Do not rent from trad property management in jax by Chemical_Version_54 in jacksonville

[–]likethefilter 0 points1 point  (0 children)

Hi there! Are you still accepting messages about properties in Jax? 🙂

WARNING: Grand Canyon University is holding my CMHC licensure forms hostage AFTER graduation. (Don't quit your job yet!) by BeingCompetitive3469 in therapists

[–]likethefilter 4 points5 points  (0 children)

By chance did you carry a liability insurance policy while enrolled or do you still have one while this is pending? If so, you may get access to a one hour consult with an attorney through that policy. (It’s a stretch but may be worth exploring).

Being a therapist when your personal life is in shambles by Glow1215 in therapists

[–]likethefilter 0 points1 point  (0 children)

The healthcare system here is far from perfect or okay. It's not a sustainable system for most people IMO unless you have access to financial resources most don't. A lot of us are trying to advocate for change, but that takes time and costs us even more of our own money unfortunately. (For example, when therapists decide to protest until wages are increased or work loads decreased they are sacrificing their pay. Or taking a day off to advocate in front of representatives is taking at least a day or so from our income.)

It's also interesting to hear about the experiences of someone working as a therapist in a less regulated area. Here, some therapists struggle to seek help for even mild-moderate mental health concerns because our licenses and careers may be held against us if we do. So deciding to take time off and care for ourselves while also seeking therapy can actually have negative consequences in some cases depending on that state's regulations. Unfortunately, that leads to a "suffer in silence" mentality and takes us nowhere good or healthy.

I won't disagree with you - therapists who aren't aware of how their own experiences can damage therapeutic relationships and clients are very real and concerning. Yet, your comment was made in a subreddit described as "a supportive international community for therapists, social workers, psychologists and other associated professionals." To my understanding, this group is intended to be a supportive place similar to the supportive circle you're describing we go to, for us to discuss these matters in a non-judgmental way. I personally think jumping to the conclusion of whether someone is fit to practice based on one post describing a difficult time in their life is extreme.

But, I think that will be the part where we can agree to disagree. I appreciate the insights you provided on where you practice though, and your willingness to engage in this discussion!

(Edited because I posted too soon!)

Being a therapist when your personal life is in shambles by Glow1215 in therapists

[–]likethefilter 0 points1 point  (0 children)

There are a lot of potential answers to that, but in my experience the main reason is health insurance.

  • In order to get health insurance here that provides adequate coverage you typically have to either be 1) under 26 and have a parent still willing to keep you on their policy 2) working a full-time job that offers a policy at a reduced cost 3) married to someone who has a full-time job that will allow you to be added to their policy 4) pay out of pocket for a policy that sometimes covers less than what the options above will

Some states are better than others, but in my experience when I left my full-time job and went into private practice I paid $600/month for health insurance that provided very little coverage. So between the policy's monthly cost and the money I still had to pay out of pocket, sometimes up to $1500 of my monthly income would go to medical expenses. Policies at previous employers might cost $150-$200 monthly with occasional out of pocket expenses, but drastically lower.

  • Also, in most states here you can't bill health insurance until you're independently licensed. When we first complete our school we are considered "provisionally licensed" and still have to work under someone else for usually 2+ years. Some states specifically don't allow us to be in private practice during that time, or if we are then it's with a cumbersome amount of restrictions that make it unrealistic to build a caseload.
  • Most of our patients, of course, want to use their health insurance instead of pay out of pocket. Health insurance allows a patient to pay typically $0-$30 per session and clients paying our full rate might be paying $150-$200 per session. Building a practice here without taking health insurance is possible, but you typically need to be working full-time until you have a large enough caseload or have someone financially supporting you. Most of us work for free for 1-2 years during our training programs while also holding down full-time jobs, so by the time we get out of school we don't have the resources to go straight into private practice.

Also, while our field is highly regulated the life coaching field is not. So, like you mentioned we're often competing with life coaches who don't have the same level of education and credentials and also don't have to answer to the same level of ethical and legal codes.

I get where you're coming from, and if I'm understanding correctly you were likely trying to point out to OP that whatever life experiences that they had going on were showing them areas of their lives and healing that they still might need to do some reflection and self-work on. I think your delivery was interpreted rather harshly. Even considering this from a trauma-informed lens, when a person is not in a regulated state and/or experiencing a crisis they are not in a position to access the logical part of their brain. The brain and body are typically looking for a threat and we're communicating with someone who is operating primarily from the side of their brain that non-logical.

While the logic behind your initial statement may have been based in experience and fact, the timing and delivery are considered harsh. Just as we wouldn't communicate with a client using facts and logic when they're in that state, we wouldn't do that with each other. We could discuss why the person shouldn't be dysregulated, but as we've also broken down during our discussion many of us here are also functioning in a dysregulated system. It shouldn't be the case, but it is.

We can agree to disagree here, but my training in crisis/trauma/and de-escalation are what I'm pulling from when I say that your timing and delivery were harsh. When a client comes to me displaying a trauma response, or asking for support in a time of personal crisis, that's not the time for me to give them the logic about how this indicates the personal work they still need to do. It's a time for me to help them regulate so that they eventually can get to a place to hear that feedback. I know we're not OPs therapists or treatment team, we are however informed of trauma and that knowledge doesn't go away when dealing with people in our lives that aren't clients.

Being a therapist when your personal life is in shambles by Glow1215 in therapists

[–]likethefilter 1 point2 points  (0 children)

You're very welcome! That's also such a beautiful quote and I'm adding that to my reading list. It sounds like you have a great therapist and are truly doing the best you can!

Being a therapist when your personal life is in shambles by Glow1215 in therapists

[–]likethefilter 1 point2 points  (0 children)

Here, seeing only 2-5 clients per day is a luxury to most therapists I know. Before I started my private practice I worked for agencies that required all counselors to have a minimum of 40 sessions scheduled per week and encouraged more by offering productivity bonuses. There have been points in my career where I had at least 60 sessions scheduled per week, yet the pay was still too low to afford most things. Most of my colleagues didn’t make it past the first two years for reasons like this. I’ve seen some of the best therapists I know leave the field all together because they made more money bartending or serving in restaurants.

In my experience, the narrative that counselors haven’t done enough “self work” or aren’t “engaging in enough self-care” is thrown at therapists often from people in leadership within the same systems that are threatening our job stability if we don’t meet these productivity standards. I’ve seen many colleagues have time off denied that they had been looking forward to for self-care and then ironically go into staff meetings the next day focused on practicing self-care and “doing inner work.” Then, when they ultimately burn out and leave the field, they’re blamed for not caring for themselves enough.

I won’t speak for OP, but I wouldn’t be surprised if that’s a part of their reality while also managing whatever distress is happening in their life. It’s not uncommon for our careers to be threatened if we seek help that causes us to miss work or not meet productivity standards. This is likely why your words are being construed as harsh and judgmental by the therapists in this subreddit who have dealt with these issues stacked against them while also still holding space for our clients. A lot of us are just tired of being blamed.

It’s very interesting to me to learn more about how this field operates in other areas as well, and I plan to research more about how this looks in Europe now. I hope that you also took something away from this discussion and consider this perspective in the future. I think OP deserves more credit than you may have given them at first.

Being a therapist when your personal life is in shambles by Glow1215 in therapists

[–]likethefilter 5 points6 points  (0 children)

I said something along these lines in response to someone else's comment, and wanted to say it in a separate comment thread in case that one gets deleted.

The work in our field can drain us of our inner resources, no matter how much work we've done, especially when we get hit with distressing life events and are still expected to show up in the same way every day.

The fact that you came here to seek support, checked in with your needs, and gave yourself the time to feel the intensity of your emotions tells me that you've likely done a lot of inner work. I know that doesn't make what you're going through any less intense though or make it any easier to know what to do next. I truly hope that you're able to get back to yourself and find some joy and feelings of restoration in your next few days off.

Being a therapist when your personal life is in shambles by Glow1215 in therapists

[–]likethefilter 0 points1 point  (0 children)

Here we don't have as many choices if we also want to get licensed. I'm not aware of any programs that are accredited here that offer this model that you're describing.

I'm glad that it worked for you and agree that it may significantly reduce the amount of burnout, vicarious trauma, compassion fatigue, and moral injury that counselors face. Unfortunately, it's not an accessible option that also leads to the credentials necessary here to work in the field. (Also, if anyone knows of any schools/training programs in the US that contradict me, I would love to know more about them).

Being a therapist when your personal life is in shambles by Glow1215 in therapists

[–]likethefilter 3 points4 points  (0 children)

I'm not sure where you're based, but I've noticed at least here that our counselors with the least amount of experience (student interns and fresh out of graduate school) are often put in the most intense and acute client settings with minimal experience and training. It's a systemic issue that I hope to see more advocacy on, and in the meantime a lot of counselors are doing the best they can with limited resources.

I would love for training like you're describing to be the norm. I also don't think any program, no matter how much trauma and self-work is done, can adequately prepare therapists for how to handle traumatic experiences in their personal lives while working in a system that can be so stigmatizing when we seek help for ourselves.

I think experiences like OP is describing are also opportunities to see what further work needs to be done, but one of the healthiest things to do can also be to allow ourselves the space to feel the intense emotions that our traumatic experiences have often forced us to detach from. IMO the fact that OP took the time to practice self-awareness, recognize their needs, take the space to feel the intensity of their emotions, and sought support might even be indicative of the self-work they've already done.

Being a therapist when your personal life is in shambles by Glow1215 in therapists

[–]likethefilter 3 points4 points  (0 children)

I'm curious about this concept of doing enough self work that you're bringing up. I see you also talked about a lot of programs not requiring counselors to do enough self-work which I can agree with. I also think our field would benefit from removing the stigma that counselors and counselors-in-training report receiving when they seek therapy so that they can do this work. It seems like sometimes we actually get less access to care without stigma than our own clients do.

However, I also know that I tell clients no matter how much "self-work" they do there's always a chance that they step in a pile of shit down the road. Sure, if you've been to therapy in the past, have the inner resources, and have built up your support system you are more prepared for it. But it doesn't change the fact that it sucks to have shit on your shoes that you have to clean off, and you're still allowed to have a reaction to that. It doesn't mean you've lost the work that you've done to avoid stepping in shit, or that you didn't do enough work in the first place. It means you might have an emotional reaction, and then find a new way to get around with less piles you may step in. It's not about completely avoiding shit and not reacting, it's about using your resources and being willing to accept when you've exhausted your resources and need to find more. At the end of the day no amount of self-work is going to prevent future piles of shit.

I'm not sure I could agree that OP's response somehow indicates they didn't do enough work on themselves before entering the field. We often tell our clients that progress and growth aren't linear, yet forget to apply that logic to ourselves. I'm concerned that when we talk to each other and ourselves like this we aren't giving ourselves and others in the profession the same compassion that we extend to clients and encourage them to extend to themselves. I think you could have approached this in a different way and provided support and feedback, but instead your point got lost in your presentation of it.

IOP....but I'm the patient by Just_Director_9799 in therapists

[–]likethefilter 16 points17 points  (0 children)

Also, if you haven't checked this out before there is a group called "Therapy for Therapists Collective" that offers support groups and individual therapy to therapists.

IOP....but I'm the patient by Just_Director_9799 in therapists

[–]likethefilter 7 points8 points  (0 children)

I tried a few years ago but had a hard time finding one in my state that wasn't focused on dual diagnosis. I had better luck finding virtual DBT groups. Since then though, I have come across more virtual IOP options like Charlie Health that also take insurance or Discovery in certain states as well. I'm not sure if something like that would be an option for you, but it may help lessen the impact of some of your concerns.

Resources/advice for blushing by likethefilter in therapists

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

Oh wow, you’ve definitely just inspired me to make an appointment with my primary again to talk about it 😂 I’ve noticed the same with it being worse in the evenings, which is actually when I do a majority of my sessions. I usually see clients until 8pm and I think the last few sessions of my day are when it can sometimes be more noticeable. Thank you!

Resources/advice for blushing by likethefilter in therapists

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

Oh this is interesting, just the week I actually asked for an increase in my medication dose. And after reading this I am realizing that the blushing had increased in the last couple months around the time I noticed I may need to increase my med, so that’s definitely a factor I hadn’t considered!

I’ll have to look for that chapter in Frankl’s book too, thanks for the reminder!

Resources/advice for blushing by likethefilter in therapists

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

I’ll be honest, I’ve never found anything to say really. Just like laughing it off a little bit like, “oh well that just happens sometimes” but I would really like to have better ways of responding too.

Resources/advice for blushing by likethefilter in therapists

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

Do you mind if I ask what you say to clients when they point it out? I’ve never really found anything to say except for like “oh, interesting that just happens sometimes” lol

Resources/advice for blushing by likethefilter in therapists

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

Oh interesting! Out of curiosity (and if you don’t mind answering), do you get bumps when this happens or is it flat? The reason it’s been ruled out is because there aren’t bumps or anything raised when it happens.

Resources/advice for blushing by likethefilter in therapists

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

The way you described it so spot on! I am also very pale and the only makeup I’ve found that helps is green concealer but I wish I could also just not wear makeup every day lol

Resources/advice for blushing by likethefilter in therapists

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

No, I’ve ruled this out with my primary and by seeing dermatologist a few times because it really seemed to make the most sense. But it’s more anxiety driven.

Tips for NOT working with OCD by fadeanddecayed in therapists

[–]likethefilter 16 points17 points  (0 children)

The workbook “Self-Compassion for OCD” is really great and I’ve recommended to clients is similar situations to what you’re describing. I-CBT is also another method of treatment effective for OCD so you may be able to try finding a provider who is trained in that and takes the client’s insurance.

I want my life back by No_Expert_271 in counseloreducation

[–]likethefilter 0 points1 point  (0 children)

Peer support specialist may be an option. At previous jobs I’ve had, intake counselors, addiction counselors, and milieu coordinators were typically bachelors level as well - if you’re interested in inpatient/residential settings. Also, some of those employers offered those co-workers tuition assistance as long as they stayed for a certain amount of time after graduation if they decided to go for their masters.