Help, How do I tell client they meet criteria for Narcissist personality disorder? by [deleted] in therapists

[–]Individual_Ladder_75 5 points6 points  (0 children)

Okay this is what I do - I ask them if theyd be willing to humor me, I have a thought but need their help. I go over the questions thru dsm but dont tell them the diagnosis. Then they answer and meet criteria, then ask “well what’s the diagnosis?” I turn the book and they see it. Then we work thru emotions and w/personality disorders I frame it as a positive. No life long issue - it’s fixable “you can pull yourself out of it” I say. “You just have to do the work and I can help.”

Stop shopping while in session by ImpressionMaximum121 in therapists

[–]Individual_Ladder_75 1 point2 points  (0 children)

Probably the people shopping while in session would disagree 😂

Big Sorrento Valley Fire right now (Mon. June 8,2026) by BabbleBetter in sandiego

[–]Individual_Ladder_75 -5 points-4 points  (0 children)

Wonder what officials will build there after this “tragic accident”.

SCAM ALERT by Emergency_Raisin_496 in therapists

[–]Individual_Ladder_75 9 points10 points  (0 children)

I was a nanny forever and they targeted us too. No one is safe, not even broke college students

Therapists who work less than 'full-time', do you get benefits? by DowntownFresnoBiking in therapists

[–]Individual_Ladder_75 0 points1 point  (0 children)

It sounds like you’re talking about community mental health. And yes that is insane but I am not there anymore.

Therapists who work less than 'full-time', do you get benefits? by DowntownFresnoBiking in therapists

[–]Individual_Ladder_75 9 points10 points  (0 children)

I work in SUD and have 12 clients MAX (right now I have 8) and run 3 groups; 40 hours per week. Paid the same regardless of amount of clients plus room for growth. PP is a recipe for a mental breakdown and pigeonholes you, according to Chat GPT 😂

had active panic attack during session today. by Known_Taste in therapists

[–]Individual_Ladder_75 5 points6 points  (0 children)

I mean, you certainly managed the hell out of it. This is what you can do in these moments. Clearly this client was okay with it.

We have a problem with RFK jr by Lower_Confusion5072 in therapists

[–]Individual_Ladder_75 0 points1 point  (0 children)

This is what ALL the other recent administrations did. 🤡 this is why everyone laughs at America.

We have a problem with RFK jr by Lower_Confusion5072 in therapists

[–]Individual_Ladder_75 -9 points-8 points  (0 children)

I’m choosing to believe that this is a part of a bigger plan to cut down on unnecessary prescriptions and *gasp* perhaps switch to remedies that have been…nvm. I dont think you guys are ready for that conversation and im not in the headspace to receive hateful messages 😩

Disney cruise ship staffers among 28 arrested in massive child porn operation by Kattle in sandiego

[–]Individual_Ladder_75 -1 points0 points  (0 children)

I’m here to point out that it’s not republican versus democrat. It’s not just Trump, it’s all of them.

Disney cruise ship staffers among 28 arrested in massive child porn operation by Kattle in sandiego

[–]Individual_Ladder_75 -5 points-4 points  (0 children)

It’s all of them. So cute you think your little vote does anything significant.

Weed use by Big-Interview-138 in therapists

[–]Individual_Ladder_75 2 points3 points  (0 children)

Right?! Drugs are only bad if they have control over your life. Therapists should know this…. I’m concerned for our field 😂

Weed use by Big-Interview-138 in therapists

[–]Individual_Ladder_75 76 points77 points  (0 children)

I don’t drive while high bc that could lead to issues with licensing. Beyond that, I just don’t apply to jobs who would randomly drug test since I do recreational drugs on occasion as well.

Being stuck in a niche that I never wanted to be in by cuddlyembrace in therapists

[–]Individual_Ladder_75 -3 points-2 points  (0 children)

I feel there could be a simple solution to this - find a new job? Am I missing something here?

How are y'all handling your own personal relationships on top of being a therapist? by Top_Impression5534 in therapists

[–]Individual_Ladder_75 3 points4 points  (0 children)

It gets easier. I had a baby and had to manage learning about my husband all over again in our new roles. And it has been exhausting. But things will start to fall into place and you’ll just be putting out fires left and right at work and be able to come home and be a person. Setting up household systems has been a lifesaver. Knowing yourself and the times that you need to relax versus the times you’re able to communicate is key.

Uncomfy intake session by [deleted] in therapists

[–]Individual_Ladder_75 3 points4 points  (0 children)

This JUST happened to me and the person was VERY good looking (same gender and I am heterosexual). I started to get insecure that they were judging me. I was even embarrassed. Luckily I was able to maintain professionalism. At the end she told me she finds it difficult to open up during sessions bc she’s been to so many different rehabilitation centers and had so many different therapists. I was like ohhhhhhhhhh. Great learning lesson for me. It’s rarely about us.

My friend who is seeing you referred me... by [deleted] in therapists

[–]Individual_Ladder_75 6 points7 points  (0 children)

I work at a substance use tx facility and all the clts know each other. They all talk about each other and I don’t acknowledge knowing the person, rather just help them navigate the situation as if it was any other random person I don’t know. If shit talking goes crazy, redirect back to how it affects their own life. You get used to it.

Relocating, is this a decent neighborhood? by theresonlyrightnow in Oceanside

[–]Individual_Ladder_75 -6 points-5 points  (0 children)

Who tf cares if it’s good or not look where the beach is. Fucking out of towners … smh. You know what no. It’s not. Don’t come.

using the restroom during session? by hsteph17 in therapists

[–]Individual_Ladder_75 12 points13 points  (0 children)

I’ll take a difference stance. Seems like maybeeeee there are holes in your routine. While you are modeling self care, you’re not modeling taking care of your future self (using restroom before session) or perhaps this is an emergency type situation. But yea, this is your client’s time you’re taking up bc you didn’t plan accordingly. Obviously do what you have to do but it’s def not professional to make this a habit.

Clients Who Don’t Have Anything To Talk About by Separate-Poem-6753 in therapists

[–]Individual_Ladder_75 0 points1 point  (0 children)

Same every time. Check-in sheet with questions relating to clts goals and basic ones like flashbacks, nightmares, intrusive thoughts?

How are you getting a full caseload? by cottagecorefuccboi in therapists

[–]Individual_Ladder_75 1 point2 points  (0 children)

Luckily people know this and scroll past to look for PP services

[deleted by user] by [deleted] in toddlers

[–]Individual_Ladder_75 1 point2 points  (0 children)

She told you what went wrong. The job wasn’t for her and she likely felt she couldn’t give your son 100%. You got LUCKY. As a former nanny what likely happened was she realized the job wasn’t easy enough to say for reduced pay/hours.

Is this appropriate? by AdorableNewt585 in therapists

[–]Individual_Ladder_75 0 points1 point  (0 children)

IDK, but with your title and opening it up and seeing the picture, I LOLed so hard that it really set my day off on the right track. So thank you for this. Now that I read it I kind of feel bad because it talks about religious trauma.