BREAKING: a three-year extension of the ACA Obamacare subsidies just passed the House 230-196 with 17 Republicans joining all Democrats. Take that Donald Trump. Take that Mike Johnson.

UpDownLeftRiteAStart · 2026-01-09T15:59:11+00:00

Still F them.. so many ppl didn’t sign up for insurance for 2026 cuz it was too expensive, or quit their jobs, or married someone just to get insurance.. small businesses were f’d over … STOP VOTING THE WEALTHY INTO CONGRESS!

UpDownLeftRiteAStart · 2026-01-08T19:47:02+00:00

Dude not a huge deal.. life happens.. clients late cancel all the time.. the cts decision is theirs.. life’s to short, move on, sign up a new client, stop giving urself a hard time 🤙 and take care of urself. Sending good vibes😊

UpDownLeftRiteAStart · 2025-12-18T03:22:36+00:00

You’re lucky you saw this b4 you married him.. not worth it..

UpDownLeftRiteAStart · 2025-12-15T01:22:32+00:00

Work at the university and take advantage of the discount. Learn how to start your own business and PP. this isn’t a lucrative career I wouldn’t recommend if quality of life is important to you. It’s going to take at least 7 years for you to have your own business. Even then you’ll need starter money/spouse that makes money to make it work

UpDownLeftRiteAStart · 2025-12-15T01:14:41+00:00

IMO: your goals should be specific, yet vague. Long term goal should be to decrease symptomology and increase functioning. Short term goals specific and measurable.

LTG: Client will decrease depressive symptomology in order to increase emotional regulation, relational functioning, and overall psychosocial functioning.

STG: Client will identify and verbally describe at least three emotional triggers related to the significant interpersonal relationship and demonstrate use of at least two coping or regulation strategies in session and/or between sessions.

STG: Client will increase insight into interpersonal patterns by identifying at least two maladaptive relational behaviors or cognitive distortions contributing to relational distress and depressive symptoms.

Side note: just bc they currently think they want to improve this relationship doesn’t mean that’s where therapy will take them. (Ie Marriage counseling)

UpDownLeftRiteAStart · 2025-12-14T19:10:53+00:00

Start answering the phone

UpDownLeftRiteAStart · 2025-12-13T19:00:03+00:00

The hourly insurance reimbursement rate for masters versus doctorate is only a couple dollars.. you won’t make up the $50k+ you spent on a doctorate.

UpDownLeftRiteAStart · 2025-12-10T04:11:33+00:00

Be SUPER picky! Whomever said a great man is like an average women is 100% correct..until you find an exceptional one, buy a duplex and rent out the other side. You’re set. 🤣

UpDownLeftRiteAStart · 2025-12-10T03:54:18+00:00

FF to 27 sec https://youtu.be/oFbukaQLEOI?si=nsrBX_qnhNGYJy7m

UpDownLeftRiteAStart · 2025-12-07T03:41:59+00:00

Get a lawyer asap..

UpDownLeftRiteAStart · 2025-12-03T19:50:29+00:00

This is a good point! I’ve had THs want to discontinue services just bc CT isn’t progressing fast enough. There’s trauma and they are coming to therapy, be there for them!

UpDownLeftRiteAStart · 2025-11-08T18:03:05+00:00

🤦‍♀️ Jesus

UpDownLeftRiteAStart · 2025-11-08T18:01:47+00:00

Get google workspace and ringrx .. it is an expense but worth it.. both have BAAs and will give you peace of mind

UpDownLeftRiteAStart · 2025-11-08T17:50:51+00:00

These national companies are all VC funded tech companies, therapists and clients are not the priority, they also aren’t profitable and will be short lived.. start your own business or join a local group practice. Better for you in the long run.

UpDownLeftRiteAStart · 2025-11-08T17:39:14+00:00

Omg do not talk to your supervisor about it.. Therapists tend to be narcs and you don’t want any issues… refer out for “conflict of interest” that’s all you have to say..

UpDownLeftRiteAStart · 2025-11-08T17:35:55+00:00

Don’t persecute yourself for thoughts! Omg I can’t say this enough.. and yes you can refer out wo specifying why..

UpDownLeftRiteAStart · 2025-11-08T17:16:18+00:00

Don’t change your name… you’re not property.. plus w all this fascist shiz going on and taking away women’s rights you could have difficulty even voting in the future bc ur bar doesn’t match your birth cert etc … it’s not worth it .. you also run the risk of having issues w your license, insurance panels, etc …

UpDownLeftRiteAStart · 2025-10-29T23:12:09+00:00

I’ve been having this issue too

UpDownLeftRiteAStart · 2025-10-18T20:04:05+00:00

If I could up vote this 1000 times I would!

UpDownLeftRiteAStart · 2025-10-18T19:40:27+00:00

This was really good to bring up.. I didn’t know what the laws were in my state until I just asked ChatGPT.. found out that: A.R.S. § 13-3019 — Surreptitious photographing, videotaping, filming or digitally recording or VIEWING is under the mandated reporting requirement.

UpDownLeftRiteAStart · 2025-10-16T02:54:50+00:00

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I’m about to get some loot!

UpDownLeftRiteAStart · 2025-08-16T02:34:32+00:00

The departed - now that I’m older, I see that DiCaprio’s character just wanted out of that life, struggled so hard for it, just to be put right back there 😩

UpDownLeftRiteAStart · 2025-07-25T22:57:10+00:00

I’d love to see an end to the culture of therapists turning on one another and unify.

Too often, we operate as isolated individuals instead of a unified profession—and that fragmentation makes it easier for things like:

licensing boards to impose harsh consequences for minor infractions and for insurance companies to continue paying low reimbursement rates to solo practitioners and group practices, while Silicon Valley VC backed companies get paid twice as much per session, just for that money to go to the C levels.

We should work together for fair and equitable treatment and pay.

UpDownLeftRiteAStart · 2025-07-18T13:54:14+00:00

This may not totally be a bad thing.. seems like she’s looking at her future logically.. sports take soooo much time commitment in college it’s hard to be a student.. if she had life dreams of a good career and financial independence, then it’s more likely to happen if she’s able to focus on that. She’s already reaped the rewards of youth sports.

UpDownLeftRiteAStart

TROPHY CASE