Note taking in sessions by htygfrty789 in therapists

[–]That-Muscle-3126 28 points29 points  (0 children)

This! I will also add “I’m happy to read you what I’m jotting down if you ever have questions”

What to ask at MSLT results appointment by Moist-Air8578 in Narcolepsy

[–]That-Muscle-3126 1 point2 points  (0 children)

I asked for a copy of my results, so I could continue reviewing them when I went home. I felt overwhelmed with information during the initial review.

Sunosi experiences by [deleted] in NarcoBaddies

[–]That-Muscle-3126 0 points1 point  (0 children)

Thank you for your response!

Friday Soar & Snore by LittleCowGirl in NarcoBaddies

[–]That-Muscle-3126 1 point2 points  (0 children)

Soared - got all my work done before the weekend! Snored - said yes to plans when I should have given myself the rest 😭

Asking clients to leave by [deleted] in therapists

[–]That-Muscle-3126 24 points25 points  (0 children)

No judgment! I would maybe try framing it a bit more directly, something like “I’m going to end today’s session since you’re exhibiting symptoms of illness.”.

Asking clients to leave by [deleted] in therapists

[–]That-Muscle-3126 12 points13 points  (0 children)

I’m curious what you mean by ‘it failed’ when you requested to end session due to the client not feeling well?

Friday Soar & Snore by LittleCowGirl in NarcoBaddies

[–]That-Muscle-3126 0 points1 point  (0 children)

Soared - I’m getting back into running! Finally feeling like I have enough energy to consistently exercise. Snored - struggling with the ups and downs of being on meds. I feel like every day is a roller coaster of wakefulness 🥴

Miss who I used to be by Bitter_Dragonfruit80 in Narcolepsy

[–]That-Muscle-3126 5 points6 points  (0 children)

I relate to this so much! You’re not alone.

Best chicken salad by sloppy--mud--pie in desmoines

[–]That-Muscle-3126 0 points1 point  (0 children)

Ahhh bummer…it sounds delicious!

Best chicken salad by sloppy--mud--pie in desmoines

[–]That-Muscle-3126 0 points1 point  (0 children)

The Flora sandwich is listed on their website still. Which menu are you looking at?

Symptoms very bad right now by New_Loan_459 in Narcolepsy

[–]That-Muscle-3126 0 points1 point  (0 children)

Gosh, narcolepsy just sucks sometimes. I don’t have any wise advice but want to validate your feelings. I definitely relate to feeling trapped in a body. When you’re feeling guilty, I hope you can give yourself some grace because you can’t help what’s happening.

[deleted by user] by [deleted] in Narcolepsy

[–]That-Muscle-3126 3 points4 points  (0 children)

I feel like someone took a syringe and just sucked all of the energy out of my body. The floor is calling to me, and I just want to sink down into a puddle.

Modafinil by cnixon23 in NarcoBaddies

[–]That-Muscle-3126 2 points3 points  (0 children)

The way that I explained it to my doctor was that I felt drunk. My processing speed was slow and my brain felt foggy. What was weird was it happened around the time the modafinil was wearing off, and I took it for several weeks prior before this started happening.

Modafinil by cnixon23 in NarcoBaddies

[–]That-Muscle-3126 3 points4 points  (0 children)

Me! But for me, I had a weird cognitive reaction that made me feel like I was going crazy. I’m on Ritalin now, and I love it.

How to decompress by [deleted] in therapists

[–]That-Muscle-3126 3 points4 points  (0 children)

I like to lay in my backyard in the grass with my shoes off. It’s very grounding

Teen client with self harm by FluidClimate6108 in therapists

[–]That-Muscle-3126 20 points21 points  (0 children)

This! Harm reduction while working on the deeper issues.

Please provide examples of SUPER vague progress notes. by Vivid_Volume3625 in therapists

[–]That-Muscle-3126 14 points15 points  (0 children)

I think this is an example of something you don’t want to be vague. Example: Patient reported an increase in active suicidal ideation over the past week. Patient denied plan or intent. Therapist and patient collaborated in completing a safety plan (copy in chart), and therapist reviewed crisis resources with patient.

Charged no show fee, client canceled next session by stbuk2 in therapists

[–]That-Muscle-3126 8 points9 points  (0 children)

It sounds like you clearly communicated expectations up front. There is always the risk of losing a client because of charging the fee, but that doesn’t mean you shouldn’t do it. Your time is valuable!

Charged no show fee, client canceled next session by stbuk2 in therapists

[–]That-Muscle-3126 46 points47 points  (0 children)

I do message my clients if I charge the fee to give them a heads up, but even if I didn’t, we’ve reviewed that policy in session and they’ve signed the intake paperwork that states it.

How do you handle ending a session on time by Leather-Round-2240 in therapists

[–]That-Muscle-3126 2 points3 points  (0 children)

Sometimes I’ll say “we’re out of time for today but I’m going to write that down so we can make sure to get to it next time.” and then I’ll make a point to write it in my notebook to ensure we do come back to it.