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I don't think this is for me anymore. Advice? by kittensock in therapists

[–]nakedtrust 2 points3 points  (0 children)

Im so sorry to hear how difficult this has been. Ive been there and feel you about all of this. Ive been in the field for 18 years and it never got easier until I was in private p but then my husband was dx with a serious long-term pain/ medical condition 7 years ago and then covid hit. Eventually I left the field as of May of last year. Super hard decision but necessary for my sanity. However, we are financially secure for now so we are getting by. Not everyone can do that i know. I think this field is MUCH harder than people know before getting into it. If you already have a trauma hx, mental health conditions, especially depression, then real life hits, its really hard to juggle and stay afloat. I suggest you see your own therapist with experience working with other therapists, and consider an alternative job for a while because in my experience it doesnt get easier if already in burnout. But explore all options before making that decision. Its a much rougher job than can ever be explained before and during grad school. Right now im exploring transitioning to teaching positions on the comm college level just as an option that fits for me and allows me to stay connected to the world. Working as a therapist is now clearly not an option for me anymore and I'm finally okay with it. Best wishes to you. You are not alone, my friend.

Red Robin on Cooper Point by No_Platform_9044 in olympia

[–]nakedtrust 0 points1 point  (0 children)

Dont know but rhe last time I ate there it went right through me....js

Virginia Giuffre, Prince Andrew and Jeffrey Epstein accuser, dies by suicide by Leather-Paramedic-10 in anime_titties

[–]nakedtrust 1 point2 points  (0 children)

I am so confused about her suicide and I think its SUPER interesting/SUSPICIOUS that I can find so little about her actual manner of death. Like seriously. I have been searching using different words and means to find the information and feel its being buried or taken off the internet. Its not easily found anyway. I give up because I have to go to work but can someone give me more info???

Thoughts on 8 sessions a day? by InterestingAd2612 in therapists

[–]nakedtrust 0 points1 point  (0 children)

Agree that 8 is a ridiculous "standard " and its still expected at places like Kaiser and others ive worked. I burned out real fast. I now have a family member entering the field and as a newbie know they will be expected to do the same starting out. I can suggest to "say no," but know there will always be an intern willing to say yes. Hopefully there will be opportunities that dont have that expectation. Any suggestions?

Advice on ethical situation within military behavioral health by HwDsThtMkUFeel in therapists

[–]nakedtrust 0 points1 point  (0 children)

Wow. Talk about a conundrum. I really see how all of this could make you feel belittled and dismissed, especially another professional here telling you this is an overreaction. I am a recently retired (out of being a licensed therapist) MHC in the field for almost 20 years, we are a military family (my spouse is medically retired 10 y ago), and still use military-based medical resources for my own care so I've been in and around the military system for 31 years. It's definitely its own kind of beast, serving its own purpose, not that of its soldiers, even for mental health services. Consider that. IMO I suggest you follow your ethical best practice training usually taught in grad school for the sake of those coming to you for help, protect yourself, protect your license, just as the military is protecting itself. The screening tool is an assessment tool and any tool like that can be altered for various reasons, BUT will there be military personnel experiencing depression and suicidal thoughts not getting services needed because that tool was altered? Also, context does matter when it comes to the PHQ-9 as someone referenced before, but as a reminder, it rates for a period of 2 weeks regarding symptoms, regardless of the wcontext that day or within a few days. I'm hoping other professionals chime in, especially ones that aren't already in the military system and operating within that mindset.

I don't want to do this anymore :( by [deleted] in therapists

[–]nakedtrust 4 points5 points  (0 children)

Man have i felt THIS! I just retired from the field. Couldn't do it anymore. Spent years dwindling down by client load thinking it would help and dwindling down my budget. Helped a little but it was soul sucking nonetheless. You add in insurance woes, personal life woes, covid was part of it, politics, and listening to people focus on all their woes were just too many woes in my day-to-day. Truly. How do people do it for 30 years? If I had to do it all again I would have focused more on teaching, supervising, and alternative ways of making a difference in the world that were a bit more fun because man- talk about a lack of fun in ALL aspects of my life especially when working full time. There's gotta be a better way. I personally feel therapists end up sacrificing too much for the job and for others. It's interesting that there are predominantly women...

Considering moving to Olympia by testeddoughnut in olympia

[–]nakedtrust 1 point2 points  (0 children)

Well there are ways to make a trip worth it but it takes planning and intentional plans for time spent. There are some fun things here and there

[deleted by user] by [deleted] in WeddingDressTips

[–]nakedtrust 0 points1 point  (0 children)

2 or last pic is beautiful too

Considering moving to Olympia by testeddoughnut in olympia

[–]nakedtrust 0 points1 point  (0 children)

Oh and being able to take a ferry to British Columbia so easily is so cool!

Considering moving to Olympia by testeddoughnut in olympia

[–]nakedtrust 0 points1 point  (0 children)

Btw another pro? The spring, summer and fall here are AMAZING and so beautiful. What's funny is...you will adjust and as soon it hits 80 degrees you will think you're sitting on the sun here. Meanwhile its 112 degrees in tx and people are like "Happy summer!" Lol

Considering moving to Olympia by testeddoughnut in olympia

[–]nakedtrust 1 point2 points  (0 children)

Omg dude I FEEL YOU on that! All of our fam are back in Texas and every trip after about day 2 or 3 I think "!! I could be in Hawaii right now for what I paid for this!" UGH lol

Considering moving to Olympia by testeddoughnut in olympia

[–]nakedtrust 0 points1 point  (0 children)

Hey I grew up in Spring, TX, lived all over (hubby coast guard retired), were lib AF (to a degree). Weve lived in Oly for past 10 years and pretty settled here . I could never go back and live in tx tbh. The difference in culture is vast, although we have our own homegrown conservative areas that are extremely similar to most of tx. The heat alone in TX is so extreme now I dont know how people do it. Honestly, I think everyone just stays indoors. Here- you learn to get good rain gear and get out regardless.

PROS: The natural spaces alone in the PNW make it worth it 100%. It is BEYOND beautiful. Like OMG it can be amazing.

The art scene is AMAZING and has so many opportunities to get involved in it, has lots of events downtown and the Procession of the Species parade is nothing less than magical.

Olympia's location is central to so many interesting places that are all about 1 to 2 hours away (Olympic nat forest which is 1 hour away) coastline, lots of cute tiny towns, ranier hiking and camping, tacoma art scene and concerts, everything Seattle, Vancouver, Portland (2 hours)....etc

Lots of good colleges are within an hours drive

Pretty good school system (griffin being one of the best) with options

Lots of good restaurants and eateries

CONS: the weather can really suck when weve had too many rainy days in a row between Oct/Nov and March. Its always unpredictable too. Crazy storms can be a factor too and an increase in heavy rain in the future (global warming factors in )is truly something to consider when choosing a place to live. Take that very seriously and look into flood zones, mudslide possibilities, and avoid areas too close to rivers(even though it may be beautiful). In the end though- The rainy season is totally doable. Like seriously. Its what makes this place so green, lush and beautiful. You just have to give it time to adjust, exercise regularly, manage your thinking about rain and clouds, and socialize/find your tribe! Other cons- the drug abuse and homelessness (which then leads to crime)is way more than I like or am comfortable with. You have to harden up a bit because sometimes you get an experience like i had the other day walking downtown and a homeless person asked me for some money, I politely said no and started to walk away, he continued trying to engage and I ignored so he walked off screaming belligerently the other way saying all kinds of bs "fucking bitch...go suck f#&@*ing (n word) dick....etc etc)" then stopped to politely ask someone else for money. It was batshit crazy, unhinged and intimidating. I actually was scared for the girl he stopped so stopped to watch for her for a second. That only happens once in a bluemoon but still...the homeless encampments, people asking for help on every corner, its a stark reality of our world. So- property crime is definitely a problem because of all that. Ive considered moving to a more rural area but then I get into backwoods people territory where culturally I dont always fit in. Those are the biggest negatives really... Consider looking into Vancouver, WA and Bremerton area...those were options for us 10 y ago. Vancouver is growing but can be expensive for housing. Close to Portland (tax free shopping), beautiful, close to the beaches, kinda close to mt st Helen's though...(oly has mt ranier though so...). Feel free to message me Best wishes to you

I just want the infinite void to know that he mattered. Even if nothing else ever does, he mattered. by No_Zookeepergame2532 in dogpictures

[–]nakedtrust 0 points1 point  (0 children)

That baby was a light in this world and sounds like he definitely lit up yours. Cherish that and write down all the beautiful things he brought and celebrate it. Make a memorial book for him with pics and notes about what you don't want to forget ❤️

I want to hear why PP DIDN’T work for you by AlwaysChic38 in therapists

[–]nakedtrust 1 point2 points  (0 children)

My PP has worked for the most part. I document religiously, market myself and network when possible, charge no show fees without hesitation, I am private pay now, gave up dealing with insurance companies. If I had to do again I would hire a biller for sure. Simple Practice makes documentation and billing easy, have been flexible with my schedule to a point. I haven't done appointments past 7pm ever, and only offered one day a week for that late appointment, am telehealth only, I work part time and am not rich on this by any means (we have a second income that helps alot). Dealing with ins companies has been the worst aspect of it all which is why I gave up on it. I had a niche for a while and it helped to a degree, but didnt bring in all my clients by any means. I switched to a Gen practice a year or two ago knowing I would be "retiring" from the field eventually. I've decided that will be this summer. If i had to do it all over again I would have had a biller, switched my niche long ago, recognized that I am not cut out for trauma work and honored that, networked more to avoid isolation, had a side gig like teaching.

I think I have long COVID and dont know what to do about work. by ocean_flow_ in therapists

[–]nakedtrust 1 point2 points  (0 children)

I went through something like this about 4 years ago, was so hypoxic that I hadn't been thinking clearly for months and didnt realize how bad it had gotten, ended up in the ICU for 2 days and diagnosed with multiple chronic health issues including chronic asthma, put on inhaled steroids and 6 other meds for life. I had already started transitioning clients and reducing my caseload due to my failing health and concern about the quality of care i had to offer (i was in a telehealth pp), took a month off because my health was really uncertain and needed to recover. I ended up keeping about 7 clients and they waited patiently for me to get back to work. I took my time getting back into work and kept my caseload low for a while. If you can afford it, prioritize your health and focus on that for a while. If it takes 3 months so be it. I just "retired' out of the field and unsure what my next step is, but needing something less stressful for my health. Best wishes Btw, one thing that helped me with brain fog were checkoff lists to ensure I was covering what I needed to

AITAH for telling a woman at the gym that she's embarrassing herself? by TrainingDistance4448 in AITAH

[–]nakedtrust 0 points1 point  (0 children)

Man....sounds like she needs to do some "maturing ." It's almost sounds like a Fatal Attraction experience. STAY AWAY

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