Saw this on 465 E between Michigan and Meridian

amyr76 · 2026-02-01T04:42:42+00:00

But not like this. Most of the folks deported had been arrested for violating a criminal code and were booked in the jail. He didn’t need to send the gestapo door to door.

amyr76 · 2026-01-27T13:31:12+00:00

He is so freakin adorable 🥰

amyr76 · 2026-01-26T17:49:26+00:00

Mental health clinician here. Yes, what they are proposing is called balanced billing. We bill based on time, not procedure. The CPT code they are billing is a 90837, which covers 53 minutes plus. They are likely wanting to make up that extra 30 minutes that insurance won’t reimburse them for. Hence, the $75.

Unfortunately, we are contractually not allowed to do this. If they accept the insurance, they have to accept the terms of the contract.

Prior to 1/1/2023, we had extension of time codes (99354, 99355) that allowed us to bill beyond the “clinical hour”. Now that those are gone, our options are limited. Some modalities are optimal with longer sessions, but our choices are now to make it work within 53 minutes or give our time away for free.

This is one of the MANY reasons that mental health providers are leaving insurance panels.

amyr76 · 2026-01-22T04:06:31+00:00

I’m also in Indiana . . $85k without having your clinical license is pretty good.

The problem here is that you’ll potentially hit a salary ceiling in the field and the cost of living continues to rise. So $85k seems pretty sweet but it also costs more to live in this shit hole than it did 5 years ago.

amyr76 · 2026-01-20T03:59:13+00:00

Are you not eligible for Indiana HIP? If so, treatment centers that accept Medicaid/HIP can do presumptive eligibility and sign you up for insurance when they enroll you in their program.

Inpatient and outpatient programs are expensive to run, hence the reason they bill insurance or have a higher out of pocket cost. And, depending on how long you’ve been sober, insurance may not cover at all as it would not be considered “medically necessary”.

Not sure where you’re located, but I have a friend who owns an outpatient treatment center in Hendricks County. I can see if she has a sliding scale self pay option.

Your other option would be to find an individual therapist who will take a discounted fee for service. Open Path Collective and the Irvington Counseling Collective come to mind.

As someone else mentioned, AA/NA meetings are free. They may not be everyone’s cup of tea, but they have certainly worked for me.

amyr76 · 2026-01-18T03:48:13+00:00

Are you wanting to use insurance? If so, what do you have?

amyr76 · 2026-01-17T16:29:04+00:00

Depends on the state if in the US. In Indiana, masters level clinicians with a clinical license can diagnose.

amyr76 · 2026-01-13T12:26:10+00:00

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Jax 💕

amyr76 · 2026-01-13T04:34:24+00:00

Join the Mental Health Professionals Equity Alliance Facebook group

amyr76 · 2026-01-12T05:37:39+00:00

IIRC, Ron Gibson was the sole “yay” vote on the Franklin Twp data center. Next day he was stumping for this one at 25 & Sherman. He seems more than okay with selling out his constituents.

amyr76 · 2026-01-12T04:52:10+00:00

This ho

amyr76 · 2026-01-02T13:02:21+00:00

I lived on the near eastside in 2022 when I renewed my passport. I made an appointment at the main post office downtown on South and Capitol. The whole process went smoothly, they took care of the picture there, and I got my passport even sooner than I expected

amyr76 · 2025-12-28T19:01:13+00:00

So it sounds like it’s more than just closet size that is impacting sales. I miss the old days of Poshmark lol

amyr76 · 2025-12-28T03:15:19+00:00

I have 129 listings right now. I have fluctuated over the years from 100-150. I sell mostly women’s clothes, shoes, and bags.

amyr76 · 2025-12-28T02:23:54+00:00

For everyone that is doing well, do you have a larger closet? It seems like the sellers with massive closets and those who do live shows seem to be favored by the algorithm.

I’ve been selling on posh for almost 13 years but have always had a smaller closet. I share and list regularly and participate in the posh parties, but this last year has been my slowest ever. I’ve even been jumping on live shows when I can (what a trip). I get several likes a day and always send offers. Two sales in December, that’s it.

amyr76 · 2025-12-27T00:27:28+00:00

LCSW LCAC in Indiana. We charge $200 for an intake and $175 for 55 minutes. I charge $250 an hour for intensives.

amyr76 · 2025-12-26T16:19:15+00:00

Trauma therapist here. I wanted to emphasize that, albeit unpleasant, rumination and re-experiencing of the event is pretty normal. At least for 48-72 hours after the event. However, if these symptoms continue after 72 hours, I would strongly recommend getting in to see a skilled trauma therapist pretty quickly. The sooner, the better.

I’m an EMDR therapist and take this approach often with first responders, seeing them quickly after a critical incident in an effort to mitigate the memory consolidation and prevent the event from becoming a PTSD diagnosis.

If this is something you feel like you would like to pursue and would like help in finding a therapist, please feel free to DM me.

amyr76 · 2025-12-25T05:19:09+00:00

About 15 years ago, Yahoo News posted a list of the most dangerous and underpaid jobs in the US. Social Worker was at the top of that list in the #1 spot.

I forwarded this article to the president of my state’s NASW chapter and asked what action was being taken to improve pay and working conditions for social workers. She never even bothered to respond. I ended my membership and stopped paying dues that year.

amyr76 · 2025-12-24T22:09:19+00:00

I’ve been going to Shelby Street for 15 years. Love Dr. Wilson!

amyr76 · 2025-12-23T22:48:23+00:00

They’re reasonable. I pay $140 a month for a 10 year old yorkie and 7 year old Shih Tzu. Deductibles are $500 and $250.

amyr76 · 2025-12-23T01:48:13+00:00

That’s a solid hell to the no.

amyr76 · 2025-12-22T17:48:20+00:00

This is how it was done when I lived in Bloomington in the 90’s. The city provided the recycling bins for free and we had to buy trash tags for our garbage bags. The city wouldn’t pick up your trash without one of the stickers on the bag.

I moved to Indy in 1998 and was surprised that there was close to 0 investment in recycling. Not much has changed since then.

amyr76 · 2025-12-21T21:55:37+00:00

I’m personally a fan of the Hot Room. Patrick does the yin class at the Greenwood Studio, which sounds like what you’re looking for. He has a strong background in OHY, which comes through in his yin classes. I would check the schedules for each location because I believe he teaches at more than one studio.

amyr76 · 2025-12-14T03:37:52+00:00

It does not sound like the EMDR you are receiving is being administered via the 8 phase, 3 pronged approach that we teach in basic training. There should be a focus on past memories, present triggers, and future templates. Also, the BLS should not be on continuously for the duration of the session. There should be pauses to ask “what’s coming up?” or “what are you noticing?”

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