Do you tell t when they screwed up?

This is generally how my T and marriage counselor are, too. The exception is if I had e-mailed them about something before the session, they might ask if I/we want to talk about that. Or if I/we don't have something specific to talk about, then MC will sometimes ask if we wanted to discuss something from the past week further.

I bring up anything my T does that bothers me. I'm not usually aware in the moment that something has bothered me. It's not till I process things later. So I'll bring it up in an email or wait for the next session. She encourages me to do so because normally it's a misunderstanding. She doesn't really apologize, but she does explain herself or take responsibility for her errors. She's never defensive.

Awkwardlyyours yes I think you captured it well- the real issue is the old attunement issues it brings up. When t forgets it's like dredging up the time parents forget to pick you up after school that sort of thing. I'm sure that is what I should be discussing.

there are 30, 45, and 53+ minute session codes for psychotherapy. you can add on time in 15 minute increments

i do bring most things up. some examples are...

in the early days - one day my T was telling me how i well i am doing. he was praising me and saying he was proud of me. the next day he said something about how maybe i should see a different therapist because he worries he isnt helping me. i told him hes giving me mixed messages and i dont understand. the next day he said "im sorry for being a jack-a-s-s yesterday"

another time he was comparing me to my roommate... saying how shes positive and all this stuff. i told him i did nto like that. he recognized it was a mistake and apologized like 3 times

another time he was trying to be playful with me when i was in the throes of a paranoid delusion. i shut down and stared at the floor. he asked me whats up? i cant remember what i said. he asked if i believe what he was saying (he was saying something about the delusion, as if it was something else to be paranoid about) i said no. he asked if i felt like he was making fun of me. i said yes. he apologized and said he isnt, that sometimes humor can help make it less serious.

those are just some examples, but it shows that my T is not perfect, but is willing to own up to and apologize for his screw ups. his acceptance and non-defensiveness is what helps me feel safe to bring up things he does that upset me

Thanks, i just glanced at it quickly, and it looked like the 15 mins only applied to certain situation.

yea, im studying medical coding. im learning the CPT right now, which is where the psychotherapy codes come from. its the same for medical doctors too, a lot of it is time based and relies on different components such as the level of complexity and risk factors, etc

Good for you. Please continue to share your knowledge of this here. Could be very useful to some of the questions on the forum.

Junk - do some insurance companies only pay for one appointment length, like 45 minutes? I ask because DBC only takes one type of insurance, and all her appointments, even private pay, are a strict 45 minutes: 2:15-3 pm, etc., next appointment 3:15-4 pm and so on.

I don't know what she does with the 15 minutes. Changes her Depends and then does a quick Google on something I said last time so she can pretend she did some research, I imagine.

Yes different insurances have different policies that will only pay for certain time lengths. I know of one that recently changed there's so that the therapist can only bill for 45 minute sessions

AtAt sometimes I wish we could post pics or videos of our t's. I wish I could observe some of the characters we all see!!

...plus they need a few minutes of a break (go to the bathroom etc) in between sessions, not just time to review the client's sessions. I have a habit of not thinking things thru before responding. Oops.

And the billing questions to junkDNA are already underway! You should keep a running thread.

Current T bills for 45 mins (she doesn't take any insurance but that's the CPT code) but does 60 min sessions.

One or either of us is always a bit late though and so, it often works out to less than 60 mins in practice.

I don't mind, though -- it's much more relaxed than former T's obsessive by-the-clock schedule which drove me nuts.

Atat, Please put a trigger warning with an actual gun if you post one of dbc changing her depends. Thanks and junkdna is there a code for that? Besides code blue for me!

Well I guess una I didn't mean that I wanted to see THAT!

Neither of you would last five minutes in a room with DBC if you can't tolerate the thought of Depends.

This thread is officially off the rails. In a good way.

It certainly took a freudian turn.

I never changed a baby diaper in my life, and now that mom is gone, i may never change an adult one? Is there a guinness world book record for this? Most non maternal person ever?

Eta - hey psychology is based on free association. We may as well before trump outlaws that too.

I did ask Kashi if I ever asked anything too personal and would he answer. He launched into an imaginary q and a scenario involving hemmroids after mountain biking. Didn't sound hypothetical to me.

I was just going to respond to GC that she can only speak for herself in not wanting to see THAT but Una (as usual) you have me beat by miles in uhhh....speaking of your desires / fantasies (current T's favorite word) / wishes (second-favorite word of current T)?

Omg..... lol

I can't say that I don't have a twisted curiosity. That would be very distracting to my therapy.

Me too! But then I have this fear someone will be like, "Wait, I see that person too!" Though it would certainly be interesting to compare notes...

I am very sure no one else on this forum sees Dr. Biker Chick.

i posted a picture of my therapist once but deleted it