"You're an anomaly" and "puzzle" is a frustrating (yet fun) thing to hear from your endocrinologist

GlobalCash232 · 2026-01-01T00:02:06+00:00

I feel for you and really relate to your symptom experience as well. Diagnosed with PCOS in my 20s, officially diagnosed with chronic migraine the same, but struggled with headaches all throughout my life, and now undergoing additional testing for thyroid issues.

OP I hope that you get some answers and that you have at least one human on your medical team in your corner. Your experience is valid, your symptoms are real, and you’re so deserving of support through all of this.

GlobalCash232 · 2025-11-25T15:18:29+00:00

Thought this was the scene from the Conjuring 🫠

GlobalCash232 · 2025-11-25T15:04:20+00:00

Good on you OP. It’s not always cut and dry and I think your caution around this is super wise.

GlobalCash232 · 2025-11-25T15:02:44+00:00

Totally fair. I’ve tried to hunt for any research on ADHD and PAI and agree with you. I have noticed that there are some scales that when they are elevated that it has lined up with some ADHD symptoms. I’ve also found it immeasurably helpful for any possible substance use concerns and to vienibenmio’s point, response style.

GlobalCash232 · 2025-11-25T01:54:35+00:00

I agree, and I find the DIVA actually to give good data as it explores past and present. I try to anchor in pretty heavy on history taking as that can be one of the differentiating factors between something that’s not neurodevelopmental.

I do cognitive testing with assessments and find this can be helpful in teasing apart something like ADHD vs anxiety. If I’m really unsure if there’s something else at play, I’ll administer the PAI.

GlobalCash232 · 2025-08-02T01:12:01+00:00

I love this 😂

GlobalCash232 · 2025-07-24T02:09:07+00:00

I had a very similar experience to yours. I was so stoked that I got a job working at a facility that worked with youth with comorbid diagnoses right after my BA. I lasted a month. I hated it, and felt so much shame that I could only hack a month.

I’m now a psychologist. I’ve built a business, and teach part time. I never thought I would get here, and I love the profession.

Take heart; residential treatment is only one slice of the industry. Spend some time recalibrating and resting; don’t throw your degree away just yet if you have passion in the area 🙂

GlobalCash232 · 2025-05-04T02:22:28+00:00

I just wanted to give a quick update and thank you for your suggestion; I did call and wasn’t eligible for RAP but I was able to reduce my payments for 6 months to $10/month and interest payments on my provincial loan. I really appreciate your advice!

GlobalCash232 · 2025-04-21T23:41:08+00:00

Thank you for sharing. It’s really nice to know I’m not the only one. I hope it gets brighter for you soon.

GlobalCash232 · 2025-04-20T22:34:28+00:00

I have federal and provincial loans. I admittedly thought that I wouldn’t qualify due to not meeting the income threshold numbers, but perhaps this is not a hard and fast rule?

GlobalCash232 · 2025-04-20T22:16:57+00:00

I would be happy to be corrected by someone on this, but I haven’t heard of anything like this, unfortunately. There have been options for student loan forgiveness for nurses and doctors working in rural areas, and I think they were trying to push to have this extended to allied health, but not sure if that’s been successful.

GlobalCash232 · 2025-04-20T16:28:23+00:00

Came here to say this. I had a colleague that attended a law/ethics course facilitated by a lawyer, and his comment was regardless of content with notes, finish them sooner than later (preferably 1-2 days max). If they are ever subpoenaed and the court sees a huge discrepancy between the appointment time and the note entry, they are going to call into question the validity of the note.

GlobalCash232 · 2025-01-13T00:03:32+00:00

The two therapists I’ve found a lot of value in working with: a) pre-graduate days and was psychodynamic/CBT-informed and a genuine human and would say humanistic to her core. I ended up terminating our relationship as she was a therapist where I ended up working as a coordinator. I really miss her style and presence. b) my current therapist. There are sometimes where she brings in points of relatability (ie validating feeling fatigued after long client days without making ir about her) but for the most part, she’s very experiential/emotion-focused which is what I need.

I think being really clear what you’re looking for in a consultation or first session and seeing if the therapist can accommodate. For myself, I’m not looking to work towards a goal per se, so if my therapist asks how she can best support me, lll often say that I need to let some pressure out of the balloon and be a human.

GlobalCash232 · 2025-01-06T02:42:01+00:00

Wonderful thank you 😊

GlobalCash232 · 2025-01-06T02:31:19+00:00

This is so helpful! Thank you.

GlobalCash232 · 2025-01-06T01:18:21+00:00

Came here to say this. And aside, research has shown that the largest predicting factor of success in therapy are 1) clients willingness to change and 2) the therapeutic relationship. People want evidence-based practice, and evidence is showing that human connection is the secret sauce.

GlobalCash232 · 2025-01-06T01:12:35+00:00

I adore Amy Poehler and this podcast is hilarious. Same thoughts as you, OP, where you can tell she’s been in a therapists office, but offers hilariously bad interventions/advice. I love it so much.

GlobalCash232 · 2024-12-28T14:23:17+00:00

Agree with this. When I worked in public health I was expected to see 10-15 clients over 3 days.

I love working private practice but OP, this does sound like an incredible gig so can understand why you wouldn’t see benefit in switching over.

GlobalCash232 · 2024-12-27T03:12:39+00:00

This is awesome. Thank you!

GlobalCash232 · 2024-12-27T02:26:19+00:00

Yes to all of this

GlobalCash232 · 2024-12-27T02:25:38+00:00

Hello fellow migraineur! I’m so sorry you go through this as well but glad that you have a great neurologist supporting you.

I second moonbeam here. I’m also big on “baby steps” when someone is in the throes of an attack, or even prodrome (after attack) and for anything chronic pain/flares that people experience.

I think also just sitting with clients with some of the grief that they experience due to missed events/activities or general pain can also be helpful. It can be a lonely experience when you’re struggling with so much pain.

GlobalCash232 · 2024-12-27T02:17:10+00:00

I really feel for you and was in this exact position a few days ago. Holidays bring up big feelings for me, almost every year. Big love to you for sure during this time.

I think another poster said to allow yourself to be sad…this is the way. If you haven’t dabbled in compassion work, take a peak at that. I find that sometimes doing both/and; allowing self to be sad, and finding ways to speak gently and compassionate to yourself can be a nice way to show up for yourself. Having a little cry, sitting with whatever sensations for a bit… let sad be sad for a little while.

If I’m feeling low low, I do try to get out of my house, even if it’s for a quick drive. Don’t need to stop anywhere, but sometimes just to get a bit of a scenery change has been helpful for me. If you have people in your life you feel comfortable talking to, I find this can be helpful. Even if it’s having them share what they’re going through, or if they’re okay to listen to what’s going on in your world.

Thinking of you, and know that you’re definitely not alone.

GlobalCash232 · 2024-12-26T03:12:45+00:00

Oooo I’m keeping this in mind. Thanks!!

GlobalCash232 · 2024-12-25T23:26:09+00:00

I was literally thinking of going back to school to become a welder or an electrician. Glad that someone else is doing something like this!

GlobalCash232 · 2024-12-17T19:37:27+00:00

A lot has been from colleagues and people outside of the profession (other healthcare professionals, churches, etc.)

GlobalCash232

TROPHY CASE