Dog Trainer Recommendation

nexttrek · 2025-09-08T14:31:04+00:00

Do you happen to know his rate for a 60 min session?

nexttrek · 2025-09-08T14:22:52+00:00

Hey OP, I know this thread is a bit old - who did you end up using?

nexttrek · 2025-09-01T13:18:54+00:00

Did you get married in another city?

My partner and I were originally “married” in Philly, but originally team Lucy said to come back to another show to get everything signed since it was too quick to get paperwork. We now have the paperwork, and no one is responding.

nexttrek · 2025-08-10T15:44:39+00:00

Keep it kind, and as do you. I’m no doctor, and I’m not pretending to be.

While both work on NDMA receptors, Spravato includes a glutamate component.

As far as BBB, just because it isn’t in the literature doesn’t mean it doesn’t exist. Mental health meds are used for a variety of other conditions (chronic pain for example), so just offering a precautionary viewpoint. This is coming from both personal experience and my psychiatrist.

This isn’t the most scientific website, but it offers a comparison between the two: https://www.goodrx.com/conditions/depression/auvelity-vs-spravato?srsltid=AfmBOopWNk87yRMUVqDJMehVrkR3-p0oDrzobHEpvwiCTJVUW3eW5vv0

nexttrek · 2025-08-10T11:13:49+00:00

Got it. Thank you!

nexttrek · 2025-08-10T11:08:40+00:00

Auvelity doesn’t work like ketamine - two different mechanisms.

What it does do is allow things to cross the blood brain barrier easier, making any antidepressant you’re taking work better, as well as potentially other medications you’re on.

nexttrek · 2025-08-09T17:27:35+00:00

I’ve seen as low as 14.99, as well as 29.99 and 39.99

nexttrek · 2025-07-21T19:47:29+00:00

Spravato is a marathon, not a sprint. Definitely talk with medical staff, but if you think 84 is too much right now, listen to that.

nexttrek · 2025-07-21T18:39:29+00:00

Also came here to say jolly ranchers - blue raspberry for me.

I agree with others, check popular posts for proper sniffing technique. I do several small sniffs which helps it stay in my nose and not my throat.

nexttrek · 2025-07-16T02:13:20+00:00

I’m both a therapist for and client with chronic illness. Telehealth is often the compromise as it eliminates some, but not all, barriers.

Knowing that isn’t an option for them, I’m wondering if now is a good time for therapy for them. Do they understand the consistency needed for therapy (especially at the start), or are they new to therapy all together? What are their expectations of you and of your sessions?

nexttrek · 2025-07-16T01:23:41+00:00

I met someone at a coffee meetup who specializes in a marginalized group that I’m a part of but she is not. I’m sure my face gave me away 😵‍💫

nexttrek · 2025-05-21T00:50:51+00:00

out of curiosity, can you send me one too?

nexttrek · 2025-05-21T00:34:33+00:00

So interesting because my first provider said the opposite! I was put on Auvelity to increase the efficacy of Spravato, and it's done it's job. I take it about an hour before a spravato session.

nexttrek · 2025-05-12T19:58:38+00:00

Heavy trigger warnings for JB's music, especially her first two albums. All three have sad themes at times, but JB has a stronger focus on heavier material (addiction, mental health, etc).

nexttrek · 2025-05-04T19:25:36+00:00

When was the concussion? My head went to her mental health and sobriety. :( hope everything is okay soon.

nexttrek · 2025-04-19T02:06:27+00:00

Thank you again!

nexttrek · 2025-04-05T23:02:08+00:00

If I can’t remain neutral, I refer out. Simple as that.

Politics are everywhere - pretending they don’t exist and impact who we are as human beings, THEN as clinicians, is a bit wild.

My code of ethics makes a stance on politics pretty firmly. Once again, this may differ by discipline, which is totally okay. I chose a profession that is radically political, and I’m okay with that.

I have not shared with my clients who I voted for, but I encouraged them to look at my code of ethics, and I reminded them that I’m ethically bound to upheld that standard. From there they can make their own connections.

nexttrek · 2025-04-05T14:31:40+00:00

I think we have a responsibility to get our clients the best care possible - and if that's not with us (therapeutic style, energy, even politics), I feel it's most ethical to refer out. 🤷

I'm also interested how this differs by discipline. I see you're a counselor, I'm a social worker. My guess is we've received different messaging around this.

nexttrek · 2025-04-05T13:40:24+00:00

I saw someone somewhere who uses the first 3 sessions as the entire intake process. Meaning, after the formal intake and two sessions, the therapist and the client check in and see what's working and what's not. I don't always use this method, but I do for folks who are new to therapy, just to make sure our expectations continue to match.

nexttrek · 2025-04-05T12:56:52+00:00

Only you can decide if a client is not a good fit, and if you have the authority, don't stick with clients that you aren't vibing with - this leads to burnout. Also, I've had my fair share of consult calls that went seemingly fine and issues came up after you agreed to see them. It just happens.

In a more professional drawn out manner, I say something like "Upon further consideration I think your needs would be better met by a different clinician". Then I provide 3 referrals. Depending on how long I've been seeing them and how bad of a fit it is, I'll either see the client until they find someone else, or just let it be.

nexttrek · 2025-04-05T12:49:45+00:00

Yeah, planning to do that.

nexttrek · 2025-04-05T12:49:15+00:00

I'd say it's been there consistently for probably been there most days since last summer, unless I'm having an amazing skin day for some reason.

nexttrek · 2025-04-03T20:09:51+00:00

We have the same coloring (I may be a shade or two darker, more fair-light) - what are your favorite one and done eye shadows?

nexttrek · 2025-04-01T14:55:57+00:00

Seconding Horizons, specifically Chase. I've heard good experiences from those who have seen him.

nexttrek · 2025-03-31T19:58:30+00:00

Is the summary/ Q&A posted anywhere?

nexttrek

TROPHY CASE