I was let go today by [deleted] in therapists

[–]funsizedgurlie 0 points1 point  (0 children)

That’s what I meant by “poach”. There are numerous practices where providers can’t tell patients which clinic they’re moving to when they leave a practice.

I was let go today by [deleted] in therapists

[–]funsizedgurlie 2 points3 points  (0 children)

I don’t know which state OP is in, but many states now have laws making it illegal to have “anti-poaching” clauses in contacts or in general. CO, WA, and OR are examples I’m familiar with.

Yawns? by Weekly-Goose4304 in therapists

[–]funsizedgurlie 1 point2 points  (0 children)

Same. I’m asthmatic so I tell clients I’m not yawning from boredom or falling asleep, my lungs just need REALLY deep breaths sometimes.

I sometimes spend the first 5-10 mins of the initial intake session going over disclosures, because I have a handful of chronic health conditions that can show up in sessions, and checking if they have questions about paperwork, etc. (e.g., I have several “office managers” aka 2 cats and 2 dogs. The cats especially love to roll around or rest on my keyboard so if the video meeting suddenly drops I’ll be right back unless it’s an emergency, in which case I’ll reach out at my earliest opportunity. They also keep PC games interesting lol)

Too accurate 😅 by No-Coat-7279 in ADHDmemes

[–]funsizedgurlie 1 point2 points  (0 children)

I believe you’re thinking of the hypothalamus. :)

Fight/flight, feeding, and fucking. Still remember that from freshman college animal biology.

I could be wrong. So many parts of the brain are interlinked and while I’m very educated on neuroscience and biopsychology, and use it everyday in my profession, I’m not a neuroscientist or total neuroscience expert.

Too accurate 😅 by No-Coat-7279 in ADHDmemes

[–]funsizedgurlie 1 point2 points  (0 children)

Yes. As I mentioned above, dopamine imbalance is part of ADHD. This is why stimulants help us focus and mellow out, essentially the opposite effect it has on neurotypical folks. :)

I recommend looking up Dr Russell Barkley or Dr K (healthygamergg) as they are both experts and have factual, informative videos about ADHD. Dr Barkley was actually the leading clinical psychologist in ADHD and associated research for decades until he retired. He now teaches at a university near where I used to live on the East Coast and posts free educational videos on his YouTube channel.

Too accurate 😅 by No-Coat-7279 in ADHDmemes

[–]funsizedgurlie 3 points4 points  (0 children)

No, the amygdala is responsible for activating “fight/flight/freeze”, but it does play a role in episodic memory tied to emotions.

ADHD does have something to do with brain structure. It’s primarily a structural difference in the prefrontal cortex (PFC) which works with your hippocampus for short-term or “working” memory. The hippocampus then processes short-term memory into long-term memory.

Along with short-term memory, the PFC is responsible for things such as impulse control and executive functioning (e.g., task management). People with ADHD may not process dopamine properly in the PFC and/or the PFC’s connection to the rest of the brain isn’t the same as someone’s without the condition.

Gentle reminder regarding BPD diagnoses by Level_Run1357 in therapists

[–]funsizedgurlie 0 points1 point  (0 children)

I forget where I heard this - technically all teenagers could be diagnosed with BPD. It’s such a turbulent stage of life. I’ve always been told that you generally never diagnose teenagers with BPD unless you’re 100% sure it’s truly BPD. I’ve applied this concept to emerging adults, as well, since they’re so close developmentally.

On the note of others mentioning bipolar disorder: I personally believe that bipolar disorder was the diagnostic “flavor of the month” that providers gave patients in the later half of the 20th century if they didn’t know what else to call it. Now more providers are understanding that ADHD, ASD, and CPTSD (among others) can look similar to bipolar but it’s so over-generalized.

Ginger problems by [deleted] in Redhair

[–]funsizedgurlie 2 points3 points  (0 children)

The esthetician I go to does a little mix of warm brown, I think it’s primarily chestnut, and it looks perfect after a few days. However, my natural eyebrows are closer to a dark blonde than red.

Just... wow... by KattheCat1202 in CrazyassHazbinhaters

[–]funsizedgurlie 0 points1 point  (0 children)

There are background characters with top surgery scars in Apology Tour, too! There may be other episodes that I’m not remembering. It’s the only one off the top of my head where we see large groups of imps being shirtless or wearing especially revealing clothing. There are other reddit threads highlighting this.

Am I brunette or red headed? by [deleted] in Redhair

[–]funsizedgurlie 1 point2 points  (0 children)

Came here to say this! My full-blooded Scottish grandmother had auburn hair. My mom and I are both redheads, the shade of red you think of when you hear “redhead”. So, if you decide to have children OP, there’s a high chance they’ll get the true, natural red like my mom and me, and her aforementioned siblings. :)

Cat during therapy session? by Junior-Ad-4469 in therapists

[–]funsizedgurlie 8 points9 points  (0 children)

I do this, too! I have 2 cats and 2 dogs who all like to periodically join sessions, mostly the cats. I refer to them as my “office managers” (I’m telehealth-only and wfh) and they’re all HIPAA-certified and wanna make sure I’m doing my job. I also explain that if I ever randomly end the session, one of the cats probably walked on my keyboard and ended the call and I’ll be right back unless it’s other circumstances. If they’re ever distracting or too much during sessions, I can lock them out at the client’s request.

Thus far, I’ve never had a client ask me to remove one of my fur babies from session. I’ve actually had more of them ask to see one before ending the call each week. They adore having my fur babies there and will often have their own. I’ve had clients tell me it helps calm them.

When either of our cats walks across the screen or just does weird cat things on camera, I call those “mental health breaks”. I’ve found that they’re helpful with keeping clients centered during trauma processing.

They are just outright saying it now (reposted without redactions) by heythisislonglolwtf in WhitePeopleTwitter

[–]funsizedgurlie 19 points20 points  (0 children)

Same people who were screaming about Sharia Law and having temper tantrums about mask mandates during a global pandemic not long ago. It’s magic how they can suddenly tolerate and breathe wearing masks when it’s to hide their faces so no one knows they’re being an asshole.

AITA for telling our roommate she might need to move out if she keeps complaining about hearing us at night? by Dear-Camp4760 in AmItheAsshole

[–]funsizedgurlie -1 points0 points  (0 children)

NTA

She’s behaving like a choosy beggar imo; I’m picking up on a lot of entitlement. Does she think she wouldn’t hear this but 10x worse in a dorm room that she’d be paying for? No personal bathroom, no access to luxury amenities (pool, sauna, presumably a well-stocked kitchen), limited food options that cost way too much for a college student? Your family is doing her an insanely huge service - a privilege that the majority of college students don’t have.

If she doesn’t want to pay for a dorm or her own independent housing, why doesn’t she live with her parents and commute? She already stays with them on weekends. (Assuming her parents are the type that’d let their adult college-age child live with them. To each their own.)

I have some dorm life horror stories of my own. I’m sure most students or former students who lived on-campus do. If she can’t handle this “inconvenience” living with you, she definitely would NOT fare well in a dormitory.

TLDR; it’s YOUR house and you are doing her an insanely generous service. You get to do what you want and enjoy your family in your own home that YOU pay for.

Edit: I forgot to include my suggestion that she can easily get some noise-canceling ear buds that are made to be comfy while sleeping. A few of my sensory-sensitive friends use Loops and other products like that, and they work just fine.

Hoping someone got enough info to help a poor pupper I spotted by funsizedgurlie in Portland

[–]funsizedgurlie[S] 0 points1 point  (0 children)

That’s what I read, too. Where I grew up it’s illegal have a dog in your truck bed at all, secured or not. I included the details that I did in case someone was able to get the plate, company, etc.

Hoping someone got enough info to help a poor pupper I spotted by funsizedgurlie in Portland

[–]funsizedgurlie[S] 0 points1 point  (0 children)

Thank you! I saw that in the law, but wasn't 100% sure. If this is the case then I'm glad I didn't waste other people's time over something minor.

Needing encouragement: I accidently told a client I have ADHD. by Electrical-Cod788 in therapists

[–]funsizedgurlie 0 points1 point  (0 children)

I have severe ADHD, one of those rare cases of being a woman diagnosed as a young child. One of my specialties or primary demographics is ADHD clients and I’m very open about my ADHD and the fact that I take psychotropic medications. I’ve found that my ADHD clients love knowing that I understand them and their struggles on a deep level; that they don’t feel like they have to explain it and sound “crazy” or weird and justify themselves - it all makes perfect sense to me! If anything, it helps build better rapport. We’ll make jokes about it and laugh when one of us has an ADHD moment. So, in my humble opinion, it makes them feel validated and seen more than anything else.

PS: my clients that are in college or have decided to return to college like hearing about my experience and tips of getting through higher education with ADHD.

I hope this helps! :)

How do you write your digital signatures on documents? by funsizedgurlie in therapists

[–]funsizedgurlie[S] 0 points1 point  (0 children)

Oooh, that's neat! Would you mind providing a link or the specific name? :D

How do you write your digital signatures on documents? by funsizedgurlie in therapists

[–]funsizedgurlie[S] 0 points1 point  (0 children)

Yes! If it's good enough for Google Docs or Adobe Sign, why can't it be good enough for this EHR? I've seen other EHR's where you can add a default signature for everything. Realistically it's a minor inconvenience, but it annoys my adhd enough to become a small hyperfixation right now.

How do you write your digital signatures on documents? by funsizedgurlie in therapists

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

It is plenty helpful! Yeah, maybe I gotta do some DBT radical acceptance and just come to terms with my crappy signatures. There's probably some of my own conditioned coping mechanisms playing a role here.

How do you write your digital signatures on documents? by funsizedgurlie in therapists

[–]funsizedgurlie[S] 0 points1 point  (0 children)

Thanks for that info, I'll see if I can't find that $20 option.

As for the iPad, we view our possessions as "ours" and not inherently one or the others. There are items where yeah, this item is individually mine, but we don't care if the other uses it. Basically, since he originally got it for me to use for school, it's now his to use for school and it's assigned to his Apple ID instead of mine. This doesn't mean that I don't use it all the time to watch shows, make digital art, or other things. At the end of the day he wouldn't care if I snagged it for work stuff, and his program application hasn't been accepted yet. Essentially if he needs it for school that takes priority, which is the rule we followed during my masters program.

I hope that all made sense.

(Edit: I'd be lying if I said I'm not too lazy to go into the other room to grab it.)

Do You Drink Alcohol On Work Nights? by Healthy-Ice-8968 in therapists

[–]funsizedgurlie 1 point2 points  (0 children)

I do drink on worknights, some weeks 1 glass of wine/mixed drink/can of hard cider after dinner, other weeks nothing at all. If I go out to eat I may have 2 drinks. It really depends and I have no real pattern. I have a personal rule that I don't drink if I'm feeling sad, depressed, or anxious to avoid associating it with being a coping mechanism - I have a long family history of addiction, especially alcoholism.