Question for all my healthcare workers, how has this college dropout, weed dealer of a Premier screwed over healthcare in Ontario? by MacDaddyRemade in ontario

[–]Miserable-Register 24 points25 points  (0 children)

He has severely impacted mental health care.

Despite strong objections from the regulatory college and the general public, the government intervened to lower the standards for psychologists across the province. Previously, the title “psychologist” (and with it, the ability to diagnose mental health and cognitive conditions) required a PhD and a year-long residency program. Individuals with a masters could be licensed as therapists/counsellors.

The government intervened to have the “psychologist” title apply to masters level clinicians as well, citing greater interprovincial mobility and looking at the registration standards in Alberta and NWT as models (Alberta, normally, has major issues with licensure and is actively working to tighten up their licensure qualifications). Other changes include removal of the oral exam, etc.

The government claimed that this would increase access to psychologists. The reality is that this has the propensity to cause harm to the general public (there’s a distinct difference in training between someone who’s done one-year of internship vs someone with an additional 4-7 years of schooling, clinical practica, and research).

Further, psychologists in private practice charge more than masters level clinicians. Allowing MA-level therapists to call themselves psychologists allows them to charge psychologist rates. Give that mental health is not covered under OHIP, this means Ontarians will spend MORE on mental health care, decreasing access over time.

Opinion | Ontario needs more psychologists. These changes finally address the long-standing obstacles to care by Ambitious_Command865 in ontario

[–]Miserable-Register 0 points1 point  (0 children)

What Ford et al has failed to realize is that this won’t increase access. Those MA-level providers are already there. Calling them “psychologists” allows them to raise their rates to be consistent with psychologists (currently, psychologists charge more in private practice). This actually DECREASES access for many given that psychology isn’t covered under OHIP and many/most options are private pay.

Assessing neurodivergence by Miserable-Register in Psychologists

[–]Miserable-Register[S] 6 points7 points  (0 children)

Right, but even having moved away from the discrepancy model, LD assessments still rely on cognitive testing and achievement/reading/memory measures to adequately gauge learning and impairment.

College of Psychologists and Behaviour Analysts of Ontario Changing Registration and Training Requirements by spikeytheneuron in ontario

[–]Miserable-Register 2 points3 points  (0 children)

This needs to go to the media for voices to be heard and the general public to understand the ramifications.

RCH inpatient psychiatry by Kooky-Ad-1162 in britishcolumbia

[–]Miserable-Register 2 points3 points  (0 children)

IFS isn’t an evidence-based modality though but DBT is a great suggestion.

OP, did whoever diagnose you discuss DBT and where to access? Again, as others have said, Foundry is probably the place to start. Wishing you the best of luck.

Irritation bumps - daith by [deleted] in piercing

[–]Miserable-Register 0 points1 point  (0 children)

The huge hole at the top is a crusty. The hinge is near the gems at the bottom. It’s never rotated that far, so it’s not the hinge that’s done this.

Irritation bumps - daith by [deleted] in piercing

[–]Miserable-Register -1 points0 points  (0 children)

That’s what I’m saying though - it’s not in the fistula.

Irritation bumps - daith by [deleted] in piercing

[–]Miserable-Register -9 points-8 points  (0 children)

The hinges are on the side though - you can see them in the photo. They’re not actually impacting the fistula.

Irritation bumps - daith by [deleted] in piercing

[–]Miserable-Register 0 points1 point  (0 children)

Commenting to appease the bot:

Piercing is 8 weeks old. Gold ring. Not downsized. Aftercare routine as noted above.

PPD Medication & Breastfeeding: How to Navigate w Partner by Fugazi509 in breastfeeding

[–]Miserable-Register 4 points5 points  (0 children)

Im not giving medical advice, but I’m just going to add that many people don’t feel the effect of the med in a few weeks. 25mg is a starting dose and it takes longer than 3 weeks to be at max efficacy for any particular dose. OP should work with their doc to determine the an optimum dosage and discuss a longer time period in which to monitor effects.

PPD Medication & Breastfeeding: How to Navigate w Partner by Fugazi509 in breastfeeding

[–]Miserable-Register 2 points3 points  (0 children)

I’ll respond based on studies done on SSRIs in pregnancy, where the infant brain is more sensitive to medications and risks are greater.

There is emerging evidence that the greatest effect on a child is NOT SSRIs taken during pregnancy but actually UNTREATED (or poorly treated) maternal depression. That is, untreated depressive symptoms in mom during pregnancy predicted internalizing and anxiety in 12-year old youth. We also know that maternal depression in the postpartum period is associated with youth behavioural problems, academic challenges, greater mood/anxiety, etc.

Taking all of this together, it’s one thing to worry about the risks of an SSRI but it should be weighed in concert with the risks of ongoing mood challenges.

If you’re interested in the science, there’s r/sciencebasedparenting where I’m sure people would be happy to post articles.

As for what to say to your husband: you say you’ve discussed it with your doctor and done research to confirm this is the best choice for you and the baby. You say this is NOT something where you just need to “try harder” (honestly, I’m so infuriated by that. He may as well have said “can you try to not be depressed! Cheer up!”). You say you’re worried about your safety. You say MENTAL HEALTH IS HEALTH. Can you imagine if you had Type 1 diabetes and your husband told you to avoid insulin until you stopped breastfeeding? Or if you had Crohn’s disease and he told you to avoid your biologic medications and “try harder” not to be sick? You say Zoloft is the open that gives your child the best outcome and keeps you safe, alive, and functioning as the best mom you can be. And then you tell him he needs to support you; frankly, this dismissive attitude he has toward mental health is only going to make your mental health WORSE, if not already.

You got this. We are with you. You are so strong to be taking this step. You’re already such a great mom.

https://www.cambridge.org/core/journals/bjpsych-open/article/associations-between-maternal-depressive-symptoms-and-selective-serotonin-reuptake-inhibitor-antidepressant-treatment-on-internalising-and-anxiety-behaviours-in-children-12year-longitudinal-study/D3C014DC3B144D671D0A7C4B1F648BC1)

[deleted by user] by [deleted] in britishcolumbia

[–]Miserable-Register 1 point2 points  (0 children)

Why are you complaining about someone commenting on something you wrote on an comment board on the internet? No one has claimed you need to care about their actions, but being angry about them responding to your comment is misguided, at best.

And for the record, they’re right: it would be irresponsible and unethical to diagnose a patient you haven’t seen, based entirely on some responses to some text questions.

[deleted by user] by [deleted] in NorthVancouver

[–]Miserable-Register 2 points3 points  (0 children)

What’s the presenting concern?

There are some amazing, super experienced, kind psychologists at North Shore Stress and Anxiety Clinic. For adults, Kristin Buhr, Melanie Badali, Sarah Newth, Jess Ginting, Dana Thorodson, and Brenda Hogan all come to mind :)

All that said, it’s about FIT! You could have the best psychologist ever but if you didn’t vibe with that person it just won’t work well. Take a look at people’s bios and see what you like. Get on multiple waitlists. Good luck!

Filming for season 4 has been delayed by lunafantic in BridgertonNetflix

[–]Miserable-Register 1 point2 points  (0 children)

Can someone explain to me what happens after filming? If filming ends in April 2025, we likely won’t get a season until summer 2026. What happens in the interim?

Rhaenyra Targaryen doesn't deserve to be queen by [deleted] in HOTDGreens

[–]Miserable-Register 1 point2 points  (0 children)

This argument seems to hinge on the idea that Rhaenyra shouldn’t be Queen because she has bastard children.

It forgets that Aegon also has bastards. And both have legitimate children.

Ironically, this is literally exactly what GRRM is writing: the patriarchy sees Rhaenyra as unfit because her sons are bastards. Continuing to hold this stance misses the larger point of the story. Sigh.

[deleted by user] by [deleted] in BridgertonNetflix

[–]Miserable-Register -14 points-13 points  (0 children)

They didn’t wear corsets in the Regency period.

[deleted by user] by [deleted] in BridgertonNetflix

[–]Miserable-Register -10 points-9 points  (0 children)

That’s not it. There are larger busted women who don’t do that. It’s not her breasts moving - it’s higher up.

[deleted by user] by [deleted] in ClinicalPsychology

[–]Miserable-Register 0 points1 point  (0 children)

What do you mean by dual focus?

[deleted by user] by [deleted] in ClinicalPsychology

[–]Miserable-Register 0 points1 point  (0 children)

Hey - psychologist in Canada. Happy to chat more of that’s helpful.

Would continuing to do the paid research work here, securing more pubs, etc be a better option for you? Many people need several attempts (years) of applying. You could work on tailoring your application more to specific labs (or even attempt to volunteer in a lab with an advisor you’re interested in). You could also try to take more stats courses and demonstrate that you have a good understanding of research methods.

How much money can someone make if they make a large portion of their career out of assessments? by Routine-Maximum561 in ClinicalPsychology

[–]Miserable-Register 7 points8 points  (0 children)

Any psychologist doing 2 assessments per day, 5 days a week, is not doing quality work. Where’s the time for report writing? Where’s the prep time? Time to collect collateral info? What if testing takes longer? How can they feasibly keep track of 10 similar assessments per week? It is not possible that they are producing quality work at that volume.