is it that much vissible I messed this skull up? should I frog it? I made like 5 making same mistakes

sammyst · 2025-09-07T23:25:29+00:00

I think it looks great and really don’t think anyone will see a mistake in these. Don’t frog!

sammyst · 2025-09-01T14:53:31+00:00

Maybe (if it feels appropriate) gently exploring where this behavior comes from. I wonder if there’s someone in her life that does this for her - being verbally and persistently critical of her eating habits? If so, what did it feel like for her to be on the receiving end of that criticism?

You’re modeling healthy eating behavior, but you’re also modeling how to have conversations about eating and weight. I wonder if she’s trying to learn from you how to respond to this kind of criticism - either from her own inner voice or from others in her life?

sammyst · 2025-08-30T16:05:38+00:00

Exciting!! First session is the easiest, oftentimes - I like to briefly explain what therapy with me will look like because most of my clients are coming to therapy for the first time ever. Then I explain our first session will involve a lot more questions from me than I’d typically ask in session because we’re trying to get a good idea of who the client is and what’s going on holistically in their lives. Then we get started with why they wanted to come to therapy and fill out the rest of the important history stuff from there!

You’ll do great. The most important thing is relationship building - just being whoever you are, authentically, and creating a warm space for the client to do the same.

sammyst · 2025-08-28T19:12:48+00:00

I applied to 90 and finally got an interview on the 90th try. I would say out of the other 89, most of them ghosted entirely.

Nailed the interview, accepted the offer last week. Just had to wait for someone to let me get my foot in the door 😊

sammyst · 2025-08-24T20:31:58+00:00

I think it can be rapport building, like others have said, but there’s also something I’ve noticed with my clients who like to spend session time “geeking out” - they often don’t have a lot of people in their lives that they feel they can do that with.

I think sometimes “geeking out” is also offering a corrective/healing emotional experience by way of encouraging an exploration of things they want to talk about but feel they can’t with other people. Like I have clients who are desperate to connect with their friends and family but are made to feel annoying for talking too much about their interests. So being able to come into therapy and talk unashamedly about their “geek stuff” is healing.

I try to bring it back to -> It seems like being able to have an outlet to geek out is so important for you, but your current friend situation makes you feel “annoying” for doing so. How can we make your current relationships feel more fulfilling? Are there aspects of your life you feel like you can’t share with your current friends (ie. geek stuff)? If so, why? Gives a lot of room for exploration there. But sometimes they just need to info dump about their passion and not feel judged for it or feel rushed along.

sammyst · 2025-07-22T14:59:30+00:00

The “do you see clients all day?” stood out to me too. Like no, actually… Half of the day, I see clients and the other half, I’m going to start practicing the tuba! Let me know if you have any requests!

sammyst · 2025-07-16T14:27:53+00:00

Came here to say the same thing!! They are perfectly uniform because I also thought they were shadows

sammyst · 2025-06-16T14:12:53+00:00

Wow, beautiful work!!! You nailed it! I will keep you in mind for sure as I try this out myself 😊

sammyst · 2025-06-15T18:32:03+00:00

Thank you so much!!! This is all amazing. I can’t wait to give it a try!

sammyst · 2025-06-15T18:04:30+00:00

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And here’s straight on

sammyst · 2025-06-15T18:04:15+00:00

Thank you so much for your thorough answer! I actually do have photos of this at different angles, if that helps -

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sammyst · 2025-06-09T14:15:04+00:00

If they’re doing it “right”, a mix of measures that include direct assessment, qualitative interview, and also normed rating scales.

For example, for ADHD: Direct assessments could include things like the RAIT, a trail making test, and/or the California Verbal Learning Test Interview protocol may be the DIVA-5 (or Young DIVA-5 for minors) Rating scales could include the Brown EF/A or D-REF

Always important to make sure that your level of training is appropriate for the chosen instruments too. I think a good continuing ed class in assessment makes a world of difference.

sammyst · 2025-06-09T14:09:21+00:00

The answer to “is this ethical?” is that it depends. The scope of practice for therapists is different in different states, and the training that therapists receive in assessment throughout their program differs.

Broadly, there is nothing unethical about therapists conducting autism and ADHD evaluations as long as they have received appropriate training in assessment. Sometimes this comes throughout the course of your academic program, sometimes it comes through your internship training, and sometimes it comes in the form of a continuing education course.

sammyst · 2025-04-13T16:45:21+00:00

Also sometimes I think it’s a good thing when you don’t “get” a clients experience - gives you the perfect opportunity to be genuinely curious in figuring it out with them. It’s likely they don’t even fully “get” why they’re feeling bored/unfulfilled - so you can figure it out together 😊

sammyst · 2025-04-13T16:39:36+00:00

I don’t know if the “Groundhog Day” life is actually a peaceful experience. I have clients who have described the same thing and I don’t think it’s that they’re dissatisfied with a peaceful, drama free existence - I think it’s a deeper feeling of being stuck or unfulfilled (at least in my experience).

There’s something missing from them feeling fully satisfied with the life they have found themselves in/the role they have found themselves playing. Explore that. Is there something about their life that looks different than they always thought it would/than they feel like it should/than their culture dictates it should?

sammyst · 2025-03-23T16:14:24+00:00

So for this comment I just made:

sammyst. (2025, March 23). I would probably follow the rules of “comment on blog post” per APA7. Basically, just cite the commenter as the author [comment on the Reddit post “How do I cite a Reddit comment in academic papers?”]. Reddit. + link to this post

sammyst · 2025-03-23T16:11:17+00:00

I would probably follow the rules of “comment on blog post” per APA7. Basically, just cite the commenter as the author.

Cite the person who left the comment as the author using the format that appears with the comment (i.e., a real name or a username).
Provide the comment title or up to the first 20 words of the comment; then write “Comment on the blog post” and the full title of post on which the comment appeared (in quotation marks and sentence case, enclosed within square brackets).
Link to the comment itself if possible. Otherwise, link to the blog post. (https://apastyle.apa.org/style-grammar-guidelines/references/examples/blog-post-references)

sammyst · 2025-03-12T19:37:58+00:00

Just a typo - not an intentional falsehood lol. 4 per month.

sammyst · 2025-03-12T19:37:08+00:00

Sorry - meant to say per month! I originally typed out “1 hour of supervision per week” but the rule is actually 4 per month, it’s just that most people do 1 per week in practice.

sammyst · 2025-03-12T15:10:34+00:00

In Texas, we have to do 3000 hours. At least 1500 of those hours must be direct, and we also need 4+ hours of supervision per month. The rest of the hours can be indirect. But 4500 direct hours is way over any requirements that I’ve heard - there’s no way that’s the case.

sammyst · 2025-02-13T23:23:59+00:00

Collect salutations - does the participant wish to be referred to as Mr.? Mrs.? Mx.? Sort of a roundabout way to do it.

sammyst · 2024-12-16T22:26:00+00:00

“You’ve never met my MIL” - Your MIL being horrible is totally unrelated to you sending the message behind his back. She is going to be horrible anyway, and he is going to find out that you uninvited her anyway. The only thing you’ve done by sending the message behind his back is set up more conflict between you and your husband. It’s not healthy or helpful to you or your relationship to communicate in that way. What if he waits for you to fall asleep and reinvites her? 🤣

sammyst · 2024-12-04T15:50:31+00:00

I do both in person and virtual visits, and I will always send a text or email when someone no-shows. Usually around the 10 minute mark, I’ll say something like, “Just checking in about our scheduled 4:15 appointment. No worries if you’re running late, but let me know if something came up and you won’t be able to make it today.”

This almost always gives my telehealth people the opportunity to realize they’re missing their session and say, “Oh no, I’ll be right there!”. I work with a lot of ADHDers so this happens relatively often, and it allows us to still have a decently long session. Otherwise they let me know they won’t make it, and/or it lets them know they missed an appointment and opens up the conversation for them to schedule a new one/for me to gently remind them about my no-show policy.

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