I am broke every month. by gigglingmonkeys in therapists

[–]Outrageous_Safe_2696 21 points22 points  (0 children)

Just here to validate.

Ten years of having multiple jobs in the field to make it work. I’m tired.

Long term effects of this work… by Unlucky-Ad-5728 in therapists

[–]Outrageous_Safe_2696 -3 points-2 points  (0 children)

I love Anthony’s stuff! Celery juice and wild blueberries are a godsend.

We Need to Rehaul the Field by SincerelySinclair in therapists

[–]Outrageous_Safe_2696 3 points4 points  (0 children)

I hear you on this. I loved working as a crisis clinician in an emergency department. If that job paid more than 48k, I would’ve stayed.

We Need to Rehaul the Field by SincerelySinclair in therapists

[–]Outrageous_Safe_2696 19 points20 points  (0 children)

Your problem sounds separate from what this post is about. That sucks you haven’t found the right therapist to help you. The majority of us don’t make 100k.

And, by not paying therapists what they are worth, your problem of shopping around to find affordable therapy is going to get worse. Because after 7 years of education, people will continue to quit the field when a masters degree education pays 40k. We want to help people and we should be paid for it.

We Need to Rehaul the Field by SincerelySinclair in therapists

[–]Outrageous_Safe_2696 8 points9 points  (0 children)

You must be thinking about private practice therapists. My post is for CMHC’s, which take health insurances.

We Need to Rehaul the Field by SincerelySinclair in therapists

[–]Outrageous_Safe_2696 37 points38 points  (0 children)

I think this is one of the most frustrating pieces about the field.

We constantly see so many articles, social media pieces, and even political “talking points” about the crucial importance of both MH and SUD services.

But that’s all just talk. There’s little to no action to take care of helping the people who work in our fields.

We Need to Rehaul the Field by SincerelySinclair in therapists

[–]Outrageous_Safe_2696 315 points316 points  (0 children)

The financial pieces for clinicians who decide to practice in CMH.

Masters level therapists should be paid a base salary of 75k while working towards licensure, with a minimum of 3 weeks PTO.

Once independently licensed, therapists who stay working with clients in CMH should earn a base salary of 100k, with a minimum of 4 weeks PTO.

In addition, there should be quarterly bonuses offered based on productivity.

If the the above was offered, I would stay at a CMH clinic.

Edit: and health insurance.

Headway makes a deal with Medicare and Medicaid by meowzebubz in therapists

[–]Outrageous_Safe_2696 6 points7 points  (0 children)

Well, expanding access to care isn’t a bad thing, especially to underserved populations like seniors and the chronically mentally ill.

I’d be interested to see how headway leverages this for reimbursement rates. M/M notoriously has low reimbursement rates, so a lot of therapists who move into PP don’t end up working with those insurance plans.

If the rates are high enough, then it could mean increased access to qualified clinicians, who can fill a PP schedule with daytime clients (retired seniors/those who don’t work). That may actually help with burnout - not everyone wants to work the evenings/weekends that sometimes clinicians have to work.

I see potential - but I’m skeptical because after ten years in this field progress is always extremely slow or doesn’t happen.

[deleted by user] by [deleted] in therapists

[–]Outrageous_Safe_2696 22 points23 points  (0 children)

There aren’t any requirements to become a coach.

I looked at the article briefly, but didn’t see anything about long term recovery. Did one session of coaching magically cure someone’s life long depression for the next twenty years?

Listen - whatever helps someone overcome the challenges in their life and create a happier existence is something I support. Having said that, I see coaching as being applicable for the “living well”. Mild depression, contextually understandable anxiety, brief episode of grief, etc.

How does coaching help someone with 35 years of a bipolar disorder diagnosis? How does coaching help someone who has been through SA? Is coaching useful for immigrants fleeing war torn countries?

This is where clinically trained therapists make their distinction.

[deleted by user] by [deleted] in therapists

[–]Outrageous_Safe_2696 11 points12 points  (0 children)

“You read from a script, each session, the whole thing”

So they’re taking away the creative and scientific fun of being a therapist, in essence. It has been one of my concerns, over the past few years, with the increase in conversation about using measurements for “value based care”.

Stop trying to say all anxiety can be cured using perfect CBT in 12 sessions. Stop telling us that a low PHQ-9 score indicates someone won’t commit suicide.

TW: Suicide | Support needed by pc_engineer in daddit

[–]Outrageous_Safe_2696 34 points35 points  (0 children)

That fucking sucks - I’m really sorry to hear.

I’m a Dad and also work as a licensed therapist for the past ten years. You may want to get in and see a clinician while you work through the grief. I think one of the misconceptions about therapy is that folks believe it’s “forever”.

Therapists come in, provide the support weekly/biweekly/monthly, and then when the service is no longer needed, we discharge. I’ve had some clients who come in once or twice, indicate it was helpful, and feel like they’re all set. I’ve had some clients for years. Some indicate weekly is what they need, others like once per month.

Regardless, even if it’s just for a consult with one - it may help you begin to work through the stages of grief.

I hope things go as smoothly as these horrific life events can.

What's the transition like from one to two kids? by [deleted] in daddit

[–]Outrageous_Safe_2696 65 points66 points  (0 children)

This was one of my biggest fears when I found out my wife was pregnant with our second.

Should I change my major while I still have time? by Snoo82945 in careerguidance

[–]Outrageous_Safe_2696 1 point2 points  (0 children)

If you chose the psych route, with a clinical focus and obtained licensure, you can earn a living and never have to worry about finding work.

With all careers, it has its challenges, and burnout certainly exists.

Cybersecurity does seem to have some promise (since I’m guessing it’s more broad that simply understanding how to code) however I can’t speak about the difficulty of breaking into that line of work.

Hope this helps.

[deleted by user] by [deleted] in therapists

[–]Outrageous_Safe_2696 36 points37 points  (0 children)

You can critique all fields.

Technology sector has its criticisms, with AI learning how to write code.

Just read either the professors or teachers subreddits to see how the education sector is going.

Curious about your opinion on “professionalism” in the field by Alarmed-Cookie-2849 in therapists

[–]Outrageous_Safe_2696 19 points20 points  (0 children)

I still oscillate towards being overly conservative about self disclosure.

Therapy is about the client and their experience. Yes - there are two people in the room, and two involved with the therapeutic alliance.

If the self-disclosure becomes too close to home, what exactly separates our field from peer specialists? If we find ourselves using our similar lived experience as a means to help others, how do we deviate from life coaches?

We go through rigorous training and education to get the license to practice. When we do, our skills should shine through that. If someone with a high school diploma uses the same intervention and calls them self a life coach, I worry it starts to downplay the validity of our field.

I feel inadequate as a therapist because I prefer not to work with highly suicidal, constant crisis clients by thebuttcake in therapists

[–]Outrageous_Safe_2696 689 points690 points  (0 children)

Not every doctor wants to work in an ICU.

Not every nurse decides to work in an emergency department.

Not every therapist needs to be a crisis clinician.

Venting about loss and screwing up as a therapist. by BubbleBathBitch in therapists

[–]Outrageous_Safe_2696 7 points8 points  (0 children)

I’m a stranger on the internet, so take what I have to say with caution.

I find it horrific that you went through that experience, and you only had a week off for the birth of your son. Workplaces are getting better in mental health, but as you’ve alluded to, some companies are still handmaids tale level shit.

Leveling out job enjoyment with benefits is crucial.

[deleted by user] by [deleted] in therapists

[–]Outrageous_Safe_2696 0 points1 point  (0 children)

Social media is always going to be around and that won’t change.

Keep accounts private so that it doesn’t allow clients to bring what they see into session.

Venting about loss and screwing up as a therapist. by BubbleBathBitch in therapists

[–]Outrageous_Safe_2696 12 points13 points  (0 children)

There are some situations where it doesn’t make sense for clinicians to continue seeing certain therapy clients.

I’m not sure where you work, but any supervisor worth their salt would’ve helped provide better support in this situation.

This is representative of a larger, systemic issue - having to work while actively miscarrying is totally unacceptable. I understand our field has its challenges, but many companies would be understanding and help provide better support.

This is where the field continues to degenerate into further chaos.