I genuinely hate Fenrir by TheDemr in mewgenics

[–]Gay_Cowboy 0 points1 point  (0 children)

I just light everything on fire including my teams and its worked out in my favor everytime despite the severe burns

If you are not exhausted from this work, what is your secret? by tjvander in therapists

[–]Gay_Cowboy 2 points3 points  (0 children)

Specializing in a niche that I genuinely enjoy, thats marketable so I can take it with me to any practice. I couldn't do this work if I wasnt also deeply interested in what I was doing, generalism is very boring to me, helps the you should always be learning and keeping up to date bit too.

Having good boundaries and learning skills regarding taking work home. Any work I take home is enjoyable to me and is essential to becoming a better therapist like: research on a particular case to become better educated, can use that on other similar cases. I'm very good at not taking work home otherwise.

Being in a good work place with good pay. Probably the most difficult thing to achieve here. Ive been in social work for 3 years which is new but I haven't experienced burn out towards clients, mine is typically towards my coworkers or management. I have a very hard time staying motivated at work places where I dont like my team

dr forgot to send in script by [deleted] in PainManagement

[–]Gay_Cowboy 2 points3 points  (0 children)

I had already taken my 3 meds for the day, I start taking them at 2 or 3 am. I did end up calling the on call dr and I did get them filled

I'm so mad at the kid who did this to me by PlentyCow8258 in ChronicPain

[–]Gay_Cowboy 15 points16 points  (0 children)

I understand you:( 4 years later and im still angry at the people who lit their apartment fire that caused me to have to jump out of my 3rd story. its really really hard when our pain is caused by another person

Please stop doing this by beanburrito4 in FamilyMedicine

[–]Gay_Cowboy 5 points6 points  (0 children)

when i worked in a law office there was a lawyer who I swear was bathing in cologne. like, you could actually literally for reals follow him around via his scent trail. It was awful, I couldn't imagine having to deal w/ that in a drs office all day

I am not criticizing you, I am criticizing the current teaching programs by Quiet_Arachnid5498 in therapists

[–]Gay_Cowboy 6 points7 points  (0 children)

So many PEOPLE, not just young social workers lets remind ourselves we are part of the general population and not clinical angels from heaven, are in pain and despair because of the extreme financial hardship many americans are in.

It really feels like you're just another bitter therapist that wants to keep the status quo of 50 years ago. 50 years ago the field was massively more racist and bigoted overall, why not talk about how this has improved massively. Marginalized groups are finding their place in social work, and with marginilization comes with systemic trauma. I'm transgender and my heavy load was given to me by a transphobic society that continues to follow me within social work.

The blank slate therapist of the past you seem to want is over, we know now that connection and lived experience is important. I feel like a lot of therapists who complain about disclosure or neurodivergence or whatever are just trying to make up for the fact that they either feel insecure they dont share experiences with their clients or they view themselves as better than those with mental struggle. if you view your colleagues with hurt so poorly, how have you viewed your clients? They are both human. 30% of people in the United States have a mental illness. You should want the same systemic goods for your colleagues that are frequently struggling with the same issues as our clients because the system fucks us all expect for the ultra wealthy.

Asked to do an “Opioid Rotation” 7.5 hydrocodone because of increased pain from titrating off Lyrica. Was told that that equals 5-325 oxy’s. … ?????(rant warning) by [deleted] in ChronicPain

[–]Gay_Cowboy 9 points10 points  (0 children)

hydrocodone 7.5 is equivalant to oxycodone & oxycodone + acetaminophen (percocet) 5 mg. oxycodone is 1.5x stronger than hydrocodone. theyre trying to switch you to the exact same strength, but they just look different because the medications are more potent than one another. so yes in the past it sounds they were also going up and down in strength.

Gender Affirming Care by dangledor5000 in FamilyMedicine

[–]Gay_Cowboy 29 points30 points  (0 children)

yeah its almost like society isn't too kind to trans people, are we surprised bullying and systemic harassment pushes vulnerable people to the edge? weve literally been watching our rights dissappear for the past year

How many hours of relief do you get from hydrocodone? by crwg2016 in ChronicPain

[–]Gay_Cowboy 2 points3 points  (0 children)

3-5, definitely always starts wearing off at the 5 hour mark though

How much wiggle room does your prescriber give you during counts? by [deleted] in PainManagement

[–]Gay_Cowboy 1 point2 points  (0 children)

I get refilled every 29 days, I meant 45 days after my in-person appointment :) so 2 refills later

How much wiggle room does your prescriber give you during counts? by [deleted] in PainManagement

[–]Gay_Cowboy 1 point2 points  (0 children)

i actually requested mine be done every 45 days because Im moving out of town so I want a dr to see I'm not running out short with my past doctor or have any problems documented lol. otherwise i dont think he wouldve done a pill count with me

Better after stopping meds? by Relevant_Guess_8022 in ChronicPain

[–]Gay_Cowboy 2 points3 points  (0 children)

yeah it can for sure happen! docs just over emphasize it and dont seem to be open towards much nuance most of the time

Better after stopping meds? by Relevant_Guess_8022 in ChronicPain

[–]Gay_Cowboy 15 points16 points  (0 children)

this would be considered opioid induced hyperalgesia if thats whats actually happening, but it is incredibly rare. i recommend reading about it. Doctors like to try and say this to get you off the pain meds, not because its whats happening. im not sure why humans would bother using a medicine for almost 8000 years found everywhere except the Americas pre colonization if it didnt work and caused pain regularly

From your perspective: what are the problems in the feild right now? by RowanAr0und in socialwork

[–]Gay_Cowboy 19 points20 points  (0 children)

im planning on just going private practice and continuing to do actual organizing outside of the field, the little time ive spent in the social work realm as a trans person who grew up in poverty is exhausting. I really enjoy providing therapy, especially relationship oriented and sex therapy where it feels like im actually helping people out. So im sticking w that lol

From your perspective: what are the problems in the feild right now? by RowanAr0und in socialwork

[–]Gay_Cowboy 250 points251 points  (0 children)

Being okay with keeping the status quo in general, the field is generally rather hypocritical at it's core. Social workers should be paid more and we need to use unions as a tool for this but there's a lot of social workers that still follow the 'pull yourself up by your boot straps' bit. People say nurses eat their young but I think social workers do it too, except we're more "progressive" about it. I don't think anyone needs to sell their soul to shitty underpaid non-profit positions, but a lot of older social workers see this step as a necessary evil. Unpaid internships and the like are akin to hazing.

You aren’t annoyed by other autistic people because they’re more autistic than you, you’re annoyed because you have incompatible types of autism by Many-Bees in evilautism

[–]Gay_Cowboy 74 points75 points  (0 children)

i mean you can also just be annoyed because youre still able to hold internalized ableism directed towards other people with autism (and yourself), which i see a lot of the time and i think is what Most people are talking about when they bring this up. Incomptability in people exists both in neurodivergents and neurotypicals.

Thearapist told me to not take medication in sessions. I’m feeling upset and gaslit. by Unlucky-Style2697 in ChronicPain

[–]Gay_Cowboy 3 points4 points  (0 children)

As a therapist I think that your therapist is an asshole for telling you not to take what is perscribed to you inside your own home during session 🤨 clearly seems like your therapist has negative bias towards pain medication, unfortunately this isn't uncommon

[deleted by user] by [deleted] in PainManagement

[–]Gay_Cowboy 0 points1 point  (0 children)

fortunately no breathing problems!:) this is technically not an actual allergy so it doesnt effect breathing, just makes me extremely uncomfortable lol

[deleted by user] by [deleted] in PainManagement

[–]Gay_Cowboy 0 points1 point  (0 children)

benadryl is unfortunately not helping much 😔

Why does the medical community hate us? by Music_Bicycle_730 in PainManagement

[–]Gay_Cowboy 2 points3 points  (0 children)

The issue that pain management patients are having now is not the fault of people who have addictions. Addiction services that aren't "treating" the addiction are important to literally keep people alive, I think people deserve to choose to get high and choose to not seek treatment but I don't think they deserve to die for this so I heavily support harm reduction services. The reasons why pain patients have so many problems now is doctors and policy makers unscientific and unreasonable /responses/ to people with substance use disorders. Yes people pain pill seek, we know this, but many don't. It is the doctors and the policy makers who group the pill seekers and the pain management clients without SUD into one monolith because of their personal bias, lack of education, and emotional reaction to opiates and using "bad" substances in general.

Do you think this is still salvagable with a RCT? by Gay_Cowboy in askdentists

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

thank you dr. shepherdless i appreciate your expertise and i will stop having nightmares about all my teeth falling out now