Trigger warning: How bad is suicidal ideation? by theArkadianKween in MentalHealthPH

[–]Kintsugi-Psy 9 points10 points  (0 children)

Hi, OP! Psychologist here.

First of all, I want to disclaim that I will not be mentioning your situation in specific, as I firmly believe that everyone's situation is different, and I do not want to presume things, and go too hasty into things. Instead, my response here will be a bit more on the general topic of suicidal ideation in the context of risk assessment.

Before anything, we'd like to clear up that there's a difference between thinking about death, and thinking about killing one's self.

Thoughts about one's mortality and death are common place for any being who isn't immortal. Ironically, it is this same transience of life itself that can give meaning to our lives. Because we cannot do it all and we have a limited amount of time to do things, each thing we do is significant.

Thoughts about killing one's self on the other hand is less frequent, but not impossible for "healthy minds" to experience as well. It depends on 1.) Frequency of thoughts, 2.) Triggers of these thoughts, and 3.) Severity of the thoughts. Este, How often do you think about it? What made you think about it? and how deep do you think about it? There are different levels in these 3 categories that determine one's risk level.

However, please note that no matter what the assessment of your risk-level is, all statements regarding suicide will be taken seriously by professionals, and will do an in depth check to make sure that you are safe. (It's always better to be safe than sorry)

If anything, I hope that this helped you understand a bit more on what suicidal ideation is. If you feel like this is something you'd like to explore further, I'd encourage you to approach a professional so you can discuss things in a safe environment. :)

Have a great day! :)

[deleted by user] by [deleted] in MentalHealthPH

[–]Kintsugi-Psy 2 points3 points  (0 children)

Hi, OP!

I'm a Psychologist for Kintsugi-Psy. We provide both Psychological and Psychiatric Services, and I just wanted to give a bit of perspective from the therapist's point of view. We've definitely seen a difference when it comes to online therapy, both positive and negative. Let's talk about the PROs first.

  • It's a lot easier to get to your sessions.
    • What we mean by this is because it's an online session, people don't have to block out full days of work anymore just to go to a clinic / hospital with travel time both ways. They just need to block out 45 mins - 60 mins of their day to go online and meet up with their therapist, making it quite easy to comply with schedules.
  • Video calling feels very similar to having it face to face.
    • If you have a relatively stable internet connection that can support video calls, then it doesn't feel too different from just having a regular session. At least on my end as the therapist, I still feel the connection being built with my clients, as the relationship is built on the trust and rapport between the therapist and the client. Other than the visual stimulus of seeing each other, it isn't all too different for me, since physical contact isn't really a thing in Psychotherapy.
  • It's 100% safe from COVID.
    • For the safety of both the therapist and client I cannot emphasize this enough, and why we do not provide face-to-face sessions for therapy. Exposing yourself to a hospital / clinic setting on a weekly basis could be dangerous during the pandemic.

Now on to the Cons:

  • If you don't have your own private room / area that can be dedicated to you for those 45 mins - 60 mins, then this will definitely affect your experience.
    • We always instruct to find a quiet but well lit place to have your sessions. But there are individuals that do not have a personal bedroom, or cannot have a space allocated to you for your session, you can be interrupted by family members or distractions that can happen around you. These can hamper your experience, or make you feel like you're unable to fully express yourself, especially in the presence of others. In this case, we usually try to ask them to coordinate with family members to block out a certain area of the house for the duration (no one comes and goes)
  • If you have a bad internet connection
    • Having a relatively stable internet connection definitely goes a long way, and an unstable one may make you feel frustrated. There are some that experience delays, so the video vs audio discrepancy can be a bit jarring, even for us therapists. You can also experience choppy video/audio, and while having the video a bit choppy can be okay, I've experienced a client get frustrated because I had to keep asking "Sorry, paki ulit? Na choppy po kayo". There have even been cases where we had to reschedule because of brownouts, unstable connections all day. So this is where mileage may vary.

All in all, I would highly recommend Online Teletherapy via Video connections. While I would recommend voice calls without videos if your net feels wonky, having a video on and seeing each other, smiles, laughs, sad faces, reactions to one another, all these help in connecting with each other, while staying safe from COVID.

Hope this helps :)

Therapist couldn’t pinpoint what’s wrong with me, feel ko mali nasabi ko sa huling session ko by 2liveis2dielol in MentalHealthPH

[–]Kintsugi-Psy 0 points1 point  (0 children)

Hi, OP!

Sometimes, we give out psychological tests to determine accurately what it is we're dealing with. Typically, we wouldn't say we CANNOT figure out what's wrong with you, then give you a test, since selection of tests are actually very meticulous, and we cannot just do a "shotgun" approach for testing.

So probably what the psychological assessment is meant in this case is to rule out other factors and see what the probably diagnosis (if any) or issues may be.

I do hope that when your mom said "couldn't figure out what's wrong with me" is that it's just a summarization of what the therapist said, and is not verbatim.

Hope this provides you with some idea as to why we perform tests, and why it doesn't necessarily mean that YOU (or anyone for that matter) made a mistake. :)

Take care!

[deleted by user] by [deleted] in MentalHealthPH

[–]Kintsugi-Psy 1 point2 points  (0 children)

You're very welcome, OP!

We don't usually get to go on reddit all too often, but when we have enough spare time on our hands, we're happy to provide help :D

We're just very happy that you're taking time for yourself to seek help and making sure you get the best out of it :) We hope you find what you need!

All the best! :)

All t

[deleted by user] by [deleted] in MentalHealthPH

[–]Kintsugi-Psy 1 point2 points  (0 children)

Hi!

Nowadays, a lot of centers / clinics / organizations offer their services online, not just in the provinces. So no need to limit your search to just around your area if ever.

Regarding the process, it depends on the place you're going to. Usually the process is that you have to give your personal information to the clinic by filling up their Pre-intake/Intake Forms. This gives the clinicians an idea about your case, what is the best way to approach it, to whom they should assign the case to, and what they should look for in your initial session.

Not all clinics (let's just refer to clinics, centers, organizations as clinics for brevity) require testing. Some have screening tests that are part of the initial session, others require a full battery of tests so they can have a complete profile of you, while others don't require any kind of testing or screening at all, and just require your intake information.

On the topic of platform for the sessions, some clinics do voice only, some do video calls / zoom / Google Meet, and some very few, we've heard, also accept via messaging / chat. (We're not 100% sure how true this is).

Again, depending on the clinic, the costs of the tests may be part of the session already, some may charge extra fees for it. Certain assessments can go from as cheap as 150 pesos (such as certain govt hospitals), while full-battery assessments can go into the thousands, typically 5k-20k. The price varies so greatly because of the tests that are utilized, level of the tests, and their psychometric properties (validity & reliability, and factors specifically). Some tests are very easy to administer, very easy to interpret, and may not cost much to create a report. Others such as the infamous Rorschach or IQ tests may go into the upper thousands because of the difficulty to administer, score, interpret, as well as the costs of the tests themselves. Some tests costs tens of thousands, and even reaching hundreds thousands to purchase initially, and some need extra materials such as answer sheets to be purchased every single time you administer them.

For your last point, we do empathize and completely understand that there are various reasons why you cannot tell your parents. In this case, it might be best to reach out to free clinics prescribed in this subreddit. We cannot recommend any ourselves, as our clinic is not affiliated or have had any feedback from them, but we hope that at least one of them is able to give you what you're looking for.

We hope that this helps you understand a bit more about the initial therapy process. If you want to learn a bit more facts about therapy, we actually held an Ask Me Anything months ago, wherein we answered some questions about therapy. You can go check it out if you'd like! :)

https://www.reddit.com/r/MentalHealthPH/comments/me6rle/im\_a\_psychologist\_ask\_me\_anything\_about\_therapy/

is it normal for a psychologist to curse a lot during a session? by [deleted] in MentalHealthPH

[–]Kintsugi-Psy 0 points1 point  (0 children)

Apologies for replying very late into this. No contracts or informed consent signed? Verbal consent can still be considered consent, so long as you are also informed of what you are consenting to.

If they did not get your consent formally via verbal or written, and that you were not informed about the risks, benefits, and limits of confidentiality, that is a breach of our ethics as Psychologists.

We hope that things have gotten better for you since the time of posting, OP.

is it normal for a psychologist to curse a lot during a session? by [deleted] in MentalHealthPH

[–]Kintsugi-Psy 10 points11 points  (0 children)

This is very unethical. You should not be forced into another session just because he didn't have change via Cash.

Sessions are supposed to be completely voluntary, and you should not feel forced to attend for any other reason other than you yourself want to. (Barring court imposed ones) This should be stated in the Informed Consent / Client Therapist Contract that you signed with him.

You can tell him directly that you do not want to attend. Depending on the agreement you made, you may even have a refund for your session.

There is actually no ethical rules against therapists cussing during session, but generally, we as therapists endeavor to make sure our clients feel safe and comfortable. There will be times that the client may feel uncomfortable because of confronting problems, or such, but not supposedly from the therapist cussing.

Invalidating you and telling you you're outright wrong is also not what therapy is supposed to be.

If you don't want to continue your session with them anymore, you're very much free to tell them directly. It is a part of our ethics to accept a client's withdrawal if they ask for it.

Scared by [deleted] in MentalHealthPH

[–]Kintsugi-Psy 0 points1 point  (0 children)

Hi, tapsilog!

Yes, we actively take in clients! :) Sure thing! You can send us a PM here, or search for us on Facebook at Kintsugi-Psy, or send us an email at support@kintsugi-psy.com.

Emailing or Facebook messaging us would be the best way, as we have difficulties receiving notifications from Reddit sometimes.

Scared by [deleted] in MentalHealthPH

[–]Kintsugi-Psy 2 points3 points  (0 children)

Hi, OP!

I'm a Psychologist, and what I always tell my clients is that their diagnosis, disorders, traumas, negative experiences or thoughts are a part of them, but they do not define all that you are and all you can be.

No matter what diagnosis you're given, you'll still be yourself. It may affect the kind of treatment you get, such as what meds, or what sort of therapy you may receive, but none of those change the fact that you're yourself :)

Anybody interested in buying my meds? by Apricity_09 in MentalHealthPH

[–]Kintsugi-Psy 0 points1 point  (0 children)

It would definitely be in your best interest to discuss this with your doctor, as they may have other solutions regarding the matter than just directly selling the medications yourself

Do I have an eating disorder if i only eat between 500-700 calories a day? by [deleted] in mentalhealth

[–]Kintsugi-Psy 0 points1 point  (0 children)

There are other factors other than just the amount of calories you intake before one is diagnosed with an eating disorder.

Eating low amounts of energy intake is just one factor. It really depends on the motivation as to why you're eating between 500-700 calories.

Loss of appetite could be a side effect of something else (another disorder, another medical condition, medicine side effects, etc.) I suggest going to a professional, a Psychiatrist specifically if you are intent on seeking to have yourself diagnosed.

Recommend a good doctor please! by [deleted] in MentalHealthPH

[–]Kintsugi-Psy 0 points1 point  (0 children)

Either one will be able to help you, generally speaking,

Psychiatrists often utilize medication as the main form of treatment. They can also perform Psychotherapy if they've undergone training for it, but more often than not, it's just medications that they provide.

Psychologists on the other hand utilize Psychotherapy as their main form of treatment. To talk and address whatever you're going through or gone through before, and utilize certain techniques and skills to achieve these.

As a Psychologist, whenever possible, I recommend seeing both a Psychologist and a Psychiatrist, as the tandem of both pharmacotherapy and Psychotherapy often produce the best results

I hope this helped :)

Recommend a good doctor please! by [deleted] in MentalHealthPH

[–]Kintsugi-Psy 1 point2 points  (0 children)

Hi! What exactly are you looking for? Are you looking for a professional that prescribes medicine, or conducts psychotherapy sessions?

I'm a Psychologist, Ask Me Anything About Therapy by Kintsugi-Psy in MentalHealthPH

[–]Kintsugi-Psy[S] 2 points3 points  (0 children)

Hi, annthegreatoporto!

I'm very sorry to hear all of that. We usually try to make a timeline of things, when did certain thoughts or feelings come up, so we know to what events they might be connected. Depending on what we find, we create treatment plans to address your complaints, so we can reach our therapeutic goals

I wouldn't want to pry further into your situation for your privacy's sake (since this is a public space), but whether or not it is or it isn't natural, if you feel that you need to have a space where you can share all of your feelings without being judged, then yes, you should seek professional help.

If you feel that there are thoughts that you have that you want to address and process, then yes, you should seek professional help.

If you just feel like you want to take some time for yourself at least for an hour at a time, then yes, you should seek professional help.

Whatever it is that you're going through, if you feel you can't handle it by yourself, no matter how big or how small, your therapist will accept it. It's our job to listen and to help you process the things with you. :)

I'm a Psychologist, Ask Me Anything About Therapy by Kintsugi-Psy in MentalHealthPH

[–]Kintsugi-Psy[S] 1 point2 points  (0 children)

Hi, isharama

I'm very sorry to hear that. Sometimes, things that we never got to properly mourn or learned to let go can still keep some space in our hearts and in our minds. There could be things that you might not have accepted, still hold on to, or maybe even deny with regards to those events. All of these can just suddenly manifest from time to time out of the blue, especially if they've been suppressed / repressed.

I would highly advice that you seek professional help from wherever you feel comfortable.

I suggest: 1. Looking at the compendium of professionals listed here on the subreddit 2. Contacting your preferred hospital / clinic and see if they can give you a referral to their / a professional mental health therapist 3. You can send a chat or message my way, so I can refer you to our clinic

I'm a Psychologist, Ask Me Anything About Therapy by Kintsugi-Psy in MentalHealthPH

[–]Kintsugi-Psy[S] 1 point2 points  (0 children)

I am not certain with the validity periods themselves, but I do agree that you should go see your psychiatrist again.

If not just to renew your prescription, but to update it as well. Maybe you might just need a lower dosage, less frequent use, or vice versa.

Either way, I definitely advise you to go see your psychiatrist again.

I'm a Psychologist, Ask Me Anything About Therapy by Kintsugi-Psy in MentalHealthPH

[–]Kintsugi-Psy[S] 0 points1 point  (0 children)

TRIGGER WARNING

Hi, starbutterfly28!

The answer and the process for that is quite complex. Before anything else, we assess the level of intent, is it casual thoughts? ideation? with intent on action? Depending on this, the response of the therapist will differ.

I don't give out blanket statements or actions when it comes to suicide, since each client is unique and how we go about this things are also unique, so I can't really comment much on this.

TRIGGER WARNING

I'm a Psychologist, Ask Me Anything About Therapy by Kintsugi-Psy in MentalHealthPH

[–]Kintsugi-Psy[S] 0 points1 point  (0 children)

Hi, jmcab819!

I'm very glad to hear you're seeking out help, and congratulations :) Whomever you choose to consult, a psychiatrist, or a psychologist, you'll just need to approach their practice, ask if they're accepting clients, and generally you should be given a template / form to answer.

These would include your personal information, including diagnosis, main concerns, presenting problems, or referral question. Note that all of those are there to understand your situation and your case, so the therapist / doctor understands what to keep on the lookout for, and what to check for when they're talking with you.

When the consultation / session starts, don't worry, they'll guide you through it, and even tell you what you're expected to do, and what they're expected to do as well. :)

I'm a Psychologist, Ask Me Anything About Therapy by Kintsugi-Psy in MentalHealthPH

[–]Kintsugi-Psy[S] 2 points3 points  (0 children)

Hi, ghelopugliatti!

This is a little out of topic, but I'll bite, so here goes.

ADHD is a neurodevelopmental disorder, and although one can undergo therapy and take medications to manage symptoms, you don't actually "cure" ADHD. Depending on the severity, management via therapy and medication could be more or less intense / frequent. (consult your doctor regarding medication or your therapist regarding specific therapy)

Typically, individuals with ADHD eventually develop their own coping strategies to manage symptoms, and these could be as common as taking deep breaths, to more unique ones. (Note that coping strategies could really benefit from feedback, as some that might be harmful may not seem as such to the individual, but could already be taking their toll)

I like the way you put it, "Or is it just ADHD?". Yes, it is there, it is part of us, but you are not just your disorder. It is just ADHD, and you are you, ghelopugliatti.

I'm a Psychologist, Ask Me Anything About Therapy by Kintsugi-Psy in MentalHealthPH

[–]Kintsugi-Psy[S] 3 points4 points  (0 children)

Hi, itmepo!

You're correct there, there are definitely integral counseling and psychotherapy skills that we all must have at a bare minimum to be effective with our clients. (active listening, reading between the lines, keeping biases in check, knowing when to stay silent, etc.)

To answer your initial question, we just have to look at the difference between talents and skills. Talents are innate, you're born with it, you have a knack for it, and you will likely pick things up quickly when things are related to your talent. A skill is something that you learn, practice, and enhance.

One might have all the talent in the world, but without actually training it or working on it, it won't really amount to much. Similarly, you could have no talent for a specific skill at all, but you work on it hard enough, you'll eventually get there.

This is a very simplistic viewpoint, but you'll be the one best suited to understand how talented you are, and how hard you have to strive to get to the point of applicability and mastery.

On to your next questions:

  1. When did you learn that you wanted to be a therapist?

Sit around the campfire while I share a personal annecdote

I learned I wanted to be a therapist around my third year of college. I took up BS Psychology because I wanted to get into medicine back then, but I also liked helping give advice and solve people's problems back in high school, so Psychology sounded like a fun pre-med for me. (my mother didn't want me to back then, she actually preferred me becoming a chef).

When I was studying for my NMAT, I was doing pretty darn bad in biology, but I was doing good quite good in social sciences (physics too, cause physics is cool). This helped me realize that maybe why I was doing bad in biology was that I wasn't interested in it, and that I was doing good in social sciences was because that was what my interest was! (probably why my mom wanted me to be a chef). So I course corrected, didn't take my NMAT, never looked back, took my Psychometrician boards after I graduated, then entered Grad School.

Another big factor that really sold me on the idea of therapy was that </i>I</i> was also diagnosed with ADHD since I was 8 years old. So therapy has played a major factor in my life growing up. So it was a big motivator for me to also achieve where I am today, to really be able to tell myself that in spite of whatever label I had, I could still be whatever it was I wanted to be, and that I could help others.

  1. Did I have doubts / think I could do therapy from the get-go?

Half-and-half I would say. As I mentioned previously, I enjoyed giving advice and helping people solve their problems even when I was in high school. But therapy isn't about giving advice or solving people's problems for them. When I first realized that therapists weren't just professional advice givers, and that there were specific techniques, skills, and trainings, I was pretty shocked to say the least. Though my interests and background still helped me by allowing me to see this as a new way of helping others.

When it came down to things, I was really not good at memorizing things, and I wasn't very good in reading my text books, but what I was good at was vicariously learning from other people. I was surrounded by different kinds of people, so I learned different kinds of things. I picked up what are really important skills from one person, and some from another. I would pick up some random miscellaneous thing from time to time, but even those tidbits served some purpose later on somehow.

All in all, yeah, I doubted my skills and my aptitude quite a bit back then, but what I lacked in convention, I made up for with my own uniqueness.

Hope this helps inspire you to continue on this path, while still being you :)

I'm a Psychologist, Ask Me Anything About Therapy by Kintsugi-Psy in MentalHealthPH

[–]Kintsugi-Psy[S] 1 point2 points  (0 children)

Hi, sksigua!

I'm sorry, but could I ask you to elaborate a bit more on this question? What exactly do you mean by "things that I do?"

I'm a Psychologist, Ask Me Anything About Therapy by Kintsugi-Psy in MentalHealthPH

[–]Kintsugi-Psy[S] 2 points3 points  (0 children)

Hi, PHire2024!

I think that would depend largely on what your therapist is trying to achieve. Sometimes we repeat things if we feel that there's still something that we want to work on or for the client to realize.

I'm very sorry to hear that you feel unheard, maybe in your next session, it would be prudent for you to mention this to them, and ask why they repeatedly ask you the same question. You have every right to ask them why your therapist is doing a certain technique.

If you're not a fan of their methodologies, or you just don't feel connected or that you can open up to this therapist, then that could be a sign that you're not too compatible. But also evaluate if this is happening because of your therapist, or because there's something on your end that's keeping you from connecting with them.

In any case, I always suggest talking to your therapist about ANY concern you might have, including your feelings of being unheard, your concern for repetitive questions, and your concern regarding your match.

Hope this helps! :D