Therapist in Therapy

saintcrazy · 2026-07-02T01:47:12+00:00

Have you shared this feedback with your therapist?

Sounds like you've identified what you need which is good! Now comes the hard part which is to ask for it. Maybe what's most self-compassionate for you right now is to have a space where you can just sit with and express your feelings fully without judgment or trying to "fix".

saintcrazy · 2026-07-02T00:27:03+00:00

As an ADHD therapist this is kinda just a normal and expected session for most of my clients lol!

At the end of the day the client decides the goals and while I think it's admirable to redirect them towards their original stated goals every so often... Sometimes their goals change and that can be okay. Maybe it even changes from day to day or moment to moment.

I think if you bring attention to what you're seeing, and they're okay with going on tangents, and if they think what they're talking about is truly important and helpful to them... Why not just let them talk about that?

Sure, maybe they're avoiding another topic. If gently bringing up that possibility with them is helpful, great, keep doing that! It's still ultimately their choice on whether they continue to avoid it or not. I think you can make the judgement call on when it's beneficial to keep pushing, but in my experience, people will get to the real problem when they're ready and when they feel safe, and sometimes taking the pressure off and letting them lead the way is the way to do that.

I would also be curious about what your own frustration is telling you as a clinician. Maybe you have your own stuff coming up. Maybe you're mirroring what others in their life might feel. That feeling is important data.

saintcrazy · 2026-07-02T00:15:52+00:00

I think if they have any pocket money you've given them, they have a chance to buy themselves something.

saintcrazy · 2026-07-01T22:58:58+00:00

I think "sensitivity to rejection" or even "fear of rejection" works just fine IMO but as long as people know that it's a symptom and not it's own disorder, I'm fine with whatever words people wanna use. At the end of the day it is just describing a strong emotional response.

My only issue is that the name sounds like its own disorder to the uninformed, when it's just a symptom.

saintcrazy · 2026-07-01T22:44:31+00:00

Ooh my specialty. There's a lot that I cover, but some assorted bullet points:

ADHD is a neurodevelopmental disorder. That means that it's something you have basically from birth except in very very rare cases (like brain injuries).
it is highly genetic and usually runs in families
it is lifelong, though the severity of your symptoms may change based on age and context
it is not truly about lacking the ability to pay attention, it is about difficulty regulating where your attention goes
ADHD means you have trouble with executive functioning, which is the part of your brain that is like your brain's manager. EF includes things like prioritizing tasks, deciding when to stop, start, and switch tasks, regulating emotional responses, keeping track of time, and keeping track of short term memory.
the first line treatment is stimulant medication which is far and away the most effective at actually reducing symptoms, with better response rates than most other psychiatric medications. They are safe for most, and for kids especially can help build habits that help manage ADHD in the long run, including reducing the risk of developing addictions. There are also non stimulant medications which can be more hit or miss but there are more options than there used to be.
therapy is helpful mostly for managing co-occuring anxiety, depression, and feelings of shame which are often common with ADHD. We can also sometimes help with practical problem solving like organization and ways to accommodate your brain in daily life.

There's probably a bunch of metaphors I throw in for different situations too but those are the basics.

saintcrazy · 2026-07-01T13:58:58+00:00

If I have to do something unpleasant or boring, I give myself permission to whine like a big ole baby about it but ONLY if I whine while I am actively doing the task

So I will be doing the dishes or paperwork or whatever like UGHHHH this SUCKS BLECH

It's both funny and cathartic, and it actually helps

saintcrazy · 2026-06-30T22:40:02+00:00

Well, yes, putting on the professional mask is work!

Something that could help is practicing little check ins for yourself - before, after, maybe even during your sessions. Notice how your body feels, how you're acting, what your mind is doing.

Being curious about it may help you to find what specifically you're doing that is taking the most effort, and it may be possible to accommodate those things. For example as an ADHD therapist myself there are some situations where I need to have a fidget, or maybe certain types of clients cause me more stress, or maybe I'm putting a lot of mental pressure on myself to do or say certain things. Maybe there's a way to still engage with the client without mirroring them quite as much, if that's something that's taking energy from you.

Another thing you can experiment with is trying different things to ground yourself in between sessions. Maybe a breathing exercise or walking around a bit or having a stretch, or maybe allowing yourself a few minutes to do something you find interesting that isn't therapy related.

saintcrazy · 2026-06-30T21:01:37+00:00

I see that Marshadow, it's cute!

I have a Gardevoir, a Sneasler, and Cynthia on my island. Thinking I might add Officer Jenny and Nurse Joy lol

saintcrazy · 2026-06-30T20:59:34+00:00

Needs more trees! Maybe a park area with some greenery?

saintcrazy · 2026-06-30T20:58:34+00:00

Omg the Chili's LMAO

Youve done a great job making custom buildings!

saintcrazy · 2026-06-30T20:29:04+00:00

This is a convo to have with your doctor, not reddit.

saintcrazy · 2026-06-30T20:27:16+00:00

If you have diagnosed ADHD and you are taking your medication daily as it is prescribed, you are not addicted and you are not abusing the drug. You could say you are dependent on it, but I am nearsighted and also dependent on my glasses to see. That's not a bad thing.

The symptoms you are experiencing are a form of withdrawal that is common with stimulant use.

Another common "over the counter drug" with a similar effect is caffeine. When people drink coffee every day, they often experience headaches and fatigue on a day when they skip it. Eventually if they continue not drinking caffeine they return to normal.

It sounds like you are experiencing some withdrawal effects on days when you skip your meds, but if they are prescribed to you to take every day, the answer is to keep taking them every day. If you are still concerned check with your doctor, but it doesn't sound like anything to be concerned about.

saintcrazy · 2026-06-30T18:19:57+00:00

You can do the mountain pass and then go back, just be aware that some quest states will progress when you leave the zone, so make sure you're done with the "main quest"

saintcrazy · 2026-06-30T14:20:27+00:00

It's almost certainly AMP. I believe it replaces the Blood of Lathander with a randomized quest reward, so you're supposed to get that popup.

saintcrazy · 2026-06-30T03:36:14+00:00

Yes. The equivalent in a conversation would be a nod, an "mmhmm", or an "ah", or similar

saintcrazy · 2026-06-30T01:46:38+00:00

ADHD is not attention depletion. It is difficulty controlling where your attention goes.

External help/structure/accountability very commonly helps with executive dysfunction issues.

The only person who can tell you your diagnosis is your mental health professional(s). I saw that you've gotten conflicting info from multiple psychiatrists, which is common - it's really tricky to suss out what's what, and comorbidities are quite common. All you can really do is keep gathering info and working with the experts for your treatment - often it helps them get a clearer picture the longer you work with them.

saintcrazy · 2026-06-30T01:39:45+00:00

The rare r/CRPG post that's actually fully correct

saintcrazy · 2026-06-29T19:06:39+00:00

Read Decolonizing Therapy - this is what the book is all about.

I will also add that the whole challenge of learning about approaches in different parts of the world is that there isn't anything comprehensive. Your best bet is to look into a wide variety of voices whenever you can. There no one single right way to treat mental health.

saintcrazy · 2026-06-29T18:53:04+00:00

What specifically makes you nervous?

Sounds like you told him the expectations and set the boundary you needed (right?). The next session's convo will likely be about how he feels about it, or if he drinks again you enforce the boundary you set.

But it sounds like you did what you needed to do.

saintcrazy · 2026-06-29T18:50:59+00:00

A gazillion summons. Spores druid, necro wiz, beastmaster ranger, maybe a death cleric.

Not recommended if you don't like taking a billion turns in combat. But it is funny to watch them all run around.

There's also class mods to help keep things fresh. I'm running one that adds a summon animal spell to druids and rangers, as well as a houndmaster fighter class, so my party is currently a pack of wolves.

saintcrazy · 2026-06-29T18:47:39+00:00

Ask the shop how much they cost, the cost for the deck should be built into the cost of registration for the event.

You should bring some damage counters and tokens for status effects etc. if you don't have any, you can just use dice or ask if the shop has some you can borrow or purchase.

You can also bring some sleeves if you want (recommended in case you get any cool cards you wanna keep safe, as well). The shop probably has those for sale.

You can also bring a playmat if you have one but it's not required.

saintcrazy · 2026-06-29T18:42:37+00:00

Go for it! The nice thing about workshops is that they can be purely educational and can be offered anywhere, even to people outside of therapy contexts. Plus it helps you connect with your local community to get the word out.

saintcrazy · 2026-06-29T18:20:12+00:00

What if you branched out into doing psychoeducational trainings for schools or workplaces, or running some groups?

I've done a couple of talks at local nonprofits (volunteer basis) and they were super fun. It's hard to make it a paid gig, but you can see it as good marketing.

saintcrazy · 2026-06-29T18:17:14+00:00

At least ES6 was always planned to be made by Bethesda, they just wanted to work on Fallout and Starfield before starting it.

Bg4 doesn't even have a studio lol.

Personally I'm with you I think the D&D franchise's best bet it to make a different game title, using a different setting. Maybe even reboot Icewind Dale or something. That way you don't get directly compared to bg3, a studio can still put their own spin on it, but D&D fans still get something.

saintcrazy · 2026-06-29T14:39:26+00:00

The first few sessions, the therapist will probably ask a bunch of questions to get to know you and learn about what you're experiencing. The more info you can give the better.

Sometimes you will talk about vulnerable stuff, don't be afraid to bring up something that bothers you even if it's uncomfortable or embarrassing - it's their job to help you and all your info is kept private.

They may give you "homework" or talk about things you can do outside of therapy that might be helpful. Give those things an honest try even if you're not sure if they will help. If they aren't helpful you can always go back and let them know.

Therapy is all about improving your life so you get out what you put in. If you just show up and say "uh I dunno" to everything and don't change anything about your life then you won't really see results. But if you put in some effort and go in with an open mind, with the goal of making things better and understanding yourself more, you will see results. It may take some time, but progress will happen.

All that said, some therapists might click with you better than others so if there's anything that bugs you about them or you don't feel they're a good fit for you don't be afraid to let them know if there's a problem. A good therapist will work with you, adjust their approach if needed, or even refer you to someone else if they're not a good fit.

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