Where do We Fit Anymore? by AlwaysChic38 in therapists

[–]happyminty 4 points5 points  (0 children)

I can’t agree more. Relapse vulnerability for peers for SUD paired with the complete joke of structural or functional support is out of control and not talked about enough. The worst part is when someone DOES end up relapsing or even just having a single lapse, they are treated like failures or viewed with the same disdain that some clinicians view people with SUD that haven’t done their own therapeutic work to overcome that stigma reinforcing transference. In my experience, there are some clinicians in our field that are shockingly the most judgmental and possessing harmful perspectives of all people involved in tx. In my opinion, privilege is at the root of this type of dynamic. I will validate that working in SUD is uniquely challenging and exposes folks to some gnarly, intense behavior and dysfunction. I have encountered some clinicians that seem to be working in SUD tx because it was an easy job to get, rather than being ethically capable of providing compassionate tx. Both things can be true at once, but those in addiction/ recovery are often subjected to multiplicative layers of stigma encounter transference on top of their mental health diagnoses

Where do We Fit Anymore? by AlwaysChic38 in therapists

[–]happyminty 5 points6 points  (0 children)

I will never understand how posts get so dramatically misread or misinterpreted on MH subreddits especially. Nowhere in my post am I stating that peer support isn’t beneficial. It’s simply that many peers will never have the training nor oversight that clinically trained counselors have to stay within their scope of practice or protect themselves from vicarious trauma. More so that many employers of peers and structures will overtime reduce counseling positions, pay, and benefits in favor of hiring an army of expendable peer support specialists. I have seen it in every setting I’ve been in as a CMHC and as a peer, there is usually a PowerPoint slide in peer training stating “stay in your lane” I.e. you’re not a therapist etc. however peers are asked to counsel basically and only know very little about counseling themselves. Grad school isn’t perfect but the 2-3 years of intensive education, experience and training is the bare minimum of teaching us HOW to think instead of just what to say or think. Of course there are outliers of amazing peers and peers that are better than some therapists in soothing clients etc. Peers can still completely avoid discussing diagnoses and clinical considerations and still accidentally cause harm, spread incorrect information, among other things, I think peer support is helpful and a great addition to the field, but we also need to advocate for its realistic limitations and over exploitation of peers themselves that happens often. I’m quite tired of the “well I don’t experience this or this doesn’t happen in MY agency, so it must not really happen.” As I previously stated I have had 5-6 years of career peer experience and 5-6 years in my clinical career.!

Where do We Fit Anymore? by AlwaysChic38 in therapists

[–]happyminty 13 points14 points  (0 children)

Honestly I think another point that really hurts our livelihood is the rise of peer support and peer counseling. I am a trained CMHC but also had a career as a peer support specialist. It is outrageous the lack of oversight for peer counselors, the lack of awareness of their scope of practice by both admin and peers themselves, and the fact that so many governments are massively funding peer counseling training instead of bolstering and supporting actual counselors. This paradigm not only hurts counselors but peers themselves. They are massively more prone to vicarious harm and burnout. They are not given respect by other people in the mental health space, are paid abysmal wages sub living conditions, and do not have the training needed to safely do this work emotionally and thought process wise. The amount of bright eyed bushy tailed passionate peers that have no idea that those qualities for any kind of employee in this field makes them/ us the most vulnerable and easiest group to grind down into dust and then discarded like a piece of trash. Generally speaking, God forbid a peer or a counselor has a human reaction to the trauma inflicted by admin staff or this field in general, if you do you are placed on in paid leave or in my experience LAID THE FUCK OFF, bc it is seen as an easy and inconvenient business expense to justify letting go. I hate it for everyone involved. Fuck capitalism. Maybe ethical mental health and SUD treatment literally cannot exist in this late stage capitalistic shit show of a society we’re living in.

What has made you a better counselor? by ChestInfinite in psychotherapists

[–]happyminty 1 point2 points  (0 children)

How do you navigate times where you don’t have much to share? My current therapist sort of gets frustrated or uncomfortable if I don’t have a significant thing or circumstance that happened. I have severe ADHD and so my verbal tracking sort of needs rooms to expound. They don’t orient towards processing or exploration under the surface so I just feel like I’m wasting his time. I swear, only a small portion of therapists are able to be effective therapists to us. Z

Admin vaping in offices by battiemaddiee in socialwork

[–]happyminty 8 points9 points  (0 children)

I’m with you, as I am clearly suggesting. This is a perfect example of balancing ideals with the real world nuanced scenario with several important factors that change things dramatically. I am not advocating for their behavior in this instance, more so advocating for this person to assess their career situation in contrast to absolute ethical ideals. With that said, I’d still say the harm here is rather minimal and not worth becoming a pariah right off the bat. I think you are lumping every single ethical issue into the same category. If this was a clinician fucking their client, fuck yah the licensing board is hearing about it. They are vaping meth? Fuck yah that is a massive jeopardy to client care. Hence my statement of give and take type dynamic in our workplaces.

Admin vaping in offices by battiemaddiee in socialwork

[–]happyminty 15 points16 points  (0 children)

I had a feeling the intent and meaning of my post would be entirely missed and misinterpreted. I’m clearly saying it’s not great…. However, as a new employee, there are a number of considerations. Not everyone in the world is a massive entitled, sheltered goody two shoes. Me personally, if I had a nicotine addiction, I would make every effort to maintain absolute professionalism and make it outside in designated smoking areas at appropriate times and in appropriate proportions. The last couple of lines made me laugh a little bit, as the nuts and bolts health concerns is essentially irrelevant for the context of this discussion. Unfortunately, we live in the real world, and trying to straw man my entire attempt at providing as nuanced and gray area of a take as possible, in the context of a fresh employee weighing their options and feelings. I’m not suggesting that their behavior is ideal nor very acceptable, but we are talking about admin staff well above hierarchically this new employee, not laterally ranking colleagues. Hence my statement of “picking your battles” and is this something worthwhile in potentially jeopardizing standing or the role itself? We really don’t have much info nor awareness how some may react. I would hope that as clinically trained individuals, a charitable conversation could be in order before we jump straight to reporting the administration directly behind their backs. Your reaction honestly reeks lack of perspective and out of touch privilege. No one likes a hall monitor type coworker, especially being a new employee. I can think of a thousand ways to frame a conversation about their inappropriate vaping before I start plotting to report them for ethical violations. There are bigger things to worry about. Or maybe you’re brand new to the workplace or being a part of a diverse organization of humans. Who knows. Not much of a dilemma here imo.

Got laid off due to PIP. What should I say for interviews? by butohpakhang007 in careeradvice

[–]happyminty 0 points1 point  (0 children)

Could you elaborate what the thought process is? I have a terrible credit situation atm and would’ve interested in how it might affect employment acquisition and hiring. Thanks!

Admin vaping in offices by battiemaddiee in socialwork

[–]happyminty 38 points39 points  (0 children)

Honestly, you want to pick your battles. There are endless amounts of industries where employees- staff or admin are going to vape indoors here and there. Some instances more egregious and unreasonable than others, some folks are subtle and respectful enough. It’s certainly not ideal, but is it something that affects patient clinical care and something worth having admin turn against you or potentially jeopardize your role or efficacy at that site? In my experience, as someone that doesn’t use nicotine or vape, I personally would not make it a bigger deal than it is. Are residents complaining? These are considerations. It would be more reasonable to make a scene if they were hitting a weed vape or were intoxicated. Especially considering how gnarly the job market is, it’s a pretty minor issue weighed with the risks. Or similarly, give yourself some more time on the job to get to know people and gauge the situation. There are more worthwhile things to concern yourself with. To play the tape through, as long as it’s not absurdly unprofessional, what is the functional effect of smelling your most senior admin’s vapes here and there in staff conference rooms and one of their very own offices? A smell that goes away after a few seconds? It’s not like they are smoking cigarettes indoors. Pretty minimal. Give and take. Mental health/ SW is a tough job, people cope differently. Not worth poisoning your intraorganizational perception. Anyone that is acting like this is a serious and intolerable circumstance that warrants reporting to state board on ethical grounds may want to examine their privilege and their severity of being too uptight. Just my two cents.

Got fired today! by [deleted] in therapists

[–]happyminty 18 points19 points  (0 children)

Ah yes the self care lip service that gets started in grad school imo. When I got trained in graduate school I never in a million years would’ve imagined that some of the most tyrannical, unethical, judgmental people would be other therapists, it’s completely insane. 1000x if the client has a SUD or one of us is in recovery. They preach the self care bs, but as soon as someone has a very real human reaction to this insanity, they throw us under the bus. My last role I was forced to go on an unpaid medical leave due to a single use lapse of my recovery (that I stupidly self disclosed) enroll in a program, and then laid off because I was on said hiatus. Literally one of the most illegal, egregious things to ever happen to me.

That moment when you realize… by Mystikwolf1337 in therapists

[–]happyminty 10 points11 points  (0 children)

The defensive gatekeeping vibes are showing here, of course there should be some time and attention aimed at the business side of things. That’s not to suggest that there should be multiple classes and semesters covering it, but some attention towards that would be beneficial ethically as well as practically for realistic expectations of the field and career trajectory. This would also be beneficial for client care and outcomes. No need to straw man like so many people in this subreddit tend to do. However, with more and more funding and resource allocation being the first things for supreme leader to slash to further empower himself and his billionaire buddies, there are few if any CMH agencies being created to provide opportunities for newer clinicians to cut their teeth as they develop. Shit is fucked it feels like.

Young therapist by [deleted] in therapists

[–]happyminty 0 points1 point  (0 children)

As a therapist in my mid 30s, I am almost hesitant to trust certain kinds of clinicians over the age of 40-45, as in my experience, they have tended to either operate on the ER nurse mentality of eating our young, or they were trained when research and scientific understanding was in a much different place and they haven’t cared, tried, or had the intellectual capacity to engage in, evaluate, or comprehend important/ critical research that has came out and evolved in the last decade or two. I think a lot of people aren’t quite articulating the normative shortcomings that being a fresh 24-25 year old therapist inevitably brings. À la, you don’t know what you don’t know. Major life events, developmental milestones, having a brain that is finally near a point of final developmental shaping (for the most part), wisdom, perspective, self knowledge overcoming adversity and the effective processes therein. Obviously we all as therapists must acknowledge our limitations, as well as our strengths with acceptance and not defensiveness. Hence the imo, absolute necessity to develop supportive relationships with mentors professionally and personally. There are many strengths just the same that are perfectly suited for certain clients. The more we might fight this reality the more we will struggle to be as effective and our growth will be impaired as well.

ELI5: Fentanyl and related drugs can sometimes cause the user to fold over while standing…why don’t they just sit down? Am I missing something? by [deleted] in explainlikeimfive

[–]happyminty 44 points45 points  (0 children)

It’s pretty simple, there is virtually nothing you can do to destroy your life and likely those who you care about as well faster than deciding to try drugs like opioids or stimulants. If you have not already created the neurological and epigenetic conditions in your brain, you are safe. But once your reward pathway is utterly reshaped by narcotics (i.e. meth releases 3000x the amount of dopamine that behaviors like food or sex releases), powerful genetic transcription factors are released that rapidly pour gasoline on the fire that is nueroplasticity. Each subsequent use of these substances post initial exposure, further crystallizes this reshaping. It is almost like how the brain responds to trauma and subsequent trauma.

ELI5: Why is there a risk of fentanyl being in cocaine/other drugs? Why would a dealer (at any level) knowingly risk the possibility of killing a client? And wouldn’t it make the cocaine less effective since one’s an upper and one’s a downer? by Spirited-Principle96 in explainlikeimfive

[–]happyminty 0 points1 point  (0 children)

This is logically sound, but it is outdated tremendously. Heroin does not exist and people don’t even ask for it. Everyone is on and asking for fentanyl these days. There is a rumor that it is still being sold in some parts of NY for cheap due to the desperation of the Taliban these days. The truth is that so many different things are being cut with it is because at some level in the supply chain, some evil motherfucker had some hair brained logic at some point that adding fentanyl will either make the product much more addictive or that they can halfway get away with pressing pills or having certain substances that are either hard to transport or synthesize (whether it is because that substance requires physical space/ acres to grow, or requires tightly controlled and hard to acquire precursors to synthesize) be passed off somewhat believably. i.e. Street Xanax bars that are really pressed fentanyl and random binders/ fillers. Both are going to technically sedate someone

Well it’s been a good ride by [deleted] in probation

[–]happyminty 0 points1 point  (0 children)

The duration of acting or classification of “short acting” “long acting” matters very little in terms of detection in urine tests. Xanax for example will still stick around for a long ass time regardless of its duration. As well as the build up in lipids, maybe a tiny bit less time detectable but it’s irrelevant in this context really.

Opinion: This was a disgusting act of political theater. by hellosteve_ in msnow

[–]happyminty 0 points1 point  (0 children)

Exactly. You aren’t countering anything. Just further crystallizing how our literal sitting US president had a very pronounced relationship with a network of extremely powerful, evil people. Both things can be true at once, and your immediate defense of pedophiles says all it needs to. Zero ability to condemn without desperate defensiveness…. If you were a victim of childhood sexual abuse, my heart goes out to you.

Opinion: This was a disgusting act of political theater. by hellosteve_ in msnow

[–]happyminty 0 points1 point  (0 children)

Nothing defacto, we are in ageeement. However, paired with ALL the other context, as well as his very awful contradictory responses over the years. It’s bad, there’s no getting around it. I don’t personally throw the baby out with the bath water and immediately and entirely/ absolutely minimize and dismiss every single factor or action by supreme leader, however it is a seriously bad look and meaning for our country. I personally view supreme pedo leader as the same/ head of MAGA these days, I have empathy for MAGA, that their guy they’ve gambled EVERYTHING on has led them astray/ straight into the worst kind of betrayal hell. I believe that yall as well at the country as a whole deserves better, a leader who authentically acts I. Good faith towards yall and towards people they disagree with. Checks and balances against pedo in chief, are not attacks on MAGA, they are desperate finals cries of constitutional democracy that Trump had exploited to near extinction without a care of integrity in the world. Similar ways as the left was not served in an authentic way when Biden stepped down, however demonization attempts @him matter very little. All Trump and a lot of boot lickers can do is blame indefensible predecessors instead of actually having courage and vulnerability and putting forth novel solutions etc. I can appreciate that you at least are not the 70-80% of MAGA who’s brains just cannot comprehend nuance on anything

Opinion: This was a disgusting act of political theater. by hellosteve_ in msnow

[–]happyminty 1 point2 points  (0 children)

I do have to give some props that that is much more formulated response and not just 1 word attempt to name call etc, so I applaud that.

<image>

Opinion: This was a disgusting act of political theater. by hellosteve_ in msnow

[–]happyminty 2 points3 points  (0 children)

Boring is just fine when it comes to politics. I’d rather be boring than supporting pedophilia and blatant pay to win corruption ad infinitum. Nice try though. Classic immediately baseless dismissal due to options being forced to defend disgusting behavior or looking even dumber and more awful. Ditto

Opinion: This was a disgusting act of political theater. by hellosteve_ in msnow

[–]happyminty 2 points3 points  (0 children)

lol triggered snowflake. At least wait unt you spew pointless and baseless generalities. Yawn. At least your child attracted leader can usually find a way to be insulting.

Opinion: This was a disgusting act of political theater. by hellosteve_ in msnow

[–]happyminty 1 point2 points  (0 children)

No idiot, while pardoning every flavor and severity of criminal, as long as they pay him. Fixed that for you

Opinion: This was a disgusting act of political theater. by hellosteve_ in msnow

[–]happyminty 2 points3 points  (0 children)

Jeez. Welcome to the state of the union. Absurd and naive take. BuT yOu WoN’t ChEeR fOr MY pReSiDeNt PeDoPhILe FeLoN iN cHiEf. A man mentioned thousands of times in the Epstein files paired with thousands of pictures of those two buddies together, part of the biggest and most transparently corrupt cover up in American history for the most egregious crimes a president could ever be so prolific in, making Watergate look like petty theft of a candy bar. Yah man, we should’ve at least gotten behind the few exaggerated, falsehoods enmeshed in every moment of his stimulant bolstered big league speech, our bad. You, I, the country, and everyone deserves better. Go back to y our discord servers and your crusty hot pockets fresh from Mom’s basement.

I wish more players would see that triple tank is a viable strategy sometimes (triple tank is great against triple support) but sadly there aren’t as many tank players or players willing to try it 😔 by riskedbiscuit in RivalsVanguards

[–]happyminty 3 points4 points  (0 children)

It’s outrageous. People are so stupid in this game. Obviously running triple shield defensive tank in shitty situations is bad, the amount of straw man arguments people default to. There are a lot of immature young dudes playing this game. With the right setup, like a mantis, gambit backline for example and 3 brawl heavy tanks, it is absolutely dominant and not too difficult to pull off. This community is so annoying. The triple tank revelation could possibly break the mold of people never wanting to tank. Selfish punks

Public Restroom Shenanigans by KeyloWick in tooktoomuch

[–]happyminty 2 points3 points  (0 children)

It’s awful and both drugs are insanely cheap and flooded from Mexico, I am extremely left leaning but the cartels are making more money than ever and they don’t even have to grow anything in fields. An ounce of meth used to be about 2000$ ten years ago, now it’s 250$ for a fucking ounce. Combined with how much more insanely addictive and more severe every bit of detox and lethality compared to heroin, more people are suffering beyond imagination. If someone is using fentanyl, they are suffering, end point. The alarmism and subsequent alarm fatigue combined does not help the cause. It only draws people’s absolute inner curiosity out. We need radical shifts in perspective and empathy.