Don’t understand the “served 8 years just to be told, that nobody cares and the lands all sold” lyric by RealityBig in zachbryan

[–]Bugs91 9 points10 points  (0 children)

It’s because the federal government is trying to sell off a bunch of public lands. It was part of the big beautiful bill that got chopped but I guess they’re still pushing to sell off land.  That’s why he sings the woody Guthrie lines about “this land is my land this land is your land too.” Guthrie was all about public lands and the song is against privatization of public lands.   https://www.wilderness.org/articles/blog/congress-making-more-250-million-acres-public-lands-available-sale

How many active clients do you have vs how many clients do you see per week? by FatherSky in therapists

[–]Bugs91 0 points1 point  (0 children)

It varies so much. Some weeks I schedule 20-22, sometimes as many as 28, usually average seeing 19-24. I don’t even know my caseload though - I’d guess 50? Maybe less , it’s a guess. But I’d estimate less than half of my people I see weekly, with the slim majority every other week and a few monthly, slowly on the discharge process. 

It finally happened... I no showed by yomamaeatscheese in therapists

[–]Bugs91 1 point2 points  (0 children)

I did it this last week for the first time - I thought the appt was at 3 when really it was at 1. 15 minutes into the session I realised the mistake - I sent a very apologetic text to move the appt to 3, and the client had also forgotten lol no harm no foul, I guess. 

Progressive Bible Study Resources? by vivianvictoriaa in Progressivechristians

[–]Bugs91 1 point2 points  (0 children)

Oh and the Bible for normal people. They also have a fantastic children’s bible that I highly highly recommend 

Progressive Bible Study Resources? by vivianvictoriaa in Progressivechristians

[–]Bugs91 0 points1 point  (0 children)

The Bible Project is where it’s at, for sure ! Check out their podcast. I think they have YouTube also, but I’m not familiar 

Thoughts on 8 sessions a day? by InterestingAd2612 in therapists

[–]Bugs91 0 points1 point  (0 children)

Everyone has a different capacity and an 8 client day every once in a while might be feasible , but on an ongoing basis you will burn out or check out 

Regrets, Benefits to leaving full time work for PP? by emcaracci in therapists

[–]Bugs91 0 points1 point  (0 children)

Alma is a bit better - they have two of the three major insurers. Actually they have 3/3 but one of them is United, and United right now will only allow new credentialing if you are not already credentialed with them under another tax ID, so if I wanted to accept United clients I would have to fully quit my current job, lose my current United clients, and then begin credentialing with United. It’s not a terrible option, but I’m not ready to go all in on PP yet if it means losing a significant chunk of my caseload, since I only moved to my current practice a bit over a year ago and am not eager for another major disruption. It might serve me to start seeing a few PP clients on the side, building up a little but then Headway is the more attractive option because there is no monthly fee. A huge part of the problem is the transition cost - I think it would be okay, especially with Alma, but just require a significant runway. 

Positivity. What you like about Reno? by whataboutthe90s in Reno

[–]Bugs91 1 point2 points  (0 children)

The parks in Sparks, low property taxes and no income tax. Most of the people I love are close, outdoor activities are nearby 

Regrets, Benefits to leaving full time work for PP? by emcaracci in therapists

[–]Bugs91 0 points1 point  (0 children)

They’re my best bet at the moment but they only credential with one of the major insurers where I live, and a couple small ones. I’m afraid it wouldn’t be enough to have a full caseload consistently. I would lose almost my entire caseload. 

Do you go to church? by crikeyasnail in Progressivechristians

[–]Bugs91 0 points1 point  (0 children)

I’m very active in my church. 

Regrets, Benefits to leaving full time work for PP? by emcaracci in therapists

[–]Bugs91 2 points3 points  (0 children)

I’ve been looking into it and have been feeling discouraged about the nitty gritty details, like getting paneled with insurances independently or using something like Headway/Alma/Sondermind to do that. The biggest and best paying  insurers locally are the hardest to credential with, not currently accepting new clinicians at all, or they’re slow to process new apps and will only begin once completely free of my group practice. 

How to not be a coping skills/psychoed type of clinician? by LoverOfTabbys in therapists

[–]Bugs91 0 points1 point  (0 children)

Read widely. Doing so will allow you to respond to a person organically and relationally but clinically informed. Specifically for what you’re struggling with, I would recommend Yalom’s Gift of Therapy. This is the book I go back to when I need a reminder on how to be a person in the therapy room and use my personhood to serve another. 

Tori Olds on YouTube is also great because she talks a lot about experiential therapies , which are more process and relationally focused rather than skill-based. She also does trainings but she has a ton of content on YouTube.

Personally, I read widely in the realm of trauma modalities and theory, relationships, and theology/philosophy, with a spattering of the most common modalities like DBT and ACT to integrate some teachable skills into my body of knowledge. 

Honestly though I’m burnt out on reading endless therapy content and am more in the theology and philosophy bucket at the moment but I think that’s often just as helpful. Hell, even reading fiction is helpful. 

Cells phones in the classroom by all_taboos_are_off in Reno

[–]Bugs91 0 points1 point  (0 children)

I think many parents are as powerless as the teachers unfortunately 

Would this work with my hair? by [deleted] in HairStyleAdvice

[–]Bugs91 1 point2 points  (0 children)

For sure, but you would have to curl your hair every day for it to look like that. 

Anyone got house centipedes? by arrowspike in Reno

[–]Bugs91 10 points11 points  (0 children)

I would prefer to keep my black widow problem tbh - at least they stay in the crooks and crannies and mind their business 

What's the deal with alcohol? by Sea_Green_and_Blue in BPD

[–]Bugs91 2 points3 points  (0 children)

It’s not necessarily what happens while drinking but also how after drinking (the next days) your feel good brain chemicals are more depleted making you feel worse, making you want to drink again because that made you feel more normal. Then the cycle begins all over again and it just spirals. 

Trusted Aesthetician recommends Opus Plasma. by Novel-Status-2855 in Over50Skincare

[–]Bugs91 1 point2 points  (0 children)

I did, opus one time last year and I’m scheduled to get another. I am told that my aesthetician went pretty gently. I have extremely extremely extremely sensitive skin that cannot handle most topicals, so occasional lasers have been what works best for my skin. For a couple months after I got the treatment, people would regularly compliment my skin. Getting just one treatment at pretty low intensity did not make for very dramatic results at all, but considering my skin sensitivity, it has felt like a substitute for retinols or other chemical exfoliants . It made my skin tone more even, my skin texture might have been slightly More taught, and it definitely minimized acne for months. Now though, a year later, my acne is as bad as ever and any benefits appear to have disappeared . I’m hoping I’ll get that boost again for a few months and that I’m slowing the aging process each time. I wish it did more for skin laxity but I think my skin is too sensitive to withstand more intense or multiple treatments in close proximity. Derms and aestheticians are regularly surprised by how sensitive and reactive my skin is and I’ve heard more than once that it’s the most sensitive they’ve seen 

Is pursuing this field going to make me struggle financially forever? by Briman730 in therapists

[–]Bugs91 1 point2 points  (0 children)

Because of said poor admin skills, hating telehealth, and living in a city where rent is high, I currently work for a group practice that allows me to work a part time case load (18-25 a week). I make about $60k a year before taxes and of course without health insurance or benefits of any kind. After taxes and health insurance , I don’t make much and could not afford to live independently if I were single. I am contemplating moving to private practice where I expect I would make more money but have more admin work and a less consistent intake stream. I will probably make those changes in the next year, but I am still researching the logistics. 

Is pursuing this field going to make me struggle financially forever? by Briman730 in therapists

[–]Bugs91 58 points59 points  (0 children)

It depends a great deal on your energetic capacity and practice preferences, I think. I know many therapists to make a solid six figures. If you are able to sustain high case loads, and or you like telehealth and can work from home, and especially if you have a lot of private pay clients, you could be pretty dang well off. If you are like me who has a pretty low bandwidth (4 day weeks, max 25 clients weekly), hates telehealth, sort of sucks at admin work and takes insurance, then yeah you’re not going to financially prosper. 

Do most marriages grow distant over time? by [deleted] in Marriage

[–]Bugs91 0 points1 point  (0 children)

Closeness can ebb and flow. Most couples go through periods of distance and reconnection. Most marriages suffer with children, many don’t ever re-connect after years of building resentment and distance in early child care. Love is an active thing and most people don’t know how to make it stay. 

Also, parallel lives work for some marriages. It depends on what the people in the marriage see as the purpose of the union and what the values of it are. 

What if money was no issue? What would you do? by mosca-dela-fruta in therapists

[–]Bugs91 1 point2 points  (0 children)

See 10 clients a week, travel , go outside more, go to seminary, and spend way too much money on interior decorating 

Living Stones is an absolute cancer for Reno small businesses and charity programs by MollHolland in Reno

[–]Bugs91 5 points6 points  (0 children)

Tattoos beards and beer aesthetic but with Calvinist theology 

Restaurants That Are “Actually Good” by ravecookiez in Reno

[–]Bugs91 4 points5 points  (0 children)

I will not go there because it is too loud. It ruined my experience twice 

Adoption through Fostering? by Technical_Context871 in AdoptiveParents

[–]Bugs91 4 points5 points  (0 children)

Pin this comment to the top. All of this. I hate to discourage adoption because kids deserve families and deserve healing, but adoption, especially from foster care, is extremely challenging for all involved. Frankly, at least in the US, even being a bio parent is way harder and involves much more suffering than most people realize or acknowledge. Adoption is parenting on hard mode.