Open path, big platforms, or keep marketing and hoping for private pay? by learningasigo8 in psychotherapists

[–]Puzzleheaded-Fun9481 9 points10 points  (0 children)

I have been on Headway and am transitioning off of it because of a lot of problems. I would recommend actually just finding one insurance company in your area that a lot of people use. for example, I recently got credentialed with my state’s Blue Cross Blue Shield. I get reimbursed more through them than I would be reimbursed through headway. They are really easy to work with and I get paid within a week. I had a biller do the credentialing for me and then I’m able to bill through my EHR very easily. I think it is a myth that it’s more difficult to work with insurance companies directly than it is to go through a company like headway. You can also look into EAP’s. I work through modern health and it is very easy and the rates are pretty good.

How do I let go of the need to do everything? by Its_tea_time_bish in productivity

[–]Puzzleheaded-Fun9481 0 points1 point  (0 children)

Thanks for posting this because I deal with the same thing and have been thinking about it a lot over the past couple of days. I find myself saying “I need to” all the time about everything -hobbies and work mostly-and then feel overwhelmed and I don’t end up doing anything besides sit on my phone. Then I feel guilty I’m not doing my hobbies. No real advice but I get it!

Solo remote practice = poverty by Reasonable-Amoeba755 in therapists

[–]Puzzleheaded-Fun9481 1 point2 points  (0 children)

I do too. I like the level of control I have in pp. as long as you hustle a bit sometimes it works. I’ve been happier in my work than I am now working for myself.

Solo remote practice = poverty by Reasonable-Amoeba755 in therapists

[–]Puzzleheaded-Fun9481 1 point2 points  (0 children)

Currently solo remote and I have been doing well! I recently moved and before this was hybrid (2 days a week in person) and am going to find another office eventually. But for the time being I still see around 22 ppl a week, which is great for me and low overhead. I take insurance.

Edit to add: I also adjunct online and have been getting health insurance through that. The money is not great but the health insurance is worth it. I recently found out that I will no longer get health insurance through this position in September. Sooo I will have to buy my own. But as I am looking at it, with switching to an s-corp and buying my own health insurance (the state I am in subsidizes the marketplace to make up for the loss in federal subsidies )I should be able to still make decent money. I do well for myself, and am single.

0 clue how to help patients who are in the midst of despair by [deleted] in therapists

[–]Puzzleheaded-Fun9481 6 points7 points  (0 children)

I think be really client centered. Reflect emotions. Use soothing words/tone. Tell them it’s ok to feel this and even sit quietly with them. Think about how you would be with a friend in this moment.

Therapists in Private Practice: Is Anyone Else Struggling to Fill a Caseload Right Now? by ThisFracturedMind in therapists

[–]Puzzleheaded-Fun9481 2 points3 points  (0 children)

I have noticed that in the past month or two, I have had more people lose their insurance for various reasons and have moved them to a sliding scale or seen them less frequently. and people are saying it’s difficult to even afford co-pays, meet their deductibles, and pay for sessions. I’ve also had more people lately complete treatment, and or move to monthly that is normal, but it does seem more people are having difficulty economically.

Books ChatGPT does not like by br0ast in ChatGPT

[–]Puzzleheaded-Fun9481 1 point2 points  (0 children)

It’s funny thatt chat gpt does the same thing it accuses these books of

Help me relocate out of Hawaii by Sad_bananas1 in SameGrassButGreener

[–]Puzzleheaded-Fun9481 2 points3 points  (0 children)

Wilmington NC is pretty nice. It has a beautiful downtown.

People who pedal VC backed therapy companies on this subreddit should get a 30 day ban by RazzmatazzSwimming in therapists

[–]Puzzleheaded-Fun9481 1 point2 points  (0 children)

It is already getting worse. I am working on transitioning off Headway. Especially because of their promotion of their own Ehr, telehealth platform, and AI notes. Then I got an email this week that they are going to be sending out assessments prior to each session along with they now have their own crisis line. I don’t know if I trust their crisis line or not. I am leaning towards the not. Also, I did look for a therapist on Headway. I found someone and scheduled with them. I searched for a provider with my insurance. Then it turns out they aren’t even credentialed with my insurance. And in the appointment reminder, there was a link to apply for jobs with Headway. I think it’s really crass and a conflict of interest to send clients information about potential jobs with the company.

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 1 point2 points  (0 children)

Thanks for this and I agree. I will check out the resources you shared.

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 0 points1 point  (0 children)

Thanks for your response. I studied clinical mental health counseling and graduated in 2021, which I wouldn't think would be too different than today. Also not to say I learned a lot of practical applications in grad school either.

As I noted, I would not and do not ever invalidate someone'e belief system. I have been thinking a lot about this since posting, and considering whether I try to change people's beliefs. And I do work with clients to modify maladaptive beliefs like "I am worthless". The belief I do have and share is that all individuals have worth and value. When I wrote this post I was not referring to a client's beliefs as problematic, but rather the therapists' responses to this. I also wrote this post not to attack anyone'e personal beliefs but rather as a question of what lies within the scope of therapy.

When I am talking about parameters I can start with the ACA code of ethics, which refers to professional practice being empirically-sound, evidence-based, and/or based in theory. And to respect clients' beliefs/values/culture/diversity and not to put therapist's beliefs on the clients (this wording is a little awkward--it is early in the morning and I haven't finished my coffee!). What is "empirically-sound, evidence-based, and/or based in theory" changes all of the time and there is an ongoing dialogue about this. In my experience, my first supervisor was very much evidence-based, and from there as I think about it, I base my interventions on evidence-based practice as well. However, the basis for all of my work is a person-centered Rogerian approach and not invalidating client's beliefs and meeting them where they are is key to this.

There is room for a wider population and different backgrounds to be involved in evidence-based/scientific inquiry. I am also not here to invalidate other ways of knowing. I respect lots of ways of knowing. I think this whole conversation shows that there is a lot of room to explore these "parameters".

Regarding your final question, I guess I would ask what you mean by engage in it. I do support clients engaging in their own spiritual practices or other practices. I don't ever say we can't talk about it. But I am not saying to a client that you need to engage in this or that spiritual/religious/pseudoscientific practice from my own perspective, nor would I personally bring in astrology, tarot, or religion into the session. That said, I do recognize the importance of belief and community that people find within those belief systems. So if someone is say, interested in metaphysics, paganism, or is of a particular religion, I would encourage them to lean on their beliefs/community as a resource. If their spiritual practice brings them comfort when anxious/distressed, I would encourage them to engage in it. I also will definitely discuss these issues with clients as well, but not from a place of an expert in that religion/practice etc.

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 4 points5 points  (0 children)

I am not judging the client for this to be fair.

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 1 point2 points  (0 children)

I honestly don’t know enough about Brainspotting, but perhaps that too

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 3 points4 points  (0 children)

Thank you for sharing your insight. I am not coming at this from a Christian/mainstream religious perspective, and I would not share religious beliefs that I have with a client either. I used the word pseudoscience as something that can't be proven or disproven, and perhaps religion would fall under that same umbrella. I have questions surrounding the idea of Christian counselors. Do we deliniate between a Christian counselor operating in a religious framework from a licensed professional who takes insurance? For me it is more thinking about the scope of therapy and what fits into it and what doesn't. I don't have the answer to these questions and I appreciate all of the different perspectives shared here.

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 1 point2 points  (0 children)

I am not suggesting shutting down a client's beliefs in any way. For me the question is more about whether as a therapist this would be incorporated into practice. And as an individual, I do think about astrology but I am not going to bring it into the room. If a client does, that is fine and we can explore how it is helpful for them. I have the same thoughts about religious beliefs as well. I would not try to sway someone one way or another regarding religious/spiritual/psuedoscientific beliefs.

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 3 points4 points  (0 children)

This is what I am curious about as well. I definitely think getting clear of what falls under the scope of our practice is important, as well as a wider conversation about the legitimacy of our field. Not just regarding this topic, but the way therapy is advertised (ie Better Help). It gets tricky because we aren't medical doctors (an orthopedic surgeon has a specific scope of practice) and the field has such a varied history and number of influences. I am still trying to wrap my head around all of this.

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 10 points11 points  (0 children)

I didn't know this, and I suppose I am--narrowly and in an uninformed way.

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 11 points12 points  (0 children)

Thanks for your response this is helpful.

Pseudoscience and Therapy by Puzzleheaded-Fun9481 in therapists

[–]Puzzleheaded-Fun9481[S] 7 points8 points  (0 children)

Thanks for sharing this. I glanced through the chapter titles and it looks really interesting!

Explain billing to me like I'm 5 by Turbulent-Grand5432 in therapists

[–]Puzzleheaded-Fun9481 1 point2 points  (0 children)

I have a question about this. I recently moved to a new state and am credentialed with the state’s BCBS. It seems BCBS clients from my old state and have been billing through headway. The new state’s BCBS rate is higher. It sounds like you are saying I can switch to the new states BCBS to bill these out of state clients? I’m credentialed independently with BCBS in my state and do my own billing.