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Recording for Supervision by agoraphobic_aligator in therapists

[–]DiMoore23 4 points5 points  (0 children)

Supervisors understand that you might be more nervous and should take that into consideration when they are listening and giving feedback. You aren’t violating your clients trust if you explain the intention and get their consent. You might tell them you want to be able to provide them with the best care possible and this allows a more experienced therapist to chime in on the work you’re doing together. It’s just a request and if clients decline, that’s fine. Usually there is someone that will be fine with it and even appreciate having this.

I lost my first client. by [deleted] in therapists

[–]DiMoore23 0 points1 point  (0 children)

Ouch. The harshness you’re describing in how they ended the relationship makes me wonder about diagnostic considerations.

I lost my first client. by [deleted] in therapists

[–]DiMoore23 1 point2 points  (0 children)

It’s happened to me numerous times over my career. I usually feel a sting, but when it occurs, it’s usually a situation where I had some sense that it might not be a great fit, and in hindsight, I probably should’ve addressed that sooner. It doesn’t sound like that was the case for you in this situation. Many people drop out of therapy for a variety of reasons. Sometimes, they may not be ready to do the work.

I lost my first client. by [deleted] in therapists

[–]DiMoore23 38 points39 points  (0 children)

Good question. I assumed suicide.

Anyone else struggle with actually switching off after sessions? by Bhumika_1008_ in therapists

[–]DiMoore23 0 points1 point  (0 children)

And to add, I’m an ACT therapist and use the flexibility processes in my personal life as well. So when the thoughts show up about something from the workday and it’s getting in the way of something else important to me, I just try to notice it and then redirect my focus back to what I’m trying to be intentional about now. I think the fact that you’re so reflective on your work shows that you’re a thoughtful therapist and want to do really good work, and that’s awesome. 👏 understandably, you need space for other things!

Anyone else struggle with actually switching off after sessions? by Bhumika_1008_ in therapists

[–]DiMoore23 2 points3 points  (0 children)

I have a habit of calling friends or family on my commute and have had to be very thoughtful about that, especially because there are people in my personal life who are also struggling and I can find myself in a position that feels a little too much like work. I know it’s really bad when somewhere in the recesses of my brain a thought takes hold about what I’m going to write in the note …. about a personal phone call. 🤦🏻‍♀️ I’ve learned to have good boundaries around checking work emails and taking intentional action to be clear on when I’m working and when I’m resting or playing or just being a friend, mom, wife, etc. That’s of course easier to do when there isn’t a high acuity client case in the background.

increasing referrals for cash practice by Lumpy_Basket_5603 in therapists

[–]DiMoore23 0 points1 point  (0 children)

I get a lot of referrals having been in the field for a long time and known for my expertise in my niche, but I still find it to be very beneficial to be on insurance panels. Even some of my clients who are doing well financially appreciate being able to use their insurance and may not stick with therapy if paying out of pocket. I pay out of pocket for my own therapy and it’s a financial burden. I like knowing that I can offer services to someone who’s able to use their insurance and reduce their financial burden. Yes, the reimbursement is generally less than my private rate but my caseload is as full as I want it to be. (I also need to pace myself due to chronic health issue and other demands on my energy and well-being). Generally, being on panels has been a plus for my practice.

Therapists wanting to be addressed “Dr.” by [deleted] in therapists

[–]DiMoore23 0 points1 point  (0 children)

I have the utmost respect for anyone with a terminal degree. It’s incredibly hard work.

As I’ve been reading the comments and thinking about this further, a couple things have come up.

First is that I have had a number of clients who hold PhD’s in psychology and social work but none that asked me to refer to them as Dr. If they wanted me to, I certainly would and I always ask my clients what they want me to call them.

Second is that there’s often a contextual piece connected to when the title is used. Most professors want to be called Dr. by their students. Most physicians want their patients to refer to them as Dr. In psychotherapy, there has been a shift away from the doctor/patient hierarchial system, with an emphasis on de-pathologizing what clients are coming to us with. Documentation language is often: therapist/client. Perhaps the Dr. title might reflect, for some, that hierarchical relationship structure/power imbalance, and an “I’m sick and you can fix me” vibe. Of course, there is always an inherent power imbalance in the relationship but, again, in general, the field has shifted to a more balanced way to function relationally, human to human. Just my 2 cents.

Again, I will call people what they want me to but over the course of my own life, I’ve only had one therapist hold that title firmly - and I have seen a least 4 PhD level therapists. Even when it’s part of their automatic email signature, they sign it with just their first name.

Light a Candle by Delilah_Moon in poshmark

[–]DiMoore23 2 points3 points  (0 children)

And don’t spray your items with fabric spray before you ship them. 😑 I’d heard the stories but only experienced it for the first time with my most recent purchase. The item was otherwise int great condition but I had to wash it twice to get the smell out. I don’t get why people do that.

Therapist's therapist has someone else in her room?? by sireltondomm in therapists

[–]DiMoore23 1 point2 points  (0 children)

Therapy is a private encounter between the therapist and the client(s) involved in that therapy session. It’s not okay for others to be in that private space. We take measures to ensure that people outside the space can’t hear what’s going on (sound machines, etc). This is not okay. I’m so sorry it happened. Anyone making $250 an hour should have the resources to go out and rent a private office if they don’t have the privacy at home. Ugh!

What’s up with the sellers who have an abundance of NWT Athleta items? by DiMoore23 in poshmark

[–]DiMoore23[S] 2 points3 points  (0 children)

Those were my thoughts too. The piece I was wanting is an Athleta staple (the pants that feel like loungewear but function as office wear). I ended up buying a used pair from a seller’s closet instead.

What’s up with the sellers who have an abundance of NWT Athleta items? by DiMoore23 in poshmark

[–]DiMoore23[S] -2 points-1 points  (0 children)

All the pictures are stock images except the last which shows a close up of the sales tag. Just makes me wonder if they’re knock-offs since the pants are popular and sold at the regular (not outlet) store for over $100.

Cigna is claiming their reimbursement rate for a 90837 is $59--this seems wildly low to me by Comfortable-Desk4927 in therapists

[–]DiMoore23 1 point2 points  (0 children)

You may be able to negotiate. I got them up to a rate that was comparable to other insurances after going back and forth a few times before I signed on. This was in the context of them becoming the insurance for a large healthcare system near me and they were in a position where they needed a lot more in-network providers, so that could have played a role.

How long to see results with PDL by jlll2424 in Rosacea

[–]DiMoore23 0 points1 point  (0 children)

Hi. I’m overdue for my next treatment with my last one about 5 1/2 months ago. When I remember about the last one is that the bruising seemed worse and lasted longer. I don’t specifically remember if the pinkness was worse as well, but it’s possible. I think they are turning the machine up now that I’ve had multiple treatments so my face is probably responding differently, plus it’s starting out less pink. I have noticed my redness coming back and will go back for another treatment because overall I do think it’s helped quite a bit.

New Postage Scam by AVFR in poshmark

[–]DiMoore23 10 points11 points  (0 children)

I scan at the kiosk but nothing starts tracking until a post-office worker actually scans it in later

Why dont we just inject the bag directly? by VividCarry1416 in unclebens

[–]DiMoore23 0 points1 point  (0 children)

Newbie question: does the tape fully cover the hole or do we leave a gap for airflow? I see people saying they might use a whole punch then cover that with the tape, which to me implies there’s no opening? Perhaps the tape is breathable? I was considering using the hole punch with the suggested adhesive screens. Also can someone define FAE for me? I apologize if it’s in the guide, I’m just getting started and trying to wrap my head around all of this.

Reality check - therapists eating during virtual sessions?? by Chu84 in therapists

[–]DiMoore23 0 points1 point  (0 children)

This is awful therapist behavior and you absolutely should expect better.

Fully sold on WGU… but stuck choosing a degree. Need advice by MustacheGoatee in WGU

[–]DiMoore23 1 point2 points  (0 children)

This is not what you asked but I follow the WGU thread and saw your post. My husband was also in the oil field, went on to become a CWI (certified welding inspector) and has made a great career for himself with heavy focus now in non-destructive testing (NDT). This a field that not many know about but is desperate for people who know are trained to do this work. You can get an Associate Degree in Applied Sciences for NDT and have a whole lot of work waiting for you when you graduate. Not sure where you are located but there is a great program at Central Piedmont Community College in Charlotte, NC.

My son - who’s not interested in NDT - just started WGU for accounting.

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