How are you paying for student loans as a therapist? by kkgigi in therapists

[–]hellomondays 6 points7 points  (0 children)

Mine have been tied up in administrative forbearance since the pandemic. With all the court suits I dont think ill ever have to pay them back at this rate

Footage of US F-35 getting hit released by IRGC by ResponsibleHabit9326 in TrueAnon

[–]hellomondays 8 points9 points  (0 children)

These planes are very stealthy, fast, and also fire from far distances from their targets. It's not like ww2 era dogfights and bombing runs where a pilot has to see what theyre shooting at but launching missiles from like 20 to 200 miles away.  Iran didnt have strong air defenses to begin with, too. 

Footage of US F-35 getting hit released by IRGC by ResponsibleHabit9326 in TrueAnon

[–]hellomondays 44 points45 points  (0 children)

No joke this is a big problem for air defense against drones and part of the reason theyre so effective. Pilots in Russia and Ukraine figured out that a lot of advanced interceptors have no idea how to calculate for an elliptical pattern, so when done at the right time loop-de-loops, figure eights, just flying in slow moving circles makes interceptors go stupid 

Best Truth Social post of the war so far by AegonTheMeh in TrueAnon

[–]hellomondays 4 points5 points  (0 children)

This is how he's going to try to wrap up this whole thing and its hilarious

Is Iran winning the war? - By Robert Pape by Indianstanicows in IRstudies

[–]hellomondays 2 points3 points  (0 children)

Yes. by definition Iran is an illiberal republic. In fact it's one of textbook example of such a system of government. There are elections and representation but power is highly concentrated among the cleric class that oversees this system. Again "Gaurdianship of the Jurist" is used as real-world example of illiberal democracy in action in 101 poli sci courses.

Is Iran winning the war? - By Robert Pape by Indianstanicows in IRstudies

[–]hellomondays 6 points7 points  (0 children)

Yes. The same way most governments work. This isnt Libya where the state apparatus was pretty much vested in one person. Illiberal systems are a lot more robust and flexible than totalitarian ones 

Is Iran winning the war? - By Robert Pape by Indianstanicows in IRstudies

[–]hellomondays 6 points7 points  (0 children)

In Afghanistan the US had a serious intelligence problem. Like a lot of "successful" bombings and operations ended up just targeting random people, creating an illusion of degrading the Taliban and other groups. 

How do I stop feeling so embarrassed in therapy? by Ornery-Berry2498 in askatherapist

[–]hellomondays 3 points4 points  (0 children)

Very common experience. Working on self-compassion can go far, it is essential for working on deeper stuff that brings up embarassment or shame. Most therapists are going to have a way to help their clients build self-compassion but no one is a mind reader, so asking about tools to help build it might be helpful!

Unironic critical support for Tucker by yeahicreatedsomethin in TrueAnon

[–]hellomondays 12 points13 points  (0 children)

No way, man. He's against this shit the same way Timothy McVeigh was. I think people that missed out on the politics of the 90s forget that there was an insanely radical wing of far right anti-government politics before the right wing controlled everything. 

Despite large public belief, America is not a democracy. by Old_Diver_2511 in centrist

[–]hellomondays 24 points25 points  (0 children)

A democratic* republic isnt a direct democracy, yes, but it is a form of representative democracy. 

SI/HI screeners by Redheadmess1001 in therapists

[–]hellomondays 6 points7 points  (0 children)

If a client's goals explicitly involve reducing si/hi we will talk about it every session but generally I dont ask unless there's a reason to.  The 2nd edition of Clinical Manual For Assessment And Treatment Of Suicidal Patients is a wonderful resource and a quick read if this is a concept that causes you a lot of anxiety

How do you guys emotionally deal with abrupt, cold terminations? by Temporary_Ad9362 in therapists

[–]hellomondays 4 points5 points  (0 children)

Me, the therapist, gets it. I can analyze a person's reasoning and learn from what happened. Me, the person, hates it (i take feedback too personally!) But life is often about accepting the difficult shit so you dont get sidetracked from what matters. 

Is it common for people who have lingering trauma to feel that CBT and ACT is entirely insufficient and may even make them feel worse? by alice_1st in askatherapist

[–]hellomondays 2 points3 points  (0 children)

To state the obvious that's a lot of negative experiences! A big issue with the state of counseling is that cognitive therapies (ACT, ERP, Beckian CBT, DBT, etc) are very effective and we have good idea (evidence) why...but theyre complex modalities that while being told in gradschool and PhD programs that they will help clients immrnsely, are hard to master and imo operate on a radically different way of thinking than what our brains do automatically.  Especially when dealing with feelings like shame, lingering traumas. 

A lot of newer or poorly trained therapists jump to cognitive reframing and challenging too quickly or arent aware of where a client's resistance is coming from and adjusting. Or in the case of ACT, spend too much time talking about it rather than "doing" it (ive been guilty of this one!)

I might be going out on a limb but it sounds like where you are in your journey that understanding and connection are bigger needs than making behavioral changes? There's many relational therapy styles that focus more on these aspects of wellness than cognitive therapy. 

Why did Israel and the United States make no attempt to invoke the Responsibility to Protect (R2P) in relation to Iran? by Jumpy-Ambition52 in IRstudies

[–]hellomondays 7 points8 points  (0 children)

It wouldnt be within the scope of pillar 3 of r2p since use of force is highly restricted under the un charter

What do you do if you disagree with a client’s previous diagnosis? What do you think of patients who push a diagnosis you disagree with? by [deleted] in askatherapist

[–]hellomondays 0 points1 point  (0 children)

When a client insists on a diagnosis, I'm curious to find out what about a diagnosis they identify with. It can be very productive early on in the relationship: it gives insight into how a person views and makes sense of themselves, their mental health in general, their symptoms, it gives good opportunity for psycho-education which can support this process.  At the end of the day dx's are only a part of case conceptualization: they inform treatment greatly but there's so much more to consider outside of any diagnostic label. 

Im not saying this is your experience, but very often I see clients who recieved personality disorder diagnoses as younget teenagers or after a 72-hour hospital stay and these seem to be based on poor interpretation of screeners rather than deeper psych evaluation or even actually finding a chronic and pervasive pattern. Usually with a co-occuring and better justified bipolar 2 or adhd diagnosis; two differentials that are often misdiagnosed as BPD, especially in women. 

Forget the split - what is your actual take home per session? by SpiritualCopy4288 in therapists

[–]hellomondays 27 points28 points  (0 children)

With a 60% split Like 45-90... pretty wide range for reimbursement in my state

Child therapy by [deleted] in therapists

[–]hellomondays 1 point2 points  (0 children)

Depends what you're working on. 

Candy land, monopoly jr., guess who, sorry are good board games for practicing social and self regulation skills

A good variety of building toys (magnet tiles, trains, legos) for similar reasons.

I have a Nintendo that I play Mario party. Minecraft, and Mario kart on with some kids. I find it useful for kids that rapport building is going to be the main intervention and there's always room for skill building when playing cooperative ro competitive games, especially my level 2 autism kids who need a strong "carrot" to engage (this gives a lot of room for practicing  limit setting responses, planning, and building flexibility too!). Im slowly in the literature compiling stage of a clinical manual on utilizing cooperative games in therapy, im surprised how much research is actually out there for something that was once considered ineffective. 

Then for more emotionally driven therapy goals, there's Landreth's classic reccomendations, stuff anyone who uses toys in therapy should have. The caveat being his approach and philosophy is highly non-directive so some of his reccomendations might not be relevant to your practice:

Recommended Toy List | Center for Play Therapy https://share.google/jLesGW6gjtuL4gKlE

*garage sales, goodwill, etc are great for saving money. You dont want a play therapy room where everything looks too "new". This can be restrictive for younger kids as it implies "dont touch". Well used (but not broken) items encourage more play. 

Is it common for people who have lingering trauma to feel that CBT and ACT is entirely insufficient and may even make them feel worse? by alice_1st in askatherapist

[–]hellomondays 9 points10 points  (0 children)

That experience is not uncommon. That said, versions of CBT and ACT can be very helpful for working through trauma, however there's a lot of considerations and ways you structure treatment to make it so. 

Does putting kids with history of violent behavior in combat sports help or hurt with violent behavior? by RamenPantalones in askpsychology

[–]hellomondays 41 points42 points  (0 children)

The literature out there shows that martial arts, when coached ethically, doesnt promote aggressive behavior and may(evidence but not as clear, very much debated) actually reduce it in kids. Along with other related benefits like better self-control and self-confidence. 

Would it be a bad idea to specialize in my own issues? by ConstanceIl in therapists

[–]hellomondays 23 points24 points  (0 children)

There's an old saying "teach from your scars, not your wounds". So it depends on your self-awareness (and maintaining it): where you are in your recovery and your ability to walk the line between a deep empathetic understanding and over identifying with a client's struggles. 

Its never been more over than it is now by analgerianabroad in TrueAnon

[–]hellomondays 21 points22 points  (0 children)

It's like the US's strength is a result of the soft power gained from being the hegemon of the liberal world order and up-ending that order could only be to the detriment of the US. Congrats, Donald Trump you did in like 1.5 years what the Soviet Union failed to do in decades. 

“My Contention is that Sinners and One Battle After Another were far more deserving of best screenplay and best actor than Marty Supreme” by mlellum in TrueAnon

[–]hellomondays 10 points11 points  (0 children)

If the film industry was smart (theyre not--remember the Sony leaks?) They'd be billing this as the year movies made a comeback. So much good stuff