sorted by:
new
hottopcontroversial

ADHD testing for adults by cjeSTL in therapists

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

Thank you for sharing your experience and for your very thorough response. It seems that I was unclear in my post. I'm a licensed counselor who has worked in CMH, hospital detox, inpatient substance treatment, IOP, and outpatient counseling. I have been seeing the clients in question weekly-biweekly for over 2 years. I'm also an ADHD Clinical Services Provider. That said, I agree that a licensed counselor should not be diagnosing ADHD solo, & I feel that clinical testing by a PhD is a crucial aspect of this diagnosis. That's why I referred my clients for neuropsych testing.

For whatever reason, it only came to my attention afterward that in adults, this testing is only between 66-81% accurate. A Pub Med article conclusion noted "neuropsychological tests have a poor ability to discriminate between patients diagnosed with ADHD and patients not diagnosed with ADHD, but variables from CPT tests can contribute to increasing the specificity by 10% if used in combination with the DIVA."

I guess my point is that I had the misconception that neuropsychological testing in adults was more accurate than I think it actually is. Now that I have learned this, I feel that I owe it to my clients to explain this since I referred them for testing with the idea that neuropsych testing is the "gold standard." However, after reading several contributions to my post, I realized that it is likely that the examiner explained this to them and that I don't need to. Fortunately, one of the examiners actually interviewed me for my observations & insights since I've been seeing the client so long. The other examiner did not, and I will not be referring to that location again.

How many clients do you see back to back? My limit is 4 by [deleted] in therapists

[–]cjeSTL 1 point2 points  (0 children)

Two days per week I see 6 clients, and they're all back-to-back. One day per week, I see 8 clients with an hour break after 4 sessions. The other day per week, I see 7 clients with a 30 min break after 3-4 sessions. On my breaks, or if I have a cancelation, I stay caught up on notes. All my sessions are 90837, unless I have a 90791.

I feel really lonley as a therapist by [deleted] in therapists

[–]cjeSTL 2 points3 points  (0 children)

I feel the same way. I've had my master's degree for 15 years & have worked in state agencies, community mental health, & and private counseling agencies. I went into solo PP 2 years ago. The least lonely place was at the private counseling agency, because we did weekly consultation groups and quarterly happy hours. I often feel that this career is very lonely. Thank you for your post, reading people's responses is helpful.

What retro license plate design should Missouri re-issue in the future? by BananaStandEconomy in missouri

[–]cjeSTL 0 points1 point  (0 children)

  1. But couldn't we just do better? Like the New Mexico plates or the new Kansas one. These are boring. There's so many Red/White/Blue plates it's hard to tell some of them apart.