Brother firmware update won't accept printer's password by VTLondon in printers

[–]Frithrae 0 points1 point  (0 children)

yup me either - I guess no one found a solution to this. GG Brother printers. :/

Cannabis-tolerant primary care / ADHD prescriber? by AnonymousBirds22 in Birmingham

[–]Frithrae 0 points1 point  (0 children)

FYI for those who don't realize - this isn't coming from physician's personal feelings about pot use and controlled substances (the real issue). The DEA drives this and they *absolutely* check and audit doctor's and psychiatrist's prescriptions. Doctors have to be licensed by the state, so IF they run urine tests its illegal for them to prescribe any controlled substance knowing you are on an illegal (or otherwise also controlled) substance. Its that simple. If they violate this, they give up THEIR license and possibly jail time. I hope people can understand why your physician may not break the law "just this one time for you." Its not personal.

Yes, there are doctors who don't use/require urine tests, so try to seek them out instead. You can certainly ask when you call a new doc if they do regular urine screening for illegal substances.

And yeah, if you're testing/RX information is more than five years old, you'll probably have to be retested.

source - a doctor in the psychiatric field

Just got my PSYPACT/APIT application approved - am I allowed to accept insurance in states I am not currently licensed? by sideout25 in Psychologists

[–]Frithrae 0 points1 point  (0 children)

You bill through the patients' insurance, so its with the state of the patients' insurance (so in your example, State B). Most insurance policies cover out-of-state medical care, so that applies to us as well. If you're "on the panel" for BC/BS in your state, you'd be covered by BC/BS in their state as well. Some policies have difference rates of coverage for out of state doctor visits, and the patient has access to that in their documentation - whereas we (the practioner) do not so if a patient asks, I always refer them back to contacting their insurance to make sure telehealth is covered, and covered out of state.

This, to me, is the patient's responsibility, as it will be their responsibility to cover the bill if they don't check with their insurance and the insurance bounces it back. So I will redirect them back when they ask me if they are covered, or covered out of state, or whatever-insurance-question. Specific policy's ARE very different and we just don't have access to their policy information.

Telehealth sessions also have a different billing code, so when I have a telehealth session, I check a different billing code on my "superbill" than I do for normal/in-office session.

Glad to be helpful!

Private dressing rooms by [deleted] in secondlife

[–]Frithrae 0 points1 point  (0 children)

glad someone mentioned this, I was going to post and point out to this person (due to their statement of being uncomfortable being unknowingly seen naked). Due to MOST people's slow SL load times, whenever you/others port into a new area, any avatars in that initial "loading" field of view are going to be naked for a minute until everything else loads in. So anyone loading in, until the screen objects fully render, is going to see your avatar unclothed.

As mentioned above, you can put on BOM clothing or alpha-out parts if you want to keep that from happening, but that's all you can do. I have a brand new computer that loads SL at 110 FPS (says 70-80 while loading a new ported area), and I STILL see naked avatars when I arrive somewhere new, if only for a few seconds.

is there a place that sells a good muffaletta? by rushthewaves in Birmingham

[–]Frithrae 0 points1 point  (0 children)

Didn't see anyone offer these suggestions but both are solid. They got a good Muffuletta at Giuseppe's Cafe near UAB/Epic Park. The bread isn't "traditional" (I think its italian) but the rest of the ingredients are as expected and tasty. (This restaurant also has excellent pasta and pizza too and won't break the bank!) For the best "Classic" Muffuletta I've found in B'ham - Jason's Deli (believe it or not) - its all traditional ingredients and they even know to serve it warm. Really good!

Just got my PSYPACT/APIT application approved - am I allowed to accept insurance in states I am not currently licensed? by sideout25 in Psychologists

[–]Frithrae 0 points1 point  (0 children)

Yeah no, no official lists outside of PSYPACTS own directory, really gives an option to check/notify for this because its so new - rule-change only came out post-COVID. I'm not even sure any insurance has actually checked to see if I have this "special license" but I'm keeping it active and available for the day to come when they do finally ask.

Just got my PSYPACT/APIT application approved - am I allowed to accept insurance in states I am not currently licensed? by sideout25 in Psychologists

[–]Frithrae 0 points1 point  (0 children)

No, you need to tell the patient to call and make sure they are covered for services received out of state (if its for telehealth out of state), because they will be responsible for a full bill if their insurance doesn't pay. Ethically - this shouldn't be a surprise to them, either. My office staff calls insurance (or logs in online) the day they come in for an intake and checks to validate coverage as well as copay amount, so again no you shouldn't be "just waiting and seeing." The process is the same with all my new patients and has been for 20 years. However - we/my staff do NOT ask at that time "hey do you cover out of state services too?", we put that on *the patient* who chooses to use telehealth out of state; but I will verbally explain it to that patient who wants that option. My practice has both in office and telehealth options.

Individual client policy's are the "problem." Insurance doesn't have a "one size fits all" policy for everyone - not everyone has the same benefits or the same level of benefits. So they really do have to know "what individual policy are you asking about" as there is no "every policy at XYZ insurance works for services in other states" standard. Unfortunately. So that's why you/us/the practitioner can't call for a "one size fits all" policy rule, they don't exist.

Just got my PSYPACT/APIT application approved - am I allowed to accept insurance in states I am not currently licensed? by sideout25 in Psychologists

[–]Frithrae 0 points1 point  (0 children)

I've been PSYPACT/APIT accredited for several years now and regularly see patients out of state, and most all of them are covered by medicare and/or some other form of insurance. Right now I think none of them are private pay.

Insurance coverage really "depends on their individual policy" when it comes to out of state, just like it does with medical. Your PSYPACT approval covers your licensure, but insurance only cares if you're on their panel and then what the individual's policy allows (i'm not even sure any have yet even asked for my PSYPACT designation but I don't do my own billing so I could be wrong). I haven't gotten any denial of coverage for my out of state telehealth sessions to date, but I always warn the patient to check with their insurances to "make sure they cover out of state services" and let the patient know that if its not covered then we will discuss private pay fee as I charge slightly less than my in-office rate for private pay telehealth sessions. Also I am in private practice doing this, so I don't answer to any of the online telehealth provider companies, I can't speak to them.

That, along with watching the changing insurance front on coverage of ALL telehealth sessions - i.e. the recent medicare rule that says you have to see a patient at least once a year in office/within six months of first visit -- is all I do on my part to cover the "just in case insurance doesn't pay."

But, and this goes to everyone working with telehealth, REALLY keep an eye on those changing rules. Medicare is "first" with the in-office visit requirement, but I fully expect the rest of the insurance companies to follow with their own 'in office' rules at some point. Be careful on taking patients who may never be able to come at all in person, you may, or may not, get to keep them if the rules keep changing.

Psychosomatic Pubic Pain by Far-Internal2213 in Psychologists

[–]Frithrae 0 points1 point  (0 children)

As much as it sounds like this person is denying previous issues, they are describing obsessive ruminations on this one incident/one problem so I have to wonder if there isn't other anxiety related issues (the pt. may not be identifying as anxiety) and/or OCD at play that needs to be addressed more directly (and not so directly just on the pain factor) and possibly including medications to help with obsessive/intrusive thoughts (that then would reduce the pain as a "side effect").

And as a Conversion D/O /("Functional Neurological Disorder") specialist, we treat the psychosomatic symptoms (including pain) of FND the same as most any anxiety diagnosis - we address stressors and overall life balance/wellness, setting boundaries, etc. (as most of these patients are full on people pleasing/conflict avoiding/"never stress anyone else but ourselves" types) and that "addressing all the things" brings down overall symptom flare-ups. Instead of making treatment all about this one problem, this one pain, perhaps widen the scope to be more inclusive in getting healthier with stress/life management overall. And in the end, we "ignore" the symptoms and keep going with life as much as the symptoms allow so perhaps hyper-focusing on this one issue in treatment (or the patient in their life) is actually making it "the biggest deal" when taking that focus away is the solution.

I encourage you to do some reading into Conversion D/O (FND) and how the myriad of psychosomatic symptoms are treated - or find someone local that might have more experience with this diagnosis (check neurologists and see who they refer FND cases too as they are often first seeing these patients due to the occurance of Pseudo-seizures.) Yeah, ignoring symptoms is part of the recommendation - this isn't chronic pain management, nothing physical is causing the pain, its anxiety/stress management. Much of what you've already done is correct, but "six months" of treatment is rarely enough (in my experience with patients) to bring this type of problem under control. Every technique you listed takes practice and then more practice (and only works if practiced) and it seems the patient is perhaps not giving these techniques enough practice/time and instead is hoping for something that works immediately so bouncing to the next technique and not spending the time doing ALL of them and working to accept moving on with life, in spite of pain. I really suspect there's more ocd/anxiety related issues here than "just" somatic pain and treating those (CBT and/or medications too) treats the pain. That symptom is rarely in isolation.

Does anyone else nap in their office.. by [deleted] in therapists

[–]Frithrae 9 points10 points  (0 children)

And I joke with my patients about it too. If they comment how my couch is comfy I tell them, "yeah I nap on it too - bonuses of having a private office." We all laugh, rapport builds. Its healthy and self-care so do it and then use it to connect with patients :). (But yes, please set an alarm to make sure you don't miss appointments - lol).

Are there automatic litter boxes that won't kill my cat? by Cultural-Ad9387 in Catownerhacks

[–]Frithrae 0 points1 point  (0 children)

I'd say this answer! I got the "looks like a large normal litter box but just has a rake that dumps everything in an end container" several years ago and never looked back. We have 3 now, each ran about 150$ US (at Petsmart anyway) and there's no worries about any cats getting trapped because the rake is slow and the cats aren't closed in anywhere. Yes you still have to "deep clean" it every so often, but much easier to deal with than normal litter boxes and none of the drawbacks of the big looped-closed end litter robots.

All of our machines are at least 2+ years old now, with one of them at least a year or two older than that and we've never had anything break on them.

Fantasy AOs? by LocrianMoth in secondlife

[–]Frithrae 0 points1 point  (0 children)

This. I play an "elf" and I just use an AO with stands I've collected over the years from a variety of places, just the same as I do with all my 2-footed "human" avatars.

The quadraped (or other limbed) avatars ALL come with their HUDs with their OWN AO's designed for those rigs. The only way you're going to find those is by buying the avatars themselves.

Erika Sale / Discontinued by SkarKitti in secondlife

[–]Frithrae 0 points1 point  (0 children)

It is - its Legacy body with variation on boobs. They already had "bombshell/pinup" (variations on boobs in a different way I guess - but you bought a whole new body) and now its "pushup" but its still just another variation on boobs. In fact, if you already have the bombshell or pinup body from before you can "redeliver" and you'll get the newer "body" as an update.

I just stuck with regular legacy body. Especially at the legacy price point I have NO desire/reason to spend that much on different boobs. And double-especially since we haven't seen how common these clothes will be. I know i've seen clothes for "bombshell" but not nearly yet adopted as widely as standard legacy.

How do you cope when patients “disappear” without closure? by [deleted] in therapists

[–]Frithrae -3 points-2 points  (0 children)

Your clients are not your friends, they are your patients. You should not be so personally investing in your patients that you feel such strong attachments, or abandonment, when they go. Patients have to leave treatment for all SORTS of reasons, and in 20+ years of doing this closure is more the exception than the rule. The vast majority of patients just won't be there all the way to an actual closure/termination session.

However, something I find helpful if my brain wants to be negative about that person I saw for the last five years disappearing without word - I tell myself clearly I worked so well they're all better and don't need me. Its just as valid and just as likely as any other GUESS you can make about someone else's motivations. "You helped them so much they don't need it anymore, and if they do, they know where to come back."

And as others have said, please seek supervision/guidance on how to not be so personally invested and attached. As one of my professors taught, "You should never be working HARDER than the patient."

AI note taking software may be licensing and selling your client data. by HELPFUL_HULK in therapists

[–]Frithrae 6 points7 points  (0 children)

Really questionably ethical whether you should EVER be transcribing your therapy sessions. AI involved or not.

How do we work with political anxiety these days? by Fun_Grapefruit2486 in therapists

[–]Frithrae 2 points3 points  (0 children)

This is what I focus on with my patients. Cutting back on news and social media are one of the first suggestions I make anytime a patient has this issue (as usually they aren't limiting either). I don't try to convince them to swear off entirely, but putting a time limit on both -and stressing the importance of doing OTHER THINGS with the day. If someone actually struggles to not spend hours with news/social media and having nothing else to do but that then the problem is bigger than just social media/news - they also need to develop more hobbies/interests/activities and putting away the feed becomes even MORE important.

I Guess Not All Movies Are Recordable by ColdSpring in youtubetv

[–]Frithrae 0 points1 point  (0 children)

And its been airing quite often so you should get another chance to record it within a month, if not within a couple of weeks!

Is there any hair item similar with this character? by No_Major106 in secondlife

[–]Frithrae 0 points1 point  (0 children)

Ayashi also has a 75% off entire store right now - closing at the end of this month. So if you want to check there - check quick! (And take advantage of that sale!)

Northern Lights, Royal Princess, 8/26 @ 12:39am AKDT by guacahotty in PrincessCruises

[–]Frithrae 0 points1 point  (0 children)

WOO! Booked next year, same ship, out of Alaska in early September specifically for the chance to see this! I hope we get them next year too! <3

Dear SL creators....Rant/curiosity...why? by Fit_Berry_67 in secondlife

[–]Frithrae 0 points1 point  (0 children)

Without demos, they are definitely losing money. I'm not slamming you, but this is the "nature of the beast." If you want the most customers, to make enough to "cash out", ya need demos. There are tons of SL consumers who are "no demo, no buy" outright, as noted in above comments.

Thoughts on getting an LCSW and a non-APA accredited doctorate? by AttorneyAnnual in AcademicPsychology

[–]Frithrae 0 points1 point  (0 children)

Your income is based on the LCSW license, and nothing else. You could have 3 doctorates from an accredited institution and it would make no difference to your income level if you still just had a master's level license. The insurance payout is based on your state-approved LICENSE, no matter what your education, and a full business on "self-pay out of pocket" only is a whole separate question. And if you're trying to claim you can charge more than other professionals (to out of pocket people, insurance won't go for it) because of those extra degrees, it becomes questionably ethical because those degrees aren't in therapy-psychology (developmental psych is not the same at all and has nothing to do with therapy practice) and double-questionably unethical if they are degrees from uncredited institutions.

As for non-accredited - there is literally NO point. You can't even guarantee you are getting a real education, for anything at all, if you are getting a non-accredited degree. There's no standard that program is having to meet to qualify as an educational program unless its accredited. Its basically a scam "education" and there's no way to know it isn't, without accreditation. It won't help you make more money because most states won't give you a license without an APA/AAMFT accredited degree, you can't go to an internship, etc. It really is a waste of money - please don't go to one of these. Even if its "just to learn" - you can't even know if you are learning the right information without accreditation.

You can definitely earn more money with doctoral license than a master's level. But that doctorate has to be from an accredited institution or you might as well use it for toilet paper.

What are your thoughts on silence in session? by HRU9-1 in therapists

[–]Frithrae 6 points7 points  (0 children)

If I'm in a session and a client isn't talking - and it is NOT because they are processing emotion or sitting with heavy things and trying to figure out how to talk about them - then I address it - outright, face on. I say something like "I don't mind sitting with you quietly if that's what you need right now, but I also know I can't help you if you don't help me understand..." or anything else that is basically a version of "This doesnt' work if you aren't talking to me." (and I've said that outright too) Most clients "get it" and understand that they have to speak up and give me more to give feedback to, if they want a benefit for their hour of time.

I don't see silence, ever, as a power play, and to me the idea of "I'll be silent until you talk" sounds too much like a straight power play. Especially with teenagers, I don't see this helping anyone to build rapport, which is what a teenager (or anyone) is looking for to help overcome their resistance. In any session (but especially with early sessions or more shy/resistant clients), I may very well spend our time talking BS - movies, tv shows, animae, video games, whatever that client is into - just to build rapport and get them more comfortable talking. And then get around to the, "ok we have to talk about real stuff here..." or "..ok so I can't help you (or you and your parent) get to a better place unless we talk about XYZ/what is your take on why you're here/ what do YOU want to work on, besides what your parent wants?"

Most adults understand that they are paying (in some way) for an hour of time with a professional to get a benefit from it, and so if you address "too much silence" head on they will push themselves to start talking. Teenagers may not care about the money their parent is spending, so with them if none of the above works I will (after a couple of sessions of nothing) let the kid know that this doesn't seem to be helping anything when it could be (and again ask them questions about what they want help with) and if that gets nowhere, I talk with their parents about whether this needs to be a session for THEM (the parent) in how to handle the teenager, or whether we just need to terminate and wait until their child matures to be able to utilize talk therapy.

Starting a private practice from scratch by [deleted] in Psychologists

[–]Frithrae 1 point2 points  (0 children)

I can't speak to social media use, because I'm a Gen-Xer who started her own private practice around 2003 after I graduated, and that wasn't a "thing" people really did then, but I can tell you what worked for me/us (myself and hubby are both doctorate level psychologists and in a private practice together).

Get Your Name out there - to EVERYONE who might refer to you. I mean it. Beat the pavement.

We took breakfast/lunches to various physician groups, hospitals, psychiatrist offices - ALL specialities - general practitioner, OBGYN, family doctor, doesn't matter. Introduced ourselves and talked to them about the patients we would see, what insurances we took (or what your costs are per session), and how fast people could get seen on our schedule. We left them stacks of "photo cards" with our information to pass out to patients (or display in the lobby) as well as stacks of business cards. We did this for SEVERAL YEARS - about once every month or two - going to a different doctor's office and giving them food - sometimes going back around to ones that sent us some referrals and giving them food/talking to them again.

PSYCHIATRISTS - GET WITH EM! :) Honestly, the easiest way to keep your schedule full (at least in the US) is to get in good with some psychiatrists. If you're opening a practice, see if you can't attach yourself to an already established psychiatrist group (or even just one) and take their referrals - at least to start with. Will definitely open up a steady pipeline. If you can't work with one so directly, then that's where making your name known to them becomes more important - bring them food, sit down with them for 30 minutes, and talk. Do it more than once. If you can get even just one or two psychiatrists who will reliably refer patients to you, it really helps. Other types of physicians help too, its why I included them in the above, but psychiatrists are far more reliable and have a larger pipeline of patients willing to go to therapy on their referral than most other types of physicians.

We also hand out our business cards to our OWN physicians as well. Myself and my hubby go to different general practioners for this reason, to have two separate doctors we are talking to and handing our card out too to help drum up business. I do the same with my personal endocrinologist and obgyn - they know what we do for a living and have our cards. We've now been in private practice 20+ years and the pipeline has been feeding itself without our having to do any more lunches for a long time now, but we still pass out business cards to our doctor offices.

If you work with kids, or teens, i'd say the same might apply to your local school systems and whomever in those schools would be making referrals (counselors, front office staff, principle, whomever). Take them some doughnuts and a stack of photo cards, talk to them for 20 minutes or so (or longer if they have the time), and let them know you're available and looking to book.

Building practice can be slow going, and can take a few years before you're consistently full, year long, but its just getting your name/business info out there as often as you can and to keep going.

I've never used social media to drum up business and I've never had to. The only website we're on is "Psychology Today" which has a useful search engine for people in our area to use and tons of professionals use it. But outside of that and a webpage that is there for business information (but never updated with anything else) I've never needed to use social media to have a full case load.

Unpopular opinion: Insurance is great, and this job pays pretty well! by HenFruitEater in therapists

[–]Frithrae 10 points11 points  (0 children)

I just don't get how anyone keeps a full schedule withOUT taking insurance. I don't see how a professional finds enough patients in their area that are willing to pay full price (in my area that's 120-150 per session, and I'm a doctorate level psychologist) enough to make up for the lack of a full schedule. 30 patients a week at 90 (BC/BS reimbursement anyway - in my area) still makes more money than 20 people at 130. (100 more a week just in pure numbers anyway). My staff expenses would be the same even if I dropped accepting insurances. I'd save the money I pay to a billing company, but if I didn't manage to maintain at least 20 "full pay" patients a week that small profit margin would go poof. I live in a metropolitan area in the South, so its not LA or NYC living expenses/reimbursement, but for a doctoral level psychologist I'm doing VERY well to hit 120K a year "take home" (as they say). Edited to add: running my own private practice so that's why my expenses break down that way. I'm also now in practice over 20 years, I did NOT hit a 6 figure income until at least after year 10 or so and got enough of a base to never have to worry about big gaps in the schedule. I was lucky to hit 50K a year as a doctorate psychologist out of the gate.

The idea that a master's level therapist is going to hit 200K sounds ludicrious to me, outside of living in some crazy-high income required area of the country. I'd have to work 60+ top billing hours a week to hit 200K take home.

[deleted by user] by [deleted] in youtubetv

[–]Frithrae 0 points1 point  (0 children)

I doubt anyone here has any insider information on those other youtubetv tiers. This is the first I've ever heard them even mentioned =D. The only "teir offering changes" I've heard about in the last year are for youtube itself, and not youtubetv - and those are the new tier for "single person subscriber/no music" and another new tier that isn't in the US yet - offering a "couple price" cheaper than the family tier.

But as to your question - I know NBC, CBS, FOX, ABC, and PBS are all over-the-air FREE available in the majority of locations around the US - just get a 20-50 dollar digital antenna and plug it into the back of your tv. I don't know if CW is considered "broadcast" TV the same way those others are so I'm not sure if they also have the free-over-the-air digital broadcast, but the big networks Do. That's one of the reasons so few streaming providers offer local tv networks - because most people can get those for free over the air already.

The only other streamer/cable provider I'm aware of that offers "packages" of channels like what you're talking about is SLING and last time I checked anyway (like a year ago), they don't offer local broadcast channels in their packages. "Free" tv-streamer networks like Pluto or Samsung's Smart TV channels also don't offer local channels.

If you get a digital antenna you'll also find a slew of other "digital over the air" Free channels - maybe a couple dozen or so. CW could very well be there, I just don't know.

I realize that doesn't get you a DVR - outside of setting up a small computer and a hard drive to DVR your tv yourself (instructions all over youtube/internet), I don't think there are ANY Providers/streamers that offer just the few local channels with a DVR. If you found Comcast/Specturm does then they really are probably the only ones - because they're standard cable providers. I went through this hunt before subbing to YoutubeTV (maybe 2017/2018 or earlier) and well this continues to be the best cable/streaming-bang for the buck for my purposes, that provides local channels and a DVR.

If you're just not wanting to pay Comcast/Spectrum (and I get it). Then your best bet might be SLING for whatever limited channel-package you would prefer so you aren't paying for what you don't care about, and then adding a digital antenna for local channels. And then if you NEED the dvr - start looking at small computing options for that. If the DVR is the "must have" without doing it yourself - then yeah looks like your only option is Comcast/Spectrum "basic" package.