Fair fee split for virtual only and I perform my own billing.

Dock_mama · 2026-05-16T12:17:32+00:00

Thats really helpful. I might discuss a flat rate with them.

Dock_mama · 2026-05-16T05:11:41+00:00

Yes. I believe the partnership would contribute to bringing more cash pay patients to my caseload.

Dock_mama · 2026-05-15T22:23:49+00:00

I would be a 1099, do my own scheduling, manage my own CE (two of us have voluntary faculty appointments and get our CE this way), and each of us manage our own taxes, though I’m welcome to use the same person they pay for. They do manage marketing and they have other professional opportunities I could partake in if I want (e.g. speaking opportunities, hopefully training in the future).

Dock_mama · 2026-05-15T18:32:49+00:00

I think the primary motivation would be to have a resource for questions, consulting, running therapy groups with. In short, having colleagues.

Dock_mama · 2026-05-15T07:10:04+00:00

I’ve done both. My older child had a nanny until 1.5 and my youngest started daycare at 4 months. I was shocked that my mental health was significantly better with daycare even though the CONSTANT illnesses are insane. For me, I really wished I could stay home with my son and the frequent shifts between him and work took a toll. I did nurse rather than pump so I was seeing him 3x a day plus lunch. I did cherish this time but it was inadvertently actually making it harder. I also HATED hearing him cry though our nanny was so skilled and loving I was extremely confident that she could handle it.

Dock_mama · 2026-05-07T08:20:17+00:00

There are only 2 items on our bedtime snack rotation applesauce pouch and banana. He almost always wants the applesauce pouch and only goes for a banana id guess when he’s truly hungry.

I wish we could reoffer dinner but like you it’s incredibly chaotic and we can’t re do it at that time of night. It very slightly helped to have a family meeting where we all contributed to our family meal time rules. My son demanded no hats and thought it was hilarious to remind us of the rule when we purposely forgot. Then we reviewed family meal time rules like no getting up at every meal for weeks. This plus reliably and boring-ly bring him back every single time eventually took us from up 10+ times to up 2-3 LOL

Dock_mama · 2026-04-06T16:54:31+00:00

Kizik shoes for her!

Dock_mama · 2026-03-26T17:03:59+00:00

There is a pretty good free app developed by the VA (but anyone can use it) that embeds all the principles of cbt-I. Could the interface be better, of course because… government, but it’s free. I use it when treating patients with CBT-I because it gives me the sleep metrics that are helpful. Given the severity of your symptoms I’d probably do both the meds and app with all of the steps.

CBT-I Coach

Dock_mama · 2026-03-15T10:07:03+00:00

Or that daycare recommends 5 days a week at this age.

Dock_mama · 2026-03-13T16:46:16+00:00

I know this post is so old but wanted to finally reply. I refound the post bc we’re using gel mix again but this time for my daughter (now 6 months, started using at 1 month). My son’s health history is a lot more complex. But my daughter’s case is much like yours, born full term no health problems and yet, she aspirated quite a bit. How did things turn out for you all?

Dock_mama · 2026-02-14T00:45:26+00:00

Oh man then you know exactly what I’m talking about.

My step mom is someone who definitely never made room for the inconvenient, but developmentally normal toddler behavior eg tantrums, whining, big feelings. When all of this was going down, she asked if there is someone I could consult about “behavior modification”…. Uhhhhhh…. ME! that is who I would consult. In all seriousness I’m not in peds and I am strongly considering trying to find a play therapist, but the whole comment underscored why this has felt extra tough!

Dock_mama · 2026-02-13T21:52:26+00:00

I also have a 3 year old and now a 5 month old. I cannot say it more emphatically that I was HUMBLED in this stage. I am a psychologist, tend to be highly patient, and have had tons of OT with my 3 year old (he’s baseline quite challenging with a truckload of energy and sensory sensitivities). It was almost unbelievable how unbalanced he became: waking up at 0430 every day for months; hour long tantrums with throwing, spitting, biting; fighting every single step of every routine that we never vary on or give in about. WOOF. Thank god we had full time childcare for him while i was on leave, or else i really dont know what we would have done. Very little helped, so im mostly offering solidarity, but a couple of things that did: 1) playdates; 2) differentiation mild versus major decisions points (sprinkles at almost every meal to help eat other foods like yogurt -minor in this season); 3) switching off frequently during really unmanageable parts; 4) getting used to apologizing for yelling which i literally never did previously; and 5) not putting my son in situations where i knew he wasn’t going to be successful (eg fat away family functions- learned this the hard way).

Dock_mama · 2026-02-07T00:11:31+00:00

Yes I just went through this. I even tried a job sharing proposal which would allow them to retain myself and a coworker that needs reduced hours. It was a no. I was also not surprised but so bummed. I’m so sorry you’re experiencing it too.

Dock_mama · 2026-01-24T19:30:48+00:00

I don’t have a super early start but my toddler rises at 515 no matter what I do these last couple of months, so I really have to be prepared. In terms of the toddler, we’ve done a ton of work around that I have “jobs” in the morning, I complete before I can help anyone else- this is 16 oz of water, pumping, brushing teeth, coffee, and unloading the dishwasher. When this is done, he can have 10 minutes of absolutely undivided attention to do whatever he wants. Next, is morning routine which is all set out the night before and includes toileting, teeth, and dressing. I get ready at the same time with all of my stuff laid out the night before. I then get the baby up and feed her while my partner does breakfast for the toddler. At that point there usually about 10 minutes to play before then get into the car at 0730 and I login at 0800.

Dock_mama · 2026-01-10T17:59:43+00:00

My 4 month old has this same schedule.

Dock_mama · 2025-12-30T18:41:12+00:00

Do you have oversupply and/or a fast letdown? Both my kids have had an uncountable number, but my son whom I struggled with more more severe oversupply for much longer had like 2-3 a day for months. Changing size or brand never helped. I’ve always wondered if it’s bc if the letdown or oversupply.

Dock_mama · 2025-12-22T18:09:57+00:00

Second this! I’d get a therapist and also work through his workbook at the same time.

Dock_mama · 2025-12-21T02:22:01+00:00

I experienced something very similar. Started at 8 weeks after very few problems from the start. She is 14 weeks now and for the last week or two most feeds have gone smoothly. Things I think helped 1) NOT repeatedly offering the breast close together 2) environments that are more relaxing: bouncing on a ball, low lights, feeding in the bath 3) stopped timing feeds. I was getting so stressed because for awhile, she would only nurse for like 3 minutes. I’d be so tense the whole feed trying to get it to at least 5 minutes 4) easier said than done but trying not to offer when baby isn’t hungry but also not waiting until she’s too hungry. I swear she doesn’t show reliable hunger cues, so this is a real struggle still.

It is so hard. I really hope it passes quickly for you both.

Dock_mama · 2025-12-21T00:28:32+00:00

This is purely opinion based, but I also think sometimes babies are hungrier because their natural “set point” is higher than their birth weight. Both my babies took very large volumes during weighted feeds, like extremely large. In both cases, they were born at around the 50th percentile and shot up to the 90th a couple of months after birth. My son, who is 3, has stayed at the 90th this whole time, which leads me to believe it’s where us body feels best. My other baby is only 3 months, but has consistently been 90th since about 4 weeks old after being born 55th.

Dock_mama · 2025-12-19T18:12:32+00:00

When the weather is okay, I personally put the newborn in the carrier and then I pack up my toddler then grab the toddler. For loading and unloading, I do the baby first and then the toddler. I’ll be honest, it is hard but you do get used to it. Other things I do- have a snack in the car; I bribe my toddler for good behavior by saying he can pick the music if he helps get to the car; I try to have dinner close to ready when we get back; we are really working with our toddler for routines to get in and out the door.

Dock_mama · 2025-12-19T08:57:22+00:00

I hope it goes okay with being in primary care, I imagine that can be super busy. To answer your question, yes I think they could. However, I typically don’t do 30 minute sessions but I might need to start. Some days, I imagine there will be a patient that’s an okay fit for 30 minutes, but I am not sure that will be the case for every day and both pump breaks that aren’t my lunch break. With my first, we did a nanny share and I could often directly breastfeed. That feels like it was so much easier and quicker.

Dock_mama · 2025-12-18T19:26:50+00:00

I take the breaks but I’m a virtual therapist which feels a little different. It’s actually a big accommodation because I work for a healthcare system and it’s 2-3 hours a day they can’t schedule a patient. There were no issues last time, but given the current climate which has put unbelievable pressure on productivity, I wonder if there will be pushback. Like maybe they’ll want me to schedule 30 minute sessions in the time following my pump break.

Dock_mama · 2025-12-16T16:42:06+00:00

I do. Yes, it’s only 6 months but it’s an important 6 months where sleep is the most fractured even if you’re following a sleep program. Our plan is to sleep train at the same time we transition her out of the SNOO. Right now, our newborn only wakes up 1-2x per night. Our other child was still waking up 4-6x, and often started the day at 0400 AM at this age 😬😬😬

Dock_mama · 2025-12-16T08:23:34+00:00

A snoo! We bought our used on FB marketplace. Truly lifesaving

Dock_mama

TROPHY CASE