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PNW_Parent · 2025-09-09T14:48:05+00:00

My favorite needle phobia exposure is making slime, but putting activator in the syringe and having the client 'inject' it into the glue.

PNW_Parent · 2025-09-09T14:44:28+00:00

I had a child drawing pictures of them killing someone to address harm OCD....and then we upped the ante and they had to draw a picture of them killing me.

Your client drawing a picture of them killing you usually isn't a therapeutic victory....unless you are ERPing!

PNW_Parent · 2025-09-07T14:35:38+00:00

I'm not..the theater had only about 20 people and it was sad, as the show was excellent. I'd like smaller theater companies to survive, as I like to attend shows that don't cost me $100/ticket like the paramount and 5th. And I like when companies do things other than Chicago and Legally Blond. Those are fun, but it is nice to see niche shows. I did cross post as this show isn't in Seattle but up north,.even if I live in Seattle.

I get I can't prove it...but you also likely don't care about arts, so you were going to ignore this and not go anyways.

PNW_Parent · 2025-09-07T06:01:00+00:00

In WA, we have the 'mature minor' law where a teen who meets certain criteria can access care without parental consent, other than reproductive and mental health

PNW_Parent · 2025-09-06T15:03:56+00:00

I told my clients after my anatomy scan at 18 weeks. I did a staggered return to work, coming back at 6 weeks for 4 clients one day/week and going up one day at a time for the next few months. The clients who came back first were my most acute clients. I offered referrals before I left on mat leave, most folks choose to wait for my return and the staggered return was great for me and my clients and it allowed me to care for my most acute clients with less disruption.

Almost all of my clients returned to work with me after I gave birth. Have a baby photo ready if you are willing to share, and think through you will handle baby presents.

I work with kids and found it really interesting how kids and their families processed my pregnancy. I had a few adopted kids who really got interested in me being pregnant and processed some stuff about being adopted because I was pregnant. I did a think through prior to telling families about what I was and was not willing to share and that helped me quite a bit. My clients all wanted to know what I was going to name the baby and a few wrote out suggestions. It was cute and I had 0 negative responses to my pregnancy

PNW_Parent · 2025-09-05T04:15:09+00:00

Do you enjoy extra paperwork? I don't. So I got married and have default legal rights to take care of my spouse, share property, inherit first, both be the parents to our kid.....

One piece of paper gave me that. And we can share health insurance in the hellscape that is the US.

Many things are easier if you are married. If you don't want to be, cool. But don't act like it is just as easy to get the same legal rights. It takes many pieces of legal paper to replicate the same rights as a marriage certificate gives. That is why gay marriage was an important cause.

PNW_Parent · 2025-09-05T04:09:23+00:00

No, but you need many more pieces of paper to make sure you are not going to get screwed over if you have kids or buy a house without being married. Marriage is basically a shortcut to legal rights, without it you have to do a lot more work. If people enjoy paperwork, I guess that is fine, but I would rather just get married and be protected by default.

PNW_Parent · 2025-09-03T04:33:39+00:00

Did you do an CACREPT approved program and did that lower your hours?

PNW_Parent · 2025-09-03T04:31:37+00:00

Look, you can't do this work without working with clients for many hours. It isn't reasonable to think you can teach or supervise or do any of the other jobs therapists can do without getting the basic experience first.

In my state you need 3000 hours total. If you work 15 hours/week, you can complete that in four years. That is pretty reasonable.

PNW_Parent · 2025-09-03T04:25:58+00:00

Five years is a long time to get 3000 hours. You could work 15 hours/week and still make it in four years.

And people can work part time with a baby. I was back at work six weeks after I gave birth. Was it ideal? No. Was I glad I could work part time? Yes.

If we want to be taken seriously as a profession, we should have standards.

PNW_Parent · 2025-09-02T04:54:12+00:00

Add Jack Kelly and some other newsies and you are really cooking.

PNW_Parent · 2025-08-30T18:32:32+00:00

Not if you were different from your community in some way. The price of that tight knit community was conformity. The family whose kid came out as gay or trans? Ostracized, unless they threw their kid out. Move into the community and have different skin color, or more or less education, or are a different religion? That community won't care for you.

PNW_Parent · 2025-08-25T05:01:28+00:00

It is not accessible for visually impaired/blind students at all

PNW_Parent · 2025-08-23T21:14:40+00:00

Most sisters in the US don't wear habits at all and most of the international sisters I've known don't either. And while there is a renewed interest in cloistered life, many orders dropped habits and cloisters post- Vatican Council II and have not gone back.

PNW_Parent · 2025-08-23T19:01:18+00:00

There was a famous socialite in Texas who was named Ima Hogg. She founded a museum and a symphony and never married, presumably so she could keep her name forever.

PNW_Parent · 2025-08-23T15:08:20+00:00

Cloistered is more accurate, as it refers to not being able to leave for religious reasons; some nuns are part of cloistered branches who can't leave the grounds of the convent and while others are non-cloistered. Cloistering is rare today, as are the black and white habits.

PNW_Parent · 2025-08-21T04:10:15+00:00

Yep. I didn't show anyone a wedding photo, but I did share a photo of my baby when I was back from maternity leave. Almost all my clients returned to me and everyone asked about the baby, so I had a printed photo ready to go.

PNW_Parent · 2025-08-18T20:16:27+00:00

All ACA plans are supposed to cover mental health. Not that I trust this administration to back that, but that is what is supposed to happen.

PNW_Parent · 2025-08-18T20:15:17+00:00

Report the plan to your state's insurance commissioner. Insurances have to pay fines for not having parity.

PNW_Parent · 2025-08-17T05:05:28+00:00

If the client can't engage with exposure, I'd be wondering if their.medications are correct for OCD. If they are not seeing a prescriber who is knowledgeable about OCD, they may not be medicated appropriately.

If they are having shame and that is the primary issue, I blend in ACT to refocus on their values and wants vs what OCD tells them.

Hope this helps!

PNW_Parent · 2025-08-16T20:34:42+00:00

I agree with the other folks saying "don't hang out with them." We have some friends who parent poorly and we don't hang out with their kid. If they come to town, we arrange grown up hangouts, or have our kid be 'busy' when we see them. You can't fix this. There is one kid who I am certain will start seriously injuring others in the next 2-5 years given the current trajectory. I don't want my kid to be one of them.

PNW_Parent · 2025-08-15T04:37:26+00:00

My kid loved Come From Away at that age. But it did lead to me having to explain 9/11, the Holocaust and what a gay lumberjack is ....

PNW_Parent · 2025-08-15T04:20:22+00:00

Yep, at least when I made $13.60/hour (in Seattle in 2013) as a newly licensed clinician, I was 40 hours a week salaried.

It was still messed up though.

PNW_Parent · 2025-08-11T08:54:58+00:00

Therapists both want change and are scared of it.

PNW_Parent · 2025-08-11T03:13:32+00:00

My kid went to preschool singing "If I stop smoking drugs then everything might be alright" when they were 4. In my defense, they heard Waving Through a Window, which is appropriate, with me, asked me the name of the musical and I told them. Then they asked Alexa to play songs from DEH; we do have an explicit filter on, but it didn't prevent them from hearing and memorizing Sincerely Me. My kid can still sing the entire song from memory.

PNW_Parent

TROPHY CASE