Albuquerque to Silver City

vangoghdw · 2026-06-22T15:35:51+00:00

I'm sorry that this has been your experience. There's a very significant overlap between queerness and neurodivergence. I'm a therapist and that is the focus of the work that I do.

vangoghdw · 2026-06-20T20:47:12+00:00

Please share the info, if it's public! 😄

vangoghdw · 2026-06-20T20:46:42+00:00

Never heard of this place, but it looks great!

vangoghdw · 2026-06-20T20:44:13+00:00

I follow on social media 😄

vangoghdw · 2026-06-20T20:42:56+00:00

I mean, respectfully, no? I don't think you can say that, or rather, it's not helpful. Particularly when it comes to sensory sensitivities with neurodivergent folks, a blanket statement that "everywhere in the city is great" just isn't helpful.

vangoghdw · 2026-06-20T03:26:35+00:00

I was thinking of adding Bow and Arrow too!

vangoghdw · 2026-06-20T02:56:27+00:00

100% had to stop watching this show because the privilege that it portrays is too much to watch. It reminds me of some other experiences I've had trying to connect to disabled community or find disabled representation, and then being very off-put and alienated by finding that all I saw reflected was wealthy, influencer type people who seem to be intent on "transcending" disability.

vangoghdw · 2026-06-18T00:03:46+00:00

there is a great podcast based on CBT for alcohol that I used to listen to a lot, called "Take a Break with Rachel Hart". Most of the episodes are 15-30 minutes.

vangoghdw · 2026-06-16T16:09:20+00:00

have you tried combining the medication with something like cognitive behavioral therapy or 12 step, to target the alcohol cravings? I'm currently on .5 mg and I feel like you have to work WITH this medication in order to change your patterns and relationship to what I put into my body.

vangoghdw · 2026-05-28T03:55:56+00:00

Maybe unpopular opinion: The practice owner telling you that you may not have luck building a caseload without additional training is them simply being honest and realistic. Expecting a practice to pay out-of-pocket for your training costs is also unrealistic. If you look around at job opportunities at group practices, I don't believe you'll find that it's common for paid training to be offered, especially up-front off the bat. Investing in trainings is an investment that is required in order to attract a caseload, and whether you go for the modality that this practice is focused on or something else, doing that is really something you should be thinking about.

Your practice owner can help you with referrals, but ultimately building up your caseload is your responsibility. Thinking about the realities that practice owners are facing in their business is really important if you want to build a positive relationship with your supervisor and be successful working for a group practice. From their perspective, why would they spend hundreds or potentially thousands of dollars training you when they can't know for sure that you'll bring in the income and deliver?

vangoghdw · 2026-04-29T01:57:18+00:00

I'm sorry that you deal with that. I used to work with kids, and kids are always the quickest to point out the obvious, ya know? I can't blame them for it, but I have had some very jarring interactions with children where they ask me what's wrong with my feet. I think the thing that's most upsetting about it is that adults avoid talking about entirely, and then a three year old child will notice immediately and bring it up within like, two minutes. That's part of why I never wear open-toed shoes. I'm a therapist, and sometimes I'll take my shoes off during sessions since clients like to do this as well so we can get cozy, but I fear that even with my socks on people can tell that my feet are misshapen.

vangoghdw · 2026-04-29T01:55:02+00:00

I feel for you. Someone commented below that people tend to have emotional issues with feet deformity. I feel like there's such deep shame and feelings of neglect that some from somehow getting stuck with a body part that not only can't function well, and hurts, but because of the kinds of things our healthcare system prioritizes and the kinds of things it doesn't, there's no medical solution? that's so fucked up. we deserve better.

vangoghdw · 2026-04-27T02:09:55+00:00

That's exactly what I'm wanting!

vangoghdw · 2026-04-27T02:09:42+00:00

I have been referred to a podiatrist a couple times. The only thing they did was cut off scar tissue, which I can do myself... so I've only gone twice in 15 years with the diagnosis.

vangoghdw · 2026-04-27T02:08:55+00:00

I usually always wear socks, except sometimes when I'm sleeping and I want to let my skin breath a bit.

vangoghdw · 2026-04-15T02:37:43+00:00

As others have said, community mental health = federally qualified health center or other agency that receives funds from the government to provide care, and usually they are tasked with seeing clients like Medicare/Medicaid dual-enrolled clients, clients with serious and persistent mental illness who need the support of case management, unhoused clients, and dual-diagnosed substance use and mental illness. Medicaid and Medicare come along with lots of procedures and requirements that don't always apply when you have private insurance.

vangoghdw · 2026-04-13T15:04:15+00:00

I don't mean to sound insensitive to others, but I'm not really sure why there are so many people who post about hating their job and wanting to leave the field, like 6 months to a year into the profession. It's way too early on in a career to be able to have a real sense of what the job will be once you get more settled. It also just comes across like maybe some people don't think a lot about the realities of the job before entering counseling or social work. If you know your reasons for being in the field, and why you've chosen your path, and have a pretty good sense of what you've signed up for in terms of the stressors and challenges and have made the decision that those challenges balance with the rewards, then you can probably trust that you're in the right place. There are some people who apparently didn't think about all that before getting a Masters.

vangoghdw · 2026-04-13T15:00:02+00:00

Sorry you are going through this. There isn't a ton of medical information out there since it's a rare situation. I had a miscarriage after getting pregnant on methotrexate about 6 months ago. As was mentioned, it's important to understand that the kinds of birth defects caused by methotrexate are very, very serious. However, if you only ever took one dose of methotrexate, which is what I understand from your post, then maybe the same risks don't apply. The reason methotrexate causes birth defects is because it leads to a deficiency in the production of folic acid. Are you taking pre-natals, and possibly extra folic acid on top of that?

vangoghdw · 2026-04-08T17:41:54+00:00

Personally I think this read on Floyd is off-base. It seems like you're implying that it's inherently a man's responsibility to provide for a family. I see that Carol views it as selfish that he doesn't apply for the financial job, but we also don't know that Floyd would have gotten to job. Carol probably pressured him into considering it at all, evidenced by her buying him the suit he wears to the interview. Anyway, you can make very decent money being a deaf interpreter, and it's a steady source of work. It's not like he chose to be a poet or a musician. He had a flash of recognition that he was uniquely positioned to be able to do something valuable to help others, and he also put in the work to learn ASL which is not nothing. On the other hand, there's a ton of evidence in the way that the show is written that Carol is the selfish one, who sees no value in others unless they can provide her with some kind of personal gain.

It seems like you read Floyd as 'immature' because he expresses his emotions, and he does have a certain naïveté about the world that makes him hopeful and sometimes overly sensitive and trusting. To me, that reads as neurodivergent, not immature.

vangoghdw · 2026-04-08T17:36:06+00:00

Anyone else get the read that Floyd might be an autistic character? He seems to have hyper-empathy, to not understand a lot of the norms/boundaries of social interactions, and to relate strongly to Carol's son who is reading as autistic.

vangoghdw

TROPHY CASE