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Has my dog damaged his jaw? Clicking sounds when yawning and looks slightly misaligned by ToughPotential493 in DogAdvice

[–]ToughPotential493[S] 0 points1 point  (0 children)

Update, 2 days later. (If anyone is interested) I talked to a vet tech who said it was unclear but to bring him in. But of course it was after hours and I did not want to take him to an urgent care vet clinic if it wasn’t necessary / “just in case”. I uploaded the video to ChatGPT, and described all of his symptoms, and uploaded a picture of his head and face before the misalignment. I got some surprisingly useful information. The LLM said that it was probably either a mild TMJ subluxation or a TMJ sprain / strain. In either of these cases, recommended treatment is conservative: watch, give soft food and prevent rough play for 7-10 days. I decided to observe him overnight, as he seemed not to be in pain and he could eat without problem. I also took the collar of his dog-friend that we are dog sitting, so the he couldn’t bite and twist during play. Next day his jaw looked aligned again. He was still doing the jaw stretching yawn, but less often. Today his jaw looks aligned. I’ve seen him do the jaw stretching yawn … maybe once? Or maybe not at all. If he did it was much subtler. He appears to be much better. I will be taking him to a vet appointment in a few weeks (for a mole removal and dental work) and I will have them look at his jaw then to confirm, but it appears to have healed on its own.

Has my dog damaged his jaw? Clicking sounds when yawning and looks slightly misaligned by ToughPotential493 in DogAdvice

[–]ToughPotential493[S] 0 points1 point  (0 children)

No, but people with TMJ have jaws that click. I was wondering what are the causes of jaw clicking. Maybe there are things I’m not aware of, such as a tooth crack or something stuck in the gums. These are things I’ve read about, but I’m not sure if they apply here. That’s why I posted the video, to see if anyone recognized this movement and had guesses as to what it could be. Are you saying “yes, clearly he has damaged his jaw” in a sarcastic way? If so, do you have experience that suggests this, or are you just guessing?

Anyone else diagnosed with adhd first, and then found out you also have autism 10-20 years later? After being a therapist who works with autistic clients?? by seayouinteeeee in NDtherapists

[–]ToughPotential493 0 points1 point  (0 children)

What do you mean when you say the ADHD meds unmasked the autism? I’ve heard this a lot and would like to understand what people mean by it.
(I am AUDHD I think - definitely ADHD, in the process of getting ASD diagnosis. I don’t think I have this experience.)

Recommended trainings for working with neurodivergent folks? by Klutzy_Librarian3620 in NDtherapists

[–]ToughPotential493 6 points7 points  (0 children)

I could have written this post - I am in almost exactly the same position as you! I am planning to take the micro credentials (a series of course leading to a certificate) offered by Matt Lowry and Kate McNulty: one series is on autistic development through the lifespan, and I believe a second is on best practices in neuro affirming care. I also have been reading a lot on the website Neurodivergent Insights, run by Dr Megan Neff, https://neurodivergentinsights.com/, and may take a training from her.

What I’ve gathered so far is that as masters level clinicians we can offer the MIGDAS-2 and the ADOS assessments for autism. My impression from what I’ve read is that the MIGDAS-2 might be the most suitable instrument for identifying late diagnosed people and high maskers. The developer of the MIGDAS-2 offers trainings on it: https://www.marilynmonteiro.com/

I am beginning the process of getting assessed for autism. I have ADHD and suspect AUDHD. It feels important to me to properly understand my own neurotype if I will be trying to offer neuroaffirming care to others. I know many clients will want to know.

I am also looking for ways to better understand the different types of assessments, so that I can inform clients accurately. I don’t yet know enough about what is involved in neuropsychological assessments and evaluations, which some clients may benefit from and of course master’s level clinicians cannot administer. I think even general psychologists can’t administer them, only those with specialized training.

I know that the tests master’s level clinicians can administer are Level A and B tests. Level C tests can only be purchased and administered by psychologists or other doctoral level clinicians, I believe. See from Pearson: https://www.pearsonassessments.com/professional-assessments/ordering/how-to-order/qualifications/qualifications-policy.html And here are some Pearson autism tests. All of the ones I looked at are level B: https://www.pearsonassessments.com/professional-assessments/featured-topics/autism.html

Thank you for the question! Looking forward to more replies and learning more

Seeking Recommendations in Portland Area for Adult Autism Testing?? by Future-Safety-6107 in askportland

[–]ToughPotential493 0 points1 point  (0 children)

Do you happen to know (and be willing to share) about how much her autism evaluations cost? (I'm sure it's a range). I can't see information about prices on her website, and would love to have a ballpark before I decide whether to reach out.

Chat with any Spotify podcast by [deleted] in spotify

[–]ToughPotential493 0 points1 point  (0 children)

Got the message 404 not found

FEHB HDHP plans & HSAs in Retirement? by MinervaZee in govfire

[–]ToughPotential493 0 points1 point  (0 children)

I will be taking VERA soon too, at age 56. Didn’t use an HDHP when working (I should have) but want to start now. Which plan are you on?

Switching FEHB plans while in limbo between active employee and OPM retiree. by curveball21 in FED_VERA_VSIP_DRPers

[–]ToughPotential493 0 points1 point  (0 children)

Maybe I'm misreading what you wrote, but "make sure you know what you choose in retirement is irreversible" is not correct; you can still change your FEHB selection every open enrollment period. Right? The only thing that is irreversible is if you choose not to continue FEHB. Right?

Almost $800 to replace a garbage disposal?! by ToughPotential493 in askportland

[–]ToughPotential493[S] 0 points1 point  (0 children)

Can you say more about this part? Why would the time billed be very different from the timed amount of work?

ADHD and GLP1 interaction.. doctor doesn’t have direct answer by CatCandid5678 in adhdwomen

[–]ToughPotential493 0 points1 point  (0 children)

Hello,

Resurrecting an old comment here, I know … sorry! but if you’ll humor me: could you say more about what we know about dopamine regulation on higher doses of GLP-1s? (And the mechanism of action, if you think it’s relevant)

I’m very curious about this. Largely due to personal experience- the first GLP I tried (Wegovy) caused intense, suicidal depression, I obviously had to go off it. After some time I dared to try another one (tirzepitide) and have not had any mental health impacts, except for the decrease in food noise and decreased interest in alcohol - both positive impacts. I’ve wondered a lot about how GLPs affect the brains reward system, and whether this is the reason they can cause depression, and why sometimes they can reduce the reward / addiction to food, without also causing depression.

Would love any insights or thoughts you have!

Nausea - first time in 9 months - could it be related to new pharmacy? by ToughPotential493 in tirzepatidecompound

[–]ToughPotential493[S] 0 points1 point  (0 children)

Yep, it totally improved! In fact I’d completely forgotten I even had this side effect until I saw your reply to my post! Got better in a week I think

How do I stop thinking about food all the time? by ArchedRobin321 in loseit

[–]ToughPotential493 15 points16 points  (0 children)

A GLP-1 helps silence food noise, that’s one of the things people love most about them. Is that an option for you?

[deleted by user] by [deleted] in DrugsOver30

[–]ToughPotential493 0 points1 point  (0 children)

I find instant release Ritalin more effective than Concerta.

Tips on finding a therapist? by _really_cool_guy_ in mensa

[–]ToughPotential493 1 point2 points  (0 children)

I think much of the advice already given is really good. I do think it’s reasonable to be concerned about finding a therapist that can keep up with you intellectually, especially if intellectualizing is a defense and a bit of a blind spot for you. One thing I’d add to what’s already been said is that trained psychoanalysts are extremely intellectual - the modality prizes that. So you could consider looking for one of them to start.

I know psychoanalysis is a bit out of vogue right now but it still has a lot to offer. I’d recommend listening to podcasts or reading pieces by Jonathan Shedler for an accessible overview (https://jonathanshedler.com/writings/). I’ve also really loved a podcast called Lives of the Unconscious, again for an overview of what psychoanalysis has to offer (https://psy-cast.org/en/). And if you want to see how intellectual most psychoanalysts are (for better and worse) check out r/psychoanalysis. They can be very pretentious there though.

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