My T is an LCSW, and we both call each other by our first names. I also call my pdoc by her first name (which felt unusual at first, but now I like it) and she calls me by my first name. I had a pdoc once who insisted on calling me Ms. Lastname, and when I said "you can call me Claire" she looked at me like I had 5 heads and scribbled something down in her little notepad. It totally weirded me out.
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