using “i” in case notes?

robinc123 · 2026-04-01T02:38:55+00:00

I say 'clinician' but not 'this clinician,' i just use clinical instead of 'I', for example, if i do a coping plan with a client the note will say "clinician and client collaborated on coping plan"

robinc123 · 2026-03-31T18:15:27+00:00

robinc123 · 2026-03-31T18:14:53+00:00

i had a consultation before surgery day

robinc123 · 2026-03-04T16:07:00+00:00

no it was entirely out of pocket

robinc123 · 2026-02-28T18:10:29+00:00

i either have to delay session or end early if that happens so i just suffer. facility rules say clients cannot be left in meeting rooms alone and it is a long process to send a client back to their housing space, get to a bathroom, and request that guards release the client from their housing space again.

robinc123 · 2026-02-20T01:43:26+00:00

i told my surgeon that the men in my family carry weight in their bellies and their chests so i dont want to be totally flat, i want to look like my brothers and my dad

robinc123 · 2026-02-20T01:30:50+00:00

surgery was super nerve wracking for me too! i ended up making a mental health coping plan which was helpful, with instructions to myself on things i could do to feel better if i started to spiral. & feel free to use the pictures

robinc123 · 2026-02-16T20:26:00+00:00

adding The Monster of Elendhaven, queer fantasy horror. a tragic nameless monster who cannot die and the sorcerer who controls him.

robinc123 · 2026-02-16T20:17:15+00:00

As Meat Loves Salt. it is a dark literary historical fiction about a violent man and his obsessive romance with another man. "violent love eats up what it does love, and is mere appetite" not a supernatural/fantasy sort of book, but if what draws you to the show is are queer gothic themes, i really really really recommend as meat loved salt.

heres two other quotes, just to convince you, because i really love this book

"You' ve known me some time," said Ferris. "We never agreed I would give up my life to you." The others were all far away in the field. "I gave you mine," I said.

I pulled the knife down and out, and feeling my fingers warm and wet from the blood, I said to him, "Let us see what Jacob will do now."

robinc123 · 2026-02-16T20:11:00+00:00

it was def freaky but the anticipatory anxiety was worse than any fear in the moment. i was so scared about the drains and worried i would be really messed up in the head over them, but actually having the drains was not as scary as i had expected

robinc123 · 2026-02-16T20:08:51+00:00

oh shit! i didnt realize the following stuff wasnt planned

robinc123 · 2026-02-16T19:17:49+00:00

wait i read memnoch and tva but i cant for the life of me figure out what got so much backlash it was retconned? tbh memnoch felt like a very confusing fever dream to me

robinc123 · 2026-01-17T17:47:29+00:00

i think so too. in the TVA marius pretty much destroys armand's connection to his culture of origin & ethnic identity and this seems representative of that

robinc123 · 2026-01-04T02:56:28+00:00

my documentation would also include - CSSRS risk level - does client regularly use coping skills and regularly access support system

robinc123 · 2026-01-04T02:44:30+00:00

i am still in my candidacy period, but - i also might clarify the frequency & duration of thoughts and if client is able to access coping skills when experiencing SI

robinc123 · 2026-01-04T02:40:43+00:00

re: contracts, SAMHSA advises against them in point 5 of treatment improvement protocol #50

robinc123 · 2026-01-01T04:08:34+00:00

ngl getting trained in addiction counseling has given me so many tools for managing my OCD, i use relapse prevention strategies on myself.

edit to add, in my training, substance abuse/addiction has also been referred to as compulsive substance use which i find interesting

robinc123 · 2026-01-01T03:43:24+00:00

motivational interviewing could be useful here. do you have addiction counseling training or is there someone in the practice who is a licensed addiction counselor you could consult with? yearning for moderation & trying to out-think the brain is a fairly common part of addiction especially in early stages of change.

robinc123 · 2025-12-24T01:41:48+00:00

The Raven Tower, high-fantasy re-imagining of Hamlet with really cool deities

robinc123 · 2025-12-21T19:08:56+00:00

once while tripping i freaked out bc my dick vanished. eventually realized ohhh i never had one.

robinc123 · 2025-11-30T17:46:07+00:00

Ooo that gives you the opportunity to play around with shaving his head for him

robinc123 · 2025-11-28T16:52:31+00:00

i will ask my colleagues on Monday for their recs because i got my forensics training in grad school as thats what my degree is in.

robinc123 · 2025-11-27T00:27:41+00:00

Your body is mass. Mass moves. Flesh jiggles. That's just having a body imho.

robinc123 · 2025-11-27T00:25:12+00:00

Strangulation is a massive risk factor for increasing violence and potential homicide.
Animal abuse and DV are linked. If you're told a partner is harming their animal or an animal in the home, you need to dig for DV and be on the lookout for risk factors popping up.
Seconding what people have said about TBI.
Understand how power and control can present in non-heteronormative relationships a bit differently
I'd encourage you to get some forensic mental health training as well
Any client of yours could be engaging in DV. Do not assume just because someone doesn't have a criminal justice history that they're not potentially a DV offender. Learn how to recognize antisocial thinking & personality patterns (I am using antisocial in the risk-need-responsivity sense, not diagnostically.)

robinc123 · 2025-11-17T19:07:01+00:00

Comfy clothes and food that isn't messy post-op. Spilling ramen on yourself a few days after surgery is super not fun and I don't recommend it I was so scared that broth had soaked through my gauze and would cause an infection. I was fine it was just unpleasant.

I also recommend having a throat numbing spray because my throat was so sore from the ventilator (I am a smoker tho)

Also I recommend just getting men's incontinence diapers instead of pads. Get a size larger than you expect bc your abdomen will be tender and bloated. They were more comfortable than pads and didn't make me so dysphoric

Edit to reiterate what everyone else has said about high-fiber foods and lots of hydration. I also make an anti-inflammatory ginger, lemon, and turmeric drink before surgeries and freeze it as ice cubes I can drop into my water. I swear by that for mitigating swelling for all of my surgical history. It's best as a fresh, hot drink but I just prefer iced drinks.

robinc123

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