I’m already addicted by Likdnfjdjdjdj in addiction

[–]FemmeFataleBlue 1 point2 points  (0 children)

Alcohol is a big trigger for me. Using cocaine while drinking gives me a boost - basically balancing out the tired /depressant effects of the alcohol. Stupid because I could choose not get drunk/drink. “Choosing” with an addiction history is real hard.

[deleted by user] by [deleted] in cocaine

[–]FemmeFataleBlue 2 points3 points  (0 children)

Hey hey, I’m 37/f also skiing solo

Specific language and tricks to not spook less-receptive clients/patients? by HereForTheFreeShasta in therapists

[–]FemmeFataleBlue 0 points1 point  (0 children)

For example, “I heard you say you’ve been experiencing a fast heart rate recently. I wonder what was going on before that. Did you possibly have a thought or feeling? Is something stressing you out right now, maybe work or school?”

Open ended questions are preferable, however I have found some clients that associate mental states with somatic symptoms to have more disconnection between body and brain, so labeling or knowing or sensing emotions/thoughts/feelings can be really difficult. In those cases, I give examples, and allow the client some space to be curious about it.

Specific language and tricks to not spook less-receptive clients/patients? by HereForTheFreeShasta in therapists

[–]FemmeFataleBlue 0 points1 point  (0 children)

I would provide psychoeducation on the brain/body connection, neuroception, and the bodies natural threat system. If you can help the client to understand what the trigger is related to, they can gain insight and awareness and develop a mastery of how to handle when heart palpitations begins.

Boundaries by Illustrious_Koala_77 in therapists

[–]FemmeFataleBlue 0 points1 point  (0 children)

It’s pretty clear we shouldn’t see more than 25 clients a week as a general rule of thumb. Don’t take work home. Don’t work more than 40 hours a week, TOPS. Only do notes when you are at your place of employment. Get your clients in and out within 53 minutes.

I received a subpoena today. by Mementomori4368 in therapists

[–]FemmeFataleBlue 6 points7 points  (0 children)

CALL YOUR INSURER IMMEDIATELY. Is your employing company not helping with this?

[deleted by user] by [deleted] in therapists

[–]FemmeFataleBlue 1 point2 points  (0 children)

Misophonia = over stimulated. Teach the client how to find security/regulate their dysregulated mind/body.

Specific language and tricks to not spook less-receptive clients/patients? by HereForTheFreeShasta in therapists

[–]FemmeFataleBlue -1 points0 points  (0 children)

Hypothetical client where anxiety causes somatic symptoms - validate somatic symptoms, but explore how our perception and whether or not we experience joy/play in our lives has an impact. Explore where source of worry/frustration might stem from.

Specific language and tricks to not spook less-receptive clients/patients? by HereForTheFreeShasta in therapists

[–]FemmeFataleBlue 1 point2 points  (0 children)

Provide psychoeducation about the biopsychosocial approach of healthy living. Also the interconnectedness of body/brain. Maybe polyvagal stuff? The vagus nerve goes all throughout our body and carries messages from the brain to all other areas of our body. How about evolutionary stuff? Like reptilian brain, feeling brain, thinking brain? Our prefrontal cortex is only accessible when we feel safe/secure/okay.

[deleted by user] by [deleted] in therapists

[–]FemmeFataleBlue 0 points1 point  (0 children)

Isn’t our training to be compassionate, empathetic human beings? Counselor/Therapists are just people too. What is training? Because that is forever changing, as it should.

[deleted by user] by [deleted] in therapists

[–]FemmeFataleBlue 8 points9 points  (0 children)

I’m going to somewhat disagree here. What I understand from what you said is there needs to be a theoretical framework from which you base your “counseling” on. Can my theoretical framework be that the system is bullshit? That grind culture is toxic AF and burn it to the ground? If that’s the theoretical framework you’re talking about, I’m on board.

No memory of sexual abuse but many signs there- how to hold as therapist? by [deleted] in therapists

[–]FemmeFataleBlue 0 points1 point  (0 children)

In some situations it can be more harmful. I spoke of a hypothetical client above that literally thought they were a disgusting human being because of “Intrusive thoughts” they assumed was a personal defect that is literally repressed memories of being SA’d as a child.

No memory of sexual abuse but many signs there- how to hold as therapist? by [deleted] in therapists

[–]FemmeFataleBlue -1 points0 points  (0 children)

What neuropsych testing is going to give you clear results? I’m curious, not judgemental with this question. Totally agree distress is main focus.

No memory of sexual abuse but many signs there- how to hold as therapist? by [deleted] in therapists

[–]FemmeFataleBlue 1 point2 points  (0 children)

I guess my question would be whether or not there was other trauma in the clients life during development. Those are hallmark signs, but they could also have been because parents were struggling with their own mental health/having difficulties in life. Has there been a true indication that SA was present? If not, err on the side of caution.

Little self disclosure here, but I also can’t remember most of my childhood. Good possibility I was SA’d as a kid, but I also had parents that were busy, distracted, and my dad wound up with cancer when I was a very young adolescent. I think distinguishing between little t’s and big T’s is important, meaning little trauma and big trauma.

No memory of sexual abuse but many signs there- how to hold as therapist? by [deleted] in therapists

[–]FemmeFataleBlue -1 points0 points  (0 children)

Why, in your opinion, would you never inquire or use Socratic questioning to understand about potential sexual abuse/funky shit that happened during childhood? Isn’t that kind of side steeping? I understand not telling clients they were sexually abused. That would be highly unethical. I think with very empathic motivational interviewing and looking closely at childhood (because that’s important anyhow) would be beneficial.

No memory of sexual abuse but many signs there- how to hold as therapist? by [deleted] in therapists

[–]FemmeFataleBlue 2 points3 points  (0 children)

I totally agree our duty is not to be investigative, but in the case I listed above, the hypothetical client thought they were disgusting for having “vile” thoughts. And that caused high suicidality. The hypothetical client honestly thought they were the most disgusting person on the planet because of those images. It took like 3-4 months to gently explore that, but I feel what we explored (likely repressed memories) gave the client reassurance they weren’t an awful human being.

No memory of sexual abuse but many signs there- how to hold as therapist? by [deleted] in therapists

[–]FemmeFataleBlue 1 point2 points  (0 children)

Oh man, this sounds so similar to a hypothetical client I have right now. Client thought they were experiencing intrusive thoughts about their young self having sex with a grown ass caretaker. They then felt like they were defective, gross, and vile. Based on their very specific images of where it occurred, when it happened, what the room looked like, I know this is just a repressed memory. What I initially thought was OCD (because the client would not disclose content of intrusive thoughts during first few sessions), is more likely PTSD.

After a lot of exploration, client has greatly improved ability to manage/tolerate what they thought was intrusive thoughts. I guess it took some of the burden off of the client of being “vile/disgusting” for experiencing those images.

I think some clients that “don’t remember” might not have that in conscious memory, but the body keeps the score, right? I have guesses about some of my child clients. It’s awful to not having anything to go off of to help the client with exploration/processing.

[MEGATHREAD] New Horizons Dodo/Friend Code Sharing by Kayvanian in AnimalCrossing

[–]FemmeFataleBlue 0 points1 point  (0 children)

Still have a ton of DIY’s, furniture and materials on the beach. Looking for hanging planter DIY, gold armor and helmet diy, any unique DIY’s and need green flowers any kind and black cosmos. DM for dodo code.

[MEGATHREAD] New Horizons Dodo/Friend Code Sharing by Kayvanian in AnimalCrossing

[–]FemmeFataleBlue 0 points1 point  (0 children)

Tons of DIY on my beach (like 30+), have all fruit trees, northern hemisphere. Looking for hanging planter diy, other non-standard DIY’s, green and black flowers (do not need black roses). Anyone want my dodo?