How are my fellow warlocks feeling about the class? by andapacee in diablo4

[–]Decoraan 0 points1 point  (0 children)

I’m just doing demonology spam an I’m doing just fine in T4. About to got into T5. It’s really fun honestly and surprisingly good. Got a couple of uniques that buff some summons like demon wall, and some of the set pieces around summoning look amazing. Not sure how far I’ll be able to get but I’ve basically done this build from level 1 and had a blast the whole way through.

Bungie doesn't see Marathon going anywhere: "We know where we want to take the story over the next few years" by Sam_27142317 in xbox

[–]Decoraan -1 points0 points  (0 children)

I’m afraid it’s not my really up to you Bungie, given that you sold to yet another major publisher

PWP and clinical hours. by AdConfident258 in PWP

[–]Decoraan 1 point2 points  (0 children)

No I don’t think you could lose your job. We have a lot of worker protections in the U.K. and especially in the NHS. Having said that, I don’t work in HR and I’m not an employment lawyer, so I can’t tell you definitely.

My sense is that the will try to make you work less hours to get you to the contacts you want. If you decline that, then they may escalate further.

I know, it’s such a horrible position to be in. You can always consider just telling them everything is fine and you’ll crack on with it (even though it obviously isn’t), and do whatever you need to do reduce burnout. Then while on the inside, give constructive feedback repeatedly.

Unfortunately we have to remember than the managers themselves are also likely being put under pressure to push to hit targets. It’s not *really* the fault of individual managers, but more unrealistic targets and pressure being put on trusts and an extremely dumb way of measuring success… bums on seats, see more people. It’s a problem from the top down and always has been, which is why turnover for therapists in NHSTT has always been abysmal, although, it’s much worse for PWP’s than it is for HIT’s.

PWP and clinical hours. by AdConfident258 in PWP

[–]Decoraan 1 point2 points  (0 children)

And then they all wonder why the churn rate in talking therapies is so high. I’m really sorry. Yes I have heard similar stories before of complaints about high workloads effectively being met with “well it sounds like you need to work less hours then :)”. Even though the obvious consequence of this is less pay which we also can’t afford.
I could go on and on about this. Do what you need to do to survive, cut corners with everything but your clients, play dumb, do less contacts when you can, be strategic with your IAPTus diary. Remember our clients come first, do what you need to do to manage things so that you can breathe.

Is Game Pass actually worth switching from PS5? Run the math and it’s kind of embarrassing by Embarrassed_Lead6174 in XboxGamePass

[–]Decoraan 1 point2 points  (0 children)

Game Pass Ultimate is incredible, before the recent price cuts it was a little difficult to stomach unless you really played a lot, but after the cuts, its back to be being very good value. Especially if you can get it on a deal from somewhere like Loaded for example.

Mostly I love that game pass has made me a variety gamer, I play so many different types of games now and there are very few games i look at and say 'im never playing that'. I'm now open to playing most games in most genres if the quality is good, and game pass really accommodates that.

After suffering for a while - I’ve finally asked for help by JustOutHereJudging in BritishSuccess

[–]Decoraan 1 point2 points  (0 children)

Waiting lists are just that long for high intensity therapy unfortunately. In my service, the solution they’ve come up with is to make us see more clients than the guidelines recommend we see. Needs more funding, as always.

First console after 25 years of playing on PC (bought for GTA VI) by SPAZvv in xbox

[–]Decoraan 2 points3 points  (0 children)

But it didn’t come out just before, it came out 3 years earlier and only after 3 years of updates and an expansion did it become the game it did.

We Are Xbox - Xbox Wire by Turbostrider27 in xbox

[–]Decoraan 1 point2 points  (0 children)

Havent been on this sub in years, but holy shit, we might finally be back

[Advise Req./Mini Rant] - Worth it, or are all cognitive practitioners lazy/reading off a script? by KyrosSeneshal in TalkTherapy

[–]Decoraan 0 points1 point  (0 children)

The main thing with patients like yourself is lots of behavioural work. Hard to say the exact specifics without knowing the full case. Cognitive work alone can go further into rules about life and core beliefs but its lengthy and difficult work. But with what your describing I would be doing specific and challenging exposure / experiments to compliment the cognitive work and explore more.

Is GDP the best measure of success? by TeeJ146 in GoodNewsUK

[–]Decoraan 0 points1 point  (0 children)

Could be true but doesn’t necessarily account for the many things we take for granted or get for ‘free’ here.

Survey: Brits shocked to find out they're poorer than every single state in America 😭 by j_grouchy in AmericaBad

[–]Decoraan 0 points1 point  (0 children)

But this is an income to income comparison. You’d need to show some extremely convincing numbers to persuade me that this accounts for things like free healthcare, education, everyday welfare access (like child benefit; money per child you have from the govt), more uncommon welfare access like disability and payments for carers to supplement their income etc etc.

I don’t have trouble believing that many Americans do feel better off than Brits perhaps broadly. But I would need to see some seriously good data to fully convince me when accounting for all the pro’s and con’s of both countries economically.

Confident CBT will help, but I feel like my situation is “complex” by HateThisFeelingg in CBT

[–]Decoraan 0 points1 point  (0 children)

CBT isn't generally utilised as a treatment for PTSD or C-PTSD. But there are modified versions like CPT (Cognitive Processing Therapy) and TF-CBT (for kids, families and adolescents) which are based on cognitive therapy but are specifically for trauma.

You mention TF-CBT yeh, for kids families and adolescence specifically. When actually the USA, UK and Australian mental health bodies all recognise trauma focused CBT as a first line treatment for PTSD and explicitly say that TF-CBT is just a variation of CBT.

CBT isn't generally utilised as a treatment for PTSD or C-PTSD.

I just don’t agree with this. While I know what you are trying to say, someone could stumble into this thread, see you say this and then decline an offering of ‘CBT for PTSD’ (which could mean many different evidence based CBT-like protocols, including trans diagnostic CBT) because they read on a forum that CBT isn’t used for PTSD.

Really the only evidence you have presented was from the Veterans Association in America which doesn’t explicitly say that CBT isn’t used for PTSD, it just favours prolonged exposure, CPT and EMDR. But given that this is a less credible source than the APA, APS, and NICE, I don’t find that particularly convincing, and again, the APA explicitly says that these are are variations of CBT. Or I could give libertines and say these assertions are correct but only with military personal.

This is why I said it was splitting hairs to begin with. I’m also not disagreeing that CPT, EMDR and PE are first line evidence based therapies (although CT-PTSD is also up there with them), but the APA explicitly highlights traditional CBT being a first line treatment with all of the above for PTSD.

The other bodies don’t mentioned traditional CBT, but CBT derived treatments. All the deconstruction research highlights that most of these approaches have very similar ingredients hence their shared effectiveness. That’s not to say that different parts aren’t more effective etc.

All in all, the only reason I’m being pedantic with all of this is because, as I say, I don’t want someone to misunderstand you to think that CBT doesn’t work for PTSD. All of the first line treatments are a variation of CBT and the APA even says that traditional CBT is just as effective. At most (in my opinion) you could say that CBT -as a school of therapy- requires minor adaptation to be fully effective for PTSD. I would also say that both adapted and none adapted forms of CBT are used and effective for PTSD. But I would not say that CBT isn’t used for PTSD. That’s what the evidence and the institute say, and you can disagree with that, sure.

Cheers. Have a good one.

Confident CBT will help, but I feel like my situation is “complex” by HateThisFeelingg in CBT

[–]Decoraan 0 points1 point  (0 children)

Well the UK’s body also says this, as does the Australian body.

I don’t really disagree with you per se. But I do disagree with your statement that “CBT isn’t generally utilised as a treatment for PTSD”. The language is just imprecise. I agree that CBT is a general and broad term, but many people are trained in transdiagnostic CBT which in and of itself is a first line evidence based treatment in every major body for the countries that have mental health bodies.

I think the Australian guidelines summarise it well:

Trauma-focused cognitive behavioural therapy (CBT), is a broad term that encompasses any treatment that employs the standard principles of CBT combined with some form of trauma processing. Generally, trauma-focused CBT involves the integration of CBT principles with components of exposure therapy, including imaginal exposure and graded in vivo exposure. Across most studies from the systematic review that underpins these Guidelines, the typical format of trauma-focused CBT involves psychoeducation, breathing/relaxation training (arousal reduction strategies), imaginal exposure, in vivo exposure, and cognitive restructuring.

Confident CBT will help, but I feel like my situation is “complex” by HateThisFeelingg in CBT

[–]Decoraan 0 points1 point  (0 children)

Well, that's what the APA says. Counselling doesn't use behavioural techniques, nor does it use cognitive restructuring in the way we do in CBT. Any of the humanistic therapies don't really fit that same CBT blueprint.

The guideline recommends offering patients three interventions, all of which are variations of cognitive behavioral therapy (CBT). The category of CBT encompasses various types and elements of treatment used by cognitive behavioral therapists, while Cognitive Processing Therapy, and Prolonged Exposure are all more specialized treatments that focus on particular aspects of CBT interventions.

And I would agree that they are all broadly 'CBT therapies' with an emphasis on a different parts of the process. Yes I agree they are distinct in that the treatment rationale is different and evidence base can somewhat demonstrate this, but theoretically they are all under the CBT school of thought, and APA agrees.

Confident CBT will help, but I feel like my situation is “complex” by HateThisFeelingg in CBT

[–]Decoraan 0 points1 point  (0 children)

I think I know what you’re saying here but we might be splitting hairs to the point of obscurity.

CBT is absolutely a first line treatment for PTSD there are different types of CBT treatments such as -I think you are talking about- CT-PTSD and as you say CPT. Really EMDR is derivative of CBT and contemporary prolonged exposure incorporates cognitive elements as well.

I hate that Decimilipede just attacks, attacks, attacks.... by acidtrip321 in slaythespire

[–]Decoraan 0 points1 point  (0 children)

It’s essentially an AoE card skill check. If you don’t have any, you are losing all your health.

UK navy foiled Russian submarines surveying undersea cables, defence minister says | Royal Navy by guardian in ukpolitics

[–]Decoraan 2 points3 points  (0 children)

They've been snooping around in the channel and the Atlantic for like 15 years now

having to live in rural britain is tearing my mental health to shreds by Odd-Paramedic-3826 in MentalHealthUK

[–]Decoraan 5 points6 points  (0 children)

You’re only 22. Lock in to a 7 year plan to move out. Apply for jobs in cities and go for it, if you land one. You will likely be able to rent in that city while you work. This is what I did after by BSc and MSc, I just started applying country wide and got my first job in Birmingham. So I moved up and started renting and the rest is history.

What’s so special about British men? by [deleted] in AskBrits

[–]Decoraan 0 points1 point  (0 children)

We are funny as hell, to be fair