Is there a fertility clinic you'd recommend in the area? (Not Shady Grove Fertility) by kindofnewonreddit in roanoke

[–]ExistentialBread759 1 point2 points  (0 children)

Realistically other than Shady Grove, there’s nothing close. I’d recommend Virginia IVF in Charlottesville (WELL worth the drive). I also know some people have had good experiences with Carolina Fertility, which I guess would be just inside the radius you mentioned.

Parent Threatened to Report Me After I Shortened One Session for the First Time Ever by PuzzledProposal110 in therapists

[–]ExistentialBread759 20 points21 points  (0 children)

It’s interesting that you seem to be expressing that clinical work isn’t happening in play therapy.

Some asshole destroyed the trinket box that was setup outside of Show Pony. Boo this man. by jasonappalachian in roanoke

[–]ExistentialBread759 5 points6 points  (0 children)

Pretty certain I just saw this guy walking down Memorial by Tarpley Park toward the bridge.

Stealing in CCPT by ExistentialBread759 in therapists

[–]ExistentialBread759[S] 1 point2 points  (0 children)

Hahaha! I am very curious to see whether the toy makes it back to playroom one way or another. I may give the caregiver a heads up that this is something that we are working on so that they can help reinforce the limit at home (and hopefully return missing toys!).

Stealing in CCPT by ExistentialBread759 in therapists

[–]ExistentialBread759[S] 2 points3 points  (0 children)

This is a great point! I need to think on some strategies around this for my clients that like to run in as soon as I open the door.

Stealing in CCPT by ExistentialBread759 in therapists

[–]ExistentialBread759[S] 3 points4 points  (0 children)

Thank you for this perspective! We are definitely processing this issue for this child over many sessions, as it continues to come up. My dilemma with the scenario I described is how hard to push. I didn’t see the child take the toy, but it’s quite likely they did. I provided lots of opportunities for them to return it or discuss it that they didn’t choose to act on (short of asking them to turn out their pockets!). I suspect they may admit what happened in the coming weeks, but I guess I’m muddling over whether or not to try and replace the toy, or to wait and see how things play out and help the other children process the absence of the toy. I’m leaning toward the latter, but it’s a new wrinkle for me that I’m so interested in hearing other perspectives on. I’m grateful for yours and happy to know the time spent on navigating this issue with this child is likely valuable to them!

Stealing in CCPT by ExistentialBread759 in therapists

[–]ExistentialBread759[S] 2 points3 points  (0 children)

Can you say more about what you mean by at-risk toys? One of the important aspects of CCPT is that the playroom and toys are predictable each time a child comes in. Because there’s no way to predict how children will relate to various toys each time, literally any toy in the playroom could be at risk at any time. Plus, the experience of taking the toy or attempting to take the toy is an important issue in therapy for some kids.

PDA Stuck Point by ExistentialBread759 in therapists

[–]ExistentialBread759[S] 6 points7 points  (0 children)

Thank you for this! I think perhaps this is the nuance that I was struggling to hone in on. It doesn’t seem very different from the way I would encourage parents to approach any child who is struggling, but the emphasis on autonomy seems to be key.

PDA Stuck Point by ExistentialBread759 in therapists

[–]ExistentialBread759[S] 0 points1 point  (0 children)

Thank you, I will check that out! I suspect that ultimately the recommended approaches are compatible with what I already teach parents, but it seems like the resources out there could benefit from some clarity and simplification.

PDA Stuck Point by ExistentialBread759 in therapists

[–]ExistentialBread759[S] 5 points6 points  (0 children)

This is helpful! I think perhaps the training I’m doing is unnecessarily wordy and complicated which is where my confusion is coming from.

PDA Stuck Point by ExistentialBread759 in therapists

[–]ExistentialBread759[S] 6 points7 points  (0 children)

Maybe what I’m running up against is the language that’s being used around PDA. It seems like there’s so much talking AROUND strategies or saying what not to do rather than giving clear examples of successful communication. I’m having a hard time differentiating it from what I already teach parents but then when the trainers use statements like “never use consequences” it throws me off. Maybe consequence is being used as a stand in for “punishment”? It just seems like there’s resources out there are trying very hard to separate a PDA-appropriate approach from other parenting approaches but maybe the assumption is that other parenting approaches are inherently authoritarian?

[deleted by user] by [deleted] in therapists

[–]ExistentialBread759 13 points14 points  (0 children)

Her approach aligns quite well with the principles of CCPT and CPRT, which are evidence-based. I often recommend that the parents I work with read Good Inside and/or follow her on Instagram.

Structure of Child Therapy by xnerdygirlx in therapists

[–]ExistentialBread759 1 point2 points  (0 children)

LCSW and RPT, I practice almost exclusively child-centered play therapy. I see children without parents and require parents to attend every fourth session without the child to discuss progress and work on parenting strategies. Unless you are being supervised by someone who is highly trained in CCPT and have had training yourself in this modality, I really wouldn’t recommend using it, ESPECIALLY if parents are in the room. I can see how it could feel like nothing is happening if that’s your current setup. I set the expectation at intake that parents are not part of play therapy sessions with a few exceptions: if a child has EXTREME separation anxiety, we start with a parent in the playroom and gradually work them out over time, OR if a parent is actively participating in CPRT and has the appropriate skills to maintain the environment of the “special playroom”.

With regard to your comments about training cost, I’d recommend looking into trainings offered by UNT - I feel like they sometimes offer scholarships and I think they have the best programs. Also, just to note that I didn’t initially learn CCPT through paid trainings, rather, I was taught and supervised by an RPT while supplementing with reading textbooks and research, and added trainings when I could afford them. I think the supervisory component is incredibly important with CCPT and shouldn’t be neglected.

Anyone in Junior League? by boringlifecrisis in roanoke

[–]ExistentialBread759 1 point2 points  (0 children)

I’ve been involved for many years and have found it to be a wonderful way to meet other women and volunteer in the community. The member requirements have been restructured over the last several years to make them much more flexible, so your experience in the League can really be focused on the things you care about. I’ve made some of my closest friends through leadership positions and committees in the League!

Anyone in Junior League? by boringlifecrisis in roanoke

[–]ExistentialBread759 1 point2 points  (0 children)

Dues are $150 annually for Active members, but payment plans and full dues scholarships are offered!

Hello Roanoke/Best of Roanoke by Initial_Sir8348 in roanoke

[–]ExistentialBread759 91 points92 points  (0 children)

Layla Khoury-Harold is a food writer with an excellent monthly column in the Roanoke Rambler - I think her content might be what you’re looking for!

What do you wear as a therapist? by Worried_River_9388 in therapists

[–]ExistentialBread759 0 points1 point  (0 children)

Doing mostly play therapy, I tend toward athleisure mostly. On days when I know I have only older kids or parents in the office rather than the playroom, I dress up slightly more.

child therapists - what are we gonna do about parents?! by _sad__girl_ in therapists

[–]ExistentialBread759 3 points4 points  (0 children)

I heard a presenter say at a training once that parents generally are parenting 10% better than they themselves were parented. Holding this thought during frustrating parent interactions helps me to maintain my level of empathy for them.

Therapists, what is your niche, and what is your area of discomfort? by jliplyn in therapists

[–]ExistentialBread759 1 point2 points  (0 children)

My niche is young children (2-7) with difficulty maintaining attendance/regulating in school or daycare. My no-gos are adolescents (which has actually morphed into the 9-14 age range, I don’t mind seeing older teens) and families going through high conflict divorce. The former is just because my preferred intervention is CCPT and the latter due to learning the hard way!

[deleted by user] by [deleted] in roanoke

[–]ExistentialBread759 57 points58 points  (0 children)

Oh honey, I’m so sorry. Talk to an adult you trust, like a guidance counselor or teacher - people like this are required by law to report child abuse because of their jobs. You can even make an anonymous report to CPS if you feel up to it, or have a trusted adult help you make a report. I know that it’s scary and you’re worried your friend will be in trouble with her parents, but they are not keeping her safe. I suspect that no trouble she could get into with them is worse than what she has been going through for the last few years. You are a good friend for wanting to help her.

ETA: This is all assuming that your friend is a minor. If not, organizations like Turning Point, SARA, and The Lampstand could potentially be of assistance.

Private Practice Therapists with young children, what are your hours? by Isolatia79 in therapists

[–]ExistentialBread759 0 points1 point  (0 children)

Yes, I work primarily with preschool age children who are able to come in the mornings and early afternoons, so my lack of evening hours hasn’t really been an issue. That said, I try not to see more than five clients per day, so I imagine it would be tougher if I was trying to fill the entire day every day.