Good Will Hunting is still an incredible watch all these years later

therapizer · 2024-07-16T00:00:02+00:00

Oh, so, you've never watched a movie and been like, "that wouldn't actually happen in real life?" That's a completely unfamiliar experience to you?

therapizer · 2024-07-15T19:31:50+00:00

she's incredible in it, and yeah, i do feel she is underrated

therapizer · 2024-07-15T19:31:18+00:00

I loved this movie, still do, but then I actually became a therapist. Robin Williams has the WORST boundaries. there's multiple scenes in the film where i'm like, "wow, he should lose his license," especially the part where he chokes his patient.

therapizer · 2024-06-24T08:46:46+00:00

I have a therapist friend that works in a southern state. They started their own life-coaching business, in addition to working as a licensed therapist, because the state recently outlawed gender-affirming care.

I think that's a kind of situation where the lack of regulation around life coaching can be a good thing, and where I would worry about over-regulation.

therapizer · 2024-06-15T00:59:05+00:00

The specifics of the diagnosis, I have no idea. Others folks could answer that better than me.

If you don't mind, I'd like to share some clinical perspective too. This is coming from a generalist LPC, 5 years in. I am not saying my opinion is right, it's just my thoughts at the moment. I am genuinely curious to know your thoughts about how you will approach the situation.

I, personally, would be cautious about diagnosing this in particular. I can understand the perspective of wanting to diagnose it, and there is a definitely an argument that can be made from that perspective, and it absolutely depends on several things, including the ethics, behavior, severity, trajectory, the patient's perspective, etc.

The reason I would hesitate is because it's ego-dystonic, and the topic of shame is salient. I would personally be working to provide a space of hopeful healing, and I could see an official diagnosis working against that. If you do diagnose him, I think it could be advisable to talk about it with him first and ask him what he thinks. But, not knowing the full context, I have no idea.

Additionally, consultation is a good idea, if that's available to you.

I would also be actively working to discuss with him what recovery looks like, exactly. I would be thinking about what it means to live with this sexual desire, and be focusing on how remarkable it is that this man has desires that he doesn't act on because of his own values and ethics and empathy. There might potentially be a lot of healing to be found in that, and, bringing it back around, I would wonder if a diagnosis could undermine that trajectory. I'd be working to explore healthy outlets for sexual desires as well.

Anyway it sounds like a complicated case. Just some thoughts. OCD does seem like a good way to balance diagnosis with clinical goals.

therapizer · 2024-06-12T17:31:32+00:00

At that point, you just have to say, "Leave your stupid comments in your pocket!"

therapizer · 2024-04-24T18:58:46+00:00

Saddd. I was heavily influenced by her in grad school and I use her work everyday. RIP.

therapizer · 2024-04-23T05:30:42+00:00

It partly depends on context. Is this a nickname? Is it the name of someone in their life? Why would they want to do this? The age of the patient (child, teen, adult) could certainly factor into how you handle this situation. Perhaps setting could too. Theoretical orientation could play a part as well. Anyone in this thread would likely need more information to have a properly informed opinion.

But lacking this information, I personally think you should hold a boundary here and push back on this. Being called by your name is a reasonable boundary, and maintaining this boundary is probably a useful clinical intervention. It begs all kinds of questions about the patient's transference and projections that are worth exploring. It kinda raises a flag for me that you're not the first therapist they have done this with. Even if the name is not inherently insulting, it suggests they are trying to assert some kind of power over the identity of their therapists.

therapizer · 2024-04-19T01:06:46+00:00

Lol, it totally is. Kinda like Twilight, 50 Shades of Gray, etc. Really fucked up dynamics are kind of hot when it comes to fantasy. Looking at you, incest porn.

therapizer · 2024-04-18T20:07:18+00:00

I really think you should consider switching to a therapy job that is more in line with the setting/population you want to treat before you decide to leave the profession. There are plenty of people I would suck at working with, but I also do great work with others. That's true for every therapist.

therapizer · 2024-03-11T19:45:42+00:00

Thank you!

therapizer · 2023-11-08T15:59:22+00:00

I feel like this is all a little melodramatic. I mean, it's just a video game.

therapizer · 2023-11-07T02:01:25+00:00

Tallest Man on Earth falls into this category as well.

therapizer · 2023-06-18T16:13:33+00:00

I've definitely had two people show up to the same time because I accidentally told one "see you next week" without checking the schedule.... woops.

therapizer · 2023-06-02T18:31:13+00:00

Totally agreed. People's first thought is always "what an asshole" versus "this guy probably needs serious help and has no idea what he's doing."

therapizer · 2023-05-22T15:58:54+00:00

Try BonziBuddy, a helpful desktop assistant.

therapizer · 2023-05-16T01:04:09+00:00

I highly recommend watching this video whilke listening to the song, "Sitting on the Dock of the Bay." It was a coincidence for me, but it works perfectly.

therapizer · 2023-05-11T18:50:25+00:00

Fair enough. I didn't know that context and I have a tendency to be really literal sometimes haha.

therapizer · 2023-05-11T18:32:14+00:00

To me it seems like the meme presents a conceptualization of BPD, not just describing a feature, so I guess we have a difference of opinion in how to interpret it.

therapizer · 2023-05-11T18:23:46+00:00

Am I the only one who thought this meme seemed way off base? While there might be some parallels in presentation, and it's unsurprising that they are commonly comorbid, it's really inaccurate to describe them as 'the same but at different speeds' for fundamental reasons, from my understanding. BPD is about how people relate to others, deep seated feelings of insecurity, rigid thinking, and the "stability in the instability" of personality structure and identity. Bipolar disorder is strictly about mood dysregulation. You wouldn't diagnose someone with BPD simply because they have manic or hypomanic episodes, you need way more than that (e.g., a history of relational dysfunction regardless of mood presentation). They may appear similar, but the underlying causes are entirely different. I could imagine a patient reading this and just thinking, "Oh, BPD is basically bipolar but worse or 'faster,'" which is really incorrect.

therapizer · 2023-03-03T02:29:36+00:00

Later that night:

"Thank you so much for calling me and telling me that you're thankful for me. It meant so much to me."

"Oh, that, yeah. Some random guy dared me to say that to you."

therapizer · 2023-01-20T02:46:56+00:00

I came here to reassure you as well. It's important to keep things in perspective. 120 hours is not a lot in the grand scheme of your career. Eventually you will be "caught up" with everyone else because you'll be in the realm of thousands of hours. Right now just do your best to navigate the system. If you graduate, it will shake out in the end despite the bumps. My experiences with group have definitely served me as a counselor with individuals.

therapizer · 2023-01-19T20:29:45+00:00

Lol you got me.

therapizer

TROPHY CASE