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Search: Posts Made By: sk8rgrl23
Forum: Law, Ethics, and Psychotherapy November 15th, 2011, 07:11 PM
Replies: 5
Views: 41,872
Posted By sk8rgrl23
Re: Private Practice Landscape

it occurs to me that not a lot of people know about this website which is a shame because of the level of professionalism of the forum hosts, it is such a resource. I wonder if there were a way to...
Forum: Law, Ethics, and Psychotherapy November 5th, 2011, 11:41 AM
Replies: 2
Views: 59,956
Posted By sk8rgrl23
ethical ramifications of e-mail

I am providing DBT therapy on an individual basis for a client referred to me from a psychiatric inpatient facility, dx Borderline Personality Disorder. Dr. Linehan, who developed DBT for BPD,...
Forum: Law, Ethics, and Psychotherapy October 15th, 2011, 10:43 AM
Replies: 5
Views: 41,872
Posted By sk8rgrl23
Re: Private Practice Landscape

Where is everybody? This site used to be jumping. I'll even take a few loose cannons!
Forum: Law, Ethics, and Psychotherapy July 5th, 2011, 01:50 PM
Replies: 5
Views: 41,872
Posted By sk8rgrl23
Private Practice Landscape

After having my first truly white-knuckled experience with a psychiatric emergency in my own practice, I'm going over my policy and procedure manual and reviewing it. I worked for 8 years in...
Forum: Law, Ethics, and Psychotherapy November 12th, 2010, 11:02 AM
Replies: 17
Views: 73,049
Posted By sk8rgrl23
Re: Tennis, I mean, Life Coaching Anyone?

Yes, I've come across quite a few Charlatans. The latest is a "certified journey practitioner." There are quite a few of these self-appointed professionals out there that, like you said, don't...
Forum: Law, Ethics, and Psychotherapy October 10th, 2010, 10:01 PM
Replies: 6
Views: 39,414
Posted By sk8rgrl23
Re: Language Fluency

That was kind of what I meant about having a spouse translate, in that things can be selectively translated, altered or omitted for whatever reason. But I agree that whole situation makes for some...
Forum: Law, Ethics, and Psychotherapy October 9th, 2010, 08:24 AM
Replies: 17
Views: 73,049
Posted By sk8rgrl23
Re: Tennis, I mean, Life Coaching Anyone?

And the latest title in this trend: Certified Journey Practitioner. I had lunch with one at a business networking meeting, and it was interesting. This one in particular did not see the difference...
Forum: Law, Ethics, and Psychotherapy October 9th, 2010, 07:52 AM
Replies: 6
Views: 39,414
Posted By sk8rgrl23
Re: Language Fluency

Two sides of the same coin. Classic ethical dilemma of potential pitfalls no matter what you do.

I've had several instances at the agency where a translator was involved, mostly Spanish...
Forum: Law, Ethics, and Psychotherapy September 15th, 2010, 02:01 PM
Replies: 6
Views: 39,414
Posted By sk8rgrl23
Language Fluency

Okay, here's another question; what qualifies as fluency in a given language? I have a minor in Spanish, have worked with migrant farmers where I had to use Spanish to communicate. I've performed...
Forum: Law, Ethics, and Psychotherapy September 14th, 2010, 11:27 AM
Replies: 2
Views: 32,338
Posted By sk8rgrl23
confidentiality with cell phones

I'm just starting out in a practice, and have a total of 0 clients at this point and as I'm basically living off savings, funds are extremely limited and a land phone is out of my budget right now. ...
Forum: Law, Ethics, and Psychotherapy March 28th, 2010, 12:53 PM
Replies: 20
Views: 91,422
Posted By sk8rgrl23
Re: What exactly is Christian Counseling

sorry it took so long to get back to you on that, but yes, I think I have come upon some data to support a spiritual focus in psychotherapy. I went to a Mind-Body medicine training with Dr. James...
Forum: Law, Ethics, and Psychotherapy July 18th, 2009, 10:52 AM
Replies: 4
Views: 37,415
Posted By sk8rgrl23
Re: Record keeping dilemma

I'm all for categorization.

How bout Puter Tech's suggestion? I think I was thinking more of a cd-rom type program though you're still right about the obsolescence factor. Do you have any...
Forum: Law, Ethics, and Psychotherapy July 5th, 2009, 11:41 AM
Replies: 4
Views: 37,415
Posted By sk8rgrl23
Record keeping dilemma

I am working on starting a private practice and the issue of where to keep documents and for what services comes to mind.

My first stage I plan to hold a seminar on a particular topic and then...
Forum: Law, Ethics, and Psychotherapy June 23rd, 2009, 08:49 PM
Replies: 17
Views: 73,049
Posted By sk8rgrl23
Re: Tennis, I mean, Life Coaching Anyone?

And ironically enough I"ve been seeing a life coach myself. In two sessions she's provided me with encouragement and concrete steps to take toward my goals and has done a lot to help me get past a...
Forum: Law, Ethics, and Psychotherapy June 23rd, 2009, 08:46 PM
Replies: 17
Views: 73,049
Posted By sk8rgrl23
Re: Tennis, I mean, Life Coaching Anyone?

Nah, you can never be too mindful of ethical issues.....

Actually that touches on another ethical dilemma I recently came across. There are a number of private practice "coaches" out there;...
Forum: Law, Ethics, and Psychotherapy June 11th, 2009, 08:21 AM
Replies: 4
Views: 36,598
Posted By sk8rgrl23
Re: Whether to recommend antidepressants or UNrecommend them

Is there harm with being diagnosed bipolar and subsequently being prescribed medications used to treat that?

I see lots of what I would call "iffy" diagnoses. A prime example is a young man I...
Forum: Law, Ethics, and Psychotherapy June 7th, 2009, 11:56 AM
Replies: 17
Views: 73,049
Posted By sk8rgrl23
Re: Tennis, I mean, Life Coaching Anyone?

Then on the flip side, if some element of life planning is helpful, how do I as a therapist provide that and keep it within the definition of therapy, and where do the boundaries lie? For example,...
Forum: Law, Ethics, and Psychotherapy June 4th, 2009, 11:37 PM
Replies: 4
Views: 36,598
Posted By sk8rgrl23
Re: Whether to recommend antidepressants or UNrecommend them

No, no, all good reading....

I had considered the need for some sort of physician consultation when considering clients who may want to "tough it out" with, like you described, CBT type therapy. ...
Forum: General Discussion May 31st, 2009, 09:33 AM
Replies: 6
Views: 22,680
Posted By sk8rgrl23
Re: needing advice on private practice

are you speaking from experience? Have you done private practice yourself? Have you ever worked in a mental health agency? Have you ever sate there till 7:00 every night with mounds of senseless...
Forum: Law, Ethics, and Psychotherapy May 31st, 2009, 09:24 AM
Replies: 4
Views: 36,598
Posted By sk8rgrl23
Whether to recommend antidepressants or UNrecommend them

I've seen a lot of people on antidepressants and it has left me very unimpressed with their efficacy. A recent study published indicated that antidepressants may not be near the efficacy they...
Forum: Law, Ethics, and Psychotherapy May 31st, 2009, 09:11 AM
Replies: 17
Views: 73,049
Posted By sk8rgrl23
Re: Tennis, I mean, Life Coaching Anyone?

I kind of feel the same way about life coaches, as a profession. I could never quite put a finger on why it doesn't seem legit, but it's not something that seems to be based as much on research as...
Forum: Cognitive Therapy January 7th, 2009, 11:11 PM
Replies: 12
Views: 52,681
Posted By sk8rgrl23
Re: Relapse and recurrent major depression

What about the role of eating right and exercise in combatting recurrent depression? Sometimes medicine focuses on the symptoms more than the cause. And I don't think enough recognition is given to...
Forum: Cognitive Therapy January 7th, 2009, 10:51 PM
Replies: 5
Views: 28,127
Posted By sk8rgrl23
Re: Follow-up on: Is Behavioral Activation More Effective Than CT?

I think that BA may be more effective with the most severely depressed because it is simple, concrete, nonjudgmental and therefore it is a good approach to getting the most depressed to a point where...
Forum: Classical Adlerian Psychotherapy January 2nd, 2009, 07:54 PM
Replies: 4
Views: 23,749
Posted By sk8rgrl23
Re: How Doctors Think

As an outpatient therapist I get frustrated when a client comes to a session reporting that either "the medication is working," and therefore "I'm done with therapy,' or "My mother died this week, I...
Forum: Classical Adlerian Psychotherapy December 9th, 2008, 09:16 PM
Replies: 1
Views: 16,555
Posted By sk8rgrl23
Re: Don't Just Blow Away Smoke--Put Out the Fire!

Self-efficacy, self-in-relation, mitaku oyasin, Erickson's generativity, concepts and moral standards central to most cultures, until big business took over. Since the industrial revolution there has...
Forum: Law, Ethics, and Psychotherapy December 9th, 2008, 08:37 PM
Replies: 17
Views: 73,049
Posted By sk8rgrl23
Tennis, I mean, Life Coaching Anyone?

I am trying to figure out what exactly life coaching is and how does a clinicial therapist successfully incorporate or provide life coaching in a private setting? I have been reading a lot about...
Forum: EMDR December 2nd, 2008, 11:47 PM
Replies: 2
Views: 17,935
Posted By sk8rgrl23
Re: Research Question: How do you know when an issue is done?

I don't do EMDR though I"m looking into the training. But in general with clients when they have resolved the issue(s) they came in with, they simply run out of things to talk about. This is...
Forum: Law, Ethics, and Psychotherapy December 2nd, 2008, 11:42 PM
Replies: 3
Views: 34,506
Posted By sk8rgrl23
Re: clinical autonomy in an agency

thanks for the reply. fortunately, I have "outlived" her. I think things weren't going well from more people's viewpoints than just mine.

Reading these threads was an eye opener. I hadn't been...
Forum: General Discussion December 2nd, 2008, 08:29 PM
Replies: 6
Views: 22,680
Posted By sk8rgrl23
Re: needing advice on private practice

Thanks for the encouragement. I wasn't asking IF I should get into private practice, but HOW.
Forum: General Discussion August 3rd, 2008, 11:27 PM
Replies: 6
Views: 22,680
Posted By sk8rgrl23
needing advice on private practice

I am a LPCC with 8 years clinical experience and 2 years supervisor experience and I'm ready to move my profession to the next level.

I have wanted to get into private practice since I graduated...
Forum: Law, Ethics, and Psychotherapy August 3rd, 2008, 11:15 AM
Replies: 3
Views: 34,506
Posted By sk8rgrl23
clinical autonomy in an agency

I have been bestowed upon by a new clinical supervisor and I am already having some heated disagreements with her on several points.

Despite her being young enough to be my child and I have been...
Forum: Law, Ethics, and Psychotherapy August 3rd, 2008, 10:26 AM
Replies: 2
Views: 32,387
Posted By sk8rgrl23
Re: Ethics of Robot Psychotherapists

I can see some merit in this, and there is a general trend in health care for lay people seeking their own answers online rather than just trusting a professional's judgment. I can also see some...
Forum: General Discussion August 3rd, 2008, 10:03 AM
Replies: 11
Views: 101,389
Posted By sk8rgrl23
Re: Mental Health benefits of exercise?

I think there is a fair amount of information out there on the role of exercise in treating depression. I think unfortunately we live in a "I want it now and not have to work for it" culture and...
Forum: General Discussion August 3rd, 2008, 09:35 AM
Replies: 3
Views: 22,396
Posted By sk8rgrl23
Re: NLP Fast Phobia cure

never heard of it. could you suggest a website where I could look it up?
Forum: General Discussion March 4th, 2008, 10:54 AM
Replies: 3
Views: 17,854
Posted By sk8rgrl23
Re: Self Absorbed

I thought this was a website for professionals but I see every other thread is from lay people who are seeking advice on personal problems.
Forum: Law, Ethics, and Psychotherapy May 30th, 2007, 05:40 PM
Replies: 0
Views: 17,939
Posted By sk8rgrl23
confidentiality concerning animal neglect/abuse

One of my big concerns in this field is dealing with people who abuse or neglect animals. I believe in all 50 states that therapists are madated reporters when it comes to children being abused or...
Forum: Law, Ethics, and Psychotherapy May 30th, 2007, 05:30 PM
Replies: 17
Views: 85,176
Posted By sk8rgrl23
Re: How ethical is my therapist?

I'm wondering if you are really asking about the ethicality (is that a word?) of her behavior or if you are really asking do you have a legitimate right to be dissatisfied?
Forum: Law, Ethics, and Psychotherapy March 6th, 2006, 12:18 AM
Replies: 15
Views: 72,408
Posted By sk8rgrl23
Re: When the therapist screws up

INteresting points, and yes, our emergency department makes heavy use of safety contracts. I understand your point that they don't really reduce suicide contracts, but I like them for a number of...
Forum: Law, Ethics, and Psychotherapy March 6th, 2006, 12:06 AM
Replies: 15
Views: 72,408
Posted By sk8rgrl23
Re: When the therapist screws up

Journal articles should be easily available. If you can get on a university's database, you can pull up journal articles on almost any topic you can think of. I'd just go to the nearest...
Forum: Law, Ethics, and Psychotherapy March 5th, 2006, 05:47 PM
Replies: 15
Views: 72,408
Posted By sk8rgrl23
Re: When the therapist screws up

Issue of timing. I didn't follow up till two days later, when I feel I should have been checking the next day, and could have easily called her phone no. In the end I did finally locate her number...
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