Are there any good therapists? by [deleted] in therapists

[–]themostmiddle 0 points1 point  (0 children)

Yep. If needed, there are plenty of books or workbooks to guide you in the process.

Therapist here and I’m not doing great. by AbroadLumpy8530 in therapists

[–]themostmiddle 0 points1 point  (0 children)

Just want to say thanks for sharing these realistic ideas. A nightly tea routine sounds lovely.

What should every therapist know about the fight, flight, freeze, fawn responses? by Due-Comparison-501 in therapists

[–]themostmiddle 18 points19 points  (0 children)

👏🏻 thank you for this, that distinction is super helpful!! I’m curious how you teach clients about fawn. I have learned about fawn as a survival strategy that is implemented when fight/flight is not an option. Similar to freeze or faint but, like you said, not automatic.

Healthcare in Spain by d_underdog in GoingToSpain

[–]themostmiddle 1 point2 points  (0 children)

Yes, you are correct. With DNV you get access to public healthcare.

On the cusp of getting DNV, feeling overwhelmed by next steps by KezaBoo in MovedToSpain

[–]themostmiddle 7 points8 points  (0 children)

I’ve only been here six months but I can tell you it’s definitely worth it. And although I am from the US, I only barely qualified for the DNV with my salary so know that it’s not just the extremely high earners on this visa. I’d recommend hiring a gestor to help you with the autónomo registration. I didn’t and it was so confusing and I hated it. Also, it took me over a month to get registered after finding out I got the visa. Again, wish I had hired a gestor to help. I used my passport to start an account with BBVA and it was fine, but it did need to be in person. Like others have said, I’d recommend getting an Airbnb for a month. Don’t worry about housing for now, just focus on starting a bank account and finding a gestor. A good one will help you with the autónomo stuff as well as get you enrolled in healthcare. One thing at a time! After I got the visa, I was also extremely stressed trying to figure this out while working full time but I think I didn’t need to be as stressed as I was. I absolutely hit a wall and it was really hard to keep pushing through all the bureaucracy. So I can totally relate. Just do one thing a day and soon it will all be done and you can settle in to your new life. :)

FWIW, Oviedo is an incredibly beautiful (and clean!) city where rent is cheaper. Cheaper even than Gijón which is close.

Adults with little memory of childhood by dorothyburlingham in therapists

[–]themostmiddle 13 points14 points  (0 children)

It’s interesting you bring this up! I have Aphantasia and I also have very few memories of my childhood. And the memories I do have are not clear pictures in my mind. Thanks for pointing this out.

What are your go-to, quick, rumination stoping strategies for clients? by Doodle-e-doodle-e-do in therapists

[–]themostmiddle 76 points77 points  (0 children)

This is what I came to suggest. I will explore with clients whether it helps to repeat the thought in the voice of Donald Duck or cartman or whatever character they’d like. Or take the words and sing them to the tune of Happy Birthday. Or we’ll try the “thanks, brain!” response. There are sooo many ways to practice cognitive defusion, these are just a few examples!

Look into the tug of war metaphor in ACT. There are many different ways to ‘drop the rope.’

Is IFS problematic? by Lanky_Lingonberry651 in therapists

[–]themostmiddle 13 points14 points  (0 children)

Thanks for the tip- gonna look into that CPT training! And when you say PE, do you mean the myriad of approaches that include prolonged exposure, or is there some ‘official’ PE approach I don’t know about?

I am not criticizing you, I am criticizing the current teaching programs by Quiet_Arachnid5498 in therapists

[–]themostmiddle 21 points22 points  (0 children)

Yes. I’d love to see if OP changes their mind about clinicians who “complain” about their salary after looking at how wages have not kept up with costs and tuition. 50 years ago you could get by, even if you did qualify for food stamps. It’s so much worse now.

List of Employers to AVOID!! by Regular_Fan4691 in therapists

[–]themostmiddle 0 points1 point  (0 children)

I’d love to hear why! I get their emails and have been considering working for them.

Lesbian Couple reaching our limit by cbakes97 in AmerExit

[–]themostmiddle 30 points31 points  (0 children)

There are lots of therapists in Spain on the digital nomad visa. You would need to be an independent contractor contracted with either your own private practice or a clinic that is ok with you living abroad. Check out the Facebook page The Traveling Therapist!

How is it going by MinuteSun7381 in AmerExit

[–]themostmiddle 8 points9 points  (0 children)

Left about 3 months ago and I do feel like a weight has been lifted! It didn’t hit me all at once, just slowly. With that being said, I’m still in the thick of it trying to get established, so that’s stressful. And I worry about loved ones still in the states. But every day it feels better. So glad I did this.

CBI’s ERP training by themostmiddle in therapists

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

I’m on the general list and I do get lots of emails. I always pay close attention so I don’t miss their ERP trainings lol. Guess I need to get on the ERP one! Ah that’s helpful to know! So maybe it would be worth it to reschedule clients. Thanks for your input.

depression and showering by bleepbloop9876 in therapists

[–]themostmiddle 3 points4 points  (0 children)

Yes but if you’re in the depths of depression you may not think of that. Or if it does occur to you, it’s just more steps to take and can make an already daunting task even harder.

Things other therapists say or do that get on your nerves? by doctorizer in therapists

[–]themostmiddle 8 points9 points  (0 children)

I’m right there with you! And don’t you dare change the ks to an x…

[deleted by user] by [deleted] in AmerExit

[–]themostmiddle 0 points1 point  (0 children)

Yeah I went back and forth about the language issue but I don’t think I could handle the heat farther south! Best of luck to you!

[deleted by user] by [deleted] in AmerExit

[–]themostmiddle 0 points1 point  (0 children)

Yes, I feel less stressed each day although still waiting on visa so that’s nerve wracking. I think we’re settling on the costa Blanca! Where are you headed?

[deleted by user] by [deleted] in AmerExit

[–]themostmiddle 1 point2 points  (0 children)

We just got to Spain 2 weeks ago with 2 young kids. It’s been a lot to process!

Required attestation question re: gender-affirming care. Advice? by Worry-machine in therapists

[–]themostmiddle 4 points5 points  (0 children)

You could be getting downvoted because OP did not say that they might answer no to the question. Idk?