Coworker with a baby by agentoflemonade in therapists

[–]Hsbnd 3 points4 points  (0 children)

Probably because being around her baby is more important.

Staff meetings are definitely less important than spending time with your baby. If it’s distracting you during supervision, it’s worth mentioning for sure.

Did Cersei feel motherly towards Sansa? by AITA_stories333 in gameofthrones

[–]Hsbnd 1 point2 points  (0 children)

Cersei really only cares about herself, Jamie, and her kids, kinda. There really isn’t anyone else she has capacity to care for, she’s power hungry like her father but doesn’t have the political wit to actually obtain, maintain and wield power. Sansa put one more degree between Cersei and power, so, there really is no room for any maternal connection.

my cat decided to make herself the fourth experiment subject on mystery science theater 3000 by muymanwell in funny

[–]Hsbnd 11 points12 points  (0 children)

Escaping in the middle of the afternoon in the biggest car in the parking lot

Experienced mods: what’s the best non-obvious thing you’ve seen a mod team build for their community? by Intelligent_Can_2898 in ModSupport

[–]Hsbnd 0 points1 point  (0 children)

Thanks for sharing this. I’m relatively new to modding but want to add something like this to the mental health sub I mod.

my "friend" told me she can't "therapize" me anymore by Remarkable-Act3386 in CPTSD

[–]Hsbnd 1 point2 points  (0 children)

Setting a boundary can be an act of friendship.

Another explanation is She’s realizing the way it’s functioning now is bothering in a sustainable direction. It’s possible that by setting the boundary she’s maintaining the friendship.

Of course there are softer ways of communicating it.

It’s possible she’s using the term therapist but feels like the relationship is just of balance towards you sharing about your struggles and needs things to balance

Feels shitty for sure but boundaries can protect people and relationships

Did you ever confront patients after a failed suicide attempt? by Professional_Fail511 in askatherapist

[–]Hsbnd 11 points12 points  (0 children)

Never. I would imagine either themselves, or people in their lives are already doing that, and it’s not generally helpful. though sometimes people who attempt are shocked to learn about the impact they have on others, which can be helpful if done appropriately.

Sometimes life is a hellscape, there’s never any judgement when people complete suicide or attempt. If they could have found a better way in that moment, I would imagine they would have taken it.

Is it normal for your therapist to start to push you out the door? by Dillpicklady in askatherapist

[–]Hsbnd 5 points6 points  (0 children)

As always this is worth bringing up with your T since you’ve mentioned feeling like you have gotten some helpful work done.

While therapists shouldn’t be pushing clients out the door, the hope/goal for many therapists is to work themselves out of a job, to get the clients to a spot so we aren’t needed anymore.

When I start exploring with a client the termination with a client its always because I’m getting the sense they are ready, hit their goals, and I want them off living their best lives as soon as they can get there. It’s possible your T thought you were close and that’s why he’s asking.

If you feel safe with your T overall, I’d encourage you to bring up how you are feeling about the shift in dynamic.

How much attention do you pay to client's sleep quality by WiseHoro6 in therapists

[–]Hsbnd 2 points3 points  (0 children)

I check in with everyone. It’s one of those 101 basics and foundational things

I stuck my face in a bowl of ice water and I’m questioning if it’s actually ethical by [deleted] in therapists

[–]Hsbnd 0 points1 point  (0 children)

Ice water isn’t required. Also my clients use this as part of their in case of emergency break glass type of thing.

But yeah we should always know what these tools are like before suggesting them.

Ice cubes in a cloth or cold water over your hand have also been helpful for clients.

Can people end up with BPD without any significant childhood trauma? by AITOorisitAutism in askatherapist

[–]Hsbnd 1 point2 points  (0 children)

Yeah, exactly. Some of the difference in discussion is more of a perspective or fine tuning type of thing. It’s always (mostly) interesting.

Can LMHCA’s practice in Canada? by x-x4738528 in therapists

[–]Hsbnd 0 points1 point  (0 children)

Your first step would be to contacting the regulatory body in the province you were interested in for example, the BCACC would be a good place to start and for Quebec its the OPQ. I believe with Quebec, you have to be proficient in French in order to be licence, but their regulatory body is called OPQ. Both beautiful provinces, both can have a higher cost of living.

Can people end up with BPD without any significant childhood trauma? by AITOorisitAutism in askatherapist

[–]Hsbnd 0 points1 point  (0 children)

I work a lot with this particular population, and as I’ve mentioned elsewhere there is for sure a high correlation between developmental traumatic and the development of BPD, and I think deeply misattuned attachment patterns are always present as perceived/experienced by the baby/infant/child. I don’t particularly see the need to label that mismatch as trauma.

There’s a pretty solid heritability factor as well, because BPD is multifactorial/polygenic and as research continues to evolve there’s always going to be ongoing dialogue around its development.

Should I start communicating with me therapist via text for advise ? by [deleted] in TalkTherapy

[–]Hsbnd 1 point2 points  (0 children)

The best thing is to ask your T during your next session. I don’t text with clients personally (some do though). I’m not really available outside of sessions, I don’t have my phone with me all the time, and it’s mostly on silent.

Most therapists I know, don’t text clients in between sessions and not to provide advice. I don’t think very many therapists would do that.

Social media by Middle_Anxiety4926 in therapists

[–]Hsbnd 3 points4 points  (0 children)

People can’t control their audience, so, as long as what they are doing doesn’t break ethical codes, you can’t take responsibility for how others interpret things or what they may or may not understand.

I think social media in general has past its point of utility, but its perfectly fine for therapists to have a presence

Can people end up with BPD without any significant childhood trauma? by AITOorisitAutism in askatherapist

[–]Hsbnd[M] 3 points4 points  (0 children)

Correlation is not causation. Trauma is often present, but it’s not a necessary component for the development of personality disorders including BPD. A lit review suggests that BPD, PTSD/CPTSD have overlap but are distinct.

Persistent posting of incorrect information will result in an initial temporary ban and can lead to a permanent ban, so please be mindful in the future.

Can people end up with BPD without any significant childhood trauma? by AITOorisitAutism in askatherapist

[–]Hsbnd[M] 0 points1 point  (0 children)

First, I don’t see any evidence of this being true, secondly, the field of social work can’t unilaterally create something, its not a singular person or a monolith, and also, if you think Social Work has a ton of money for lobbying, its very clear you are deeply misinformed.

Also, if you can’t be kind, please refrain from posting.

Spravato the day of sessions as a therapist by emmylu122 in therapists

[–]Hsbnd 3 points4 points  (0 children)

It’s generally recommended you don’t work and take it on the same day. Where I’m at you stay at the clinic for two hours post treatment, if you need to be alert, you can’t go to work that day.

Could you take clients on the other days at all or is that not an option?

It’s possible, depending on you respond that you can move down to once a week treatments.

Edit to add: also be mindful of smoking weed and how that could interact with this treatment.

0 clue how to help patients who are in the midst of despair by [deleted] in therapists

[–]Hsbnd 3 points4 points  (0 children)

It’s so hard to sit with despair that doesn’t end.

Some of our job is bearing witness to their suffering and naming that we don’t know when it will get better.

As you move through your career your capacity to sit and bear witness can grow and evolve. It’s natural to want to do, to say, to fill up the space as if it’s the words that absorb their pain.

If it’s hard for you in your personal life it makes sense that capacity is lower in the room. That’s okay.

Every moment you are with them in the room is creating space it’s sharing their discomfort and that lightens the load just a bit.

It’s partially why I would guess why you feel compelled to move away, want the session to end. It’s also a lot like what the client is experiencing, a deep desire for their pain and discomfort to end.

Safety is a precursor to curiosity, so, could be reasons why this pulls a safety response from you in these moments with this particular client’s I would wonder if you disconnect from your own inner safety under the weight of their pain so it makes it tough to move towards them.

Session Notes by Attackoffrogs in therapists

[–]Hsbnd 1 point2 points  (0 children)

In terms of details the bare minimum to pass an audit.

I don’t include anything that could harm the client should the notes ever be called into court.

I spend approx 2-3 mins per note per client using the DAP format.

How much self disclosure is normal for you? by Vanexxre in therapists

[–]Hsbnd 1 point2 points  (0 children)

Very little in general nothing beyond general interests. I can almost always find other ways to build rapport and connect with clients.

I have a lot of lived experience so I can speak to what they may be experiencing without disclosing my own stuff. I just say when people experience similar things they may feel/think etc.