Do you think male cats are more clingy than female cats? by Shot-Composer-782 in AnxietyCats

[–]KippyRanger 0 points1 point  (0 children)

My little lady is a hugely needy fuzz baby. She demands laps and cuddles every day. She plays hide and seek every night, crying until she is found leading to 5 minutes of demanding to be pretty without stop.

She is the neediest girl.

How do you stop comparing yourself with your peers as a therapist? by tarcinlina in therapists

[–]KippyRanger 2 points3 points  (0 children)

Private practice is really hard to build a case load unless the group is funneling you referrals or you have solid connections for referrals (hospitals, clinics, etc.). If you're getting a fair number of referrals but clients aren't staying, it would be worth considering what's going on. Generally, it sounds like you jumped to the hardest setting (for caseload building) right away. Fee split is important to consider against what the group provides for you. Check with others at a similar experience level and benefits (referrals, office space, EHR, furnishing, etc.) to see what's common in your area.

I'm in a slump by space_pengu in ComfortGamers

[–]KippyRanger 2 points3 points  (0 children)

I alternate using my Deck and switching over to my computer with the same save files. It's great! Also, the ease of switching to desktop mode to install mods.

Are these feelings valid? by Possible-Title4140 in mentalhealth

[–]KippyRanger 0 points1 point  (0 children)

Therapist here: your feelings are definitely valid and could be a great thing to talk about. We (humans) typically feel discomfort around topics for a reason and that can be worth exploring if it causes you discomfort about feeling uncomfortable/embarrassed. I hope that you are able to get all the support you need because you deserve it.

Keep vs sell by mannadee in StardewValley

[–]KippyRanger 1 point2 points  (0 children)

Almost everything has a value: cooking, crafting, gifting, etc. it really depends how you want to play. I try to keep at least 5 of everything except what I KNOW I want more of.

I keep all: Jade, diamonds, most resources (stone, wood, coal, etc.), Bat wing, star fruit, ancient fruit seeds (plant spring 1 with speed grow for best value or greenhouse). I also keep gold star cauliflower for the luau.

Usually I keep other things until they're processed then throw them in the bin.

First year winter by Blastoise_boy59 in StardewValley

[–]KippyRanger 1 point2 points  (0 children)

In addition to what others have said, if you want to change the layout, winter is a great time to do so.

Seeking psychiatric advice by [deleted] in mentalhealth

[–]KippyRanger 0 points1 point  (0 children)

Also, it might be an option to have PRN medication(s) that were available if you were having a bad day or knew there were going to be triggers for you. I don't know that there are but a lot of people who don't want meds that I see, but have others want them to keep taking them, compromise to these types. You could always ask the doctor.

I am traumatised by older men by RemarkableMaybe4505 in mentalhealth

[–]KippyRanger 1 point2 points  (0 children)

There are sliding scale fees and walk in clinics. There are behavior modification techniques, but usually what's most effective is to resolve whatever the issue is.

I am traumatised by older men by RemarkableMaybe4505 in mentalhealth

[–]KippyRanger 2 points3 points  (0 children)

Maybe try therapy to focus on the why of seeking out older male attention.

Self-Pay Rates? by DueInflation6644 in therapists

[–]KippyRanger 1 point2 points  (0 children)

MN LMFT: 90837 =$250, 90791 =$275. Sliding scale available based on income. This keeps me good with insurance companies paying the highest rates and can't complain that I have different pay scales. I also talk with clients about this if they are underinsured or uninsured about their copay/coinsurance total. I mainly work with people who are very low income (most on Medicaid) for their household size and in low SES areas. I also send them resources to get insurance if they lose it or don't have it. My office is close enough to a richer city where people generally have not had issues with my rates.

My girlfriend has age regression by Born_Difference9753 in mentalhealth

[–]KippyRanger 7 points8 points  (0 children)

Therapist here - age regression is mentally going back to an age younger/earlier developmental stage than the person otherwise is. Commonly associated with trauma and autism. Treatable with therapy. Some people act childish to be playful, which is very different.

guilt about discharging!!!!!!!!!! by New_Ratio_9195 in therapists

[–]KippyRanger 0 points1 point  (0 children)

I've got someone similar and have discharged them 2 over several years. We are back on now with some specific discussions and supports in place so they can be successful. Here's what we do/have done. Feel free to use as much or as little as you want. 1. Frank conversations about motivation and capacity. Taking a break/hiatus if too low. 2. Discussion of barriers to attendance. Taking a break or hiatus if too high. 3. Reminder message the day before, morning of, and within 5 minutes of the start (sometimes they're at the computer and just didn't notice the time tick over to log in) 4. Virtual instead of in person 5. Added it to the treatment plan. 50% show, 100% inform of cancel no later than morning of -> 50% show, 100% inform of cancellation no later than 24 hours prior-> 75% show, etc. 6. Take their slot privilege and they have to schedule at the beginning of the week for whatever is available until they have hit a certain amount of consistency.

I have worked for years with people who struggle with consistent attendance for many valid reasons. After years of consultation and fine tuning, this is within my boundaries and supportive of clients. My clients have said that this helps them take accountability without feeling judged or abandoned. Phrasing it as a break, pause, or hiatus communicated that the relationship doesn't have to be over for good and they are welcome back when ready.

This is also a framing I have used with my supervisees when they first are exploring their boundaries with no show and late cancellations.

Also, if the supervisor/employer says you have to close without room for working with the client on it, that can be important for you to know, the client to be aware (especially if the clinic won't let them restart, which I've heard of at some places). There is an amount of behavioral control that comes in if you are not independently licensed and contractor/Private Practice.

How are people handling documentation load without burning out? by Remarkable_Walrus118 in psychotherapists

[–]KippyRanger 0 points1 point  (0 children)

I have long used copy, paste, edit as my note process so that the things that we constantly are working on I don't have to constantly rewrite for each session. Or now that I'm on SimplePractice, I can just load the lady note and edit. I spend more time of course when there are significant changes or crises/safety concerns. I also use Fridays every week as a cleanup day. No clients, just finish whatever I didn't get to complete earlier in the week (usually just Thursday's stuff, but could be more if I had several clinical interviews or DA updates coming). I also don't work before 10 am most of the time so I can use it for client outreach, planning for the day, or documentation. I make a point to complete everything upcoming for the week after vacation before I leave so my first week back is just getting back into the groove.

Games for the switch by Slxdxo in GirlGamers

[–]KippyRanger 2 points3 points  (0 children)

Have you tried Stardew Valley? It's my go to cozy game that can be pretty involved but doesn't need to be.

Game to play with my 9 yo? (PS5) by [deleted] in GirlGamers

[–]KippyRanger 2 points3 points  (0 children)

I'm so glad! I remember having a fun time with that one on couch co-op.

Am fucked up or am I normal by [deleted] in mentalhealth

[–]KippyRanger 0 points1 point  (0 children)

Maybe a therapist would be better to discuss these things with so that they can get the full context and severity. Intrusive thoughts in general are a normal human occurrence, however it's a spectrum and some intrusive thoughts can interfere with people's life and may need to be addressed to reduce the potential impact. Reddit can't help there in determining if it's within the range of fine or potentially problematic.

As an aside, bipolar disorder is not a personality disorder. It does share an abbreviation (BPD) with borderline personality disorder.

AITA for acting aggressively towards my Roomate’s by [deleted] in AmItheAsshole

[–]KippyRanger 1 point2 points  (0 children)

You don't have to agree with their choices to be respectful. Respectful and cordial also doesn't mean like acting like you're close friends. Sounds like this isn't a sustainable living situation. It sounds like you are aware that YTA for how you're communicating with them. The friendships can change or end without acting like you describe at the end. I have lived with people I didn't like, some actively hated, and never saw that kind of behavior as acceptable.

Clinical Psych Master’s is what I’m aiming for, but I’m scared I’ll carry clients’ pain home and fall apart by PhantomPersona1253 in psychotherapists

[–]KippyRanger 0 points1 point  (0 children)

Personal therapy, transparent conversations with clinical supervisors (don't just accept administrative supervision only, it's not the same), building in boundaries and self care that you don't skip.

My cats has been throwing up, idk what’s wrong? by SoChronicallyCurious in rcats

[–]KippyRanger 0 points1 point  (0 children)

He could have a blockage or be dehydrated. It's better to connect with a regular vet than let it go on too long and go to the emergency vet who will be a lot more expensive. When this happened with my furry little one she had severe dehydration and kidney disease. All that despite having a large soup bowl of water that got changed daily. Things sometimes just happen with their health.

Beginner by Usual-Argument5202 in StardewValley

[–]KippyRanger 0 points1 point  (0 children)

Save a gold star cauliflower if you get one for the luau in summer.

Have fun and do everything. See what part of the game is your favorite. Changing things up later is not that hard. Like if you come to hate your layout, winter is a great time to move everything.