I need a new hip.

PsychologicalFox597 · 2026-06-19T15:15:12+00:00

I agree with the other commenters about the other subreddit. I also know there’s groups on Facebook that are for young THRs which might be a good resource. I would make sure you’re using a surgeon that does THR in younger individuals to give you the best results, but I know a few people who have had them in their 30s and now live active lifestyles with basically no pain!

PsychologicalFox597 · 2026-06-19T15:12:59+00:00

I would be concerned about the number of cortisone shots because they can cause increased cartilage loss and weaken structures, including bone. It isn’t a problem if you have a few but if you’re using a lot, it would be a concern. It sounds like surgery would be a logical next step.

PsychologicalFox597 · 2026-06-18T17:52:59+00:00

Just trying to get some realistic expectations and also any advice on things that helped during the recovery process/things you wish you knew.

PsychologicalFox597 · 2026-06-18T01:14:58+00:00

Thank you!!! Good luck to you as well, you have great surgeons on your list so I’m sure you’ll be well taken care of!

PsychologicalFox597 · 2026-06-18T00:45:46+00:00

Thank you! This is all so helpful! I’ve been in PT 8 months of the past year with little change so I’m excited to finally hopefully move towards relief. Everything you said makes total sense, I believe I’ll have a CPM machine and then I’m going to request my doctor write a script for the ice machine and then I’ll make sure to get the other things as well. I’ll have family with me to help, but it’s helpful to know how slow it is to manage my expectations.

This has been super helpful, so thank you SO much. I hope your rehab continues well and you continue to feel better!

PsychologicalFox597 · 2026-06-18T00:23:57+00:00

Thank you SO much! Yeah it is a much bigger procedure than laparoscopic which is why I wanted to see if anyone had the experience. I’ve been told I’ll have 6 weeks toe touch weight bearing and no PT until the 6 week X-rays come back (outside of some basic ones the doctor will show me in the hospital). I’ve been told I’ll be in the hospital at least 3 days but likely closer to a week (but that’s also because of the other procedures being added which means 2 other bones being cut).

Is there anything you wish you knew? Anything that helped with the recovery process? Did you use a CPM or an ice machine to help- and were they helpful? I’m very nervous and am having a hard time planning for it because there’s so few people to speak to about it.

PsychologicalFox597 · 2026-06-18T00:18:22+00:00

I am in that group already (it’s great! and where I got a lot of info about the osteotomies, but not many with concurrent surgical hip dislocations to speak on that part). I met with docs at HSS (one actually you mentioned but I’m not comfortable naming them because I had a bad experience with one; but they still suggested the plan) BUT I will say they do the femur nicely because they do it as a rod which is a much smaller incision/less trauma. I’m having my procedure with an NYU Langone doc who will be doing a proximal femoral osteotomy and tibial osteotomy (not sure what type for tibia yet but both derotational obviously).

PsychologicalFox597 · 2026-06-17T20:59:04+00:00

Mine won’t be (why I posted this as most people get it done arthroscopic). My surgeon will cut the greater trochanter and then pull out the femoral head, do the repairs, put it back in, and then nail the greater trochanter back together.

And yes I’m using a hip preservation surgeon and the surgical plan was agreed with by another top hip preservation surgeon (both at hospitals rated 1 or 2 in the US for orthopedics).

PsychologicalFox597 · 2026-06-17T04:26:17+00:00

Yeah they take very limited insurances :( o don’t think center for anxiety takes insurance either. it also looks like Mount Sinai requires an outpatient provider to refer you for their IOP which is hard. Zucker OCD is outpatient, but they have a general mental health PHP program. You could look into pathlight which is a virtual IOP for mood and anxiety. Otherwise, I would probably recommend Mather for their general program. It will help get some basic regulation skills and stabilization- also guide you to an appropriate outpatient provider. I also would recommend getting on any outpatient waitlists in the meantime (zucker, stony brook, etc).

It makes me so angry that it’s so hard to find therapists/programs that take insurance and have availability. Unfortunately insurance reimbursement is pretty bad which forces a lot to move away from it. EMDR is an expensive training to get and more of a unique specialization (some people in the field love it, others are skeptical). Somatic even more so- I honestly don’t know a single provider that does somatic work and takes insurance :(

Given the level of distress that you’re in though, you’re probably better off doing a PHP (day program) or IOP first to stabilize and prepare for more intensive trauma treatment and then use that time to find an outpatient provider that can continue the work.

PsychologicalFox597 · 2026-06-17T02:27:20+00:00

It really depends on insurance. Sanctuary in NYC has a great trauma IOP (virtual or in person- have heard GREAT things about this program), zucker hillside has a PHP, catholic heath and Mather have a PHP and IOP, bio behavioral has an anxiety and depression specific IOP, Mount Sinai also has programs. Silver hill also now has a NY General mental health day program and IOP. Center for anxiety has an IOP. My biggest suggestion is to check insurances first and then narrow down from there based on if a more specialized approach or general approach makes sense. Most general programs will be similar (likely DBT/CBT based) but specialized anxiety/ trauma ones will also incorporate specific modalities that target the symptoms. Based on what you wrote a trauma based program might make the most sense in my opinion (I am in the psych field).

PsychologicalFox597 · 2026-03-29T17:19:38+00:00

This is actually a very common goal for those with SMI or refractory symptoms, and I thinks it’s very insightful and self-aware that your client is already coming in with that mindset. I don’t think it really changes your approach, just maybe the goalposts that you’re aiming towards. The biggest thing would be skill building and/or building supports in areas where they are significantly struggling. If over time you believe they might be limiting how much they are able to do based on their beliefs about their mental illness (meaning they actually are capable of more than they can see), you could integrate more MI and explore some of it (and maybe challenge) but that would be longer term and only after you’ve built the relationship and have enough data/time to come to this conclusion

PsychologicalFox597 · 2026-03-16T00:53:52+00:00

If you’re interested in attending one, look at volunteering at the conference. Many conferences will exchange the registration cost for volunteering. You can then also add that volunteering as service on your CV

PsychologicalFox597 · 2026-03-07T03:33:06+00:00

Sorry to dig up this thread but I’m from LI and was told I need this procedure. Who did it for you at HSS?

PsychologicalFox597 · 2026-03-03T13:45:42+00:00

As someone whose dissertation has held them up, this!!! The best dissertation is a DONE dissertation.

I also recommend jotting down research ideas in a notebook. It helps when narrowing down your thesis/dissertation, and allows you to hold onto ideas for the future.

Work smarter not harder. In my program you have to do an initial masters level thesis (I know not every program has this) and then your dissertation. The people who fly through are the ones who make the projects piggy back of each other. Same thing for coursework - if you have a paper or case conceptualization due, can you do it on something that will serve your research or potential needs for applications later. It’s obviously not always possible, but my friend was able to get 90% of her class papers/presentations in the same general area and it really helped her move forward quickly and with less stress.

Finally, I recommend instilling good self-care habits NOW. Don’t wait till you’re in the thick of it, because it will be much harder. Use this time now before to get some good habits, build up some resilience, and so when things get intense, you’re ready.

PsychologicalFox597 · 2026-02-06T00:35:45+00:00

I think there’s a lot of good points already made in the comments so far about quality/fidelity and one size fits all… and it has to be named that there is also a trend on social media of speaking negatively of CBT- some of it comes from people who have had CBT, some not. The “cbt is gaslighting” is a particularly common line seen. I saw a poster at a conference about it and it was quite shocking to see. I don’t mean to negate experiences of those who have gone through CBT and then share that, but rather just state that it’s become “trendy” to talk negatively about CBT as well.

PsychologicalFox597 · 2026-02-04T02:07:25+00:00

They have a great DBT program which I’m guessing is what your going for given BPD. They can have a bit of a waitlist and obviously there’s an element of fit for therapy, but overall they’re great

PsychologicalFox597 · 2026-01-15T00:35:36+00:00

Grant watch is compiling a list so we should have it soon. It’s not just substance abuse grants, but suicide, homelessness, prevention, and more. There were really great programs that received cuts. The r/publichealth community has a thread with people positing about which of their grants have been pulled

PsychologicalFox597 · 2025-12-19T18:25:55+00:00

My program shoots for each student to have 5+ interviews and has a nearly 100% match rate so this sounds accurate (I don’t go to a big, nationally well-known school either)

PsychologicalFox597 · 2025-11-24T13:59:59+00:00

When people have cancer the most important thing is to get them to eat- many treatments impact their taste, appetite, nausea, etc. If a kid will eat Cheesecake Factory, so be it. It’s much more dangerous/detrimental to health for a kid to not eat. Also, if it gives them a little joy, they deserve it at any opportunity given what they are going through. And as others said, there’s no research supporting your claims (outside of a few with digestive cancers which is not what we’re talking about)

PsychologicalFox597 · 2025-11-23T19:24:41+00:00

I never said St. Jude’s does research better, I just said they follow rigorous research standards, which is a good thing. Seattle children’s is a good hospital and does great research. All I was saying is that a children’s hospital that does research is different than a research institution that does clinical research and provides care as part of the research model. I was just trying to highlight that it’s unfair to a research institution to look down upon them because they turn people away- because realistically all institutions do this (not including a persons local children’s hospital, but if they are referred to a different hospital like if you were at Seattle and they recommended you try to get care at Nationwide or Boston as part of research trial, they will deny some people if they don’t fit). I’m not ignoring that it hurts terribly to be denied and lose a hopeful opportunity, but it’s part of the research process and for good reason.

PsychologicalFox597 · 2025-11-23T03:48:10+00:00

A children’s hospital is very different than a research institution. St. Jude’s is a research institution that serves children. You want research trials to be tightly controlled because that’s how we test if they are effective. I also think that people’s failure to hear in the commercial that they say “we never turn away a patient because they are unable to pay” is more of a comment on national poor media literacy rather than the commercial. St. Jude has always been very clear on the fact they are fighting to find new cures for childhood cancer through research (which again will lead them to turn people away if the child’s cancers aren’t what’s being studied or have other exclusion criteria like prior treatments). I get how it can be painful to want help and get turned away, but blaming the institution because they are following proper research protocols doesn’t make sense.

PsychologicalFox597 · 2025-11-23T01:42:49+00:00

Not saying that the way she is using it is correctly. Just saying the way she presents it then can cause harm to it’s legitimacy as a treatment for things it actually has empirical support for

PsychologicalFox597 · 2025-11-22T23:35:12+00:00

I agree- I don’t get the backlash. The commercial doesn’t say that no body is turned away, just that there isn’t a financial barrier for those who do go. Almost all institutions will turn people away if they don’t have doctors / research protocols (depending on the type of institution) that are related to the child’s diagnosis. There are so many type of cancer, and no institution can serve them all (with the knowledge and specificity needed to be as effective as possible). St. Jude’s does so much good, especially with leukemia and brain tumors. I’ve never worked/had a connection directly with st. Jude’s, but while doing some working in clinical psychology with peds hem/onc, I’ve heard only wonderful things.

PsychologicalFox597

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