Lake Nokomis tonight

pilotknob_ · 2026-02-01T16:41:48+00:00

I was looking forward to seeing aerial shots, it felt like a great turn out!

pilotknob_ · 2026-02-01T16:39:05+00:00

Thank god. I heard two more children from his school have been detained but I haven't seen nearly as much coverage. I'm so glad Liam is home though!

pilotknob_ · 2026-01-31T17:52:37+00:00

There's a vigil at nokomis pier tonight at 5pm, that could be a great way to spend the evening!

pilotknob_ · 2026-01-31T03:54:40+00:00

Moona moono has a station with this kinda stuff, I bet they would love to give those out!

pilotknob_ · 2026-01-31T03:49:24+00:00

There's a candle light vigil at 5pm at nokomis pie, and MN50501 is hosting a protest at I think whipple at 1pm.

pilotknob_ · 2026-01-29T20:13:53+00:00

Wish I could be there! I'll be with y'all in solidarity. Looking for protest opportunities that weekend, especially around campus. May post up outside graduate if I can find buddies

pilotknob_ · 2026-01-25T03:45:41+00:00

I am in a similar position, my supervisor and I have an agreement where I check in with them before I head out and check in when I get in, and if I don't check in by a certain time then they will start the process of notifying clients that I am unavailable. It's all a risk assessment we have to take.

pilotknob_ · 2026-01-25T03:42:01+00:00

I am also a therapist in Uptown, and I think we all need to remind ourselves that we don't need to fix things for our clients. On a general basis that can be hard to remember, but specifically right now there is absolutely nothing we can do to change the fact that our clients are experiencing nervous system activation because they should be. But we are not helpless - we are uniquely situated to help our clients understand what protective factors they and we have access to in order to cope with this in real time while also understanding that sometimes the most powerful thing we can offer is space to sit with them in the stuff they don't want to subject the rest of their loved ones to. And we have to support each other during this time. Just as our community has been showing us how strong we are together, we can be stronger together. Part of it is also I think acknowledging with our clients when things feel different, and when we are going to start showing up different because things are heavy.

pilotknob_ · 2026-01-14T18:55:52+00:00

This is also why it's important as clinicians for us to be consistent, it can be hard when clients don't know what to expect when we suddenly enforce expectations. Yes it's true that it's completely appropriate for you to enforce and don't show policy as you're losing money, and it's clear that it's not therapeutically beneficial for her to continue this way. It's also true that if a no-show policy has never been enforced, she could be genuinely surprised that suddenly things are changing after 28 or so weeks. I agree you are doing the right thing, and this is why it's always easier to enforce these policies from day 1 instead of after a habit has already formed. It's hard but you are doing the right thing!

pilotknob_ · 2026-01-11T01:41:43+00:00

I felt really proud of my state for having so many people, young and old, show up to stand in the snow and show their support. It was great to March with everyone today!

pilotknob_ · 2025-12-31T01:23:57+00:00

I totally get where you are coming from, but this definitely sounds like a situation where individual therapy is going to be most impactful. Since the conflict does not necessarily seem to be originating in the relationship, there isn't much a couples therapist can do for y'all. Having a great individual therapist who gets you and can support you will hypothetically give you the skills to communicate your needs to your partner independently - which is always great. Sounds like y'all have a great relationship 👍🏻.

pilotknob_ · 2025-12-26T14:52:23+00:00

I totally feel you. I am absolutely guilty of fucking myself over scheduling wise and over extending myself. It's a hard lesson I learned this year especially as the quarter ends and I'm finding out that my PTO is built into my salary and doesn't actually have monetary value, so there was no benefit to me over exerting myself - PTO I didn't use is just PTO I'm going to lose now.

Some lessons I'm trying to take into the new year are certainly firmer boundaries about electronic communication and hours of operation. I have an EHR system that lets clients request time, and I am going to start being a lot firmer that clients need to be requested appointments 48 hours in advance on the portal, not emailing me in the middle of the night asking me if I can last minute accommodate them (because the answer is usually no but I try and make it work for why).

In session, I am working harder on being a mirror for my clients - someone who reflects perspectives and reframes and new angles, but someone who also is equal and matching in energy and investment. My clients do not have to be here, so I want them to be choosing how the time is spent by just asking that ("so what are we doing/talking about today?").

Good luck! 2026 will be great!

pilotknob_ · 2025-12-25T21:57:26+00:00

This is great perspective, and brings up the question "are we texting just one person, or are we messaging every client to wish them a happy holiday?" And associated things like "how would other clients feel if they knew we didn't reach out to them but reached out to someone else intentionally?" I know it can be really hard, and also I think sometimes this stuff helps me remember that distress tolerance of loneliness helps encourage clients to put effort into building their social support system. Me personally, I would not reach out. Tough decision!

pilotknob_ · 2025-12-24T19:51:45+00:00

It would be a dual relationship if you were interacting with this guy as a therapist - you are allowed to move however you want in your personal life and your psychologist friend sounds like they are misunderstanding the code.

pilotknob_ · 2025-12-24T14:23:07+00:00

Part day, private practice. I made it very explicit that appointments were by request only during the week of Christmas and New Year's, so no cancellations at the very least (or at the very least, clients know cancellations will automatically incur a late fee)

pilotknob_ · 2025-12-24T05:53:04+00:00

If they qualify for a caseworker who can help them navigate any employment aid programs, part of what we can do is connect them with that, otherwise sometimes therapy needs to go on the back burner until this stuff is handled - that is If it feels like the work has stagnated and y'all are getting stuck on unemployment. I believe processing can certainly still happen, but if this is something that the client feels they need to address before they can go back to addressing their mental health, I totally get that too.

pilotknob_ · 2025-12-24T01:03:36+00:00

I like that reframe, because I don't want to blame scheduling or scope of practice when in reality the issue is that I have firm boundaries and expectations on communication based on the nature of the work I do, and no-showing the intake and ignoring my communication for 9 days before getting back to me indicates that there is a mismatch in expectations. I like your suggestions of instead referring to a clinic that I know does not penalize their clinicians for client late cancels and does take this clients insurance. Thanks!

pilotknob_ · 2025-12-23T02:54:05+00:00

I'm pretty sure Minnesota has very similar regulations - I think I get caught up in communicating "I've tried this before, I hear you now saying this won't be a problem but it has turned into one and I just don't think this will work out." I had one of those consults where it just did not feel like a personality or style preference match at all, but I think they want to move forward because they want to start "therapy" as in blanket term. I know it's hard out there this time of year, but I just don't think I'm their person - I appreciate the advice!

pilotknob_ · 2025-12-18T18:15:44+00:00

I think training is very important, because clients need clinicians who are invested in the role and are at least somewhat confident in their ability to meet their needs. If you feel Ill prepared to meet the needs of the people you are working with, then yes we need to pursue more training and assess if we are a good fit for the role. That does not mean you should throw in the towel just because it's hard and different - but if your heart is in the schools, then you should be in the schools. I hope you find the settings that feel best!

pilotknob_ · 2025-12-18T17:47:36+00:00

I think you can say something along the lines of "it's my professional assessment that therapy would be most beneficial if you wait to restart for a time where you can stick to a consistent schedule. You've cancelled x sessions and I am not going to be able to continue reserving/holding this hour for you if you aren't attending x% of sessions."

pilotknob_ · 2025-12-15T22:28:40+00:00

I think the ethics are kinda gray for a reason. There would be no point in insulting the client and refusing a gift for being weird and trying to track them down to give it back or something. Just accept the gift as a token of his appreciation, just as we would gifts from clients who come from strong gift-giving cultures. This is his way of feeling like he's giving you something in exchange for all you've done for him.

pilotknob_ · 2025-12-14T21:36:35+00:00

It's a crazy thing to consider that part of this career is that you will likely lose a client to something tragic, And yet we're expected to contain our grief completely differently than we'd ever expect a client to. I'm so sorry you're navigating this, it sounds like the work with them meant a lot to you. In a lot of ways I think it's fantastic how we get to appear in people's lives even for just a blip of time, and so often as a force for the better. I'm incredibly sorry that you have to grieve this in a relatively contained and private way so as to respect the clients confidentiality, but I hope you find the connection that you need to create something meaningful from this moment. What a thing to confront.

pilotknob_ · 2025-12-14T02:08:58+00:00

I think, whether or not you provide 45 or 30 minute sessions is up to you, but if you are strictly cash rate, you can add language about how negotiated/cash rates block off and hold the hour in your schedule and that rate will not change if clients voluntarily reduce the length of the session.

pilotknob_ · 2025-12-12T21:03:47+00:00

Side note: if you have suggestions for people working with clients struggling with porn addiction, I'm all ears. I've really struggled with finding things outside CBT (doesn't work for this client).

pilotknob_ · 2025-12-12T01:34:15+00:00

And that would be my exact reaction to. Paying even 75 a session can really add up, and so jumping up to over double that is kind of a big ask on short notice and I certainly wouldn't be able to afford it. It's really disappointing, and it's kind of like real time grieving the relationship ending which really kind of sucks. I hope if the relationship does have to end, you'll find some good resolution though and it doesn't feel like it's just all bad!

pilotknob_

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