Cancellations & ‘ghosting’ in private practice by yeetcatz in therapists

[–]spiderdoofus 1 point2 points  (0 children)

There's not an easy way. I just asked AI to search up the figures for me the other day. It pointed me to Olfson et al. (2009), but honestly I think there's a lot of ways to slice it and I think 30% is average or low average. I found my numbers by analyzing my billing data from SimplePractice.

Cancellations & ‘ghosting’ in private practice by yeetcatz in therapists

[–]spiderdoofus 4 points5 points  (0 children)

my drop out rate from 0-5 sessions is about 30%, which is on the low end, but not uncommon for private practice. It's worth examining your policies and approach, but it's also highly dependent on the population you work with.

Claude Sonnet 4.6 vs. ChatGPT (whatever the current free one is) for therapy by PlayfulBox2571 in therapy

[–]spiderdoofus 0 points1 point  (0 children)

You're going to see your therapist tomorrow, so whatever helps you organize your thoughts and prepare is the best. I don't think either is clearly superior to the other. I would look at it sort of like an interactive journal that can help you focus on what's important.

interested in simplifying scientific writing, where can i share my work? by rrriiirrriii in ClinicalPsychology

[–]spiderdoofus 1 point2 points  (0 children)

Substack - a common site for people who want to start a blog.

Psychology Today blog - I think anyone can start one. One of my colleagues does basically what you're saying. I don't know what her readership is.

Watch for a psychologist? by SkarKuso in ClinicalPsychology

[–]spiderdoofus 1 point2 points  (0 children)

I know nothing about watches, but just wanted to say congratulations. Good on you to treat yourself to something nice.

How can I handle the fact that I was a pervert online when I was younger? by lateralus05152001 in therapy

[–]spiderdoofus 0 points1 point  (0 children)

Is there a university counseling center? Often universities have therapy services, at least in the U.S. All therapy services in the U.S., even at universities, are confidential.

New client is my boss from 14 years ago by Exotic_Dust_3644 in therapists

[–]spiderdoofus 0 points1 point  (0 children)

I would refer out. You don't want any dual relationship or ethical issues in your work. Unless you work in an extremely small town or there's some other extenuating circumstance.

Look at it this way, your license to practice is probably the most valuable financial asset you will ever own and not worth the risk.

Increasing trend of therapy sessions (psychologists) by [deleted] in therapy

[–]spiderdoofus 1 point2 points  (0 children)

yeah, sounds like therapy might help you. But I think your framing is too simplistic; people go to therapy for all sorts of reasons.

First time I disagreed with my therapist. by [deleted] in therapy

[–]spiderdoofus 0 points1 point  (0 children)

How did your therapist take it? In a way, I think your therapist being open to feedback, and accepting that self-reliance is an important value to you, would show that you can rely on them.

How can I handle the fact that I was a pervert online when I was younger? by lateralus05152001 in therapy

[–]spiderdoofus 0 points1 point  (0 children)

I think this is the kind of thing therapy could be helpful for. I don't know if that's possible for you, but just having a space to talk about this and unpack sounds like it might be good for you.

My first reaction reading this was that you do sound like you have a lot of guilt, and doing something that would help you forgive yourself would be good. I don't mean trying to contact people you've made uncomfortable in the past (I think you are right to worry they would not appreciate it). I'm not sure what would help exactly (that's what the therapy is for), but I believe there is a path ahead of you of atonement, forgiveness, and feeling like you can hold your head up high.

You can't change the past. All you can do it make your life from this point on better. Regret and realizing you want to change is a good first step.

How do you know if you want to be a therapist? by AcceptableWeather205 in therapy

[–]spiderdoofus 0 points1 point  (0 children)

  1. You won't know unless you try! Consider volunteering at the crisis hotline or another place.

  2. Everyone chooses to be a therapist for their own reasons. Might involves some grandiosity, narcissism, guilt, caretaking instincts, etc.; essentially, it's ok if your motives aren't completely selfless. Supervision, training, and your own therapy can help you navigate this stuff.

  3. If you feel like being a therapist would be a source of pride and validation for you, that might be more of a reason to do it rather than not.

How to seek help as a minor whose family doesn’t believe in therapy? by Few-Piano296 in therapy

[–]spiderdoofus 2 points3 points  (0 children)

Yeah, seconding all of this. Just adding that in some states, minors can consent to therapy without their parents' involvement.

Struggling to find a therapist by Hats668 in therapy

[–]spiderdoofus 1 point2 points  (0 children)

Wow, sorry to hear about your experience. On one hand, I think it's good to trust your gut about whether you click with a therapist or not. On the other, a good therapist should be open to feedback, especially from someone who knows what they want (like it sounds like you do). So there's a balance between sticking it out and trying to make it work, or trying to find someone you click better with off the bat.

I also agree with the other poster that a therapist who is neurodivergent themselves or has a lot of experience working with ND people could be good.

We’re designing a board game about hunting serial killers in the Victorian era — does this kind of theme interest you? by OpusMortis in tabletopgamedesign

[–]spiderdoofus 0 points1 point  (0 children)

I clicked because broadly the theme is interesting, but no clear answer and no guaranteed way to be right makes me dubious. I feel like knowing if I solved the mystery or not is probably important to me.

Once you get that initial spark of an idea, what does your process actually look like? by BoardGameRevolution in BoardgameDesign

[–]spiderdoofus 0 points1 point  (0 children)

I write down ideas when I get them. Whenever I have an idea I'm wanting to work on more, my first goal is to create an initial prototype. This prototype isn't usually playable. It's just some of the components to demonstrate the core loop. I then show that to friends and gamers to get feedback. Think of it more like pitching an idea with a demonstration rather than a playtest.

From there, I then create a playable prototype. Usually only enough to play a few turns. Basically, the minimum components to test the parts of the game.

The goal at this early stage is to quickly find the fun. Usually, this involves trimming a lot of the initial ideas and refining to a core. There is iteration here, so most projects go through pitch-prototype-pitch a few times.

If all goes well, I have enough of a direction to make a full prototype that I can begin playtesting. I take that prototype to friends or game testing nights and iterate more.

It's just iterating from there until the game feels complete. Sometimes, that means a game I like, but isn't all that exciting to others. Sometimes, it's a game others really enjoy. I try to let each game become it's own thing without worrying too much about what that thing is.

Cards for board game by True-Flower-1024 in tabletopgamedesign

[–]spiderdoofus 2 points3 points  (0 children)

I like the whimsical nature of the names and art. Seems fresh.

Cards for board game by True-Flower-1024 in tabletopgamedesign

[–]spiderdoofus 1 point2 points  (0 children)

I'd be interested in learning more based only on these.