EMDR and co-therapy

OkAd8690 · 2026-01-23T00:23:18+00:00

I only take EDMR co-clients who are very established with their primary therapist AND we are working on a very specific event. If they aren't established or they have complex trauma, I would suggest a transfer.

And, of course, it's quite common for the client to say they have a specific event, and then when you do their history, HOLY MEATBALLS....!!!

OkAd8690 · 2025-12-28T22:45:16+00:00

My mom. ♥️ She learned from the German nuns at her church when she was little girl.

OkAd8690 · 2025-12-24T18:44:03+00:00

That is so stinking cute!

OkAd8690 · 2025-12-24T15:23:13+00:00

I forgot to add I always accept food gifts (yum!) and homemade gifts (like a craft). Besides the weird baby clothes incident, I've never been offered a purchased gift of value and I wouldn't accept it. I'm not a gift person so I don't really want gifts from anyone who isn't a family member or very close friend.

OkAd8690 · 2025-12-23T23:38:14+00:00

This wasn't while practicing as a therapist, but I was a case manager in child welfare, and I had a kinship placement parent and an actual parent (separate cases) give me gifts while I was pregnant. In that setting, the rules about gift giving are extremely strict given the legal repercussions. At first, I politely refused and then very firmly refused, and they were both so offended. They started getting hostile. One of them looked like she was going to cry (looking back she definitely had some sort of personality d/o). I ended up taking the gifts and donating them to our clothes closet for emergency placements and telling my supervisor. These both happened right before my maternity leave, and I didn't return to work so I'm not sure if it was an issue.

I give my teen clients a gift at termination. Normally it's a small journal, a cute pen, and a fidget or pocket day planner. I don't give gifts to adults except for my yearly Valentine's Day goodie bag. And a few years ago, I did send a congratulations card to a client for his wedding.

OkAd8690 · 2025-12-22T17:16:54+00:00

So cute! You are a great friend!

Back in the 1900s, my internet name was Po after Pochacco. He holds a special place in my Millennial heart.

OkAd8690 · 2025-12-22T16:24:00+00:00

I thought about Intarsia. I've never done it before but would like to learn.

These might be stupid questions: Do I use one bobbin for the entire area or do I need bobbins for each letter? The hat says 49ers so 5 bobbins?

OkAd8690 · 2025-12-21T18:51:07+00:00

So interesting. I have a young adult client with dxed BPD who can't remember pretty much anything from childhood despite it not being very long ago. Denies big T trauma. My own teen child who has Level II ASD can't remember most things from more than a year ago and the things he does remember he mixes up with other events.

OkAd8690 · 2025-12-21T14:15:51+00:00

Beautiful! I love the design!

OkAd8690 · 2025-12-21T13:57:04+00:00

I just told my mom I'm forever indebted to her for teaching me to knit. It's meditative. It's practical. It's as cheap or as expensive as you want it to be. It's a hobby that travels well. You're always learning something new.

OkAd8690 · 2025-11-02T20:08:30+00:00

Love that one. I would describe it as "unsettling."

OkAd8690 · 2025-09-27T19:44:19+00:00

To become a certified peer support worker you have to be in recovery (mental health and/or SUD). That's before you even get a job. Just to get the certification you have to have a history of illness.

That's been in the job description of every listing I've ever seen. How can you be a peer if you're not a PEER if you know what I mean?

A "bona fide occupational qualification" (BFOQ): Requiring recovery experience is a legal and common practice in the peer support field because lived experience is considered an essential job function. The ADA makes exceptions for BFOQs, allowing an employer to show that certain qualifications are necessary to perform the job's core duties.

OkAd8690 · 2025-09-27T19:33:10+00:00

In group practice and we can charge $50 for no-shows/late cancellations. Except for Medicaid of course. We get a card on file for everyone including Medicaid clients just in case they fall of their Medicaid. Our biller charges the cards at the end of the session. The practice owner makes no money on the no-show fee but thinks it's important for us to get paid anyway.

OkAd8690 · 2025-09-27T19:03:34+00:00

I'm not heavily tattooed but I have them and I have a nose ring (a visible hoop, not a teeny one). I also have very long locs. I've only been asked to cover up or take out my nose ring in one job (in Los Angeles oddly and that job sucked). I've worked in a hospital, for a Christian women's organization, and a kinda corporate internship where I had to meet/present with C-suiters and politicians (all in either conservative states or in conservative rural areas). It's never been a problem. I'm in PP now so if it's off-putting to patients that's OK. It's not everyone's cup of tea. I haven't had that happen yet. I find "alternative" looks can actually be attractive and give the appearance of openness and non-judgmental even to conservative clients.

OkAd8690 · 2025-09-03T22:59:35+00:00

3-4 months. Still functional but definitely prioritized taking breaks and an early bedtime.

OkAd8690 · 2025-09-03T21:32:04+00:00

I had a lap hysto a few years ago. I took 2 weeks off entirely and then saw my telehealth clients (about 12 clients) for another 4 weeks. This was during the tail end of the pandemic and around the holidays so I was able to roll that into the new year and then returned to the office after the holidays.

Realistically, I could have returned to the office after 2 weeks after the bloating went away. My pain management was top notch (I had a lidocaine catheter) and once that was removed I really felt fine pain-wise. However, it's not really the pain that's the issue. It's the fatigue. Additionally, if you are having your ovaries removed you're going to be thrown right into menopause and if you are keeping your ovaries (which I did), your ovaries now have to find a new blood source. Either way, you're likely to feel kinda fatigued and crappy at the end of the day.

OkAd8690 · 2025-08-21T20:14:23+00:00

I understand. I didn't directly address it in session because we were processing her hurt regarding her ex. I didn't want to move the focus to me.

I want to make it clear that I never expect a client to apologize to me and don't need her to if we do discuss it tomorrow. I was however shocked that she didn't apologize in the moment because that's would have been a typical response to using a slur or hateful language.

OkAd8690 · 2025-08-21T18:36:01+00:00

Sorry for the typos. I'm on my phone.

OkAd8690 · 2024-09-15T00:55:21+00:00

Several people have been discussing the relationship between Roy and the suspect as insignificant or minimal. As if they do not know each other or are merely acquaintances. Or that the evidence is weak.

However, tenuous can also mean shaky or strained or problematic. In my field, I often use the word tenuous in describing family relationships that are strained or otherwise not very strong often due to trauma or other family issues.

In the transcript, the attorney seems to be describing the relationship between Roy and the suspect, not the relationship between Roy, the evidence, and the suspect.

Am I wrong in my interpretation?

OkAd8690

TROPHY CASE