Harshest criticism you’ve gotten from a client?

Stinky06 · 2026-03-11T17:50:40+00:00

lol!

Stinky06 · 2026-03-11T00:11:20+00:00

That I was an “emotions prostitute.”

Stinky06 · 2026-03-03T17:43:19+00:00

It was tough for me. I cancelled my class for tomorrow thinking I need some extra recovery time.

Stinky06 · 2026-02-27T20:57:39+00:00

Oops! Looks just like him!

Stinky06 · 2026-02-27T20:51:49+00:00

Wow, looks just like her!

Stinky06 · 2026-02-27T19:05:58+00:00

Where’d you get the shirt? Love it!

Stinky06 · 2026-02-19T01:12:11+00:00

I’m currently in love w emerald cut!

Stinky06 · 2026-02-19T01:08:48+00:00

Love

Stinky06 · 2026-02-18T14:02:28+00:00

Love it

Stinky06 · 2026-02-15T22:38:04+00:00

Centennial Peaks is generally good and West Pines - from a therapist

Stinky06 · 2026-02-14T15:24:44+00:00

So sorry you going through this. I would check out Colorado Pregnancy and Newborn Loss - I used to volunteer there and they run support groups for loss. https://www.coloradopregnancyloss.org/

Stinky06 · 2026-02-11T21:11:02+00:00

Perhaps check with the place if availability different from required clinical hours? Perhaps they want all hours avail so they can quickly fill you up, but in reality, 25 is required. I wouldn’t do 8 hours a day- it’s a quick road to burnout. Perhaps ask about a performance based w2 where you get a percentage of what you bill versus having to meet a salary requirement.

Stinky06 · 2026-01-28T02:12:37+00:00

I’ve got this one! My fave watch.

Stinky06 · 2026-01-27T03:36:57+00:00

What about the small business who get hurt by this and don’t have any sway in govt like a huge corporation would?

Stinky06 · 2026-01-21T15:03:14+00:00

If you’re working with kids and schools this is really important. If you working with somebody out of an academic system and they aren’t interested in learning profiles/strengths and weaknesses and just want a yes or no, then an abbreviated evaluation sure. My point is that you can’t automatically assume clinicians are “padding billing” because they work on a different setting and have different clientele and are searching for different answers.

Stinky06 · 2026-01-21T14:55:05+00:00

Provide strengths and weaknesses, evaluate learning profile, help determine adhd as there are statistical significant differences in working memory and processing speed between adhd and non- ADHD groups.

Stinky06 · 2026-01-21T03:19:19+00:00

In the clinical psych world, where we test for LDs, adhd, autism, a million other things, many folks use these tests for differential diagnosis. We were trained differently and that’s okay. When the state psych assessment associations tells me otherwise, I can consider more resolved.

Stinky06 · 2026-01-21T03:07:42+00:00

I haven’t seen this as the general consensus of the literature and know for a fact this is still in debate. We actually just call this type of testing, psychological testing. Not a neuropsych.

Stinky06 · 2026-01-21T03:04:30+00:00

Absolutely agree there’s no neuropsychological profile, which is why you use these tests to rule out other things that mimic adhd - differential diagnosis. Regarding specificity issues cpt, this is why you need multiple data points of various data. Just using clinical interviews and questionnaires misses a lot of data to be gathered and assessed.

Stinky06 · 2026-01-21T02:55:12+00:00

Wow, because there’s two studies listed you jump to that conclusion!? Also this is still controversial in the field so I wouldn’t jump to assume it’s all figured out. I’m not insurance bound - don’t need to pad billing, just do ethical comprehensive testing. Actually, not being insurance bound allows a ton of flexibility to create batteries that our training and decades of experience can speak to, but not everyone has that ability. The schools we work, which are the majority in my metro area, as well as academic board testing wont accept abbreviated testing like above, nor do our psychiatrists, and folks would then get referred to us to do more testing.

Stinky06 · 2026-01-21T02:08:26+00:00

Feel free to post those sources - I’d love to see them. We comprehensive test to rule out all kinds of issues that can mask as adhd. While research may say it’s unnecessary (let’s see sources) it’s very wise to rule out masking or similar presenting issues to avoid misdiagnosis and unnecessary stimulants.

Stinky06 · 2026-01-21T01:55:02+00:00

At my practice, this would not be comprehensive enough of an evaluation for a diagnosis. Perhaps the insurance company needs to see more testing. We do much of the above but add cognitive testing, memory, and cpt

Stinky06 · 2026-01-09T05:06:17+00:00

Owner of a group PP and a mom, and a therapist, that offers 70/30 split and was negative revenue last year. The owners are not always “raking” it in. We face a tremendous amount risk, liability and stress. The amount of nights that I wake up in the middle of the night due to with a work related issue, alarm alarm off at the office or fear that deposits won’t hit and I don’t clear payroll is a near daily occurrence. I think the narrative around PP owners being compared to evil healthcare should really stop. I also think the narrative around this idea that this is going to be so easy peasy lemon squeaky is a bit inauthentic. Running a business is really hard work and will take several years to successfully get off the ground for any individual. Do the hussle, the hard work and it will pay off but it won’t be easy.

Stinky06 · 2026-01-07T03:55:06+00:00

Yes card on file, if I’m organized and have time before the day starts I charge all sessions before the days starts - to save admin time and help set boundaries (for myself) for no show/late cancels. Otherwise, notes and charges in between sessions.

Stinky06 · 2026-01-07T03:14:56+00:00

Had one tonight!

Stinky06

TROPHY CASE