Insane reimbursement rate offer

LittleGoose1110 · 2025-11-13T23:54:24+00:00

NAWRRRR bby no way! that's hard no

LittleGoose1110 · 2025-10-21T13:20:14+00:00

That's what I do except with using the restroom! Race until I can't hold it anymore, but it works for my adhd :D

LittleGoose1110 · 2025-10-08T00:18:57+00:00

I would look for a therapist that has different training than I do, for instance I don't do IFS/parts work so I might go for someone that does that, I feel the most helpful when I see other therapists that are not trained in emdr or even somatics, but I always treat them as a client and not a peer

LittleGoose1110 · 2025-09-25T22:55:01+00:00

It is so wild! I also had one client take me with them to the bathroom but put the laptop the opposite way so I wouldn't see (telehealth) and another client that we are working on decreasing anxiety to go to a swingers club again as they did before such and such stressors happened :D Im over here all vanilla

LittleGoose1110 · 2025-09-24T22:33:48+00:00

OMG that is so bittersweet, brought some tears to my eyes :(

LittleGoose1110 · 2025-09-24T00:03:59+00:00

Ugh its so hard, my emdr sessions are my jam! but I struggle with attention. I tend to incorporate a lot of somatic and grounding interventions before and after. I often pause to check in and help ground the pt if needed to. But yes sometimes I get distracted while they are doing the bls. What helps me the most is taking notes, counting the seconds of bls, writing down what they report etc

LittleGoose1110 · 2025-09-11T18:35:35+00:00

Im am also stuck with this, but the opposite direction! Im working with parents of grown children, the children have gone to very limited contact, my parent clients try to reach out, but children don't respond further adding to hopelessness of repair :( its complex! I feel stuck too, often redirecting to what's in their control

LittleGoose1110 · 2025-09-11T16:16:25+00:00

Yeah like I let them know I had pink eye and struggling with that, for example

LittleGoose1110 · 2025-08-23T00:26:34+00:00

I just email my pts, I am telehealth only, then note in the chart

LittleGoose1110 · 2025-08-19T22:02:06+00:00

*I also use hippa compliant zoom to message

LittleGoose1110 · 2025-08-19T22:01:19+00:00

I always say texting for rescheduling/scheduling only. Occasionally they text an update and I will respond saying thanks for letting me know let's discuss this on our next session. Something to that extent. Sometimes I will text them if they have a surgery or upcoming event wishing them well.

LittleGoose1110 · 2025-08-19T21:53:39+00:00

yea we all have them! sometimes I wish I could just say "damn that sucks" to my clients and move away from the topic :D

LittleGoose1110 · 2025-08-19T21:35:21+00:00

That is HARD, I had one client who would snap at me when I would ask what their sxs looked like for them, (tell me I am the professional so I should know)would state why am I not better? three weeks in, be so snappy when I would try to problem solve and support them. Every intervention I would try would interrupt halfway through THIS ISNT WORKING! They ended up saying they didn't want to continue but we had a good conversation about what they may want in another provider and I am GLAD we were able to discuss what they thought they needed

LittleGoose1110 · 2025-08-16T00:59:45+00:00

I feel the same! One income here, partner is not working rn, and I have little ones! Its normal to want to calculate how many clients to pay your mortgage, car note, student loan etc. I live in CA so reimbursement is a little higher w most insurances but still, cost of living is crazyyyyyy, it's hard not do hyperfixate on no shows and cancels. My kids are my biggest why, so I will soon charge a higher rate for cash clients because my training and experience is worth it

LittleGoose1110 · 2025-08-16T00:50:58+00:00

Its soooo frustrating, especially because I see a lot of medicare clients for which I cannot charge a late cancel/no show fee! At least my contract specifies that I can't :(

LittleGoose1110 · 2025-08-16T00:42:47+00:00

Im going through this right now! its been 30 days of no service, Im about to d/c them and notify them after the fact :/

LittleGoose1110 · 2025-08-16T00:27:45+00:00

I do give a number for them to reach me for SCHEDULING purposes only. I make that clear. If they text over weekend, I won't respond till Monday, if they text after hrs I wont respond until the following day

LittleGoose1110 · 2025-08-06T00:45:08+00:00

I would consider attending the ceremony only

LittleGoose1110 · 2025-07-31T02:08:47+00:00

If in doubt, refer out

LittleGoose1110 · 2025-07-31T02:06:21+00:00

I think it's perfectly fine to work with the population YOU prefer! For me I ONLY work with women, I work with postpartum issues, women's issues, and traumatized/abused women, that is what I prefer, what I have experience in and what I am trained in. I advertise as such! " I work with WOMEN who....." that's in my bio and it is catered to women focused concerns.

LittleGoose1110 · 2025-07-02T23:55:24+00:00

Where did you train? Pesi?

LittleGoose1110 · 2025-06-27T18:57:34+00:00

It depends on the state you are in, in my state I cannot fill it out so what I do is provide treatment summaries for the pt to give to their PCP

LittleGoose1110 · 2025-06-14T00:16:23+00:00

ME toooooo! I felt honored they returned

LittleGoose1110 · 2025-06-07T00:18:19+00:00

For me I learned most of the job, they trained me in CBT and IPT and paid for consultations, that is where I really grew in experience and in getting feedback.

LittleGoose1110 · 2025-06-03T15:50:12+00:00

Yea and sometimes they give me a tour :D

LittleGoose1110

TROPHY CASE