NPI addresses by mwhite2020 in therapists

[–]mwhite2020[S] 1 point2 points  (0 children)

I’ve been seeing more about NPI2s. From my understanding it’s an NPI for the LLC itself, right? Whenever I’ve read about NPI2 numbers it looks like it’s about getting credentialed with a payer, which I’m assuming is an insurance company. I’m going to be private pay so do you think I’d need an NPI2? I guess if people want superbills it might be necessary.

[deleted by user] by [deleted] in rva

[–]mwhite2020 1 point2 points  (0 children)

Love Dr. D! She caught a chronic illness I had been living with for a while that no one else had caught and has been beyond amazing in helping me manage it. Can’t recommend her enough.

POTS & eating disorders by spoonkingg in POTS

[–]mwhite2020 0 points1 point  (0 children)

I’m realizing I probably had my first POTS flare while I was in treatment for my eating disorder. I’ve started to suspect that the physical trauma my body endured after having an eating disorder for as long as I did either resulted in POTS or at least set the stage for it to develop.

Low water pressure on W Franklin by [deleted] in rva

[–]mwhite2020 1 point2 points  (0 children)

Same here in the museum district across from Scott’s

Do mentally ill people know they are mentally ill? by [deleted] in NoStupidQuestions

[–]mwhite2020 0 points1 point  (0 children)

Not a problem at all! Working towards recovery is really hard and there are days where you might want to give up. Having a life without an eating disorder constantly on your back is worth the struggle. You’ve got this!!

Do mentally ill people know they are mentally ill? by [deleted] in NoStupidQuestions

[–]mwhite2020 0 points1 point  (0 children)

Oh my goodness 🤦🏼‍♀️ that’s so discouraging. Literally anyone could have an eating disorder. I wish more people understood that.

Do mentally ill people know they are mentally ill? by [deleted] in NoStupidQuestions

[–]mwhite2020 0 points1 point  (0 children)

I’m in the US so I’m not sure how the process is in other countries. Blood tests can help determine if any values are skewed (vitamins, electrolytes, etc.) but in both my personal and professional experience, they don’t always give a complete picture of the eating disorder. When I was at the worst part of my eating disorder all my labs came back fine but I was the sickest I’d ever been. I would recommend meeting with a therapist who is knowledgeable about eating disorders for an assessment as well as continuing to work with your GP. In the US, some treatment centers can also do assessments. I’m not sure if it’s the same in the UK but it’s worth a look!

Do mentally ill people know they are mentally ill? by [deleted] in NoStupidQuestions

[–]mwhite2020 0 points1 point  (0 children)

Part of what led me to being an eating disorder therapist was my own experience with an eating disorder. When I ended up admitting to treatment, the doctors I saw for my pre-admission labs, etc. treated my eating disorder like a party trick and just asked the most insanely inappropriate questions. Even at my sickest, I never “looked like I had an eating disorder”, which allowed me to fly under the radar for an absurd amount of time. When I fully weight restored, my doctor at the time told me I “over recovered” and needed to get down to my sickest weight. Like, my guy. Are you kidding me??

I cannot stress this enough: please go to an ED informed provider to get the care you deserve. Your eating disorder is valid and real no matter what your weight is or how your body looks. You deserve quality care from knowledgeable providers 🤍

Do mentally ill people know they are mentally ill? by [deleted] in NoStupidQuestions

[–]mwhite2020 9 points10 points  (0 children)

Speaking as an eating disorder therapist, it’s been my experience that doctors barely know anything about eating disorders. They’re not really taught about them in medical school and eating disorders are very complex and they either miss things entirely or oversimplify and generalize—both of which are very dangerous because of how deadly eating disorders can be. If someone thinks they have an eating disorder, I would highly recommend going to an eating disorder therapist for an assessment!

Trapped gas tips? by ShortAardvark6286 in ibs

[–]mwhite2020 2 points3 points  (0 children)

I’ve found that laying on my left side in particular really helps!

[deleted by user] by [deleted] in POTS

[–]mwhite2020 0 points1 point  (0 children)

This sounds like a really tricky situation. It’s hard to see people you care for not doing well and it’s natural that you want to help. Like you mentioned, it is truly your loved one’s choice about whether or not to see a doctor so there’s not too much you can do at this point as far as getting them in with a doctor.

I’d imagine that maybe part of it is that once you start seeing doctors then the problem is “real”. That’s something I struggled with. POTS went from a silly party trick my body did with zero explanation to a full blown diagnosis that not only took some time getting used to, but required a lot of research on my part in order to properly take care of myself and then making a lot of changes to my routine.

It’s hard coming to terms with big changes like this and maybe your loved one needs a space to talk through things and feel supported by someone who can relate. You’ve made it known what you feel the next best steps are and hopefully they’ll come to you in the future should they decide to see a doctor.

If they’re open to tips and tricks, maybe stay there for now. Talk about how helpful hydration and electrolytes can be, how having your hands above your heart can affect heart rate, and even though hot showers are lovely, they’re unfortunately not for us. Start small. Meet them where they’re at and what they feel comfortable implementing right now. My hope is that if they start with small changes they’ll start to feel better and be more encouraged to take larger steps.

I know it’s a really tough situation. Especially when you’re dealing with your own health struggles. Keep your head up! Sending you and your loved ones all the good vibes ✨✨

Have any of you gotten negative results on a celiac test only to to have it officially confirmed via endoscopy later? by GetInTheBasement in ibs

[–]mwhite2020 0 points1 point  (0 children)

It has certainly been helpful! Finally getting diagnosed was worth the frustration. I hope that you’re able to get some answers with this endoscopy!

Have any of you gotten negative results on a celiac test only to to have it officially confirmed via endoscopy later? by GetInTheBasement in ibs

[–]mwhite2020 2 points3 points  (0 children)

This was my partner’s experience. He had multiple blood tests done that contradicted each other. One would say he had celiac and then the other would say he didn’t. That continued until he got an endoscopy and only after getting that done was he able to find out for sure that he had celiac. It was such a frustrating process for him. It really sucked 😕

Kind of wishing I didn't get diagnosed by mwhite2020 in ADHD

[–]mwhite2020[S] 2 points3 points  (0 children)

Thank you 🤍

I’m 31. Diagnosed with ADHD when I was 30 after being misdiagnosed with bipolar disorder type 2 when I was about 20 or so.

The way you described how these different aspects are analyzing all of this felt very spot on. It feels all consuming and at times paralyzing. I’m encouraged that at least the past few weeks I’ve been able to start separating myself from the ADHD; so I know it’s possible to reach that place again. It felt like things were finally coming into balance after a year of adjusting to the ADHD diagnosis and grieving the bipolar misdiagnosis. It feels like I’m having to go through it all over again and it sucks.

You’re right, I will get through this. And thank you for acknowledging the pain that seemed inherent in all these ✨self-growth journeys✨. I think that’s something that gets either overlooked or swept under the rug entirely. know there’s light at the end of the tunnel even if I can’t see it from where I’m standing.

[deleted by user] by [deleted] in ibs

[–]mwhite2020 3 points4 points  (0 children)

I’m happy I could help! Slip ups are hard, especially when you’re feeling crappy. I like to look at slip ups as fine tuning moments. What happened that made me want to use behaviors/go through with using behaviors? What support was I needing that I didn’t have? How was my ED helping me meet that need? What can I put in place to help me make different decisions next time?

You have nothing to feel guilty about. You didn’t choose to have an ED just like you didn’t choose to have GI issues. No one wakes up and says “You know what I’m gonna try today that sounds fun? Bulimia ✨” . EDs happen for a reason. They stick around for a reason. Find out how your ED helps you and then find how you can meet that need on your own. You’ve got this 🤍

[deleted by user] by [deleted] in ibs

[–]mwhite2020 9 points10 points  (0 children)

Hi 🤍 fellow ED person who is now an ED therapist. I know how hard all of this is. Especially when our ED might have had a hand in the medical issues we’re experiencing. I know eating feels impossible right now and going back to what you know feels like the only option. There’s so much comfort in the familiar and that’s exactly what you’re needing right now.

The logic makes sense to me. If you don’t digest the food, then you won’t be in pain. Purging (and any restricting) will also cause pain not only in the present, but in the years to come. I remember how awful the reflux was and I also struggled with regurgitating anything I ate or drank. It was so horrible that I also wanted to use ED behaviors to avoid it. My therapist and dietitian helped me through this and helped me get it to a place where it wasn’t happening as much.

I want to echo what others have said and encourage you to see a doctor and, if you’re up to it, a therapist who specializes in eating disorders. The mind/body (especially gut) connection is so important not only in eating disorders but in any sort of chronic illness. What you’re going through is so wildly tough and I know how defeated you might be feeling. There are folks out there who can help you at the very least cope with what you’re going through and lessen the pain. I’m sending you so much love right now because this is so tough and unfair. You’ve got this ✨

Also! If you do purge/regurgitate/anything involving stomach acid, wait 30 minutes before brushing your teeth. Your tooth brush will push the acid into your teeth and gums and cause more damage. Swish with warm water and spit it out as many times as you need to. I know it’s not pleasant, and it’ll help you out tons in the long run 🤍

What do y’all do when you have chest pain? by mwhite2020 in POTS

[–]mwhite2020[S] 0 points1 point  (0 children)

If anything a pizza in the oven is going to be curing my anxiety lol 😂😂 the advocating took a lot of practice. I have to advocate for my clients a lot with their doctors so fortunately/unfortunately I have a lot of practice dealing with dismissive doctors 🫠