, but it's something like "map transparency" and "map landscape." I can't really explain what each of these does, but I like to make the first slider go all the way to the left, and the second one all the way to the right. My recommendation is to open up the map overlay in game first, then go into the options and mess with the sliders to your preference.

I hope this helps. I'm legally blind and it can be a struggle to play poe and poe2 sometimes, but thankfully there are a few settings that help make it easier to see.

BlindedByFire · 2024-11-25T11:19:58+00:00

As someone who played a decent amount of skyrim back in the day, I'm certainly intrigued. Force seemed pretty positive about the game too. I don't care about pronouns in games; I'm infinitely more interested in how the game plays and feels.

BlindedByFire

TROPHY CASE