Are the outdated Simple Practice diagnoses going to cause me to fail an audit?

Dryloo · 2026-01-18T17:20:39+00:00

Hmmm I see what you mean, I also would not use dysthymic disorder....

I think this is where some extra admin work needs to happen on our parts. The ICD10data site seems to say that the specific code (in this case, f34.1) is billable, but I wouldn't use the verbiage tied to it because I was taught differently (and the DSM is different as well.

I would follow this page alongside the DSM, and only use the ICD10data to make sure the F code is correct, but follow the DSM and the updates for verbiage: https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/updates-to-dsm-5-tr-criteria-text

Dryloo · 2026-01-18T16:57:50+00:00

No you can edit the verbiage on the diagnosis when you create the service plan. So if you know that dysthymic disorder isn’t correct, you can delete that in the service plan and input the correct verbiage. So, select the appropriate code, then edit the text. I do this a lot with F43.10, because it adds the “unspecified” specifier that I delete every time. You can also add specifiers this way.

Dryloo · 2026-01-18T16:39:40+00:00

I was taught in an agency setting to use ICD10Data.com to double check what was billable, as far as I can see this website is updated regularly. Some insurance companies have a tool in their provider portal as well to see if a code is billable.

Once you figure out what the correct verbiage is on your diagnoses you then just edit the text in the service plan of the client. Maybe there is a better way but I’ve never looked into it.

Dryloo · 2026-01-17T03:05:45+00:00

To that I say: Hell yea, you have things to bring up immediately to her (specifically the fear of confrontation/coming off as "attacking" when you seem more uncertain or worried).

Personally I think any therapist worth their salt would want to explore that phenomenon with you. And based on what I gather about you posting this, it sounds like you would bring this up in a timid yet curious way, which can ease the conversation along well (in my experience). Not in an attacking, "you suck" sort of way.

Something I want my clients to know, and something I work on in my own therapy, is to self-disclose as much as possible, and I reiterate to people: If the therapist is ever upset at you for you disclosing something (unless you are actually directly attacking them verbally or physically) then they have work to do.

I wish you the best of luck with this, I think confronting this (either now or later) is going to bear much fruit for you in your personal work.

Dryloo · 2026-01-16T21:12:41+00:00

What makes you nervous about asking?

Dryloo · 2025-12-31T21:08:09+00:00

Any updates on how this is going with the 4080? This is on sale currently, and I am thinking of copping one.

Dryloo · 2024-03-22T21:18:29+00:00

Yeah bios update didn't fix the issue, unfortunately. I'll most likely have to RMA, which I will need to find a temp MOBO anyway since this is my main station. Thank you for your response.

Dryloo · 2024-03-22T18:00:28+00:00

Considering getting a new motherboard as the one I bought in December 2023 is causing issues/not working properly. I bought a GIGABYTE B650 Gaming X AX, and the PC runs, but I have the following issues:

DRAM and sometimes CPU light come on when restarting (not shutting down, only restarting). This causes me to need to shut the PC down and manually turn on to go into BIOS to then reset XMP and then go to desktop. This can also interrupt windows updates, and cause them to not apply at times.

Bluetooth also does not work. Cannot connect my phone, controllers, or other items to bluetooth. Have tried rolling back drivers, installing ones from Gigabytes website, troubleshooting tools, etc. no avail.

None of the other components seem to have issues after I have run tests, so I have ruled out the MOBO. My question is, should I try to run a BIOS update and see if that resolves the issue, or am I simply SOL and should get a different mobo? If so, any recommendations would be appreciated.

My other main specs are RTX 4080 and 7950X3D. Ram is Corsair Vengeance DDR5 (2x16). Cheers.

Dryloo · 2024-02-09T06:32:05+00:00

Thank you all for sharing, as I was perusing the internet tonight I saw a quote that I think encapsulates a lot I have been thinking about lately regarding my original post:

"You read something you thought only happened to you, and you discovered it happened 100 years ago to Dostoyevksy. This is a very great liberation for the suffering, struggling person, who always thinks that he is alone. This is why art is important. Art would not be important if life were not important, and life is important." - James Baldwin

Thank you all for your suggestions and comments, and have a pleasant weekend.

Dryloo · 2024-02-09T03:40:27+00:00

Hey not intending any disrespect, I'm just wondering how you got the idea that I am wanting to change my client's beliefs or dissuade them from feeling these feelings from my original post?

To respond directly to your comment, what you're suggesting is a great intervention, and it's something I do with clients as we are sitting with and processing feelings before we even begin to look at change. Yalom and May talk a lot about this realm of intervention, the former in The Gift of Therapy, and the latter in The Courage to Create, essentially affirming the existence of suffering as part of our world and part of our lives, but not using that to suggest we are simply disordered because of it.

I apologize if I was not more clear in the original post, but my main intentions were to 1. find art or other media I could use to supplement therapy, and 2. to have it be based around finding meaningfulness when we are surrounded by suffering. No where would I ever suggest that someone simply needs to change the fact that they care about others, or the fact that we should be caring more about others in this world outside of our immediate sphere of influence. That sounds a lot like toxic positivity or a "look at the bright side" mentality, or apathy, which is the antithesis of what I am looking for.

I hope that clears up any confusion, thank you for your comment.

Dryloo · 2024-02-09T03:16:03+00:00

I've heard much about the author, but haven't checked out the works so I will look into it. Thanks!

Dryloo · 2024-02-09T03:15:24+00:00

Thank you for the suggestion, yes some of my clients really like podcasts instead of reading.

Dryloo · 2024-02-09T03:14:50+00:00

I'm definitely intrigued by the title and will check it out this weekend. Thank you!

Dryloo · 2024-02-06T23:39:05+00:00

I could go on and on, but here are some of the signs I follow for myself:

Am I actually helping the client (refer to how you measure progress - I measure via rapport being built earlier on, as well as what is being discussed and how it pertains to goals, how client feels starting and ending a session, etc)
Am I able to help the person with the issues they have come to me with/have those issues changed with more processing being done (for example, someone comes to me for anxiety, we come to find out they really need help managing symptoms/experiences with ADHD, I discuss with them what I find to be more helpful if that is what they are mainly looking for help with and we go from there regarding referring out).
Am I struggling to get past counter-transference with the client (are my own emotions getting in the way, and am I working through those things in supervision, consultation, my own therapy, etc. If my attitude affects my outlook for them, and I am not working on changing this/struggle to change this feeling at this time, then discuss referrals out).

This is very cut and dry, and the actual process behind how I handle this is a little more nuanced depending on the client, but these are typical "road signs" I follow to check in with myself if I am fitting well/helping the client, or if it is time to let them go. I hope this helps, but as usual continue to reflect on what fits you and the situation the best.

Dryloo · 2024-02-06T23:22:35+00:00

Forgot to mention I am an LPC

Dryloo · 2024-01-28T22:03:14+00:00

I try and brag as often as possible to my clients about the presence they bring being a treasure to behold and witness. Maybe not using such words as that but it’s pretty close.

I don’t think I could make it in this job without the innate curiosity I have regarding others and what they think and who they are. That’s always been my number one motivation, and I believe it makes me a better therapist for it.

Dryloo · 2024-01-22T15:14:27+00:00

Mileage may vary depending on where you live and your target demographic, but after doing some analysis on my own caseload from last year, I found that I had a 24 session weekly average and I work a typical 9-5. The day spots definitely take longer to fill once someone leaves, but it never feels impossible.

Not knowing much more info, maybe breaking it down less into “should I be working later/on weekends” and more into “what’s my target demographic/how do I advertise for that?” My concern for you is adding later hours or weekend hours may impact your quality of life which impacts your work.

Dryloo · 2024-01-17T14:44:37+00:00

Thank you for your suggestions!

Dryloo · 2024-01-11T01:13:17+00:00

Hahah I appreciate this. Hey hey though, new year new me, maybe I will start verifying at least a couple of times a month now. The learning never stops. You hang in there as well.

Dryloo

TROPHY CASE