As a therapist if you saw that a client had scars that might have indicated a prior suicide attempt, would you ask about it?

As the question says...

I have scars on my wrists from ganglion cyst surgery that match the scars of slitting both one's wrists.

My current therapist has never asked about them. OTOH he knows that I've hardly ever been suicidal and am not high risk.

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u/AdditionalPumpkin813 — 13 hours ago

Raspberries question

Hi,

I've been growing raspberries for 20+ years, although they're pretty feral at this point, because Life Happens. Almost all are fall bearers but I don't chop them down, and get a nice summer crop.

The fall crop, though? Ugh. They get fruit flies and later in the season, mold. Are there any treatments for these problems? I'd prefer "natural" but am looking for what works.

Zone 6b, Massachusetts. I picked my first "fall" raspberries at the end of July! But everything is going early this year.

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u/AdditionalPumpkin813 — 13 days ago

Turning it back on me

So... my generally excellent therapist does this thing occasionally. He's not big on self-disclosure and I don't want him to be, but if I ask him how he feels about something in my life, he will turn it back on me and ask me "how do you think I feel?" Therapeutically, this actually makes a lot of sense... but sometimes it just irritates me.

So in the most recent session, he was low-key asking about my social support. My main support is my husband, and we have some ongoing problems so he's not always the best social support person. So T asked me "is anyone else worried about you?" and I came up with two people. And then added "maybe you..." and he did not answer, but asked "do you think I'm worried about you?" I said "well I guess you would be" and still didn't get an answer.

That has really bothered me ever since. Why couldn't he just tell me?

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u/AdditionalPumpkin813 — 17 days ago

Therapy outside?

NAT

Do any of the therapists here do therapy outside (in nature), or even walk-and-talk therapy? It comes up periodically on other subs. If you do, how is it helpful?

My T is fantastic, but I don't think he'd do it. This is even though he's the one who pointed out how much better my life goes when I'm able to spend a lot of time outside.

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u/AdditionalPumpkin813 — 1 month ago

Referral for someone else?

Is it OK to ask your therapist for a referral for someone else to a different therapist?

I know someone who aged out of child psychiatry/therapy about 2 years ago. Their meds are being managed by their PCP, but they're struggling.

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u/AdditionalPumpkin813 — 2 months ago

What is a rupture?

The term rupture is new for me as a client, after a ~20 year break from therapy. My therapist hasn't ever used it, but I encounter it a lot online.

Sometimes it sounds like a severe disagreement that might lead to the end of the therapeutic relationship, or at least mean it's interrupted for a period of time. Or even an ethical violation.

Other times, it seems like the therapist disagreed with their client, or one of them said something and now it feels uncomfortable.

I'd generally thought of it as something more severe.

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u/AdditionalPumpkin813 — 2 months ago

Amusing observation

Lately, I've noticed that my T (30ish M) and I (62F) both check out what the other is wearing when he comes to get me from the waiting room. It's pretty subtle on his part, like just a little stutter-step when something about my attire is interesting. And I'm definitely checking his attire out!

I'm normally a casual dresser, and his clothes are on the casual side for a New England professional, but well-fitted and interesting, and I love his taste in shoes.

Examples:

- I wore a mid thigh length sweater dress with leggings and tall boots. He actually did ask me about the boots.

- I wore a lined, fitted lace top.

- I wore jeans with embroidery.

- he wore a polo-style sweater with an interesting texture, and an unusual color that looks good on him.

It's not an attraction thing, I don't think. While he's cute, I'm not having "feelings" for him, and for ghu's sake, I'm old enough to be his mother! I can say with complete confidence that he's not attracted to me.

Has anyone else noticed something like this?

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u/AdditionalPumpkin813 — 2 months ago

Weruva non-Rx foods

Gracie is my 16 year old cat with Stage 3 heading toward 4 kidney disease. She was Stage 2 until mid-January, when she crashed badly and ended up at the emergency vet. We've been having problems getting her to eat (see below.) We've gone through a lot of rx diets and sooner or later, she rejects them all.

I just started her on non-Rx Weruva Wx low phosphorus controlled diet. So far she's a fan of Tuna and Tilapia puree and not quite such a fan of chicken and tilapia puree. She loves sharing her fish breath and fish farts. But there are warnings about it not having enough phosphorus and not being a complete diet.

Her prescriptions are subQ fluids 100ml twice a week, thyroxine, generic cerenia half a tablet, famotidine, and lactulose for constipation.

She eats 1 or 2 cans of wet food per day. A meal is half a can plus a Delectables tube, 1/8 tsp miralax, and FortaFlora with one meal, all mixed with water to make a soup. Getting 4 meals, and sometimes 3, into her almost never happens so I've added back 2 to 3 tablespoons per day of k/d dry food, because it's the only thing she'll reliably eat. Note she mostly eats overnight and not a lot during the day.

So - what are people's experiences with the Weruva foods?

u/AdditionalPumpkin813 — 3 months ago

Intro...

Hi all,

Introducing myself as I'm a tomato lover and have been growing them for at least 20 years but always have observations and questions. I'm in Massachusetts (zone 6b, 25 miles from the ocean) and the best predictor of success is a summer that heats up early and is a bit on the dry side. I tend to plant a bit later than many - beginning of June - as heat-loving vegetables just sit and don't grow if May is cold.

I'm mostly growing in plastic whiskey barrels, so 10 to 15 gallon capacity. I use a mix of compost and sterile planting medium. Plant deep, prune bottom branches up to 2 feet, use drip emitters and mulch. This year may be challenging as it appears my town has a stage 3 drought warning, which doesn't allow hand watering or drip irrigation. We have rain barrels and I can save water from running the sink or tub faucets waiting for water to warm up, so I'll likely be carefully hand-watering. I'm thinking of a thicker mulch layer this year.

Question: do I really need to replace all the soil in each whiskey barrels every year? My plants do get diseases but it doesn't seem to matter whether I use fresh soil or mix the old and the new roughly half and half. Is there any sort of soil pre-treatment to reduce disease pressure?

I keep trying different varieties but tend to go for smaller tomatoes. I repeat some and try some new ones every year. Will put this year's varieties in a comment.

My favorite variety of all time is Matthew, an orange large grape/small plum that is lovely to eat fresh, but also for sauces, dried, etc. In a really good year, I had 500 or more from a single plant that was 10+ feet tall. I used to get them from Territorial Seeds but they haven't been available for years, and the only way I've found to buy them is as 20 pounds of seeds for ~$250 from a Quebec company that may or may not export to the United States.

So, scatterbrained intro but I'm glad to be here.

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u/AdditionalPumpkin813 — 3 months ago

Hi -

ETA thanks everyone. I'm probably thinking way too far ahead already. We'd like to stay in the area if possible. If anyone has opinions about Dana Farber (NCI certified), Beth Israel, Lahey Clinic (now part of BI), etc I'd like to hear them. Also just found out that Dana Farber has a new facility about 15 minutes from home in Methuen. I think I'd be OK with MGH.

I'm joining you because my husband probably has prostate cancer. No biopsies yet, but PS-RADS grade 4 from his MRI. He's seeing the urologist on Monday.

I'm mostly wondering about the various cancer clinics in the Boston area for second opinions/treatment because I know he doesn't want major surgery. I'd prefer to avoid anything in the Mass General Brigham system as I used to work there and things ended badly. We live north of Boston.

There's no good time to get this diagnosis, but we're also having marital problems and this is another complication. We have no intention to separate, but things are ouchy. We are both retired and in our early 60s.

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u/AdditionalPumpkin813 — 4 months ago