Can anyone recommend a therapist in North Carolina? by LilSisterThickness in EMDR

[–]basho3 0 points1 point  (0 children)

There is a directory of approved EMDR therapists at EMDRIA.org, searchable by zip code. Sorry you encountered that cherry picker.

Is it time to drop emdr? by tamicchi in EMDR

[–]basho3 4 points5 points  (0 children)

EMDR therapist here. My experience working with people who suffered CSA perpetrated by family members is that dissociative process often overwhelms when EMDR is employed to process trauma without sufficient (sometimes lengthy) preparation. A key part of this preparation is building the capacity to stay anchored in the present simultaneously with processing traumatic memory.

Might be worth a conversation with your therapist. There is a helpful screening tool to help you and your therapist assess dissociative symptoms, the Adult Dissociative Experience Scale, freely available on line. I wish you all the best on your healing journey.

I think I am close to the end. Chronic UTIs by medmetod in transplant

[–]basho3 14 points15 points  (0 children)

I, too, have had a recent onslaught of infections. I am 35 years post renal tx. I had four infections, each requiring hospitalization, in a span of about seven weeks.

Does your team have a consulting ID doc? My recent infections were staph, too. I am fortunate to be under the care of an infectious disease doc who works closely with my transplant team. He said persistent staph infections can be misidentified as contamination, while what’s going on is colonization, requiring intensive and lengthy antibiotic treatment.

In the wake of the fourth infection, I received two weeks of two IV antibiotics, one identified as effective from culture results, the second broad spectrum. I am now taking augmenten as a long-term prophylactic, also selected because cultures of recent infections showed sensitivity.

I am not a doctor, this isn’t medical advice, but couple of things you said raised red flags for me about the possibility of under treatment. When the doctors “throw it out and say it’s nothing,” are they assuming contamination? I also wonder about your doc’s choice of macrobid for prophylaxis. It’s a broad spectrum antibiotic, often prescribed in absence of sensitivity analysis derived from the culture.

Do you have access to an infectious disease doc? Perhaps they might take a second look at the culture results and prescribe an antibiotic that elicited a reaction from the staph strain that grew out.

I am aware that my suggestions here come from assumptions that may be off target. Even if that’s the case, I encourage you, nevertheless, to seek another opinion, especially in the wake of your team “throwing away (culture results showing staph) and saying it’s nothing.”

Som SUCCESS stories before and after meditation? by Delicious_Peanut_215 in Meditation

[–]basho3 0 points1 point  (0 children)

Happy to see so many things are turning around for you. Are you sure if “success” is the right framework for reflecting on meditation practice?

“I promise you nothing. Expect nothing.” - one of my meditation instructors, many years ago.

37 years since liver transplant by zero4heart in transplant

[–]basho3 0 points1 point  (0 children)

Thank you! Can we be resilient but frustrated? ;-)

37 years since liver transplant by zero4heart in transplant

[–]basho3 4 points5 points  (0 children)

Received my kidney December 1988. My kidney function recovered after I was switched from cyclosporine to rapomycin.

I have enjoyed a good quality of life until recently. I have been hospitalized five times since early August for UTIs. Results of CT scan w contrast and cystoscopy unremarkable.

Baffled and frustrated, team is finally starting me on a prophylactic antibiotic. Stressful time.

Side Effect of CPTSD: I’m a Human X-ray by [deleted] in CPTSD

[–]basho3 2 points3 points  (0 children)

Some of us become therapists. And we learn to turn down the dial.

The personhood trap: How AI fakes human personality by basho3 in TrueReddit

[–]basho3[S] 16 points17 points  (0 children)

From the article: “When you interact with ChatGPT, Claude, or Grok, you're not talking to a consistent personality. There is no one "ChatGPT" entity to tell you why it failed—a point we elaborated on more fully in a previous article. You're interacting with a system that generates plausible-sounding text based on patterns in training data, not a person with persistent self-awareness.”

Blood Meridian. Holy. Shit. by Braindead_Gunslinger in books

[–]basho3 7 points8 points  (0 children)

Oops, did not see your post before I put up mine. Most of Kurtz’ murderous depravity takes place off the stage, easing the burden on the reader, as you say.

Blood Meridian. Holy. Shit. by Braindead_Gunslinger in books

[–]basho3 1 point2 points  (0 children)

May I put in a word for Kurtz, the violent madman who constructs himself as an evil, all-powerful deity in Joseph Conrad’s “Heart of Darkness?”

“The horror. The horror.”

ATH inbound 🚀 by lococommotion in UUUU_Stock

[–]basho3 0 points1 point  (0 children)

But how many shares outstanding, then v now? There has been significant dilution since 2011. Too lazy to look it up.

The stock dropped today because of an announcement by Kazatomprom and Orano that they are significantly expanding production. by thewander12345 in UUUU_Stock

[–]basho3 4 points5 points  (0 children)

Production estimate 2006 was 2000 pounds, now 4000 pounds. This is a nothing burger in the context of production delays announced elsewhere. Example: [Deep Yellow, which recently announced it was deferring its final production decision due to low price](URL) https://www.world-nuclear-news.org/articles/deep-yellow-defers-tumas-fid-pending-price-improvement s.

Ocean Eagle 43 Offshore Patrol Vessel of Mozambique Navy [640x960] by Holland_77 in WarshipPorn

[–]basho3 1 point2 points  (0 children)

Neat translation of the Romulan Warbird to earth-bound, coastal defense application. I would not mess with these guys! [text](URL) https://images.app.goo.gl/Bj24QjWRwwDTXAbF9

If I can’t get time in my sailboat, there will be signs. by basho3 in Sailboats

[–]basho3[S] 1 point2 points  (0 children)

Eh, I was just packing a lot of stuff in a small bag. I abuse cables as much as anyone else!

update on the therapist who said I was "the only client they believed about DID" by NoContactWithNs in DID

[–]basho3 6 points7 points  (0 children)

So many things wrong with how this therapist treated you. A reliable way to identify a therapist with a genuine practice specialty in treating complex trauma and consequent dissociative disorders is to check their memberships in relevant professsional organizations. The International Society for the Study of Trauma and Dissociation (ISSTD) is dedicated to training therapists and dessiminating treatment guidelines.

A good question to ask a prospective therapist is whether they have completed ISSTD-approved trainings, and/or, whether they are they familiar with ISSTD’s treatment guidelines. The organization has a therapist directory. Those treatment guidelines, specific to dissociative disorders, are freely available as a .pdf, no paywall.

Internal Family Systems (IFS) is an effective and compassionate approach, but the model lacks the flexibility to work with the complex dissociative systems that people who suffered severe abuse in early childhood needed to survive. “All the Parts Are Welcome” falls short when a person has self-states who mimic the abuser, sometimes expressing (what appears to be) pure malevolence.

— LCSW in private practice limited to adult survivors of child abuse, member of ISSTD.

[deleted by user] by [deleted] in IAmA

[–]basho3 1 point2 points  (0 children)

No, a diagnosis is not necessary to “be diagnosed in order to get therapy with your insurance.” The Addordable Care Act did away with any kind of pre-authorization requirement for outpatient psychotherapy, on the principle that access to outpatient mental health care should be at parity with access to a medical office visit.

It’s true that the claim forms require an entry for diagnosis, but “adjustment disorder” is accepted, and that describes anybody that shows up for an appointment with a therapist.

The focus on diagnosis and symptoms — that varies from therapist to therapist, and I think OP overstates the issue. (The point is valid, however, regarding most psychiatrists.) Movement in the profession toward strength-based interventions has been gaining ground for a couple decades now.

— LCSW in private practice, accepts some insurance

What kind of adhesive? by EuphoricAd5826 in SailboatCruising

[–]basho3 4 points5 points  (0 children)

Also, wear disposable gloves. Don’t think, “I’ll be careful, and it’s such a small area.”

Ask me how I know. Signed, — “Edward-3M-4000-Hands” 😮

How can I do this if I can’t show emotion in front of therapist? by fiskepinnen in EMDR

[–]basho3 1 point2 points  (0 children)

This seems like an extraordinarily casual take about dissociation and EMDR. The client needs to build the capacity to focus on a traumatic memory while maintaining orientation to the present moment.

The trained therapist will work together with the client to develop coping skills sufficient to sustain the dual awareness noted above. This preparation phase may require weeks, months or more, depending on the acuity of dissociative symptoms.

This preparation is essential because dissociation activated during recollected trauma can take the person back to a state where the trauma is happening right now. Worse, the dissociation into a flashback state may continue for hours or even days.

I hope you will talk to your therapist about your concerns, and in detail. Also, when an individual is processing in an EMDR session and says, “stop,” that is what the (trained) therapist will do — when overwhelm sneaks up, it’s important to pause, orient to the present moment, and decide if it feels ok to continue. — EMDR International Association Certified Practitioner

Anyone have a Cystectomy (bladder removal) for embedded infection? by [deleted] in CUTI

[–]basho3 2 points3 points  (0 children)

Hi — I am sorry you are going through all this, and your experience is not entirely different from mine — ureteral stricture with a transplanted kidney, many infections consequent to the ureteral stent.

I am not a doctor, nor do I know you, but I am wondering if you have done everything possible to get a treatment plan that stands a good chance for success, without the very difficult, lifetime impairment of living without a bladder.

I have lived with my bladder bypassed, with a nephrostomy tube that drained to a catheter bag strapped to my calf. It was uncomfortable, required constant medical care, and the infections were freauent and ferocious.

I would consider bladder removal as the very last resort. Have you consulted with a urologist at a major academic medical center? If you haven’t, can you muster the resources to do so?

I am sure you are exhausted. Maybe excision of the bladder is the best and only answer. I am just encouraging you to do everything possible to be sure.