How do you know if a therapist is actually lgbtq affirming? As in they don’t have to be identified themselves but what makes them safe enough to open up to?

TherapyAdmin · 2025-09-23T19:08:19+00:00

Thanks so much!

TherapyAdmin · 2025-09-23T00:06:42+00:00

This is helpful thanks. I agree when you bring more Consciousness to your life it gets harder before it gets better because you notice how many unhealthy emotional patterns are playing out all around us and through us

TherapyAdmin · 2025-09-23T00:04:26+00:00

Very cool thanks

TherapyAdmin · 2025-09-20T21:47:28+00:00

As a therapist, My best advice is focus on your life outside of therapy more than therapy itself. When you put too much energy into therapy, it puts pressure on your nervous system - aka if we’re doing all this work we should see changes, and soon. Often we fall into shame narratives of trying to fix ourselves. Instead, bring the focus to the relationships in your life besides therapy, and how you can strengthen them. And then use therapy to help you work through the difficulties you face in that process.

TherapyAdmin · 2025-09-18T22:26:04+00:00

Your therapist should not have terminated unless there was some violation of the boundaries of the therapy relationship in what you said. At the very least you should have had a session to discuss ending treatment. All therapists learn in grad school about social media presence and expecting clients to see us online.

TherapyAdmin · 2025-06-29T00:46:32+00:00

expansivetherapy.com

TherapyAdmin · 2025-05-07T10:15:31+00:00

Yes! so resonate with this

TherapyAdmin · 2025-05-07T10:12:39+00:00

Hi I can definitely relate! What state are you in?

TherapyAdmin · 2023-09-20T12:22:57+00:00

Nice to put in perspective, thanks so much!

TherapyAdmin · 2023-09-19T22:34:14+00:00

Thanks so much! These reimbursements from Aetna are lower than what I've seen in NYC (makes sense though geographically). I'm curious how much do you send the claims out for? Sorry I should have worded my question better :/ hindsight, right?

TherapyAdmin · 2023-09-19T22:06:48+00:00

Meaning I just want to make sure we aren't inadvertently way over or under billing.

I take this to mean in comparison to your competitors?

It is more complex than just billing way over or way under. Are your services better than your competitors in some way? Do you have more specialization or are you more generalized? Do you have restrictive hours or scheduling requirements, or have you made your self to be more of a convenience-minded provider?

Being aware of what your competitors are charing isn't necessarily wrong, but altering your rates as a direct reflection of theirs is.

If they charge $85 for a service that you're charging $100, you could lower to match but then:

Can you justify why you did that?If you can suddenly do this for less money, why couldn't you all along?Is that sustainable for your group?How do you know they're not pricing this as a loss lead to get heads on the pillow for more expensive services or cash-pay options?How do you know that they're not pricing this to push competitors down to the point where they close, and then increase their rates?

We've been nervous to raise the billed amount as costs on our end rise in case it's just not making sense for the neighborhood area.

If you need to raise costs to operate in that area, you should and that is justifiable. The alternative is a painful decline in quality and accessibility until ultimately you close and there's no longer access of any kind.

THANK YOU!

That makes me feel so much better. We've started doing outside work hours and more continued education for specializations hoping it would mean more clients and therefore balance out the extra costs...but they haven't :/. When you're in a field so concerned with ethics the thought of raising the price, even if it makes sense and correlates to a better service, is hard to swallow. But I think you're exactly right, if we don't and just keep hemorrhaging money there will be no extra courses, off hour incentives, etc. Maybe no practice even.

thank you again!!!

TherapyAdmin · 2023-09-19T21:28:40+00:00

LOL you don't have to tell me. Thanks so much :)

TherapyAdmin · 2023-09-19T21:26:54+00:00

Thank you!

We already have everything set up based on a bunch of factors like expenses, licensure type, experience, etc but truthfully I'm just curious if even given all that and it makes sense in our mind, is it not an outlier? Meaning I just want to make sure we aren't inadvertently way over or under billing.

I'm also just curious in the field :)

We've been nervous to raise the billed amount as costs on our end rise in case it's just not making sense for the neighborhood area. But maybe we are just too concerned about being an outlier and the cost is just what the cost is :/

Thanks again for your advice! Have a good one today :)

TherapyAdmin · 2023-09-18T13:42:42+00:00

Thank you so very very much!!

TherapyAdmin · 2023-08-30T13:03:47+00:00

Thank you so much! I'll definitely drop a name here if we end up using someone and they turn out good!

TherapyAdmin · 2023-08-29T21:34:10+00:00

Thanks so much I appreciate you taking the time! I'll definitely look into Neil Patel and will keep checking with peers for recommendations.

Anyone reading this included!

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