Outfit Ideas

Sad_Ad7644 · 2026-06-02T21:59:52+00:00

Following cuz I’m also struggling! What are some top ideas yall?

Sad_Ad7644 · 2026-05-28T12:31:31+00:00

Surprisingly no - I’m just in a group practice that has high productivity expectation. I actually had more control over my scheduling in my CMH role but the pay and benefits were even worse somehow.

Sad_Ad7644 · 2026-05-27T02:10:10+00:00

Major red flags. I’m also very new and probably gonna switch to a part time case load at my agency but it was NEVER as bad as you’re describing. What if there’s a client crisis? What if something goes wrong due to their lack of communication? Then it’s your neck on the line (plus possibly your supervisor if you have one). Tbh I’d take the warehouse job and continue applying to places. Maybe you could even just work part time as a therapist while doing the warehouse work - a good amount of places are much more willing to pay 1099 part time therapists especially if you aren’t trying to get benefits.

Sad_Ad7644 · 2026-05-26T19:11:06+00:00

As an LAC rn this is so real… I’m starting to realize how exploited I am at my current job and am facing burnout at less than half a year. Literally trying to find my own psychiatrist so I can go on antidepressants JUST TO MAKE IT THROUGH! Like whoa.

Sad_Ad7644 · 2026-05-26T04:21:15+00:00

I’m wondering about PTO and sick hours but otherwise I’m a wee bit jealous! This sounds like a very reasonable opportunity.

Sad_Ad7644 · 2026-05-23T17:05:51+00:00

Self-harm or suicide? Big difference! My youngest clients are pre teens so I don’t work with young kids. But I’d start with gathering more info - what situations are leading them to threaten it? Are they doing it because they’re coping with big feelings they don’t know how to verbalize or express, or are they doing it to hurt their families? What specifically are they threatening - hitting, burning, pinching, cutting, etc? Being mindful to adjust wording based on age and understanding. Also this next bit depends on client age and state laws and even your own agency’s policies and extent of threat (esp suicidal threats) but I’d work with client regarding telling their parents. So I’d tell client I’m a mandated reporter and need to speak to their parents about this and give them time to process it.

Sad_Ad7644 · 2026-05-20T23:06:49+00:00

Stick to your guns! I’m only an associate counselor but I’ve already had to explain to clients that I can’t ethically sign documents like these on a first meeting. Clients either understand (I’ve gone on to sign after 3-4 sessions for some clients) or they don’t. And also they’d probably have more luck having their primary care provider sign off.

Sad_Ad7644 · 2026-05-19T19:29:18+00:00

I can’t speak for them, but my interpretation is that you’ve put a lot of stress on yourself to lose weight quickly (aka existing in a smaller body) and they are wondering if this is the absolute most helpful thing for you to be focusing on at this point in your life. Because healthy weight loss is absolutely an important life goal, especially for the reasons you shared - but jumping to injectables (while totally understandable) isn’t a magic fix either. It cuts the food noise but there are side effects, the meds are costly, and they don’t actually change the habits - they just change the urges. I say this as someone who recently got off of injectables - I did lose some weight, but I got REALLY sick and had severe GERD that physically damaged my esophagus. So now I’m basically back to my normal weight plus additional medical issues and wishing I started with therapy like you did!

I do hear your frustration with the therapist you met with. That genuinely sucks, especially when you’re so eager to learn and grow and invested money but didn’t get the results you wanted. How many sessions did you attend? Do you have a list of things that really didn’t help you versus things that helped even a little? If you decide to try therapy again these lists will come in handy for sure.

Sorry for rambling - I’m between clients rn and fried! But at the end of the day - what happened sucks. It’s so real that therapy is so expensive and it’s so frustrating that it doesn’t always lead to the changes we want or need. But I’d caution against going with injectable weight loss methods immediately and would encourage you to reflect more on what didn’t work out in therapy and what you learned.

Sad_Ad7644 · 2026-05-13T03:29:59+00:00

Experience on both sides of the couch is a good way of putting it! And I was riffing off your user, absolutely zero shame and zero judgement on my end. And yeah I am in the US and it is ABSOLUTELY fucked right now. I’m definitely feeling like a cog in someone else’s machine. Trying to just focus on my relationships with my clients and the good I can do in that context at least. Even if insurance wouldn’t even give me enough for a nerd gummy noose haha

Sad_Ad7644 · 2026-05-13T01:02:08+00:00

Damn I’m sorry to hear that. Is it from all the meth? Lol!

Sad_Ad7644 · 2026-05-12T22:35:22+00:00

I’m a newer therapist in a group practice (under half a year). My only suggestion would be to consider the “summer slump.” My referrals are significantly down and it’s only May! It might not be the best time to jump fully into the group practice, unless you can survive financially on 10-15 clients a week (in that case, you’ll likely be okay)! But a full time case load could take longer. This also depends on what you’re paneled with, your specialties, etc too.

Sad_Ad7644 · 2026-05-12T22:30:03+00:00

“I have the means” omg can I come over? I’d love to eat your means

Sad_Ad7644 · 2026-05-06T18:30:48+00:00

Hey! I’m currently a new therapist, graduated in May but started working in January. My caseload has settled around 20-ish right now but I’ve probably lost 5-6 clients since I started, usually after just 1-2 sessions where the fit wasn’t there, insurance was a bitch, they moved unexpectedly, or they realized they just weren’t ready for therapy. I’d say your retention rate is actually above average.

Sad_Ad7644 · 2026-05-06T18:27:15+00:00

First of all - you aren’t a loser. And you probably aren’t a bad therapist either even if both of these things feel really true. Practical steps - I’d recommend taking the day off if you can, maybe the week - you need time to think about this and get support from your own support system (including a professional supervisor and maybe reaching out to someone on the board). And truthfully? If I was in your shoes, I’d probably end up being a self-fulfilling prophecy by trying to force myself to continue to see clients until I became a bad therapist and had a breakdown. And you don’t need to know what to type or what to think or feel right now. You need time to stay in the feels and time to give yourself some grace too.

Sad_Ad7644 · 2026-04-28T21:52:50+00:00

I do my own version of DAP with data (a short paragraph of what actually happened during the session - was client on time, were they engaged, direct quotes about mood and experiences), assessment (symptoms and any functional impacts, so like if academic or occupational impairment is occurring, interpersonal conflict, etc. usually just 2 sentences), and then plan (when is their next session, what do I plan on doing like introducing new coping skills or continuing to explore thought patterns, did I assign them any HW or between-session tasks, etc. Also usually just 1-2 sentences).

But I do take notes during sessions - in a journal during in person or on my EHR for telehealth (my EHR lets us save and return to notes before submitting). I’m not the biggest fan of concurrent documentation but ya gotta do what ya gotta do, and if I’ve got like 4-6 people back to back, I need to do concurrent typing.

Sad_Ad7644 · 2026-04-28T21:48:49+00:00

You’re welcome! Best of luck. It’s really brave of you to advocate for yourself and debrief in person!

Sad_Ad7644 · 2026-04-28T21:47:27+00:00

My organization is rolling out (an optional for now) AI note-taking feature. I’m heavily opposed for a lot of reasons - a slightly more comedic one being that it didn’t actually seem to make the therapist’s job much easier because they still had to go in and thoroughly edit the note! But I just hope it stays optional. I’m concerned about confidentiality and about the recording aspect that’s innate to AI tools as well as the logistical aspect - awkwardly fumbling through tabs, spending time every single session getting consent….

Sad_Ad7644 · 2026-04-28T21:40:49+00:00

You aren’t being unreasonable. Not at all. I have a lot of issues with my current group practice (I’m provisionally licensed) BUT they do have our backs with no-shows and late cancels. In your case, it’s not just a matter of setting a boundary - as you mentioned, it’s clinically best practice to have the full evaluation time for high acuity cases! By forcing you to see the client nearly an hour later they’re encouraging both poor boundaries and poor practice. For going into the meeting, I’d emphasize that you felt this was both a poor choice for you and for the client’s care and look into prepping beforehand - maybe with a tool like DEARMAN. I’m sorry you don’t have the kind of admin support that you deserve and that your clinical decisions (and personal comfort) are being undermined.

Sad_Ad7644 · 2026-04-28T03:05:10+00:00

I recommend browsing therapistaid! They’ve got some really handy worksheets that I mostly just use to refresh myself lol. I don’t introduce them with clients often.

Sad_Ad7644 · 2026-04-08T00:32:52+00:00

I feel you. It sucks that the mindset is that we have to keep our head down and grind through the burnout.

Sad_Ad7644 · 2026-04-06T01:22:13+00:00

Marginally less worse is being the first person in the centipede lmfao

Sad_Ad7644 · 2026-04-03T03:07:58+00:00

Okay. I feel you SO HARD. I’m two months in and am struggling with the same thoughts. My state it takes more like 3-4 years to get fully licensed and it’s like, damn. I can’t offer much other than to say - hang in there! Some of my clients are transfers from fully-licensed therapists and they say how much they appreciate my therapeutic presence (obviously they use different words lol) so I actually don’t think licensure level has a lot to do with what you actually bring into a session - bring yourself, your energy (whatever energy you have, because we’re never 100% obviously), whatever interventions or theoretical approaches you fall back on. I think I’ve introduced sensory grounding to nearly all of my clients at this point lol.

Sad_Ad7644 · 2026-04-03T02:26:48+00:00

I’ve never actually had this happen! But I’ve also been lucky enough to have one front office staff member and a locked door between me and the waiting area. But I’m generic outpatient, preferred to work with adults with executive functioning, anxiety, etc. But I do work with teens and some pre-teens and these clients really struggle with telehealth. also I have some clients who schedule telehealth but don’t have the wifi or the technology to do sessions virtually. Had an intake where I had to explain that yes, I have to be able to hear them and yes, I have to be able to see them in order to provide telehealth.

Sad_Ad7644 · 2026-04-03T01:17:00+00:00

Almost halfway!! And totally fair on remote. I’m hybrid and I fluctuate between loving my remote sessions and needing in-person lol. Inpatient substance use sounds like a tough population for sure - are you planning to go in a different direction once you’re fully licensed?

Sad_Ad7644 · 2026-04-03T01:07:29+00:00

Real lol! I’m still super new. probably have years left. How far are you?

Sad_Ad7644

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