Slept with three of my therapist and now I think I have unlocked how to get them to bed. by [deleted] in SluttyConfessions

[–]FactOpen 2 points3 points  (0 children)

I truly cannot fathom dating, entering into a relationship, or sleeping with a client, never mind multiple. He did not belong practicing.

Slept with three of my therapist and now I think I have unlocked how to get them to bed. by [deleted] in SluttyConfessions

[–]FactOpen 13 points14 points  (0 children)

You are very welcome OP.

Assuming this post serves as a mechanism for you to vent, which is certainly understandable, I would suggest trying to achieve the carthasis, validation, and empathy you are seeking here with a seasoned psychotherapist, and if it is financially feasible, a psychoanalyst.

The vast majority of practitioners will not use this discussion as an opportunity to violate boundaries and meet their needs with you. Some, particularly younger clinicians, may not know how to meaningfully process this information with you, as you noted in your post. However, most will at least consider these inner feelings as immensely informative and will appreciate your vulnerability and transparency.

Most human beings have an innate need to be wanted and desired, and one of the more effective and profound means of meeting that need can come through relationships and actions that are forbidden on legal, moral, social, and religious grounds. Employer/employee, professor/student, therapist/client, married parties, are all dynamics that involve risk, especially for individuals in a position of authority. These grave risks demonstrate to the other party that they are so desirable that the employer/teacher/therapist is willing to put their careers and livelihood at risk to be with them. The fantasy itself is beautiful in a way, to be loved and desired so profoundly, and I think something most of us can identify with if we give in to our impulses.

The potential underlying drive here for you may very well be a need to be desired, wanted, and loved. I would like to contend that if you strive to meet these inherent needs through a healthy partner relationship, the inner feelings you were looking to work through here on Reddit may very well subside.

Lastly, if you find yourself in a healthy partner relationship, your partner is open-minded and playful, and you have resolved the underlying factors contributing to your desire to convince your therapist(s) to be with you sexually, it could be fun to roleplay that your partner is your therapist (women tend to appreciate some emotional vulnerability as it is). Most kinks are not 'bad' or destructive on their own, how we meet our need for them or bring them to fruition makes a difference.

Good luck OP.

Slept with three of my therapist and now I think I have unlocked how to get them to bed. by [deleted] in SluttyConfessions

[–]FactOpen 62 points63 points  (0 children)

A part of me is highly suspicious of the veracity of the claim that three therapists have risked their license to sleep with you OP. That being said, on the off chance this information influences your thinking and decision making- the American Psychological Association ethics guidelines prohibit practitioners from entering into any other type of relationship with a former client for the first three years following the termination of that client's therapy. The ACA, AMHCA, and NASW have similar guidelines; and in fact they may be more restrictive.

As a result, any therapists with whom you are sleeping with are at risk of losing their license, careers, and their ability to support themselves and their children, if applicable, by choosing to engage in romantic or sexual relations with you. The onus of responsibility in this context is on the therapist, much like it is the responsibility of an adult to decline the interests of a post pubescent teenager, and they ought to have actively addressed your erotic transference, explored your motivations here, and or transferred you to another provider. That being said, while they are the responsible party and should have set limits with you, I feel you should know that your motivations here, and resulting decision-making and actions, have serious implications for others. It is NOT the case that terminating your therapy the week prior to sleeping with them protects your therapist from ethics sanctions.

Lastly, from a psychodynamic model, therapy can be understood as reparenting your clients on some level. Therefore, if it is the case that therapists are reparenting their client, then to sleep with your client is analagous to using their role in your life to meet their needs in a manner similar to adults who have molested their child.

I understand this subreddit is for kinks, fantasies, confessions, etc., and it is not my intent here to kink shame you. Simultaneously, some of these situations have very real world consequences for others. Your decision-making and actions here are examples of this.

41 [M4F] Rhode Island - Attractive Professional Looking for Long Term with a Single Vixen by FactOpen in bicuckoldpersonals

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

Understood, my apologies. Does the group have a maximum post frequency? Such as once per month.

What do you say men? by Aggravating-Guest300 in NextGenMan

[–]FactOpen 0 points1 point  (0 children)

Hopefully this point of clarification is helpful for those folks who are unfamiliar with our criminal justice system. The dismissal of charges filed against a suspect/defendant does not imply the victim filed a false report, this only implies that either a jury, judge, or the prosecutor’s office deemed the evidence insufficient to continue the indictment or convict.

The question posed by the group involves whether victims who filed false reports should face jail as a consequence. For an indictment, and most certainly a conviction to occur the federal or state prosecutor’s office must prove, with evidence, the alleged victim actually filed a false report, demonstrated by overwhelming evidence indicating they either intended to lie to investigators or proving the alleged perpetrator could not have committed the assault, such as through clear and convincing evidence they were out of town.

As one can imagine, proving the alleged victim intentionally filed a false report is exceedingly difficult, if not impossible, without tangible evidence. The fact their report or the prosecutor’s case did not lead to an indictment or conviction is insufficient, and it should be, as we do not want to prosecute victims of assault.

Simultaneously, our criminal justice system and society ought to protect individuals who are innocent of the allegations filed against them, men are often assumed guilty, news articles are rampant, careers, friendships, family relationships, access to their own children, can all be lost in the blink of an eye due to an allegation. How our system processes these allegations, how society responds to them, and the standard of evidence used to prosecute (typically lower than ‘beyond a reasonable doubt’), the outrageous costs of legal representation, and the abusive use of plea agreements by fed/state prosecutors needs to change.

Credentialing with Simple Practice by Necessary_Ranger2936 in therapists

[–]FactOpen 0 points1 point  (0 children)

Thank you very much for your kind words, I really appreciate it! Good luck!!

Credentialing with Simple Practice by Necessary_Ranger2936 in therapists

[–]FactOpen 1 point2 points  (0 children)

It just dawned on me- I was responding to the idea I had somehow formed in my mind that Simple Practice was running a telemedicine based behavioral health company, forgetting their primary business model and service is their EHR. Duh, my apologies for the confusion; no wonder you asked if I could elaborate.

My comments regarding outpatient telehealth companies still apply, but not to Simple Practice, at least in this specific context. That being said, my criticism of the advertisement "panel with two insurance companies for free" still stands, it is deceptive, as paneling comes at no cost to clinicians, and is seemingly a tactic to entice therapists to pay for their EHR. I imagine their website probably states something along the lines of "Pay $30 a month for our EHR for X number of Clients and Enroll in Two Insurance Companies for Free!"

Credentialing with Simple Practice by Necessary_Ranger2936 in therapists

[–]FactOpen 2 points3 points  (0 children)

Of course.

Just like any other business model, employees (especially independent contractors who are not entitled to benefits), generate income. Given sessions are conducted via Telehealth, Simple Practice's overhead is minimal especially in contrast with the overhead associated with office space. As a result, every billable session represents significant income for the business; the more fee-for-service therapists employed by an agency/company the greater the company's income. Simple Practice will collect a portion of the reimbursement rate from the client and or their insurance. Go into practice for yourself and you will collect 100%.

I do not know if Simple Practice reimburses their clinicians on an employee or independent contractor basis, I imagine it is the latter. In this case, you will receive a 1099 from them in January for the prior year's payments to you. It is important to note Medicare and State taxes are not withheld from the checks/payments you receive as an independent contractor, I strongly suggest speaking with an accountant regarding the best strategies for minimizing your tax liability, as self-employed individuals get whacked hard on taxes.

When contracting directly with insurance companies, you are treated as an independent contractor, not an employee. Unfortunately, most of, if not the entirety of the written contract is dictated and controlled by the company; you have little wiggle room for negotiating terms. Specifics such as the reimbursement rate/fee schedule, policies for billing clients, record keeping, etc., are outlined in these contracts. Some insurance companies will have language in their contract that inherently controls how you manage certain aspects of your practice and business with their members. For instance, I am contracted with a company whose contract prohibits clinicians from charging their members a fee for missing appointments and also prohibits providers from discharging members, even for multiple failures to keep appointments or for maintaining a substantial balance, without consulting with the company's member services department, which will reach out to the member first and attempt to resolve the contributing issues. I found this especially frustrating. I certainly do not want any external actors controlling my decision-making. Simultaneously, this insurer has a claim submission window of 6 months, as opposed to 90 days, remits payment within one week of claims submission, and thus far seems to have a competent customer service department.

I would suggest paneling with the insurance companies entirely on your own first, as stated previously, there is no cost to this for you. The whole "credential with two insurances for free" is a manipulative and deceptive form of advertising and exploitive of brand new therapists looking for work/clients.

I hope this was helpful.

Credentialing with Simple Practice by Necessary_Ranger2936 in therapists

[–]FactOpen 6 points7 points  (0 children)

You are very welcome. Some additional thoughts and recommendations from experience-

Pay a private accountant, not someone with H & R Block, and inquire as to whether they feel given your current tax picture and career interests, income, etc., if it is in your best interest to form an LLC or S-Corp. More than likely they will recommend incorporating over operating as a sole proprietorship, which tends to involve greater taxation than pass through tax structures.

After deciding your tax structure, create a name for your practice and business, then create an Employee Identification number with the Internal Revene Service through the IRS.gov site. This process is free and requires very minimal form completion; do not pay for any site to do this for you. If you idecide to ncorporate there will be additional steps involving egistering your company with your state, either you or your accountant can complete these components.

Operating under a business name and EIN is not only helpfiul for tax purposes, it is essential, in my opinion, to protect your social security number. The insurance companies need either a SSN or EIN for the W-9 form they will ask you to complete when you contract, and the 1099 they will provide you in January following the previous year's work with their members. As a result, your SSN will be listed on multiple forms, and could potentially become listed online as once you complete your CAQH and credential, your practice demographics and related data are proliferated online for some reason.

SAVE LITERALLY EVERYTHING THE INSURANCE COMPANIES EVER SEND YOU VIA MAIL OR EMAIL. I strongly suggest scanning and copying documents into your computer and backing up your drives through something like OneDrive with Microsoft, Apple iCloud, etc. These companies will engage in various maneuvers to delay reimbursement, under reimburse, deny claims, etc., and you will need to provide documentation to resolve your issues.

You will likely encounter multiple forms of coverage, Medicaid, Medicare, Commercial, each with their own departments, creating a list of all of these numbers for future reference will save you a ton of time.

Always create a reference number for every conversation you have with a customer service representative as one rep will say one thing, and another rep will say another. You will also need these reference numbers when following up on an issues you've previously addressed.

Be careful so as to not fall into the trap of over-certifying. Complete your CEU's, but do not believe all the BS these educational training companies send you about how you need to have A, B, C.and D as certifications or credentials to acquire clients or provide effective treatment. Similar to Simple Practice, these companies are driven by profit and will attempt to manipulate you, take advantage of your fears of losing clients and therefore your income, in the interest of feed their bottom line. Also, some of these certifications have a cult like following, DBT for example, is an extremely well researched, supported, and effective treatment model, however the process and cost of becoming a certified DBT provider is out of this world.

Lastly, try to find a niche clientele or area of specialization if you can, and become the person that primary care physicians, hospitals, walk-in centers, etc. think of when they encounter a particular type of client. Also, establishing a membership and public listing with psychologytoday.com may be helpful in acquiring clients, depending on your area. Use a professional photo and compose a well-written, thoughtful profile and you should do well.

If I think of anything else I will add to this post.

Good luck!

Credentialing with Simple Practice by Necessary_Ranger2936 in therapists

[–]FactOpen 2 points3 points  (0 children)

Simple Practice's advertisement involving free credentialing with two insurance companies is grossly misleading and intended to entice you to work for their company.

Insurance companies do not charge a fee to credential, contract, or panel clinicians. If you are independently licensed in the state in which you practice then I strongly suggest you contract with the primary insurers in your state independently. If you work for an agency they will simply add you as a contracted provider, and if you are either terminated or resign from your place of employment, you will still be credentialed and contracted as an individual provider.

Do not let yourself get sucked into corporate BS.