Hazor @ Hazor @lemmy.world

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2 yr. ago

I’ve been working on myself a lot recently and realized that I can’t do this alone anymore (or rely on Internet strangers to talk about my issues). I feel like I finally have the strength to ask for help in the real world. I’ve just never done this before.

That's awesome! Be sure to acknowledge your own effort and reflect on the progress you've made, especially whenever you're feeling stuck or frustrated about the things you feel still need work.

What’s it like? Is it warm and fuzzy, or cold and analytical? (Does it feel like someone is providing care and comfort, or is it more like an emotionally detached scientist meticulously studying you and scribbling down notes while mumbling “Hmm, I see, I see” while you yap at them?)

Maybe yes, or maybe no, or maybe some or all or none of the above. As others have noted, therapists can come to their work with a variety of different backgrounds, potentially trained in a variety of different methods and philosophies, with different ideas about the how and the why and the nature of the patient-therapist relationship. They also come with their own personalities, which influences all of this. A good therapist will do their best to make the interaction something that works for you. Even so, as others have mentioned, sometimes it can take time to find a good fit. The first time I saw a therapist, I felt like it just wasn't clicking, they weren't understanding me, and we weren't getting anywhere, even after a few months of weekly sessions. So I stopped going and languished for a while. Eventually I decided to give it another try, and found someone who really helped me make progress with my anxiety. Much as you couldn't get along with just anybody as a roommate, or not just anybody could be your best friend, or not just any shoe will fit your foot, so too can not just any anybody be a good therapist for you. So, don't get discouraged if the first therapist you meet doesn't seem like a good fit - it happens sometimes.

Do you start to see results right away, or are things slow at first?

Something like treating a specific phobia (e.g. spiders or elevators) often sees noticeable results faster than treating complex trauma from years-long childhood abuse. It just depends. It depends what you need help with, what you're willing and able to tolerate, and the methods used, but generally progress is slow to get started. Expect the first session or two to be pretty much just the therapist getting to know you, what your concerns are, and where you're already at with the work you've done yourself. Also, working through trauma and anxiety and big feelings is really hard sometimes, so expect there to be difficult points where you feel like you're not making any progress, or sessions that make you feel emotionally drained. But, if you feel like something isn't working, or it's causing you too much distress, or any other concern, then don't fret or hesitate to say so. Any half decent therapist will listen to your concerns and do their best to help address them.

How much stuff is recorded in a database that other systems can look up?

It depends what you mean by "other systems"? Some electronic medical records systems are accessible across an organization, and rarely in between organizations who use the same software, but even then it should only ever be accessed by someone who is involved in your care/treatment. And even then, psychotherapy notes typically have an extra layer of privacy and legal protection. Nothing is automatically getting sent to like a government database, if that's what you're concerned about (at least, not in the USA - but I assume/hope it's similar in most places?). If you use insurance, they'll have to give the insurer certain details like a diagnosis code and length of sessions, but nothing more detailed than that.

I wish you well! It has been a bumpy road sometimes, but going to therapy has significantly improved my life.

I get that we don’t think straight in those moments of our life, but it’s such a horrible thing to force on someone and their conscience…

I'm a nurse in a psychiatric hospital. When someone is actively suicidal, they indeed are not thinking straight. They are (usually) just looking for a way to escape their pain. Actively experiencing pain (be it physical or mental) reduces our capacity for empathy - that is, to consider how our actions will impact others.

I have had countless patients tell me their method/plan for suicide was to jump in front of traffic, jump from an overpass, lay on a road, lay on train tracks, etc... and none of them are ever, in those moments, thinking about how it will effect other people. Not because they wouldn't care, but because they are simply unable to while in that state of mind.

I've had some who, once they were feeling better, shared about how they eventually realized how it would have impacted the driver of the vehicle (or the person who would find their body if it was by another method). But that usually only happens once they're no longer actively wanting to die.

I've also had several patients who were the person to find a loved one post-suicide. It messed them up.

Can I fault them for following rule 34? ...please?

There's no legal mechanism to do so.

But there's also no legal mechanism to murder fishermen, so ...

Benefits can be expensive, and they only pay you for the 40 hours because it's a salaried rather than hourly position. They just want free labor at the expense of the employees' sanity.

I live in the south. All the Republican voters I meet are either people who think they're wealthy enough to benefit from Republican tax policies, or (much more commonly) have been taken up by the propaganda machine and genuinely believe that Trump is a good Christian man who cares about the working class and is tirelessly working to Make America Great Again after immigrants and Obama made it not great.

Most nurses also don't have the time. It's usually nursing assistants bringing you ice chips. Nurses do a lot of what many people might imagine to be a doctor's purview, or for which they might not realize the complexity and importance. E.g., it's not a doctor carefully cleaning and dressing your wounds so that you don't develop a systemic infection, nor is the doctor watching your vital signs or adjusting intravenous medication infusion rates while your organs balance on a knife's edge, nor is it a doctor who pumps you full of epinephrine to restart your heart after you've slipped off the mortal coil. Doctors diagnose and order the treatment, but nurses carry it out, and that too requires specialized knowledge and skills which necessitate intensive education. Ask any nurse, and they'll tell you that nursing school was one of the hardest experiences of their life.

But that's all kind of irrelevant to the issue, which is loan eligibility for graduate-level education for nurses. That is, for roles like nurse practitioners and nurse anesthetists, whose job functions and responsibilities significantly overlap with those of medical doctors. Much of the conversation in this thread, and the article itself, confuses that. Associate and bachelor level nursing degrees (the degrees held by most nurses, and the nurses doing the bedside care) weren't eligible for the loans this rule impacts in the first place.

So my eyes, feet, and soul need professional care, but not my ears? Wild.

And my hope for humanity.

Same here. Hopes are high, expectations are low.

Appointees do have to be approved by the Senate, but we've already seen that the republicans are perfectly happy to rubber stamp anyone who will favor republican policies. I don't know if the president could appoint himself, but I'd bet a republican-controlled senate would be happy to confirm him even if some law theoretically disallows it. The president cannot himself remove the justices through any mechanism of law (as if he cares about that), but justices can be removed by Congress via impeachment. I am not a lawyer, but I'm thinking a sufficiently corrupt congress/senate could make it happen.

It's depressing how much of our government and legal system relied on the idea that at least most people would act in good faith.

I'm guessing the concern would be resolving them to the wrong address, either to censor or to serve disinformation.

Part of me wants to say we should save even more energy and just send him to CECOT. But to do so would mean being no better than him. I'm almost ok with that.

Not that you need more edits, but: racial *segregation was found unconstitutional.

And Ruby Bridges is still alive. She's only 71 years old.

I'm a nurse, but work in a different speciality (psychiatry). I'm curious where you've heard 4-6 months? While he's obviously not in a good state, he doesn't look like imminent death to my only-peripherally-trained eye.

And then they blame it on "left wing political violence" and then the shooter's family will be like "look at all these pictures of him wearing maga hats" and then the media will be like "but he had a high school class with someone who's cousin was bisexual so he's obviously a left wing lunatic".

making comparisons

You explicitly acknowledge that they're just making comparisons while also suggesting they're calling Israel literal Nazis. Your trolling isn't even internally consistent.

For practical stuff like that, I find directly searching on YouTube to be the most useful. The wealth of free practical instruction available on YouTube is staggering. Unfortunately, that doesn't help for those who want the information in written form, and a not insignificant proportion of it is by amateurs who have no idea what they're doing nor know what the word "safety" means.