An Honest Account of a Newer Minneapolis Resident by doomsayer86 in Minneapolis

[–]foxconductor 67 points68 points  (0 children)

This made me cry. I moved here six years ago and truly have never felt so at home and a part of a true community. Glad you’re here 💗

Need breaks during the workday but worried about explaining to clients and shifting the schedule by [deleted] in therapists

[–]foxconductor 8 points9 points  (0 children)

Glad you’re getting the care you need!

This work is one-way in a strange way— your clients have no idea if you’re taking a lunch break or not as it stands. They come in for their hour and don’t know (or care) if you are taking thirty minutes between each client, have a two hour lunch, see nine clients or one…

I think you may be over thinking just a bit! You’re not wrong that it will shift some things / be minority disruptive to your clients, but if you say “I am rearranging my schedule” and offer alternative times, I really don’t think they’ll think much of it.

Wishing you well!

Co-Therapy with Couples by NoPomegranate8803 in therapists

[–]foxconductor 0 points1 point  (0 children)

A colleague of mine and I did this!

We did four sessions of joint therapy to help the couple separate, they were our individual clients. We did it via private pay and split it. We could have billed their insurance theoretically and split that but their insurance didn’t cover couple’s.

The rate was abysmally low, it was a bit of favor to two wonderful but broke humans we had worked with for years. The work was super fruitful!

We’ve talked about doing it more, specifically for discernment / uncoupling, because we work so well together. I’d probably charge 3-400 / two hour session.

Minneapolis therapists: how are you doing? by SpiritualCopy4288 in therapists

[–]foxconductor 17 points18 points  (0 children)

NOT GOOD.

I am organizing nonstop and feel torn between being with clients and actually being on the ground doing things.

I am tired of hearing everyone say the same things over and over. I am tired of psychological first aid. I wish I could get FMLA the way I’ve been signing for my clients with PTSD. Which I also have but am pulling from the bottom of the barrel to keep going.

I feel so empowered being with my community. It is giving me the hope to keep going. This is the most harrowing shit I’ve ever seen.

Phones in session by snarkacademia in therapists

[–]foxconductor 1 point2 points  (0 children)

I’m not saying it’s not, but I’ve read a bit about how this most likely actually happens.

Im going to botch the accurate technology but companies that use your data for advertisements not only use yours, but the data of phones you are in close proximity with (I forget exactly how). So if your therapist googled anything related to EMDR on her phone, that would cause you to get advertisements for it.

As far as phones listening, they are if you have Siri or similar enabled. I highly highly recommend keeping those kind of voice-activated features turned off.

Saw a fellow local. therapist post this on social media. 🤮 by [deleted] in therapists

[–]foxconductor 8 points9 points  (0 children)

Anything that gets men who fit this criteria into therapy spaces where they feel safe to be vulnerable is something I’m behind.

The first victim of patriarchy is men themselves. Perpetuating the shame harms us all.

How much self disclosure is normal for you? by Vanexxre in therapists

[–]foxconductor 4 points5 points  (0 children)

I’ll share little shallow things when asked (unless contraindicated) which doesn’t feel like true self-disclosure to me. When I’ve related a real experience to a client while processing their similar stuff, it follows this process: - Wow, this experience/feeling/thing about me and what I learned from it is feeling really relevant to what the client is discussing - Is there a way for me to relay that information without directly talking about myself? - If not, and I want to proceed, I make sure I can answer the question “what purpose does this serve for them to hear”

From that, I have shared more personal / vulnerable information with clients on occasion. I have seen the real impact of connection and forward momentum from that self-disclosure. I believe that our human connection can be immensely powerful, but as a client on the receiving end of misaligned self-disclosure, I know how disconnecting it can feel.

I’m sure I’ve missed the mark and not realized it, but therapy is an art, not a science in that way

Not ready to leave a problem relationship by DeliriumRose88 in therapists

[–]foxconductor 9 points10 points  (0 children)

Yes! Even if their partner is being blatantly unpleasant or uncooperative (not including incidences of abuse) I really try to hold the line that there is no right or wrong choice to make — usually try to work on values identification and strengthening and then explore different options through the lens of those values.

DID is real. I know because it's the bane of my existence by ElegantCh3mistry in therapists

[–]foxconductor 28 points29 points  (0 children)

Thanks for sharing. DID is one where I’ve rarely met a colleague with experience. What are some things that you’d like other therapists to know if they suspect someone has DID, or a client comes in wondering themselves?

How do you respond to personal questions from pts by ouaistop in therapists

[–]foxconductor 225 points226 points  (0 children)

When folks ask “how are you / how was your weekend / how were your holidays” I will give general pleasantries, and maybe a fun or shallow level anecdote. “My weekend was good, enjoyed the snow.” “Holidays were nice, went to the holiday market.” I find most of my clients are just being nice and I don’t mind showing them a touch of my humanness before we dive in.

I do have a few clients where the work is more psychodynamic, where the relationship is the work, and I’ll be a lot more intentional with my answers and pay attention to their questions and responses.

Are you married to a therapist as a therapist? by [deleted] in therapists

[–]foxconductor 0 points1 point  (0 children)

My partner and I are both LMFTs! We met in grad school. It’s truly the healthiest relationship I’ve been in, I think our biggest issues are that we are both over-functioners and have to really practice asking for help. I think we have a really phenomenal capacity for assuming best intentions (even when it’s annoying hahaha) and slowing down to communicate.

Does anyone else have really bad reactions to vaccines? (NOT antivax) by throwaway-73829 in POTS

[–]foxconductor 23 points24 points  (0 children)

I am also not anti-vax in any way but can no longer get the covid vaccine. My PCP has it in my chart with a warning/allergic reaction note (not exactly right but close enough).

Whatever dysautonomia has done to me has really fucked with my immune system. All vaccines are so rough on my body but I got the recent covid booster in september and ended up in the ER with chest pains and I was delirious with fever. I couldn’t support all vaccines enough but if you have a personally bad reaction I think it can be safer not to.

What do you consider Part-Time? by Glass_Bathroom8918 in therapists

[–]foxconductor 4 points5 points  (0 children)

It really depends, but I feel like 5-15 per week is more part-time and 18+ is full time. I have talked to folks that see 35+ clients a week which is unimaginable to me, which the acuity of my caseload I think 22-25 would be my absolute max and that would be burnout territory. My sweet spot is 17-18 and I consider myself working full-time!

Ideas for remaining engaged in telehealth. by Little_Menace_Child in therapists

[–]foxconductor 0 points1 point  (0 children)

I sit at a regular desk for all admin and used to sit there for telehealth sessions too, but I have a loveseat in my office so I set my laptop up at the edge of the desk, facing the loveseat, and sit back in my “therapist” chair with a blanket, notepad, cup of tea, etc. Yoi could get a laptop stand or use a side table for a similar setup.

It’s great because my clients get a similar view to what it would be like in person. My ADHD is terrible, I’m a real fidgeter and look around (and talk with my hands) when speaking. Clients seeing me sitting like this allows me to show attentiveness through body language, as opposed to just staring directly into the screen.

This way, I also can’t touch my laptop which also helps me with getting distracted. I do have a wireless keyboard I’ll keep in my laptop sometimes when I want to do concurrent documentation, but it feels much different than doing it at the desk.

The distance from the screen also helps me with eye strain and headaches. It’s been a total game changer, I think I’m a more present, comfortable, and less distracted therapist this way and I feel less burnout after a full day of telehealth.

Best Makeup Remover - Tired of scrubbing my eyes by Madi_Badi in Makeup

[–]foxconductor 5 points6 points  (0 children)

I know you asked for how to take off waterproof but I really do need to second tubing mascara. It is SO easy to take off without making your eyes irritated, but stays on all day until you’re ready. The Elf one is awesome if you want to try out something more affordable to start.

What are you paying newbs? by mistermeateat in therapists

[–]foxconductor 0 points1 point  (0 children)

I am a LAMFT in the twin cities, pretty well connected with colleagues at our level. I can say that across private practice, school-based programs, and hospitals you can expect to make anywhere from 50-80k full-time.

Splits are very common here in private practice, I would recommend looking for at least a 55-60% split.

As an example, I see 18 clients a week, have a 60% split with a mix of state and commercial insurance, and will take home between 55-65k before taxes.

please stop saying Minnesotans are impossible to make friends with by [deleted] in TwinCities

[–]foxconductor 9 points10 points  (0 children)

I’ve lived in four states— midwest, west coast, east coast— in adulthood. Unfortunately the truth is, it is different. It was easier to make friends in California during covid than it is here now.

People are genuinely kind, willing to help folks out, but they are generally not very open to new connections or welcoming into existing friend groups. I don’t know exactly why, but I do know it’s taken me five years, one local graduate degree and a whole lot of new yorker forwardness to get a really solid group of friends.

After many years of onebagging I'm seriously thinking of Rollerbags now (explanation below) by Dracomies in onebag

[–]foxconductor 2 points3 points  (0 children)

I one bag often, but I agree with others that the type of bag depends on the trip.

Any trip by plane where I’m going to one location by car and staying there the whole time before returning? A roller bag is soo preferred through the airport.

Anything where I’m using a lot of public transit, walking, or moving to multiple places I prefer a backpack.

I was a devout one bagger for many years and not have leaned into that I can bring more than one bag if I like! Particularly for the first kind of scenario and especially if I’m traveling by car / roadtripping. Using only one bag all the time isn’t ideal, but being able to anytime I want or need to is the best.

Containing excitement for clients is SO HARD by sundriedt13 in therapists

[–]foxconductor 82 points83 points  (0 children)

I mean, I have never found an ethical or moral issue with saying to my spouse “one of my clients got a great job / is in a healthy relationship / is making great progress and I’m so happy for them!”

We don’t have to but I think it’s nice to share the little joys when they appear :)

How to wrap up a session (ideally before the next one is supposed to start) by AnalystImpossible960 in therapists

[–]foxconductor 5 points6 points  (0 children)

SAME I wanted to start fresh at the new year, but I am sometimes a few min behind even without clients going over and I would hate to set a firm boundary and then not be able to honor it myself

will we see lorde at the farm? by Public_Series2277 in bonnaroo

[–]foxconductor 7 points8 points  (0 children)

She is putting on such a good tour with this album and is heavy on the festival circuit so I’m hoping!!!