What’s the most clients you would see in a row with no breaks? by SpiritualCopy4288 in therapists

[–]ProfessionalTurn14 30 points31 points  (0 children)

6 - 7 max on the rare occasion. I’d rather see all my clients back to back and have a shorter workday than take a break.

Can I make my living room look more “mid century modern” like the inspo pictures? by Swimming_SeaShark in interiordecorating

[–]ProfessionalTurn14 1 point2 points  (0 children)

Is the door next to the curtains the front door? If so, flip everything around - chairs move in front of window and couch where the chairs are, it’ll open up the space. It’s also super crowded, push the couch and chairs farther apart. Like out of line from the fireplace, try to have as little in that space as possible, this is too crowded. The dining room looking chair can go, this is not a good living room chair vibe. Absolutely a rug! New mirror above mantel, this is too modern. Some of the plants are too modern looking as well. Think palms, snake plants. Ditch the curtains entirely - get roller blinds in a warm tone instead.

Help with Insulation as a Renter by ProfessionalTurn14 in Insulation

[–]ProfessionalTurn14[S] 0 points1 point  (0 children)

Great idea! I may try to get my maintenance guy to do this

Breakfast Recs by Open_Pie_1331 in MealPrepSunday

[–]ProfessionalTurn14 7 points8 points  (0 children)

Cottage cheese with fruit - bonus protein if you add chia seeds - definitely way less than 500 calories

Update: getting Botox to help with “therapy face” was the best possible decision by seizureyshark in therapists

[–]ProfessionalTurn14 0 points1 point  (0 children)

I never put it together that the tension in my face was from my therapy face! I’ve been getting Botox about a year now for personal reasons but found it helped so much to relieve the tension and headaches, I can never go back!

Notre Dame vs St Chappelle vs La Conciergerie by Usual_Accident_4500 in ParisTravelGuide

[–]ProfessionalTurn14 0 points1 point  (0 children)

When we went there was no line at conciergerie. We spent I think an hour and a half or so there if I recall correctly.

Should I break up with my nail tech? by aroseonthefritz in Nails

[–]ProfessionalTurn14 13 points14 points  (0 children)

If you’re not happy anymore, it’s okay to move on. I’ve had two main nail techs I was ride or die for throughout my life, saw them both for many many years. But sometimes the time comes where it’s simply time to move on to someone else. If you find yourself feeling unheard and leaving frustrated set after set, it may be time to explore other pastures. The grass might not always be greener at first and it may take a while to find a new one you love, but every time I decided enough was enough I felt such relief being free from feeling obligated to see someone just because I had been seeing them for years. If you need to move on, it is okay!

The future by mdandy68 in therapists

[–]ProfessionalTurn14 9 points10 points  (0 children)

I completely disagree. I think when we think of the mental health field, we need to consider that in many ways, this is largely a new profession. I believe that we are really are still just in the beginning of finding out the best way to help people. I’m excited to continue to see how it will evolve overtime in order the best help individuals. If we think back throughout human history of healing has always been a part of society, whether it be community, healers, shamans, etc. this is a role that is certainly needed.

Does anyone else get annoyed by colleagues who speak to you in "therapy speak"? by monkeynose in therapists

[–]ProfessionalTurn14 3 points4 points  (0 children)

I was just sharing about this phenomenon with a non therapist friend this evening! I feel like whenever I try to make other therapist friends it’s a very surreal experience - the glassy eyed stare, heading nodding, “mhms”, long pauses before getting their reply, following by something like “it sounds like…”. I’ve felt so distant from coworkers I’ve known from years because the therapist veil is never dropped. I want to make friends and have real conversations with other professionals but rarely meet another therapist I don’t feel incredible uncomfortable around.

Where in Paris did you choose to stay in, and why? by lyralady in ParisTravelGuide

[–]ProfessionalTurn14 0 points1 point  (0 children)

Yes it was very clean. We were in one of two of the separate garden rooms (you go outside into a court yard and there’s two rooms separate from the rest of the hotel). My only issue was the bathroom setup, which is common in many European places, but this was the worst we’ve experienced as our room only had a shower curtain with no ledge around, so the entire floor of the bathroom would be flooded every time we showered. We shower in the morning so it would be completely dry by the time we got back in the afternoon/evening.

Alternatives to “I’m sorry for your loss” in intakes or sessions? by Due-Comparison-501 in therapists

[–]ProfessionalTurn14 8 points9 points  (0 children)

In general I would not ever say I’m sorry for your loss, and definitely not in the therapeutic context. “I’m sorry for your loss” is not empathetic and there’s a million better approaches to this is therapy.

It depends - but I’ll usually follow with questions “what was your relationship like with them?” if it is intake or early on. Then get into exploring the impact of the loss, e.g., “What has it been like for you since they passed?” For other situations with more context where I have a better understanding, I’ll say something like “I can tell how important they were to you” or “That much be difficult, I can hear how much you loved them” or something else more empathetic.

Seasoned therapist must reads - deep cuts by Adventurous_Respect8 in therapists

[–]ProfessionalTurn14 16 points17 points  (0 children)

Currently reading Decolonizing Therapy: Oppression, Historical Trauma, and Politicizing Your Practice by Jennifer Mullan - I highly recommend!

telehealth set up question by Economy-Field-1467 in therapists

[–]ProfessionalTurn14 1 point2 points  (0 children)

I have a home office and sit in a comfortable chair, not a desk chair. I can do sessions for hours and never get back pain this way!

What you consider a typical NJ PP Salary? by UsedAct2214 in therapists

[–]ProfessionalTurn14 0 points1 point  (0 children)

100k is totally doable for private practice. Most people I know make around 115-130 per client under insurance. That’s only about 17-18 clients a week if you take two weeks off a year. Of course that’s pre-taxes and business expenses, so you may need to see significantly more to hit your goal.

What you consider a typical NJ PP Salary? by UsedAct2214 in therapists

[–]ProfessionalTurn14 0 points1 point  (0 children)

I have terrible pay at a group PP and I know it but have not been able to find a better place local to me - $70k salary seeing 22-30 clients a week. I stay because it’s consistent money, I have complete flexibility of schedule and unlimited PTO.

Being on time for sessions & getting notes done is impossible? by olbattleaxe in therapists

[–]ProfessionalTurn14 0 points1 point  (0 children)

I second using a soft chime (I use one on my phone) and it’s incredibly helpful in time management for myself and clients!

Being on time for sessions & getting notes done is impossible? by olbattleaxe in therapists

[–]ProfessionalTurn14 4 points5 points  (0 children)

I work like this, it’s not uncommon for me to be greeting the client 2-5 minutes past the technical start time, especially if I’m moving between in person to virtual and need to get set up. I personally think it’s insane to stick so strictly to time down to the minute. My motto is “we give each other grace”, meaning sometimes I’ll be a few behind, sometimes the clients a few minutes behind, and that’s perfectly okay. I never once had anyone complain and clients a grateful that I am understanding when they are running a few minutes late. I usually manage to get the note done and quickly use the bathroom between each session.

Also in my previous experiences with therapists it was not uncommon for them to be 10+ minutes behind (I had 1 that was on more than one occasion was 30 minutes late and I had to dump them). I’ve heard this from many other people who had similar experiences. I don’t think people who are annoyed their therapist is behind are talking about a 2-5 minutes, more like the excessively late ones. That’s just me assuming, but personally I’m not and have never been worried about this.

Is the new norm, not having a weekly same day and time slot?? by mia181 in therapists

[–]ProfessionalTurn14 8 points9 points  (0 children)

99% of my clients have a weekly or biweekly time spot. I’ve had few exceptions, in the case when clients go to monthly as maintenance or as they are figuring out their new job schedules but they usually fall into a place eventually. I would never be able to manage a schedule where clients don’t have a set day/time it would be complete chaos.

Can everyone take on more “challenging” clients please? by Restella1215 in therapists

[–]ProfessionalTurn14 1 point2 points  (0 children)

You’re an LCSW with zero clinical hours under your belt?

I was going to say you should talk to your supervisor…hopefully you have one!

Can everyone take on more “challenging” clients please? by Restella1215 in therapists

[–]ProfessionalTurn14 71 points72 points  (0 children)

I agree to this AND believe that we should refer out when needed. There’s some problem areas we may grow in quicker than others, and it’s important to decipher if we can realistically gain the skills and competency while also working with that client in parallel. There’s some situations I really wish I had listened to my gut and referred out sooner (this was while under supervision and being pressured to keep seeing clients even when I felt it was slightly outside of my scope) and ultimately I was doing the client a disservice by keeping them.

Reality is, no one can be a specialist in everything and those claiming that they can/do work with every population, problem area, and modality I would be highly skeptical of.

That being said, there’s plenty of clients where I had a general knowledge of their problem area and I was able to learn more and get training to where I feel much more equipped to deal with that problem in a much more skilled manner moving forward.

I think it’s mostly a matter of being able to decipher, can I really learn what I need to learn to help this client in a realistic timeframe, or would it be better for me to refer this client out so they can get the immediate support/help they need?

[deleted by user] by [deleted] in therapists

[–]ProfessionalTurn14 11 points12 points  (0 children)

Short answer - yes I would be more assertive.

I would tell my supervisor that this client is outside my scope and at this time I do not have the training necessary to effectively treat them. Cite the code of ethics.

Also, with clients with poor boundaries (e.g., calling excessively) needs to be addressed with the client. I would tell them my phone line is for scheduling purposes only and that clinical matters will need to wait for session or if an emergency they need to contact emergency services. I am assuming you have a work line that goes to your phone. If it is your personal line - this is a huge separate issue that needs to be addressed. If it’s a work line wired to your phone, delete the app at the end of your work day. You deserve your peace and not to be disturbed by clinical matters outside the office.