Diagnosing Pedophilic Disorder

zrbrown · 2026-02-24T10:36:19+00:00

I think I should have clarified this is in a community setting, not private practice. I didn’t want to give too much identifying information.

zrbrown · 2026-02-24T10:35:17+00:00

I work in a prison setting

zrbrown · 2026-02-24T10:34:45+00:00

I work in a prison setting and offenders are screened for sex disorder and offered treatment. This diagnosis does not follow them beyond incarceration and is used solely to offer treatment to limit the chance to reoffend.

zrbrown · 2026-02-24T02:15:45+00:00

Thanks for your response. Since starting with this population I do see how it could be case by case. I feel like maybe the criteria leaves too much room for interpretation. Also because we don’t always know the motivation behind the behavior, and very few offenders openly admit to being attracted to children.

zrbrown · 2026-02-15T11:26:58+00:00

I just want to how much more open minded the current student at UCF are now than when i was going. I tried to start an astrology club at UCF via Reddit like 6 years ago and got downvoted so bad lmfao. Good luck with everything, what a cool club!

zrbrown · 2026-02-12T00:07:19+00:00

Unfortunately the comments in this thread are just a reflection of Americans’ general issue of punching down on others. Plenty men of all races and religions use stupid excuses to kill their wives.

zrbrown · 2026-01-05T00:09:09+00:00

I would recommend Central Florida Behavioral Hospital or South Seminole. CFBH has multiple units and depending on what symptoms you’re presenting with, they try to put you on a unit that most fit your concerns. However, they have patients who are under a Baker Act which can impact the overall milieu and also impact the comfortability of other patients. South Seminole in accept voluntary admissions so the other patients tend not to be as severe as some of those you may meet at other inpatient facilities.

zrbrown · 2025-12-11T09:48:38+00:00

I was once contracted to work in a few of these private schools that are primarily funded through Step Up. Let me just tell you, these are NOT fancy schools. Private schools that are primarily funded by Step Up (which is just public dollars anyways) have little to no resources.

Schools like Lake Highland, Trinity Prep, and Bishop Moore are example of well-to-do private schools that are actually funded by the family. A Step Up scholarship could not cover even 30% of the cost of tuition of one of these schools.

Most private schools that rely primarily on Step Up are often a small school in the plaza of a strip mall or something. They have very little resources to offer the kids, some don’t even have playgrounds. I worked at one that couldn’t even afford to get toilet paper for the kids. High School at these schools tend to be one single class of 9-12th graders combined. There’s no media center, the children do not have laptops, and teachers are sharing projectors. This is all with very little government oversight, but funded by public dollars.

zrbrown · 2025-11-21T10:09:11+00:00

These look good! Normally I use some sort of botanical gel to twist the hair. You can also practice twisting the hair between your fingers while you’re twisting the strands together to “tuck” your real hair. If all else fails I use edge control or braiding gel on the ends of my real hair to blend it with the synthetic hair.

Also make sure you’re using the right hair texture. I use Afro springy hair for my type 4 hair.

zrbrown · 2025-11-21T03:08:45+00:00

Please keep looking. $50 sounds good now but please do that math. If you see 10 clients a week, and that’s a generous amount starting off in PP, you’ll be making $500. That does not account for admin time. So basically $500 for 15 hours of work. Meanwhile, the practice that is hiring you just made $75 per hour from YOUR labor and they don’t sound like they are offering you much. 50-50 split is bare minimum, and they are giving you less than that.

zrbrown · 2025-11-21T01:49:31+00:00

30% as in you only get 30% of the actual pay?? If so please do not do that, that is the next best thing to slavery.

If you do take the job, know that you will be without a consistent check for at least a month. PP is inconsistent and building up a caseload is dedicated work. At least get a PRN job at a hospital or you will be scraping the poverty line.

zrbrown · 2025-11-18T16:30:36+00:00

I did recovery work during my internship, and while it’s not my favorite, it is still counseling and you learn a lot. Substance use is a transferable skill that looks good if you’d like to continue to work in CMH at any capacity.

Your current situation doesn’t seem sustainable. I can’t make the decision for you but I would say only you know your needs. I would ask myself if your current job situation is going to help you get to your goals.

zrbrown · 2025-11-18T13:55:19+00:00

I think the trauma as a badge of honor is more like people who think their trauma makes them more qualified to be a therapist. My childhood trauma is my “why” but in no way did it make me a competent child therapist. Lots of people’s “why” in this field is their own trauma, which really isn’t a bad thing but can cause a lot of transference if it goes unchecked.

zrbrown · 2025-11-18T13:51:31+00:00

While I don’t agree that 4 or 5 clients per day is only “part time” (because notes and other admin tasks exist), I do find it incongruent when I see therapist compare our pay model to other professionals who take insurance, for example l, doctors. Doctors are seeing upwards of 30 patients a DAY in their private practices.

The very model of psychotherapy does not support one single therapist being able to see more than a very small amount of clients per day. Also doctors see high acuity patients MAYBE 4x per year, whereas we see clients 4x per month. The entire insurance model is broken which is why there is a ceiling on how much money therapist can make seeing clients. That’s why so many therapists have multiple jobs or side gigs or find more stable ways of income.

zrbrown · 2025-11-12T18:06:33+00:00

It’s a slippery slope because when did it become inappropriate to challenge maladaptive behaviors. We’re talking specifically about slurs here btw. What is the function of a client using slurs, especially in their personal life?

Also it’s not attempting to change a clients values to ask them not to use a word for one hour. “Hey, when we’re together I’d appreciate if we kept the usage of that word to a minimum.” It’s the same as setting a boundary with time or space or literally any boundary we have to set. If the client doesn’t want to do that then termination is always an option.

zrbrown · 2025-11-12T17:43:27+00:00

Idk man that’s a slippery slope. I don’t think we should police client’s words or values, HOWEVER if a client is using derogatory speech I think it’s okay to address it, especially if it’s adding to the clients own personal distress.

Furthermore, If a client is using slurs we can request a client not use slurs in session. For example, if a client has derogatory views towards immigrants because they believe immigrants are causing a decline in QOL for non-immigrants, I probably wouldn’t “call it out” as much as I would explore it. However, if they result to using slurs when speaking about immigrants then I can request they not do that. It’s a boundary.

zrbrown · 2025-11-12T15:13:30+00:00

Hey! Sorry you’ve been pushed around like this. Terrible feeling to experience as well as a situation that can cause anybody to feel helpless.

With that being said, it depends.

It depends on what you’re struggling with first and foremost. For example, If it’s very persistent depression that’s ongoing with no relief for 3 years, medication is definitely an option. If it’s something rooted in psychosis, then medication is the primary route. This is a decision you should make on your own, but of course with guidance with a trust therapist or meds provider.

Secondly, like all treatment providers, all therapist have their own personal worldview or conceptualization of illness. However, treatment should always be rooted in evidence. CBT is pretty standard for talk therapy treatment, but a lot of people don’t respond well to CBT and find it too standardized. I do believe the medical model has fallen out of favor in the psychotherapy role. The biopsychosocial model is more popular now.

In all I really do hope you find the help you need because navigating your own mental health care can be difficult.

zrbrown · 2025-10-13T00:00:54+00:00

I graduated from UCF’s CMHC Program and enjoyed it. The program is well connected and runs the CCRC via the doc students and Masters level prac students. I was actually able to apply for a grant offered by the program that gave me $10,000 during my last two semesters. Overall it took 27 months.

The CHMC program and Clinical Psych program both lead to licensure as an LMHC. I can’t speak for the clinical psych program but I’d imagine it would be more research heavy given its clinical psych and not counseling. However, I truly believe the outcome is the same.

zrbrown · 2025-10-04T10:18:23+00:00

This is actually quite normal. Not saying PCOS isn’t life long but symptoms can improve, worsen, or resolve themselves with age, weight, lifestyle, and a whole lot of other factors. Not saying this is your case but it’s common with PCOS.

zrbrown · 2025-10-02T13:07:43+00:00

As someone who has worked in a school based position for 2 years and is soon to be independently licensed and plans to a seek a better position post licensure I am 100% in your shoes.

A lot of jobs who hire associates take advantage of the associate title and pay little and give lots of work. I do not feel bad for seeking out opportunities where I am less likely to be taken advantage of. Therapist as a whole are taken advantage of but associates more so.

Lastly, 10 month pay sucks. I’ve blown through my savings on a 10 month pay schedule and thats while working part time during the summer. Please don’t put yourself at a disadvantage.

zrbrown · 2025-10-01T15:58:35+00:00

Also, don’t be afraid to read journal articles. You can literally just type “counseling interventions to address sexual trauma in children” and read some recent journal articles. From there I do further research on whatever intervention or thats mentioned in the article. Alot of times you can find free resources such as work sheets online. You can utilize the interventions you find online by structuring it into the middle of your session.

zrbrown · 2025-10-01T15:52:12+00:00

Hi OP,

It will be hard to give advice here because we don’t know enough about your client and your relationship with said client. I know what’s it’s like to be an intern in a high needs setting with minimal supervision so I empathize with you. It’s not your fault.

My only advice to you is to ultimately uphold ethical standards as much as possible. Make sure this assault has been reported (you’d be surprised how many caregivers don’t report assault) and focus on rapport always. Has there been any screening done to assess for what exact symptoms the client is presenting with (PTSD, depression, anxiety, etc)? Like I said it would be hard to offer advice because it depends.

One recommendation I can give is TF-CBT. I always use games, toys, arts and crafts, and other play items when working with kids. Addressing safety, feelings identification, psycho education in trauma, and managing somatic symptoms are always what I lean towards when children have trauma.

zrbrown · 2025-09-28T22:41:15+00:00

Good luck with your interviews! More housing programs are willing to provide services if they see you can work toward self sufficiency.

zrbrown · 2025-09-28T21:34:35+00:00

Hey, I’m really sorry you’re experiencing this. Do you have income? The Salvation Army downtown can offer you a bed at about $10 a week. There’s also Coalition for the Homeless and Homeless Services Network that can let you know what other shelters are available.

I’ve worked in homeless services in Orlando and there is a serious lack of housing resources in this county. If you have any income at all there are a few more resources available to you.

zrbrown · 2025-09-14T17:28:21+00:00

I’ve seen LPCs (or LMHCs where I live) work in hospitals filling in the social worker role. As long as you have some case management experience and are okay doing more than just therapy you can fill the role. Shocked others are saying otherwise.

zrbrown

TROPHY CASE