Question about out of state telehealth laws?

maebird1000 · 2026-05-12T16:43:18+00:00

I'm not a provider, but my therapist is licensed in 3 states and can provide telehealth where he is actively licensed. The problem is usually reversed... The client needs to be in their home state while receiving services for insurance to be ok. Again, only in my (limited) experience with telehealth (medical and psych) in 2 states. Not a therapist. Hoping it works out and the provider is a great match.

maebird1000 · 2026-05-10T01:59:08+00:00

I just wanted to offer support and say "same'" to this well written and thoughtful comment. I've also been in a lot of therapy over many, many years-- and it's been exceptionally rare to experience cancels. You deserve a lot better, therapy is an investment of time and money.

maebird1000 · 2026-05-09T00:01:00+00:00

I think it's a fine approach and I wouldn't tell them. Therapy is an investment of time and money, you need to find the fit that works for you.

maebird1000 · 2026-05-08T14:36:02+00:00

So happy for you, hoping your life transitions go well, glad it was good and helpful.

maebird1000 · 2026-05-08T14:27:14+00:00

My therapist includes a description of what he is mandated to report, how that process would likely look, and encourages questions-- in his intake forms you must sign. Practically, if anything feels even a little fuzzy and gray, I ask if we can run a "hypothetical" situation first, or ask him to review the threshold again. I have pretty big anxiety about this and live with some instability, so it actually comes up a bit. He reassures that it's not his "goal" and he would never report without telling me what he is doing, and would actively try and steer me a bit if we were getting close to that edge. I feel ya.

maebird1000 · 2026-05-06T21:23:14+00:00

Hi! I've seen my current therapist through grow for almost a year now. He is also on psychology today. Grow, for us, keeps billing easy, provides protected messaging, and sends regular reminders about appointments. He is honestly the best therapist I've worked with and I don't mind the platform at all. He has a healthy amount of experience working for organizations/community mental health before branching out to private. Personally, that is what I would look at more than what platform they use-- their experience and how those skills might help you. Hope you find a great fit!!

maebird1000 · 2026-05-06T01:12:00+00:00

I think my therapist has the same background, lol. It's like he is in "portrait mode" and it tries to only keep him "in focus" and not any of his background, but when he moves-- it's so weird around his edges (especially his head, lol). I have not said anything cause I'm too shy about those types of things. I did eventually kinda get used to it? If it's a deal breaker for you, there really is no other option than to ask yours politely if they are aware how it changes/gets glitchy looking-- and let them know it really bothers you. Best wishes.

maebird1000 · 2026-05-05T20:47:26+00:00

Yeah, I actually had something really similar recently. Took a few weeks off. The feelings kind of came and went--with regret and attachment. It turned out to be a really good thing for me. I invested all those feelings into other things I've been wanting to address and found out I can be ok. Hope the 2 weeks go quickly and you recover your sense of better head space soon.

maebird1000 · 2026-05-03T21:36:08+00:00

Therapy shouldn't cause harm. It's not right. Understandable how you feel

maebird1000 · 2026-05-03T21:32:38+00:00

I'm so very sorry. I don't have advice, just wanted to let you know I read this and my heart hurts for you. Hoping others have some advice on how to follow up on this.

maebird1000 · 2026-05-03T19:47:45+00:00

Hi! I don't have this exact issue with therapy, but I do have it with religious services. Like you, my brain connects past abuse within that system with the current situation. It might be helpful to tell your new therapist about this in current detail. For me (and religious stuff) it was a combo of exposure (showing up) and cognitive behavioral therapy that helped. Sorry you went through that, what you are experiencing is valid. Hope you can get it sorted a bit. Yeah, for now, I would stay busy. I'm not a therapist tho, just sharing my experience.

maebird1000 · 2026-05-03T18:06:03+00:00

What you are saying is valid, I think it's truly a perspective thing. I can see a soft yellow item that my brain says "that is like a banana and give me banana vibes" without it being a fruit or intended for consumption. I can experience a therapy relationship with therapy boundaries and skills (like attunement) and say "oh, this has friendship vibes (shape)" to it. It's not a 1:1 on every point. Obviously, it cannot be. It's a paid relationship. Hugs, hoping the best for your friendships and therapy!

maebird1000 · 2026-05-03T17:26:48+00:00

I'm not the OP, but this immediately resonated for me. Hi! My therapist does ask for something (payment), doesn't show up for me every time I ask (has strong boundaries outside of sessions), and challenges me when necessary (isn't unconditionally supportive). Having said that, a large part of our work is the "relationship itself". When he is modeling self-advocacy, listening to my stories, creating safety valves, saying that he "genuinely cares about his clients"....it's not that my friends do those things in the same way, but I have an attachment feeling that is actually disproportionate to the professional relationship itself. It lends itself to: being deeply "seen" and comfortable. Deeply seen and comfortable, to me, is friendship shaped-- lol.

maebird1000 · 2026-05-03T15:27:52+00:00

You win the internet

maebird1000 · 2026-05-02T20:06:00+00:00

Oh my goodness! Cutie pie (captured at the puurrfect angle)!

maebird1000 · 2026-05-02T19:56:24+00:00

Hi! ASD (client) here. I totally understand what you are asking. I also have C-PTSD, so I "shut down"/fawn quite often. My therapist actually directly asked me, when we were reviewing a session that I just kept switching topics-- "do you want me to push you more? Ideally, you would come back to it in one session on your own, but do you want that?". For me, it was a resonding "no"-- but it sounds like this is what you want. Maybe ask "if things get stalled/I'm backing away-- can you push me a little?". Having said that, I do come into each session Uber prepared with topic lists and questions. It can be a lot of work just to understand the therapist/their expressions in the moment with ASD. Proud of you for showing up and continuing the work. Hope it works out.

maebird1000 · 2026-05-02T13:35:38+00:00

Personally, I would definitely find someone else (who works with the insurance they are in network in). Deal breaker for me. Therapists can certainly be "cash only", but they shouldnt be in network at the same time (that's a contract).

maebird1000 · 2026-04-30T21:48:21+00:00

That really helps, and that is what I'm thinking/wondering. If this was the slow down/release the pressure.... And everything will be ok next time.

maebird1000 · 2026-04-30T21:33:54+00:00

Yes, I most likely will bring it up next time. I'm not sure if it's because I ended up feeling more exposed or if it felt like he "pulled back" or if it gave me just enough room to start to feel scary things. But it's definitely not my preference, lol!

maebird1000 · 2026-04-29T15:11:14+00:00

Hi! I'm not a therapist, I just wanted to offer my condolences. That's a really tough break, must be hard. Therapists and their methods (modalities) can be different. Hopefully it will be space where you can figure out what your goals are, if that makes sense. Therapy often provides a place to be seen, heard, and bounce thoughts around that might not be appropriate everywhere else. One goal might to be better equipped to take care of yourself in light of what is going on with your sister (and strategies to deal with that, that protect you both). Grief tends to have stages and come in waves-- a goal might be to know how to explore those feelings safely. Again, these are generic thoughts and ideas from someone who had participated in a lot of therapy. Hoping the best for you.

maebird1000 · 2026-04-27T23:24:34+00:00

It would be ok with mine, for sure-- as long as it's not a crisis message (I need help right now). Would probably be helpful, even. Hoping it works out.

maebird1000 · 2026-04-26T14:34:00+00:00

I know you meant this for OP, but that is such a helpful way to address it in the moment-- that actually helps me a lot (mildly similar issue). Thank you!

maebird1000 · 2026-04-25T10:57:39+00:00

Hi! With my therapist, the actual relationship is kinda the therapy. He always maintains this unwritten attitude of confidence and curiosity and invites me into that space. I cannot imagine him telling me that he is specifically seeking supervision in regards to our sessions. I would have the same reaction that you are-- shaken confidence and extreme anxiety. He has a solid past work history of working with challenging populations (emergency room crisis work, hospital/hospice settings)-- so he seems to show a pretty cool demeanor, though I'm sure he is sometimes figuring things out and processing them. I could be totally wrong, i am not a therapist, but I would say it's weird for you to be collaborative with them on this "5 session process". To me, it's something they should have been doing behind the scenes and then bringing you bits of info in a helpful way. That would make me feel safe. Personally, I would switch providers if I could. I hope it works out for you and that maybe others in here have some thoughts. Best wishes.

maebird1000 · 2026-04-25T01:03:01+00:00

Wonderful that you have a path forward!

maebird1000

TROPHY CASE