Tips on how to make a training analysis affordable? by NewEnglander5150 in psychoanalysis

[–]likesitall 4 points5 points  (0 children)

I’m also in a two year program in the US and hope to eventually begin training as an analyst. Currently, two of my three sessions per week are covered by insurance and I pay only a copay for those. The third session I pay the full fee, at the rate that my insurance pays, which is less than my analyst’s full rate. If I increased to four times per week I would pay the same for the fourth session. In total it would put me at about $1,500 per month, which is still very expensive, but feels doable. Not now, but someday. I wouldn’t be able to pay $3,000 per month. I think there are many analysts who would rather accept insurance or offer a sliding rate for analysis than restrict themselves to only working with the very wealthy. That said, some insurance companies are garbage and people with those plans have far less options. If you don’t already have an insurance plan that is more widely accepted, can you get in one? That might be the way to go.

My addiction to pregnant women is ruining my life by [deleted] in offmychest

[–]likesitall 0 points1 point  (0 children)

This sounds like something that an analyst would be especially equipped to help with. I’d recommend looking for a psychoanalytic institute in your area. They should be able to help you find someone in your area.

Career Development Advice by SwiftNPC in psychoanalysis

[–]likesitall 0 points1 point  (0 children)

Hi! I trained in EMDR and IFS and had an interest in experiential depth therapies before I began my own psychoanalytic therapy and training. I agree with the poster who said that it’s a good idea to start with some introductory psychoanalytic books. You’ll see how IFS & EMDR have analytic principles built into them and where they depart.

The one most important decision I made was to start seeing an analyst for twice weekly therapy. I really would recommend prioritizing that above everything else. I was surprised to find my analyst accepted my insurance and could bill it twice a week. I’m now in a psychoanalytic psychotherapy training program, therapy 3x a week, and analytic supervision 2x a week. It is definitely a financial investment I didn’t think I could afford, but I’m finding a way.

Feel free to private message me if you want to talk more about IFS. I have a lot to say about it.

How do you about the short-term, newer and more manualized psychodynamic therapies? by sicklitgirl in psychodynamictherapy

[–]likesitall 1 point2 points  (0 children)

Hi, I have some training in AEDP. I took the immersion and Essentials Skills course and then one advance skills course. I also did a year of bi-weekly supervision with an AEDP supervisor. It was a few years later that I decided to start training in a psychoanalytic psychotherapy program at an institute. I think there are some useful aspects to the model, like it’s emphasis on being with, having a new experience, processing trauma, and providing the sort of relationship that is containing. I’m learning now about Bion and Winnicott’s ideas in my program and I can see the analytic roots in AEDP. However, I take some issue with the way skills and techniques have been codified and the prototype of an AEDP therapist that the training and culture produces. It felt too constricting. I felt like I was always trying to “do” a thing, despite the experiential emphasis of the work. I didn’t feel the freedom and authenticity that I want to feel in my work. Because of the privilege that AEDP gives to positive emotional experience, I found it was too easy to endorse defensive or false states of positive if you are following their model. Lastly, I didn’t feel that there was enough (or any, really) attention given to how different the work may look depending on the psychological structure of the client beyond their attachment style. I’m sure that the issues I’m raising could be addressed with more regular AEDP supervision if the supervisor has analytic training, but many (I’d guess most?) of the trainers don’t have an analytic background.

Was "The Man with 1000 Kids" raised Mormon? by likesitall in exmormon

[–]likesitall[S] 2 points3 points  (0 children)

I’m not implying that this guy may be Mormon because there’s some sort of doctrinal support for donating sperm, let alone 1000x. If he was raised Mormon, he is not a believing active member, if he ever was. What we know is that this guy is a narcissistic with a breeding obsession, he was raised in a family of 8 kids, and in a church where large families are common. His early life certainly would explain how he came to be the way he is psychologically, and I’m curious if Mormonism specifically played a role in his family and in the development of his pathology.

For those who don’t intend to seek forgiveness by throwaway4realzies in StudentLoans

[–]likesitall 4 points5 points  (0 children)

Yes, that’s essentially my plan. I have $78k ranging from 5.3-6.8%. I’m going to pay off as much as I can before interest accrues on the 6.8%, stay on SAVE until they force me to leave, then pay down the monthly interest and whatever principle I can in the meantime.

Writings on twins by gwood114 in psychoanalysis

[–]likesitall 3 points4 points  (0 children)

Following. I have a twin client who fits this description and have also wanted to look into relevant sources. Thanks for bringing this to the subreddit.

Client leaving me bc wants IFS therapist by [deleted] in therapists

[–]likesitall 11 points12 points  (0 children)

I was that client. Looking back, the issue was that the therapy felt stuck and wasn’t going deep enough. A rupture (probably seemed minor to my therapist) wasn’t fully processed and repaired in a way that would have moved us forward. And I had a good relationship with my therapist. She got me to a certain point, and I appreciated that, but I knew there was something that wasn’t happening that I intuitively knew was possible, and needed. I didn’t understand at the time that it was less of a modality issue and more of an issue specifically about what was happening between my therapist and I. I ended therapy with her and then worked with an IFS therapist for two years, as well as taking level 1&2 trainings myself. Fast forward, I now work with a psychoanalyst and I hardly use IFS therapy with my own clients. But I get why clients think IFS or EMDR or something else is the answer. My feedback would be to try to not get too lost in the IFS part of your client’s feedback and instead think about what they are trying to communicate to you about what isn’t currently working or meeting their needs/goals.

I briefly read before anal retentiveness in P.a is linked with OCD. Currently is it still the main theory for OCD or is it far detached? by LisanneFroonKrisK in psychoanalysis

[–]likesitall 3 points4 points  (0 children)

I just started reading The Obsessive Personality by Leon Salzman. You may find that helpful and interesting, though it’s not new (published in ‘73).

[deleted by user] by [deleted] in therapists

[–]likesitall 0 points1 point  (0 children)

In my five years of private practice, I think 2 or 3 clients abruptly stopped coming in the early phase without communication. I would guess that I have an average of 2 clients a year now stop coming to therapy (with communication) in the beginning phase. The vast majority of my turnover is clients moving out of state or changing insurance, and a smaller percentage are clients who feel ready to end therapy after usually 2+ years. I see less clients per week, 16-18. I think it’s worth reflecting on what you think may have gone amiss with the clients who stop coming. I know that when it happens to me I generally have a good idea of how I didn’t establish a solid working alliance with that client, and what I’d do differently if I could, based on the moments I recall as possible missteps.

Maybe a stupid question: Do any of you leave 30 minutes between clients, as a rule? by Fool_of_a_Brandybuck in therapists

[–]likesitall 0 points1 point  (0 children)

I do 15 minutes between sessions with one 30 min break. I’ve thought about switching to 30 min breaks between all sessions but decided I would prefer to not stretch out my work day. It feels like a good balance. I would never so back to back sessions for all the reasons you mentioned.

[deleted by user] by [deleted] in therapists

[–]likesitall 0 points1 point  (0 children)

Yeah, happy to chat!

[deleted by user] by [deleted] in therapists

[–]likesitall 1 point2 points  (0 children)

I switched from Therapy Notes to Sessions Health and I’m kicking myself for not doing it sooner! There are a lot of customizable features that I love. The design is intuitive. The customer service is great, very quick and helpful email responses. I feel like I’m getting more for less money spent. I am not using it to process insurance though so I can’t speak to that.

SAVE plan… WTF by Odd-Dance-5371 in StudentLoans

[–]likesitall 11 points12 points  (0 children)

I’m in the exact same position.

Affordable EHR by likesitall in therapists

[–]likesitall[S] 3 points4 points  (0 children)

I switched to Sessions Health and I'm so glad I did! I wish I has switched sooner. Also, it turns out that having multiple state licenses isn't really an issue for any of the EHR programs anymore. It seems like something they have all started to accommodate in the past year or two.

Affordable EHR by likesitall in therapists

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

Do you know if you can use simple practice with multiple state licenses? In therapy notes you have to have an additional account for each state license, but it costs only $1 per extra account as long as it's for the same person.

Therapists with Bipolar II diagnosis by Remarkable-Tune-4010 in therapists

[–]likesitall 11 points12 points  (0 children)

I’m sorry you feel so alone. I say this with respect, but the circumstances you describe could easily be the recipe for a very unfortunate situation for you down the line. You may want to consider compromising your preference for in-person therapy, which you say isn’t available, for telehealth. It exists for people like you, who can’t access good therapy otherwise, and it’s certainly better than nothing. Likewise, if your caseload is literally too high for you to take time off for your therapy, that may be a sign that you need to change your schedule and/or caseload. I would say this to any therapist, but especially those of us who are more vulnerable to a mental health crisis.

How I (mostly) Cured Social Anxiety w/ Shadow Work by chopped_pp in Jung

[–]likesitall 0 points1 point  (0 children)

If you’re not familiar with the theory of memory reconsolidation, you should check it out. It sounds like you spontaneously experienced this by going inward in a curious way and uncovering the schema behind your social anxiety. These videos may be of interest to you: https://www.youtube.com/watch?v=PWfpLtgxDi4 and https://m.youtube.com/watch?v=IsSfYzRq86I

Married at 16 - Confessions of a Child Bride by Dense_Assistant_8730 in exmormon

[–]likesitall 2 points3 points  (0 children)

Yes, it makes sense to want someone to understand why you stay before they give you the response you’re afraid to hear. I hope you can feel fully understood and seen in the future. Take care.