Roll Call 70

I agree with blue_bird. I think quitting therapy is a bad idea. As bad as mine is I know I need to go.

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This is like saying I feel sick should I stop taking vitamins.......

theres none in the cities around here that take medicare. im afraid theyd just refer me back to this clinic like my old pdoc did and dropped me. id hate to have to drive an hour away.

maybe i should just keep this fill in therapist as my therapist. this really sucks. i hate changing providers.

well this clinic put me in a situation where i have no choice but to either see an experienced therapist (that fit me good) way less and risk having my appts canceled a lot OR get a new one thats just got her license and still risk getting my appts cancled often.

I saw a psychologist for a while who was doing his clinical training and he was really good. I've also seen experienced psychologists who were really terrible. So I wouldn't let that factor into your decision.

Just like any job, there are really good psychologists and really bad ones.

I take a bus for 6 hours a week to see my T and about an hour on the luas return. He's good so it's worth it. I'm not doing anything else with my time at the moment so it's not a big deal. I also feckin' hate public transport and have social anxiety issues but looking after my health is more important than silly irrational fears or discomforts.

Some tough love here, but you've been going on about this for a while now. The solution seems to be drive for a couple hours once a week and go somewhere else. There's the answer to your question. If you don't like driving, drive a bit to your local bus depot, park up and get the bus.

When I was faced with a problem I worked out a logical solution, even though it's a pain in the arse.

the people at this clinic arent psychologists. they are LPCs.

the solution isnt that easy. first i have to even find a person that takes my insurance where there is very little around here that do. thats the first thing.

i just dont understand why the clinic offers a wide variety of services and doesnt keep them up. i cant even get into most of these services because of my insurance.

Good afternoon (good after 12PM) It was raining all day here, not too hard but it didn’t really stop until pass midnight. Since I couldn’t go jogging in the morning so this afternoon I walked to the grocery store nearby, with an umbrella and a thick jacket. The air was so fresh and since it was Sunday they weren’t many vehicles around. I feel so fresh now, walking in rain really clears my mind, always. Even though now I catch a cold but totally worth it

One time my Pdoc had to go overseas for a while, so I went to a new Pdoc. She asked me to do some sanity test on a few pages of paper. It was so damn long. I came there with a medical record from my Pdoc and she asked me to do a common psychological test?! I really had to stop the urge to curl those papers into a ball and throw it at her face #angermanagementissue

What's an LPC?

I need to get my hair done. It's been aover a year since I had it cut. It looks like hell. I also need a good dye job. I always feel better with a decent hair cut

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Same here

licensed professional counselor. its just a counselor. a psychologist has more training than a counselor.

Are you serious? I thought when people on here said 'T' they meant a psychologist. Any T I've ever seen had a doctorate in psychology or was training for one, and because I'm unemployed it's completely free. Counsellors over here are only used to treat people with minor mental health issues, like really minor. Not disorders like sz or bipolar. No wonder so many people don't get that much from it over there. That really sucks.

yeah, every counselor I've ever seen has a doctorate in psychology.

I thought so as well, in my place we don't have T. Only Psychiatrist and Psychologist, both had a degree. I thought a therapist is somewhere between those two.. But a counsellors would be good than nothing at all in my opinion. As long as we get the good one

Yup. We fail at mental health. I've only seen one psychologist ever and that didn't last. IMO my t doesn't have the experience or training to deal with my issues.

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thats what i was kind of trying to say a bit.

for example, at my clinic theres no psychologists here. only counselers. people with a 2 yr masters degree and a license to talk to people.

now speaking for my area...its rare for someone to see a psychologist. psychologists wouldnt even take governmental insurance. private insurance, yea. you dont get anything of quality here with governmental insurance. you fall between the cracks. at least most people do in this country. thats why i need someone with lots of experience because their training alone wont help and i CANT pay for someone with a doctorates to see me on a regular basis.

its a crapshoot.

people would think you are crazy if you wanted good healthcare here and are either not employed or on government insurance.

its not that im being picky. its because i literally dont have much of a choice almost solely because of my insurance and i dont have a lot of money. my only dreams right now is that maybe ill hit a jackpot in the lottery even if its 50,000 dollars so i could fund my schooling and healthcare.

I was just telling my mom how unhappy I was rn when she asked and apparently I was smiling...

I don't even know any more

My t is a licensed clinical social worker. Who investigated alongside me my illness and supports me. Sometimes I wish he was less professional...nah he is friendly.

Feel good, just took a shower after doing some exercises. I think that will be my routine now, exercise and shower in the mornings and leave the evening time for more relaxing things like meditating, praying these prayers for my mom etc. Edit: I know it's not morning right now, I just mean from tomorrow on

i think im going to ask for a new AD. because this depression is just getting worse. everythiing in my life is just getting worse and its stressful.

im just lucky i still have my dad.

ive explained all my issues on here.

Most people in the UK won't see a psychologist either. Tbh, I've seen 4 clinical psychologists (with a doctorate in clinical psychology) over the years along with counsellors (with a counselling qualification) and psychotherapists (usually have a masters in one type of therapy), and none of them were any good.

In the UK, a clinical psychologist would have more training than a counsellor as they have a doctorate, but predominantly that training focuses on assessment (putting people in boxes), & research skills (they are trained to be scientist practitioners), with a bit of CBT (and possibly a little bit of another type of therapy).

2 of my masters level therapists had much more training in psychotherapy than the clinical psychologists ever had, because that is not their focus, although they do have to take clinical cases to qualify. Clinical psychologists are trained a lot in psychometrics and formulations (narratives for why the patient behaves the way they do), and so IME seem unable to take the patient as an individual outside of a box. They do the assessments so that other people can provide the therapy.

Most NHS therapy is provided by assistant psychologists/IAPT (Improving Access to Psychological Therapies) practitioners. Those would be people with a BSc in Psychology. My friend as an assistant psychologist provides 4 telephone sessions for people with depression or anxiety based on CBT principles ('low intensity'). Her colleagues who do 'high intensity' provide 6 in-person sessions. Her service, and other IAPT services get high praise for their efficacy and cost-effectiveness, but she says that their evaluation process is heavily biased in favour of the service. A lot of CBT studies have been found to be the same. The clinical psychologist I saw 18 months ago could only offer 12 sessions max. Unless you have a PD and have been in hospital loads to qualify for DBT, you don't get long term therapy on the NHS. Most people with sz don't get ANY therapy whatsoever, despite NICE recommendations! They are trying to change that with early intervention services, but that probably wouldn't be by a clinical psychologist either, and I haven't met anyone who has used that service or worked there myself so I can't comment on what that therapy would be or who would give it.

As someone who is interested in providing psychotherapy one day, I'm dubious about whether the NHS is able to provide quality therapy in the forced time constraints, which will only get worse as the NHS is privatised. Personally, those limitations would frustrate me too much. I also wouldn't train as a clinical psychologist, but possibly as a counselling psychologist or a psychotherapist. Counselling psychologists have way more training in therapy techniques and processes than clinical psychologists (not just my opinion, but corroborated by clinical psychologists), but traditionally they don't tend to treat sz as that was left to the clinical psychologists, which is complete BS in my opinion.

The best T I ever saw had a masters in existential therapy, because he treated me as a person and didn't care about what box I may or may not have fitted into. People cannot grow when confined to boxes.

*Willow*