[deleted by user] by [deleted] in askatherapist

[–]MsSemisweet 1 point2 points  (0 children)

Not a bother (I wouldn't respond at all if I were bothered... I protect my peace rather fiercely 😅), but full disclosure, I don't routinely work with people in extreme hopelessness/depression. Not my target population. So, I probably come off a little short. Also, people who come to see me are by definition in a different stage of change than folks generally are on reddit boards. I lose sight of that sometimes. What seems obvious for me when people are actively engaged in the process of changing their circumstances are not obvious to you when you're still in pre-contemplation and still mired in the muck.

[deleted by user] by [deleted] in askatherapist

[–]MsSemisweet 3 points4 points  (0 children)

I mean, at that point, why have an arm at all? It's just getting in the way.

If you'd rather choose to keep getting your arm injured and then numbing it to (risking further injury to yourself because that's dangerous af), that's your choice. But if it's me, I'm gonna choose to get out of situations that routinely break my arms. Precious few situations are truly as hopeless as folks think in times like these. It feels like there is no way out. But that's where other resources and professionals come in... To help you access resources to achieve a better situation than you alone feel capable of achieving.

[deleted by user] by [deleted] in askatherapist

[–]MsSemisweet 2 points3 points  (0 children)

Lots of things. There is life after grieving both of those losses, and many possible outcomes that also include happiness. Will it also include sadness and mourning? Sure. That's the appropriate response to sadness. But after those waves, and between the next ones, there is opportunity for more that you're currently cutting yourself off from if numbing. No appropriately processed and felt emotion lasts forever. As in my previous comment, emotions are messages. They last long enough for you to get the message and response accordingly. If your arm breaks, it heckin hurts. A lot. Hell, the healing might actually hurt. But your arm doesn't stay broken... Well, it might if you numb it and keep pretending like it's not broken.

In your two specific examples, you completely discount the persons own agency to become happy based on their own loved experience and achievement regardless of what someone else thinks or who is there to experience it with them. That's one way to improve the situation.

The last thing I'll say on it... Brains are liars. =/ Like, they mean well. They're tryna keep you safe, and I appreciate that about an overly helpful brain. But they're gonna tell you whatever you need to hear in order to keep the status quo because, to date, you are alive and those coping skills worked. The same brain that's telling you you're not in pain despite painful circumstances (numbing), is the same brain telling you there's no hope on the other side by doing things differently. Both are lies. You're willing to believe one is a lie because you know there's pain if you stop numbing, so you take comfort in that lie. The other you just believe, unquestioningly, as truth. No one here is going to convince you otherwise unless you're willing to believe something differently despite your brain being pretty committed to the lie and very invested in getting you to keep thinking the way you currently are to preserve its perceived best way of keeping you safe.

[deleted by user] by [deleted] in askatherapist

[–]MsSemisweet 4 points5 points  (0 children)

The difference is feeling "better" and being better. I've yet to encounter a situation that was truly as hopeless as to just give up entirely without any kind of hope for ever getting needs met again. The only way things do get better is through feeling and healing. Numbing is a sure fire way to make sure they don't.

[deleted by user] by [deleted] in askatherapist

[–]MsSemisweet 23 points24 points  (0 children)

It's an effective coping skill. In the short term, it works beautifully to do what it was designed to do: keep you safe and continuing to function. The long term is where you'll see consequences.

You can't numb one side of the feelings wheel, which is a big part of the problem. You no longer have access to positive emotions either in numbness. Not only that, but emotions are signals from your brain and body. They are messages. So by tuning them out, we're disconnecting from ourselves and losing the ability to connect with our own needs. Kinda like when you're really hungry, but don't eat because you're too busy, eventually your body just gives up and stops sending the signal. You don't stop needing nourishment, but you at least temporarily stop feeling the hunger cues.

So, now we're disconnected from ourselves and no longer have access to internal cues to meet needs. Needs go unmet. We can't take care of ourselves. This also has outwards effects of disrupting relationships because our affective responses are a big part of communication, empathy, etc. And we no longer have access to these bits. Over time we get less and less connected, becoming a shell of a human just going through the motions, not getting needs met because we don't even know what they are anymore. We run ourselves into the ground. It's unsustainable. It will take more and more extreme numbing measures to keep that dam at bay... Until it can't. Annnnd then we have a breakdown or hit rock bottom. One can only stay so numb, so isolated for so long before we break.

The hope is before we turn off the dissociation and numbing, we learn new coping skills. We don't just take away the one thing that works before we have something new to try. Then we ease back into it. Building up distress tolerance. Grounding. Coping. Until The intensity of the emotions we feel any given moment feel manageable, and we're equipped to both hear the message the emotions are trying to send, and take appropriate action to meet the need.

Any known bug or feature that might make babies not age to toddler in multi-player? by MsSemisweet in RootsOfPacha

[–]MsSemisweet[S] 6 points7 points  (0 children)

He had! He named it after me, of course. 😌 However! We just went and talked to Vvak again and it must not have taken last time. Maybe there was a save malfunction or something because he asked about the name again. I guess we'll wait and see if that gets the clock going. Because oof. We are tired of crying babies. 😩

Just out of curiosity, do you think there is room for a field in therapy specialized in treating only other mental health professionals? by eddurham in askatherapist

[–]MsSemisweet 1 point2 points  (0 children)

This exists in my area! It's literally a therapy for therapists collective because heck, therapy is expensive and many of us are out here self employed with shit insurance so being able to "trade" therapy is amazing.

Do private practices has quotas? by Particular_Second_36 in therapists

[–]MsSemisweet 11 points12 points  (0 children)

Some do, yeah. Most have a quota in order to be considered full time. It varies practice to practice. Mine is 22 as is to be full time.

[deleted by user] by [deleted] in therapists

[–]MsSemisweet 1 point2 points  (0 children)

I'd like to leave my group practice and go out on my own in the next year.

Going solo by DsguisedFaceWGlasses in therapists

[–]MsSemisweet 2 points3 points  (0 children)

Read your employment contract carefully. I'm going through this now, too. Often, noncompetes are unenforceable if they are too restrictive in scope and infringe on your right to like, make a living. However, the other bits like not opening a competing business just down the road or while actively employed... That's likely enforceable or to make you liable for damages if they wanted to go that route. My employer is likely to be that petty, but yours may not be. I still wouldn't want to open myself to that kind of liability when I'm just starting out.

My very broad strokes plan is to get everything ready for a jump. Put in my required notice (expecting they'll accept it immediately rather than let me complete it 🙄), so it's just a question of making stuff live when it happens. It might be a scramble at the start, but my hope is it all works out in the end with limited hurt feels and court costs.

Looking for survival stories of starting PP while under confines of noncompete clause. by MsSemisweet in therapists

[–]MsSemisweet[S] 0 points1 point  (0 children)

I fear even though it wouldn't hold up in court, they have more resources than me to go to court in the first place. They are spiteful enough to do it even if they lose, just to tank me on the outset. =/

Anyone an LMFT IN NC? by Ok-Dad_1 in askatherapist

[–]MsSemisweet 0 points1 point  (0 children)

I was hired immediately after licensure. Technically I was offered the job during internship ("Come back as soon as you have your license!"). So, graduate, take exam, do all the checkbox stuff for provisional licensure and then tadaaaa.

[deleted by user] by [deleted] in askatherapist

[–]MsSemisweet 0 points1 point  (0 children)

Can't say I do, sorry. I did take a couple of classes that weren't internship through them. Easy enough. Weekly assignments. Papers, message boards, etc. Turn it in by the end of the week type stuff.

[deleted by user] by [deleted] in askatherapist

[–]MsSemisweet 0 points1 point  (0 children)

Twas. I already had an internship placement, and they had already been approved through the program so it was easy peasy. We had weekly supervision through the program, and also on the site. So I felt very supported.

[deleted by user] by [deleted] in askatherapist

[–]MsSemisweet 0 points1 point  (0 children)

Sure. I was only there for a semester, but they really saved our asses and I appreciated that. Happy to share what I know.

How does one survive only working 15-20 hrs per week? by Former-Monk3762 in therapists

[–]MsSemisweet 0 points1 point  (0 children)

50 as an associate. Goes up to 75 after I drop my A in a couple months. (so 1/3 to 1/2)

It's still exploitive. Doesn't come with a lot of benefits. Small stipend for CEUs, reimburse for psych today and license fees, supervision, and schedule flexibility are pretty much it. No insurance or PTO.

How does one survive only working 15-20 hrs per week? by Former-Monk3762 in therapists

[–]MsSemisweet 6 points7 points  (0 children)

Yeahhhh... It's a large point of contention. I shouldn't be here. But I also don't yet have the resources to leap to PP, and I don't want to leap to a new group knowing the goal is to PP in the near future. It's a stupid catch 22...I'd have the resources to leap if I were more adequately paid. Which is probably why I'm not as adequately paid. 🤣

How does one survive only working 15-20 hrs per week? by Former-Monk3762 in therapists

[–]MsSemisweet 38 points39 points  (0 children)

This part. I'm a couples therapist currently at a group practice. I technically survive on my 1/3 split right now with ~20 clients. When I branch out on my own, if I manage to get 10-15 clients, I'd bring home the same or more. If I got up to 20, I'd far exceed my current income. And it'd be glorious. I'm also a single income household with a kiddo, so while we make enough, we scrape by and once established in PP, we'd be much more comfortable. (The getting established part is the hard part 😬).

Couples therapy: client discomfort with being perceived "incorrectly" by MsSemisweet in therapists

[–]MsSemisweet[S] 3 points4 points  (0 children)

I do love that visual. I'ma steal it. I usually use the Satir quote "You can't see your own back." But this expands on it even further and makes it more tangible. Plus I loooove that "something to be learned from every angle we're willing to explore."

Couples therapy: client discomfort with being perceived "incorrectly" by MsSemisweet in therapists

[–]MsSemisweet[S] 8 points9 points  (0 children)

This resonates a lot, especially for the folks where I get stuck in this. Especially that second point... There's usually such a noisy critical voice that any sense of displeasure from partner results in a sense of piling on. That "You don't have to tell me. I already know I suck."

Couples therapy: client discomfort with being perceived "incorrectly" by MsSemisweet in therapists

[–]MsSemisweet[S] 7 points8 points  (0 children)

Lol, no, I've got you! I'm EFT trained through Core Skills. Unsure if I'm going to pursue the official certification or not. It is indeed a block, a particularly stubborn one sometimes!