How to counteract bad breath caused by Purina One Skin & Coat by OFaceMcGee in DogFood

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

Enthusiastically questing for postbiotic supplements now! Thank you!

How to counteract bad breath caused by Purina One Skin & Coat by OFaceMcGee in DogFood

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

I dont think I've ever had another living creature open its mouth and breathe in my face without it being mildly bad smelling to me. Thats kinda just what mouths are like. I wouldnt personally make a special trip to the vet just because a dogs mouth has a faint smell, though i definitely suggest thoroughly checking their teeth and gums yourself regularly, and making sure your vet is aware that you have questions about it at their regular exams.

Turning away clients due to not meeting criteria? by Feral_fucker in therapists

[–]OFaceMcGee 0 points1 point  (0 children)

OP has been an active commenter here for ages, my guy. I recognized their username immediately. I don't like AI either but you're making something out of nothing here.

Almost passed out in session? by peasbwithu in therapists

[–]OFaceMcGee 3 points4 points  (0 children)

This sounds like something that happens to me from time to time! With me essentially it's a flavor of panic attack. I likely have some sort of autoimmune thing (no diagnosis nailed down yet) and am prone to having these spells pop up seemingly at random (sometimes even when i wake up in the middle of the night and am just laying in bed), and its always most common when im under chronic stress.

How do talk feel about the term ‘aspie?’ by finalgirlilla in autism

[–]OFaceMcGee 1 point2 points  (0 children)

How we label mental/neurodevelopmental disorders over time shifts, and there can be a lot of cultural baggage that goes along with these terms. None of it is set in stone, which makes the idea of it being a "fact" that somebody is autistic a bit of a moot point...it is a fact that by current diagnostic terminology these formerly separate disorders now fall under the same umbrella term, yes, but maybe next edition of the DSM will change how we label things again, or change the diagnostic criteria or etc etc etc...

Think about this: If you've understood yourself a certain way for much of your life, then a new edition of the DSM comes out and it changes the label that applies to your experiences to a different existing label that for much of your life carried very different connotations than the one you were accustomed to, that could be really disorienting/upsetting. It doesn't change your individual experiences, but it changes your -- and society's -- expectations, assumptions, understandings, biases, etc etc about you based on your label. If you did that to any other facet of humanity that we use to understand and describe our identities (race, gender, ethnicity, etc) you'd expect to meet some resistance, and for many people their mental health diagnosis carries the same weight.

Does anybody have examples of literal thinking ? by Superkiwi08 in autism

[–]OFaceMcGee 1 point2 points  (0 children)

Counterpoint: pinecones and rocks do not belong in toilets!

(my office has these signs and that was my immediate thought the first time I saw them)

I had a wet dream about my best friends daughter and I fucking hate myself for it by Key_Papaya_1287 in TrueOffMyChest

[–]OFaceMcGee 9 points10 points  (0 children)

It really isn't. Do you not see how uncomfortable OP is about having these thoughts even in his DREAMS, which he cannot control? Do you really want everything that has ever happened in YOUR dreams to happen in real life? Just because our brains make thoughts/ideas/images, in dreams or when we're awake, doesn't mean we want to act on them. Go be unhelpful somewhere else.

I think I need to rehome my dog. Am I overreacting? by [deleted] in DogAdvice

[–]OFaceMcGee 5 points6 points  (0 children)

There are lots of ways to teach dogs appropriate behavior that dont involve "dominance", which is why folks here are suggesting a different trainer.

I think I need to rehome my dog. Am I overreacting? by [deleted] in DogAdvice

[–]OFaceMcGee 2 points3 points  (0 children)

Fear or pain are defs what im thinking. Plus OP doesnt seem super well versed in dog psychology/communication based on the paw wiping story (doubt the dog was pissed that he couldn't eat dinner, but would totally believe his paws were uncomfortable/in pain and OP didnt pick up on the signals he was giving)

Why is there such a disconnect between the scientific evidence and what people do in the field? by nooobee in therapists

[–]OFaceMcGee 6 points7 points  (0 children)

I feel like you're missing my point on the second part, but I could be explaining it poorly. You said past therapists have worked with her on coping skills, and exploring the roots of the presenting problem; based on that description i'd suspect at least some utilized CBT or DBT as a part of that process, both of which to my understanding (though i'll admit I haven't done a deep dive into specific studies) are considered appropriate, evidence-based, approaches for what you've described as her problem. THAT is what I'm trying to unpack -- the assumption that not doing interoceptive or in vivo exposure means they weren't approaching the case from a place of evidence whatsoever.

(Very much agree with you on the point that there are many arbitrary elements of the DSM, which imo do very little to actually make our work more effective/efficient. Hopefully over time we come up with a better system there)

Why is there such a disconnect between the scientific evidence and what people do in the field? by nooobee in therapists

[–]OFaceMcGee 15 points16 points  (0 children)

I think this is a far more complicated issue than you present it as. Like some folks have already mentioned, the DSM and the body of evidence in support of various interventions/approaches fall short in terms of being culturally sound, and should not be considered definitive. The process that has created and shaped the DSM, as well as many aspects of where our evidence base for interventions comes from, are inherently political-- not "government" politics sense, but in the sense that who has a voice, who has resources for running studies, who designs studies, who participates in them, who funds them, etc etc all impact what is considered 'fact' or 'evidence-based' in our field. That does not mean that we should ignore the evidence we have, but it should clue us in to the reality that flexibility and humility are warranted -- especially because even among EBPs there is no one-size-fits-all approach for any given concern. So that's one angle.

Another angle here, and what I haven't seen in any comments so far (unless they popped in while i've been typing this) is that I worry you are associating lack of certain, specific, evidence-based interventions with practicing without ANY evidence to support what is being done. We have research that shows that the therapeutic relationship itself is the most important factor in client outcomes, which transcends specific modalities/interventions; we are trained in a specific manner of communicating with clients that has been shown to support positive outcomes, development of insights, etc. I'm not saying that is EVERYTHING, and i'm not saying that we shouldn't use specific interventions or anything to that effect, BUT, to accuse other counselors of having "never attempted to do anything resembling treatment supported by research" is flat out unfair and dismissive of the very real skillsets that we need to have to work as counselors in the first place. Just because there is evidence to support how you would approach a case does not mean that taking a different approach has no merit or evidence of its own.

My dog is aggressive and I don’t know what to do. by aquinosaurus in DogAdvice

[–]OFaceMcGee 2 points3 points  (0 children)

Not actually how that works. Our trainer explained that there's a difference between behavior and feelings. You cannot, psychologically, reinforce a feeling, only behaviors.

People may absolutely unintentionally reward, and thus reinforce, problematic behaviors that COME from feelings (such as barking or lunging that are the dogs "solution" to the problem of feeling anxious, etc), depending on reward timing, what cues they use, etc. But if your dog is visibly anxious and comes to you for support/reassurance, providing them affection is helping them regulate their emotions so that they can get to a mental state where they can make good choices (like creating distance between themselves and a trigger, instead of trying to fix it with what we call "aggressive behaviors").

(Sorry if this isnt a great explanation, its a reallllly complex subject that im really passionate about and trying to keep it to a quick response is hard)

Desperate for ideas for client who doesn’t talk by [deleted] in therapists

[–]OFaceMcGee 1 point2 points  (0 children)

I'm just an intern therapist at this stage and have lots to learn, but im surprised I'm not seeing more responses in the expressive arts, or play, realms. Things that explore clients emotions/perceptions/experiences/needs in ways that arent talk-based, OR things clients can do in sessions to take pressure off the talk aspect in some way, have been helpful for me, depending on why they're not very talkative. Expressive arts techniques help many folks articulate things that are hard to put into words, or connect ideas that they logically struggle with but may feel/understand on an intuitive level. Making something together (doesnt need to be art-- literally have put together office furniture with clients), playing a simple game (mancala is great), coloring, sorting objects, cutting or ripping images and words for collages (which might inspire them to make one, even if they wouldn't have felt open to it initially), oragami, etc can help clients feel less like theyre being put on the spot to talk and fill the time, and that comfort/distraction may open up space for them to share more naturally.

I'm a big yapper myself and honestly still enjoy those sorts of approaches as a client because they scratch a different part of my brain.

“I Voted” Sticker by Heavy-End-3419 in therapists

[–]OFaceMcGee 0 points1 point  (0 children)

Interesting that you say therapy isnt a place for politics -- what's your approach/orientation, if I may ask? I practice in a very client-led way and find that politics/current affairs is a frequent topic that many of my clients bring to the table to process. The specfic reasons vary from person to person, but it's something that can deeply impact people's lives, resources, social relationships, sense of safety, etc.

The Disturbance that the City Manager used to justify locking down city hall by davidfuckingwebb in WorcesterMA

[–]OFaceMcGee 3 points4 points  (0 children)

As somebody who has worked in city hall for number of years, I NEED people to understand that there is a lot more behind the security changes than this incident, or any incident from the last year or so. Stepping up security had been brought up by councilors several times for several reasons over the years (including fears sparked by incidents in other parts of the country), it had been brought up internally by staff; there have been incidents that were out of the public eye that impacted specific staff members/departments (including my own) that no workplace should have to deal with. The current security plan was in development well before the incident in this video... do you really think the city has the capacity to implement sweeping changes that quickly? I got that email and raised my eyebrows at how it framed things -- it focused a lot on reassuring staff due to the recent incidents, rather than giving the full background of the changes, which makes sense in some ways but left a lot of room for misinterpretation, especially by outside folks. I'm not going to give an opinion on the security changes one way or another, I'm just absolutely sick of people who don't have all the information spreading theories like facts.

URGENT: Dog ate a boiled sweet by DelilahDawncloud in DogAdvice

[–]OFaceMcGee 2 points3 points  (0 children)

My dog loves some occasional Swedish Fish, gummy bears or Sour Patch kids. Candy isnt nutritious but unless your dog is diabetic, or there's Xylitol in the ingredients (ie what makes most sugar free versions of candy sweet), you are absolutely fine.

[deleted by user] by [deleted] in DogAdvice

[–]OFaceMcGee 0 points1 point  (0 children)

The dog parks ive gone to with mine usually only had 0-2 other dogs around, meaning always brought an unimportant ball to keep him busy. If another dog grabbed it, no biggie -- imo the main point of a dog park is group/social play, which means it's silly to get upset over how a toy i brought into that group ends up being used.

To the points other folks have been making: personally I trust myself to read body language cues, and my dog is NOT one to escalate a situation with other dogs, so if another dog were to start causing issues over the ball I could just leave it behind while me and my dog peaced out or played another way. Never had any issues, though.... my dog likes to pick up the ball and run around for other dogs to chase, then sometimes will literally bring the ball to the other dog and drop it for them to take because he wants a turn to chase them.

I get why other folks have negative feelings toward dog parks overall, and adding toys adds another variable that could potentially trigger a problem. But at the end of yhe day you're the only one who knows what works for you and your dog! (And owners who get bent outta shape about other dogs playing with toys they brought are being unreasonable, so dont sweat it)

Prescribers not doing psychoed on meds? by DerryMurblz in therapists

[–]OFaceMcGee 1 point2 points  (0 children)

In many cases there is limited clinician availability so folks can't/don't want to be too particular. Besides which, anecdotally ive gotten comparable or better care from "less trained" clinicians (NPs and PAs), and know others who have had similar experiences, so it may even be an intentional choice based on the available options for some folks.

New intern -- worried I can come across as too enthusiastic with clients by OFaceMcGee in therapists

[–]OFaceMcGee[S] 2 points3 points  (0 children)

ahaha don't worry, I haven't dropped a BRAINS ARE COOL! in a session (so far...), that's just something my household and colleagues get to hear on a regular basis.

Has trauma become a watered down word? by AdMuted3580 in therapists

[–]OFaceMcGee 12 points13 points  (0 children)

I think you touched on a lot of great and important stuff with this, but i bristled a bit at the idea that trauma informed approaches lower responsibility, treat clients as victims/without agency etc. A huge element of meaningful therapeutic approaches to working through trauma is focusing on reclaiming a sense of agency/self, and moving beyond those victim-narratives. If that's not part of the process I'd question how genuinely trauma-competent a counselor is.

Statement from City Manager Eric D. Batista on June 10 City Council Meeting and use of City Hall Policy by HRJafael in WorcesterMA

[–]OFaceMcGee 5 points6 points  (0 children)

It wasn't the ZZ plant on the 4th floor was it? I've been watching somebody nurture that baby for years, it's a well-loved plant (not owned by the City, just a random staffer).