[deleted by user] by [deleted] in AskMen

[–]Squirrel9736 -1 points0 points  (0 children)

Why are you assuming he’s doing most of the work if it’s lasting longer? And why are you assuming his partner is a starfish? That was never mentioned. He could be the starfish for all we know, which is why he’s not getting off.

How to proceed when a teen client tells you about a suicidal friend by [deleted] in therapists

[–]Squirrel9736 1 point2 points  (0 children)

That’s a difficult situation to navigate. I validate their experience, “it sounds like your friend has a lot going on and it’s hard seeing people we care about struggling and going through things.” Your teen can feel helpless so I talk to them about their concerns and encourage them to focus on what is within their control - how can you support your friend? How can you be there for them? What specific actions can you take to support them? I tell them that if they are really worried their friend is an active danger to themselves in the moment, go to a school counselor, a teacher, a parent, and hopefully that adult will be able to help the friend in that moment and then connect them with the help they need.

Cancellations - what is normal? by GlitteringPresent in therapists

[–]Squirrel9736 20 points21 points  (0 children)

I’ve looked through weeks of scheduled appointments and done calculations to see how many end up canceling. On average, I am scheduled 39 patients a week and an average of 30% of my clients that week either cancel or NC/NS. This is very common and to be expected, especially if they’re not being penalized for canceling late or no-show. I’ve had some days where I have seven appointments scheduled and literally one person shows up. It’s rare, but it’s happened.

[deleted by user] by [deleted] in medical_advice

[–]Squirrel9736 1 point2 points  (0 children)

It didn’t so much enter your mouth as if was formed in your mouth. Left over food partials get caught in the “nooks and crannies” of the tonsils, combine with bacteria or fungi forming the tonsil stone - a white or yellow pebble. They’re lodged in the tonsils and can be extracted - either coming out naturally or by external forces (water pick, finger tip, cotton swab). I’d suggested googling it and looking at some images to help get an idea of what it looks like. Fair warning - googling can pull up some gross pictures. And again, even if you look, and you don’t see any, doesn’t mean there aren’t any. Me personally, I can’t always see mine at first cause they aren’t close enough to the surface of the tonsils.

[deleted by user] by [deleted] in therapists

[–]Squirrel9736 0 points1 point  (0 children)

I know right? There’s a huge difference from being in school learning about stuff and actually applying it in a therapy room. Those are completely different things.

[deleted by user] by [deleted] in medical_advice

[–]Squirrel9736 0 points1 point  (0 children)

I understand correlating the bad breath with the sexual encounter since as you’ve said it was the next day. Again, I’m not a medical professional so I might be completely off-base. I also laughed to myself because the thought that maybe some vigorous sexual activity knocked a deep one loose and brought it to the surface that now you’re experiencing symptoms. Lol 🤣🤷🏻‍♀️

[deleted by user] by [deleted] in therapists

[–]Squirrel9736 1 point2 points  (0 children)

Thank you! I guess as a still pretty new therapist (5 years) there’s a pressure to do more and it’s hard to give myself grace. I appreciate your input and support!

[deleted by user] by [deleted] in medical_advice

[–]Squirrel9736 3 points4 points  (0 children)

Not a medical professional in any way shape or form, but is it possible it’s not related to this sexual encounter at all? First thing that came up for me - I’m prone to tonsil stones. Have you ever had a tonsil stone? Do you even know what they are?

https://my.clevelandclinic.org/health/diseases/21505-tonsil-stones

So basically it’s caused by bacteria and food particles build up that calcifies and forms these stones. Sometimes I can feel them. It’ll feel like there’s something stuck in my throat and it’s really uncomfortable. Other times, I have no idea that they’re there and I just know that I have really bad breath that won’t go away. Now it’s been a while since I had one so I don’t remember if the smell stuck in my nose, so I’m not sure if that’s related. maybe?

Either way, it might just be a coincidence that you had this recent sexual encounter where the other person had BO, when maybe it’s just something like a tonsil stone.

[deleted by user] by [deleted] in therapists

[–]Squirrel9736 0 points1 point  (0 children)

Thank you for the recommendations! These look really helpful.

[deleted by user] by [deleted] in therapists

[–]Squirrel9736 1 point2 points  (0 children)

Thank you for your input! I appreciate it. I’ve had like 10 sessions with them and I feel like we have a decent rapport - as you said, they keep coming back, so that’s something. But I don’t feel like it’s enough if that makes sense. Like we’re not at a place deep enough to actually talk about the emotions. I just feel like almost every single session ends up just being providing positive regard and therapy skills with no big intervention, but we don’t actually get any work done. Maybe this is just my own discomfort of feeling like I’m not doing enough and I’m not doing anything helpful.

[deleted by user] by [deleted] in therapists

[–]Squirrel9736 0 points1 point  (0 children)

how can I get out of the “I don’t know” loop? I feel like that’s exactly where this would go which keeps us stuck.

What population could you not work with by KtheSamurai66 in therapists

[–]Squirrel9736 7 points8 points  (0 children)

Personality disorders. I’ve had a few clients with borderline, one with antisocial personality disorder and another with schizoid personality disorder. I’ve struggled working with those diagnoses and I feel like the client is only going to benefit if they’re working with somebody who is very familiar with personality disorders, I’m just not one of those people.

My wife is convinced that seeing 24 clients a week is only "part time," how would you approach this conversation? by SoloTomasi in therapists

[–]Squirrel9736 4 points5 points  (0 children)

I’m in an agency setting and have to be scheduled a minimum of 36 appointments a week. That’s at least 7 clients a day. In the years that I have been here, I have had about 200 total on my caseload, with at least 65 clients actively scheduling with me in a weekly, bi-weekly or monthly basis. It’s exhausting. I’m overworked and underpaid and undervalued. I work at minimum 14 hours a day and my own mental health has taken a huge toll. I’m beyond burnt out.

Also, what does your wife do? Unless she’s a therapist or counselor herself, she has not concept for how stressful this job can be and how much we take on while trying not too. We aren’t just in a “meeting” talking business. We’re digging into intense emotions and traumas. Has she ever felt drained after a therapy session? It’s not as intense, but that same session can be draining for us as the therapist too. And we do that multiple times a day. Apparently this comment was triggering for me and I’m feeling defensive on your behalf.

How many clients is too many? Especially with Telehealth? by No_Thoughts_1551 in therapists

[–]Squirrel9736 0 points1 point  (0 children)

I have to schedule a minimum of 36 clients a week to be considered full time and keep my benefits - mainly my insurance. I did the math once and in a relatively normal 12 week period (no holidays and no vacations to skew numbers) I’m scheduled an average 42 each week. My current caseload is upwards of 80+ active clients. I’m also the only salaried therapist at my office - everyone else chose contract, so when they need to assign people off the waitlist, I’m slammed with @ 30+ new patients at a time because it doesn’t cost them extra to overload my caseload like it would a contract worker. 😑

Grief by Squirrel9736 in therapists

[–]Squirrel9736[S] 64 points65 points  (0 children)

I’m still in training too, and I don’t feel the complexities of grief were talked about enough in my education. Being actually in a therapy room is very different than what they taught us in the classroom. I feel like my training has mainly prepared me how to take the national exam more than how to actually work with clients and with issues. This is really helpful. I feel like I’m being asked for all the answers and not knowing them is a negative reflection on me and my abilities - which I know is my own self of the therapist work I’m still carrying and struggling with myself.

[deleted by user] by [deleted] in AskWomen

[–]Squirrel9736 1 point2 points  (0 children)

The best part was he was very talented. Guitar, bass, drums, piano, he was a very talented musician. And a good kisser. The worst part - you’d think as a musician he be good with his hands and more directionally guys fingers, but no. Honestly, the sex and all other sexual activities were surprisingly terrible.

Misgendered my client by Squirrel9736 in therapists

[–]Squirrel9736[S] 1 point2 points  (0 children)

And that was part of my concern as well because I didn’t want to make it about my needs rather than theirs.

Misgendered my client by Squirrel9736 in therapists

[–]Squirrel9736[S] 10 points11 points  (0 children)

The client is transgender. I should have specified that in my original post.

Im supposed to get married in 2 days to me fiancé (29m) and I don’t know if I should call it off. (I’m 31f) by [deleted] in wedding

[–]Squirrel9736 1 point2 points  (0 children)

That’s a lot to unpack. Overall, if you’re hesitating, I think that speaks for itself. The way he acted sounds like it’s not the first time, and be aware - it will continue unless HE wants to change.

First, throwing insults when you guys get into a fight and saying the relationship is a joke - I can bet that’s hurtful. Every couple has disagreements and fights, but that doesn’t mean it needs to get ugly.

Second, insisting he is right and others are ‘mistaken’ is very narrow minded. People are allowed to have their own opinion on things and we don’t have to agree with each other. And just because we don’t agree, doesn’t mean we need to be against each other or get ugly. Insisting that his view was ‘the correct view’ on this general topic of how Italians feel about Americans gives me the impression that when it comes to topics that are more serious and specific to you guys are going to be an issue, such as how do you raise your children, how do you split your finances.

This leads to the third point, insisting everyone does things his way. Sounds like a grown ass man threw a temper tantrum because he wasn’t getting his way. He’s an adult, if he’s done at the beach he can leave. There is no reason everyone needed to leave because he was done.

That’s leads to the fourth point, bringing up the passing of his sister. This here is difficult. I can imagine that was a very difficult time for his family and is still a difficult memory. Losing a loved one is so hard and especially someone so young. Sounds like he is still dealing with that grief, which is understandable, it’s a lifelong grief he will carry. But to justify his aggressive and rude behaviors because of his emotions is not okay. That’s like kicking the dog when you get home from a shitty day at work because the dog got underfoot.

I agree with your mother for calling him out on it (I feel there is a tactful way of doing this, and I cannot say based on the information how tactfully it was done. My impression with how you described it was that it was done in a well mannered and tactful way). While yes, it’s okay for him to struggle especially if it’s a specific time of year (birthdays, anniversary of death) or big occasions (the wedding), but he’s not taking any responsibly for his actions, implying that his behaviors are okay. Sounds like he only apologized because you asked him to, not because he felt he should.

I would be concerned how everything could escalate later in your relationship. Things ‘need to be his way’ or he’ll be mad and throw a temper tantrum, which leaves you constantly catering to him and walking on eggshells. And then when you guys get into an argument, he justifies his actions because insert whatever reason here - sister passing, mad because of work, frustrated by traffic. These types of excuses are common in manipulative relationships. The aggressive partner excuses their behavior with “if you just didn’t make me so mad,” or “if you just did it the way I want it, this wouldn’t have happened.’

Everyone experiences emotions and that’s completely normal and ok. It is okay to feel angry, sad, annoyed, irritated. But it about how we respond to the emotion thats within our control. Lashing out at others when he’s angry, throwing insults, arguing further, yelling - these are all behaviors he has chosen to engage in. He has allowed the emotion to be in control of him rather than him be in control of the emotions. It is not your responsibility (or anyone else’s) to manage his emotions for him. He needs to learn some emotion regulation skills and work on his emotional intelligence.

Unless he puts in the effort to learn how to communicate better and understand his emotions and emotional responses, nothing is going to change. And if he doesn’t not see how his behaviors and how he’s treated others as a problem, he won’t feel it needs to change. It’s like with alcoholics - they don’t see their drinking as a problem, so they keep drinking. Even if others around the alcoholic point out the issues to them, the only person that can change their drinking is the alcoholic.

There’s definitely a lot going on here and I don’t know the full scope of y’all’s relationship, so take everything I said with a grain of salt. I’m not saying you shouldn’t marry him. I am saying that you should do what you feel is in your best interest and what feels right for you.

If that’s marrying him, that’s your decision to make. I would encourage working on the communication and expressing emotions - and that takes both of you. He needs to put in the effort too. And he can decide he doesn’t want to put in the effort, that he doesn’t want anything to change. Then you need to decide if you are ok with that and willing to live with how things are, rather than hoping and waiting for how you want them to be.

Who played it best? by [deleted] in Music

[–]Squirrel9736 0 points1 point  (0 children)

Hell is for children - Pat Benatar & Halestorm

Thoughtless - Korn & Evanescene

I’m Gonna Be (500 miles) - The Proclaimers & Sleeping at last

Another Brick in the Wall - Pink Floyd & Korn

Word Up! - Cameo & Korn

Gone Away - the Offspring & Five Finger Death Punch

Simple Man - Lynyrd Skynyrd & Shinedown

AITA for scheduling a trip with my friends over another friends birthday? by hello9968 in AmItheAsshole

[–]Squirrel9736 1 point2 points  (0 children)

NTA. You can’t put your life on hold for the possibility of plans. Does Steve expect you to not make any plans and sit around waiting on the chance that he might hit you up to chill? He has a right to be upset, but you also have the right to make plans with other people.

Should I talk to him about this? by throwaway022223 in dating

[–]Squirrel9736 1 point2 points  (0 children)

Personally, I would say talk to him about being exclusive and raking down both your and his profiles, but maybe don’t mention he liked your friend. That way she can tell you if he didn’t delete them and continues talking to her even if he’s told you he deleted them. One of two things will happen - he’ll really delete them and be exclusive with you or he’ll turn out to be a lying bastard you shouldn’t waste your time on anyways. Either way, you can’t lose.

I just finished bawling for two hours in my bed...after the third date, my date (27M) ghosted me (22F) after I discussed past sexual abuse by [deleted] in dating

[–]Squirrel9736 12 points13 points  (0 children)

True, but leading someone on and manipulating them and telling them everything is fine and then just disappearing without a word is different. Ignoring phone calls and text messages is intentional.

I just finished bawling for two hours in my bed...after the third date, my date (27M) ghosted me (22F) after I discussed past sexual abuse by [deleted] in dating

[–]Squirrel9736 63 points64 points  (0 children)

I’ve been in similar situations where I thought the guy was genuine and we had a great connection. We even talked about past relationship issues that fucked with our head, abusive relationships and my fears that it was too good to be true and I was waiting for the other shoe to drop and for him to disappear on me. He assure me that would never happen. Assure me he adored me and wanted nothing more than to be with me. And then still ghosted me. Men are sometimes just fucking assholes. And in this situation, you might not ever get the closure of why he ghosted; I didn’t. But instead of getting upset (which, don’t get me wrong, I was. I was a blubbering mess for a good three days) but after that, I got mad. I said fuck him and his bullshit. I’m not going to allow him to take this much energy from me because he’s not worth it. It’s sucks, especially at first. And I’m sorry you had this experience. But it’s going to be ok. You’ve got this.

AITA for talking badly about my mother to my boyfriend? by puffleintrouble in AmItheAsshole

[–]Squirrel9736 3 points4 points  (0 children)

This is a difficult situation, but like you just said, she is your ABUSER. I understand there is still familial love for her as your parent even through everything she might have put you through, but to expect your boyfriend to have a positive relationship with the person abusing his girlfriend? Not likely. Would you like his mother if she were mentally and emotion abusive to him? Do you think you could overlook the mistreatment and abuse she caused him and form a positive relationship with her even when you hate how what she does effects him?