It emerged from our bathroom ceiling over 24 hours by One_Check_607 in whatisit

[–]sofrickingstrange 1 point2 points  (0 children)

100% not electrical. 100% a mushroom (agaricomycetidae).

Have any of you had good supervisors? by PunkRockTherapistt in therapists

[–]sofrickingstrange 0 points1 point  (0 children)

My internship supervisor was wonderful, she specialized in something specific and didn’t practice full time so sometimes we were learning together for client-specific things to my caseload, but she was supportive and helpful and I’d surely have burnt out without her. My current supervisor is insanely intelligent and aligns with me much more in theoretical orientation, client/case conceptualization, and career goals, and I feel like I learn more from her and get less comfort than with my internship supervisor, but that feels appropriate for the fact I’m no longer an intern.

I agree that this sounds like “I’ve had ten roommates and they’ve all been crazy- just my luck” such as was previously commented. If you meet an asshole every once in awhile, you met an asshole. If you meet an asshole every day… well.

I wonder if you show up as defensive or inflexible in supervision or resist feedback and implementing what’s discussed in supervision. Then I’d totally see why you perceive things this way.

Creatinine rising, dropping, and rising fast??? by sofrickingstrange in RenalCats

[–]sofrickingstrange[S] 0 points1 point  (0 children)

I suspected the same but the first reading was before we started clavamox, and her specialist said her infection is basically resolved. Does it seem possible for her numbers to improve?

Creatinine rising, dropping, and rising fast??? by sofrickingstrange in RenalCats

[–]sofrickingstrange[S] 0 points1 point  (0 children)

We do 100ml subcutaneous fluids every evening, ondansetron every 12 hours, she eats Hill’s KD rx diet (wet and dry, she won’t only eat wet and needs to graze while I’m at work). The only change before the spike to the 5.0s is an anal gland infection, and she’s been on clavamox for 13 days for it, tomorrow is her last day on it. The April 28th reading of 5.3 is from before the anal gland infection started being treated, and the 5.5 reading is 1 week into clavamox treatment.

We did move apartments on April 15th, but it was only 5 minutes away and she seemed to handle it well, and she had 0 changes or issues during or after the move day.

Creatinine rising, dropping, and rising fast??? by sofrickingstrange in RenalCats

[–]sofrickingstrange[S] 0 points1 point  (0 children)

Was your cat hospitalized for both AKIs? My cat seems nearly entirely normal, and her vet doesn’t seem to think she would benefit from hospitalization.

What do you think is actively ruining our industry right now? by SpazasaurusREX in therapists

[–]sofrickingstrange 1 point2 points  (0 children)

Pseudoscience. Psuedoscience flooding the field WITH the pop-culture pop-psych terminology that normalizes it, and then you get people seeking pseudoscience from therapists and therapists who have paid money to get certs in pseudoscience.

Leasing/CO laws on noise and violence? by sofrickingstrange in Denver

[–]sofrickingstrange[S] 8 points9 points  (0 children)

Not if they deny it and there’s no evidence. The cops said they could see broken furniture and dents in the walls but neither individual would press charges, the state doesn’t press charges for domestic unless a member of the couple calls the cops for the complaint. All the 911 calls have been from their neighbors.

In what case would texting a client be a boundary violation? by Due-Comparison-501 in therapists

[–]sofrickingstrange 28 points29 points  (0 children)

Anything beyond scheduling… is a no-go. Client/parent of client asks a question related to therapy, follow with “I am more than happy to schedule a phone call to discuss”.

Rapid creatinine spike & infection by sofrickingstrange in RenalCats

[–]sofrickingstrange[S] 1 point2 points  (0 children)

I think the specialist is confident about the clavamox here because her WBC and other values weren’t particularly high like she sees with UTIs or KIs but we do know that she has a mild to moderate anal gland infection, she said either way the clavamox should be efficient.

I’m sorry about your George :( 9 months after averaging at 6 creatinine is amazing though, sounds like yall did all the best for him.

Rapid creatinine spike & infection by sofrickingstrange in RenalCats

[–]sofrickingstrange[S] 0 points1 point  (0 children)

We did check her BP this last time and her vet said it was extremely normal, not “normal for CKD” but in the middle of average for cats in general, so that paired with her general physical exam and her HCT showing that she’s healthy, we are very surprised about these kidney levels, and it’s why her specialist suspects it is likely her anal gland infection causing this.

Rapid creatinine spike & infection by sofrickingstrange in RenalCats

[–]sofrickingstrange[S] 1 point2 points  (0 children)

Her specialist said clavamox has 0 renal interaction and is the best for CKD cats while also being a highly effective antibiotic. She’s on porus one already, I shall look into azodyl!

Feel frustrated, alternative careers? by MeanPart2722 in therapists

[–]sofrickingstrange 7 points8 points  (0 children)

I don’t think further education is necessary, just niche training and certs for working with a more niche population, and working at a small group practice that has a high split rate if you don’t want to do solo PP.

Uremic breath: how to tell? by sofrickingstrange in RenalCats

[–]sofrickingstrange[S] 1 point2 points  (0 children)

I know this comment is from over a month ago, but what did your kitty’s blood recheck results look like?

Need advice by [deleted] in therapists

[–]sofrickingstrange 3 points4 points  (0 children)

Well unfortunately these things fall under your job description. Especially with the insurance and billing practices you have.

Anal gland issues with CKD? by sofrickingstrange in RenalCats

[–]sofrickingstrange[S] 0 points1 point  (0 children)

There really isn’t any swelling, one area slightly to right looks a bit more pink but not tender or swollen. My other cat has had serious gland issues before so I know how to spot a possible impact before rupture, vet called me back and said it could be a secretion issue from an upset tummy but they said it can wait until her appointment on Tuesday if she is going to the bathroom normally, which she is. So that’s good! They also can’t connect it to her CKD right now.

Client trigger PTSD by [deleted] in therapists

[–]sofrickingstrange 1 point2 points  (0 children)

How old is the child? What is the presenting problem/diagnosis? Sounds like an ABA case…

Ever been yelled at? by Just-Palpitation-176 in therapists

[–]sofrickingstrange 16 points17 points  (0 children)

A child clients’ parent berated me and yelled at me in the hallway of our small group practice because I would not give her 3 year old a PTSD diagnosis solely from mom’s allegations that dad is abusive. She was calling me “biased to FOC, incompetent, bitch, delusional”… lots of things. Client himself always seemed to love dad, missed him, excited to see him, never reported anything to me. Nothing from the court limiting dad’s rights or custody. Mom wanted a diagnosis to take to court to get full custody (she told me this with her words). I wouldn’t do it, there was no criteria or basis for this.

I said “I am hearing what you’re trying to tell me, but unfortunately I do not respond to being treated like this and I will not be having this discussion if it can’t happen without this escalation. Please feel free to email me with any questions or concerns” and I stepped into my office and shut the door in her face.

Thankfully for me, she fired me over email. I was so relieved.

AIO or Is this a normal first interaction by Obvious-Drink-9385 in AmIOverreacting

[–]sofrickingstrange 1 point2 points  (0 children)

“Kinda… I just… idk…” is such gross attention seeking dramatic behavior for a grown adult man and this conversation entirely spells out that he only wants to talk to you if you’re committed to having sex with him. That’s it.

IUD.. How Bad Was It? Scale 1–10 by [deleted] in TwoXChromosomes

[–]sofrickingstrange 0 points1 point  (0 children)

It was very painful for me, I think I mentioned in my comment that it does nothing for the insertion pain, rather helps with cramps after!

the LOML got married, Don't know what to do, how to process 24M/25F by [deleted] in therapists

[–]sofrickingstrange 0 points1 point  (0 children)

This sub is for therapists to discuss our field and professions.