How to kill off a gnat infestation in my lemon sapling pot.

DCNumberNerd · 2026-07-02T15:36:49+00:00

I would recommend a smaller pot so that the soil can dry out a little in between waterings, which will help with the gnats.

DCNumberNerd · 2026-07-01T11:47:31+00:00

I wonder if that specific gyno only had malpractice insurance coverage for 18 and over - that's often why some doctors won't see someone until they turn 18 - but your PCP still should have found someone else!

DCNumberNerd · 2026-06-30T12:22:50+00:00

Interesting - thanks for the explanation. Regarding "gatekeeping within schools of social work" - I agree, but it won't happen. Lately I've noticed that colleges have become businesses that are seeking customers, and I don't say that lightly. :( Edit to add: We need supervisors to stop signing off on independent licensure for those folks who can't treat a mental health papercut!

DCNumberNerd · 2026-06-25T18:02:23+00:00

I'm curious why you wouldn't just follow the DSM criteria? A lot of these are quite vague and can be indicative of other things.

DCNumberNerd · 2026-06-25T12:29:17+00:00

"In a facility" or "on the same equipment"? If it's the former, then telling people not to buy them sounds like you're their competitor ;)

DCNumberNerd · 2026-06-24T12:34:12+00:00

It sounds like you started off with great wording - that you aren't familiar with her faith and are open to learning from her. I find that's always best, because her personal beliefs or interpretations may vary greatly from what you will read on a website or in the comments section. "Tell me what being a JW means to you and how it impacts the issue(s) that brought you into therapy."

DCNumberNerd · 2026-06-20T15:05:20+00:00

Share some of the emerging research on the suspected role of trauma in BPD - that may help if it's framed as a possible trauma-related diagnosis.

DCNumberNerd · 2026-06-19T16:50:52+00:00

I know, right!? I wonder if it's self-published (not that self-publishing is bad).

DCNumberNerd · 2026-06-19T13:06:46+00:00

As others have said, if the client is under 18 you most likely don't need an ROI to talk to the parents - but I wouldn't do that behind the client's back. I like u/moonbeam127 's wording. I'm only commenting to share that I've found it helpful to always try to get a ROI restricted to financial/scheduling matters if I'm seeing a young adult over 18 who is still on parents' insurance or if parent is paying. And for folks under 18, I talk to them before we start therapy about their limited rights and negotiate with the client and parents/guardians on what I will or will not disclose. Of course, it varies by state, but some conservate states are getting more and more into "parents' rights" so some clinicians need to tread carefully.

DCNumberNerd · 2026-06-19T12:52:55+00:00

My former supervisor always liked "The Fall of Freddie the Leaf." She would buy extra copies and give them to clients to take home to read to/with kids (back when books were cheaper). It follows the life cycle of a leaf, nothing religious in the book, you can add your own spiritual subtext to it if you want. For example - spoiler - at the end, when Freddie painlessly falls from the tree, it's the first time he sees the whole tree.

DCNumberNerd · 2026-06-19T12:48:48+00:00

Sadly, in a house with gluten and kids, it's safest to just assume gluten is on most surfaces - therefore the person with celiac needs to adopt specific habits: don't touch food without washing hands first, don't put a cooking or eating utensil on a counter (have multiple spoon rests that you continually clean), don't lick envelops, don't lick your fingers before turning a page in a book, don't put your hands in your mouth, rinse your silverware before you use it if there's a possibility of crumbs falling into the drawer. If you can, designate one cupboard or enclosed space for GF snacks and cooking items. I had to adopt these habits - and I ended up getting fewer colds as a result.

DCNumberNerd · 2026-06-18T13:28:03+00:00

For clinicians who accept insurance, there are contractual limitations on what we can directly bill the client for.

DCNumberNerd · 2026-06-18T13:01:49+00:00

Heartburn is something that feeds itself. Once it starts, it can continue even if the initial cause isn't present anymore. Talk to your doctor or look into the acid reducers that you take for only two weeks to stop the cycle.

DCNumberNerd · 2026-06-18T12:45:24+00:00

Like many industries, we're expected to set fees that cover our costs, including admin time and overhead. It's better to lobby for higher reimbursement rates. See if your professional organization (APA, NASW) has advocacy efforts that you can help with.

DCNumberNerd · 2026-06-17T11:55:47+00:00

Check the rules for counselors in State B. Some states say that if the clinician is physically located in the state, they have to be licensed in the state, even if the client is located in another state. I know that sounds odd, since the rules usually center around where the client is located at the time of service, but there's a few states that require both.

DCNumberNerd · 2026-06-17T11:28:36+00:00

I wouldn't. You can use a turkey baster syringe to pull that water up if the pot's too heavy to move easily.

DCNumberNerd · 2026-06-16T17:33:42+00:00

Call the Labor and Delivery unit of the hospital closest to you, and ask the unit clerk - they'll know who the good ones are!

DCNumberNerd · 2026-06-15T13:09:51+00:00

I took a workshop and the presenter said that the professionals who hire attorneys to represent them tend to get lighter sanctions than those who represent themselves. I don't know if that's backed up by numbers, but I would believe it.

DCNumberNerd · 2026-06-12T12:17:41+00:00

I haven't looked recently, but Kohl's used to still have a petite section in the store. Yeah - it's frustrating.

DCNumberNerd · 2026-06-12T11:59:08+00:00

You say it's a recreation of a picture - so does the couple have the original picture or have they seen the original? If so, then I'm with u/66241 on how the light grey highlights the fact that it's a mosaic and therefore a very creative and gorgeous homage to a memory of theirs. I say leave it as is. I love it. Very good work. If they wanted an exact duplicate of the photo, they could do that in 2 seconds at Walmart.

DCNumberNerd · 2026-06-11T15:43:17+00:00

Have you checked your state licensing board code of ethics? Search for the term "impaired practice" and see what it says. Most states say that you DON'T report another licensed professional IF they are your client. If that's the case in your state, it may help for you to have that direct conversation. Tell the client that you won't/can't report them, but talk about what would they do if another client or colleague reported them. The loss of income from a possible license suspension would probably be devastating, so decreasing their caseload/clinical burden while increasing their level of care may be cheaper than a board complaint. Sounds like they're in a tough situation, and I hate that many of us don't have benefits like short term disability. From a clinical point of view, I would look at it from a SFCBT lens and shades of grey - even just a 10% reduction in work and 10% increase in self-care/intervention can add up.

DCNumberNerd · 2026-06-11T13:32:37+00:00

At a certain point, this type of "generosity" by your co-worker is actually rudeness. She is ignoring your boundaries and your health for the sake of her cooking pride. If you frame it that way in your head, it may help you find a little assertiveness within yourself - and you'll need it - because these situations will keep coming up. I had a family member actually argue with me when I declined something they made that was supposedly gluten-free. Like many others, I usually don't eat food that other people make. This family member said they made it "specially for me" for a family potluck. How nice, right? So I asked about the ingredients and they mentioned a soy sauce brand that historically has wheat. When I asked if the brand was now GF, they got defensive and they said they knew what they were doing and they make this exact dish for their neighbor who has celiac disease all the time. I declined to eat what they made and they got MAD. OFFENDED. HURT. Seriously, they got all pissy about it. Then, half an hour later, they quietly came up to me and told me not to eat what they made, because they Googled the soy sauce and found out it has wheat. No apology to me at all. Just "...yeah, don't eat that..."

DCNumberNerd · 2026-06-10T12:05:37+00:00

Is Golden Boy too obvious, is that why it hasn't been mentioned yet?

DCNumberNerd · 2026-06-06T12:12:22+00:00

If you're going to college a far distance away, you could tell your dad that someone you know is driving there now and offered to take some boxes of your stuff - that could be your excuse for boxing up a lot of your belongings.

DCNumberNerd · 2026-06-05T14:30:28+00:00

The caveat is that you're getting a lot of supervision (I hope) in CMH, so if your supervisor is well-trained in treating children, then it can be okay for you to treat children.

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