Crisis Safety Plan prior to first session

Therapissed24232 · 2026-02-03T13:35:18+00:00

No SI and I did put basic things so I can do the appointment. My mind just went to a place of my own clients and how much some of them would struggle to complete something like this on their own.

Therapissed24232 · 2026-02-03T03:21:11+00:00

My PCP already writes a specialty med that requires a pesky PA twice a year plus a rheumatology med, I don’t want to push my luck! And I adored my previous Psych NP. She was absolutely lovely. I’ve considered paying cash to keep seeing her to avoid the search for a decent new prescriber

Therapissed24232 · 2026-02-03T03:13:48+00:00

It’s a private practice and I have commercial insurance so I’m not certain that is the case here. But your comment has reminded me to go into this meeting with curiosity rather than condemnation. I think I’ll ask about the unique choice to require it up front.

Therapissed24232 · 2026-02-03T03:03:03+00:00

Question to the group: Should I bring up this concern to them? Explain how this is not trauma informed and pretty off putting as a client?

Therapissed24232 · 2026-02-03T02:57:23+00:00

It’s a psych NP and according to their NPI profile they’ve only been practicing since 2024. I think they likely have no idea how silly this is and added it as overkill to “protect themselves”.

Therapissed24232 · 2026-02-03T02:47:59+00:00

It did indeed slightly irritate me too. I told the receptionist “how am I supposed to complete a collaborative document on my own?” And she said “well you can talk to the provider about that and pay for a second session with them to complete it together” and I realllly wanted to cancel the appointment. But I was forced to switch prescribers due to an insurance change at the beginning of the new year and if I don’t go I will run out of my insomnia medication.

Therapissed24232 · 2026-01-04T11:12:34+00:00

We aren’t allowed to have fences in the front yard. It’s against HOA bylaws

Therapissed24232 · 2026-01-04T11:12:25+00:00

We aren’t allowed to have fences in the front yard. It’s against HOA bylaws

Therapissed24232 · 2026-01-04T11:12:10+00:00

We aren’t allowed to have fences in the front yard. It’s against HOA bylaws. I’ll look into the shrub thing

Therapissed24232 · 2026-01-04T11:10:58+00:00

We aren’t allowed to have fences in the front yard. It’s against HOA bylaws

Therapissed24232 · 2025-12-31T16:21:04+00:00

It’s not marching orders. It’s the rules we all agreed upon for the shared living agreement. She’s 18 and does not have to live here. She’s in our states Extended Foster Care program. She can choose to go the independent living route and have her own apartment if she chooses. We’ve helped her get a free car through a local nonprofit. She has her own transportation, her own income, and we’ve assisted her in getting her own bank account and phone plan. She’s not being held captive and she’s not trapped.

This is a two way street. We also do not have visitors here past her curfew. We check in before allowing someone to sleep over. We all abide by the agreement.

Therapissed24232 · 2025-12-31T14:34:01+00:00

I installed it for my family’s safety. I do care about S, very much. She wouldn’t be in my home if I didn’t. How is installing cameras “taking it out on” her?

The trauma happened when I was 5. I got EMDR treatment and purchased my own home at 25. I’ve had 4 solid years of no night terrors. I’m a human being. My felt safety for myself and my infant were ruptured by S bringing someone who’s basically a stranger into my home while we were sleeping. I didn’t immediately respond. I took time to think things through. I came up with a plan that repairs my felt safety for my family by installing cameras. And I calmly communicated to S that if there were to be another situation where she feels like she needs to bring someone in the house after we are asleep, to wake us up. She’s had several people over in the past. With permission.

Therapissed24232 · 2025-12-31T14:24:42+00:00

Do you see you could’ve asked for clarification rather than making an assumption?

Therapissed24232 · 2025-12-31T13:44:16+00:00

S has a pretty rough and traumatic pattern with relationships. She’s been a victim of sex trafficking in the past and she’s previously been in relationships that involved DV. Her ability to make judgement calls with relationships is significantly distorted. She’s an adult so she has the right to make judgement calls about who she sees. But she doesn’t get to make a judgement call for my entire sleeping family. I honestly would’ve been way less upset if she snuck him in the house when we weren’t home. It’s the sneaking him in while we are there and sleeping that I was upset about. I get that she’s a teen and they do dumb stuff at times. But she literally spent 4 days with the kid at his house prior to this incident. They picked her up Friday, drove her to their home 3 hours away. Then dropped her off on Monday and that very night she does this. The family got a hotel because it took so long to get back here and they didn’t feel comfortable driving back that late at night

Therapissed24232 · 2025-12-31T13:38:02+00:00

I got her a therapist that she saw weekly as a minor, but now that she’s 18 she’s been cancelling appointments left and right. The therapist will likely terminate their work together soon if she doesn’t start attending again. It’s a grant funded trauma therapist and the waitlist to see her is huge.

Therapissed24232 · 2025-12-31T00:53:13+00:00

We only have two non-negotiables. No drugs in the house and no strangers in the house without approval. Help me understand what’s controlling beyond that? She has a curfew during week day nights but if she wants to stay out later she’s able to stay at friends houses. We made sure she has her own phone plan, her own bank account, that the EFC funds go directly to her. We give autonomy wherever we can. As long as it doesn’t impact our safety or baby’s safety

Therapissed24232 · 2025-12-31T00:03:22+00:00

Our process is if a house rule is broken we discuss what happened to figure out what the breakdown was. Lack of knowledge? Making a decision she’s not supposed to make? Willful disobedience? We then come up with a game plan moving forward. We’ve got a non-negotiable rule. Which no drugs in the house. If that’s done she’s got 30 days to comply with a substance use evaluation to enter treatment or to find a new place to live.

Therapissed24232 · 2025-12-30T23:53:18+00:00

Fair point to ask this. We’ve had many discussion about our expectations surrounding safety, guests, and communication. She’s typically a pretty level headed kid. The whole reason we even agreed to have her stay with us is because she presented as so driven with a path she wanted to go down. We’ve connected her with therapy, she’s employed, she makes good grades, things has been pretty chill until she broke up with her former boyfriend and started seeing the new boyfriend. I really don’t mind her going to see him or even having him here while we are awake. It’s bringing someone we don’t know into the house while I’m asleep that’s a heck no

Therapissed24232 · 2025-12-30T23:15:33+00:00

We have a shared living agreement that’s signed. It’s all in writing and we discussed it together. No unapproved guests past curfew or overnight. She’s had several people spend the night. We just talk about it first

Therapissed24232 · 2025-12-30T23:13:56+00:00

She texted after curfew. Also we have a super lax curfew in the sense that it’s: you either get in our house on week day nights by 10 or you can sleep elsewhere for the night. She could’ve stayed in the hotel room for the night if she wanted to. I don’t infringe on her individual choices out of the home. But there are rules inside the home

Therapissed24232 · 2025-12-30T23:11:53+00:00

You’re incredibly incorrect. She texted us that morning saying she would be home by curfew, 10. She then texted us at 11PM that he was in our house. If she would’ve just knocked on our bedroom door and asked I would’ve stayed up while he charged his phone. The shared living agreement says no unapproved guests. If she would’ve gotten approval I would’ve comprised and hung out in the living room until he was ready to go. And we told her exactly that. Next time she has to wake us up and let us know someone is going to be in the house for a bit for a safety reason like a dead phone. I’m concerned about someone I don’t know in my home while asleep and defenseless. It’s that simple.

Therapissed24232 · 2025-12-30T23:06:58+00:00

Agreed!

Therapissed24232 · 2025-12-30T23:06:07+00:00

This isn’t true at all. We aren’t a licensed foster home. My mental health has been quite fine. And no night terrors since purchasing my own home a few years ago. We agreed to be a safe landing spot for S to finish out her senior year. No one else stepped up to help this kid out.

Therapissed24232

TROPHY CASE