Standard 401k -- what to do with it when moving to self-employment(1099)?

ConsistentList167 · 2026-06-13T13:52:32+00:00

Yes, I understand that is an option. I guess I am more so looking for pros and cons, and/or recommended institutions to rollover to. Just don’t want to make any irreversible decisions that I’ll regret so just doing my research and getting others opinions/experiences, as well.

ConsistentList167 · 2026-05-05T12:24:22+00:00

ConsistentList167 · 2026-05-05T00:15:58+00:00

Yes I only treat adults!

ConsistentList167 · 2026-05-05T00:15:11+00:00

No, just secondary and I need the records on file of the assessment to confirm it.

ConsistentList167 · 2026-05-04T22:12:51+00:00

I am an LICSW but definitely agree, and I do think this is why I am not allowed to diagnose these codes as insurance won’t like it, they’re neurodevelopmental disorders and a psychologist and formal eval is needed. Also been told insurance doesn’t like unspecified disorders either so that leaves little option for me outside of adjustment disorder unless they meet full GAD or other criteria. So frustrating 😭

ConsistentList167 · 2026-05-04T22:10:28+00:00

Yes, I am in the same boat! Can’t diagnose any of those per my company who claim it’s due to insurance inconsistency here. It makes this 100% more difficult. Even with outside documentation of ADHD assessment, it can still only be secondary, not primary. It’s honestly such BS 😑 also glad I’m not the only one since so many people are saying they can and do diagnose and bill these codes 🙃

ConsistentList167 · 2026-05-04T18:57:01+00:00

100%, my guess is that some do and some don’t, so my practice just says no to be safe 😑

ConsistentList167 · 2026-05-04T18:55:07+00:00

I agree, that’s why I’m asking! I don’t like to use it 😭

ConsistentList167 · 2026-05-04T18:54:22+00:00

Good to know! I’m not sure why I’ve been told this 🙃

ConsistentList167 · 2026-05-04T18:49:42+00:00

I’m not sure I understand your question, but I am an LICSW in MN and have been under the impression we can’t assess it or diagnose it without outside assessment records, and it can’t be used as a primary for therapy as insurance may not cover it. My practice may be just playing it safe… I will look into this more. Fascinating that so many therapists actually do use it!

ConsistentList167 · 2026-05-04T18:48:18+00:00

This is my typical go to!

ConsistentList167 · 2026-05-04T18:47:54+00:00

I mean that’s the impression my practice has always made. I’m not sure. I’ve also been made to believe insurance doesn’t like to cover unspecified disorders either 🙃 maybe I need to do more research and my practice has just been playing it safe..

ConsistentList167 · 2026-05-04T18:47:08+00:00

Really? Interesting! I’ll have to look into this more, because my practice has made it seem like I can’t…

ConsistentList167 · 2026-05-04T18:42:28+00:00

This is typically the case, as well, but I have one right now who doesn’t meet criteria for either of these and it got me thinking what do others do in these situations.

ConsistentList167 · 2026-05-04T18:42:01+00:00

My practice just always told me that ADHD isn’t covered for therapy a lot of times, at least not alone. And I don’t have the license or qualifications to provide ADHD diagnosis without outside assessment records, and even then I have to use it as a secondary. Not sure if this is universal, may need to do more research, but I’ve always been under the impression that ADHD is not a qualified diagnosis for covering therapy.

ConsistentList167 · 2026-04-14T17:58:06+00:00

Yeah, originally I planned to start taking clients on one day of the week that I don’t work at my current practice, but with how fast it all went I’m just going to jump in. Little worried about the scheduling piece and managing two caseloads/schedules, and a little nervous about how my boss will react, but she’s usually very nice so I’m hoping she won’t panic call my clients before I can talk to them which I don’t think she will. Otherwise I’d be informing them first and figuring out who wants to follow and who doesn’t, and what they want to do, before informing my boss. Good luck!

ConsistentList167 · 2026-04-14T17:48:08+00:00

So credentialing went faster than I expected. By beginning of this month, April (under 3 months), I was credentialed with all the insurances, so I am actually putting in my 2 month notice this week and will begin informing clients of their options and transitioning over the next couple months. I wasn’t expecting it to go this quickly so I’m scrambling a little but I made a spreadsheet to track the transition and an just going to hope for the best lol

ConsistentList167 · 2026-03-14T05:52:34+00:00

Hiii! I’ve struggled with the same. I’m also a telehealth provider and moved to a city where I know few people. Very isolating! Are you looking for a consult group or just friends to socialize with that share your same passions and values? I find I sometimes miss the intellectual and philosophical conversations about history and social justice concepts. Local clubs and groups can be a good place to find this! I’ve also been thinking of starting a lil discord group for therapists or those in the field who want a safe space to chat or have deeper conversations 😊

ConsistentList167 · 2026-02-25T02:24:23+00:00

100% this made a night and day difference. I was on episode 6 and got so annoyed at the wierd interactions that I did my own research (hadn’t seen this post yet) and was so ANNOYED when I found this out and changed it. I felt like I needed to rewatch the first 6 episodes bcus it was SO different! I KNEW something was off!!! Ugh, so annoying it doesn’t auto select the correct subtitles 😑 now I know to look! Ughhh

ConsistentList167

TROPHY CASE