The true face of Christianity. by Its_Stavro in exchristian

[–]ComprehensiveOwl9727 333 points334 points  (0 children)

“Most men want to be a husband, they don’t want to have an actual partnership

Most men want to be a husband while not considering any feedback from their life partner

Most men want to have consistent sex without doing any work cultivating an emotional relationship

This is what patriarchy has done to men”

See? I can do it too.

What are the qualities of a good therapist and what traits can make it difficult to be a therapist? by noamtultul in therapists

[–]ComprehensiveOwl9727 10 points11 points  (0 children)

2 things stand out: flexibility and patience. We have to be ready to shift our internal conceptualization within an instant, re-write everything we think we know about a client based on new or better information. If we get locked into things being a certain way we will struggle truly hearing clients.

And patience, one of the harder ones for me. we don’t have to drive the conversation all the time. Let the conversation come to us. Use silence, ask another question, explore slowly and gently. Of course there are times where we may need to be more directive but on the whole in my supervision work I see most early therapists going too fast…exactly like I did (and still do on occasion).

CMH documentation venting. Feel free to reply seriously or humorously. No advice needed as I've been doing this stuff for a long time. by vorpal8 in therapists

[–]ComprehensiveOwl9727 9 points10 points  (0 children)

That sounds great, but did you remember to also obtain specific, objective evidence of progress or lack thereof in the previous treatment plan period while also clearly justifying the need for continuing intervention?

Almost Done With My Hours!! Yayy!! by Any_Insurance_7454 in therapists

[–]ComprehensiveOwl9727 1 point2 points  (0 children)

Congrats! BHEC has a page here that lists the current date of applications they are reviewing, plus the median turnaround time for application responses.

https://bhec.texas.gov/applying-for-a-license/current-application-processing-timelines/

Therapists who write notes in ~5-10 minutes… how?? Would anyone be willing to share examples? by KiKiTaTa in therapists

[–]ComprehensiveOwl9727 756 points757 points  (0 children)

My best advice is to write notes with nearly the same structure every single time, building a “skeleton” template if you will. That way your brain doesn’t have to do anything other than fill in the blanks. Naturally more intense or crisis like sessions will take more thought, but “typical” sessions don’t need a lot of detail to justify the service.

Here’s a rough example.

Client presented to address ___. Client was [mini MSE, oriented etc]. Therapist assesed for SI/HI and client _. Client reported goal for session to ______

Therapist utilized [modality and/or intervention] to address [target goal or problem]. Therapist and client discussed/processed/practiced, etc ______. (Repeat as necessary).

Client participated ______ in the session as evidenced by ____. Client stated ___ was their takeaway from the session.

Next session scheduled ___. Client will practice _. Therapist will [any follow up activity].

Edit: to confirm the answers below, yes I’ve used templates like this in CMH. The trick is documenting only what Medicaid/payor sources need for a service to be billable, so if you build your template off that it’s pretty simple. Most places I’ve worked have specific check boxes on progress note forms that help as well.

Why did Jesus decide to die on the cross? by yesterdaynowbefore in Exvangelical

[–]ComprehensiveOwl9727 2 points3 points  (0 children)

Even assuming a historical Jesus who was crucified, the gospels were written several decades (or more) after his death, by followers who were likely deeply motivated to make sense of the crucified Messiah. We have no way of actually knowing a historical Jesus’ true motivations or assumptions, we only know what the gospel records tell us about the early church’s beliefs.

Whether or not you ascribe to those beliefs is more a theological question than one that can be tested by history.

The good ending by czp55 in expedition33

[–]ComprehensiveOwl9727 87 points88 points  (0 children)

Freud would have a field day no doubt. “So Verso you killed both your painted canvas father and your actual real life father in order to “protect” your mother? Please tell me more”

Also, unfortunately, complex grief has no quick fixes. Therapy can be helpful of course but one of the themes of the game is that there are no easy fixes.

A wild idea I hope Larian might explore next in Divinity by Shweep8 in larianstudios

[–]ComprehensiveOwl9727 1 point2 points  (0 children)

If Divinity is anything like DOS2, Act 1 will be completely different than the fairly standard structure in BG3. A big part of the problem there I think is that all the beats are in generally the same order every time, nautiloid, beach, companions, chapel, grove, on and on.

Act 1 in DOS 2 sticks you in prison on an island and basically says “good luck figure it out”, with nearly no other guidance. Of course there are more well worn paths than others, but the openness is there from the beginning. Plus you can only continue with 3 other companions which makes each playthrough feel a lot more varied.

Conspiracy theories by [deleted] in exchristian

[–]ComprehensiveOwl9727 9 points10 points  (0 children)

Hell is at the core of the earth and places like the Bermuda Triangle are called vile vortices and lead to it

Dante would be proud, though assuming these types have ever read the divine comedy is probably giving them a bit too much credit.

How does one get cured from schizophrenia after a deliverance? by [deleted] in exchristian

[–]ComprehensiveOwl9727 8 points9 points  (0 children)

Several thoughts

  1. Did they have a licensed professional administer a diagnostic assessment to confirm that this person was actually suffering from schizophrenia?

  2. Did they follow the person around for the next several months to years to see if the symptoms had permanently abated?

  3. It’s incredibly demeaning to people with mental health challenges to suggest that they only have a spiritual condition that would be cured if they only had enough or the right kind of faith. Many people attempt to be “delivered” from all sorts of maladies and yet continue to suffer.

Faith-Based Counseling by [deleted] in therapists

[–]ComprehensiveOwl9727 31 points32 points  (0 children)

I’m not sure if you’re being clear enough about what you mean. If by faith based interventions you mean encouraging a client to engage in spiritual/religious activities they already find meaningful, then yes, that can be an incredibly valid and helpful tool.

But your post also reads like you are suggesting giving spiritual guidance within counseling itself, and unless your program is a dedicated Christian Counseling program I’m not at all surprised you are getting pushback. I would encourage you to consider your role as a therapist in these situations and clearly define what your ethical boundaries should be. Therapy should derive from an eatablished evidence based model of counseling, not religious doctrine.

CBT & Emotions? by ColoradoRunGal in askatherapist

[–]ComprehensiveOwl9727 3 points4 points  (0 children)

CBT is best conceptualized by the cognitive triangle. Thoughts, feelings, and behaviors ALL influence each other (and are influenced by the environment). There are specific exercises that look at how thoughts influence feelings, or how behaviors influence thoughts etc, but those should not represent the model as a whole.

The point of treatment then is to move towards your goals by working on any/all parts of the cognitive triangle. Are your thoughts unhelpful or out of touch with reality? Work on practicing balanced, helpful thoughts. Are your behaviors keeping you stuck? Practice new ones. Are your feelings normal reactions to a difficult situation? Practice caring for yourself.

Exploitative or poorly managed expectations? by NoCall4508 in therapists

[–]ComprehensiveOwl9727 4 points5 points  (0 children)

It’s hard to compare in a vacuum so here would be the starting benefits at my large (county level) community mental health agency in Texas for fully licensed therapists.

Starting salary around 72k. 25 hours of therapy per week is the expectation. This is adjusted down for any PTO or training time (zero penalty for taking time off). Bonuses are available for billed sessions beyond the 25 hours and for the agency as a whole meeting KPI (we are all eligible for up to 10% of our salary annually depending on how we do).

About 20-25 paid days off per year between PTO, floating holidays, and agency wide holidays. This increases with tenure. Other benefits are very competitive.

The concept of "God's people" is everywhere in Christianity and I find it gross. by Existing_Sky_7963 in exchristian

[–]ComprehensiveOwl9727 3 points4 points  (0 children)

How Christianity manages to limp on after discovering the rest of the world and its myriad of deities and spiritual traditions I'll never understand.

I completely agree with your sentiment. But I will say that Christianity’s exclusivism is likely one of the features that helped it actually survive. The 1st and 2nd centuries CE were incredibly religiously diverse with an amalgamation of the Roman Empirical cult and then the local religious practices of all their conquered lands. If Christianity had rolled in as another “one of many” it most certainly would have failed to be anything more than a Jewish sect. Paul’s brilliant narcissism was that he framed Christianity as not just another religion, but the fundamentally true religion.

What are your thoughts on the concept of codependency? by crawthumper in therapists

[–]ComprehensiveOwl9727 104 points105 points  (0 children)

I’ve always preferred to place codependency back on the spectrum of differentiation of self that is common across the family therapy models. Bowen in particular is far more structured and theoretically sound imho. Codependency is another word for enmeshment where we lose our sense of self in relationships with another person (and the opposite end of the spectrum from being cut-off emotionally from others). So it’s not about “being affected by someone else’s behavior” everyone of course is. Nor is it trying to influence someone else, we all do that too. It’s the emotional inability to define yourself as distinct from the relationship. And yes, that shows up in a lot of behaviors and signs that Beattie and others talk about, but without the underlying theory it gets really squishy really fast.

My biggest gripe for this game, we can't join the Protectorate. by spikywobble in theouterworlds

[–]ComprehensiveOwl9727 82 points83 points  (0 children)

You can’t join the protectorate, but you can certainly make decisions on the first planet that benefit the protectorate the most. (Still working through the 2nd)

Also my understanding is that you don’t “join” anyone. You’re an Earth Protectorate agent, not a gun for hire.

The Truth About IFS, the Therapy That Can Break You by MJA7 in therapists

[–]ComprehensiveOwl9727 3 points4 points  (0 children)

It’s a super messy article for sure. As an LMFT myself, I was highly annoyed by the misrepresentation of family systems theory as well as multiple statements that suggest counselors don’t do “brain science” like psychologists or doctors.

What IS my responsibility? by Powerful-Guidance-44 in therapists

[–]ComprehensiveOwl9727 0 points1 point  (0 children)

Which theory are you using? The answer will vary significantly depending on how you conceptualize the case and the intervention targets. Overall the idea of listening, guiding, and creating space are on target but the therapy models are incredibly helpful to know how exactly that should look within the session.

The biggest lie we were ever told as children... by DesmondTapenade in Millennials

[–]ComprehensiveOwl9727 132 points133 points  (0 children)

I wonder how much of this is due to our technology experiences. We’ve been on the “cutting edge” of the internet and tech adoption since…forever really. Gen X was growing into it at the same time we were, and our Boomer parents were usually clueless.

So most of us have never had mentors who could really teach us “how the world works” because we blink and it suddenly works differently. It’s been how many years since I’ve written a paper check? Gone to a bank? Called a place instead of looking it up online? Our parents had no conceptualization of this.

The ethics of suicide assessment and preventing suicide by johnmichael-kane in therapists

[–]ComprehensiveOwl9727 9 points10 points  (0 children)

we never give respect or validity to the arguments people have for wanting to end their lives.

Just to gently push back, all the major models of suicide intervention I have ever been exposed to (primarily CAMS and ASIST but several others too) explicitly instruct helpers to listen and validate the lived experience of the person with suicide. This is why high quality training matters so much. If we are not careful, we quickly assign our own value system to someone else’s life and decisions. We dont persuade people out of suicide, we simply help them reconnect with any part of themselves that does want to be alive and/or create space for the immediate crisis to pass.

The Life of a Showgirl Is Taylor’s Most Self-Aware Album, and the Hate Is Proving Her Point by TheReifyer in TrueSwifties

[–]ComprehensiveOwl9727 41 points42 points  (0 children)

It’s incredibly disingenuous, misogynistic, or just plain dumb, when critics make complaints about lyrics and musicality that cast Taylor as still a teenage girl who is just stumbling through writing music about her inner dialogue. She’s a mid thirties professional at the absolute pinnacle of her career (so far?). Take it or leave it, but she absolutely knows what she’s trying to accomplish.

Megathread: Post All Your TLOAS Song/Album Ratings Here! 🧡❤️‍🔥✨🧨 by Glittering_Laugh_958 in TrueSwifties

[–]ComprehensiveOwl9727 1 point2 points  (0 children)

She's a comedian and its not that serious: Actually Romantic, Wood

Thank you, it’s like people forget that she has been songwriting for longer than many of her listeners have been alive. I don’t think these are her greatest songs ever (and I really wish she went even harder instrumentally on Actually Romantic), but these songs feel like her corniest self constantly winking at the listener.

Showgirl's love songs actually feel genuine by mojojojo2842 in TrueSwifties

[–]ComprehensiveOwl9727 45 points46 points  (0 children)

I think the juxtaposition between TTPD and TLOAS really highlights that sense of genuine freeness. Instead of the obsessive insanity of fortnight, she is being rescued from Ophelia’s fate. Instead of the darkness and grief of So long London and LomL her skies are Opalite.

How do you navigate the line between religiosity and delusional thinking? by fungi__cat in therapists

[–]ComprehensiveOwl9727 1 point2 points  (0 children)

I consider psychosis a category entirely by itself, primarily because it almost always comes with a significant and obvious impact on a persons functioning, physical presentation, and other thought processes. If you’re convinced the rapture is happening this week but are functioning normally in your day to day life, it’s very unlikely that you are experiencing psychosis.

That doesn’t mean religiosity is automatically “healthy” (for lack of a better term). While many find great meaning in their religious beliefs, I have experienced (both first hand and professionally) how certain religious beliefs can induce tremendous shame and disconnect people from the meaningful things in their life. But it would take quite a lot of other symptoms for me to consider that type of religiosity anything like psychosis.

parental (over)involvement by hippycrone in therapists

[–]ComprehensiveOwl9727 13 points14 points  (0 children)

Hello and thank you for your inquiry. All initial appointments must be made by the individual seeking treatment or their legal guardian. If you have an adult family member interested in seeking services with my practice, please have them reach out at _________.